HomeMy WebLinkAboutPermit L96-0031 - ELLEFSON LAVONNE - BOUNDARY LINE ADJUSTMENTL96 -0031
ELLEFSON LAVONNE
4617 S. 144 ST
BLA BOUNDARY LINE ADJUSTMENT
t
City of Tukwila
Department of Public Works
John W. Rants, Mayor
NOTIFICATION OF UTILITY PERMIT ACTION
TO: Permit Center
FROM: Public Works Engineering
DATE: May 16, 1997
SUBJECT: Ellefson New SFR
Lot D of Ellefson Short Plat L94 -00301 L- 96 -0031
14408 46th Avenue South
Contact Person: Lavonne D. Ellefson
Phone: (206) 246 -5619
Ross A. Earnst, P. E., Director
THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE
IN ACCORDANCE WITH THE PLANS APPROVED ON MAY 16,1997:
Storm Drainage
Access
PERMIT FEE
$25.00
$25.00
TOTAL: $50.00
Two copies of the confirmed Utility Permit Application and plans are attached for inclusion in the
permit file.
JJS /sal
CF: Development File (with copy of application and plans)
PW Utilities Inspector (with copy of application and plans)
flanningL94 -0030 (with copy of application and plans)
Lq6 -003/
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 431-3665
CITY OF TU( -WILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
APermit`Numberd4,
Single- Family Residential Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Project Name/Tenant: 1_-1 F63 N-)
?C.i l u AQ?D V"�' 7 1-toi
Type of work: ggi New Single - Family Residence ❑ Addition - Single- Family Residence'
❑ Interior Remodel- Single - Family Residence • ❑ Residential Accessory Structure*
❑ Remodel/Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof •
Is this site served by: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) ,
Vale gf09strut y
a
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Site Address:
' g ` E S .
- ztw0u.w .3#.< State/Zip:
,
Tax Parc�Number:
00 00 0 — °Li
Floor Area Ratio: (total floor area of all structures divided by the area of the lot)
Property Owner:
1-AVaLW E J oL)
For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
' Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
Phone:
•
Street Address:
t 49t3e, 4@6. ANsE 5 77--N4 .
A
City State /Zip:
cv 3 1G_A
Fax #:
Contractor:
Phone:
Street Address:
City State /Zip:
Fax #:
• Architect:
Phone:
Street Address:
City State/Zip:
Fax #:
Engineer: •
Phone:
Street Address:.
•
City State /Zip:
Fax #:
Contact Person: --j
City State /Zip:
u)A- gect c., i
Phone:
q2
Fax #:
— 02ZZ
tvvt t.H %—C1441::42._ Maims
Street Address:
--7(32..‹.• 1541 i■Va. 4 0
Description of work to be done:
?C.i l u AQ?D V"�' 7 1-toi
Type of work: ggi New Single - Family Residence ❑ Addition - Single- Family Residence'
❑ Interior Remodel- Single - Family Residence • ❑ Residential Accessory Structure*
❑ Remodel/Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof •
Is this site served by: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) ,
Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Proposed New Square Footage: 132.4- sq. ft. Dwelling it( sq. ft. Covered Deck(s)
'ASP!) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Floor Area Ratio: (total floor area of all structures divided by the area of the lot)
For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
' Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
APPLICANT:REQUEST:FOR PUBLIC. WORKS; SITE / CIVIL' PLAN REVIEW OFTHE:FOL'LOWING::
•
(Addltlonal.revlews° shall: be: Beteririlned; by; the�P ,.ubllc..Works;Depert'metif) ..,;
❑ Channelization/Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Hauling ❑ Land Altering: .0 Cut cubic yds. 0 Fill cubic yds.
❑ Moving an Oversized Load: Start Time: • End Time:
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Permanent # Size(s):
❑ Water Met Temp '# Size(s). Est. quantity: gal Schedule:
El Miscellaneous 0
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re-
viewed and is subject to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex-
pire by limitation'. 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 107.4 of the Uniform Building Code (current edition). No application shall
be extended more than once.
Date application accepted:
Date application expires:
)u -9-)
Application to e (initials)
PLEASE SIGN BACK'OF APPLICATION FORM
SFPERMIT.DOC 1/29/97
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ALL SINGLE - FAMILY RESIDENT! r PERMIT APPLICATIONS MUST BE BMITTED WITH THE FOLLOWING:
DRAWINGS PREPARED B1'.REGISTERED ARCHITECT OR PR( ISSIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDING OFFICIAL
• ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Copy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11a). Contact the Public Works Department
(206) 433 -0179 for servicing district.
❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433-
0179 for servicing district.
❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12)
❑ ❑ King County Health Department approval for septic - 296 -4722
Four (4) sets of working drawings, which Include:
❑ ❑ Site Plan (see example Form H -16)
1. Existing fire hydrant location(s). .
2. Proposed access road.
3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over
150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741).
4. North arrow and scale.
5. Building setback from property lines. Any proposed or existing easements must be shown on plan.
6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width),
show proposed and existing power, water and sewer lines, existing storm drainage system,
downspouts and foundation drains, and where drains tie -in.
7. Parking plan. .
8. Lowest building elevation (if in Flood Control Zone).
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level.
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers.
11. Identify location and size of significant trees that are located.in sensitive areas and buffers or the
shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code).
12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the
high water mark.
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
H -9).
❑ ❑ Foundation plan and details
❑ ❑ Floor plan
❑ Cl Roof plan
❑ ❑ Building elevations (all views)
❑ ❑ Building height
❑ ❑ Building cross - section
❑ ❑ Structural framing plans and details necessary to completely describe construction
❑ ❑ Washington State Energy Code Data (Gas/Electric/011/Propane/Heat Pump) Forms H -15 & H -16
available at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6.
❑ ❑ Complete Land Use Applications if not previously.submitted (Le., Reasonable Use Exception,
Variance, Shoreline or Tree Permit).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance
and other land use or SEPA decisions.
❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval
from the King County Health Department or the Tukwila Public Works Department prior to
submittal of permit application.
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the permit
is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of
Contractor Registration ".
Building Owner /Authorized Agent: if the applicant is,other than;the owner,: registered architect/ engineer; :or„contractor licensed
by the State ofWashington, `a notarized letter from the propettyi owner authorizing the agent to submitthis permit appll ,ca
tlon
obtain the permit will! be: required as part•otthis submittal_
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF
PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND / AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDINGIIO JE • OR>AUTHORIZED AGEN j
Signatur - , d ��
Date:
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Address:
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SFPERMIT.DOC 1/30/97
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Surface Water Control
for
LaVonne Ellefson
14408 46th Ave. S.
Tukwilla, Washington
as of 5/1/97
*Total proposed impervious area equals 2875 +/- square feet.
7 *All downspout, footing drains, and driveway drains to terminate five feet from
foundation line and connect to new discharge line.
3 *Discharge line will be 6" ADS N -12 or equal.
4, *Discharge line will connect to existing catch basin located on South 144th st. with a
minimum slope of 1 %.
5 *Line will cross within utility easement created on Lotiwith a joint maintence agreement
d *Line shall have a clean out at end for maintenence.
RECEIVED
CITY OF TUKWILA
MAY 0 71997
PERMIT CENTER
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CITY OF TUKWILA
MAY 0 71997
PERMIT CENTER
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EASEMENT
Indexing information required by the Washington State Auditor's/Recorder's Office, CW 36.16 and RCW 66.04) 1/97:
D fl "" Ova (pleaa print last name first) Reference # (If a • plicable)104W. A t..
Grantor(s): (1) ra Y'' 1� •
V ' 2)
Grantee(s): (I) �.: -».( P �, E.-FS 00 (4 Addl.on
pg
Addl'. on pg
Legal Description (abbreviated) :pA'2C.G\-.C,Ab"T 1 f gk21C4 ,Pbpt"S 110" =. dd1'. legal is on pg lid
Assessor's Property Tax Parcel /Account* R D 0 ik, 0 !J - 0 9 kr- " O 6
--For a valuable consideration, receipt of which is hereby acknowledged, the GrantorQ(), ' ,Q.�' •
` l� T S $1N hereby granter and convey . to the GranteeW, O. r Y" 41.0 , ham successors and assigns, the right, privile e d authority
to construct, improve, repair and maintain QiY\ (JP10F LCAZC)11nn S?'ORrh 5E (a 41r0TILCI W S
across, over and upon ,_MZ: u 00) feet to the following land, located in 161..3C-7
County. State of i.11JF1$‘11NG -'on , to -wit:
I-- DE Sc \pT1OU
C'S�C FOCZ'E �. AS�.'tr•�t�T' :
PARCEL Ct LOT 1 , BLOCK 4, ADAPTS 'HOME TRACTS, ACCQROINC TO PLAT ,RECORDED IN VOLUME 11� OF PLATS,
PAGE' 31, IN KING COUNTY, WASHINGTON; EXEPT THE SOUTHERLY. 247 FEET THEREOF AND EXCEPT THAI
PORTZ'ON,THEREOF CONVEYED TO KING COUNTY BY DEED RECORDED UNDER RECORDING NUMBER 7412050139:
SUBJECT TO A. STOR1i DRAIN EASEMEUT :.OVER-THE :NORTH io.FEZ-•iF :THE EAST 50 FEET AS SHOWN HEREON,
gfi•TC2, EaS'E.hhEN1-
CEL C: LOT 1, BLOCK 4, ADAMS 'HOME TRACTS, ACCORDING TO PLAT,RECORDEO IN VOLUME 11 OF PLATS,
E 31, IN KING COUNTY, WASHINGTON; EXEPT THE 5OUTHERLY'247 FEET THEREOF AND EXCEPT THAT
:TTON THEREOF CONVEYED TO KING COUNTY BY GEED RECORDED UNDER RECORDING NUMBER 7412050139:
JECT TO A. STORM DRAIN EASEMENT:.DVER-THE :NORTH 10.FEET: :OF :THE EAST 60 FEET AS SHOWN HEREON.
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\,0 o-- 1 E• Not n NA 63.31 VS -C'
The Grantor(s) shall make no use of the land occupied by said EG—Se h --t2rA--
except for u (Z2 v 191 / Ev EMI b a7
pC�oP�- -tzr� CJ12�' r4PU0 rte' EiJJOyl
In exercising the rights herein granted, the Grantee00, _hi& successors and assigns, may pass and repass over
said %Y, and ma cutandremovebrush,treesando erobstructions
which in the opinion of the Grantee(Winterfere(s)with OperG..ttOV, tJ S1 Vcv, t Z, r ) �.�0� V tt.1Ti $ .
Easement
'Washington Legal Blank, Inc.. Issaquah, WA Form No. 1 10 /96
MATERIAL MAY NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER
RECEIVED
CITY OF TUKWILA
MAY 0 7 1997
PERMIT CENTER
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EASEMENT
Indexing information required by the Weshington State Auditor's/Recorder's Office. (RCW 36.16 and RCW 65.04) 1/97: (plea.e print last name first)
Reference # (If a1 plicable):� \ <s.• 'c'M,∎ \"�' ��?— OC>6t 6
Grantor(s): (1) \.G. P E\ (2) Addl'.on pg_
Grantee(s): (1) 1 .Q..,..--e-,1 P `�sell--) (2) Addl'. on pg _
Legal Description (abbreviated): PI t C,, t.s5T I,'P,U ..4, Ar rif 140,, t12AG[fAddl'. legal is on pg_
Assessor's Property Tax Parcel /Account # f} D D y 0 Co l) — 0 1/4?- 5-- — v 6
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RECEIVED
CITY OF TUKWILA
MAY 0 7 1997
PERMIT CENTER
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MEMORANDUM
TO: Jane Cantu, City Clerk
FROM: Nora Gierloff
RE: Bond for Ellefson Short Plat, File L94-0030
DATE: June 25, 1996
Attached is a Plat Bond from Contractors Bonding and Insurance Company on behalf of
Mr. Larry P. Ellefson. The amount of the bond is $30,479.79 to cover installation of
waterline service to Lot A, sewer hook-up for Lots B, C, and D, and an accessIoad for
Lot B with a hammer head turnaround.
A lot consolidation which makes these improvements unnecessary has been approved so
DCD authorizes release of the bond.
. • • ' • ""'. 4 "•■• •- " " ' ' 1:aliaillii:tilialliii4a4•24--1:41.61.4,?.-.4"s44.4.44.".4,
BOUNDA LINE ADJUSTMENT/LOT CON LIDATION
CITY OF TUKWILA, WASHINGT(ii4
FILE NO. L 16- U X7.3/
LEGAL DESCRIPTIONS
BEFORE THE ADJUSTMENT:
PARCEL A: LOT 2, BLOCK 4, ADAMS HOME TRACTS, ACCORDING TO PLAT RECORDED IN VOLUME 11 OF PLATS,
PAGE 31, IN KING COUNTY, WASHINGTON; EXCEPT THE SOUTHERLY 75 FEET THEREOF; SUBJECT TO AN '
EASEMENT FOR INGRESS, EGRESS AND UTILITIES AS SHOWN .HEREON:.
PARCEL B:-THE SUUTHE•RLY .7.5• FEET OF LOT 2, BLOCK 4,—ADAMS HOME TRACTS, ACCORDING TO PLAT
RECORDED IN VOLUME 11 OF PLATS, PAGE 31, IN KING COUNTY, WASHINGTON; SUBJECT TO •AND•:.TOGETHER
W�T.H: AN EASEMENT ;FOR „INGRESS.; EGRESS AND••UTTLTTIES•..AS...SHOWN •HE,REON. . . .
PARCEL C: LOT 1, BLOCK 4, ADAMS HOME TRACTS, ACCORDING TO PLAT,RECORDED IN VOLUME 11 OF PLATS,
PAGE 31, IN KING COUNTY, WASHINGTON; EXEPT THE SOUTHERLY•247 FEET THEREOF AND EXCEPT THAT
PORTION THEREOF CONVEYED TO KING COUNTY BY DEED RECORDED UNDER RECORDING NUMBER 7412050139;
SUBJECT TO A. STORM DRAIN EASEMENT. OVER -THE. NORTH 23..FEET..OF :THE EAST 60 FEET AS SHOWN HEREON.
PARCEL D: THE•NORTHERLY 62 FEET OF THE SOUTHERLY 247 FEET OF LOT 1, BLOCK 4, ADAMS HOME TRACTS,
ACCORDING TO PLAT RECORDED •IN VOLUME 11 OF PLAT5,•`FICt -e' 31 , IN KING COUNTY, •WASHINGTON.
AFTER THE ADJUSTMENT:
PARCEL A: LOT 2, BLOCK 4, ADAMS HOME TRACTS, ACCORDING TO PLAT RECORDED IN VOLUME 11 OF PLATS,
(PAGE 31, IN KING COUNTY, WASHINGTON;
PARCEL C: LOT 1, BLOCK 4, ADAMS HOME TRACTS, ACCORDING TO PLAT,RECOROED IN VOLUME 11 OF PLATS,
PAGE 31, IN KING COUNTY, WASHINGTON; EXEPT THE SOUTHERLY•247 FEET THEREOF AND EXCEPT THAT
_PORT•I'ON THEREOF CONVEYED TO KING COUNTY BY DEED RECORDED UNDER RECORDING NUMBER 7412050139:
SUBJECT TO A. STORM DRAIN EASEMENT:.OVER "THE••NORTH jp..FEET:.OF• :T-E EAST 60 FEET AS SHOWN HEREON.
PARCEL D: THE•NORTHERLY 62 FEET OF THE SOUTHERLY 247 FEET OF LOT 1, BLOCK 4, ADAMS HOME TRAU16,
ACCORDING TO PLAT RECORDED IN• •VOLUME 11 OF PLA'TS,"'•P(tC-E•- 31 , IN KING COUNTY, WASHINGTON.
RING COUNTY RECORDS
9607011134
Filed for record at the request of:
NAME
APPROVAL
Department of Community Development
Examined and approved this
21 day of ,.,e_ ,191.
Director, Dept. of Community Development
Dept. of Public Works:
Examined and approved this
day of i ..21 ,19.,
r Director;,Dept. of Pub 'c Works
Return to: Dept. of Community Development
Planning Division
.. I_l fL J. 3 1996 City of Tukwila
6300 Southcenter Boulevard
ulevard
E -, ;t 3''1tN YTukwila, Washington 98188
Page of
9607011134
AFFIDAVIT OF OWNERSHIP
DECLARATION:
Know all men by these present that we, the undersigned, owner(s) in fee simple and /orcontract
purchaser(s) of the land herein described do hereby make an application for a boundary line ad-
justment /lot consolidation thereof. The undersigned further declare that the attached map is the
graphic representation of said boundary line adjustment /lot consolidation and the same is made
with the free consent and in accordance with the desire of the owner(s).
In witness whereof we have set our h ' ' and seals.
Name: 'r sc i E.\2 So v Name:
Name: Name:
Na nte: — . Name:
Naime: Name:
STATE OF WASHINGTON
County of King
On this day personally appeared before me
YPe Yp
to me known to be the individual ' ;,bed in and who execu
h the within and foregoing in-
strument, and acknowledge pt ;� ed the same as / •s free and voluntary act and
deed, for the uses and p��oned.
`tu'r (
GIVEN under my hand 4dciffliciNal°
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N9� yG.;F 17 t,��90 4..: Pu • he in for the State of Washington, •
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STATE OF WASHINGTON
County of King
On this day personally appeared before me
to me known to be the individual described in and who executed the within and foregoing in-
strument, and acknowledge that signed the same as free and voluntary act and
deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of ,19
JUN ]. L :J, 1996
Notary Public in and for the State of Washington,
residing at
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AFFIDAVIT OF OWNERSHIP
DECLARATION:
Know all men by these presents that we, the undersigned, owner(s) in fee simple and /or contract
purchaser(s) of the land herein described do hereby make an application for a boundary line ad-
justment /lot consolidation thereof. The undersigned further declare that the attached map is the
graphic representation of said boundary line adjustment /lot consolidation and the same is made
with the free consent and in accordance with the desire of the owner(s).
In witness whereof we have set our hands and seals.
&atrce: LA�oo+/Av- �� /� y'S o>J Name. ..... / . _/� .
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Name: Name: 2
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Name: — ivame: co a
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STATE OF WASHINGTON m
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On this day personally appeared before me A �Uoj��, e- P �/� -�O >2 E-
to me known to be the individual described in and who executed the within and foregoing in- `—` z'.
strument, and acknowledge that SAc, signed the same as/54-r" free and voluntary act and Lb
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GIVEN under my hand and official •day of ,19
NOTARY 9�:
• -l�ibtar3f"Fubiic in and fo the State of Washington,
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Name: Name:
STATE OF WASHINGTON
County of King
On this day personally appeared before me
to me known to be the individual described in and who executed the within and foregoing in-
strument, and acknowledge that signed the same as free and voluntary act and
deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of ,19
Notary Public in and for the State of Washington,
residing at
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Land Surveyor's Certificate:
This Short Plat correctly represents a survey made by me or
under my direction in conformance with the requirements of ap-
propriate Stat - statute and h4,- been properly staked.
Date: d /5- S�
Name:
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Map on File in Vault
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Certificate No. -d/
Short Plat Nunii er
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RECENT
City of Tukwila JUN 17 1996
Department of Community Development
TUKWILA
PUBLIC WORKS
File Number
L61G-OO?
y.
LAND USE PERMIT ROUTING FORM
TO: ❑ Building ❑ Planning t Public Works [Fire Dept. ❑ Police Dept. ❑ Parks /Rec
Project:
alIL.,Ce C.:: CI Wit-
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Address:
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Date
transmitted: // Ii/e; 6
Response
requested by:
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Staff t
coordinator: IV r-e‘..
Date response
received:
COMMENTS
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❑ DRC review requested
❑ Plan submittal requested
❑ Plan approved
Plan check date:
Comments
prepared by:
03/14/94
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Name:
• • Date•
Certificate No.
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BOUNDARY LI ( ADJUSTMENT
OR LOT CONSOLIDATION
APPLICATION CHECKLIST
CITY OF TUKWILA
DEPARTMENT OF COMMUNITY DEVELOPMENT
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3680
The following materials must be submitted with your application. This checklist is
provided to assist you in submitting a complete application. Please do not turn in your
application until all items which apply to your proposal have been checked off. If you have
any questions, contact the City of Tukwila Planning Division at 431 -3680.
.::.:.:..:..:.:.::..:::.
Application Form
Boundary Line Adjustment Fee - $200.00 non - refundable
o fee for Lot Consolidation)
Legal Description (existing and proposed) Page
Affidavit of Ownership Page
ap of Boundary Line Adjustment or Lot Consolidation
RD application (if your site is in sensitive area or its buffer)
The map should be a scaled drawing on paper no larger than 8-1/2" by 14"
and should include the following elements:
119Northpoint, scale and date.
Dashed lines showing location of existing lot line(s) and solid lines showing proposed
lot line locations.
n.� Dimensions of all easements existing and proposed.
n., Access, including width, name and condition of adjacent streets.
Dimensions of all lines and total lot or parcel sizes.
n Mean lot width of all residential lots.
Ex tin contours at two-foot intervals. (This may be waived if no portion of subject
proper tty exceeds grades of 15 %.) y p
n
n
n
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Location of septic tank drain field or sewer lines and water mains.
Existing structures and distance to property lines.
Existing trees over 6" in diameter by species.
1 3 1996
ELOPME;'fl
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BOUNDARY LIN: ADJUSTMENT
OR LOT CONSOLIDATION
APPLICATION
CITY OF TUKWILA
DEPARTMENT OF COMMUNITY DEVELOPMENT
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3680
APPLICANT
Name: Address• a s(51- Vk4t-, 4
city: �� 1 :EQ Phone24 576n
._J
oVo��e . 'Llle�cr�
Signature:
LOCATION
Street Address: 4 6n Q ' fT
ter, \L /Lion (52‘,-5,
//1 4
Date:
If vacant, indicate lot(s), block and subdivision; or tax lot number, access street, and
nearest intersection.
PARCELS
QUARTER
Existing Use
Proposed Use
Proposed Lot Size r
A
SECTION
B
TOWNSHIP
C
RANGE
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DATE OF LAST PLAT:
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Name:
Certificate No.
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JUN 0 3 1996
COMM:. •j
DEVELOP i v1i .N 6
BOUNDARY SURVEY
FOR
LARRY eL.LEF'SON
SCALE: 1 c SO'
DATE: JUNE 22" °1978
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