HomeMy WebLinkAboutPermit 5760 - East Marginal Corporate Park - Driveway DemolitionBUILDING PERMIT
(POST WITH INS .ECTION 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. 51 (PO
DATE ISSUED:
"I Q L
FEES
DESCRIPTION
AMOUNT
RCPT a
DATE
BUILDING PERMIT FEE
PHONE 282-9596
ADDRESS 201 Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
PLAN CHECK FEE
EXP. DATE 12 -31 -89
ARCHITECT N/A
PHONE
BUILDING SURCHARGE
ADDRESS
ENERGY SURCHARGE
OTHER: Demolition
30.00
207?
9 -11 -89
TOTAL -
30.00
111 7, ; : •
PF1OJFCT INFOFlr.MATIl)r
12522 37 Av S
2,500.00
PROJECT NAME/TENANT
East a 1 orate Park ASSESSORACCOUNTIM 734560- 0590 -02
TYPE OF LJ New Building U Addition U Tenant Improvement (commercial) Demolition (building) LJ Grading/Fill
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other
DESCRIBE WORK TO BE DONE:
Demo, cap and cut utilities, remove driveway.
PROPERTY OWNER Satiey Cor ration
PHONE 82 -9596
ADDRESS 201 Ell tall Avenue West, Suite 40Q. Seattle_. WA
ZIP 98109
CONTRACTOR Salley Corporation
PHONE 282-9596
ADDRESS 201 Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTORS LICENSE # SABEYC141PH
EXP. DATE 12 -31 -89
ARCHITECT N/A
PHONE
ZIP
ADDRESS
CODE_ ('Or.IPLIAr17;F
USE 4
/
/
FLOOR+
9QUAFE
FEET
occ.
LOAD
90UARE
FEET
oCC.
LOAD
SQUARE
FEET
OCC.
LOAQ
901dAAE OCC. SQUARE oCC.
FEET LOAD FEET LOAD
TOTAL TOTAL
SQUARE FEET OCC. LOAD
TOTAL
I
TYPE OF CONSTRUCTION: UBC EDITION (year) 88
SETBACKS: _
�rou
FIRE PROTECTION:OS rinklers
p D Detectors ®N /A
UTILITY PERMITS REQUIRED yes
� � N o (Public Wcr1u1
ZONING: C_M BAR /LAND USE CONDITIONSDYes CX� No
CONDITIONS (other than those noted on or attached to permit/plans):
APPROVED FOR
ISSUANCE BY:
BUILDING
OFFICIAL
DATE:
I hereby certify that I have readfarfd examined 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 construction or the performance or work. I am authorized to sign for and tain this building permit.
This permit shall become null and void it he work is not commenced within 1: days (romp: e date of
issuance, or if the work is suspended or abandoned for a period of 180 day from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
j DATE ISSUED:
C /TY OF TUKWILA
ISUILVING PERMIT
(POST WITH IN ECTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO. 51 �O
DATE ISSUED:
DESCRIPTION
FEES
AMOUNT RCPT •
DATE
BUILDING PERMIT FEE
PLAN CHECK FEE
BUILDING SURCHARGE
-4
ENERGY SURCHARGE
OTHER: Demolition
TOTAL -
30.00 30.00 207 ?_j
9 -11 -89
:► ;:s
P110.11 ci IFJFOFlh1nrlorJ
1
12522 37 Av S 2,500.00
PRO►JECTNAMElfENANT East Marginal Corporate Park_ ASSESSORACCOUNTN 734560- 0590 -02
TYPE OF U New Building ❑ Addition b Tenant Improvement (commercial) ® Demolition (building) ❑ Grading/Fill
WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other
DESCRIBE WORK TO BE DONE:
Demo, cap and cut utilities, remove driveway.
PROPERTY OWNER
Sahey Corporation
PHONE
82 -9596
[ZIP 98109
282-9596
ADDRESS
201 Elliott Avenue West, Suite 400 Seattle._ W}1
PHONE
CONTRACTOR
Sabey Corporation
ADDRESS
201 Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE # SABEYC141PH
EXP. DATE
12- 31 -89
ARCHITECT
N/A
PHONE
TOTAL
-� -
ADDRESS
a4
ZIP
USE
/
/
co[)E ('or.1I�1
I
Inric.1
/
/
Through
• ., .
•,►.
'Ip
SQUAFE OCC.
FEF'T • •
SOMME
OCC.
• _ .
SQUARE
5�
OCC.
• .
SQUARE
OCC.
• .
90UARE
OCC.
OA
TOTAL
-� -
TOTAL
OC CAD
a4
-�
-�
—
TOTA
�-�-
TYPE OF CONSTRUCTION: UBC EDITION (year) 88
SETBACKS: N _ S — E —
yVjyi
FIRE PROTECTION' ❑S • rinklers • Detectors El N/A
UTILITY PERMITS REQUIRED • Yes • N No
Through
• ., .
•,►.
ZONING: C_M BAR /LAND USE CONDITIONSOyes ® No
CONDITIONS (other than those noted on or attached to permlt/plans):
APPROVED FOR BUILDING
ISSUANCE BY: JL ...ea ,. J OFFICIAL
DATE:
9 • ,�„� -y
I hereby certify that I have read examined 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 at
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. 1 am authorized to sign for and obtain this building permit.
DATE: / '`
SIGNATURE: /_ -= Air
PRINT NAME: , _ ; , .,
COMPANY: ,� -'-y /' - _ . _ __,_,
This permit shall become null and void if the work is not commenced within 1 days fram,the date of
issuance, or if the work is suspended or abandoned for a period of 180 dayt from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
NI -A
DATE ISSUED:
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
..... •∎••∎ . w.....»......._.A... x.,«. �w.....,.a»,�..�.xv:•o.a,.rw.w,
INSPECTION RECORD
PERMIT # 100
Date 5-'--) ffo
Type of Inspection V i rVk A Date Wanted ,�J a.m. p.m.
Site Address 1r /Q 5�a 5� Ny 5 Project Eft c. r�I_
Requestor Ke.Y-1 5t II c1.Q j • Phone # 0X&Q- -95C1(D
Special Instructions
V
Inspection Results /Comments:
Inspector
Date L�.0
,
CITY OF TUKWILA
• 6200 SOUTHCENTER (BOULEVARD, TUKWILA, WASHINGTON 08188
April 4, 1990
PHONE N (206) 433.1800 Cosy 1.. VanDamn, 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
. f Tukwila
City ( �o u a
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433-1800
Gary L. VanDusen, Mayor
.
Plan Check 489 -255: EMCP
12522 37 Av S
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER_S ] QC) .
1. All permits, inspection records, and approved plans shall be
posted at the job site prior to the start of any construction.
2. All construction to be done in conformance with approved plans and
requirements of the Uniform Building Code (1988 Edition), Uniform
Mechanical Code (1988 Edition), Washignton State Energy Code (1989
Edition), and Washington Stae Regulations for Barrier Free
Facility (1989 Edition).
3. Validity of Permit. The issuance or granting of this 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 regulation or
ordinance of this jurisdiction. No permit presuming to give
authority to violate or cancel the provisions of this code shall
be valid.
4. Comply with requirements of the Noise Ordinance, TMC 8.22.
Construction noise is not allowed between the hours of 10 :00 p.m.
and 7 :00 a.m.
5. Comply with the requirements of TMC 16.04, Demolition /Relocation
of Structures.
6. 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, properly cap sanitary sewer and water
connections, propertly fill or otherside protect all basements,
cellars, septic tanks, wells and other excavations.
7. Obtain required inspections from appropriate water and sewer
districts. Proof of approval shall be provided by the Tukwila
Building Division prior to scheduling the final inspection and
releasing of bond.
8. Removal of septic tanks require approval and compliance with
permit and inspection requirements through King County Health
Department (344- 6000).
SECURI(
P.O.
PACIFIC BANK WASHING', JN, N.A.
INTERNATIONAL DIVISION
Box 3966, Seattle, Washington 98124 U.S.A.
July 10, 1989
City of Tukwila
620D Southcenter Boulevard
USkwila, Washington 98188
We hereby issue our Irrevocable Standby Letter of Credit S'I'B -61811
in your favor for account of Sabcy 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 (TIGHT 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 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 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. ci -llo5-
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
tQ the City of Tukwila the sum of US1) 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
Washington 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 Qbligation 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 enfage with you that drawings under and in compliance
with he terms of this Credit will be duly honored.
Except so fa as otherwise expressly stated, this documentary
Credit is subject to re "Uniform Customs and Practice for
Documentary Credits" 1983 Revision), International Chamber of
Commerce Publication No. 400.
Sincerely,
4111114M1IPPw
AUTHORIZED SIGNA PIN SG
Please note that Security Pacific B•hk
Rainier National Bank.
0
SECURI(~ PACIFIC BANK WASHING(. N, N.A.
INTERNATIONAL DIVISION
P.O. Box 3966, Seattle, Washington 98124 U.S.A.
Date of amendment: September 5, 1989 Amendment no. 01
In reference to documentary credit dated: July 10, 1989
*
•
•
BENEFICIARY
*. OUR NO.- - - * - -- ADVISING BANK N0. -*
:City of Tukwila
!6200 Southcenter Boulevard
!Tukwila, Washington 98188
!USA
*
STB -61811
APPLICANT
!Sabey Corporation
!PO Box 9847 !
!Seattle, Washington 98109
!Attu Dwight Sawtell
•
The above mentioned credit is amended as follows:
Letter of credit amount increased by USD 2,000.00
(Two Thousand US Dollars Only)
for a now total of USD 10,000.00
(Ten Thousand US Dollars Only)
Add the followi
5. 12500 37th
6. 12504 35th
7. 12510 35th
8. 12501 37th
9. 12505 37th
10. 12515 37th
11. 12511 37th
12. 3530 South
13. 3716 South
14. 12525 37th
15. 12516 37th
16. 12535 37th
17. 12522 37th
18. 12530 35th
19. 3404 South
ng addresses
Avenue South,
Avenue South,
Avenue South,
Avenue South,
Avenue South,
Avenue South,
Avenue South,
126th Street,
126th Street,
Avenue South,
Avenue South,
Avenue South,
Avenue South,
Avenue South,
126th Street,
to the fo
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
Seattle,
ur previously listed
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
WA 98168
All other terms and conditions remain unchanged.
Except so far as otherwise expressly stated, this documentary Credit
is subject to the "Uniform Customs and Practice for Documentary Credits"
(1983 Revision), International Chamber of Commerce Publication No. 400.
Sincerely,
Security Pacific Bank Washington
Formerly Rainier National Bank
OUTSIDE..»,-.....,... -
• INSIDE
D EPOSIT =. »..drrZ: �4
VAL VUE SEWER DISTRICT
APPLICATION FOR
SIDE SEWER PERMIT
PIRMn N! 2018
EASEMENT N....._......_
CARD N.....».._.
OW N IR..._...._�.s:►.L
HOUSE ADDRESS...»..
N AME SUI.DIYISION..
. EASEMENT: YES.. NO.,.. »._._»_._....
LOT N......411 12..a ILN. N'i.... ».. »..,, ....».» ... »._.»
SCALE •
_. tt y
,.........:....i. t. _ ,_.
.• .:T, :.,L , . r_,,_ . - _ .� r a ._._..._:_ ._.1.,.- ,_;__._., t..1._..., .. `! " ' '
■
7777 -.i r. T- i -
J . 4 .
•
-.:.. ...�.. .. .. .... .. _ t w .._
• ,. --... • l.� • -•.1
i r--
•
=:19'
r,
1
1
•
1 . I . ..
1
DISTRICT APPROVAL RY... 3 ,aTT- DATE 7- 228- i (o
1 HERESY CERTIFY THAT THE MOVE CONNECTION HAS BEEN
'MADE AS rDWN, PRIOR TO RACKFILL
•
L( )1(1)()R.1:11()N
ro
‘• • !-;■,;■:',1
•
OUTSIDE.
INSIDE.
EPAIRS~
(-SIDE SEWER PERMIT C
VAL VUE SEWER DISTRICT
14816 Military Road S. • Seattle, Washington
DEPOSIT $2..4.. »'Lr'..lC i:'..."."-aa%
HERMIT N2 03668
EASEMENT Ns...._...... ».. ».. ».. »...
CARD No.. ...... _.._.._.._ »_......
_._
OWNER..._. . efrL e
HOUSE ADDRESS n r,. 1.4- 4,.:,,:- .4...4.e BASEMENT: YES
NAME SUB•DIVISION..._ ...»._... ..._...... ».........._.. ».._.._
CONTRACTOR...».. �. ��•...».»». .......».».. » » ».........._...._
NO
LOTNo.. ...... »........ _...... ».. ».. »... ILK. No.... ...._.. .... ...._. ....._._....
Permit has been granted
Approved by Expiration Date
Permits not valid unless signed by district representative.
Inspector's Report..........._....
Test Report
AIR ❑
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
41W®
NO CEMENT JOINTS
DEWATER DITCH BEFORE INSPECTION
DISTRICT INSPECTION BEFORE BACKFILL
TEST SIDE SEWER BEFORE AND DURING INSPECTION
CALL FOR INSPECTION AT 242 -3236
CERTIFICATE OF INSURANrE
DATE (MM /DD /YY)
07/07/89
PARKER, SMITH & FEEK, INC.
1700 First Interstate Center
999 Third Avenue
Seattle, Washington 98104
ns1 urea
overa
SABEY CORPORATION
201 Elliott Avenue West, #400
Seattle, Washington 98119
es
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
Company A
Letter
'Company g
Letter
AETNA CASUALTY & SURETY COMPANY
Company C
Letter
Company D
Letter
Company E
Letter
CC'C CCC' CCC' C'CCCCCCCCCCCCC'CC'CCC'CC'CCC'C C6' CCCCC'CC@CCC'CC'CC'C'CCCCC.C'C.CC• CCCC' CCCC CC 'C'CCC'CCCC.CC'CC'C'C'c'CC'CCC•CC C'C'C•'C'C'C'C'CCCC'CCC'C'C
s s o cer y a po c es o nsurance s e• •e ow ave seen ssue• o e nsure• name• wove or e po cy
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 sUCn •olicies. L1111L3
Srluv111 Md HOVM
OUCH rtluu.CU u GIU Grain.
o
Ltr
Type of Insurance
Policy Number
•o cy ec ve
Date (MM /DD /YY)
•o cy xp ra on
Date (MM /DD /YY)
a• y m s "II •`1
Each Occurrance Aggregate
A
General Liability
X Commercial General
Liability
Claims Made
81ACM5463275CCS
12 -31 -88
12 -31 -89
General Aggregate
$ 2,000
Products - Comp /Ops
Aggregate
$ 2,000
_ _
X Occurrence
Personal & Advertising
Injury $ 1,000
Owners and Contractors
Each Occurrence $ 1,000
r 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 $
Owned Autos (PPpriv.
____All
Owned Autos ( Other)
All O
Bodily
Injury
Per Accident $
than Priv. Pass.)
Hired Autos
Property
Damage $
Non -Owned Autos
Liability
8I & PD
Combined $1,000
___Garage
Excess Liability
Form
BI & PD
Combined $ $
_Umbrella
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•anslon
• •1 1 • CC'CCCTCC'CC'C'CTCCCC'C'C'C' CCCC' CC' 6' C' C'CFCCCCC6CC'CC'CCCC'CC'C'C'6CC
/ C C ,• C C'C C• C : C C C C C C C G'F'C';'C'C•'; C'C'C':'C C C
CITY OF TUKWILA
6200 Southcenter Blvd.
Tukwila, WA 98188
AC25 -S (11/85)
CA ng /rnr+ 7A
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.
prized Represgnt t) e:.
OUTSIDL:...:_....._..
IN$IDL
IMPAIRS-
MOW
VAL VUE SEWER DISTRICT
APPLICATION FOR
'6-E SEWER PERMIT
NOUSM ADDRESS...
NAME SULDMSION .......« ............._..,.... ._......_
DISTRICT APPROVAL BY. r41.4.11"4"...- DATE
TEST RESULTS.. 1A4.'1. 0041.
• V It
C�LC PC o"T
CONTRACTOR...
RAf1NRNTs
mum Ns 03668
WASHNRNT Nw.._...........
°� d26 -
SCALE
PI 4' )
-4/ (frig -!&!..2
1, HEREBY CERTIFY THAT THE ABOVE CONNECTION HAS REIN
MADRAS SHOWN, PR OR TO IACKFILL
BY r� cc) DATE e 3 a-ie
List of Addresses Needing Application for
Sewer Disconnect Permits
C. Ile bfrr ;
✓ 1. 12500 nth Avenue South, Seattle, WA 98168 8-3
2. 12504 35th Avenue South, Seattle, WA 98168 8 -3
3. 12510 35th Avenue South, Seattle, WA 98168 8-3
✓ 4. 12501 37th Avenue South, Seattle, WA 98168 e- 3
✓ 5. 12505 37th Avenue.South, Seattle, WA 98168 a -.3
✓ 6. 12515 37th Avenue South, Seattle, WA 98168 9- 3
✓ 7. 3704 South 126th Street, Seattle, WA 98168 8-3
8. 12511 37th Avenue South, Seattle, WA 98168 g-- 3
▪ muse- 1/ /IV Ft
9. 3530 South 126th Street, Seattle, WA 98168 4c'ti'lraur'7PN `s144"K'
N1� bis rrevAiteT
10. 3716 South 126th Street, Seattle, WA 98168 6-18
11. `� 4, South 126th Street, Seattle, WA 98168 8-18
12. 12525 37th Avenue South, Seattle, WA 98168 8•4g
13. 12516 37th Avenue South, Seattle, WA 98168 8.i
�- 14. 12535 37th Avenue South, Seattle, WA 98168 8 -18
✓ 15. 12506 37th Avenue South, Seattle, WA 98168 8-3
16. 12522 37th Avenue South, Seattle, WA 98168 8-18
/-1 LL Sf.c3&i C. /Vec5 ('!lPPF.) zotJ c ,'ittE To
�/lrts1 €& P/20-re-cT /c'AJ P C41 C_ el -T/ei'c:7/c ) •— 6'a2IF��'
#W1 ) 7 E D FO,e / T14,c E' C 1 ^/vnvc- :!"rirN 8y ri ystrt I~
Viit vtve Xtu-SP.
vcb:2.71
5/26/89
8- 23 -0(3
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME Ern C r-'
SITE ADDRESS
1 5rQ 3fl P v ,c75
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.
BUILDING -
initial review
(ROUTED)
6ONSULTANT: Dais
Date Approved -
O FIRE
PIKE PROTECTION: (] Sprinklers ( Detectors ® W
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
INIT:
ZONING: (' IBARILAND USE CONDITIONS? (-]Yes
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S- E- W-
PUBLIC
WORKS
O OTHER
INI
(X BUILDING - -12
final review R- -�`I INIT:
UTILITY PERMITS REQUIRED? ( Yes [ I No
PUBLIC WORKS LETTER DATED: 7 . Q
'TYPE OF CONSTRUCTION:
UBC EDITION (year):
REVIEW COMPLETED
PERMIT NO.
CONTACTED
<-(2.Y1 Sfi i Lk \.0.i
DATE READY
DATE NOTIFIED:
.7D -<&5i
(init:013
BY:
(init.)
PERMIT EXPIRES
2nd NOTIFICATION
AMOUNT OWING
6
3RD NOTIFICATION
BY:
(Init.)
a
BUILDIN3 PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
FEES (for staff use only)
Vf-VV VVY {I/VVII {VI VVY/V •VJI Y, IYI {•I //M •.• vv/vV
(206) 433-1849
DESCRIPTION
AMOUNT
RCPT #
DATE
PERMIT FEE
PLAN CHECK _
NUMBER 861-Z:�s
PLAN CHECK FEE
BUILDING SURCHARGE
AI'I'L /CATION MUST HE
FII I FL) OUT COAIPLETELV
ENERGY SURCHARGE
OTHER:
TOTAL -
'I(, (?la
SITE ADDRESS SUITE #
12522 37th Avenue South Seattle 98168
VALUE OF CONSTRUCTION - $
2500.00
PROJECT NAME/TENANT
East Marginal Corporate Park Expansion Area
ASSESSOR ACCOUNT #
73- VS_(U _ (.),5` 7 U - O -z
TYPE OF • New Building • Addition • Tenant Improvement (commercial) 4 Demolition (building) 0264/ / ,
WORK: 0 Rack Storage O Reroof 0 Remodel (residential) 0 Other.
DESCRIBE WORK TO BE DONE:
Demo / C•w : ef- C(q ca"Il i Li€ 52 ( V6 cl/lir%t- wa
BUILDING USE (office, warehouse, etc.)
Vacant Land
NATURE OF BUSINESS: Real Estate Development
WILL THERE BE A CHANGE IN USE? 41 No LJ Yes IF YES, EXPLAIN:
SQUARE FOOTAGE - Building: Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 0 No 0 Yes IF YES, EXPLAIN:
N/A
PROPERTY OWNER Sabey Corporation
PHONE 282 -9596
ADDRESS 201 Elliott Avenue West Suite 400 Seattle, WA
ZIP 98109
`CONTRACTOR Sabey Corporation
PHONE 282 -9596
ADDRESS 201 Elliott Avenue West Suite 400 Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT
PHONE
ADDRESS
ZIP
HEREBY CERTIFY TI AT.1 HAVE R D AND: 4XAMINED THI TION .ANA° NOW: TH :;SAM :TO B
.. �} AP PLY ;:. PERM :. .�? >: >?:: >: >; <:: >: <' >? >' >�...;:
RR �`!^fCy -I
oECT ..Af!�D >I:AM::{1u :T .:::....... ..:..:... , .::..:, .,........:::
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE - 2
DATE ,
,Il/
PRINT NAME Ken Stickley
PHONE 282 -9596
ADDRESS 201 Elliott Avenue West Ste 400
CITY /ZIP Seattle 98109
CONTACT PERSON Ken Stickley
PHONE
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 133 -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
9. - (1 --1S1
DATE APPLICATION EXPIRES
3- (I--9�
COMMERCIAL
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