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HomeMy WebLinkAboutPermit 5046 - Tukwila Athletic Field - Grade and FillCITY OF TUKWILA 1, Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address BUILDING PERMIT GRADE /FILL (CUT 3,300 C.Y.; FILL- 27,000 C.Y.) PERMIT # S Otero Control # 87 -337 13919 53RD AVENUE SOUTH Suite # Tenant TUKWILA,ATHLETIC FIELD N/A Assessors Account # y9 /A- SOUTH CENTRAL SCHOOL DIST. Phone # Z44 -2100 9690 S. 144TH SEATTLE FOR BUILDING PERMIT ONLY Approved for Issuance by: Sq. Ft. Office Storage/ e War eho u s Retail Other Occ. Load 1st Fl. 2nd Fl. 3rd F1. Total Fire Protection: Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Zip 98168 Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction $ 25,000 Bldg. Permit Fee Receipt # $ 279.00 Plan Check Fee Receipt # $ 60.00 Demolition Receipt # $ Surcharges Receipt # $ Other Receipt # $ Other Receipt # $ TOTAL $ 339.00 FUR SIGN PERMIT ONLY [j Permanent El Temporary [] Single Face ❑ Double Face Wall Mounted ❑ Free Standing El Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE_ PQQVISI OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH PERFORMANCE OF CONSTRUCTION. !�_jr// cGy_+rT•y� Date die9 --"7 LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect, Date Signed Contractor (signature) OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, offered for sale. ( 1, as owner of t property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) and the structure is not intended or Date !U 1_2 �,;1' s, Ar Site Project Valuation Property Address Applicant Address Architect Address Contractor Address Hauling Address Describe develop CITY of TucrtLA 8uiiding Oivlslon 6200 Southcsntor 8oulavard . Tukwila, Washington (206) 433 -1845 Address 13919 53rd GRADING /FILL /EXCAVATION 98168 PERMIT APPLICATION CONTROL# i'% -7 Avenue South, Tukwila Suite# Floor# Name /Tenant of Grading Owner Athletic Field Earthfill Project $25,000 Assessors Account# N/A South Central School District and Phone 244 -2100 City of Tukwila 433 -1800 Zip 98188 Tukwila Parks and Recreation Department Phone 433 -1843 6200 Southcenter Blvd. Tukwila Zip 98188 /Engineer 5808 Lenny Kong, Entranco Engineers Phone 827 -1300 Lake Washington Blvd. NE Suite 200 Kirkland Zip 98033 Unknown License# Phone Zip Co. Unknown Phone Zip the purpose and a future park. extent of fill, excavation or grading To fill the site in order to Cut (c.u.) 3,300 Fill (c.u.) 27,000 - I CORRECT Applicant Contact Two (2) sets of grading /fill /excavation Qlans must be submitted which meet the application requirements of Section 7006(d), 1985 Uniform Building Code. A soils engineering report and engineering geology report may also be required. An Environmental Checklist is required to be submitted ($100.00 Fee) to the Planning Depart- ment for any A Hauling permit grading /fill /excavation 500 cubic yards or more. is required for any grading /fill /excavation of cubic yards or more. certificate of insurance, route map, and permit fee of $25.00 are required. A $2,000 bond, HEREBY CERTIFY THAT I AND THAT I HAVE /Authorized Agent Person (please print) HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. (signature)_ %%7,e:,E.e .- Date August 12, 1987 (print name) Don R. Williams Don Williams Phone f33 — /t 'f3 FEES: Grading Permit Fee Plan Check Fee Other OFFICE USE ONLY glicicL .3-a5.-s9 (000/322.100) $ oX761,G1) Receipt# Date Paid Excavation :: K I (000/345.830) & p,a) Receipt# Date Paid ( ) Receipt# Date Paid Ordinance #1341: TOTAL r,1 (OWES: $ -z53 4?,tb ) [] Bond Required: $ Cert. of Ins. Amount $ . I' iV UA I t l "I4ME BLDG 0- �.1 ' pprove. or ssuance giiii4 PLNG Al ,1J,y et-frir / ,6.0'7 el SEPA Checklist require,: ,A Yes (] No SEPA Determination 1 11 t,1 SEPA File# �?U , 1Z. Approved (Initials) PWD ✓ ovi /_�gd� Hauling Permit Requ "re r: Yes No IN3PECTIO RECORD CITY OF TUKWILA Dept. of Community Development - Building Division Phone: (206) 431 -3670 6300 Southcenter Boulevard — #100 Tukwila Washington 98188 PROJECT: 77, Ir__„` , -4 4 ,% h.,74,-c_ �,_,ls/ PERMIT NO. cTc 4/6, SITE ADDRESS: /7.,v/ ._ / Ake So _ DATE CALLED: TYPE OF INSPECTION: ( -., J all". DATE WANTED: /d `8--- - \ REQUESTER: SPECIAL INSTRUCTIONS: PHONE NO.: INSPECTION RESULTS /COMMENTS: '-- T� ;ma. 2I: _: ". i _,.0.&.,..g INSPECTOR: DATE: /0_ --9"1 CITY OF TUKWILA Building Division Tukwila,,tihinshinatonBoulevard (206) 433 -1849 Type of Inspection , ihal (Gfro% r- Site Address 13?/54 5,34‘4 flr,?e, 5501 Requestor 7) oil 4Y////c' 1.-iS Special Instructions INSPECTION RECORD PERMIT # ,,.5-046, Date //� /gam Date Wanted y//ore a.m. p.m. Project * 4 €ii 7(7 _A/ k �cr Phone # Inspection Results /Comments: Inspector MerC4-,/ Date /3/4�/��r 4 IiirmlienWPW. Wei idtaCI,B 2 * P = • • • 0 ' / // / / 4r) ft //1-77i) A \ /� ►� 11 1 1\N %\ \` / I illl■• 1 \ / ' // / \ ,/ y /' +/ 1 / ! / /� �� \ \\ \ --..,2„, . \ \ \ \ 0 \ \ I I I \---\ I l \ \\\ \* ( ,� �" 6 / I \ • l'1°1 i / I ill _ �, / Iii s. / ./ / / 1 -- c i / 11 ( Y ,_ `) / " . \ 1� %i� i / �/i/ t ... , I ., 421 CZ z LAJ cc i 1 4 1119 14.11 itl 1, p it V FYI . I2 ;: 2 �-e 31,14 Ihik lifer ; i m i:;• 1 b;I iii �� �9 ! iI�Cp lie Mfi a g� �1 e a i Art iuh.loi 10 iv; 'b p i- ! D I �' �iE + ant ; , j 11 g% 6M1�1 !!;;89 �� .�0�i�i.i� r i/ �da.r' Jill ��. �4 9 W a FINAL GRADING PLAN 1 rrrPP II LILT 1100 r) z m z i W "Ii iihi bl l"i i O .ihi i i a poi 1 !sr el:1111111 e • 611:! Isilifilli in! 0 all' :ithi 11 .lo • , s.:.. a ■ Mina man Mutt 111111 n■■m.■ W Y 3€ z a -J a INTERIM GRADING 0 MICH 1r !rr �►'1i�1!"li O diubilB tido; Phi iR h;,:;;; j� g � 11u'k ■ ➢�� ■ ■e R `{ � i k. thigh � :i0116■11!■' g! 1aa■!I i; 1�1�d a�� 1:1"t'; : ,�I23,31i till 8 CITY OF TUKWILA (•9 { i• Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT lork to be done Ate Address 3uilding Use property Owner Address ;ontractor GRADE /FILL (CUT 3,300 C.Y.; FILL- 27,000 C.Y.) PERMIT # 5-()4,6; Control # 87 -337 13919 53RD AVENUE SOUTH NJA SOUTH CENTRAL SCHOOL DIS"1<. 9690 S. 144TH Suite # Tenant TUKWILA.ATHLETIC FIELD Assessors Account # A44- # 244 -2100 SEATTLE Zip 9tS1bt3 Phone # Address j ,ip OR BUILDING PERMIT ONLY A••roved for Issuance Sq. Ft. Office Warehouse Retail Other Occ. Load 1st F. 2nd F". r' "T Fire Protection:(] Sprinklers (] Detectors Zoning Type of Construction Special Conditions UR SIGN PERMIT ONLY Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd Fl. E other $ other $ Total Valuation of Construction $ 25,000 Bldg. Permit Fee Receipt # $ 279.00 Plan Check Fee Receipt # $ 60.00 Demolition Receipt # $ Surcharges Receipt # $ Other Receipt # $ Other Receipt # $ TOTAL $ 339.00 Permanent [] Temporary (l Single Face (] Double Face [] Wall Mounted [a Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions !Ills PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONStRIJCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE OR 'CAN EL THE P VISI I Y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION 1041 TH PERFORMANCE OF CONSTRUCTION. Signed Qjy,=, Date__ -__K2 / __._L ?--- ____- LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. c4i. 1, as owner of t property, amm eeccllluustvely contracting with licensed contractor's to construct the project. Owner (signature)_i!.� -G� Date._..._ /G