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 $
.
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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:
_:
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_,.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
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FINAL GRADING PLAN
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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