HomeMy WebLinkAboutPermit 5655 - East Marginal Corporate Park - SIngle Family Residence DemolitionBUILDING PERMIT
(POST WITH INSPECTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
CITY OF TUKWILA - — - — �-
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO. 56 3
DATE ISSUED:
'7
FEES
s DESCRIPTION
AMOUNT
RCPT P
DATE
BUILDING PERMIT FEE •
30.00
O b
7-zi-ffcl
PLAN CHECK FEE
EXP. DATE12 -31 -89
ARCHITECT NIA
BUILDING SURCHARGE
ADDRESS N/A
ZIP
OCC.
LOAD
ENERGY SURCHARGE
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD ,
OTHER:
TOTAL
OCC. LOAD
_ TOTAL -
ln_nn
PRC)JF-CT INFORP.1ATION
3722 S 126 St
UI
PROJECT NAMEJTENANT East Marginal
TYPE OF U New Building U Addition
WORK: ❑ Rack Storage ❑ Reroof
• 2000.00
Corporate Park ASSESSOR ACCOUNT #t 734560- 0575 -01
❑ Tenant Improvement (commercial) L Demolition (building) Li Grading/Fill
❑ Remodel (residential) ❑ Other:
DESCRIBE WORK TO BE DONE:
Demolish single family
residence
PROPERTY OWNER Sabey Corporation
PHONE 282-9596
ADDRESS Elliott Ave. W., Suite 400, Seattle, WA
ZIP 98119
CONTRACTOR Sabey Corporation
PHONE 282 -9596
ADDRESS 201 Elliott Ave. W., Suite 400, Seattle, WA
ZIP98119
WA. ST. CONTRACTOR'S LICENSE # SABEY *C141PH
EXP. DATE12 -31 -89
ARCHITECT NIA
PHONE
ADDRESS N/A
ZIP
USE -3
/
/
CO[)[. COh1F'LI/1N(
/
:E
/
/
CONDITIONS (other than those noted on or attached to permit/plans): .II. , I -.. ' -11-1 . T C 1..14
DATE: 7 ' ,5'
pL334
NV
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD ,
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
k
k
TOTAL
TYPE OF CONSTRUCTION: UBC EDITION (year)
SETBACKS: _
FIRE PROTECTION:
❑Sprinklers ❑Detectors ®N /A
UTILITY PERMITS REQUIRED. (Public
°❑ Yes ®No Public Works)
ZONING: BAR /LAND USE CONDITIONS ❑Yes ®No
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
CONDITIONS (other than those noted on or attached to permit/plans): .II. , I -.. ' -11-1 . T C 1..14
DATE: 7 ' ,5'
SIGNATURE: -- - "
APPHOVED FOR J / 7 . BUILDING
ISSUANCE BY: / j e A, ./Lt „,� OFFICIAL
DATE:
7 /, / 't
I hereby certify that I have read a amJned this permit and know the same to bd true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
}
Z-
DATE: 7 ' ,5'
SIGNATURE: -- - "
PRINT NAME: C, �
1:-,--''k- c• y,
.cam ...,
COMPANY: S� � ' �/ �- `
This permit shall become null and voidif the work is not commenced within 180 days fro the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
DATE ISSUED:
CITY OF TUKWILA
Department of Community Development -
6200 Southcenter Boulevard, Tukwila WA
(206) 433 -1849
BUILDING PERMIT N/
(POST WITH INSPkCTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
BUILDING
PERMIT NO. '57p 55
DATE ISSUED: r�
/ -41H
Building Division FEES
98188 011CRIPTION AMOUNT RCPT P DATE
BUILDING PERMIT FEE 30.00 0%1
PLAN CHECK FEE
BUILDING SURCHARGE
ENERGY SURCHARGE
OTHER:
TOTAL -
3n_nn
3722 S 126 St
PROJECTNAME/TENANT East Marginal Corporate Park ASSESSORACCOUNTM 734560- 0575 -01
TYPE OF ❑ New Building Addition 0 Tenant Improvement (commercial) g Demolition (building) Li Grading/Fill
WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other
DESCRIBE WORK TO BE DONE:
Demolish single family residence
PROPERTY OWNER
Sabey Corporation
PHONE 282-9596
ADDRESS
201 Elliott Ave. W., Suite 400, Seattle, WA
ZIP 98119
CONTRACTOR
Sabey Corporation
PHONE 282-9596
ADDRESS
Elliott Ave. W., Suite 400, Seattle, WA jZIP 98119
WA. ST. CONTRACTOR'S LICENSE * SABEY *C141PH
EXP. DATE12_31 -89
ARCHITECT
N/A
PHONE
ADDRESS
N/A
ZIP
USE4
/
/
FLOOR SQUARE OCC. SQUARE OCC. SQUARE OCC. SQUARE OCC. SQUARE
FEAT LOAD FEET LOAD FEET LOAD FEET LOAD FEET
•
/
OCC. TOTAL.
LOAQ SQUARE FEET
TOTAL
OCC. LOAD
TOTAL
TYPE OF CONSTRUCTION: UBC EDITION (year)
SETBACKS: N - S - E - W -
FIRE PROTECTION :❑S rinklers
p ❑ Detectors ®NIA
UTILITY PERMITS REQUIRED (through
?❑Yes ®N o Public works) ,
ZONING: BAR/LAND USE CONDITIONS❑yes No
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
CONDITIONS (other than those noted on or attached to • rmi /plans): . 11 8 , ' i - • - ii -1 • T 1..14
"; •/ ` `
SIGNATURE: � - r ` .. DATE:
APPROVED FOR / BUILDING
ISSUANCE BY: Ji4, , `, OFFICIAL
DATE:
7 /F/54
I hereby certify that I have read a ' amined this permit and know the same to true and correct. All provisions
Y Y pe p
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
I
"; •/ ` `
SIGNATURE: � - r ` .. DATE:
PRINT NAME: ' ' • ' :.. = - /4 — 1 COMPANY: _. 4 • t_ / i
This permit shall become null and void if the work is not commenced within 180 days fro �rf the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF A 1
OCCUPANCY NO. IV
DATE ISSUED:
ktttdi tkrkfll.`+ ¢y ki;''"' « i)ittkeatas ∎ iitRih�y }17x`11
CITY OF TUKWILA
Building Division
Tukwila,,tWsshington Boulevard
88
(206) 433 -1849
H
wPaua
SUES: �f'' �D�'{! �dF ,°..:�iiYlahcidi":�r�z�1.:..W.i 1. i1�'; r�:11;'YlC:iif�.3"brgrr;{q!`r %1 �A2"+'x.!Wf3.i"rt�lA'•ptnS,
INSPECTION RECORD "
PERMIT #
Date —1-9 0
Type of Inspection c761
Site Address QQ. 5 1@(/)
Requestor .r 51 C% \ Phone # 1_5C ,D
Special Instructions
Date Wanted a.m. p.m.
Project O.n CP
Inspection Results /Comments:
Inspector
Date
CITY OF TUKWILA
62011 SO(ITJIC! NTRYI BOULEVARD, TUtiWILA, WASHINGTON 98188
April 4, 1990
I'IIONE # (206) 433•IH00 Gary L. VanDo rn, Mayor
Security Pacific Bank Washington, N.A.
International Division
P.O. Box 3966
Seattle, WA 98124
RE: Letter of Credit STB 61811
Sabey Corporation
P.O. Box 9847
Seattle, WA 98109
Attn: Dwight Sawtell
The City of Tukwila hereby authorizes the bond of $10,000 (Ten
Thousand US Dollars Only) to be released to Sabey Corporation.
The project known as EMCP Expansion (Residential Demolition) has
been completed to guaranty compliance with TMC 16.04 for
Demolition of Structures. The final sign off was completed on
April 3, 1990.
Sincerely,
Shellie Bates
Permit Technician
Enclosures
cc: Dwight Sawtell, Sabey Corporation
Ken Stickley, Sabey Corporation
EMCP Permit Files
City of Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433 -1800
Gary L. VanDusen, Mayor
89 -166: East Marginal Corporate Park (demolish residence)
3722 S 126 St
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER 5(p.5 .
1. All permits shall be available at job site prior to start of any
construction.
2. Comply with requirements of TMC 16.04 (attached).
3. Remove all weeds, concrete, stone foundations, flat concrete, concrete
patios, masonry walls, garage floors, driveways and similar structures
and all loose miscellaneous material from such lot or parcel of ground,
to properly cap sanitary sewer and water connections, and to properly
fill or otherwise protect all basements, cellars, septic tanks, wells
and other excavations.
4. Comply with requirements of the Noise Ordinance TMC 8.22 (specifically
8.22.160, which restricts noise from construction equipment to the
hours of 7:00 a.m. and 10:00 p.m. Noise from construction equipment
shall not be produced from between the hours of 10:00 p.m. and 7:00 a.ni.).
5. Obtain required inspections from the appropriate water and sewer districts.
Proof of approval shall be provided prior to the City's final inspection
and release of letter of credit.
6. Removal of any septic tanks require approval and compliance with permit/
inspection requirements through King County Health Department (344- 6000).
7. Validity of Permit. The issuance or granting of a permit or approval of
plans, specifications and computations shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of
this code or of any other ordinance of this jurisdiction. No permit
presuming to give authority to violate or cancel the provisions of this
code or ordinances is valid.
COMMtSSIONERS
JAMES I. ANGLE
C.H. WALMER
GARY JOHNSON
?/Valer 2is1ric1 no. d25, Coun4
Telephone: 242.9547
July 10, 1989
Ken Stickley
Sabey Corporation
201 Elliott Ave W.
Suite 405
Seattle, Wa. 98119
FRANKLIN PEARSON
Superintendent
ANN WILSON
Olflce Manager
P.O. Om 68147, Riverton Hts. Br. Office: 2849 South 150th
SEATTLE, WASHINGTON 98168
The Following services have been disconnected at the main:
12501 37 Ave. S.
12505 37 Ave. S.
12511 37 Ave. S.
12515 37 Ave. S.
12510 35 Ave. S.
12510 35 Ave. S.
12504 35 Ave. S.
12500 35 Ave. S.
-""r S 126 St.
% S. 126 St.
12540 35 Ave. S.
12535 37 Ave,
12521 35 Ave. S.
"N.J12506 37 Ave. S.
Sincerely yours,
D. Hayed
u5 TSIDE.
INSIDt... ..... ..... » ......
..
RW'AIRS�,%�/' •1:
DEPOSIT S..l..= :.. »....
SIDE SEWER PERMIT
VAL VUE SEWER DISTRICT
14016 Military Road S. • Seattle, Washington
PERMIT N° 03668
EASEMENT No.... ........ ».._.�
CARD No .. ...... _.. ».._. ».. »...4C.. ».._
fr7
OWNER... »....
HOUSE ADDRESS ►� Q ': ::��,. e...r
NAME SUII•DIVISION
CONTRACTOR
BASEMENT: YES NO....... »...««..._«
LOT No. ILK. No. .........._.. » «...._...... ......
Permit has been granted
Approved by Expiration Date
Permits not valid unless signed by district representative.
Inspector's Report
Test Report
AIR 0
WATER
Roof, Downspouts, Building Footing Drains, any Ground Water
Drains, etc., are not allowed to be hooked into the sewer under this
permit. ALL PLUMBING OUTLETS WILL BE CONNECTED TO THE
SEWER.
This permit is granted subject to the conditions set forth on the
District's Application for Permit and is subject to all stipulations
of the District's Side Sewer Resolution as amended and which are
by this reference incorporated herein as though set forth in full.
Inspector
"CAUTION"
NO BUILDING ON
SEWER EASEMENTS
.41110•
NO CEMENT JOINTS
DEWATER DITCH BEFORE INSPECTION
DISTRICT INSPECTION BEFORE BACKFILL
TEST SIDE SEWER BEFORE AND DURING INSPECTION
CALL FOR INSPECTION AT 242 -3236
vcb:2:71
5/26/89
List of Addresses Needing Application for
Sewer Disconnect Permits
1. 12500 37th Avenue South, Seattle, WA 98168
2..' 12504 35th Avenue South, Seattle, WA 98168
3. 12510 35th Avenue South, Seattle, WA 98168
4. 12501 37th Avenue :South, Seattle, WA 98168
5. 12505 37th Avenue South, Seattle, WA 98168
6. 12515 37th Avenue South, Seattle, WA 98168
7. 3704 South 126th Street, Seattle, WA 98168
8. 12511 37th Avenue South, Seattle, WA 98168
9. 3530 South 126th Street, Seattle, WA 98168
10. 3716 South 126th Street, Seattle, WA 98168
/�r.
11. 911.84, South 126th Street, Seattle, WA 98168
12. 12525 37th Avenue South, Seattle, WA 98168
13. 12516 37th Avenue South, Seattle, WA 98168
14. 12535 37th Avenue South, Seattle, WA 98168
\15. 12506 37th Avenue South, Seattle, WA 98168
16. 12522 37th Avenue South, Seattle, WA 98168
1NSIDL
REPAIRS... ».. .».. ._.�
DEPOSIT S.. 7.. !._..
1481 & t►7,(2. S . 242.-r_34,
VAL VUE SEWER DISTRICT
APPLICATION FOR
SIDE SEWER PERMIT
RRMIT N! 2161
EASEMENT Nw».»......_.. ..._.�..
CARD N........._.......»_.
NOUSE ADDRESS. ......22Z.Z...»_...�.....�.7.Li L�
NAME SUS- DIVISION.....1l 11..4. 2.ria.S1...._ ».A.U.)._....._ »_.
g. 41 a
CONTRACTOR. .L.gt ...x.42!12. 1r= ».
IASEMENTs VES:. �! .. NO......._...
LOT ILx. N�.... ..............._......_....
SCALE .2
•
1
�.._. ._ .. ,_...
.. ,4N .ptic.
DISTRICT APPROVAL BY c. c urr
TEST RESULTS
Sou-n -1/4
DATE c - 2„.l77)
Q. tcy /.L►,,F,�-.�
... f .. a..1-.....
I HEREBY CERTIFY THAT THE ABOVE CONNECTION HAS BEEN
MADE AS SHO PRIOR TO BACKFILL
uBY. ..... ..YL` :./:p.l I� DATE ' . 1- 7 -)
SECUI�i 'Y PACIFIC BANK WASHINGTON, N.A.
INTERNATIONAL DIVISION
P.O. Box 3966, Seattle, Washington 98124 U.S.A.
July 10, 1989
City of Tukwila
6200 Southcenter Boulevard
Tukwila, Washington 98188
We hereby issue our Irrevocable Standby Letter of Credit STB -61811
in your favor for account of Sabey Corporation
201 Elliot Avenue, Suite 400
Seattle, Washington 98119
and hereby authorize you to draw o n us at sight up_to the
aggregate amount.of USD 8,000.00 (EIGHT THOUSAND AND N0 /100 US DOLLARS)
against presentation of your written request for such payment and
the Original Letter of Credit.
This Letter of Credit is issued n connection with cons ruction of the
project known as EMCP Expansion (Residential Demolition) located at
1. 12506 - 37th Avenue South, Seattle, Washington
2. 12540 - 35th Avenue South Seattle, Washington
3. 3722 - South 126th, Seattle, Washington
4. 3704 - South 126th, Seattle, Washington
to guaranty compliance with TMC. 16.04 for Demolition of Structures.
It is understood that the nature and extent of the work is defined
by the approved plans and conditions contained in the City of Tukwila
File No. .39-/- - $g -/o g
If, in the sole determination of the City Engineer and /or Planning
Director, the above - referenced improvements are not comp leted as
required by the approved plans, conditions and applicable City
standards at the above location, no later than January 8, 1990
or until released in writing y the City f Tukwila, whichever
occurs first, Security Pacific Bank Washington agrees to pay
to the City of Tukwila the sum of USD 8,000.00, upon receipt
of written request for such payment.
Drawings under this Letter f Credit must specify the number
of this Letter of Credit and be presented at Security Pacific Bank
Washington 1301 Fifth Avenue Rainier Bank Tower 22nd Floor Latter
of Credit Dept., Seattle, Washington USA on or before January 8, 1990.
The Credit sets forth in full the terms of our obligation to you,
and such undertaking shall not in any way be modified or amplified
by any a reement in which this Credit is referred to or to which
this Credit relates, and any such reference shall not be deemed to
incorporate herein by reference any agreement.
We engage with you that drawings under and in compliance
with the terms of this Credit will be duly honored.
Except so fa as otherwise expressly stated, this documentary
Credit is subject to he "Uniform Ctstoms and Practice for
Documentary Credits" 1983 Revision), International Chamber of
Commerce Publication No. 400.
Sincerely,
.I'' LAPOP■'
AUTHORIZED SIGNA1
Please note that Security Pacific B
Rainier National Bank.
T I F I CAT E OF I N S U R AI(
DATE (MM /DD /YY)
07/07/89
Producer
PARKER, SMITH & FEEK, INC.
1700 First Interstate Center
999 Third Avenue
Seattle, Washington 98104
This certificate Is issued as a matter of information only and confers no
rights upon the certificate holder. This certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insured
SABEY CORPORATION
201 Elliott Avenue West, #400
Seattle, Washington 98119
Companies Affording Coverage
Company
Letter
Company
Letter
A
AETNA CASUALTY & SURETY COMPANY
B
Company
Letter
Company
Letter
Company
Letter
C
D
E
Covers es
This is to certify that policies of insurance listed below have been issued to the insured named -above for the policy
period Indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to
which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject
to all the terms, exclusions, ana conaitions or such policies. Limits snown may nave
peen reouceo oy paw claims.
Co
Ltr
Type of Insurance
Policy Number
Policy Effective
Date (MM /DD /YY)
Policy Expiration
Date (MM /DD /YY)
Liability Limits IN THOUSANDS
Each Occurrance Aggregate
A
General Liability
X Commercial General
81ACM5463275CCS
12 -31 -88
12 -31 -89
General Aggregate
$ 2,000
Liability
Claims Made
Products- Comp /Ops
Aggregate
$ 2 000
X Occurrence
Personal & Advertising
Injury $ 1,000
Owners and Contractors
Each Occurrence $ 1,000
_
Protective
Fire Damage (any one
fire) $ 50
Medical Expenses
(any one person) 8 5
._._
A
Automobile Liability
X Any Auto
081FJ905543CCA
12 -31 -88
12 -31 -89
Bodily
Injury
Per Person $
All Owned Autos (PPriv.
All Owned Autos (utne.)
Injury
Per Accident $
than Priv. Pass.)
Hired Autos
Property
Damage $
-Owned Autos
_Non
Garage Liability
BI & PD
Combined $1,000
Excess Liability
Umbrella Form
BI & PD
Combined $ $
Other Than Umbrella
Workers' Compensation
and
Employers' Liability
Statutory
$ Each Accident
$ Disease - Policy Limit
$ Disease -Each Employee
Description of operations /locations /vehicles /special items
East Mar.inal Co •orate
....... n
Park Ex.ansion
c• o% . , , c'c':. , c'c' ve'c'c'c'c vc'c ...... , :'c'c'c'c •
CITY OF TUKWILA
6200 Southcenter Blvd.
Tukwila, WA 98188
Should any of the above described policies be can-
celled before the expiration date thereof, the
issuing company will endeavor to mail 30 days
written notice to the certificate holder named to
the left, but failure to mail such notice shall
impose no obligation or liability of any kind upon
the company, its agents or representatives.
AtirlDrized
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME
' :/ YC(A i1 Cd C
�- ah
a ?
SITE ADDRESS
37,2 2 5 il26
DATE READY
SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION
(to be filled out by Plan Checker)
USE ;:'=
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET •
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL.
SQUARE FEET
TOTAL
OCC. LOAD
TOTAL
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
DEPARTMENT
BUILDING -
initial review
O FIRE
DATE: I
DATE ..
APPROVED
ROUTED
QUIREMEN'
MEI
CONSULTANT: Date Sent -
Date Approved -
FIRE PROTECTION: Sprinklers Detectors
N/A
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
ZONING:
IBAR/LAND USE CONDITIONS? ( )Yes [ J No
INIT:
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S- E- W-
,z PUBLIC
WORKS
O OTHER
INIT •
UTILITY PERMITS REQUIRED? [] Yes [) No
PUBLIC WORKS LETTER DATED:
INIT:
BUILDING -
TYPE OF CONSTRUCTION:
%-
final review 7 -17 -66/ INIT:
REVIEW COMPLETED
UBC EDITION (year):
PERMIT NO.
CONTACTED
/4 GM 7dc
DATE READY
�, 4�
O
DATE NOTIFIED �` ���
BY:
init.)
e
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
J, 00
3RD NOTIFICATION
BY:
(init.)
BUILDU3 PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
FEES (for staff use only)
v;VV vvuctHouma; Llvulara,so, IunrrVIQ •Il1 v#VW
(206) 433 -1849
DESCRIPTION
AMOUNT
RCPT #
DATE
BUILDING PERMIT FEE
PLAN CHECK
NUMBER
PLAN CHECK FEE
BUILDING SURCHARGE
APPLICATION MUST BE
FILLED OUT COMPLETELY
ENERGY SURCHARGE
OTHER
TOTAL
SITE ADDRESS SUITE #
3722 South 126th Street
VALUE OF CONSTRUCTION - $
$2000.00
PROJECT NAME/TENANT
East- Marginal Corporate Parlc Expansion Area
ASSESSOR ACCOUNT #
734560- 0575 -01
TYPE OF Li New Building U Addition U Tenant Improvement (commercial) U Demolition (building)
WORK: ❑ Rack Storage ❑ Reroof 0 Remodel (residential) ❑ Other
DESCRIBE WORK TO BE DONE:
Clear lot of structure
BUILDING USE (office, warehouse, etc.)
Vacant land
NATURE OF BUSINESS: Real Estate Development
WILL THERE BE A CHANGE IN USE? W No U Yes IF YES, EXPLAIN:
SQUARE FOOTAGE - Building: N/A Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 0 No ❑ Yes IF YES, EXPLAIN:
PROPERTY OWNER Sabey Corporation
PHONE 282 -9596
ADDRESS 201 Elliott Ave. W., Suite 400, Seattle WA
ZIP 98119
CONTRACTOR Sabey Corporation
PHONE 282 -9596
ADDRESS 201 Elliott Ave. W., Suite 400, Seattle, WA
ZIP 98119
WA. ST. CONTRACTOR'S LICENSE # SABEY C *141PH
EXP. DATE 12/31/89
ARCHITECT NA
PHONE
ADDRESS
ZIP
1: HEREBY CERTIFY; THAT t HAVE READ,AND EXAMINEDTHIS APPLICATION A
TRUE A►NO::CORRECT,:AND.1 AM.AU HORIZI~D PLY FOR_.THIS:;PERMIT..•
BUILDING OWNER SIGNATURE
OR
AUTHORIZED
AGENT
PRINT NAME
Ken Stickley
:KNOW THE SAME
DATE
PHONE 282-9596
ADDRESS
201 Elliott Ave. W, Suite 400
CITY /ZIP 98119
CONTACT PERSON
Ken Stickley
PHONE 282 -9596
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts
are available at the Building counter which provide more detailed information on application and plan submittal
requirements. Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 433 -1851 prior to
submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be
reviewed and Is subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or
contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent
to submit this permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of
application shall expire by limitations. The building official may extend the time for action by the applicant for a
period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform
Building Code (current edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 433 -1849.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
03/30/8
COMMERCIAL
S6i3MITTAL CHECKUST
. . , . .. . . .
REV/ COINIEROAL . .
. et:imitated building permit application (one for each structure)
POsasser•Aocount Number:::. •
Two (2)':tol the
•• .......
gpec#1016096 .•
• :•••••.••••••• .. •••• . . 1•'.••••••.;:.,":1•• ''•,•:"."..,: •••.' • ..:'••••.• • •••••:,• . ;:. .
StrUctUral calculations stamped by a Washington State Il�nsed
engineer •
..""'"'"••••••:••••• •-•:•• • ••:., ••••••••:•:••.• •...
E .Sons report stamped by "eWashington Sittig, lioenriecl.engirieer..:::::,:•".•'...:•:"
• .
Ene,y caIouIaons stamped bYaWashingtOnsteteiicen::::•,,.
• :erigirteer,Orite•:chitect . .. .
Lag :description
archltect,'vehict!
• 0-
. ..
..•
..... ""'••••
:"..ccimPko!ko uniity permit applicatiortiOneferentir:k•:.
sett of civil drinvings.- . „
NO7E titIlltYPennitapislicattion and .Chic4dist:tOr:".-- apecic t,
:•••• ."":••••••• •••••
RACK. STORAGE . „.„
• . :
: c■Ortipieted building Permit : •
"••• " . : .. "
ses•sor Account
1)yo (2) Sets of plane; which Indude
BUildingIloor plan showing
...,••••••• • "" • :
Entire space where malts will be loca
Exit doors
•••,:• Dimensions of all
Tonere space floor plan showing rack StPrflp:Pkiltt,p!4:4101:0
NOTE Inckic dmonsIons 01 • , .. • : • •:.: l'•
racks • (neigh( ■■•*...*1#:::::1::
and nide. nays On p■en. •
flStructural calculations stamped by a Washington State licensed
: engineer (rad; storage •••
. .
RESIDENTIAL
... , . • . . . „.„,„... . „„. . . . . . . . „: .. .
COMMERCIAL TENANT JPPROVEMENTS
cdmolosa.building permit iippliCarietn::(One„ for each strUctere
.
Site plan
••.• •• .
; " ••••••••••.•••••••••,.,,,, • •
.l•„ocation'Of tenent.sPace,.:: • :•• ....•
•:„
Overall hri .of b „
adjacent (common • •• • •.:...••••:•••,::
ing. 01:: ... . . •
°vera
• • . •••••." •'' •.• ::::.•. . ••••.•"• ••••:•'• •••• ••• ••;' :' . ,.."i•-4:l:.:. ::,"• k. ' • O••• l •• .•C••• .•
• proposed *.. ••. " •• :•'. • ..... " n. • . ••. • •
. . . : • • •
..' ....'"••. • •• • tenant • • • 7:• •:• .' '
• •
Tenant space plan 1with
..•
• Exit doora egress patterns
• ii;.exio constructlon ConsbU0n seole?5'5h,winn wall
.• • :. • „ • ' •••• • • • •:•• ••• •••. . • •
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- • •.••
.." " ..„...-. m.;
•••••f :•••: '.'.;'•'. •
attachment andq?ihng
Siructural stamped by A H�nsed
n .....: .
!
englneer requwed • .,2 s.. •
• e
..
.• .. t...s.. .
.../
NOTE Ifa7y ubhly Work Is to be sop,
• •
• • • . ., • •
it 8 each
sa AC°"t •
removed . .. .
......, .• • . ... .
. ..
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" "•••
TE A certiflcatlon Ietter
• , • .,
. .bigHES
• • .•
• NNNS • per • . • .
tad'
AT • ... . aPP ••• • • • . . , : ,
Assessor A�ount Number
• ,t.,;,1 •••
•••• .
. . .
••...• • •ii-60 100, attachrti • •
• • :.• . ••.,
. . •
•.,.site.r •
• .
.....•.•
Structural
•
: . • • ". •
NEW SINGLE•FAMILY DWELUNGS/ADDMOPIS • •
• ..• • . .• . .. .
fl Compkitid building permit applIcationfondlet.'each-Stri.icture).:"..:"...:1:•:"..
........,
• . . . :.::•:•:.•... • • :...,. • ••••••••••••• •••••
• •.
EAesessor AcCount Number .1,.. .......„.•
• • • ..„:„
...„,...,.„ „•••
Two sate (2) Of.Working.dritstings;:whickinelUde:J,:,•.!::„
• • .'" • ::....•••••••
""•••••• • * Site plan. ••• ••••. • •••
• Foundation plitn.::•:;;:: • "•••••••.',.?...
• Roof plan
cross section„
• :1.1 . Structural framing plans•:••••;•••••:'::••••••••••:•.:;•;:••••••••••••••.'::::::::::',".":•:::::::::::::•••::
•• . •
EWashington Stabs Energy. Code.data.:,1".
•
Completed utility permit application •:•••;."...":::••::::.•:::••••••••:;•:'•:::1'•::::':"•••::::1:":.
. .:: • . . .
RESIDENTIAL REMODELS
riCompleted building pi, rmit application (one for each E Assessar Account Nt.tinber *.: •::: .:.• :.• •
• •'• • •• •• : ...••• : . .
Two (2) sets of worldng drawings, whicti'include;.' : • „: •
Site plain. '-.• • :1. • • •
.: •
• Foundation, plan•••:..::. . .
• Floor plan
. •
• Root plan . :•:„ . •:. . •
• •• • Birildng..elevationslall views) • .
•1•4 Building cross-section:
• Structural framing plans, ..„: , . •
NOTE It any utilitY. Wcliir is to be 'done provide utlhry permit application •
and plans muSl be submitted . •••:. . • •
• ..
•••••■■••••
ESix (6) sets of site plans showing utilities • • : "•
. • • . : .• . •
NOTE Building site plan and utility site plan may be ceMbined. See : • :
uW pamilt application and checklist for specific submittal requirements:.
:: •
Additional topopaphical and soils ktforrnation may be required d uniqUe
. . .
she conditions • • • • • •
• ; ;
REF100 ::•„:::••••••••:::: ••••• ,..•.:.. • • •
'Completed building permit application (one for each structure)
::•••••••••• ••• : ••• : ::.• ...••••••••
AssessOrAcCount nt,imber .: • • • •.:
Narrative describing existing roof, material. being .removed. and •
Materiel being Instailed • : .
• • " • • • • , •", ' "":"
NOTE A oirtifiCittion letter Is required prior to final Inspectiottand
slgn-
of1ofthepmit .::•:::::: • . ., • ..• • •