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Permit B93-0272 - LABEL RESIDENCE - PRE-MOVE INSPECTION
B93-0272 LABEL RESIDENCE PRE-MOVE INSPECTION (.(5F1 City of 7ttkwili& (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: 893 -0272 Type: B -RELOC Category: RES Address: 4224 S 146 ST Status: Issued: Expires: Location: RELOCATE HOUSE FROM 14814 24 AV S (SEATAC) Parcel #: 004000 -0462 Zoning Type Const: V -N Gas /Elec: Wetlands: Water: UNKNOWN Contractor License No.: TENANT OWNER CONTACT LABEL SCOTT 4224 S 146.5, LABEL SCO.TT:'.' 4222 S 44:6TH SCOTMABEL 422'`6`..:.5`' 146 ''S`i",. TUKW'ILtA, WA 981168 ISSUED 11/05/1993 05/04/1994 Type of Occupancy: DWELLING Slopes: Sewer: Phone: (206)243 -4725 : * * ** * * * * * *. * * ** Permit Desc *******' lt::** k *, * * * * * * * * *} * *•k * * * *' * * ** * ** 'Xion 206 243 -4725 •k*4' *• * **•k*4* * * * * * * ** ** PRE-MOVE I, NS PECTI J N FOR lH OU RELOCATION. t SETBACKS, Units: 000 Front Back: Buildings{ ,000 . r" Left: Right:, Fire Protection r, hl UBC Edition if • Valuation: '71,760,;00 , is .Pormi F Faa r n 1 .. , k**** * * *k* .; * * * * * *k * * * **k * ** . sir*****•k* k** * * *. *k*:k * * * * * *k * * *: * * * * * -k* * * * ** Permit Center A thorizede.;S:igna.ture I hereby ?,q,, certify that I have read and' exa.mi n -ed th i sperm. t an'O' know!the same to ex`,true, and {correct. All provsifsi'oritsco1' Tawand.�ordinances _ ', �l s a. With', S ,. s will be complied W "ith, wljether speclfied::;here'.in or not :ti i j t. 1 is The granting�ykof this permit does not/) resunne toi,,Qive°�'rauthority to violate or cancel 'th`:e ;provisi,ons of any other+` "'state "or lo,cal' 1aws'} regulating construction``ior•�\the performance of work. I am ,a1thori;z:e:d tos,ign for and obtain this bu'ng •e,ri/ t` / , . .,.f;-,..,, , w rc<<f <.. Signature: Print Name • ♦ %t1.l�l3�fi" �;.o.wY v.u`.i t 1e. : ';'�''..(.8` This permit shall become null ,and v "oitl�ii` ;tse.' Wnr'k is not 'commenced within 180 days :from the date of issuance, or 'i f the work i s suspended or ' abandoned for a:period of 180 days from :the last Anspection . City of Tukwila John W Rants, Mayor Department of Community Development Rick Beeler, Director May 26, 1994 Melinda Kludsikofsky Contractors Bonding and Insurance Company 1213 Valley Street P.O. Box 9271 Seattle, WA 98109 -0271 Re: Bond No. S10257 Dear Ms. Kludsikofsky: On May 25, 1994 our office received a STATUS form for Scott Label's relocation of two buildings. The above mentioned bond cannot be released until the building department completes a final inspection for Permit $9Q;,a, and Permit #B93 -0217. As ,of today, Permit #B93 -0272 has not had any inspections and Permit #B93 -0217 the foundation was approved on 12- 22 -93. After both permits have a final inspection we will authorize the release of the bond. If you have any questions, please call me at (206) 431- 3671. Sincerely, Shellie L. Bates Permit Technician Enclosure 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 41313670 • Fay (206) 4313665 ti. tr' City of Tukwila John W. Rants, Mayor Department of Community Development Rick Beeler, Director May 26, 1994 Melinda Kludsikofsky Contractors Bonding and Insurance Company 1213 Valley Street P.O. Box 9271 Seattle, WA 98109 -0271 Re: Bond No. S10257 Dear Ms. Kludsikofsky: On May 25, 1994 our office received a STATUS form for Scott Label's relocation of two buildings. The above mentioned bond cannot be released until the building department completes a final inspection for Permit ! B99:0g0107: and Permit #B93-0217. As of today, Permit #B93 -0272 has not had any inspections and Permit #B93 -0217 the foundation was approved on 12- 22 -93. After both permits have a final inspection we will authorize the release of the bond. If you have any questions, please call me at (206) 431 -3671. Sincerely, Shellie L. Bates Permit Technician Enclosure 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 (206) 4313670 Fax (206) 4313665 CBIC CONTRACTORS BONDING AND INSURANCE COMPANY MAY 'Z 4 1994 1 Date. STATUS PRINCIPAL: SCOTT LABEL BOND NO: S10257 CONTRACT AMOUNT $: $36,800.00 DESCRIPTION: XONTRACT NO. B93-0272 B93-0217 RELOCATION OF BUILDING CITY OF TUKWILA - DEPT. OF COMMUNITY DEVEL. 6300 SOUTHCTR BLVD #100 TUKWILA, WA 98188 CONTRACTORS BONDING AND INSURANCE COMPANYis $llrety 9n 4hG abQV6 Bond, We will appreciate your cooperation in providing the information requested below, and returning the form to us so that we may have current status information on the captioned job. A business reply envelope is enclosed for your convenience. Thank you for your assistance. Yours very truly, Melinda Kludsikofsky 05/20/94 IF THE CONTRACT HAS BEEN COMPLETED: 1. Completion date? Date of final acceptance or expected final acceptance? 2. What date does contractual warranty period end? 3. Final contract price? (Including applicable taxes) Has full amount been paid? 4. Was the work satisfactory? Have all labor and material bills been paid? IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. Percent of work completed to date? 2. Total amount paid to the Contractor to date $ Amount of retainage held? $ 3. Is the Contractor paying his labor and material bills? Anticipated date of completion? 4a. Is the work progress satisfactory? b. Is the quality of the work satisfactory? S. If the answer to No. 4a or 4b is no, please explain. 6. Please provide any other information you feel would be helpful in evaluating the contractor REPLY TO OFFICE MARKED BELOW Firm: By: (Tide) Date: Address' Telephone: ® Home Dice: 1213 Valley Street, P. O. Box 9271, Seattle, WA 98109-0271, (206) 622-7053, (800) 765 -CBIC, (206) 382 -9623 FAX ❑ Oregon: 1827 NB 44th Ave., Suite 100, P. 0. Box 12053, Portland, OR 97213, (5(Y3) 287. 6000,1. 800 - 926 -2242, (503) 287.6100 FAX ❑ Nevada: 6600 W. Charleston Blvd., Suite 132, P. 0. Box 26990, Las Vegas, NV 89126-0990, (702) 878 -CBIC, (800) 727 -CBIC, (702) 878 -7011 FAX ❑ Phoenix : 2201 East Camelbeck Road, Suite 505B, Phoenix, AZ 85016, (602) 956-6000, (800) 866 -CBIC, (602) 956-6700 PAX, (800) 284 -2770 National FAX ❑ Tucson : 940 North Finance Center Dr., Suite 180, Tucson, AZ 85710 (602) 885.7337, (800) 846 - 2242, (602) 885-7233 FAX ❑ Texas: 122 W. Carpenter Fwy., Suite 490, Irving, 'IX 75039, (214) 717 -0116, (800) 873 -CBIC, (214) 717-1626 FAX ❑ North Carolina: 2828F I.85 South Service Rd., Charlotte, NC 28208, (704) 391 -1011, (800) 695 -CBIC, (704) 391 -1015 FAX ❑ Sunrise: 7771 W. Oakland Park Blvd., Sunrise, FL 33351, (305) 741 -9800, (800) 688 -CBIC, (305 ) 741-0025 FAX ❑ Melbourne: 200 South Harbor City Blvd. Suite 402, Melbourne, FL 32901, (407) 722.1723, (800) 372 -CBIC, (407) 722 -1726 FAX uodS1115.06us020392 o:attsuwsa111W010 tss1V0001opRT4 House Moving, Inc. December 01, 1993 To: City of Tukwila From: Robbins & Co. Inc. Re: Bond 4," LY 11 (� DEC U 1 tir Gr;� v ;Jr: 3 "NA Pic On November 10, 1993 we relocated a building into the City of Tukwila. Upon purchasing the moving permit we put up a bond in the amount of $ 5000.00. At this time the move has been completed without incident to any city property. We would appreciate the return of the bond at this time. Sincerely; Teresa Robbins iCEi vED DEC -31993 TUKWILA PUBLIC WORKS 818 Southwest 142nd. Seattle, Washington 98166 (206) 244.1023 • I IIU 1 b vVb I'IUKU & HSUU, 1 NU, r CONTRACT BID DOCUMENTS Prcposal I. hi{ 110. 2Ub .I-/13 1855 P, 01 RECEIVED CITY OF TUI WILA, PERFORMANCE BOND Bond to City of Tukwila, Washington KNOW ALL MEN BY THESE PRESENTS: PERMIT CENTER P -14 CIIC BOND #S10257 PREMIUM: $1,129.00 ** That we, the undersigned, sm." LABEL , as principal, and CONTRACTORS BONDING ANO INSURANCE COMPANY a corporation, organized and existing under the laws of the State of WASHINGTON , as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as . surety, are jointly and severally held and firmly bound to the City of Tukwila, Washington, in the penal sum of (written amount) T' Y- -SIX =AND EIGE }MUD & ND/IT'S ($' 36,800.00 ** ) , the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington and Ordinance of the City of Tukwila, Washington. Dated at Tukwila, Washington, this 4TH day of NOVIIK$Ft , 1993. Nevertheless, the conditions of the above obligations are such that: WHEREAS, the City of Tukwila on the 41I4 day of NOVEKBER , 1993 , let to the above written en principal a certain Contract, the Contract being numbered ' and providing for REEOCATICN OF 8UIL0(■G . which &r "t.c`.: is referred to herein and is made a part thereof as though attached hereto, and WHEREAS, the said principal has accepted, or about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the above bounded principal shall faithfully perform all of the provisions of said Contract in the manner and within the time therein set forth, or within such extensions of time as.may be granted under said Contract, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying out of said work and shall hold said City of Tukwila, Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or any subcontractor or performance as specified in said Contract, and The Surety, for value received, herein stipulates and,agrees that no change, extension of time, alteration or addition to the terms of the Contract or the work to be performed thereunder, or the specifications accompanying the same, shall in any way effect its obligations of this bond, and it does hereby waive notice of any such change, extension of.time, alteration or addition to the terms of the Contract or to the work or the specifications. IVUV- `,y-yJ U1U 1b:eo rwKU & HbbUUI !NU, FAX NO. 208 (13 43 1395 P. 02 CONTRACT BID DOCUMENTS P -1S Proposal PERFORMANCE BOND (continued) PROVIDED, however, that after the acceptance of this, Contract and the expiration of the lien period, and if there are not liens pending, then the venal sum of this .bond, shall be reduced to the sum of THREE THOUSAND SIX HUNDRED EIGHTY AND NO/100'S (10% of estimate) dollars, to insure against defects appearing or developing in the material of workmanship provided or performed under this 'Contract within a period of one year after acceptance; not''withstanding the reduction of this bond, the principal and surety shall hold the City of Tukwila harmless from all defects appearing or developing in the material or workmanship provided or ,performed under this Contract, within a period of one year after acceptance, then and in that event this obligation 61ia11 bt+ void, but otherwise it shall be and remain in full force and effect. It is hereby expressly agreed that if any legal action is necessary to be brought under the conditions of this bond, that the decision of the Courts of the State of Washington shall be binding. IN WITNESS WHEREOF, the above- bounded parties have executed this instrument this 3RD day of NOVEMBER •, 1993. Countersigned: _SCOTT LABEL Principal CCNTRACTQRS 8CN0 AND INSURAME COMPANY Resident Agent Approved by Resident Agent's Address NUv- .l-1-y3 Ihu 10;6b titAlt & H55UU, lNU, CBIC CONTRACTORS BONDING AND INSURANCE COMPANY 1-AX NU, '2Ub 43 18Ub N, 03 Limited Power of Attorney Home Office; 1213 Valley Street P.O. Box 9271 Seattle, WA 98109.0271 (206) 622-7053 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, acorporation duly organtxed and existing under Ihs laws of the State of Washington, and having Its principal ofllce In Seatee, King County, Wash1ngton, does by there presents make, constitute and appoint $ EAN M, DYMENT, oI Seattle, Washington, Ira true and lawful altorneyin.f act, with null power and authority hereby conlerced In its name, place and stead, to execute, acknowledge and deliver. (1) SBA guaranteed performance and payment bonds nol exceeding the penal sum oI St 00,00; (2) bid bonds lor jobs where. it the contract la awarded, the SBA guaranteed performance and/or payment bonds) will not exceed S100,000; (3) al other bonds coded and destined by the Surey Association of America In its Plate Manua! al Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Conuacl (excluding bid bonds), Miscellaneous, Ucense and Permit, and Federal not exceeding the penal sum oI S 100,000; (4) bid bonds ferjobs written pursuant to the authority in clause (3) above whore, lithe cent/111s awarded, the performance and/or payment bond(s) Minot exceed $100.000; and (5) all other bonds not exceeding the penal sum of 5100,000, Provided, however, that SEAN M, OYMENT Is granted power and authority ro exceed the applicable pent limit previousty set lonh for any bond in an amount equal to the amount of any letter of credit, or shier security, received as cotlaterai security by the Company as an inducement to issue the bond; and to bind the Company thereby as fully and to the same extent as U such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by lie Secretary; hereby ratifying and confirming all that the said anomsyin•lact may do In the premises. Said eppointmem is made under and by authority or the following resolutions adopted by the Board el Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on January 27, 1993: RESOLVED that the President is authorised to appoint as attornoydn•lact of the Company SEAN M. DYMENT with power and authority to sign on behalf o1 tho Company; (1) SBA Guaranteed performance and payment bonds not exceeding the penal sum of 5100,000; (2) bid bonds toricbs where, it the contract's awarded, the SBA guaranteed performance and/or payment bonds) will not exceed $ 100, 000; (3) allother bonds coded and classified by the Surety Association of America in it9 Rate Manual al Fideity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal nol exceeding the penal sum of 5100,000; (a) bid bonds for lobs written pursuant to the authority I clause (3) above where, it the contract is awarded, the pedotmence sndor payment bond(s) will not exceed 5100,000; and (5) an other bonds not exceeding the penat sum of 5100,000. RESOLVED FURTHER that SEAN M, DYMENT is granted power and authority to exceed the applicable pert IkM set loAh In the preceding resolution for any bond In an amount equal to the amount 01 any letter or credll, or similar security, received as colareral security by the Company as an tnducoment to issue the bond. RESOLVED FURTHER Nal the aumorityol the Secretary al the Company to certify the authenUclryand effectiveness of the foregoing two resolutions In any Limited Power of Anomey Is hereby delegated lo the following parsons, the signature of any of the following to bind the Company with reaped W the authenticity and effectiveness d me foregoing resolutions as if signed by the Secretary of Inc Cornpenyi Donald Slritln, J. 0, Minro, John A)Wre, Chariot J. Falskow and Janet K. Lorraine, RESOLVED FURTHER that the signatures (including certification that tho Power of Matey Is still in torte and effect) of Inc President, Notary Public and person canllylng authenticity and enectNenesa, and Ina corporate and Notary sears appearing on any Umtlea rower 01 Anomey containing Nis and trio foregoing retalueons as wen as Inc iJmdee Power of Anomey itself and its trsnerniesion, may be by lacsimie; and such Limited Power of Attorney shall be deemed an original in al aspects, RESOLVED FURTHER That ae resolutions adopted prior to today appeindng the above named as anomsyin•fact for CONTRACTORS BONDING AND INSURANCE COMPANY are hereby supersuded. IN WITNESS WHEREOF, CONTRACTORS BONDING ANO INSURANCE COMPANY has caused Neap presents to be signed by its Presidanl and itacorporate seal to be hereto affixed this 271h day of January, 1093. ................. OpN..... ql, 0 ,•OPPOR,�j.•G�tii SEAL u: rrrhr %•'•.1979.•'•�1ir rtl gsHING�c- CONTRACTORS BONDING AND INSURANCE COMPANY By Sloven A. Gaines, President STATE OF WASHINGTON— COUNTY OF KINO On this 271h day of Janua ry, 1993, personally appeared STEVEN A. GAINES, to me known to be the President of the corporation that executed the foregoing Limited Power ofAnomey and acknowledged said Limited Power olAnomey to be the free and voluntary act and deed of said corporation, ler Iho uses and purposes therein mentioned, and on oath slated that he is authodsed lo execute the said Limited Power of Attomay. IN WITNESS WHEREOF, I have hereunto eel my hand and atrukod my official seal Inc day and year line above written. icATH/ ,,,, 7 Ina unoerstgnea, acting una0r aulncnry 01 tJt board 01 Directors a1 CONTRACTORS BONDING AND INSURANCE COMPANY, (tercby t arak s, oa a Ar 6ou of could:ate of the Seauts,y of CONTRACTOR3 BONDING AND INSURANCE COMPANY that the above and foregoing is a lul, True and correct copy of the Original Power of Attorney issued by said Company, and does hereby further certify Nal the said Power of Attorney Is still In force and elect. GIVEN under my hand ttl SEATTLE, WA _ , n„a _ 3RD �,y,f _ NDVE�'1BER r i9 93 CITY �OFETUKWILA V 'r 19:;3 PERMIT CENTER A01:1111110 PRODUCER HARMAN & MCRORY COMPANY 146 North Canal Str. #220 Seattle, WA 98103 abel sue DATE (MMAJDNY) 09/17/93 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 INSURED Robbins & Company Housemoving, Inc. 818 SW 142nd Seattle, WA 98166 COMPANY A LETTER 11 COMPANY n LETTER u COMPANY C LETTER COMPANY n LETTER u COMPANY c LETTER 1•-• TRADERS & GENERAL INS. CO. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMCNT, 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY . ......... CLAIMS MADE X OCCUR, OWNERS & CONTRACTORS PROT. X HOLD HARMLESS AGREEMENT 6CMP9424193-00 02/26/93 02/26/94 GENERAL AGGREGATE PRODUCTS-COMP/OP AGGR. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one Ike) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON•OWNED AUTOS GARAGE LIABILITY 6CMP9424193-00 02/26/93 02/26/94 MED. EXPENSE (Any one person) COMBINED SINGLE LIMIT 1,000,000 1,000,000 1,000,000 1,000,000 50,000 5,000 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURENCE $ AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACII ACCIDENT DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATION OF THE NAMED INSURED. CERTIFICATEHOLD CITY OF TUKWILA 6300 SOUTHCENTER BLV. #100 TUKWILA, WA 98188 ATTN: DENNIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS ITTEN NOTICE TO THE CERTIFICATE•HOLBER.NAMEE}19N LEFT, BUT FA1LU MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY s AN D UPON THE COMPANY, 1S AGENTS OR REPRESENTATIVES. AUTHORIZE .1i0:toilP4Allotti• • City of Tukwila DEVELOPER'S PF.JJECT WARRANT)! REQUEST FORM /,q-/6'-/-3 _. �.rr.wrr�r.r..� .. :;it' ?�` % "Yii.`•__ ..�rr�.. �fr:;`:'i: � %�;; de10l0perl,hot.:. NAME OF DEVELOPMENT: Rci v,'s N. - S-rr taBvtL- 4aa b .5. !yb DEVELOPMENT ADDRESS: C6I4Z,,NMENT t3 SHALL BE REFUNDED e BY MAILING TO: (please print) ti a (A s.046 S-t- NAME:Ej r Wo hi) 5 ADDRESS: c5--jcF- /L/ DATE: )/( ! b(S PERMIT NO.: A) 9 3 - TEL. NO. C/ CITY/STATE/ZIP DESCR-1PWITEMS TO BE COM-TXTED (REFE - PLANS/DOCUMENTS WHERE ITEMS ARE DESCRIBED): Bunn r--VA (- l -vvice. fr ov ?eftm - C. »,u W/0(.12) As the owner, or authorized agent of thp,w ,per hereby submit cash or cash equivalent In the amount of f € G. vtri6`-'6 complete work described above) and attach supporting documentation for value of work. I will have this work carried out and call for a final inspection by this date: ( / / ), or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. 111 fail to carry out the work, I hereby authorize the City to go onto the property to carry out completion of the above deficiencies. I further agree to complete allyyork listed aboveprior to questing Inspection and release of these funds. SIGNED: TiTLE: '(/ JO • AR? ya: V. vkww.{ wNl nvA. �al. V,.•. 1NHntvnHlvvN.+++• SV. anynNicN• FW♦ nww!.• w<: .tN'.yy:tv.v.�aa:!w•.Vxw•.•i.w. ,; \a�!wj+tnuwn:v.vvn�Yttk... New! nMV. vfµvw :.!n.taw�:tt�w.+wwn!.�w.vMw vY .. .. .SSVtu�w�w�www.v.: M1M .SNtt: .. . THIS FUND IS AUTHORIZED TO BE ACCEPTED. SIGNED: DEPARTMENT HEAD: DEPOSITED THIS DATE: t ( /17_153 RECEIVED BY: .v,.Y:.wn}.nY. w.;nv.Y.Mh:.: Yh!ft•MnY:q..y..kC.»>YY,'4Y n:.v.}M&.*.:..,». :.... ;.,w:>Y:YV- .•..:v. ? .. .vh v.. .nt.n.'l.t :•.:..;!.y... ;.n.n..t•!+StnT'!.^�- ^!•.•. ....Y. t.MVM... \.r..YV,.:ttM. t.. rn \ \`.vQ•q . n:;, nv...�tn.. .vvv.!!mvn: •n•tn..... i.•4..Y :•w..Y + /.:..y... 1..�;;v a��atral 72 HOUR NOTIFICATION FOR INSPECTION AND RELEASE OF FUND DEVELOPERS REPRESENTATIVE: CHECKED BY: Ail worn kith-4;110d in Section 1 of this form has now been completed and retumed to department which authorized warranty. I hereby request s e i n and release of my cash/cash equivalent. DATE: /g. O I tfave reviewed the above work and found it acceptable and therefore authorize the release of the above cash assignment. AUTHORIZED BY: DEPARTMENT: AMOUNT: • CASH EQUIVALENT — LETTER AUTHORIZING RELEASE RELEASED THIS DATE: CASH CiTY CHECK NO. 6 RELEASED BY: , FINANCE DEPT. Upon completion through. Section 2, Finance personnel shall Upon completion of entire form, Finance personnel shall send copies to: — Developer send copies to: — Developer — Finance Department — Finance Department — Permit Coordinator, DCD — Permit Coordinator, DCD (- � ILL Co �. �ea - :����v j2%< C� �� / = �)/ CITY OF TUKWILir Department of Cori rnunity Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 wilding Permit Application Tracking PLAN CHECK NUMBER PROJECT NAME s SITE ADDRESS y aaLi 5 (4 G cot Lbd SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. PARTMEN ............................. :BUILDING - initial review FIRE PLANNING INIT: INIT:_t/ !RIrQUIREMEI ME ................ CONSULTANT: Date Sent - Date Approved FIRE PROTECTION: ( Detectors __kO/N/A FIRE DEPT. LETTER DATED: to- - INSPECTOR: 512_ ZONING - J 7,Z BAR/LAND USE CONDITIONS? Yes (J No REFERENCE FILE NOS.: Ho/oak chtet, n MINIMUM SETBACKS: N- PUBLIC WORKS UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: 9 INIT: 0 OTHER INIT: i•i_A.t.3 tLc E- W- Yes No 025- 93 O BUILDING - final review O BUILDING OFFICIAL REVIEW COMPLETED TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? °Yes 14o UBC EDITION (year): 19411 AMOUNT OWING: I% •�(j CONTACTED ,_, [;� ..��C � !'�� ' �, -"1— ci BY: (init.) 46 BY' DATE NOTIFIED „ (� 2nd NOTIFICATION �` 1 5C, ..�1 3RD NOTIFICATION BY: (init.) Loa • SQ ot/o8re3 CITY OF TUKWILA Department of Community Development - Building 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 4; i�.., t, : f _/ c`;1 BUILDft ,i PERMIT APPLICATION Division DESCRIPTION: <' ;:;'':I ::';AMOUNT BUILDINGPERMIT FEE :: PLAN.CHECK FEE BUILDING:SURCHARGE: OTHER: SITE ADDRESS ,f SUITE # V VALUE O►F CONST.RUCTION - „2,�va) PROPERTY OWNER 5Ga.r.r- �,w PHONE���`� -� y< ADDRESS Lt7�2 , c v . iL.f4 • ZIP G/6� CONTRACTOR � PHONE .4.,43„...y72.4 ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT n �T- u �/ PHONE ADDRESS �'" ZIP 1 HEREBY CERTIFY: THAT l HAVE READ. AND:;EXAMINED. BE ::TRUE AND >CORRECT; AND.1 AM'AUTH'ORIZE BUILDING OWNER SIGNATURE OR AUTHORIZED AGENT PRINT NAME THIS.•'APPLICATI.ON 'AND:: KNOW;:T LY FOR ;THIS :PERMIT ADDRESS c-#y ?--6 CONTACT PERSON APPLICATION SUBMITTAL In order nsure 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 431 -3670 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 DeperegrAMERmunity Development Building Division at 431 -3670. DATE APPLICATION ACCEPTED SEP 0 7 1993 DATE APPLICATION EXP II _ 3 - -� Oa'1a'61 1 HEREBY CERTIFY: THAT l HAVE READ. AND:;EXAMINED. BE ::TRUE AND >CORRECT; AND.1 AM'AUTH'ORIZE BUILDING OWNER SIGNATURE OR AUTHORIZED AGENT PRINT NAME THIS.•'APPLICATI.ON 'AND:: KNOW;:T LY FOR ;THIS :PERMIT ADDRESS c-#y ?--6 CONTACT PERSON APPLICATION SUBMITTAL In order nsure 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 431 -3670 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 DeperegrAMERmunity Development Building Division at 431 -3670. DATE APPLICATION ACCEPTED SEP 0 7 1993 DATE APPLICATION EXP II _ 3 - -� Oa'1a'61 COMMERCIAL ...„ NEW:COMMERCIAL.:BUILDINGS/ADDITIONS..]:.:- Comptoted btlitding Perrnit"applIc. • ri..AssegiCit'ACCiiiint Numbor State .1i CeriSad englneor i—TSOns....rebort tarn te:11Cense. survoy SUBMITTAL CHECKLIST Energy calculations tta. rapedby a Washington te.n State:1160980 engineer or architec F-1 Working drawings stamped by a Washington State licensed architoct, which inclUde: NOTE ::Bee utllityperrnie application anctcheCidist• for Spedfia utility :;:••: • :•.• .•■•■••••■ .Completed building Permit aPplicatici 1 1 Assessor Account Numbor Two (2) setS:of:platis, which Includo floor plan showing:: . . • Entire space where.racks.:Will. bo located ..:".:Exit doors: • ::::••••., • : .• Dimensions of all aisles' Tenant space floor plan showing rack storage layout, aisles and NOTE: Include dimensions of racks (height,.width and length), aisles • and exit ways on plan, • . . •••• • . • . ' • -• • •:. •• • . Structural calculations stamped by a Washington State licensed • engineer (rack storage 8' and over). ...''.•• ...• RESIDENTIAL .1••■••• . .. .7 • •• (one for aach strUcture Assessor Account Nurnbor • Looaflon of tenant space • Existing and proposed parking • ... . . .. .. 'f• Flob °vIjii:elie':.OiS:eif1.1P!id'r:3k171jP:a:ce;ies:ekb::::h.p: ... footago • Tenant space doors :,eg ... "••• • Cross for floor and celiing '• • . . .::BirietPr al P.a ....1 Calations:.:s be . , • . applicat,on and plans • • • '••:••''• • • - Compieted .• • • • •••• •• d NOTE A cerlification /etter Is requirod prior to final Inspect/on and sigp 01! of tho porm,f . . . . . . .. . . ... . . . . •.. . . . ••.• . ••. • ••••• • • . ..ANTENNNsATELLItE, ...................................................................................................................................... Comploted • ••••• • building ::permit•apelicatiOn . ... .Assessor ACcount Number •••••• ••••••• •• •• • • • - • • • • • •••• •• Ei•• • • ••-•• TWO (2)•set• of •pins '• • • . •• . . • . Detans antenna/satellite: dlat):•and method ot attachmont .................. StrUCtUral.Calculations::Stainpedby:a englnoer may be'reitalted • •••••••'''' • . . . NEW SINGLE-FAMILY DWELLINGS/ADDITIONS I 1 ••■■•••■■•• Completed building permit application (one for each structure) . • : : • : ": Legal description.. • • • : • : . . . Assessor Account Number •• . . . ...• . j Two sets (2) of working drawings, which include . • Site plan (On plan, ahaw Cloacs:14,arant6catian. • Foundation plan Include access to building, shaving • Floor plan width and length ol • Roof plan : . ••••:: • Blinding elevations (all viows). : •,.. . • • Building•Cross-sectiOn:::. • •• Structural framing plans • : :.::: • Washington State Energy Code data ri Completed utility permit applicaticirr '1 1-1 Six (6) sots of sito plans showing utilities: • NOTE:. Building Silo plan and utility silo plan may be combined,: Boa.. utility permit application and checklist: for specific submittal requirethents. Additional topographical and soils information may be required if tinique site conditions, • • • ..:RES....1AcDgEsilp.,,.pTs!61.Fe40toer1.;ud'A'61:tc..,6:tia09:111.16,d9:0ir!06::rN:op::99i.:::01:,.;i.4p:...0'..n.,,:i...:1caijo.:tliv...:;',.....p1.1.,.'.,'..'.,.....9:::..,..,..:(:0....:.....i.Ein,!...,.::c.'....if....u..::..:'cir,..',.....:oea....'.....,.p;:,......;':''....s0tU.,i:l..,;....;:.:)::,,..:,;.,,:',.':',.....::::.1.,':..r',,,':,...,........ • -.. -.. .,..,..... :.. . : ....,..:.• : .,......•••....., . .:. . . . . . •:.". . . .. ... .......... ,.".::;•... . .::.: . . . .. ,..„............... ......,,,,...i..........:,.......,..s.,..:.:::..0..,..:1...,:a.:•:.....n:::i.,.........:i.......,.-.6...::..i',:•;.,,,,:':,'.,•.',,.',.':.:,...-,,'...:::.;,.....i.''.:,..';::,'',....',........:,;,:.::.:.:...i,.:!:.:::.....',,::,..,..:.,.,....:,..::,',.......,:.',,,',.....,....:,...;,:,.......::......,.:::.:1..:•;:.:1.:::'..:::'.::.:;;.:•:..•',1.:::.•:;':°;.'':'.::::.'''''''''''''''':'''''''''''':::::'''''::.i: 114:9.1! ...................................................................................................... ' . ... '- nil , • '..' , :,.,' ...' .. .• : 7 ..- : •':.' ... l. .. ' .."f, • 1....e.,„.'1:.,.........;°;s. ....a:.'.,. „..b....,.....„.ii.- . . , ..:,/.:., ..t.'...t.. , :.?.• . :.,.'•9....,: .„ i..,.';.........,.•.......:: ‘,.:...(...,:;.;.•',:..,-..1.:::.:.."...'''..?..s views) ;:BiiIdint cross e:ii0; ticJai•!r1rTi!19'plana NOTE:lfanY utility Is io,)600,1Ol::s,..;:::.: : d".':':.'•;„.:.-:;.O1...•:.:,:::,': :,., 1":"'', , .,'1..','..,!'V... ..,. :P: .. - r'..a...it: .; f. pp„ F' '.'.. ati.. o.- ::. nPlans must .p .. ,".: .. . .. ' .. ,.:.•,:•••••":” . ' . •''''' .. ' . '• • '....,....:::::....,..:,......... .:•:REROOFS::...H::::::::::":.::::::.:::.-::::•>:"•:::::••::•••....:::"-:: '''''::-::':"•••::.:' :•-••••''••••• ' .... ........ .....------- • • ..----•••• ••••••• ".- : • •.1.9).."171'H.i)1:.•eie.-:(!•'-:.:b....:Liid1•••ri::: '' ...............................................................................................69,..i7!::::',..:::,... . . .... ....... .... ..,. ...: ................:,............,..............,......:........ f---1..A,....r.Accourq.'Number:::';',::::,:',.:::•!...•"•••••:::.'. :::::::.:•:."•••:::••••"::::•••::::'!..:;::::::•;•::: .•:':'.i,...:,.::::::•:":.-..::...:::: • ' '' Narrative .describing existing ipat, Material baing.rerniA.ted. and, . . material being installed. ....• .• • NOTE A.PertifiCation letter is required prior io final inspection and sign . off of the permit. ' • ' • ' CITY OF TUKWIIj' --- Department of Cc.., imunity Development — Permit Cent &r 4 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 ' 1 1q7 CN'J-j PG 3.0 3uilding Permit Application Tracking PLAN CHECK NUMBER ffi3-oa-Q PROJECT NAME CONTACTED DATE NOTIFIED BY: (init.) 2nd NOTIFICATION SITE ADDRESS � �� � I � � � NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. PART.MEN 0 BUILDING - initial review ATE:: PROV PU.IREMEI 1ME (79•FIRE '© PLANNING e/111 rocE, 9 STTE' fM/0 125 CONSULTANT: Date Sent - Date Approved - JROUTED) INIT: FIRE PROTECTION: [) Sprinklers FIRE DEPT. LETTER DATED: ZONING: Detectors 1 1 N/A INSPECTOR: 'BAR/LAND USE CONDITIONS? ( Yes (J N INIT: REFERENCE FILE NOS.: PUBLIC Diro WORKS INIT: 6V MINIMUM SETBACKS: N- UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: E- No O OTHER INIT: O BUILDING - final review INIT: TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? °Yes 0 No UBC EDITION (year): O BUILDING OFFICIAL INIT: REVIEW COMPLETED AMOUNT OWING: CONTACTED DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: . (init.) 3RD NOTIFICATION BY: (init.) 01/08/99 CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 BUILDIF' PERMIT APPLICATION (206) 431 -3670 PLAN CHECK (2._� 5--0 NUMBER DESCRIPTION AMOUNT::: RCPT: >:# DATE <`1 BUILDING PERMIT:FEE<.: BUILDING SURCHARGE> ;:TOTAL. SITE ADDRESS RESS SUITE # ` ill ;2'441. S VALUE OF CONSTRUCTION - $ eg g No U2)/11 PROJECT NAME/TENANT 5�©T -r- L- 0166rL.. ASSESSOR ACCOUNT # L.214 4NoGo iq TYPE OF ❑ New Building • Addition • Tenant Improvement (commercial) LJ Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) 2il, Other _Artuogr Moi,“C kfrro OE DESCRIBE WORK TO BE DONE: MO L) 171-i4Po4r /7104146'' °ol- iwo --oUloQ Uaatt .4 (.p BUILDING USE (office, warehouse, etc.) go im NATURE OF BUSINESS: /� �-g 1 1) t_ �1�04 � requirements may need to be met. Please explain: WILL THERE BE A CHANGE IN USE? gNo ❑ Yes If Yes, new building SQUARE FOOTAGE - Building: 1 2,0 L 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 c0 77- t PHONE 2..._3_ ,.../--7 - 2..:c-ADDRESS 2„..7.40 $e . 6• l 5ei7r7-E (d-41 / ZIP!Tcr'16fir CONTRACTOR Scar PHONE �`(3 _ ./ ] 2,...s-- - ' ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT itioT- Hc-C— --CS1(72 y PHONE ADDRESS ZIP HEREBY.`CE.RTIFY..:'TH,AT: I KAVE READ AND EXAMINED :TI IM ::TRUE AND:CORRECT, AND;i A `AUTH.ORIZEF Ty ;rAP BUILDING OWNER SIGNATURE OR PRINT NAME AUTHORIZED SC.r� �Z AGENT ADDRESS city ca cic, 41. CONTACT PERSON Sco7 PHONE ,2_v-3.r17Z� CITY2IP S l erp_i, 9s74 PHONE -3,- v-7 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 431 -3670 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 431 -3670. DATE APPLICATION ACCEPTED t- Gi3 DATE APPLICATION EXPIRES 03/16!81 COMMERCIAL NEW COMM ER CIA L. BUI Completed Asses' ser:AcCount Number •••••• • :: " • ••• Two aets.:(2) of the tollowing Spocifications Siructural Prilctifations.stPrnped bya.WashIngteri,St7te Iicensed engineor .„ licensed eng •Seiis'repert ttamped by'a••Washingtenstate . • • • . SUBMITTAL CHECKLIST ••••••■••• Topog r a ri Energy:calculations: stamped by : a Washington"State:liceried...i.:::::!•;.::;:;:H::: engineer:or:architect , Logal description Working drawings, stamped by a Washington Siete. Iicensed :Site. plan . . • . . . •"•:' 'Structural drawings Mechanloal drawl no Elevahons Landscapo pan . . Six (6) sots ot civil drawings • • . ........ NOTE: See Utilitypernlit.:application;and:ChaCklist. for specific submittal: requirements.'..,,:.•.:•••••••••••.•:::::::::::::•;11•:'..:::::•:•. ■•••■••■•• . • • • • • • . • • • • • • Completed building permit application: : Assessor Account ..Number.?... • Two (2) sots of plans ,'which include; ." • Building floor plan Entire pace where racks will be:located*. • Dimensions of all aisles ••:.: ::: : '" ":': ":::. :::::::::::::: : :::::;.::::::: :...:::::::::.":"-"•:;:':::::::::: . .. . .. ' ••" — : ' ' : . - , , : [...i Tenant space (leer plan showing rack storago ayout aisles and exits,: NOTE: Include dimensions of racks (height,:ividth.and )ength), aisles and exit ways 017 plan.... • : • . . . Structural calcUlations stamped by a Washington State licensed engineer (rack iterage 8' arid oiier).i.: • • • • . . • :: .• : . • : • RESIDENTIAL N EVSING LE,FAMILrOYVELLINOSIACOITION .. . • COrriploted „.. btJlIding permlt application . . . . . . • . .. . . .................... :Legal descnption ": .• • • ..• •.. •-• .;•• Assessor Account Number . . .•.:. Two sets (2) worlsing :prawings,:: which Site .plan (On plan, show0659st hydrintiOCadoii,::::...,;:. .. • Fdu rid atien. plan Include access :to buIldingshOWIng.:•:::::;;,:g.. Fl oo(Ol en • .:::••::Roof plan •••• • Buliding etevahons (all views) Buliding Crogs!-sontion'.:::: Structural •.:•:••:: Washington State .Energy Cede data • • • :: • 1--1 Coeririloted utility permit application.. . : . • • • Six (6) sets of site:plana''showing utilities .. ... ;.. • •••••• NOTE: Building site plan .and utility site plan may be utility permit .applIcation::and checklist for specitioSu6mittal.:requirements.„ ....... • . . .... ....... : .................. •• , . . „ Ad&tional tojjographical and soils information may be :required if unique •.. site cOnditions.•::„ • • .-. • • ••.. ..•••••: • EAssessor Account Number Two (2) sets of construcUon plans whlch inolude .•• .• • ... • ..... .. Sito plan 111.1Peo. parklng Tenant Iocaon Use of adjacent ” • : • n a P • • • wall) • • tenant spaco Exit doors square footago :* . . . Fleet-plan:of proposed Tenant space plan with :Use agross patterns Ils, existing Wall; and Wallslobacle ...,... .:r• :i.•: . .e1........ . -':: , : ,, , : , ...... ..:..; • ...'.'...' ..'„.•..• .!::.!.:.:::!. :!ii.i.!:s:.::!trY;:• .i:. i, .•.•.:: : :.:.,::. :...::::...::h: "::, ... . . ...... :i,.. : . . .. . :.:.'..:- . 0.: .. ..... ..• . • s I a (t a :; s:e41State .61e NOTE suon /t.!f1 t applidatio00cf;s . • :':ii:,:,':;.l•:.':,:'.:. :'. ..:.-". ....:.,...E.-.. .:' :• :. !....0'. ..', '•. .: :!.' ". 6:•.'0:.."'.'','" :'.; .:'•:..:'''' F Completed , ,:.;':,.:"' :. ,,.''':.:.!:"'..''A:..'.'::...:.'''•,''..-' 1j'.i"C•'ii,' j :,...'. j' i c;. ':.".':•.''' . .i. '' -:;. o.: ;:;g.''.'."'• ::, r'..'"" ..Y. . ' '. e.r:.v:.. .„, ...m.,.,.:...i':' ,: :..;:':,:..." ' .,i.i•': ";•i t ••.:.:'.:':'.,. „:: ..:a.::.:. .:.;.:.,.,..,:::•.,:..:..:.:: ,'•'p:.,. .' .!. ..„- ::::,':. '•.::,.:. .': .:...: ' ,' p."...s .. ..•:: ::,....•!.....:.i..‘'..''.lici..::' ::...,:..,• :,a,'„..t,:•.:....:::..::'t.,:•..:. ,.::.. i...-'.,.:o '':• ,i .• „!•%-, . :,..: . :.:. . .'....:.:..':.:.'..:.. o ' . ".• • !i :...'.':::'::'..:'':';„. „' .::..'S:• • ' .,: .',':::• ::' :::' :' . :.::, .'':.::.„ 'f:;':.'r.!..::.:"::.::. :.:: ,:• . :.: : .... .... : ; :,..... .......:...,:::.,..,.:::..:...•..::'.;„...::.c:.:.•...i.. .:.:j !:: ) ...,. ...:.:.. ,. i'. ,..:,.,.... . .i. . . • ''7 t.n,'..i.7. ,' i..t, :.. . .:. :.6.::, . . 0'.. r..:.e... ; N a r T ati,.&icr i16'e<1S!!4:166■!.r!ie:;:i! removed material ?f!9-.InPt Installed NOTA E s j perm/t 1g'''''''''''''''''''' , "''''''''.Assessor ''''' inolude location 01 ...: Two (2) sets of plana • '''''''''''''''''''''''''''''' '' . • 1 1 City of Tukwila John W. Rants, Mayor Department of Public Works Ross A. Earnst, P. E., Director M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISION DATE: SEPTEMBER 25, 1993 SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Label Single Family House Move (Lot B) 4224 South 146th Street Project No. P93 -0113 Activity Nos. PW93 -0210 and 0211 Contact Person: Scott Label Telephone No.: (206) 243 -4725 THE FOLLOWING PUBLIC WORKS PERMITS ARE AVAILABLE FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON SEPTEMBER 25, 1993: Land Altering Storm Drainage Permit fee $ 37.50 $ 25.00 TOTAL $ 62.50 Approval of the Oversized Load Moving Permit (PW93 -0212) is pending. Required documentation yet to be submitted includes: insurance for the City, bonding, Tukwila Business. License, route map and schedule. In lieu of the foregoing, a copy of a WSDOT permit, route map and schedule may be submitted for approval. Two copies of the confirmed Utility Permit Application Form and approved plans have been inserted in the permit files. JP /cd cf: City Utilities Inspector (w /copy of plan /application) Development file (w /copy of plan /application) CD.D25.LABBLB.UPA 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 4313665 • • 20. w '0 S 87'52'16" E �.g q..c,1128.81r N 1'07'19' E 3'14' 9 -R1025' { 39.69' S 87'5 9�F �b.00' Parcel 0 884e . sq.ft. garv_zS819'E5.00' to be removed \ Rr215' S 87'35'19` E 123.80' OO'f goo - .14) -C3 Parcel C ' 9585 sq.ft. Gdeck 1-1QQP S 6755 20 E °D yovv, I k,.2.- o 3 Parcel 8 7726 sq.ft. 10' 10 20' 0 oD co n 1 . ; OCT 091991 1 Fnd rebor w /cop 64522 0.01' south and .16' east • NOTE: Easement requirements ' have been reduced to allow for adequate setbacks on Parcel C only. Westerly 10 feet of easement on Parcel C to be used for utilities only, not for roadway, All utility eoeerneots wfll 20' be per City requirements. S'87"55'20 °•.`E "ei 126.78'•?,':: 4ogot)U- .94(oQ -) b 0 `Existing chain Zink a fin" 19 I i3 C en Parcel A 13,957 sq.ft. 128.76' ° 10' to be dedicated to the City S 87'55'20" E 126.76' guy • c 1• 30' • ••• p z 18 RECEIVED CITY OF TUKWILA JUL 2 1 1993 set rebar w /cop j23604(typ) PERMIT CENTER Lnorth edge existing asphalt ..■••..,.. s......, .,...,_•. So. 146th St. Land Surveyor's Certificate+ »._._. ..�..� ..Iw+ reauw.GttV rearesente Nap on Fite In Vault. • n u .- L�� I ` OCT 0 9 1991 S 87'52'16" E ..• 20 O 04 Dom • ✓MK04_GI128.81 N 1'07'19` E s Parcel 0 3.14' �Rr25' 8848 .sq.ft. 139.69' S 87"55►19 _ .. 6 .000' --Lag co 1 gar,e z S 8`'35`19'° E 5.00' to be removed \238�85' 30 S 87'55'19' E 128.80' 00 000 - vy ?v -o3 Parcel C 9565 sq.ft. C/ deck .0' 10' 10' 20' 20' S 87'55'20 .E 128.79 O01400V- 0442.-03 Parcel B 0 7728 sq.ft. S 87'55'20' E. 125.78' Do oO - 4(0Q -[ v, LExistFn ) •9 g chain link fence 19 Parcel A 13,957 sq.ft. w A 128.76' ° 10' to be dedicated to the City guy pole" 0 '0 0 m O 30' S 87'55'20" E 128.76' Fnd rebar w /cap #4522 0.01' south and .16' east 4 NOTE: Easement requirements ' have been reduced to allow for adequate setbacks on Parcel C only. Westerly 10 feat of easement on Parcel C to be used for utilities only, not for roadway. A la • p All utility easements will be per City requirements. 18 set mbar w /cop #23604(40 SEP 0 7' 1993 RECEIVED CITY OF TUKWILA do ' scD • north edge existing osphait • , _•T. • • . • So. 146th St. Land Survvyor's Certificate) • . rh.,..+ mLit Correctly repre$ents,e sidr Map on File In Vault PERMIT CENTER • • • •N••■••• 1:131Na0 11 MIN cs �.—� -- P661 I n :3 S (L V1IM )lnl JO A.1.10 1:1 °Imam W,f,e. -41••••••• 111■10 .111114.0. • -4. ■■• 0 4 *********** * ** *k * * *kk * * * * * * * * * * * * * *k•*k ** * * ** * * *k** * ** * * * * * *, *•** CITY OF TUKWILA, WA,. • TRANSMIT • ***** *4:k**** ** *:F•* ****. •* * *k* *A4* * * *k ** * *fi•** * * ** * ** *fir * *•****s4 *hk** .TRANSMIT Number ds., 9.700.1623' Amaunt: ,518,:00 11105/93 OS: P emit No 093-0272 . Type: B -RELOC RELOCATION PERMIT. Parcel . Na: 004000 -'0462 $ ite 'Addre : 4224 S 14E., ST Lacatione RELOCATE HOUSE FROM 14814 24 �1V S (9EATAC) Payment Method: • CHECK Natation: •SC0'i•f LABEL Inns SLB Paid 51 .50 4.50 518.00 Account Cade: 000/3:2.100 000/386.904 Descr,i pt ion BUILOIN8 - RES STATE BUILDING Total (This Total Fees: Total A11 Payments: Balance: SURCHARGE Payment): 065 3 ****************+++***+****+***+*+***+***************+********* < CITY ' OF TUKWILA NA TRANSMIT **+a**********+****************++****k*****+******+***+*+**+**** / jRANSM%T'NUmber:93UO0981 Amount:: ' 40~00 07/21/9,,g4 3' \ ' Permtt No:Q93~0272 Type:: B-RE�LOC .RELOCATION P��"' �' '�.`Parral .No; 00400.0r0462 � ' M Site`ddresgx `4224 9'�146 GT Location: RELOCATE HOUSE FROM 14814:24 AV S (SEATAC) payment Method,: CHECK Notation: SCOTT LABEL . Init: gL8 \*��********�***********+*�*4*******+***+++*++*******w**+*****+*a** Aoomunt••ode : • O0Ot323.1Oo Description BUILDING - RE8 Total (This Payment): Total Fees: Total All payments: Balance: 40°OQ 40,0O .00 Paid 4040 40.00 GENERA TOTAL CHECK` CHANGE : 2666A000 40.00 40.00 40°UO 0.00 CITY OF TUKWILA Address: 4224 S 146 ST Tenant: LABEL SCOTT Type: B-RELOC Parcel #: 004000 -0462 Permit No: B93 -0272 Status: ISSUED Applied: 07/21/1993 Issued: 11/05/1993 ******************* * * * * ** * * * ** * *lt * * * * * * * *k *k * * *** *SIC * * * ** ** * * * * * */r * ** * **** Permit Conditions: _ ..,.. 1 1 . IF THE WESTERLY EDGE,...PF..T.. g5f; P'ARCC,( 7,S;:TO BE USED FOR FOR ' HOOKUP: TO, THE �:°SE'4 ER=- IC TILI'TY, A'°'COPV OF' V THE RECORDED SEWER EASEMENT.r4141 �ABE ,FURNISHED TO THE: CITY 'UTILITIES INSPECTOR PRIOR rTO FINAL T:NSPECTIN . ' n� 2.. THE. PROPOSA D��,�''`FIRE �.HYDF Af T ''ON,_ SOUTH. •146Ti, STREET=S%FALL BE • 1� .t �i y k... n7 k, �T � rx. "r INSTALLEr ;,�fA D OPERATIONAL PRIOR ^TO -FINAL .IN"sPC,CTION 3 „'�,� 2. No changes w-i 11� ba-;;.,made to,� the plans unless ap;p,‘4,,k„ •oved bs+,, the Tukwi 1a �t 1'ldingyDivi °sion': y d . �'``'e, ' + `' 3. P 1 umb i g, ierm`'i' <t,} ssha l 1:�'b�e . obt`al�edi,.,through the,,. .,Sea�tt j a -Kin` Count ,� , ' « .,•'..�, 4-K in ,l7epar tmerrt • of ' Pub � i �� -;•Hea l ivh :��� P 1 umb i ng W,j.1 1'�Nbes�"� ';�,��. inspe: ` `"d tby, that.,agenc.y •. trncdluding': >�ra11 gas piping (296.4722). ? .' ,� • 'f :`.;�. ,.�y ,: Ele ;rlcal:{ ermi't shall be obstai°ned throu h the Washin to �� � r a g , , n k''. Sta r 010t1, {on .wof Labor an._d,,r,I-t'dustries and all elect,ri''ca1'` a, wor ywi l'1�:,4 ,,be' innspect.ed b.y, thfa,t���agenoy,yPC24.8f -6630) . ti1, i `. 5. 'Al 1r.permits, lnspection..,,reco.rds and.tap'rou.e;d plans shal,:1,.,, -b,e y s y t Vet � } 1 Gy ma P ained . ;avai�l;a,bl-,01 theft' jobl's�'1:be pr,,,tor too the start? anykiconsatr,,uct'i'on "'These•r,d6cunients# #,.are to.,.be maintain'edt '';: ° {'' av4i.1'ab1e unti 1 tli'na1 i,nsp'ect:,ion eppi ,,ova°l"� is granted.; •: „,,,. . A114 conswt,.ructton .too; ber done i''n,'��cont.Ormance,�:rwith approved p 1 a Alt and r°egCO remen;,ts of ,,the "1:43:1 f o,r,ri4 B:u�l i d_i_ng Code ('19991' "Y` Edi lon):, es amended by the Wash Washington Sta °t.e:..B�ullding:t Code; Un i 7or�im `rvlechan i�ca 1 Code (1991 Ed x t9 o. J, , and Wash i ngt`ont. tat Ener Co C 991 Second Edition) �,��, - - ' " ^c-' £ Valid''` i, f, Permit. The issuance of a )perml„t ,. r approval o ! � � Qay,�} issuance/ f ,� s�QQ a plansx ts,pecificat1,ons and computations /shall °nit ,s-be con strued to be a perni'i;;t for, or a Mappro4val , gf.,iv- any' vialati of any qi ,,the p-r9, i s i ons of this code :or of any, other ordinance'of the , urisditc;tion. No permit ,prresumi;Lng ,to xJ,, author ity' r;,,viol2at,e or cancel N•the,, pr,o.v'isions of,ft•liis „code shall be valid ` City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Fire Department Review 512 Control #B93 -0217 John W. Rants, Mayor ,,, June 24, 1993 Re: Label, Scott - 4220 South 146th Street, Tukwila, Wa. Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. For all commercial, multifamily and single family subdivisions, hydrants shall be placed so that a hydrant is within 150 feet of a building and so that no point of a building (around it's perimeter) is greater than 300 feet from a hydrant. Distance from a hydrant to a building is measured along the path of vehicular travel. All required hydrants and surface access roads shall be installed and made serviceable prior to and during the time of construction. (UFC 10.203, 204 as amended) For short plat development (four single family homes or less), hydrants shall be placed so that a hydrant is within 250 feet of a building. Distance from a hydrant to a building is measured along the path of vehicular travel. Every building shall be accessible to Fire Department apparatus by way of access roadways with all- weather driving surface of not less than 20' wide and 13'6" vertical clearance. Access roads in excess of 150° shall be provided with an approved turn - around area. Access shall be within 150' of all portions of the buildings. (UFC 10.203,204 as amended) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. a f City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Page number 2 Yours truly, John W. Rants, Mayor The Tukwila•Fire Prevention Bureau cc: T.F.D. File F.C.I. Al Metzler slj PROJECT # CERTIFICATE OF WATER AVAILABILITY PART A: (TO BE COMPLETED BY APPLICANT) 1. Owner Name /Address/Phone: c r r /5 E L ,,2 `-F3 .. Lf 7 +f2.2 -lv Via. / 416 1,1. 777teL4.4 9166 Agent or Contact Person/Name/Phone: 7-43 - 4 7 /4sr H.vde X1//.40/ .9 ✓hb ss. Project Location (Attach Map And Legal Description) 'This certificate is submitted as part of an application for:' 0 Residential Building Permit ❑ Preliminary Plat ❑ Short Subdivision ❑ Conimercial/Industrial Building Permit ❑ Rezone ❑ Other: 3. Estimated Number of Service Connections and Meter Size(s): 4. Minimum needs of development for fire flows: /JO o 0 gpm at a residual pressure of 20 psi. A. Source of minimum flow requirement: Fire Marshal ❑ Developer's Engineer ❑ City ❑ Insurance Underwriter ❑• Utility ❑ Other t,{J� Area is served :by- ` � t.) / L. O (Utility) • .. Owner /Agent's Signature: . . 4t 1 L Date: ;'PART B: (TO BE COMPLETED BY WAT R UTILITY) 1. The proposed project is located within S �,ti k W t 14. �� `\c/ l (CirylCounry) 2. Improvements required to upgrade the water system to .bring it into ,.compliance with the utilities' comprehensive plan or to meet the minimum flow requirements of the project before connection will be allowed: 14 3. Based upon the improvements listd above, water can be provided and will be available at the site with a residual pressure of • -;47` 9' - psi at ' /0 a S gpm for a duration of Z hours at a velocity of G, 0 fps as documented by the attached calculations. I hereby certify that the above information is true and correct. Pty D (S-7/2,S- tfz- -95{-7 l 7-73- AgencylPhone By Date PART C: (TO BE COMPLETED BY GOVERNING JURISDICTION) 1. Water Availability - Check one •❑ Acceptable service can be provided to this project. 0 Acceptable service cannot be provided to this project unless the improvements listed in item #C2 are met. RECEIVED CITY OF TUKWILA ❑ System isn't capable of providing service to this project. sr t". n 7 �, 2. Minimum water system improvements: (At least equal to B2 above) Agency /Phone By Date -0113 iWo CERTIFICATE OF SEWER AVAILABILITY do not write in this box number Is-a Building Permit L__1 Short Subdivision Proposed Use: name �j Preliminary Plat or PUD Et Rezone or Other Residential S.F. fl MulitFamily fl Commercial Et Other APPLICANTS NAME Se-4971- PROPERTY ADDRESS OR �1 APPROXIMATE LOCATION ""i Z� SD . (46-A. LEGAL DESCRIPTION Th1 No+` =. 1 ,O Fr o j7/-i . ,L) /Gs -.go Fr Qr Lr>T j C f 0 c 3 , ' ) %'fr 5 Hvt' we % �. ,4 IJ J iN 6 F a r it- 3 co ' s . ' C) -- 0 %�7 �! , bomt (Attach map & legal description if necessary) ++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ SEWER AGENCY INFORMATION 1. a.li. Sewer service will be provided by side sewer connection only to an existing (, size sewer 0 N feet from the site and the sewer system has the capacity to serve the proposed use. OR b.� Sewer service will require an improvement to the sewer system of: 0 (1) feet of sewer trunk or lateral to reach the site; and /or ❑ (2) the construction of a collection system on the site; and /or C (3) other (describe) b.LJ 3. j-ki b. be completed if 1.b above is checked) The sewer system improvement is in conformance with a County approved sewer comprehensive plan. OR The sewer system improvement will require a sewer comprehensive plan amendment. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board approval for extension of service outside the district or city. OR Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: a. District Connection Charges due prior to connection: GFC ■10,o —° LFC 410D 6" UNIT 600.0.0. TOTAL IgSOXIL (Subject to change on January 1st) METRO Capacity Charge $750 billed by METRO after RECEIVED connection to sewer system. • CITY of TUKWILA b. Easement(s): — Required _ Maybe Required SEP 0 7 1993 PERMIT CENTER c. Other: I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. VAL VUE SEWER DISTRICT Date 20 • dm 44 inneememeamos4 • '1.'100 '' .11)1 i (l 11 I.! M1� S • • OCT 091991 1'1''1 )I. •, ' 1,r..,; f,ri��1� -: 10639.69' • - 8735:3 9g .x .000' — la tri kQ pkua�ez S 8'''3.4�1 g" E 5.00' to be removal .238.8 ' S 87-55.19* E 128.80' ., -, O Ott pok)- p,f7u -°;3 10'l 20' I. 4' parcel • C 9565 aq.ft. e• *slating house .0' 5 8735'20 .E 128.79 00q000- 0742 -o3. Parcel 8 7720 37'55'20' E • Do ' o OU- (91-0040-us.- LExIs g in link fence cha19 Parcel A 13,957 eq•ft. y;r 125.76' 1 ' 10' .20' Fnd mbar w /cap 04522 0.01' south and .16' east 4 NOTE: Easement requirements ' have been reduced to allow for adequate setbacks on Parcel C only. Westerly 10 feet of easement on Parcel C to be used for utAlllee ' not for roadway, All utlllty easements will be per City requirements. n Gig guy 47431's " • ►.• +. 1° ao�a`,� c as 125.76' E N �! tr O I� N . 1 0 w) PP`Jc')' z ° 10' to be dedicated to the City S 87'55'20' E 128.76' 7-1,-north edge wdstInq asphalt ..— ..- ............a.._,...■•,..... emir . era I ii■.—r. [`,. ,,4r'.tt, L%M Surveyor's CertlfIco'tek . • , Tf+ls short Piet. correctlySepresents n W oa 30' set robot w /cop (023604(4p) Map an File to Vault 18 i City of Tukwila John W Rants, Mayor Department of Community Development Rick Beeler, Dlmctor April 11, 1994 Mr. Scott Label 4226 S. 146th St Tukwila, WA 98168 Dear Mr. Label Re: Your Extension Request for Tukwila Building Permit #B93 -0272 A 30 day extension to the above reference permit is hereby granted per your written request of April 7, 1994. Rationale for granting this extension is that there has been no major code revisions adopted since the time your permit was approved and issued that would have any affect on your project. Please be advised this is the only extension that will be granted for this permit. If substantial work is not started on this project by May 11, 1994, Permit #B93-0272 will become null and void on that date, If you should have any further questions on this subject please feel free to call the Permit Center at. 431 -3670. ' Sincerely, d lig f Building Official 6300 Southcenter. Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax. (206) 431.3665 April 7, 1994 Denise Millard City of Tukwila Dept of Community Development 6300 Southcenter Blvd #100 Tukwila, WA 98188 To Whom It May Concern: I wish to request an extension of my building permit, #B93 -0272, wish is scheduled to expire on May 4. I have encountered a financing delay in receiving my funds to complete this project. My plans were to refinance one of my rentals to receive the necessary funds, but it has been taking longer than I had anticipated to accommplish this. I should have the necessary funds available to me within 30 days of todays date. Thank you for considering my request for an extension. Sincer,ly, Scor t Lab 243 -4725 bbilt:P-e- I ,co 16t � v.. C Lua a f reicete . , 1 APuba 64,;1 Si *� tt;v /i t Ii -7t�rn�� RECEIVED CITY OF TUKWILA APR 71994 PERMIT CENTER Apr 05, 1994 City of Tukwila John W Rants, Mayor Department of Community Development Rick Beeler, Director SCOTT LABEL 4226 S 146 ST TUKWILA, WA 98168 RE: LABEL SCOTT Dear Permit Holder: Our records indicate that on May 04, 1994 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Building Permit Number B93- 0272.. ' Unless you call .for an inspection, or obtain a written extension from the Tukwila Building Official prior to that date, your above referenced permit will become null, and void on May 04, 1994. If your project has been completed please call for final. If you are actively working on it please notify our office. If you have any questions or need further information to obtain an extension on your permit please call the Tukwila Building Divison at 431 -3670. Sincerely, Denise Millard Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431-3665 City of Tukwila John W Rants, Mayor Department of Community Development . Rick Beeler, Director March 16, 1994 Melinda Kludsikofsky Contractors Bonding and Insurance Company , 1213 Valley Street. P.O. Box 9271 Seattle, WA 98109 -0271 Re: Bond No. S10257 Dear Ms. Kludsikofsky: On March 16, 1994 our office received a STATUS form for Scott '"Label's relocation of two buildings. The above mentioned bond cannot be released until the building department completes a final inspection for Permit 091310 lr ' and Permit #B93-0217. As of today, Permit #B93 -0272 has not had any inspections and Permit #B93 -0217 the foundation was approved on 12- 22 -93. After both permits have a final inspection we will authorize the release of the bona. If you have any questions, please call me at (206) 431 -3671. Sincerely, Shellie L. Bates, Permit Technician Enclosure 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431,3665 CBIC CONTRACTORS BONDING AND INSURANCE COMPANY Date* PINii -t '4 CBIC STATUS PRINCIPAL: SCOTT LABEL BOND NO: S10257 CONTRACT AMOUNT $: $36,800.00 DESCRIPTION: XONTRACT NO. B93 -0272 B93.0217 RELOCATION OF BUILDING CITY OF TUKWILA - DEPT. OF COMMUNITY DEVEL. 6300 SOUTHCTR BLVD #100 TUKWILA, WA 98188 RECEIVED PEAR 1 6.1994 COMMUNITY DEVELOPMENT CONTRACTORS BONDING AND INSURANCE COMPANYis Surety on the above Bond. We will appreciate your cooperation in providing the information requested below, and returning the form to us so that we may have current status information on the captioned job. A business reply envelope is enclosed for your convenience. Thank you for your assistance. Yours very truly, Melinda Kludsikofsky 03/11/94 IF THE CONTRACT HAS BEEN COMPLETED: 1. Completion date? Date of final acceptance or expected final acceptance? 2. What date does contractual warranty period end? 3. Final contract price? (Including applicable taxes) Has full amount been paid? 4. Was the work satisfactory? Have all labor and material bills been paid? • IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. Percent of work completed to date? 2. Total amount paid to the Contractor to date $ Amount of retainage held? $ 3. Is the Contractor paying his labor and material bills? Anticipated date of. completion? 4a. Is the work progress satisfactory? b. Is the quality of the work satisfactory? 5. If the answer to No. 4a or 4b is no, please explain' 6, Please provide any other information you feel would be helpful in evaluating the contractor REPLY TO OFFICE MARKED BELOW Firm: By' (Tide) Date: Address' Telephone* III Home Office: 1213 Valley Street, P. 0. Box 9271, Seattle, WA 98109-0271, (206) 622 -7053, (800) 765 -CBIC, (206) 382 -9623 FAX ❑ Oregon: 1827 NE 44th Ave., Suite 100, P. 0. Box 12053, Portland, OR 97213, (503) 287 - 6000,1- 800.926 -2242, (503) 287.6100 FAX ❑ Nevada: 6600 W. Charleston Blvd., Suite 132, P. 0. Box 26990, Las Vegas, NV 89126-0990, (702) 878 -CBIC, (800) 727 -CBIC, (702) 878-7011 FAX ❑ Phoenix : 2201 East Camelback Road, Suite 50511, Phornix, AZ 85016, (602)956-6000, (800) 866-CBIC, (602) 956.6700 FAX, (800) 284 -2770 National FAX ❑ Tucson : 940 North Finance Center Dr., Suite 180, Tucson, AZ 85710 (602) 885 -7337, (800) 846 - 2242, (602) 885 -7233 FAX ❑ Texas: 122 W. Carpenter Fwy., Suite 490, Irving, TX 75039, (214) 717 -0116, (800) 873, -CBIC, (214) 717 -1626 FAX . ❑ Melbourne: 200 South Harbor City Blvd. Suite 402, Melbourne, FL 32901, (407)722-1723, (8800) 372; CBIC, (407) 722 -1726 FAX O .'1MUSCRBKIBYvRMS411+000010iRRM Uud$1US.06US020392 City of Tukwila John W Rants, Mayor Department of Community Development Rick Beeler, Director January 19, 1994 Mr. Eric Sirkin Contractors Bonding and Insurance Company 1213 Valley Street P.O. Box 9271 Seattle, WA 98109 -0271 Re: Bond No. S10257 Dear Mr. Sirkin: On January 12, 1994 our office received a STATUS form for Scott Label's relocation of two buildings. The above mentioned bond cannot be released until the building department completes a final inspection for " <AF,,` M,' ,YAMMD►-q :t; and Permit #B93 -0217 As of today, Permit #B93 -0272 has not had any inspections and Permit #B93 -0217 the foundation was approved on 12- 22 -93. After both permits have a final inspection we with authorize the release of the bond. If you have any questions, please call me at (206) 431 -3671. Sincerely, . zeettpo Shellie L. Bates Permit Technician Enclosure 6300 Southcenter Boulevard, Suite #100. • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431.3665 i CBIC CONTRACTORS BONDING AND INSURANCE COMPANY JAN 1U IJ't Date. CBIC STATUS PRINCIPAL: SCOTT LABEL BOND NO: CONTRACT AMOUNT $: $36,800.00 DESCRIPTION: XONTRACT NO. B93-0272 B93 -0217 RELOCATION OF BUILDING CITY OF TUKWILA - DEPT. OF COMMUNITY DEVEL. 6300 SOUTHCTR BLVD #100 TUKWILA, WA 98188 SI0257 RECEIVED JAN I 2 7994 DEVELOPMENT CONTRACTORS BONDING AND INSURANCE COMPANYis Surety on the above Bond. We will appreciate your cooperation in providing the information requested below, and returning the form to us so that we may have current status information on the captioned job. A business reply envelope is enclosed for your convenience. Thank you for your assistance. Yours very truly, ERIC SIRKIN 01/07/94 IF THE CONTRACT HAS BEEN COMPLETED: 1. Completion date? Date of final acceptance or expected final acceptance? 2. What date does contractual warranty period end? 3. Final contract price? (Including applicable taxes) Has full amount been paid? 4. Was the work satisfactory? Have all labor and material bills been paid? IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. Percent of work completed to date? 2. Total amount paid to the Contractor to date $ Amount of retainage held? $ 3. Is the Contractor paying his labor and material bills? Anticipated date of completion? 4a. Is the work progress satisfactory? b Is the quality of the work satisfactory' 5. If the answer to No. 4a or 4b is no, please explain. 6. Please provide any other information you feel would be helpful in evaluating the contractor REPLY TO OFFICE MARKED BELOW Firm: By (title) Date: Address: Telephone. ❑ Home OMce: 1213 Valley Street, P. 0. Box 9271, Scenic, WA 98109 - 0271, (206) 622 -7053, (800) 765 -CBIC, (206) 382 -9623 FAX ❑ Oregon: 901 SE Oak Street, Suite 108, P. O. Box 12053, Portland, OR 97212.0053, (503) 232 -4000, (800) 926 -CBIC, (503) 232-2153 FAX ❑ Nevada: 6600 W. Charleston Blvd., Suite 132, P. 0. Box 26990, Las Vegas, NV 89126. 0990, (702) 878 -CBIC, (800) 727 -CBIC, (702) 878 -7011 FAX ❑ Phoenix : 4001 N. Third St., Suite 480, P. 0. Box 16597, Phoenix, AZ 85011.6597, (602) 279 -9900, (800) 866 -CBIC, (602) 277-0005 FAX ❑ Tucson : 940 North Finance Center Dr., Suite 180, Tucson, AZ 85710 (602) 885 -7337, (800) 846.2242, (602) 885 -7233 FAX ❑ Texas: 122 W. Carpenter Fwy., Suite 490, Irving, TX 75039, (214) 717 -0116, (800) 873 -CBIC, (214) 717 -1626 FAX ❑ North Carolina: 2828F I.85 South Service Rd., Charloue, NC 28208, (704) 391 -1011, (800) 695 -CBIC, (704) 391 -1015 FAX ❑ Sunrise: 7771 W. Oakland Park Blvd., Sunrise, FL 33351, (305) 741 -9800, (800) 688 -CBIC, (305) 741 -0025 FAX ❑ Melbourne: 200 South Harbor City Blvd. Suite 402, Melbourne, FL 32901, (407) 722 -1723, (800) 372 -CBIC, (407) 722.1726 FAX uoas11/3.06'us020392 f. City of Tukwila :GC 6200 Southeenter Boulevard Tukwila Washington 98188 • HOUSE MOVER'S LICENSE In accordance with the TMC Chapter 11,28, I hereby make application for a House Mover's License. NAME OF COMPANY RpJj,,r)S y C'r • c'nc • PHONE: ;L/4 -/oa3 BUSINESS ADDRESS '3) 8 S . (A) . P . - 0 0 LOCAL MANAGER R0L 6 SO:MU , l.(„)I? /!n67 IS COMPANY: INDIVIDUAL • List Owner, Partners or Officers of Roto NAME • -?'n ; R e Rd 861A s PARTNERSHIP Company: /O8/t' 'E 67).7) -enr ,,vi RESIDENCE ADDRESS' erS a 1_ S, (,0 . / 4C'G1 Lt,A a$O 5 . 824 fit,. ttti3 tOeu. CORPORATION Have you ever had a Tukwila House Mover's License? SUBMI7EG WITH APPLICATION ARE V/. $$0.00 annual fee b 'Surety bond in amount of $5,000 • c. Statement of inclusion•on public liability insurance F5P -135 PHONE Previous License No. I hereby certify thai;••the* information furnished by me on this application is true to the best of my knowledgei.;:,. • DO NOT WRITE IN THIS SPACE!, Check. No.. $ Date ////OR Clerk Approved by Public .Works Director DATE ISSUED BUSINESS LICENSE NO. SIGNED /41//7„----'� 1'ITLElI ;ems <'s;o -en r_ DATE, 1/- /0 -93 Washington State Retail Sales Tax No. C- 1000 - 6-35-11"7 A0411.11. = E PRODUCER HARMAN & MCRORY COMPANY 146 North Canal Str. M220 Seattle, WA 98103 INSURED Robbins & Company Housemoving, Inc. 818 SW 142nd Seattle, WA 98166 ISSUE TE M/D /YY!� •F SSU •••:.:.• DA •M D f ) 09/17/93 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 LETTER A TRADERS & GENERAL INS. CO. COMPANY B LETTER COMPANY li LETTER COMPANY D LETTER COMPANY LETTER E iC CO LTR l, : .. .n.}n. ..... r.....J.....r.f.,rn. THIS IS TO CERTIFY THAT THE INDICATED, NOTWITHSTANDING CERTIFICATE MAY CONDITIONS TYPE OF INSURANCE + ,... r....{n.:. rY.v.m.... ,r,... .,:r. n.r..,• .:. • POLICIES OF INSURANCE LISTED ANY REOUIREMENT, TERM OR OF SUCH POLICIES EL INSURANCE SHOWN POLICY NUMBER .... ........... .r....w...n:, BELOW CONDITION MAY .. ....... ........... : .. ••:: w•: v:r.. .rr.......:... .. ,. r: r.. rr..,.. r..>.....:::. y{:}.:'r' HAVE BEEN ISSUED TO THE INSURED NAMED OF ANY CONTRACT OR OTHER DOCUMENT HAVE BEEN REDUCED BY PAID CLAN CLAIMS. POLICY EFFECTIVE I POLICY EXPIRATION DATE (MWDDNY) i DATE (MM/ODNY) i ffJ.�f: n:} v.;.}: iY; y.},::' 4}}: ::h.v ::,::.., ::., ?... ;:f: {i:'i i:ri {;, '.. .... .... ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS, LIMITS A GENERAL X :COMMERCIAL ? ' •r•••r• X LIABILITY GENERAL UABIUTY CLAIMS MADE i X ? OCCUR' OWNER'S & CONTRACTOR'S PROT. HOLD HARMLESS AGREEMENT 6CMP9424193 -00 I 02/26/93 { 02/26/94 GENERAL AGGREGATE PRODUCTS - COMP /OP AGGR. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one Ike) MEW. EXPENSE (Any ono person) $ 1,000,000 S 1,000,000 $ 1,000,000 $ j,000,000 S 50,000 $ 5,000 A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON•OWNED AUTOS GARAGE LIABILITY 6CMP9424193 -00 ! i 02/26/93 ' 02/26/94 COMBINED SINGLE LIMIT p Ion (Per r person) (P BODILY INJURY (Per accident) PROPERTY DAMAGE $ 1,000,000 = s i $ EXCESII LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM I EACH OCCURENCE AGGREGATE ;xaa:t{a'a %i1: ":~:'•`•<:';•f • `t, % >:: n:• 4i55:�:r:> i $ $ }s >:i:az.{:!};;3f ? %: < %E: < "' ?. $f•: �:» 22z:•.'.S: >:: Esix!sfsf: },:: }f; >:.. • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY T ' STATUTOR LI Y M ITS EACH ACCIDENT DISEASE•POLICY LIMIT DISEASE-EACH EMPLOYEE "' ' i S • 3 3 OTHER i DESCRIPTION OF OPERATIONL/LOCATIONLNEHICLES /SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATION OF THE NAMED INSURED. • .. C EFT1CAT~H0 c•• .4 .:n :N : n . Yv.. . :.:n..: �:. .. CITY OF TUKWILA 6300 SOUTHCENTER BLV. #100 TUKWILA, WA 98188 , ATTN: DENNIS /.Yr,.}'tr.v.•ny„y ; {rn:: r.vt.w: »,,!h };.vr:. v .{/'4kh >%•Y;tK•,•l• }. •.:ri}Y.:; l n:Wl. .Jr.rfrtN4)';••,tt? }'l -QC;Y. %•}};�} .�.{r•.:}r .:f. }. n1Nf':{${ �: : } r. r.. ,{.}h .. r. rr, . .•,• n.r ..., .. i-:.v r. .a .. .rrf .. F .. r. :...) n...r, �y0 2 yy�0 r COR .rig •n4..•7......t'} .t rn ./ : .::.r ::wriY.:.. n... ......F,... }. Fn.,.r r:• .: ... .. >.... .v. ,.., :.. .. .. ...>,,...?.. ...Y,,.}..::.....,.n....,y.... .r C W CEL[A NS :u v M : R a n rvY a « fn }" $r v g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ..s: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO £, >;'s• MAIL _As_ DAYS ' ITTEN NOTICE TO THE CERTIFICATE•HBLBER•NAME4T91)j5 < LEFT, BUT FAILU • r MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR • % ' LIABILITY • AN 0 UPON THE COMPANY, I S AGENTS OR REPRESENTATIVES. AuTHORItr; ;j' PR r TIVE > € r 3 >s's 4:fr {.}f ;,{rr >f.4;'• •.} \ ?};4,: :'• >: ;,.{... }; %. } } }}:' \:. }.nv r f nf. 4.. 'rLyv:.}. '::n•.... ry •r> :::ii�'�'• . . < '� �� i' ?' .....n:�:$:i }i{ .. }... . r.rr A:::RV .. .,n. :... .. •. ••: {�`�:.: .{... {!ri'.. ..ern. ... :.......::.:.: .. .... �. {..:.,.. !:•.,...:.y. ?n!•. {:,: .,....., $:: <•.. •ffi:aa;%• } }:}:?:•';:;: ::: ':i;:i�ii.... �rCOIiU<:COI;PORATIO N`1990:?<`.I�� s-- 7 T cny"SPETueviRmLA Ti y3—Lic , SEP 0 7 1993 PER"' CENTER i ! to FOR OFFICE USE ONLY PERMIT # M VING C TRACTOR'S STATEMENT will move the structure in / section(s). In the event that it is moved in more than one section, inspection of the structural repair at the new site will be called for before being covered. I further understand that I must obtain a separate permit(s) from the Department of Public Works to move the building. 8 -31 -93 ontractor'- ignature Date - ROBBICH169NQ 2 -26 -94 WA State Contractor's License Number Expiration Date FOR OFFICE USE ONLY PERMIT # OWNER'S STATEMENT I understand that any remodel work, or additions to the structure, will not be allowed unless shown in detail on the approved. plans. I also understand that I cannot move the building into or within the city, or start construction or land clearing at the new site, until the proper permits have been approved and issued. CITY OF TUKWILA SEP 0 7 1993 PERMIT CENTER - • I AV ..k3 110 1 LS 6'7 /fa felly twarmov , N il el 01 008 rolOMIMMIM City of Tukwila John W. Rants, Mayor Department of Community Development Rick Beeler, Director August 5, 1993 Scott Label 4224 S. 146th St. Seattle WA 98168 Re: Pre -Move Building Inspection (BP93 -0272) Dear Mr. Scott: 1. A pre -move inspection of the house located at 14814 24th Ave S., SeaTac, WA was conducted by a Tukwila Building Inspector on July 29, 1993. Attached is a list of items that the inspector observed and wrote up. Based on his report it has been determined that the house is suitable to be moved into Tukwila. It should be noted, however, that the inspector's report is not meant to be a complete list of items to be corrected. It is meant only to be an overall opinion of the general condition of the structure prior to it being moved. Specific code requirements will be addressed during the plan check process, after you submit a complete Building Permit Application. 2. If you decide to move the building you will be required to apply for and obtain a Building Permit before starting the move. It will speed the permit process if you show on your application documents how you plan to make any appropriate corrections to existing or potential problems pointed out in the inspector's report. 3. Tukwila Municipal Code Section 16.04.140 states: "In the event a building permit is issued for a relocated building, the fees for building, plumbing, electrical and mechanical permits shall be based upon the total value of the improved building or structure at its relocated site as estimated by the Building Official." Therefore, the fee for the building permit you must obtain, before moving the building, will be based on the valuation of the building at $46.00 per square foot. This is the lowest valuation amount for residential buildings shown in the Building Valuation Data chart, published by the International Conference of Building Officials, which is the fee schedule source document used in Tukwila. Using that valuation, the actual fee will be determined using Table 3 -A, Uniform Building Code, 1991 Edition. A plan review fee will not be required. 6300 Southcenter Boulevard, Suite 11100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 4. Tukwila Municipal Code Section 16.04.170 states: "No relocation or demolition permit required by this chapter shall be issued by the Building Department unless the applicant therefore first posts a bond, in a form approved by the City Attorney, executed by the owner of the premises where the building or structure is to be located or demolished as principal and a surety company authorized to do business in the state as surety. The bond shall be in form joint and several, shall name the city as obligee and shall be in an amount equal to the cost plus 10% of the work required to be done in order to comply with all the conditions of such relocation /demolition permit as such cost is estimated by the Building Official. In lieu of a surety bond, the applicant may post a bond executed by the owner as principal and which is secured by a deposit in cash in the amount specified above with a banking or escrow agent acceptable to the City and conditioned as required in the case of asurety bond; such a bond as so secured is hereafter called a "cash bond" for the purposes of this section." Based on the paragraph above, a bond must be posted for 110% of the work to be done, which, as a minimum, will include the complete•cost,of the new foundation plus any anticipated remodel or repair work shown on the plans you submit as part of the application package. Since it is not known what type of foundation you plan to put under the building, or if you are planning any remodel work, the amount of the required bond cannot be determined until after the permit application is received. At the time the bond amount is determined, based on your submitted documents, you will be notified of the amount of bond that will be required. The bond must be posted before the permit will be issued. 5. As a minimum, the permit application package should include: a. Legal description and Assessor Account Number of property where house will be moved to. b. Site Plan (On plan show closest hydrant location. Also show access to building - including width and length of access.) c. A complete new Foundation Plan. d. Structural details and cross sections of any new structural or remodeling work. e. Completed utility permit application (including sewer and water availability letters). 2 f. Signed Owner's Statement and signed Moving Contractor's Statement (copies of these statements are attached to this letter). 6. If you should have any further questions regarding permit requirements for moving the above referenced building please feel free to call the Permit Center at 431 -3670. Sincerely, Building Official 5 Atchs 1. Bldg Inspector's Pre - Move Inspection Report 2. Building Permit Application 3. Owner's Statement 4. Moving Contractors Statement 5. Utility Permit Application PRE -MOVE INSPECTION $ o 6 .i PROJECT: /7'/L / _, , Address of present location- 4.14 h., S Address of proposed relocation site - gzZG S. ,t1 1) Exterior condition of structure- aJ 2) Type and condition of any building appurtenances (porches chimneys, exterior stairs, etc.) - C.Nrmraj - Goof) 3) Roof condition and type - 135 /S / ,Si /' SG,' 4 s — 6c7 c d. 4) Type of roof system (stick frame rafters, trusses, skip or solid sheathing, size of rafters, etc.) Sir ' e -204 o r.) /6" c am= En.3 . St/G-4114 / /JO / x (a T 6- 7 5) Type of foundation and floor supports- 7 Gv /Jb 4 c c tesS Fo u I C2A w t. S P4 6) Current heat source (electric, gas, oil, etc.) - R ?-CQD Ai o ( Fr -r i c. W/H 7) Type and condition of any visible electrical wiring - /v`° Vises -z - ("( (1-s^6 torto6cerns. Vg1%leZ- 14 4-6 8) Location of any existing smoke detectors- A)° NC 9) Code complying fire separation between house and attached garage- VL " G w3, (4 N7m9 10) Location and type of windows or other glazing - S/ �VGttr 1'4-tJ ,6 PGi- cro" w1 n+.vowS 47" 4-256V(.4.- r- tv-d .e. w i rii /6"x 344 of6N #HC, 11) Location of attic and crawl space access - /I'1'7 14 #1-4^.JAy CLOSET. CA-A(4" - u ►J ic,Jtf w , ) 12) Adequacy of attic ventilation- to b t c Avg- \A■TS . NU Hi 14 vt -Wri ►JG . 13) Type(s) of insulation (if Zh d(C CtF1.LH cos 0- rN i117G , f'Wd - cINk1-)061•3 14) Signs of insect or rodent Yes - !f) (Au NJ 041 AA-T 15) Is building moveable in one section? T1' 'rse malt h4 -e- ft , vc. any) - i‘-'443 INOiC4- ) oar ANY 1N wA�c.s_ infestation- ( .. INSPECTION RECORD Retain a copy with permit 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0Z7z. --- PERMIT N0. (206) 431 -3670 —mod: j .fb yp o nod n: / Tix Add ress: al �4 .S , Date Called: 7 -�, Special Instructions: acCc.a o �` �� Date Wanted: 7 -29 or3 - 93 am. p.m. Requester. Phone No.: Z e3'' e{7 Z-5 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS; s A- + c4:1 Inspector: Dato: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter. Blvd., Suite 100. Call to schedule reinspection. -7/-40/93 (tec// g.1 RECEIVED CITY OF TUKWILA JUL -1'1993 ROW' GeNTER t_or I L., ii/1006.- 0 - ( 14(re14- 13015-oxia, (NI 4 ;Lc" /44-44,57