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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 .• • :. • „ • ' •••• • • • •:•• ••• •••. . • • •••; ••. •• . . . . .."" .. : " . ". .• • . . . : •• . - • •.•• .." " ..„...-. 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 . .. . ......, .• • . ... . . .. -• • •: . " "••• 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 .::•:::::: • . ., • ..• • •