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HomeMy WebLinkAboutPermit 5657 - East Marginal Corporate Park - Single Family Residence DemolitionBUILDIFG 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. 605 7 DATE ISSUED: FEES DESCRIPTION AMOUNT RCPT 1 DATE BUILDING PERMIT FEE 30.00 pq(p S 7 -2/ - PLAN CHECK FEE EXP. DATE 12 -31 -89 BUILDING SURCHARGE PHONE ADDRESS N/A ZIP ENERGY SURCHARGE FLOti SQUARE FEET OCC. LOAD OTHER: OCC. LOAD SQUARE FEET OCC. LOAD TOTAL - 30.00 SQUARE REST OCC. LOAD PIMA C.1 INF orih1A rlor 12506 37 Av S e e.•, -1 ... 7,000 PROJECT NAME/TENANT ASSESSOR ACCOUNT East ter final Cooroorate Park e/34560- 0535 -00 TYPE OF 0 New Building U Addition U Tenant Improvement (commercial) CE Demolition (building) U Grading/Fill WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 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 201 Elliott Ave. W., Suite 400, Seattle, WA ZIP 98119 WA. ST. CONTRACTOR'S LICENSE* SABEY *C141PH EXP. DATE 12 -31 -89 ARCHITECT N/A PHONE ADDRESS N/A ZIP TYPE OF CONSTRUCTION: UBC EDITION (year) SETBACKS: N — S — E — W — CODE Cor.9PL IAricE UTILITY PERMITS REOUIRED ?OYes 0 N o (turougn Public Wortcsl ZONING: BAR /LAND USE CONDITIONSEyes in No USE 4 / / / / / FLOti SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET oCC. LOAD SQUARE REST OCC. LOAD TOTAL SQUARE FEET TOTAL . OCC. LOAD TOTAL. TYPE OF CONSTRUCTION: UBC EDITION (year) SETBACKS: N — S — E — W — FIRE PROTECTION:OS rinklera Detectors ] N/A p UTILITY PERMITS REOUIRED ?OYes 0 N o (turougn Public Wortcsl ZONING: BAR /LAND USE CONDITIONSEyes in No CONDITIONS (other than those noted on or attached to permit/plans): Comply With requ 1 rernents of I ML !b . U4 . APPROVED FOR jl de - ' ) ,, BUILDING ISSUANCE BY: �X 1 '� 1,i �/ J OFFICIAL DATE: 7/,,,/o I hereby certify that I have read a e amined this permit and know the same to be 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 constructi• . o be performance or work. I am authorized to sign for and obtain this building permit. DATE: r/ / 6'' L COMPANY: •t �(/ ii "c/ SIGNATURE' - I C.. r PRINT NAME: /,F ,� ____� �i c / /t~ t! This permit shall become null and id if the work is not commenced within 180 days frQrif the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. DATE ISSUED: CERTIFICATE OF OCCUPANCY NO. NSr 1 !JOY BUILDING 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. j(,5.7 DATE ISSUED: FEES DESCRIPTION AMOUNT RCPT 1 DATE BUILDING PERMIT FEE 30.00 ogeo 5 7 -2l -7 PLAN CHECK FEE ARCHITECT N/A BUILDING SURCHARGE ADDRESS N/A ZIP RE SQUARE ENERGY SURCHARGE WARE FEET OCC. LOAD , SQUARE FEET OTHER: TOTAL. SQUARE FEET TOTAL QCC. LOAD , L. TOTAL • 30.00 , 12506 37 Av S PROJECT NAME/TENANT ASSESSOR ACCOUNT East Marginal Corporate Park s/34560- 0535 -00 TYPE OF ❑ New Building E Addition U Tenant Improvement (commercial) LX 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 201 Elliott Ave. W., Suite 400, Seattle, WA IZIP 98119 WA. ST. CONTRACTOR'S LICENSE # SABEY *C141PH EXP. DATE 12 -31 -89 ARCHITECT N/A PHONE ADDRESS N/A ZIP USE .4 / l CODE_ COP.IF'LIANCL l 1 I CONDITIONS (other than those noted on or attached to permit/plans): Comply with re • u 1 rements"' in 1 b . U4 . FLOOR 40 SQUARE OCC. LOAD _ SQUARE FEET OCC. LOAD RE SQUARE OCC. LOAD WARE FEET OCC. LOAD , SQUARE FEET OCC. LOAD TOTAL. SQUARE FEET TOTAL QCC. LOAD , L. , t TOTAL TYPE OF CONSTRUCTION: UBC EDITION (year) SETBACKS: N _ S - E - W - FIRE PROTECTION: OSprinklers O Detectors N/A UTILITY PERMITS REQUIRED (through ?O Yes 0 N o Public World) ZONING: BAR /LAND USE CONDITIONS❑Yes EN° PRINT NAME: /--;- - _ „ I COMPANY: CONDITIONS (other than those noted on or attached to permit/plans): Comply with re • u 1 rements"' in 1 b . U4 . APPROVED FOR ' -1 ' - BUILDING ISSUANCE BY: �„0,210 ,�/ ,r A,� OFFICIAL 'DATE: 7// y,' I hereby certify that I have read andLe amined this permit and know the same to be 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 constructs a.o .,. performance or work. I am authorized to sign for and obtain this building permit. � '/ SIGNATURE' _ i DATE: ! / / d t `/' .1 'r / Z• . .' PRINT NAME: /--;- - _ „ I COMPANY: This permit shall become null and -void if the work is not commenced within 180 days froth 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. N l� DATE ISSUED: 0016ft vkit9'`.kr§'Ff i:to }.9c�Ei:'.i'�i':SiC'w.;".4. ;'s.? :+i.isrYM,vt.Y2dai swtrsvr..:vnc:rauwxx. rw+r »•✓,w,n:,e•�u::v.wraa INSPECTION RECORD PERMIT # 5' S--) ra CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila. Washington 98188 (206) 433 -1849 Date 5-1 --90 ,Type of Inspection Date Wanted 3 Site Address la so (C) P\J 5 Project E,/n c-p Requestor ktQn �Q 5 Phone # a%a- ai q (J Special Instructions 3.-30 a.m. Inspection Results /Comments:k----'� Inspector Date el— —"P 0 CITY OF TUKWILA 6200 SOUT!!CENTER BOULEVARD, TUKIVILA, WASHINGTON 98188 April 4, 1990 PHONE # (206) 439.1800 Security Pacific Bank Washington, N.A. International Division P.O. Box 3966 Seattle, WA 98124 Gaps L. VanDusen. Mayor 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 -168: East Marginal Corporate Park (demolish residence) 12506 37 Av S THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER_ 5Z . 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.m.). 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. COMMISSIONERS JAMES I. ANGLE C.N. WALMER GARY JOHNSON U/ater 2iirict no. d25, Coun1, Telephone: 242.9547 July 10, 1989 Ken Stickley Sabey Corporation 201 Elliott Ave W. Suite 405 Seattle, Wa. 98119 FRANKLIN PEARSON Superintendent ANN WILSON 011ice Manager P.O. Bo, 66147, Riverton Hts. Br. 01 lice: 2e49 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. S 126 St. S 126 St. 12540 35 Ave. S. 12535 37 Ave, 12521 35 Ave. S. `J 12506 37 Ave. S. Sincerely yours, /o D. Hayes INSIDE.. .4? REPAIRS • 14816 Military Road S. • Seattle, Washington .. ._.._.._ .1. eg DEPOSIT f.& . �.._. (SIDE SEWER PERMIT VAL VUE SEWER DISTRICT PERMIT N2 03668 EASEMENT No.. _ CARD No.. ...... _.._... ..... _ DATE.... OWNER.._.... .t► -�e`�f�_.. CONTRACTOR. ».... HOUSE ADDRESS ....... _.._.�..�' i G,..�;.s..C� ..r.- ..�t.r '' EASEMENT: YES NO......_.. NAME SUII•DIYISION LOT No ELK. Ne ...... - .._......_... Permit has been grented Approved by Expiration Date Permits not valid unless signed by district representative. Inspector's Report Test Report AIR WATER n inspector 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. "CAUTION" This permit is granted subject to the conditions set forth on the NO BUILDING ON District's Application for Permit and k subject to all stipulations of the District's Side Sewer Resolution as amended and which are SS'yyER EASEMENTS by this reference incorporated herein as though set forth in full. NO CEMENT JOINTS DEWATER DITCH BEFORE INSPECTION DISTRICT INSPECTION BEFORE BACKFILL TEST SIDE SEWER BEFORE AND DURING INSPECTION CALL FOR INSPECTION AT 242 -3236 1 vcb:2.71 5/26/89 List of Addresses Needln A lication for ewer D sconnect erm is 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 jzz 11. �3i84 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 5 OUTSIDE.. INSIDE. REPAIRS– DEPOSIT VAL VUE SEWER DISTRICT APPLICATION FOR SIDE SEWER PERMIT PERMIT N! 2041 EASEMENT Na... ».......».... CARD N.....»._ ....»...»..»»». owNER .. »..». ... ..._.._....1Q._.._.1 ..�,t.. t1.. A d /i� HOUSE ADDRESS....... �O� �,G G — „,.,,,,„2_ EASEMENT: YES.... ». ».� NO......._......_»_ NAME SUE•DIYISION 4i h ..... _ aL.f -V LOT SLL No. ..,G .... ».... 76' c ZZ1 SCALE Qt(e.ii. 16 t It,- 13e4)-0 Gem .5 por5 2.04 • (3A Dee4 e III C',., et-fl L 20 Ic14 4. No S 37TH DISTRICT APPROVAL BY 0tiC DATE...I.D..:......r..:'7 %., 1 HEREBY CERTIFY THAT THE ABOVE CONNECTION HAS BEEN MADE AS JI4OWN, PRIOR TO BACKFILL SECURITY PACIFIC BANK WASHINGTuN, N.A. INTERNATIONAL DIVISION P.O. Box 3966, Seattle, Washington 9 8124 U.S.A. July 10, 1989 City of Tukwila 620U 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 gn 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 tie Original Letter of Credit. This Letter of Credit is issued in connection with construction 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 ].26th, Seattle, Washington 4. 3704 - South 126th, Seattle, Washington to guaranty compliance with TMC. 16.04 for Demolition of Structures. It i 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. iQ- /eo,S - ' ' -1Ug If, in the sole determination of the City Engineer and /or Planning Director, the above - referenced improvements are not completed 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 of Tukwila, whichever occurs first, Security Pacific Bank Washington agrees to pay t the City of Tukwila the sum of USD 8,000.00, upon receipt of written request for such payment. Drawings under this Letter of Credit must specify the number of this Letter of Credit and be presented at Security Pacific Bank Washin ton 1301 Fifth Avenue, Rainier Bank Tower 22nd Floor Letter 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 agreement 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 Customs and Practice for Documentary Credits" 1983 Revision), International Chamber of Commerce Publication No. 400. Sincerely, .4101.11M AUTHORIZED SIGNA 1IN SG Please note that Security Pacific B.nk ash'ngton as erly Rainier National Bank. C UTIFICATE OF INSURAN»' DATE (MM /DD /YY) 07/07/89 roducer 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. Companies Affording Coverage nsured SABEY CORPORATION 201 Elliott Avenue West, 1400 Seattle, Washington 98119 Company A Letter Company B Letter AETNA CASUALTY & SURETY COMPANY Company C Letter Company D Letter Company E Letter Be@ overa es this is to certify that policies Of insurance listed below` have beenissued"to the insured named above for the policy ,eriod indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to ghich this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Limits shown may nave been reaucea b aia 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 Occurrence 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) $ 5 A Automobile Liability X Any Auto 081FJ905543CCA 12 -31 -88 12 -31 -89 Bodily Injury Per Person $ All Owned Autos (Priv. Pass. Owned Autos (utner) Injury Per Accident $ _All than Priv. Pass.) Hired Autos Non-Owned Autos Property Damage $ Liability BI & PD Combined $1,000 __.Garage 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 Cor• orate Park Ex.anston CITY OF TUKWILA 6200 Southcenter Blvd. Tukwila, WA 98188 5anot_¢ !11 /A51 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. A it rized Qep /4/ /4 �_�/. -.:40 BUILDING PERMIT APPLICATION TRACKING PLAN CHECK NUMBER PROJECT NAME GQS /41 CI-V9-,77 Cr.,% (»-p . SITE ADDRESS 1250Lo ,3 T Cu/ 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) SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD TOTAL SQUARE FEET TOTAL OCCU- PANCY LOAD ......................... DEPARTMENTAL REVIEW "X" in box Indicates which departments need to review the project. ART A BUILDING - initial review (ROUTED) CONSULTANT: Date Sent - Date Approved - O FIRE FIRE PROTECTION: ) Sprinklers [] Detectors (]N /A INIT: FIRE DEPT. LETTER DATED: INSPECTOR: O PLANNING ZONING: PAR/LAND USE CONDITIONS? ( )Yes n No INIT: REFERENCE FILE NOS.: MINIMUM SETBACKS: N- S- E- W- 54' PUBLIC WORKS '- lu ".ql O OTHER UTILITY PERMITS REQUIRED? r] Yes (J No PUBLIC WORKS LETTER DATED: INIT: BUILDING - final review REVIEW COMPLETED INIT: TYPE OF CONSTRUCTION: UBC EDITION (year): PERMIT NO. CONTACTED Ze/ DATE READY ,,,/ �%�O Cf DATE NOTIFIED 2nd NOTIFICATION 7-/7 -F9 BY: (init.) - BY: (init.) PERMIT EXPIRES AMOUNT OWING 0,00 3RD NOTIFICATION BY: (init.) 031301119 CITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 BUILDIk PERMIT APPLICATION FEES (for staff use only) DESCRIPTION. : AMOUNT RCPT # DATE BUILDING PERMIT FEE: PLAN CHECK NUMBER / 1I'PL IC/1 TION MUST BL 1-111 Et) OUT COMPLETELY PLAN CHECK: FEE BUILDING SURCHARGE ENERGY SURCHARGE OTHER: TOTAL SITE ADDRESS SUITE # 12506 37th Avenue South, Seattle VALUE OF CONSTRUCTION - $ $7000.00 PROJECT NAME/TENANT East Marginal. Corporate Park Expansion Area ASSESSOR ACCOUNT # 73456- 0535 -00 TYPE OF U New Building U Addition U Tenant Improvement (commercial) J Demolition (building) WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other* DESCRIBE WORK TO BE DONE: Clear lot of structure BUILDING USE (office, warehouse, etc.) Vacant Land NATURE OF BUSINESS: Real Estate Develo ment WILL THERE BE A CHANGE IN USE? Ed No U Yes IF YES, EXPLAIN: SQUARE FOOTAGE - Building: NA Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? III No 0 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 t HERESY CERTIFY. THAT 1 HAVE READ AND EXAMINED :THIS ' :IGATIQN AND KNOW THE SAME TQ BE :TRUE AND :CORRECT,. AND 1 AM . AUTHORIZED T e ;APPLY FOR; THIS:PERMCT. :... BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE �/ r/ DATE PRINT NAME ken Stickley PHONE 282 -9596 ADDRESS 201 Elliott AVe. W. Suite 400 CITY /ZIP Seattle, 98119 CONTACT PERSON Ken Sticklev 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. 1f 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 03/30/89 COMMERCIAL S6SMITTAL CHECKLIST NEW:COMMERCIAL . , .•• ,•••••••••:: • • , Completed building p.Mtit.apPlicatiOnlOn. for each structure) -• • • .Asies.sorACcOunt Number ....•'•:.•-••••:•• .•• Two sets (2) of he following: Specifications Structural calculations stamped by a Washington Statelicensed.' • . •••••••••••'••••:...-•:- :••• ••••••• ••••.•••••• ........ • ••••• ••••••• • • -:•••• • • •• •••••:•• :•••••:'•••••••:,•• • • ••••••• :••• ••••:•••••••• • • : •••.•-• ' :::::::::::: 0.906sreporl.tamped by 's Washington State Iltenttitd engineer::::.,:•••••••••••••••-••• Topogrhl4*J survey ••••••••:-•-•-••••- :.•••••• : .,,•••••••••,:••• . .:•••:•••••. Eney : Calculations stamped by'lr Washington State icensed .• ••• engineer Or architect . ... Legal desciptlon ,..••••••••••••• • ........ • 1 • •••• EJWo,Idng &swings, stamped by a Washington State ticensed •7.....art:M.10eCtif#hiCh lndude . . • • • :•••••••• •••••••••••••••••••••-• •, •••• •••••••••••••••••••• • -• • • „ ...•.• • • • • • • • • .".•'" Civil , .COM014100 Utility. permit aPPlicatiOnloi*tor;:entiri:-.-. . . . . . ..... • . . • • . .. • • • • . .• . . . peirrnitisnii11400.:rindOhirOgiirrtiae. tUtripirt rioquiTrrreirtt:.".:?. Buding floor plan shoMng Endre:space wh • •••• Exit • EDInieirsiohts of alt LIJ ...Tenant:Spate fitio(.plart ..„. •k ...its ; •-.•-• „.•.„. •• . .NOTE::::inciude dimensions.. of racke:(height;:::■iridth:orid,ieMOrkairrietr,:;:.::::::: and exit ways on plan; • Structural calculations stamped by a Washington State lloensed •ngineer (rad storage 8` and RESIDENTIAL •■•••••■•■•■•• ... • • • ••:. •••••••• . : . • ........................ compio!,0...ou!long•piirmil'ap011C10011(oraifor each structure)::.::::::::••:T. NarratiVe.deleribing ................. ......................................................................... kr0r.Irr requlred pnor to linal inspection and sign Off of . . • . • . .. • .. . . . . . . Completed bu.ildIng permit applicatiOn (one forehsucture).: • " • ..• • •. .•: •Legal .• • ••••,......:.:::•••••:,•••:••,•:••••• • flAssessor Account- vrorl.itg • •••••• ..":•: •.• •• . • ••••.• •••••••••••:, Site plan •••••••-. • . . • . ••• • Foundation plan r•••■••■•••• • • Bung elevations (all views):.:::',:.:-..::•••••••'.:::•••••••••••1:-:•••:,:•••::,.;•.-•••••••••••: • . • Building cross-section -; •••••:•,Structund framing Washington State Energy Code date•:•••••••••••-•::i,ii:••••i:-::•,•::',*•••::-..::•: E:1 Completed utility permit application E Six (6) sets of site plans showing utilities • • . • • .• NOTE Building site plan and utility site plan may be combined:: See utilky permit application and checklist for specific submitbil soquirements. • • • - Aditionel lopogrephical and soils information. may be requked d unique 849 conditions. • : • ••'::‘" • • • . " 1 • • • ..... permit • CoMplated.builOngperratapplica..:ItiOni.:(OneiforeaCh:StrUCture)::•:.... . . EAssassor Account Number 1:T*6(2)1300i:of Wort.tig.draWings;•which ... . • .. .....:.„••.......: • ...........- • " .„ • Site plan •••••••••••• •-• ..." .-:•••••••'::•••• • Foundation plan Floor pien •••••••••••••••••;;--:::: •• •• .• • •• • ••••• • ElUilcing.-eleVittiOnii. views) • Siructural framing plans NOTE: 11:any.erelitie...eforir Is to.bOdOrie pro utIIIty permit pIkaUon and plans must be aubmltted. . .