HomeMy WebLinkAboutPermit 5825 - Riverton Properties - Single Family Residence Demolition
t3UILDIN PENMIT
(POST WITH INSI G CTION 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.
DATE ISSUED:
1- Qa
FEES
DESCRIPTION
AMOUNT
RCir? a
DATE
BUILDING PERMIT FEE
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
ZIP98047
PLAN CHECK FEE
EXP. DATE 8_01 -90
ARCHITECT N/A
PHONE
BUILDING SURCHARGE
ZIP
- •
• I - .
ENERGY SURCHARGE
Building Division from the contr4 • ,1
s •
- 1. 11--,
(Refer .n.
OTHER: Inspection
30,00
3339
11 -03 -89
•
TOTAL -
30.00
- 1 . 1
PROJF Cr Irlr OHM/1110r
I
1 I le r•^ -I r.T
12520 F Marginal Wy S 0
PROJECT NAME /TENANT ASSESSOR ACCOUNT •
Riverton Properties 734060- 0540 -08
TYPE OF LJ New Building Of-Addition (STenant Improvement (commercial) ® Demolition (building) ❑ Grading/Fill
WORK: O Rack Storage 0 Reroof 0 Remodel (residential) 0 Other:
DESCRIBE WORK TO BE DONE:
House demolition.
PROPERTY OWNER Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
ZIP98047
CONTRACTOR Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
ZIP98047
WA. ST. CONTRACTOR'S LICENSE # BOULEE *342II
EXP. DATE 8_01 -90
ARCHITECT N/A
PHONE
ADDRESS
ZIP
USE
4
FLOC i 1 '
SQUARE
FEET
SQUARE
FEET
c'O1)t cor.rf't IAric;r
OCC.
LOAD
FEET
OCC.
LOAD
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET
TOTAL
OCC. LOA
TOTAL
TYPE OF CONSTRUCTION: UBC EDITION (year) , .
SETBACKS:
1 hereby cert y that I have read a 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 obtain this building permit.
FIRE PROTECTION OS rinklera Detectors 17 NIA
UTILITY PERMITS REQUIRED Yes E1 No
( rough
- •.. ..4..
ZONING: R -1 BAR/LAND USE CONDITIONS�Yes CZ No
CONDITIONS (other than those noted on or attached to . rrnit/plans): A
- - , . S. -
- •
• I - .
, , ,
Building Division from the contr4 • ,1
s •
- 1. 11--,
(Refer .n.
n rmi
.1. I. 0 -I
member_ addrec
-U• -.
_ and
Der Kina County Health Department, reoeiremen.s.
APPHOVED FOR , BUILDING
ISSUANCE BY: ,/C i; f ,. A., �.--- OFFICIAL
DATE: vy
/- ;/ -- 0
1 hereby cert y that I have read a 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 obtain this building permit.
/
SIGNATURE: .,,o , r/` 1.
DATE: 7
PRINT NAME:
COMPANY:
This permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
A U :
CERTIFICATE OF
OCCUPANCY NO.
0
VWTiIn
vengamazawnwtaNNINal
bUILUINta f°'CFIM1T
(POST WITH INSF ;TION 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.
DATE ISSUED:
FEES
DESCRiPT ON
A
RCPT al?
DAT
BUILDING PERMIT FEE
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
Z1P98047
PLAN CHECK FEE
EXP. DATE 8_01 -90
ARCHITECT N/A
PHONE
BUILDING SURCHARGE
ZIP
ENERGY SURCHARGE
OTHER: Inspartinn
30,00
3339
11-03-89,
TOTAL -
30.00
:1 . . '1° 1
PROJECT INFORMATION
SI • 11 10 - SUI
12520 F Marginal Wy S
PROJECT NAME/TENANT Riverton Pro erties
V, U
CON -U
0
ASSESSOR ACCOUNT 0 734060 - 0540 -08
TYPE OF • New Building • Addition • Tenant Improvement (commercial) CIO Demolition (building) Grading/Fill
0 Reroof 0 Remodel (residential) 0 Other
DESCRIBE WORK TO BE DONE:
WORK: 0 Rack Storage
House demolition.
PROPERTY OWNER Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
ZIP98047
CONTRACTOR Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B, Pacific, WA
Z1P98047
WA. ST. CONTRACTOR'S LICENSE # BOULEE *342II
EXP. DATE 8_01 -90
ARCHITECT N/A
PHONE
ADDRESS
ZIP
USE-)
FLUOR 40
/
CODE,,'' 'Cj;1�9 PL I A N C E'
/
SQUARE
FEET
Occ.
LOAD
SQUARE
ITET
Occ.
LQL D
SQUARE
FECT
occ.
LOAD
9Qt1ARE
FEET
occ.
SQUARE
EMT
occ.
LOAD
TOTAL
SWAM FIET
TOTAL.
OCC. LOAQ
TOTAL
TYPE OF CONSTRUCTION: UBC EDITION (year/ 88
SETBACKS: N _ 3 E - W —
FIRE PROTECTION:DS rinklers 0 Detectors
P Q N/A
UTILITY PERMITS REOUIRED. (through
Pub c
Yes ®N o Public Worksl
ZONING: R -1 BAR /LAND USE CONDITIONSDYes ®No
CONDITIONS (other than those noted on or attached to permit/plans):
A 1t ter addressed to tha C i ty of Tukwi 1 a
st • • I . I- • tank has been rernaved
jRef rence uermit number_ d,djdres _ and—____
Building DivisiQn from the Qontra ,1'
Der Kina County Health Department requirements.
Dro.iec � am ),_.•
APPROVED FOR BUILDING
ISSUANCE BY: ` ' / ��
/. /_ .'r.'),' /' .. /' ... .:.. _ OFFICIAL
DATE:
7.
/ l�
to be true and correct. All provisions
herein or not. The granting of
of any other state or local laws
for and obtain this building permit.
I hereby certify that I have read and examined this permit and know the same
of law and ordinances governing this work will be complied with, whether specified
this permit does not presume to give authority to violate or cancel the provisions
regulating construction or the performance or work. I am authorized to sign
SIGNATURE: _ 6 • e. -c..e. E,z.�} DATE: /- %tip (S)
PRINT NAME: COMPANY: 2
This permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last Inspection.
CERTIFICATE OF DATE ISSUED:
GCCUPANCY NO.
Imo.....
0
14nrt.*.
Type of Inspection
Site Address) '7--5 2-
Requestor
CITY OF TUKWILA
Building De +tment
6300 Southc r Boulevard
Tukwila, WA 8188
(206) 433 -3670
rIcLi )(D%e-rvto
ETY7'av9 irl
rwrrlrwrvaMty:a 1:.. <I .++�
INSPECTION, RECORD
PERMIT #
Date
Loy
.re:'k�ttinkJT4k91hd�
Date Want, 5- 2. -9a 0
Project i; J
Phone # '7(0 Z-0 6S
Special Instructions
Inspection Results /Commen
Inspector i0
Date (2 -- Vj'"`-q
CITY OF T UKWILA
6200 SOUTIICENTER (BOULEVARD, TUKWILA, WASHINGTON 98188
October 3, 1990
Cindy Griffin
Contractors Bonding and Insurance'Company
P.O. Box 9271
Seattle, WA 98108 -0271
PHONE, # (206) 433.1800
Dear Cindy:
The City of Tukwila authorizes release of Bond Number 704547 for
the amount of $14,000.00 to Boulevard Excavating, Inc. The demo-
lition of seven homes was completed and signed off by our building
inspector on June 13, 1990.
Sincerely,
1tuk_ off. Bauo
Shellie L. Bates
Permit Technician
Enclosures
Cary 1.. 4anDasen, Mayor
BOULEVARD EXCAVATING, INC.
P.O. BOX 68B
PACIFIC, WASHINGTON 98047
868 -4880
April 5, 1990
City of Tukwila
Building Division
6200 Southcenter Blvd.
Tukwila, WA. 98188
M-rAU�r
APR 6 1990
Cr', co. ^t'L1i'.tiva..A.
PLANN,NG
Re: Septic Tank Removal — Riverton Properties
This is to inform you the septic tank has been removed
from the property at 12520,E Marginal Way So., Tukwila,
tWA ' ,:'Perm WNo '75825%issued 11/22/89.
Yours truly
Bruce Hansen
President
1908
(:111,1111: Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433 -1800
Gary L. VanDusen, Mayor
Plan Check #89 -350: Riverton Properties
12520 E Marginal Wy S
THE FOLLOWING COMMENTS APPLY TO BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER__��
1. Comply with the requirements of TMC 16.04, Demolition /Relocation
of Structures.
2. 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.
3. 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,
4. Removal of septic tanks require approval and compliance with
permit and inspection requirements through King County Health
Department (296 - 4722).
5. A letter addressed to the City of Tukwila Building Division from
the contractor, which states that the septic tank has been removed
per King County Health Department requirements. (Reference permit
number, address, and project name). This must be done prior to
requesting Final Inspection.
6. 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.
BUILDG PERMIT
INSPECTION RECORD
(Post with Building Permit in conspicuous place
• CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
SITE ADDRESS:
BUILDING
PERMIT NO.
DATE ISSUED:
11-(a -S
SUITE NO.:
PROJECT:
12.520 E Marginal Wy S Riverton Properties
CALL FOR INSPECTIONS AT LEAST 24 HOURS IN ADVANCE
"X"
REQUIRED INSPECTIONS
PHONE
DATE
APPROVED
INSPECT.
INITIALS
DATE(S)
CORRECTION NOTICE ISSUED
1 Footings
433 -1849
2 Foundation
433 -1849
3 Slab and/or Slab Insulation
433 -1849
4 Shear Wall Nailing
433 -1849
F---
5 Roof Sheathing Nailing
433 -1849
6 Masonry Chimney
433 -1849
7 Framing
433 -1849
8 Insulation
433 -1849
9 Suspended Ceiling
433 -1849
10 Wall Board Fastening
433 -1849
11
12
13
14 FIRE FINAL Insp:
575 -4404
15 PLANNING FINAL
433 -1849
16 PUBLIC WORKS FINAL
433 -0179
X
17 BUILDING FINAL
433 -1849
INSPECTION PROCEDURES AND REQUIREMENTS
All approved plans and permits shall be maintained available on the site in the same location.
1. FOOTING - When survey stakes and forms are set and rebar is tied in place.
2. FOUNDATION - When forms and rebar are in place.
3. SLAB - If structural slab or if underslab insulation is required.
4. SHEARWALL NAILING - Prior to cover.
5. ROOF SHEATHING NA:LING - Prior to cover.
5. MASONRY CHIMNEY - Approximately midpoint.
7. FRAMING - After rough -in inspections such as mechanical, plumbing, gas piping, electrical and fire stopping is in place.
8. INSULATION - After framing approval, but before installation of wallboard. Baffles must be installed to keep attic
ventilation points clear.
9. SUSPENDED CEILING - Fasten diffusers, fights and seismic bracing.
10. WALL BOARD FASTENING - Prior to taping (see UBC Chap. 47 and Table 47G).
11.
12.
13.
14. FINAL FIRE INSPECTION - Contact Fire Department for their requirements.
15. FINAL PLANNING INSPECTION - Contact Planning Department for their requirements.
16, FINAL PUBLIC WORKS INSPECTION - Contact Public Works Department for their requirements.
17. FINAL BUILDING INSPECTION - When all work, corrections, reports and other inspections are complete.
OTHER AGENCIES:
Plumbing (including gas piping) — King County Health Department — 296 -4732
Electrical — Washington State Department of Labor and Industries — 872 -6363
1 preconstruction meeting with the Building Inspector may be scheduled prior to starting the job by
contacting the Department of Community Development, Building Division at 433 -1849. Although not
required, a meeting of this type can often eliminate problems, delays and misunderstandings as the
project progresses.
o„2s,ao
BOULEVARD EXCAVATING, I C.
BOX 66B
PACIFIC, WASHINGTON 98047
.uBJECT
Removed Meters
>IGNED
WATER DIST. #125
P.O. BOX 68147
SEATTLE, WA 98168
As per your request, the meters at: 125 st S, 4007, and
4005, 4011, 4013, 4015, 4018 S 126th St. S, and 12520 East Marginal
Way S. have been removed.
D. Hayes
SIGNED
1309
DATE
11/3/89
DATE
SEND PARTS 1 AND 3 - PART 3 WILL BE RETURNED WITH REPLY
a„4W 463
c®rbon/esur !J'` &L% O® iY'7 G'
•
POLICY AND PROCEDURE
Environmental Health Division
Page 1 of 4
Project: On -site Sewage Disposal
Number:P88 -01
Effective:
May 15, 1988
Subject: Abandonment of Septic Systems
Supersedes:
n/a
Appr�q ved by:
1.0 BACKGROUND
Currently there are approximately 60,000 on -site sewage disposal systems in
King County. When public sewer becomes available to serve a property, indus-
try and /or the general public often call the Seattle -King County Department of
Public Health to ask about the procedures for proper abandonment of an on -site
sewage disposal system. Cities have asked for policy regarding abandonment of
septic tanks to distribute to households connecting to sewers.
Improperly abandoned on -site sewage disposal systems may pose health and /or
safety hazards for the population at risk. Exposure to sewage may result when
cesspools, septic tanks, or seepage pits are improperly filled or covered.
Contamination of the ground water aquifers may result when on -site sewage dis-
posal systems are improperly abandoned. The transmission of diarrhea,
bacillary dysentery,. infectious hepatitis, salmonella Infections and many
other illnesses may occur as a result of exposure to sewage.
2.0 PURPOSE
To establish standard procedures for abandonment of on -site sewage disposal
systems which can be distributed to staff, Industry and the general public.
3.0 AUTHORITY
3.1 Appendix 1.11 of the 1985 Uniform Plumbing Code - see Appendix A.
3.2 RCW 7.48.140(9) - see Appendix B.
4.0 POLICY
4.1 Environmental Health staff will, upon request, distribute copies of the
procedures for abandonment of on -site sewage disposal systems to industry
and /or the general public.
4.2 Environmental Health staff will explain, clarify and answer questions on
the procedures for abandonment of on -site sewage disposal systems.
5.0 PROCEDURES
5.1 The procedures for abandonment of an on -site sewage disposal system are
as follows:
A. Every abandoned building sewer, or part thereof, shall be plugged or
capped In an approved manner within five (5) feet of the property line.
POL &PRO /SEWAGE
POLICY AND PROCEDURE
Abandonment of Septic Tanks
Page 2 of 4
B. Every cesspool, septic tank and seepage pit which has been abandoned or
has been discontinued from use or to which no pipe from a plumbing fixture
is connected, shall have the sewage removed from it and be completely
filled with earth, sand, gravel, concrete or other approved material.
C. The top cover or arch over the cesspool, septic tank, or seepage pit shall
be removed before filling.
D. Where disposal facilities are abandoned consequent to connection of a
dwelling to a public sewer, all abandoned facilities shall be filled
within thirty (30) days from the time of connection to the public sewer.
POL &PRO /SEWAGE
POLICY AND PROCEDURE (
Abandonment of Septic Tanks
Page 3 of 4
6.0 APPENDICES
6.1 Appendix A
UNIFORM PLUMBING CODE
APPENDIX I
Private Sewage Disposal Systems
I11- Abandoned Sewers and Sewage Disposal Facilities
(a) Every abandoned building (house) sewer, or part thereof, shall be
plugged or capped In an approved manner within five (5) feet (1.5m) of the prop-
erty line.
(b) Every cesspool, septic tank and seepage pit which has been abandoned
or has been discontinued otherwise from further use or to which no waste or soil
pipe from a plumbing fixture is connected, shall have the sewage removed there-
from and be completely filled with the earth, sand, gravel, concrete or other
approved material.
(c) The top cover or arch over the cesspool, septic tank, or seepage pit
shall be removed before filling and the filling shall not extend above the top
of the vertical portions of the sidewalls or above the level of any outlet pipe
until inspection has been called and the cesspool, septic tank or seepage pit
has been Inspected. After such inspection, the cesspool, septic tank or seepage
pit shall be filled to the level of the top of the ground.
(d) No person owning or controlling any cesspool, septic tank, or seepage
pit on the premises of such person or In that portion of any public street,
alley or other public property abutting such premises, shall fail, refuse or
neglect to comply with the provisions of this section or upon receipt of notice
so to comply from the Department having jurisdiction.
(e) Where disposal facilities are abandoned consequent to connecting any
premises with the public sewer, the permittee making the connection shall fill
all abandoned facilities as required by the Administrative Authority within
thirty (30) days from the time of connecting to the public sewer.
6.2 Appendix B
RCW 7.48.140 PUBLIC NUISANCES ENUMERATED. It 1s a public nuisance:
(9) For an owner or occupier of land, knowing of the existence of a well,
septic tank, cesspool, or other hole or excavation ten inches or more in width
at the top and four feet or more in depth, to fail to cover, fence or f111 the
POLIPRO /SEWAGE
POLICY AND PROCEDURE
Abandonment of Septic Tanks
Page 4 of 4
same, or provide other proper and adequate safeguards: PROVIDED, That this sec -
tion shall not apply to a hole one hundred square feet or more in area or one
that is open, apparent, and obvious.
Every person who has the care, government, management, or control of
any building, structure, powder magazine, or any other place mentioned in this
section shall, for the purposes of this section, be taken and deemed to be the
owner or agent of the owner or owners of such building, structure, powder maga-
zine or other place, and, as such, may be proceeded against for erecting,
contriving, causing, continuing,•or maintaining such nuisance. [1955 c 237 4 1;
1895 c 14 1 1; Code 1881 1 1246; RRS 1 9913.]
POL &PRO /SEMAGE
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1y69 LICENSE /PERMIT BOND
BOND NUMBER: 704547
AMOUNT: $14,000.00
KNOW ALL MEN :BY THESE PRESENTS, That we,
BOULEVARD EXCAVATING, INC.
of P. 0. Box 668, Pacific, Washington 98047
as Principal, and CONTRACTORS BONDING AND INSURANCE COMPANY
a corporation of the State of Washington
and authorized to do, and doing business as a surety company in the
State of Washington , as Surety, are held and firmly bound unto
CITY OF TUKWILA. Bldg. Division, 6200 Southcenter Boulevard, Tukwila, WA 98188
hereinafter called the Obligee, in the penal sum of FOURTEEN THOUSAND AND
N /100 * * * * * * * * * *.* * Dollars ($ 14,000.00 ), lawful money
of the United States of America to be paid to said Obligee, for which payment
well and truly to be made, we bind ourselves, our heirs, executors, adminis-
trators, successors and assigns, jointly and severally, firmly by these presents.
SIGNED with our hands and sealed with our seals this 30th day of October,.1989
WHEREAS, a LICENSE or PERMIT has been granted by the Obligee to the above
bounden Principal authorizing the Principal to demolish houses at the following
locations: 4005 126th St. S.; 4007 125th St. S.; 4011 126th St. S.;
4013 126th St. S.; 4015 126th St. S.; 4018 126th St. S.; 12520 E. Marginal Way;
all located in Tukwila, Washington
NOW, THEREFORE, the Condition of this Obligation is such, that if the said
Principal shall faithfully observe the provttions of the Laws, Ordinances,
and Resolutions, governing the issuance of this License or Permit, then this
Obligation shall be null and void, otherwise to remain in full force and effect.
Liability under this bond shall terminate as of the 30th day of October
19 90 , as to any acts subsequent thereto, unless said bond is continued in force
from year to year by the issuance of a continuation certificate signed by the
Surety.
The Surety may cancel this bond at any time by filing with the Obligee thirty
(30) days written notice of its desire to be relieved of liability. The Surety
shall not be discharged from any liability already accrued under this bond, or
which shall accrue hereunder before the expiration of the thirty day period.
BOULEVARD EXCAVATING, INC.
Principal
CONTRACTORS BONDING AND INSURANCE COMPANY
Surety. olnpany
By 4,1,4 � ISA - By:
Bruce S. Hansen, President
ttorney -1n -fact
Mark M. Wilson
OCT 31 '89 15:19
CBIC*SEA
639 P03
LIMITID POWER OF ATTORNEY
READ CAREFULLY
CONTRACTORS ROWING AND INSURANCE COMPANY IS RE$P0N$IILE ONLY FOR 1HE SOND DEICRI /ED AND UP TO THE AMOUNT SET FORTH IN
THIS LIMITED POWER OF ATTORNEY. AMY ERASURE WILL VOID THIS POWER OF ATTORNEY. IF YOU HAVE AIR QUESTIONS ABOUT OR WANT TO
VERIFY THIS POWER OF ATTORNEY CALL CONTRACTORS BONDING AND INSURANCE COMPANY TOIL FREE AT 1(101)I2LO1N
Penal Sum S _ 14,000.00 Attomy No. WAfOt Power No. 012152 Rand No, 704547
Limited Power of Attomy E,mt�._--- .— .30 -90 Dab Approves: 10 -30 -89
STEVEN A. GAINES
Approved
Wr■dN
Name of Hod pal: BOULEVARD EXCAVATING, INC.
Nuns of ObYpn: , CITY OF TUKW ILA
Description(s): DEMOLISH HORSES AT THE FOLLOWING LOCATIONS: 4005 126TH ST $.;
4007 125TH ST. S.; 4011 126TH ST. S.; 4013 126TH ST. S.; 4015 126TH ST.
4018 126TH S.; 12520 E. MARGINAL WAY
Locatlon (tf Applicablt):
KNOW ALL MEN 8Y11E% PRESENTS yet CONTRAOTORS BONDING AffD NUANCE =Fart a mouton alp worked rid wbtntl under do Ise d to SUM d %Waco& end herla b Metal olio
h Saw, Kim Ohm NItshiroon, dose by too prawn meb, aonM1s w appal NARK M. WILSON d Sash, hr five end oa*4 aomsy�YNed, vWr Miscast and auto* hereby contend h Is
rime. pros Lid vend, b crate; admowbdoe and debar to bond(.) dnabd bore; sad le bind to Carroty tarty no et M same want as 1 tab mat bond ores shad by he Pwddwt, sealed wIlt
the colors Mel of IN Conway at Oh mead by Is Socreary; hereby ratlyla and confirming a1 Met to old Mbntey b-bel my rb In to mans Said sopointrtore • mods under and by autorty d Ihs blbwrq
noolibrr.rooted by Ito Bond d Modal d CONTRACTORS BONDN0 Na INSURANCE COMPANY on WAX t felt.
RESOLVED tat the Nadal i aulhont:el io hoar u moaned ed of to Cagan MARK M. WILSON rM power and notedly b Or on bead of M Conway toes surety bonds which may boo
Ono to tine be reproved by the Yes Profdsn, CAW Fiona) Ora►, Presided or Offal boobs Ohba of do Coale y it curt and sutra ad accord!" b suds ordains a may bs approved by to
Vla President, Cad remit 011cR Pmidsrt Of CNd Etrcubt Omar d the Cosberryt
RESOLVED FURTHER that Ruh Rom d Myra now .M lonh to clerk dsw m at to bond b Midi b appbs, do none of Me axial. he NM of to drupa the part who the bond robe(
(ma kr a bid bond stew dwe r ro re dm% l Idsrdyhp toast or to srcaspin fee, M draft norbst d ins Poles NAwns% end to rind and areas of to VW Prolate the CNd
Filmed Woo Malaria lo Chef Macao dba d the Cooley; and may she loath do doeaptbn and owes of add an el favoring. or akin!, 1 any
RESOLVED FURTHER tot tlts CNsf Ertscu%i CAW PeNYSrt, CNN Placid Clover on Vies Rada d to Canpwy Is a sforted m soda s hoe* mpatbn doe at the Pow d Atom end
to moray tut die Most tae Io dtr r to Chit Esecube 01lar, Pttsdut, Chef Renal Drew or Nos Presides deem marry h his sob dlronlonc va *WOW maim deo M to dark w
loch h any radian fuser d Anattry.
RESOLVED FURTHER dot aced ae otherwise provided hits Mteedely soasdr reso*San wet no dManweroos shat (Otte maws moat bray bid. mom. oedemas. oraontivebon
PAM/ end pedemnle/ bond ties, a Pita ad Pawl maasbn In am bond lone) aced 11.21000I do bad Y garbed by M Soul &vices Abrrititn.in; (b) a perel sum d any
bond alai ouaralleedby w S e al Baku Adminl blon toter than a Ward WO it foter W a a l by dose (d) amid 111100000 ;ere (a) a bid and Whit Is not porwased by t e Snrl Mourn
Admintwatbn a acted for ebb Moo Ito canna I oraidad,tht Widmer/on petismeres bard pond io d. wourtenbnpoAornwesadprowlbond (Li,'p.Aortneandpi i
Ma aign In ore bond fast) b be ado od p ato o the bid bad is b scud $1,100.0011.
RESCUED .mow of ar y odd li and lamina of d wry cash cash rase d d�iedt or esa r y naked n candy a to Con pay w b mats b Iwo the bad, se bMrtp tont h en emu u U desupbn and woo the
d MI MM missal a cameral an ore fort In the Pasant Ammo
1R1EoSwOLgVED FURTHER des to aug s d m awl to Cospany b curtly to sutonbby ad.1.c1Nmss d to bnfpbp nackabre h earn LMwed Peer dAnoewy i hardy Nagai b tv
Silth, SI Pe MYNA, aeon M O A od pjtrd Io 1. Camay mho otwOdysnd sNW smss d Ih Moobt/ nuoUbns u 1 tilted by tr Swarm d dr Ccmpny: floral
RESOLVED FURINER to Weapons (hddn, cabala la tw1Ito Paw OAteara b std Inform ad Oka el the Chid ErMke Plow, Pmldsre, CNN Awed Oman; Via Pears and Notary
Ptbk, end the moats and Nosuy lab slpssrhp on wry Limbed Pont of Nara congeal We and M Iaspola nest a o may be by raabsls
RESOLVED RAI ER lad recuhabn Wood peter b bdsy appoblhl do dies retried is tansy-him Wine Convoy we *MI Rielodsd
IN WITNESS WHEREOF, CCNTRAtTPCR$ I CHDNG MO ISSUANCE COMPANY hr ousel less ptssar b be eiorrd by as t71tlM Eno*, Aker, PosiderR Chid Riedel Clow end Va Rodeo end it
capons sod ie be beam allot tie IM dry of fed, tNl.
STATE Of WASHINGTON -- (MUSTY Oi LONG
On Ihle 2011 dy dAprt,1olq arsonsly wawa DONALD SIMON, STAN A. CLINES, MARC A. MRKVICKAand MICHAEL L. JOHNSON, b at brown to to Mr Mist ErsatlM Officer, President Chief
Rama Moo and Nos Poaldent Msplc M , of Mo corporation t it amulet 10 fortiori Umibd Poway of Monoy and seacra O/M ate LIIWM POwr of AMOmIy to to M fret and vdunWy
act ant Oa Of said wrpottlton, for des use one pw vas knit n oloI d, and co ollt MIN all Say m atlhalad to smoub the all Until Power Of Aflonhsy.
IN WRNESS WIEREOF,1 has hereunto eat my hand ofd abed my and
Tho und.Npanod, Ong toes authalty of to Board of Dlnotao of C11NT
BONDING AND INSURANCECOMPM', the doepees ltors boW.
Poser d Attorney IM In IONS and seat
GIVEN under nM hlm1, M
,44tra
Miry an m e MO d WoMnlbtt means at Seals
INSURANCE COMMNK Not/ anlisl, al Or In Isu of Cortical of m Sanitary or CONTRACTORS
oft OAgw Poser of Money Mash br ell coon. ,. and dal hereby NNW au* tW VI nit
Mel , 30TH yea OCTOBER 1,89
i
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
0
PROJECT NAME
RN-es -tan P?rti5
SUITE NO.
SITE ADDRESS
'YYIUsc,3c nod
Ui
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/ATM.
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.
O BUILDING -
initial review
(ROUTED)
obNSULTANT: Date
ate
O FIRE
PROTECTION: (l Sprinklers n Detectors ® N/,
INIT:
0 PLANNING
INIT:
O PUBLIC
WORKS
O OTHER
BUILDING -
final review
Za 3
INIT'.'i H
INIT:
REVIEW COMPLETED
FIRE DEPT. LETTER DATED:
INSPECTOR:
:TT-7.111 • i - Te • •
NS
Yes
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- 5-
E- W-
UTILITY PERMITS REOUIRED? [ 7 Yes
PUBLIC WORKS LETTER DATED:
INIT: S
OF CONSTRUCTION:
UBC EDITION (year):
PERMIT NO.
CONTACTED
DATE READY
DATE NOTIFIED
BY:
(init.)
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(snit.)
AMOUNT OWING
(46
3RD NOTIFICATION
BY:
(init.)
BUILDW) PERMIT
APPLICATION
CITY OF TUKWILA
. Department of Community Development - Building Division
FEES (for staff use only)
Vf-VV VVY {I IYVI I {VI ✓VVIV FYI V, I VI.IIIY I I • VV I VV
(206) 433 -1849
DESCRIPTION
AMOUNT :
RCPT #
DATE..
BUILDING PERMIT FEE
PLAN CHECK ,
NUMBER U ' 50
PLAN CHECK FEE
BUILDING SURCHARGE
All LIGATION MUST QE
FILLED OUT C0111PLETELY
ENERGY SURCHARGE
- r.,;C:.
OTHER: AL. - �.✓`%r
.. 0 :
..
..TOTAL '•
SITE ADDRESS SUITE #
12520 E Marginal Way Tukwila, Wa 98188
VALUE OF CONSTRUCTION - $
0
PROJECT NAME/TENANT
Riverton, Properties
ASSESSOR ACCOUNT #
734060 - 0540 -08
TYPE OF U New Building Li Addition L) Tenant Improvement (commercial) LA Demolition (building)
WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other
DESCRIBE WORK TO BE DONE:
House Demolition
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? IN No • Yes IF YES, EXPLAIN:
SQUARE FOOTAGE - Building: 1,000 sf Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 10 No ❑ Yes IF YES, EXPLAIN:
PROPERTY OWNER Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B Pacific, Wa
Z1P 98047
CONTRACTOR Boulevard Excavating, Inc.
PHONE 863 -4880
ADDRESS P.O. Box 66B Pacific, Wa
ZIP 98047
WA. ST. CONTRACTOR'S LICENSE # BOULEE *342LL
EXP. DATE 08/01/90
ARCHITECT
PHONE
ADDRESS
ZIP
H R wog TI'fAT t:;HAYE : ctemmiNe PPi:IGA1'IQN "At 4
T EANO CORREC`fi I
AND A[�::/IIJ�`flbt#IZ .Tb APPL1�.�dKle THI ;�fa
KItt .W THE SAMIIA
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE�i,
�G G�r� /
''
DATE
/r` -eQ
PRINT NAME 1ya Li,c f' �t` �,1 /� ,S t-,
!`
PHONE
ADDRESS
CITY /ZIP
CONTACT PERSON Cam' _4-LA
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 4433 -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
6.1
COMME
RCIAL
Sc, BMITTAL CHECi,IST
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