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Permit B93-0256 - HANZLIK RESIDENCE - GARAGE
A ir Rio z,Li Ka, VI Li kokii. f-VeLet•lkse City of f 71ikwiti- (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B93 -0256 Type: B -BUILD Category: ASFR Address: 4266 S 158 ST Location Parcel #: 810860 -0141 Zoning: R1.72 Type Const: V -N Gas /Elec: M1 Wetlands: Water: HIGHLINE Contractor License No.: MBC0 * * *088NE TENANT HANZLIK VILIAM &HELENA 4266 S 158 ST, TUKWILA' OWNER HANZLIK VILIAM,;& °:HELENA 4266 S 158 5Th, TUKWILA, 98188 CONTRACTOR MBCO. :f,: 10833 1,32NIYAVENUE N :E ,4 KIRKLAND, CONTACT MICHAEL'BOULANGER 10833,-'132N,D AVENUE N.,E.. + KIRKLAND, WA **• k*• k*******i** c'***{***•***`*'** y*"******,*'*************** * * *•* *, * *. *'* * * *'**** * * * * * * * * ** Permit Desc "r`isption: Status: ISSUED Issued: 07/27/1993 Expires: 01 /23/1994 Type of Occupancy: PRIVATE GARAGE Slopes: N Sewer: TUKWILA One: 206 822 -9723 '206.822 -9723 REBUI`L -6 • GARAGE AND CLEAN U Units: B ui l dings: 00i, Fire Protection : N/A UBC Edition: 1991 . `INTERIOR SMOKE DAMAGE. SETBACKS Back: Right:`, Valuation 4;,91,1,100 r. i Tata7 Rerrhit Fee: 123':30 *,*********.;***+,**********-*******;*'*:*'**** * * * * * * * * * * * ** * * * * * * * ***tik * * *k* Permit RCe,pter AUthorized Si'gn`ature H I hereby der t i,fy tha't I have read and j examined ; :'this 1permi t ,,an:d know` the same to be,.`,true and correct. • All pro,v-is,i`ons, }off•law and' ordinanc,es'' governing''Ojs 'Work will be complied /With, ,whet'her pecified herein or not T •' The grantingb a`f this permit does not''presume to give authority, to violate Or cancel: the "�� provisions of"•any other state or.srl'ocal laws re,gu1ating construction ar? f.: `• a ,•`ei, :fo_iance o.f:; work; 'a'm author ri zed ti gn for and obtain this bul' Signature: Print Name: This permit shat l' become null and va`i'd•` "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. CITY OF TUKWILA Department of CoM munity Development — Permit Cent.` 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PLAN CHECK NUMBER PROJECT NAME SITE ADDRESS V-Venz_l i k, \i i L-Y & 19 LP 5 lsc 'k 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. PART.ME rE DATE:. PROVE BUILDING - ._ 3 -q3 7 D4 qa R' initial review (ROUTED) 1UJ.REME..� NMEN"i CONSULTANT: Date Sent - Date Approved 0 FIRE v PLANNING-0' /3�'3 al, FIRE PROTECTION: (l Sprinklers Detectors N/A tk PUBLIC WORKS INIT: -7 (717( 3 INIT: GC,, 7 --ZZ 13 INIT: `�: P FIRE DEPT. LETTER DATED: INSPECTOR: ZONING: BAR/LAND USE CONDITIONS? Yes No REFERENCE FILE NOS.: MINIMUM SETBACKS: N- UTILITY PERMITS REQUIRED? No E- W- PUBLIC WORKS LETTER DATED: (13 O OTHER BUILDING - final review BUILDING OFFICIAL INIT: 7 INI INIT: TYPE OF CONSTRUCTION: vti CERT. OF OCCUPANCY? QYes XNo UBC EDITION (year): 1991 REVIEW COMPLETED AMOUNT OWING: ,n Vattzon CONTACTED • DATE NOTIFIED — �y . BY: init.2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: init.) ti■ G'S G@GA(-C Y nv061 _ coNro2ar rAfG s7ROGrg) a'• %i .PRovot the. -raft C 18,70 • as o 01/08/93 CITY OF TUKWILA Department of Community Development - Building 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 . BULDU' PERMIT APPLICATION Division PLAN CHECK (5C15--Da5(P NUMBER DESCRIPTION;:::: ::': BUILDING :PERMIT FEE • PLANCHECK FEEz. BUILDING SURCHARGE AMOUNT:: >: RCPT:># D:ATE>ii. OTHER: TOTAL::: SITE ADDRESS SUITE # 4).6 5 G b VALUE OF CONSTRUCTION - $ c, e o d _.- PROJECT NAME/TENANT \- --Fv 2.t_.i K ASSESSOR ACCOUNT # g l De 6,0 - 0 / - 4 / (commercial) L) Demolition (building) 0 Other: TYPE OF LJ New Building U Addition Li Tenant Improvement WORK: 0 Rack Storage 0 Reroof emodel (residential) DESCRIBE WORK TO BE DONE: le gU( L\ J ! 14 s i YUCX C1- 4 • lJ . A lIY' inOfits liCvl/r,C,, BUILDING USE office, warehouse, etc.) 1 --L'- Stp'GYvC, NATURE OF BUSINES • EXP. DATE ya7g3 PHONE WILL THERE BE A CHANGE IN USE? T: o 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: 1 000 Tenant Space: Area of Construction: Sy . (WII,L THERE BE STORAGE OR USE 6F FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER 1- \ELE/U 18, VI LL!, r\ .1_lE /J , T, . PHONE ADDRESS 4,-,16:4::, S V t 5 1 t 1Kln /t i(4J K PHONE �)0.... ZIP ci -7 CONTRACTOR try\ �c Q ADDRESS t Cl '_:3 (3). Au 6 w6. Kirk /41-I GL)a, . ZIPG1 X 33 WA. ST. CONTRACTOR'S LICENSE # r 6c © „, EXP. DATE ya7g3 PHONE ARCHITECT • ADDRESS ZIP I. HEREUE BY;: AND CERTIFY; THAT; l HAVE READ AND E AMINED THIS f3E :TR :.CORRECT, AND `I BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE ...ak 4042 R TD .APPLY, 4/0101. PRINTNAMEfficL SUA/LAliv6c72 ADDRESS CONTACT PERSON DATE .7-/a -5,3 PHONE fO 8 r9. z CITY/ZIP 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 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 DATE APPLICATION EXPIRES 03/16/91 COMMERCIAL NEW:COMMERCIAL.BUILDINGVAIDDITIONp;;:'.: (- SUBMITTAL CHECKLIST • COrtipleted. building 'permit.app119effon: (one for aach structure) • :• 1 1 Twa sots1.(2),of the toown1g I I : . • • • ••••'• . . . „ .• •• : Structural •• . . . • Topogrophloal.s*dy.••••;!:::::•H:.:1:..:.••••::::::••••••••• ..••• ...• • •• •• ' .. • •.•• ••• • .. . •. ••••• ••.• • . 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' •-•,.."',..,...: •:E0•09••• 11C•••••exl........•.....:.>:::J,;',••::',.....i.,•:•.:.--; iiiiat1011.-::::... method C.....°i.'....•,,i14;:roic::::••'!4::::::•sf::!::::),•::::.•;•:.::;•;:).1.•:!'v::;::;i0.• 4siite..(...•:•.!••1:%/ii'v.':Ai0.•,:11.:::::',..i.:::'.1...:: ......-..,....:•••• . • • • sections howingo.,..6.6.....:ii. - • 0.:::Iil!ciE)1.. sets) ....iiiiiiii-61•,641P.•• u p of ..,,,..,...,...••;•,ygiittP9'r!1•,•,:'.:•...:•'''':niitOPIPitiCtYr.::.;V:••• ''..L.:ii.ii.,t!?•',....,:.7,.:!.:,:%?'''';''''''''''''.'......'•': ubelariiii6jr94. f..........,•,. ' .•:...,.,...ii!iirnir.s F! ,..e,...0.... . .p...i.: :i• ce at) tgi::?!aor....:i ci..•....1'....1:......'.'• .': plans : :.: ::: ....,.....,.,,,,,d. 9....17:,' 7'...::::.::::::::;:::.:':' . . •'''''''''''''''''''' .. NOTEL'11'.ani Litility:workkt9:.,#9,..: • uhlity pormt application for entiro project) • :. • • •••••• . :::.,...... „ Six (6) 'sets. of civil drawings NOTE:. See (frit ity.perrnit application and checklist for 4pecific utility submittal requirements .RACK sTORAGE: . . . . . ••• • • :•••••:••••:." •••••••-•••• • ••• • ••• • •• • .. . . •••. • • • Tviici (2) sets o( pins which iriciude [l] Building floor pian showing .• • .. • •. Eritiro • space • • • •••• • . • .. ... • Toriant spaco Iloor pion shawing rack storage Layout aistos axits• NOTE.'-'IncluCle.diniensionejel:raoftefberp/)...rdth. and axit. ways on pl a f,..•• ri:§tr6atLral • . 'Ong ineer..(rack • • " • • • ..• . . „. RESIDENTIAL NEW SINGLE FAMILY DWELLINGS/ApDMONS •••• •:": •••••:•: ••••••••••••••••:;,...":••••••:••• .....:•••••••••••:::••••••••••••••••••.: Completed permit •OOpliOttitiOri(oneiforfeOdti.6tiliottire Assessor Account Number ' ' • [1 :Na ativedeseThing eiciOrig•'foofiiM6ttir.141•:.!iontjErprpoye ;firi -". • •,• Pfthe:perget......:.:-.:: ,.• • •• •..: , . AWTENNA/SATELLITE DISHES ••• Completed buitding ".'••AsseSsorkccOunt Wumbor • • • . „ • . • • • . . • ...‘ • • 9 (2) • sets ..0 1:.plans, •`"?0 lu cid • • • • • • •••••:•••:.• • • • • • • ••.• • • • : • • . Sito Plan (showing butiding and toiatIon of to(iOa/Satellife: •diph),•••••••::: and method 01 attaohmont .:. I Obtiills;a0ten0ii./daiepites..0101:: 1 ■•■•■•■■•••••••■•••■••■••■•■■••••••• Completi)d"bulfdfng porrilit OOplibation•flopol for•ezioh.:Stru.cture), '''''''''''''''''''''''''''''''''''''' Legal • • '1,1'1: .:•••:••• ••••••:. ' ' ' ' descnption Asseisar•AeCoup; 1:wol•sets•1(2)•Of• working drawings which irictude •••:•••:. •••••'"...::•••:?••••••••••• • • ••••::::::•;••:.; ' ' • Foundation plan Inciude acCes.10 bulldin9 showing oor :plan ' wldtb and IengTh o(access) • Roof • •:: •:•:••••••••••••:::::.• •••• •::•••••••:.: •••••: .• •••• • •:•. • ;.; •. ..• r StruOtUal framing plans .••• • . •••• • • • ....:•••••••:.: :••••••., Li.wohipot09 Stato Energy Godo Six (6) ••• ••••• :•:"••::::•;".•••••• sets of site plans showing uttliUas ]: NOTE site :Pan and 64114 site gill* Perini! application and Checklist f4v.qpiicill0ebeiiitii.li'090irOtiionte.:: : • .; toPographica l a,, nd .• s o0 ini otnat ionney bo.reg ired if unique Es I E NT! . • • • • • . • 1• • •• ted building permlt appllcaUon (ono for each structure) ssessor •••• Account Num cir-• • • • • ................................................................... • ••...• ••• •••• -' Roof pian Building elovations (alt views) . . . Building • :"••• Structural NOTE /1 any utiIity work Is 10 ai: frarning ptans bO'iOrifPrOqaf utility P otho appllcal and plans mu't be ' - . • . - . ,•••••••':, . f••••::::'••••,.'::•,••;••••••::••••:',.1:::::•.:::::::::::::::.• ' *•••'•";•,:::'.....,.5.;... ' ......".'r.,;::::..!......., ' . . . . • : • . , . . • . . . . . • . • . • . • • . . . . . . ,. ••• '', .•• . . . „ . ....„ ' . • .:. . . . .:. . • , • . . , . . . . . . . . .• . . . . .... • . . . . ,,..F11 3 0 0 r P • • . . ' : . • • • - • • . • , . . . • • . . - . . , . : • - . . . . . • . 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STORM DRAINAGE Permit 'No: PW93 -0155 Status: ISSUED '• Project: HENZLIK Site Address: 4266 S 158 ST Location: 4266 5 158TH TUKWILA WA Parcel #: 810860 -0141 Wetlands: Sewer: TUKWILA Contractor License No.: MBCOkk0,088NE TENANT HENZLIK VILLIAM & HELEN 4266 S 158 ST, WIL A W 98188 OWNER HANZLIK VILIAM!,,l4ELENA 32481 22ND , AVESW, 45EAT;TLE ;WA 9,8023 MB ��' =' �,• » tr,w y.,... #� x - CONTRACTOR CO let; ," .13 � �::. >;� �� y ;x',� j .;Pharie., '2.06 822 y723 10833 33,2,N0 P•VENIiE °.t4 E. , K,IRKLAND, 'WA 9803,3' * k k 'k * k 4444 * : k * •k A* k k'k!k'yk * * * •.k *•k.k * k **A k k k'k'k ` K kA k A k`'k * * k k k'k'4 *'k *.•k * k k k *'k;*•k *.* k k ***AA k '¼ '¼ '¼ k k k k* Additional Pernii4t,,De,sci•iption.l: Issued: 07/27/1993 Approval Letter: 07/21/1993 Expires: 01/23/1994 Watercourse: Siopes: N Water: HIGHLINE STORM DRAINAGE Existing Squar=;e 'Feet: 262 New Squ &:re' Feet: Inspection Feel: Plan Check Fee:; Additional.,Square Feet: 300 ,No. :,. 4,12 3,42. 400 Acct No: 00D/345.830 King County ,,Va1u'atIon: ;, V' l: lie of„ Con ,truct_iuric —.00 k **kkAk'k * *•Ak* *.*'k * * *.•k•kk *k k• k *k*'kk.•AkkkA k,k'r'k•k•k•kk'k'k *_k*'k : kk'k*k*k•kk* k * * * * *•k *•k*kk *''kkk * :VA ** I hereby acc;ept,',, bi . ,permtt and` agree's too 'abi.de.,,a11' applicable se,ctions',:of the City of Tukw;i 1a Munic'ipal'`Co'dei , �'We ayr ee::tha; •;'t'JYe�..C,ity of . Tukrwi la.. shall be held harmless for a.l l or any claims aria' i` y � n,g .a . �,a � r e s u •1 t a f this: • p, r;•o e,c t . Permits which '� have"`�:.],ap'�ed beyond the e . p i'rat i on._.da,t ,,e . ha 1 1 . requPi r a�' a., • re- application and r eissuance of the permit thr'ough',t11e C;lty ,at -'ail ,additional fee THE APPLICANT ;.' 1UST NOTIFY "THE CITY INSPECTOF'� 01=���.,OOMMENCEMENT AND.< ;COMPLETION OF WORK AT LEAS.T,24 S� Is'N'�ADVANCE. TO SCHEDULE 'AN I ' P.ECTIQN:'CALL 433-0179, %•il Signature :___ k *k *•k*k * * * *'kk'W APPROVED FO .,Gate: ; k'k*k *•kk *iG•k *.* 1F*`.,k4 1*****kk• kkk' k' k ;k4 **;kk*k'k•k4 *•kk * *'k *kk'k'k* Issued By: \J �.. Authorized Permit Center"..:Si_g'na°tu't:e�" **• k• k• k• k• A** 'k *** *•k ** * *•k'k** *•k *•k**** **• kit** 4k*• k• k*• kk*' kk• k• k*• k* *k***•k'k* **k ** * *•k * *4.*k *•k•k* I hereby certify that the permit holder whose name .and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved: Inspector Signature Date CITY OF TUKWILA Address: 4266 S 158 ST Tenant: HENZLIK VILLIAM & HELENA Type: PW -SD: Parcel # :.810860 -0141 Permi t Na: PW93 -0155 Status: ISSUE0 Applied: 07/_21/1993 Issued: 07/27/1993 **• k** k• k***• k** k*• kk* k*** k•.t***k* k* k** kk*• k*• k*• k k*•*k• kkkk• k* **k*k•kk * * * *•kk*k•Ak*•kk*•k* Permit Conditions: 1 1. CONSTRUCT SIL TAT ION „�FEN'GE` :I :rIt,R.EQiUI.R D B.,Y..INSPECTOR.' 2. INSTALL INFILTRP�TI�? N� tp`T7M,T'� SbI ." TYPE. PEh Frs . USE KING COUNTY SURFACE W A,TERrA—ES IGNN 4•�,. City of Tukwila Department of Public Works M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISION /QV DATE: JULY 22, 1993 SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Henzlik Garage Rebuild 4266 South 158th Street Project No. P93 -0079 Activity No. PW93 -0155 Contact Person: Mike Boulanger Telephone No.: (206) 822 -9723 3R 5.. ozh"" ' John W. Rants, Mayor Ross A. Earnst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMIT IS AVAILABLE FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON JULY 22, 1993: Permit fee• Storm Drain $ 25.00 Two copies of the confirmed Utility Permit Application Form and approved plans are attached for inclusion in the permit files. GV /cd Attachments a/s cf: City Utilities Inspector (w /copy of plan /application) Development file (w /copy of plan /application) od.d25.henslik.upi 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 Phone: (206) 433.0179 • Fax (206) 4313665 City of Tu Gila •. i, 1.- Engineering Division :lvd., Suite #100, Tukwila, WA 98188 P....ROJ.ECT INFORMATION Name of Project: E h1Z_L( K Property Owner: ! �s 2 Street Address: Application # pci 3- O o-19 • Phone: (206) 433.0179 TUKWILA UTILITY PERMIT APPLICATION PUBLic WnRK� Site Address: �l0/b6 Sd I.. Engineer: Street Address: (ukwr((o . Phone No.: Cit /StatefZi • : Phone No.: City /State/Zip: Contractor: in FC0 Street Address: Phone No.: 0 ;3 �� gut 6- K City /State/Zip: c "a King Cty Assessor Acct #: ' 0 i b 0 - 0/ -`/ ontractor's License #: mg�'o P:ERMITS . ❑ Channelization /Striping /Signing REQUEST ED .; ❑ Curb Cut/Access /Sidewalk " • ❑ Fire Loop /Hydr. (main to vault) - No.: Sizes: ❑ Flood Zone Control ❑ Hauling . ❑ Land Altering cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times: Date: ❑ Sanitary Side Sewer - No.: ❑ Sewer Main Extension ❑ Private ❑ Public qo Storm Drainage ❑ Street Use ❑ Water Main Extension ❑ Private ❑ Public ❑ Water Meter / Exempt: - No.: Sizes* Deduct ❑ Water Only ❑ Ci Water Meter / Permanent - No • .._ Sizes* ❑ Water Meter / Temporary: - No.: _ Sizes' Estimated quantity: Schedule* ❑ Other: NATEF REFUNDJBILLI M O N T:H LY` <SERViCE :;;; :BILLINGS:TO T Name: Phone No.: Street Address: Name: Street Address: City / State/Zip: Phone No.: ❑ Water ❑ Sewer ❑ Metro DESCRIPTiONOF:<PROIEC ❑ Multiple- Family Dwelling No. of Units: ❑ Commercial/industrial ►'d ❑ Standby Single- Family Residential City /State/Zip: ❑ Hotel ❑ Motel ❑ Duplex ❑ Triplex ❑ Apartments ❑ Condominiums ❑ Other: ❑ Office ❑ Warehouse ❑ Church ❑ School /College /Universit ❑ Retail ❑ Manufacturing ❑ Hospital ❑ Other: ❑ New Building Remodel/ Square quare footage of original building space: s�1- INFORMATION ;?'::: Square Addition Footage: Square footage of additional building space: 300 ,_ f-. King County Assessor's valuation of existing structures: $ Valuation of work to be done: $ • : i:FIEREB.Y CERTIFY: THA. i.1-14 VE:REAP THIS: APPLICATION dND:KNOW THE:;SAME .170: BE TRUE ANa:CORRECT Applicant /Authorized flit •.e i.n. -• �udifowAn �� Contact Person ll'!'' aafid46- r2 --.. Print Name: 'itIAV" ,vac ,� �Iprintname): Address: / '! /hr) ,Ali ,vg )- .kki,b•' t Date: `7- ra--S3 Phone: gaa G72 oa.3 Phone: }a 23 Date Application Accepted: .. ,�• Q Date Application Expires: ! _ n 04/22/92 ,• " ■ 13 CORD OF SURVEY FORT/ON OF THE SW. 1/4 OF THE SE 1/4 TION 22, TOWNSHIP 23 NOR TI-1, RANGE 4 EAST; .WA/1., ICING COUNTY, WASH/NGTO/V. ..„ • Eli • S8935 'JO "E 94. 7.9 6 WOOD PENG' E * • ' . • . • .•• . • 1 .1 • - • • l• (1:1•'• • i-rou.st " . .,• • 0 c;'ARA 4; 4J 1 • , • 51,6') • ?ONO eo5A:".1) " ?"' • 0) • I.... ' ' {13 • • 0' ■`1' • • / / • o 0 0 0 / rI o / 04 0 v .0 , / 0 / • .• A. 52U9'12" •R 7424 1J1, 49) /.t;) ...V.A:?F71-7E47 -10A.) 7L/PX , . • • • . • p/r, • • ' .1 APPROVED PER PUBLIC 'WORKS • . .7162.2 ••• .• • • • • • ' !,'' • . RECEIVED • "' CRY OF 'TUKWILA REcEivgDjuif:4 '1993 1.093 pima CENTER • • . TUKWILA PUBLIC WORKB:' • City of Tukt la Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Applice .. 4.y Pc1. 0 0 9 • Phone: (206) 433 -0179 UTILITY PERMIT APPLICATION DJECT ORMATI Site Address: «01(0(J SQ (S 7 (u kw / (ice. Name of Project: Property Owner: L L►J ZL K UI l l /kw\ / /Fu n/v-- �t Street Address: , , -s • Engineer: Street Address: Contractor: (Y\ o Street Address: 10, 3 King Cty Assessor Acct #: Ur v. K 11 RIU�IS<< Q.UEST;E ❑ Channelization /Striping /Signing ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: Sizes: ❑ Flood Zone Control ❑ Hauling ❑ Land Altering cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times' Date: ❑ Sanitary Side Sewer - No.: Phone No.: Cit /State/Zi•: Phone No.: City /State/Zip: Phone No.: City /State/Zip: 4', c? °ME Exp. Date: 2 -17 ❑ Sewer Main Extension ❑ Private ❑ Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private ❑ Public ❑ Water Meter / Exempt-No.: Sizes' Deduct [j Water Only ❑ ❑ Water Meter / Permanent - No • —. Sizes' ❑ Water Meter / Temporary: - No.: — Sizes Estimated quantity: Schedule: ❑ Other: >WATER'METEI REFUND /BILLI M0NTf LY ; SERVICE < >; B L`LINGS :TO Name: Street Address: Name: Street Address: Phone No.: City /State/Zip: Phone No.: City /State/Zip: ❑ Water ❑ Sewer ❑ Metro DESCRIP:T,ION: OF: pROJE� ❑ Standby rd Single - Family Residential ❑ Multiple - Family Dwelling No. of Units: ❑ Commerciatllndustrial ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ Duplex ❑ Apartments ❑ Triplex ❑ Condominiums ❑ Warehouse ❑ Manufacturing ❑ Church ❑ Hospital ❑ Other: ❑ School /College /University ❑ Other: _ MISCELLANEOUS' New Building Remodel/ Square footage of original building space: •5� gl- Square Addition INFORMAfION Footage: Square footage of additional building space: 30 0_ King County Assessor's valuation of existing structures: $ Valuation of work to be done: $ :'t: HEREBY ::CERTIFY .;TRA, ,I HAVA, ;RED:TRIS APPLICATION AND KNOW.THE<'SAME :TO .BE; TRUE. AND ;:• ORRDCT Applicant /Authorized /, As- is n, - / /rhi- . � Contact Person m ): nil 36Vt -A4 612-- - Print Name: " jL'k(i O- (•-‘200(c1,n +prin Address: ,Q 3 3 ar.) ,4O /vg. - I fuiO/A. gdY3 Phone: G773 Date: `7- -i>-13 Phone: V). C17) Date Application Accepted: ..-, ,92 aerr a .ss��.�. Date Application Expires: 04/22/02 *k****kk***************k*******4******************************** CITY OF 1UKWILA, WA ..- % 3.-. ir in TRANSMIT ***********************44 * * kgi*V*********************** TRANSMIT Number: 93001005 Amount: 25.00 07/27/93 11:12 Permit Not P1493-0155 Type: PW-SD ' STORMIDRAINAGE Parcel No 810860-0141 - 07/2//93 Site Addnesi: 4266 S 158 8T Location: 4266 0 158TH TUKWILA WA Payment Method: CHECK Notation: MOCO. Init. SL8 **3 ********************************.A***** Account Code Description Paid 000/345.830 PLAN CHECK - UTILITY 10.00 412/342.400 TNSP FEE - STORM DRAIN 13.00 Total (This Payment): 25.00 Total Fees: 23..00 Total Al 1 'Payments': 25.00 Bel anc41.. ;: .00 GENERA 10.00 GENERA 15.00 TOTAL 25.00 CHEEK 25.00 CHANGE 0.00 2825A000 16:01 .***k k*,******'* h* * * * * * * * *k * * * *h * *h ** *:h.** * * * * ** *, *, * *. ***** ****.* * . *k. CITY: OF. 1UKWXLA,. WA TRANSMIT * * * * *. * *'k *. ** * #* * * * * * * * * * **•k *** * * * * * * *•k *: *. * *"*.* *. *k * *. *** *: * *,•k **4 *` * *•k . TRAN"MIT:;Numberi .93000904 :Amount: 120.30 07/13/ i3 10 :53 permit ,,No.Z R,93 -0250 fype :.B- BUZ4.q, RUXLpXNU ,PER.MIT Prce1 =Na o .010£160- •'03.' -Site ,Addi^e.ssd 426'6 G, 108 8T , Payment : Methad: CHECK. '.Notation::: MRCp �;riita.,.SL'R, . * *k * * * ** * * * * * *.** *.*•k, k**** k*** k*k******* * * *** * * * *. * *A•* *•k* * **k * ** *•k*. 'Paid . 72.00:. 46.00 123.30 GENERA 72.00. GENERA 45.00. GENERA 4.50 TOTAL 123.30 CHECK' 123.30 CHANGE 0.00 2408A000 15:42 Code Account 000/322.1Q 000/345.83 000/386.90 Description 0 BUILDING ..- REE Q PLAN CHECK REG. 4 STATE: BUILDING .SURCHARGE' Total (This Payment): Total tees: 123.30 Total All Payments: 123.30 Balance: .00 CITY OF TUKWILA Address: 4266 S 158 ST Tenant: HANZLIK VILIAM & HELENA Type: B-BUILD Parcel #: 810860-0141 . Perm tt 693-0256 Status: ISSUED Applied: 07/13/1993 Issued: 07/27/1993 *************************************************************************** Permit Conditions: 1. ASSUMES LEGALLY NON-CONE0RMIWO466Y4EyArPROVED PER T. M. C. SECTION 18 70 050 2. No changes wi 11 bel.made to ,,theqplans. unless ap.p.`koved by the 14 4,t Tukw 1 a Bui 1 dir44,i'v is lon‘ ,„tJ.73 ou3. Electrical perInft lbe‘bbt thr glethe Washington Di v of(lapar and IndyTries and all work .wi 11 (OA" inspeoted by that 'eg erid'y" 6657k., 4. All pern.if4, inspection record5, and approved plans shall be aVriNairleat the '16,b/ tslte prior to the of any cot5.1fruction't .These docurnents are to be mgi.negiptC1. avai l ,itye i 1 final i .4.,P\e'etti on. approval is gra lizt . 5. A se �a requ res Sep she ful Mi 6. No f p 1 pgOzeny cqncretel Tih rsipXosedR5e,,i.s in add i t i on to t re q ementw for spea,414,nspeet , ° at 10 between tiW garig an*d existing dwe 1 11 „ptim4Fti s:'S e pa ratl.on plu#<*bb-.,s, per one hour 'fi i , ,o, . .... iv c4spructiohn,gaOge stile of separation al 1,4„, t i cipv,tliaji e x bet,Wfp 1 1016 igh t.c)1"4aders i de:,of roof ing or as ,arila fterre 0,1,10;6 e 4Jori: .shall et end 'he tghtUot'walliitd, dy.aftttgir,*ge eo i 1 i ng • .4-2, 4.,, y j umluf.tre prcIstec,t1-6-67`ha 1(1, be 5'413 gypsumi, board . th, ty Sf''T EwiTi'fB7011Aiilg .f vfAo prior to'.7., / A 14 • ' \ - d,.......„,:,„ 7 Al 1 fi nttilu%ti4n to be done in ctformance-w-iih approved plan n6:0147. auitements of the Un kfprm-ABC4J.10tng'Sode;(1994; 4 ,) Unifd‘ 17) Mk.p.'abic,11, Cade (1991 Editicitn),an s-..0ihington 'Stet f'''' Edit'& as apended by. the WashirOtoiv/Sti,a"te Btil>ldittig cRdit., 8. Val idi .9f Permit. *The issuance of `&`*,..p tr 4t"OiTA approval 1 Energ de (1991 Second Editiory). .\„, i 1, .04" plans, ifio•tons and computations shallcnot ..,,tliii',,con-,,, bi5 4 4 t,,,... . k,,,, v , . , 0. strued t liks,a permit folvor an apPr'cvklf;,(3f, any04 tolaXA-on. of any of t.ht\prov\i,sions of this code j 'bi- of any ,Other,.,g,74,1*. ordinance of- the jurisdiction. No peAmit presuming46.4ive authority or ift$F1t., te or cane 1 ''' 9pisions of tix,s/ ode ,../ „#. shall be valid. 4., ,. .7 , crr".1 VINSPECTION RECORD C. Retain a copy, with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Project: 1", PQ n7 1lc 1 V�tkKiltn Type pact .r, —" o ns an:rIre kVurno.AQ Address: l ' 3 ! 5'6 6 k r I DaSe Galled: - ! 1, (`J Special Instructions: Pub Cill ' 36DC) a .- ft 1 1;1611°` Date Wanted: L. to ") 1- Cf 31. P.m Requester: Gorripy-)ti Phone No.: "7a3 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: ' 1 Ie J .. oo L .� L ia..11, .00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r (.. INSPECTION RECORD -, Retain a copy with permit CITY OF TUKWILA BUILbING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 r ect: ype o aspect* ! AI • : •11 struct ons: Date "ant:.: Requester: 4\A. , Phone I.. ,Approved per applicable codes. 0 Corrections required prior to approval. O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD ` C Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ect 3-0A% PERMIT Nt07 (206) 431 -3670 •r.: . : 1-karyzl i Ki V i 1 i am °- ng.:.. p no. F't Address: Li a (O 5 Dale Called: y t 4 Q1 Special Instructions: Date Wanted: 1 L( /9 am. p.m. Requester: Phone No.: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: ❑ $30.00 REINS ECTION FEE REQUIRED: Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. r INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 gq3 0 aSto PERMIT N0. / (206) 431-3670 , : v F�l NTypeof ns'tloa..t.t&,Ch' •,c Zi CS' Sr: () Special Instructions: Date Wanted P m Requester: Phone No,: 5,9?'' - ql %c3- KApproved per applicable codes. ❑ Corrections required prior to approval. ❑ ' $30,00 REINSPECTION FEE REQUIRE ., iivac,.� einspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedufe're :9 _ . • INSPECTION RECORD Retain a copy with permth CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 • ro o . gein„ � Ype o ns • : ion: , _ 4 4 �/ A Address: 14,166 . S . X58 _..,Date : C_nlleci14,166 Sd 0 /93 Special Instructions: Date Wanted: v. l� / arm( .m. Requested Jib a n Phone No.: no),o;? _ 97 Approved per applicable codes. COMMENTS: ❑ Corrections required prior to'approval, $30.00 REINSPECTI•N FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: SP Io' `0. INSPECTION RECORD ID Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT N0. (206), 431 -3157 - Project: f d / „ / ( type of Inspection ✓ ""` A Address; /6 �y -s; /513 .9 Date Called: --4/....473 Special Instruction Date Wanted: �/ / ° 7 m. .m. Requester; Phone No.: Approved per applicable codes. COMMENTS: : ' ❑ . Corrections required prior to approval. CJ ' $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite. 100. Call to schedule reinspection.' CTIO ` 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (L) S PERMIT N0. (206) 431 -3670 • roiect: / /r`''/1�5`/�/ ",,,s ype o nspect on ; Gn �i.� l <� Address: j f 64 " /S.. c5� Date Called: .. //f 7,...3 J Special Instructions: Date Wanted: • / 2,: 2.3 ( aim. y.m. Requester: ".. Phone No.: �� - 973 Q:, Approved per applicable codes. Corrections required prior to approval. COMMENTS: /i'1 T /4' si 6 je � k€� -.�� Vim/ (h 116245e- C---- ❑ $30.00 REINSPECTION FEE REQUIRED: Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: e: INSPECTION RECORD 0 Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 'ro ect: �,c".�i �z %% 4 . YPe o ns.:. ,n; >,. (/� //oil .1. ��c t / �� Addres �(4 - a . /yi 1l, Dale Called: Special Instructions; ftesr" -- p4,P)C7 Date Wanted: �' c2). ^ i.7 a..m, p.m. Requester: Phone No.: ., '% i 3 [Y.}, Approved per applicable codes. COMMENTS: CJ Corrections required prior to approval. Cl $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. , • „10...10 CONTROL SCHEME DETAIL.. ..., (: 8 154771,9 MEET ..( No T To. .5c-ALE) '31 4.:-F'ia CASE, NC, ;W47. I R ESE T PC.S177ON r'34 - ^ - P K. WA R. P.'S r 1 7/C/9 .T *4, (0 L; --; ' S892.5407: 65/. 56(P) T y.34, 39(P ? ; 1 64 :f ci!r” ) 1 /. 4 79( ?, ,--- • ' - ..--: I-. - - 3.(1:::.L.' ; 1•'''s SUNNYDALE GARDENS DIV.I r. VOL. :15, PG. 5..) : : i s I rti's CIS • (41 •cr. „ „. • • ; . 411.40014:-.; .,••;; • • • RECORD OF SURVEY A PORT/ON OF THE S.W. 1/4 OF THE SE 1/4 OF SEC 770N 22 TOWNSHIP 23 NORTH, RANGE 4 EAST WM, KING COUNTY, WASHINGTON 34 n 36 I ' 1 '''• I (•-•', • . t , . . . '.,A. ) 1 . . , II I ■• ' ''tv'''' ' 1 3 ' l—.... C: 0 ;;- /'-',•'6' ".34. 4.-.!(C:',1 i. ! 64. 43(P) ;$ 1174. 4 2(.c; .' ; .. ....• _ 463. 2 .0(.. x .- ''.--,)' v -----; i ',... t... 1597H STREET , CAS' /0,..:11V CON " COPPER .k.'/N; a 17; (NI 11-3 S. 7 C OR WER FP.D. CA SE 41ON. • cct MO,V. LO TK. .t • 7/02/93 P`111 $ ieom STET N w TC. (7(' 4,77 S. 158TH STREET s. W ,:-;cRrveri. OF TRAc: ,;" 5t7 08. oo (P,.) • ••:;•.• - •5.1/M/EYOR'45' No785: 1. TRAvERSI.: P,?0CE,OUREs ei 771/ 2',(73. • 1 " flirAL STA77CN (..1 TILT/ED, ilv.4 04/"S TED t../eic'OA? .0.17 • a.OSURE MEET 0,? 57-A TE OF WA TON ij/N/iVLJM • ‘, • , . • • . • , • ,, • - • • • ... • • , •• • • • • • -• • ".••.• • • • 1"../ /4, /4 22— v ,,:y5 7 4 .11 • • 5C) t. END 7 143.24 3 1, 6,3 ,votry.4,1rN 7' WO AS NO TEO r RERAR A tV,,:•/ C.4'- fie.9,) FOUND i/f /70N AS NO TC,9 SEPARATE PERMIT REQUIRED FOR: 0 MECHANICAL BiLECTRICAL 0 PLUMBING El GAS PIPING CITY OF 'TUKWILA BUILDING DIVISION 1 understand that the Plan Check approvala are subject to errors and omissions and approval of plans does not atsthorizo tho violation of any adopted code or ordinahOO. POOolpt of contractor's copy of ap rmt No. 30708m ' " ,:V.;',v.;;;•;•ir•-.4,!: • /&93070 89 oo8 GRAPHIC SCALE r BASS OF SEAR/NG LEGAL DESCR/P770N " 7,-/‘: I( 7 -1 ; REFERENCES; .-z tr,- • --) V—YOR " ,r77 7-1 .y4,: 71" Y' 4 (,..'sc.; tf,4 ; ;;;;;? 212- "://..; 4 - 7. 7-A it:- - L. ; 4 :4)frVs C;f4 CITY OF TUKWILA APPROVED 'JUL 1993 mg64,41 'RECEIVED JUL 1 9 1993 TUKWILA RECORDER'S CER77F7CA7E • PUBLIC woRt,,s Fit"gt- 7 . . ci 3 )-;-; 5v4V62.15 2•4./ 4 7 Th T BRENT HILL \Z."; :•-•"_;):.` ..!/ •*— RECEIVED CITY OF TUKWILA JUL 1 3 1993 PAC-TECH - • PERMIT CENTER • 3 ,f.";; r VirCfi /71 ??ritai; 473-4491 NERCE Ca.11•ITY 2601 South 35th Suite ali1 rocorma, IA 99409 sAy. * 474-5d7I - 377-2052. 3640 Snuth -Ceiickr A .! accent, 984C:9 VX it; 377-93 61;.41 Soutt'scentr Blvci Sulte 1C1C St;c.ltte, VA 98168 fAx 371-Z053 KUSAP :3721 Kttsop •••'&y State 4 arf,r,trton., VA /;t112 t 31121?..93 ,2R.,1 HY. 1418' .• • .L."•;;;• . ‘-.,.,,,,y,„,, ...t..._,-R,,.., 1 IIIIIIIIIIII-Iiiiiiirii pitiwitiritill .:- .....-*::: :7,-'7,\-_, .:^.," ;,...;--;;if:',".:4,,,,,',",;:t.V7-....0. ...,,, • -,-r,-. - 4115.;:.^..K1',"--":::-' "..,.. -,- ‘ ---,-% . -7.:-',.+5, '-:=',/,,P '.:1". ...,;,.. ..:' ;';'''''. ,,.' . 11111111111111111111111111111111111111111111 11111111111111 1111111111111111111111111111IftWI-1.1 1111111.111,1111111111111111 0 16 MS INCH 1 2 3 ... .... .......__ .._. __ _ ... 4 5 6 7 _ 8 9 i 10 NOTE: If the microfilmed document is less clear than this . notice, it is due to the quality of the original document. 111111111111111111111111111 11 MADE IN GERMAPIV 12 VI LAM it. i'--L LE,1:1ok.: i 4 ,jZ C-17 r j I y . °t' it .to �_,�� € • a 7ruKI l': , 1.016, ��B chwei 61,5 per I -A- ALta cens1vtk: een Ye7t4fe 4aa - javel5e Sick- 4c.c5tvi- 40 5a.-vente. cir /11 4f MAN LiktE. -' 6 I LA01.1_, �: la�j it I N F44 { _ 4S iatl‘‘Aj 04 0 wood 9oc. aC ' g any. - //7416 `o r _. 00•- ' 6, /f be eetakd wood aa- tt d o%P i th & 4! fasisAt Mee,. 4.0 Cie calf/ . :4 0 /celled' o i /m ctee k 6/4s tw,-*-1.440Nr: s ^ o 91 :1. Mi / c. i r. ) nk '_a--6;, i f . y, ijf' etooced ' of c OF oitoriionzie f'estsiuccC CITY UF.`TOt Wt � APPROVED fJU� z �9 3 s, RI, LpING PIvlspN r RECEIVED CITY OF- TUKWItA ' JUL, 1 i3 1993 .,. PERMIT CENTER t - ,� ✓. a 'sxr', w h s IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII'IIIII'I' rlll IIIIIIII IIIII�iIIIiIllllilllll IIIIIIIIIIII�IIIIIIIIIIIIIIII �ttll�l jfi�i�I�illl�l ll�I�I�III�III�IIi�l�l�lll�lllll ll�I�IIII 0 16THS INCH 1 2 3 4 5 6 8 9 I 10 11 MACE IN GERMANY 12 NOTE: If the microfilmed document is less clear than this notice, it is due to the quality of the original document. off` 62 8C L2 92 92 472 £2 22 1.2 (17 61 81 Ll 9L 91 bt El ZL a ni a Q i o c 4, C' ww r. MR$ " corAe Pc)01.- vz,q, L, i.44...:.... , .j.„,..,..7io.,te,r......_..._._ , IVI i :.:1 : 1 ± ..0 .....„...,-__ ... i i; ,, i i 1 ..1 t[, i ! •.. L. I 14 1 ; , , ! L., q , 1 I I i 1 s I ..' i P ii FR441T-ae.5 To 1 1 li 1 •1 t.) ,‘, ',St-kb ' 1 if 1. 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