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HomeMy WebLinkAboutPermit L96-0084 - FORT DENT THREE - SHORELINE SUBSTANTIAL DEVELOPMENTL96 -0084 FORT DENT THREE SHORELINE SUBSTANTIAL DEVELOPMENT 6860 FORT DENT WAY (CANCELLED) SHORELINE MANAGEMENT City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director 5/25/97 THIS FILE WAS CLOSED WHEN L97 -0003 WAS OPENED ON 1/31/97. PLEASE REFER TO L97- 0003 FOR SHORELINE PERMIT INFO AND COPIES OF. ORIGINAL SEPA AND AMENDED SEPA DETERMINATION 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 ...r .n1 7Sta; e. 42 7 .,L:.LF11'1fRSR2e11.vSF".`+il,. `r +r.S�Y�}kYS1Y°�:. `$Jr.<rw:ls4:1%fiG,K10. i iervwrn' pe:01,,,MMSM4.FOFrTeMT.T. : e.,11 tN- M"0�"'. • • . _ • • . CITY OF 7 ,_.KWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT (P-SHORE) ••• . • ..• . 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',4,■,i.j...z,,, t ' , ' s .1.1. . .....e;;;;:el 1941annerret- :.:,......., .....,,,,.-,......:\ ' ', • : ''''';'-''' "." 4 4.`4 ..: • ,'`...,,4"''it's,>'', 4.6.\ii :1.x.,4,.:,,..•:`,..""1-.....4. , ,,i, ' '',, ZReceipt ,r.A.F...e1,31 a- ,44..,.tvi'.44,-•• ' ' OFPr . t.,.....„.,,,,,,'.4,...,,,/.5....;;„ .9... 4,.:.•.?„..,...„ ...... . rs,'.4,-, :::+s-I.,,W,7:1.."-. -. ' . I..-. olect ' . • ,....• ,,.,.... • • ' ....,,,;"'`. <4."..: *" i' s' -.:.... . • - .x,. ,dife,..:. .,".i. tr ' '.-- . i:-, i..4•,..5.4, sv...,, ,.1i..w, . "... -...,;:...„..4...N.,.. ..: - --,,,,..., .....P .2... kl,... N., '.%9.'" •r‹, ...:,—':?..,. mileT.:,:,,:.....,:;.::-:,:: •'.:',.:',T,-..1:.:-..1:.4,4§2E...1:6'..vit,',W.,-::-.;.'..,..:7:47:•: LEAppl(76.atiorAcompfetii . it:4: ., . •-",,,...-„,,,,,,,s,....,,•...., . . . !,,.k,:.,,,:,4•.,•,i',t,b 4 Cl/ft' 411.,,,, -,,,PE.P..A. !,i.-: -,..t . •,:::.\--1, t.::v.^.wi.....-&,.5•-•ivo,yo,k, - fr.,...10 s • 4...,,,..sts.:.44..m....,,,,A.E :.• .,r‹..■410.11..::::'.',WriA' CVApplicationiinoompretk are:tF,.'....;:.::"..-.. - 1. PROJECT BACKGROUND A. NAME OF PROJECT/DEVELOPMENT: FORT DEN THREE EL, LOCATION OF PROJECT/DEVELOPMENT: STREET ADDRESS: ASSESSOR PARCEL NUMBER: 299490-0440 LEGAL DESCRIPTION: SEE ATTACHED Quarter NW Section: 24 Township: 23 Range: _ 4 , (This information may be found on your tax statement) 6860 FORT DENT Y, TUKWILA, WA 98188 C. CONTACT: (Primary contact regarding the application, and to whom all notices and reports shall be sent) NAME: REBECCA DAVIDSON/JOHN C. RADOVICH DEVELOPMENT OOMPANY ADDRESS: 2000 1 4TH AVENUE NE, SUITE B-103, BELLEVUE, WA 98005 PHONE: SIGNATURE FA.M.INTIVAred..d.4 ipt DATE: 2 BWNDARY L /NE REV/S/ON LYINTY SHORT PLAT 79 -7 -55 PARCEL 'B" 'FORT DENT III UNDEVELOPED PARCEL 1.01' 2 OF SHORT PLAT No. 79 -7 -55 ACCORDING . 'J'O SHORT PLAT SURVEY RECORDED UNDER KING COUNTY RECORDING NO. 7908210370. i NC'F''l' THE FOLLOWING PORTION OF SAID LOT 2; BEGINNING AT '1'111: MOST W1.5'I'ERLY CORNER OF LOT 1 OF SHORT PLAT NO. 79 -7 -55 ACCORDING '1'O SH0i;1 PLAT SURVEY RECORDED UNDER KING COUNTY RECORDING NO. 7008210370; THENCE NORTH 63 °35'99" EAST 237.32 FI:11 ']O THE Mn;'1' NC'1'`I'HE RLY CORNER OF SAID LOT 1; THENCE SO1'1 11 2(, C 21 ' 1 1 " 1..7\si 227.32 (1 1" 1 TO CORNER BETWEEN LOTS 1 AND 2; THENCE i:(+1:'i11 6Y:35'49" FAST ',1 oNG THE SOUTHEASTERLY LINE OF SAID 1,01' 2,252.25 F111; ; 'l'1IlN'CI• l:tl:'Tll 26°24'11" WEST 77.65 FEET ;, THF;NC'F N01'111 5( '' 1 `,' 1 1 " WEN 239.09 MA; THENCE NORTH 31°12'43" WEST 82.39 F LF "]' '1O AN 1 N'11'RSI.X"I'J0N v1'J11 '1HE NORTHWESTERLY LINE OF SAID LO']' 2; 7f111;N( :r S0U'1'll 58 097'17" 1.1 ;:'1 ALONG SAID NORTHWESTERLY L.1 NE 102.77 FEU; 'I H!'N'c'E sol''111 wEST ALONG SAID L1NF 63.16 MA; '.1111:'N('I: St)U'I'll 48°39'5P" 1.1;0'1 'ALONG SAID LINE 55.63 FEET; THENCE • SoUT)I 30` 2..1 ' 1 5" VEST A1.ON(: ?.11) 1.11:! 88.24 FEET; THI,NCF SOUTH 30c04'51." b:l.: '1 ('5.21 Fl:l "1 7'(� 711I Ho);,] WESTERLY CORNER or SAID 1.,O'J' 2; THIx( :F, SOU'J1! 37°36'40" LAST 20.92 F'EFT•TO THE POINT OF BEGINNING. D. PROPERTY OWNER DECLARATION The undersigned makes the following statements based upon personal knowledge: 1. I am the current owner of the property which is the subject of this application. 2. All statements contained in the application are true and correct to the best of my - knowledge. 3. The application is being submitted with my knowledge and consent. 4. I understand that conditions of approval, which the City and applicant have jointly agreed may not be completed prior to final approval of the construction (e.g., final building permit approval), will be incorporated into an agreement to be executed and recorded against the property prior to issuance of any construction permits. I declare under penalty of perjury under the laws of the State of Washington and the United States of America that the foregoing statement is true and correct. EXECUTED at BELLEvtE DEC IBER 19, 1996 , 199 (city), WASHINGTON (state), on (Signature) •j (Print name) j /t`_� C Gj Use additional sheets as needed for all property owner signatures. ADRVCKLT.DOC 7/3/96 z z re W '. 6 U 0, CO 0. rn W W J i- W O. LLa _: z 1= 0 z � o; 1-' W W _ 1- V O; W z CO F- H z E. CURRENT ZONING OF PROPERTY: REGIONAL COMMERCIAL MIXED —USE F. PRESENT USE OF PROPERTY: VACANT G. SHORELINE ENVIRONMENTAL DESIGNATION: UNKNOWN H. GENERAL DESCRIPTION OF SURROUNDING LAND USES: (Within 1,000 feet in all directions from the development site.) FORT DENT TWO OFFICE BUILDING IS LOCATED -TO THE SOUTH. FORT DENT ONE IS SOUTHWEST OF THE FORT DENT PARK ACCESS ROAD. STATE FARM OFFICE BUILDING IS ALSO TO THE SOUTH. HOMEWOOD SUITES HOTEL IS TO THE EAST. THE GREEN RIVER IS LOCA^ TO THE NORTH AND NORTHEAST. FORT DENT PARK IS•ALSO TO THE NORTH AND NORTHEAST. L TOTAL CONSTRUCTION COST & FAIR MARKET VALUE of the proposed development: (Include additional future phases of development contemplated but not included in current proposal.) $ 4 ,100 ,000 J. BRIEF NARRATIVE DESCRIBING PROPOSED IMPROVEMENTS: TO CONSTRUCT A TWO —STORY . 40,000 SQUARE FOOT OFFICE BUILDING WITH ASSOCIATED PARKING, UTILITIES AND LANDSCAPING. K. PORTION OF PROPOSED ACTIVITY ALREADY COMPLETED: (If any portion or phase of the proposed activity is already completed on subject site, indicate month and year of completion.) NONE L. PROPOSED STARTING DATE: MAY 1997 . ESTIMATED COMPLETION DATE OF CONSTRUCTION ACTIVITY: JANUARY 1998 • (If project will be constructed in stages, indicate dates:) M. TYPE AND EXTENT OF RECONSTRUCTION OF RIVERBANK (IF ANY) AND PROPOSED RIVERBANK VEGETATION: N/A NO NEW RIVER WORK IS PROPOSED. N. IF PROPOSED ACTIVITY TO CAUSE FLOODING OR DRAINING OF WETLANDS, INDICATE IMPACTED AREA (acres): N/A SSDPMT.DOC 7/3/96 3 ED z Z 6 U O' o W = J I—. • u_ WO Q LL =W Z� I. O Z I- �o O co — O I— W O li•Z'. - =, O z O. TYPE AND EXTENT OF PUBLIC ACCESS PROPOSED (if any): PROJECT WILL INCLUDE A SIDEWALK FROM THE PROPOSED BUILDING TO THE EXSISTING TRAIL. P. SETBACK OF PROPOSED PARKING/LOADING /STORAGE AREAS AND PROPOSED SCREENING: (setback measured from mean high watermark.) SETBACK VARIES BETWEEN 39 FEET AND 60 FEET; PROPOSED SCREENING WILL INCLUDE GRASS AND TREES PLANTED BETWEEN THE PARKING LOT AND THE TRAI: Q. HEIGHT AND SETBACK OF ALL PROPOSED BUILDINGS AND STRUCTURES: (height measured from average grade level to the highest point of the structure, or mid -point of pitched roof; setback measured from mean high water mark.) HEIGHT — 33 FEET; SETBACK — 110 FEET R. MEASURES PROPOSED TO PROTECT WILDLIFE AND FISH HABITAT IN AND ALONG RIVER: RIVERBANK WIDENING WAS COMPLETED FOR THIS PROJECT WITH THE DEVELOPMENT OF FORT DENT TWO. J • IL TQ BECQMPLEuEQ BY LQCALSI-IORE11NEQFFICEAL A. NATURE OF EXISTING SHORELINE: (Describe type of shoreline, such as stream, lake, marsh, flood plain, floodway, delta; type of beach, such as erosion. high bank, low bank or dike; type of material, such as sand, gravel, mud, clay, rock, riprap; and extent and type of bulkheading, if any.) B. RESIDENTIAL VIEWS OBSTRUCTED BY STRUCTURES OVER 35' IN HEIGHT: (In the event that any proposed buildings or structures exceed a height of 35' above average grade, indicate the approximate location of, and number of, residential units, existing and potential, that will have views of the shoreline obstructed by the proposed development.) C. CONDITIONAL USE OR VARIANCE REQUIRED: (If a conditional use is required, state in full that portion of the Master Program which provides that the proposed use may be a conditional use, or, if a variance is required, that portion from which the variance is being sought. SSDPMT.DOC 7/3/96 4 III_ QTHEITPERMITS REQUIREEt FOR THIS PROJECT' Indicate permits for which you have applied or will apply to the federal govemment, the State, City of Tukwila and other agencies; include permit application date, whether the permit is pending, approved or denied, and the permit number. • Tukwila Conditional Use Permit ❑ Tukwila Variance Permit ® Tukwila SEPA Environmental Checklist SEPA Lead Agency: SEPA decision date: ❑. Tukwila Design Review CI Tukwila Preliminary Plat Approval © Tukwila Flood Control Zone Permit (per Flood Ord. #1462) ® Tukwila Storm Drainage Permit (per Ord. 1755) © Tukwila Land Altering Permit (per Ord. 1591) ❑ Archaeological Excavation Permit (WA DCD /Office of Public Archaeology) • Section 106 Review (WA DCD /Office of Public Archaeology) ❑ Coastal Zone Management Certification (WA Dept. of Ecology) ❑ Hydraulic Project Approval (HPA) (WA Dept. of Fish & Wildlife) ❑ Approval to Allow Temporary Exceedance of Water Quality Standards (WA Dept. of Ecology) ❑ National Pollutant Discharge Elimination System (NPDES) Permit (WA Dept. of Ecology) (Nationwide Permit) (WA Dept. of Ecology) ❑ Aquatic Lease (WA Dept. of Natural Resources) ❑ Section 401 Water Quality Certification Nationwide Permit (WA Dept. of Ecology) ❑ Section 404 or Section 10 Permit (Army Corps of Engineers) PERMrn # APPLICATION DATE DATE APPROVED EPIC #23 -90 8/13/90 11/90 90 -12 -DR ❑ Other. SSDPMT.DOC 7/3/96 8/13/90 11/9/90 N u'' WO • 2 lL 12123/Q6 W 12/23/96 ? �; F- O TBD Z H; 2 j U� w W' H V. :w w 0 O Z 5 IV. INIPAC'ES< ON- SHORELINES POLICIES A. SHORELINE MASTER PROGRAM POLICIES APPUCABLE TO PROJECT: (List the Tukwila or King County Master Program sections, goals and/or policies, including page numbers, which apply.) TUKWILA SHORELINE MASTER PROGRAM POLICIES: A -2, A -3, A -4, A -5; B -1 -b, B -3; C -2; D -4; F -1, F -2, F -3, F -4, and F -8 .- KING COUNTY SHORELINE MASTER PROGRAM POLICIES: PUBLIC ACCESS - OBJECTIVES 1.1 3. aid 5; CONSERVATION ELEMENT - OBJECTIVES 3,4. and 5 B. COMPREHENSIVE PLAN POLICES APPUCABLE TO PROJECT: (List the Comprehensive Plan sections, goals and/or policies, including page numbers, which apply.) TUKWILA COMPREHENSIVE PLAN SHORELINE DESIGN POLICIES: A -1, A -2, A -4, A -5, A -6, A -7 A -12 V. SHORELINES DESIGN POLICIES All projects in the Shoreline Zone must be consistent with Tukwila's Comprehensive Plan and Shoreline Master Program policies (or King County's Shoreline Master Program if project located north of the 42nd Avenue bridge). In addition. ail structures requiring a building permit (except single family development of 4 or fewer Tots) located in the Shoreline Zone must undergo design review with the Tukwila Board of Architectural Review (BAR). The BAR'S decision is based on design guidelines contained in the Zoning Code (TMC 18.60.050) and the Tukwila Comprehensive Plan (see DESIGN REVIEW APPLICATION). The SHORELINE MASTER PROGRAM POLICIES and Comprehensive Plan's SHORELINE DESIGN POLICIES are summarized below. Note that more than one category may apply. In some cases, the goal for the use or area is noted to provide context for the design policies. NOTE: a) If your proiect requires a building permit you must meet additional criteria in DESIGN REVIEW APPLICATION. b) If your project requires a variance, you must meet additional criteria in VARIANCE PERMIT APPLICATION. c) If your project requires a conditional use permit, you must meet additional criteria in CCNDI77ONAL USE PERMIT APPLICATION. TUKWILA SHORELINE MASTER PROGRAM POLICIES (King County shoreline policies follow) A. ECONOMIC DEVELOPMENT ELEMENT 1. Commercial/industrial development along the shorelines should not favor outside interests at the expense of the local population. 2. Locate commercial/development in areas with low potential for recreation or other public uses. 3. ?reference should be given to commercial industrial development that will provide an opportunity for a substantial number of people to enjoy the shoreline. SSDPMT.DOC 7/3/96 6 z F -Z CL w aa2` J U. 0 w0 W J 1- w 0 <. w d = F- w Z� I- O Z I- 2 U� O S o E- iw E-� O wz • (I). O z CITY OF ---"KWILA Permit Center . • 0300 .Soutticenter Boulevard, Suite 100 , -0. • Tukw,Ia, WA 98188 • . .(206) 431-3670 i 7. • • !• A !,'S!■ A:•Yi';.441 .t.":24.7nAZ'e.:i' I. t.' t . i; •••• I' • • 7.; • .l 7tl TAFF USE:ONLYLL Miscellaneous 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 facsimila. . . . . . iP.roject,Name/Tenant.i.142.;;;',...,,i.••••';: '„y.:.!,': ,-.•:; , . , .;. . , ;:i ..,... •:,••il.,•,• •• . 'Fott:i'Dent;Ir Office ' Building; • - •. :.,. .. • i,, . 7 ,t7.;.! 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RAISK110611arANteMaialitfigatiaii1SiiiiiitiVAIWaligiiiiitiiiik31WiliiriaidirliOralierailiiMaTAVO • . . . :SOP.cri.1491,',0I•WPfiCt9 49:09.n.e::.;:'-'•?:',',... .!••••;.•.‘•;/•;••.:•;•,-.', :•;:' :;••4•.i, .:"...; ".i,!i :;..,14.. . s...-:•, • •.... .......,;;-.. . :; : _,. ..„ . i.,:.: .4. _... ,. : . ... :.:- ;ConstructioniTofigrasd;qtried4.ess;rales,' ,q.conveyancdpipes'f.'and''.catc1Pbasinv-"to.,s' ervice" new , bldg. T,:;.:!?„,,,,„.,.;.,,„,,,, ,,.,„,.e.,..„.., ,,,,. ,,,,..1.,„. ., .• ,,;::1;,.....1., • :•!.!....*:. "Ili•Y;.;• 1'. • !: • V:,2,...r;;.•,,: 17""..1.A' Mt': • "'.7 ":"../e.r:•=cii.14: ?•47':'. 'Will lherete'storage'of flajningbleicombustible hazardous material in the building? ‘..v. - ,,i.n:':.•,...i , yes :,.. ,* ixa•-,_ no z.... •,.,,- t.- .,f'‘,.‘.' Attach list 'of materialeand storagdlocation'on separate 8 ld X 1 fpaper Indicating quantitles•'&' Material Safety Data Sheets "* • Ck Above • Ground Tanks '• ,,• --‘4, +.4b-cm...i.::- ..5e *MI' ' 4`. ' .. iL_•::Demolitio xr:•-,,,,-; ‘- imi ii....vio.,41,1-9;4 x4, . ...1UU Parking Lots ,*. .t. L •*t sc..". 1 , Facilities !t4J:Tree Antennas/Satellite Dishes ';: 0 : Bulkhead/Docks 4..: , 0 Commercial Rero.. °CI ..t•',..!: .."' ,:i: ' i • • ., - • i 0..,,,,,p4ir • qa•-v, iii,,,.;,. ,..i • .' ,. ,-.• " .. - 0 z t .1•1,-.4z)i....... 1.•....11 ,..7::. ,:.;...11-', :•;,'.. ; . t--• - I. . - 4-7,•,.9, , ,•-•.•..•••••• t...; '•11.':-...n•;••.......1'.4.-: . , • •-., •• - .. •• ... . . . -. .. .••• . • • , •Fence..i/f,'.',...5tit. •-e •!,,,,:.$17:!::- Mechanical .. : .[ ''''.' .r Manufactured Housing-Replacement only i‘•11410.1.,s4;/•,'Pe ••.1•!".!,$. V.•"'t . •.;;• ...:,'. : ,.m.•;...isilt . 4 ; • '';;V:,..Z‘i' ) g,F, .,-.. ,:Ai. .• ' ii, .i.,. ' r : ' . ....1....4%1C•t: :.': ■•••15'.:11s4; '. '; . . e....• .. : •• . I;, : . ' • '1. •- ;; ,' ' ...: .. R i4t tl• '-i'n 11- ..-.W-'44‘a 7,l7ils )%.T';t..emp•, oi.prar. y •. 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Flood Control Zone-*;•••;• • Land Altering:.: Cutsubidyards 0 Till.cubic yards 0 ••• . sq. ft.grading/clearing • , Sanitary Side Sewer #: • • • • .1 •• • Sewer Main Extension -, 0 Private 0 Public ....:.dtieettiiei.!;;:i. 0 Water Exiiitision:I':;•:' Priv' 'w • , . ••• • • •i.Water.Meter./,Exerripf#'''':'"••?(''4‘•;.••••!'v•!i1Size(s):' .1 • .••••'•-•'''••••'",;.• r•;',, • ...Water Onlya•.....v.:: • • . . •••,••• gat, • ...%•••' • . •I•••.,...: • A •• -; „..,4 • ' ; Esf.liquark. tity: • •: ' i• .il,SCh9d(11,0:1*" • ; . • . . •0!MISCell'ani"eOU Moving Oversized Load/Hauling • -• • • -Water, Meter,/Permenent, # .;.•-• • • -••.Size(s) ..• •••• • • • :••;.;•.:,,,,);. .c , • Mater Mater • ' • • " ••••size s IL ft- .1.1 4.4.400i4,... ... ... • timairtg. lostrategiggiv6srogA0-4.4:tvf4A- Iv.A.4.V - 31r,,10.0. OW' . • ao4r-v0000... . H 4...OW.- 0,.1.1' . . • 4'. 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PeWeY, .i'...:;:2,r.%.,, . ;1,-,: . . ... 1:11'; . .. .MOtr(.:,;:,;:: .,,..' .' c...„;„ ,,..• ',11..,: :',', .., Standby .....;:... . 7 '!:... . • • • .: 44 4'4 414/ATE'lligtErtIODSIOSifigESLIMISIIIIIIIWOMWM*414.44100.0114M;40017....7911•41%.7640MMKgkr:t4V, --' hone: , •-■ • '.City/Stategip.'-ii:4'.: -•••• vi■••• 1.• !1;', •., . • . - i.• .7 , •.:. ; t X. ••■•, • '4t • • •• •:•!. • '''' -1 • • • •-. . • t•-• f•-•••• • .!4.4,7fv;; • . .Nlau? construction. amount should be enterecl by tnikapplicant..; This figure.will be *.?4.1 rviewedand iSeubject to:POSsibieleVisian,bt the Pennit Center toComply'with current fee'sChedulei:41". .• • /I; trr ...•••• 1, OA 0.4 J\ • I. } ;4'4 Exptroon.„.opigrA peyieyy,.,..00940ons_Tor,,Wiiicn.ne.,PArr,n, is' is0404001!) 1,30..glays...followingpe.date.pf,applicatiOn.shall the time foraction, by the applicant for a period, not exceeding 180 days - • • • • . ,poriw.ritteni9qUesttiythe;appticantas..doinedinSpctiori:io7.4.0.the Uniform. Building Code (current edition); No,application • shaII be eitended more "; - • . • ,; • ;72 • ."4 • •• ". .1 .• 1" • " • • I • • " D0C 7/1 ••••41, •;ttl?,..411.ii'MISCPMT.-;'.1 • 4 ; • ,t j ! 4. • • . .• ,s1 lief;•':;! • •••,r., 7 .• • Application taken by: (Initials) 0. • • • •• ;•,' • ' • • , CITY OF '‘CWILA Permit Center • cellaneous 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. . . Rroject.Name/Tenant.t!:11.;;;;;;:i", ;•?•••;,,..,!.: ',':.•:..).': • „ . , . • IM5-i-..t.,'Ilient:=-III' Office ' Building: .. . .. .,,,. • ,.. . T. ;f, ,..: . • . , . ' Value of Construction: ' , • .$4.1 ;million7-• i ,' . , .;sitetAddress:a14.4.:4'..1.1::••-.4.:.;,.;.. • )::- ..,z,.i-':::.1,•%-,........, , •.. •,. -• 4 . ' • ...:, •.:!.'. !,.ir,:.•• CitY,IS4ge/Zip: ;.!. 4k$601`1,Fort7.1.)e.ntiWAy,Tukw.i14,1.'16.% `; 98188,- ,, .,,i:.; ...; ,.......:icwi'lri:,'.;.:., . Tax PargellNu rez...: '''.%.**-::! ' ," • ' ' .'''''''::' . : 1,29.4.90, 4 v -,. ;;.:;::,.7.:k., • i --, • t 1‘:•• •••!,; 1:0'01.i,TViC:':!,fRo.dpvich5iPevelopmen .'.p . •;;;.4! . : ...,. .y, ‘o:,• 4..-- ..., ... . , „ • ti crp y;: .. .::1 • ; Phore:' :,•- • -- • ;:: • ,. . . . ..-:.,,( 206)44541,6060,. ;17,.. :, -. • : ;;.. -1 ',.. City State/Zip: •. 12.000.124th'averxuelNE,6::.43.4.103';:-,7Belleilue",-. : ,:;i....7- Fax #: i;;.f,'A ,,k•••....-‘,. : ,.- ...,, ••••.-.•:.i.E.'.(206').•'':•453=9740:-...1/...,.. , ::.Co.nt4c1Reisoli.;61:-Sili.04'.1:;7•?; !,-i;e:!;',„.1:.'',.. , • '.';;; ,; 1 '.ii::.:::••:: :ii; " ': - IFt.becca'.1Davidson17.r;,t'...nt:IY,4' .: ' .',:;‘, ..! ,:. • .: ::,,,, ! .... .. , :.Phone.i',.:10.,,:i . ,,,,:.,., .!', c.:.- • *:7 ! * *'..... .. . ., :-,-,:;.(206)-.?454-6060,....c.':- :: • .:. Street,,Address:•Rai:;:iikii.i''-c•...;,;,s6iqi,',,,1-••• :-.;...: I ,..4,..i , „ ir,...,:i, City State/Zip: ,• .• .1?2000z.:424tWIAvenue,ThIE;s.,'.13-1•03*,rtellevudi'i, !'•■•.:980 °St.:: ,,','...:•• .*.•':•,::;, Fax #: l•••:''••••• •••,....,. '.■i-'-rt .•;•.','..1;' ; ' !::'." ' • •' . •••-'..-( 206 )4453:L9740.-f' r.,'i ;;'::' 1 ; 1.:..).:.; .!tc.OnVE140.17,..fittOlit?,44111447.6".:V...:;?,4ir1 i.;;) ,;14c*,.,......i.i. l'Ii,,..,'., ..:;- i': ; .... .4..;:•,...,?,•nii,i!',.::•.::::•.s.-',.. .4.:.:.. -„' -', •FrOushed:044V1-7.:•:':V410.4...:,';•:'4•';A.&"!;'•:Ti'...11','5'; i!41 ':',"•':"..: li...z'•ii!::::;.• 4-• : :1.!!11: :. ••••';'::,;•,: ..Phone:::'.44,-..'•'1;i'''..i...o.i..•• v•....,• ,,,,.....it•7!._ 1:•.'• ',". ; ..,..• I :.i:',7).:•:.( 206 )%7.46.1 00 0 ,;.---,: •:!, ••,1::!•', ..i,...,..:;:.:.: . IStreetF,AddressIt.71.4;;;•ii.1.1-,p::'AM..;.1.1:1;'::::i '.I. ,,::..:....j.:-....,;!'' City State/Zip ::-;.:; ?3260Alik.litA•vertueSE;I:tiSuiteA•000',' :;•Bellevue';'2.161At4:98009', ,"?..;-:.;-:,.! !Fax #:•••,".:? -!:''•• ;:: .. ••• ' i-1: ---; • ':.••'' i:::' i : L .. ni•- !;-,:-..:' (.206 •... .1:7'"...IV'''' lArct0t4P.t:;.!...VOC.i"..tii:'.'‘.4...?,!.....:5'.V .• ''si,; '''''''a .".:.; :'....• .•!•''1,rfl! - • i ii *;':k..ef:'' ($1,"!: *?.'. *'■ . '",":;* • 4 „. . .:**• . Fiii p . '' ... . •.•*.. e .:.P:.-.1..h...so... (n2e06.11.,:-..,,- 8 21.:;..-.-." • 3. 3•'-8'. 3f; , .1'.•4,•4.•;1i1, - ,.•.......:...4::.,. .4. ,.., . '.':, . -.,•• . -,1., . • .; .,. ' S,treet%ddreissi;i1:1;:ik.:;ar4if:,iNX.1,4;;,....i.2ir4.1'.::q;::::..;!':.''.../•••"4: f.:::i..1.-i;-.1.•,..',..::•• •City State/Zip ::; ..:: •1■1;22.72.e1114.th`c,Cciurbf.:NEAStiite: 203';'.':RecIniond ;: igniAlt.S9 8 052 v'ii 'a-: :7 grr.-.7/ !fax#:(4).7e4.;:$41....;it:12...i.t.i,:g;•-.:•;.!, • ''• .,. ; ••';;.. (206V 821:43213!..,!....1 4;,-Ii 1'-,--A lEn ineer'i**MM64.14;ilii.F.1•4:f.::;;:;;:,;',::.;:•;47!:s•-1...:;',,•:.';:;.,:;;;.f.;. )-..:.iz ::•!,.::.:. •!ki.,,i .ipii.:::q3-.,: - '":'' :Ur ;VesigrffEan0':.4jA•Vt:,:.1.inarti,'Itt.;:7t,:',■•,:.14.,,!!:;i, il:.•,,,.::11!IjrZ,=.:*ZiAt 'NO *itN4.. c " Phone: ',Y:.;:;:: .,';',‘ ..‘1,!•••,•?;:' ••••:', !:;1,''..'7.,-......F..',... i'•-; •"' !:. 0.5;?.( 20 6.):::i..8224.488 :','4;•.•;i:=:Ii;..'•-• 17 .....,:,-;,.. -.I' Street Address ;;Mitzg:)1ig..'il:.:V;:-.:;41/444.ti:ii'::i..":';•4 l'i...r.•;:- Ill.- ...i.:,!..i::,.1:.:,,,,:•••,1'•,::'.:.... City State/Zip: ••::. • "0733-1,7thlastanueirOSuite',i;24.2•21CirltlAinci•i,•::WA42. 98033kli)A•qg:S41 :.Fax #::1''',..,,...,:'.4 • -;i: •.A.;:,',...- - ••••• ..:-,;•,...! 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"'i'.1.3'1!!'-''...41 7; 7Willithere.be'storage..qtlainrpoOletcombustible hazardous material in.the bullding?4,•,.:/f.,•6!.:.,•-.4 ,, yes .::- •,;,-:: 10;.noi: ,4•-:... ;,.,-..-.,,, is /Affachistbf materials'and storagdlocation'on separate 8 1/2X 1 l'paper Indicating quantitles'&' Material Safety Data Sheets. • • , ic •Isboye:GroundT. :• A term atellite Dishes :: . Bulkhead/Doc . Commercial •Reroofy. •:••-•:.,,,:„ ,..... . . , ...„ .. .0,...........„,744.m.„„4,,,,040.iiv,..,, ,r.,., e !J. ,...,,pop.-4. i.c..41. 11.4.191,j,;,,,,,it .,.:.,.,,:y .v.,:....;, t. •Ti..,V • C.,ir: :.- ••••,...:•., ••. Ou : - ••,,,,t : •e'lLf-aqii ;I; . .,..... re,1;00.;;;;O''t!..!.,I. :. r.;&-■ ' . -1 • '; , pernOlitiOnfort ,'Fence...i1P,,.:,;4,01.: • ,...:,...1/:...:•.- Mechanical '-' •:•:-...••F'•.r; :Manufactured Housing...Replacement only it-wkiiwv,,Ii.k.k 'i;itimoti.,1,4,,,,,, .1$ , . 2 .•i1A-0tillr. ,•...."...**4:;..k.e,Y) 0. --i....'. iV re • '' !.. ' ... '• :4. 1 •IC44 !:,,.. t ec,e.,:.!. •;. : !...., ...• '.. iParking Lots :::11'4; 6 ' Retaining Walls .:,..,:1.4, Temporary Pedestrian Protection/Exit Systems ,...,:,:;-.1.;.:•;1. j.-:' .f,••:-...'.;::. io-x•.04.47:1Itri.:17.t.... . . ert:11.4,-.1,111$:....,?1-.;.,•.F...7•17::.•.t .,' ;I:, 7.7.,iir.'-',,...,4. ..7.;,"i;.., ;.r: c'.. ;ff ..; ;, . • ....„,, • , Cutting.:.. J:.: * '"" *'' *'." ' '-'.' i• :"):1..Zs' 0' ".... ?YR • t'..! .Temporary.FacilitiesIt:LSTree *:•,1,•-•- ........ .•••,,•:.:•;,,,,ii,b1-:"..w.,=-4: l'' :. . 11,0450,04409.04441,MBIC'ANTARECtU ESTAEORINIIS:CEEtfANBOIUSI PiltitICIWO:FtKSIFIERMITSKOMPWWW*VVA I , hannei. LJ flood Control Zone's Storm.Dralneste •;'• . Water Meter,/fermanent # • 47, '4%41 `. ••• ;Water Meter Temp:#• • . . •••;i • JMscellaneous" • CiirbcOt/AOCeSe/Sidewalk'' Fireieop/Hydran t (main to • • • •., • . , ., • • • Land Alteririg::.V :-CuL„..;,;•Lcubic yards 0 •••Filicubic yards .0 ...sq...ftgrading/clearing S.anitary,Side Sewer #: " • 0 Sewer Main Extension • 0 Private.. Public Street Use 0 Water Main Extenaion 0 Private:. 0 • ••• 1•1‘;',r; ••••' 10 • • • • • • • • • : • ••••* • • • 41.• ••.! • i••• • • • f.•;•.."s( 2 s); 7-77 ;; • .! ' Est 'quantity: ' ' ' ' 0 Moving Oversized Load/Hauling - •• . 410'Srift.4111V.ASEtaif,CEIBlrtiNdSETORROttroff. . ,.40(. 0.4..,Agg. 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'-'.1 ."..: •11 ., Ii;l.iii•t:CA.:%!..'i;...1 P,IIYIPtgqi-AP:. ; i',.;ij; .. s•' e ' • ''. ; ::•••'''' ... •••••••' • i '.0..7i.,,re':',..-4.'',..,%;!,";.:4••.:-;:ii;:AS '',,,,'""'•,;:' ' '• :,..;•:ty:I..ii:.:,4;:;,:.•,...;:,•• .., . . . .. .::%.11.!'S.,::■,'ACi;S:41..1;;;;z4:.: ,..........!.!gker.::::1E'...:1;,.;..;;;;C.,,';;;;.,:..„ Power. 1; ,..A..,.,";:.i.•;., -,....!,• ,:f.111O..MestrO.:.-- •' ' 10 0 standb .•• '''...... . • tiWATEINgfillagibt70.811MEMONDYSIllitiONIMArt•VMWMPIWMOCTi'417. neggagin3/4two.'AlmomogoottoLtm • •I: '• cor: !.; • parrle: AVer41.,,. . ‘4.•••••,V1,40 l., • J < • .3,...^`,4A• ••••PA•L. • • V.)034' • ••/••e,.. e, 4.■ • I ; •••■•••::t:I... • ..Z.4; . , ; „ . • . •• I':••• I 7i. •-•44"4, eArifiress•irOYSI, . , ; • r, , -City/State/Zip:.41:x-v • .!! Az, • Is.t.:!•11. * .• ! 1,, •• •• • •:! ••• ..! '4" t • %IP, 1.0 " • 1 • ':•1 t''''2 ,!•41.4',.i..!.'°1W11:.ti!:1: ..... --1 • :,!' ^".17:1'• 11!;.•--- • ••; V-• eel :!••••• yquico,f;conqtKuctopi,•trk:g9i40,6es,,a:yalue.of construction. amount should be entered by glikapplicant.:This figure will be • .'" ..,,Tre■iiiiwetrandli'subject to Poesible;reVisiOn ,by. the Permit Center to,cOmOly With current fee eChedule.S."!•;...)i'•_,':•,,'• • ! co.;, 2.0 toy 1,0A WI •)!!...2.!1; . t .10.'. • t•,e, ,,f•\• • 0.•,•!'''' • " ) ,4•4 ExplyatIon. of Plan Revlexv,r Applicaqons_for,.Whicb.no. permit IS 1.504130;YOID.180..,daye.following;the date of application ,shall • „. , . xf:''';','"'llpii.43xpire.bytimitati.o.naThe:bolldingofficial may extend thetime for action by the . applicant for a period, not exceeding 180 days' ';upon.writtenieqiiest...bythe:applicant:as-definedinSection'io7.4.0..toi Uniform Building Code (current edition).' No .application . • 'shall be extended more . , • 11.0;:n.,1•.••• irl.hisqr 41. • • .3 • • . „ • .1, .:•:• •• 2. • • • :1 .ti • • Date aPP/I94 OP? CC91) n .11 " I I 4I J to. Application taken by: (initials) • *:, • z 11- z cc 6 - J 00 cn to at 111 - J w 2 g u.. ° w z 0 Z WW O (0 O - GI I- w 0 17- Z W co 1= 11 0 N•T•I''':if;0,1;411''.;411:;;:rit'gli‘.::•:. • >Tkuir ;.„EfroJectiNUmberAilk, .•/^i .)4f1 i1. tPWii1 A ,;Aii Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the man or facsimile. . • ,Project,N ame/Tena nt: t141: ',.;:::'' • .:•• "- • :, ',....-1) - ' • • • • •• • . .:1 .• '''. ‘, • 'IL. ... • . 'FoitaDent,=-III'Office "Biiilding; • ;. :. ,, ., i„ , 7 ,. • •Ai; • ., . ',i'SitetAddress:;a41:44::!'-'4'.1-.:1•;.,•:!,• Value of Construction: . • .$4 •4 ; rru.Llion;-: i ".• ... . . . • P.;n:,;;Ir•;;;.•,,,,......,, ..: ,• ., . •• •• . ii; •.::::!.! 1, , citsiL,sreizip:.;.:: 4036.0d,Fortgbp.nt•IWAY;,;.:.T.ukwilar, i .11A ! .98188 i.-:...-. 2.,1 : ..-, ..: • ...i.C4c44 .!:',1!•!;'......;-:.•, Ta)c_Parcilligu,nt,er:;.:, •;.!:,•!;-.:7! •.;;/: • : • ..: -,,Z9549u-uaiqu,,,, •• • • ,. t:•••-•-;,:.■ • • .•••:'"-•.*: i •.... . .i:!IlipOrty•Owne.c.t.44.)g:G..,'.,.1;;:A...:'''..f;',%";,1.1?,:r•'',:. :* • ....!.:•;',.;:•!;',.4:..,,!!,,,; ..,%; ;67 i. •,-iiir• fit ..rz. ..! tJi:alre.iC ;;:liaa.domic-IV Development ',Corp ...,;:,.-..:.:•; : • i',"f',"•:: '1;•'':;: ' :::::.1, . , 2.'•••• .'• ,Phone:'' - •.:';' .'• •'••• "!:' • , • ' ... ;,,,, :.•;',. : • '..7:•,,(206.)4484:1,6,060,.. ;-,:••.,...!;:;. .. • '- . •- : ; .. . iStreet'Address;gi.XFAV::.;•;;",•!•;::::"*F.ii:N...:':':';',.,1'.:::: -'.6.....:.! .•:1;• • .,:i.'• • .1 ',:•• City State/Zip: .. 1-.20.00.)4124thavenuelNE;',..434.1•03•;'.;•Bellevue7,;•WAi41;198005',1,',..4', :• •!..;;;i,z-:,,..:;z: .Fax #: i'4.:•.1•A -,Ii•,•*•..'i:0! . -: ," --',.! .:::,. •:. • :•:.•...1206V..• 453974 0 :-...'.1.7.'.; 1;'' '• r-,...-. :- . 1:-.• '• •••ContactI.R.ersorriik-SiRIVP'•:';:- 0•!.."..,6;!'"•.'•••P'••':::,,I• "•'• •!-'•:: • ' 4' ,.' 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' • .4::.-.. ,-,...;.,..... •„..:,:„ . ,...: i . . vow,' ubnee-,.....-;,..4:•••.;:::,:....,,i,.4:4,,Q1.4i.,--e,.7•:!;-,1 Ii7,,.;;;;,.:: ,.!•• ..,'..• 1: •4:•.'.4- Phone401,-;.'ic:11•;it.'•• ,'''' -?".-14. l'. : • :' .1 ••1!;44 206 )7:7746:•1 000,::•!. -,,,•: •••.....:•,,:.• •• A 'Street!Addres.5:•'llc-;;;:',:a..;,',.*:is:•:::•;:1:.:(;'4'i'•:,;1•I'V:•;1•-!:::;;. '•'..? •",:••:Ii.:-..- ....,,j-,-.. ',:.': City State/Zip:: • ' , , . , :73260V41:1.8timAyenue7t•SE;IASuite-A•000';:;.Bellevue'044Ale4;98009, =4;-;r•v!' • ; Fax #: ..-'••••' ..':•••• ,.:: .• ,,. • ::' ! r.; • .::.-• • .i:::. '1.. L, . • •i• !?,-'!...7!4 (.206 )c-:47.46237377-;.'1.-,:. •1:7•-:.i.•-•,• :!...‘...•-•1 Arcilitect:.;4;•;;;g4,;?::!it.:.!••::,T;':1:!:• - " • • ''... .•::.•'i,i'21.ft,••;;: . •-: , ':•••• '' :::F.gria.t.i.t.-Desigriz:-Grouri,:'ii:)e?(...*; . .s.V1.4-:., .".!''• :. ' :;.. ,' • "FT(' ..1. ' 7......"::7.-■ lq::' .: l'Phor3:•-•'' ''.;'2* ' -..:.:'••-'"•.. ', •''.4 .:.:.:.:ii. :".:.;821‘;33837-•.•:.::44:7:1:,A° •••'-;. ..7,Street!'Address:?..iiii:...I':;:ii•iXik:iii,..••'!4.'••t'•,:;-;:ii-:,;:••..,,:"....!;:. ••••••11*!i; i...•;•;',.,' 'City State/Zip :1; .!;: , :;i1;22.72..4.-4134.tki.FC.OurtNEASuit'e7; 203•;-..-•:Ftediriond;;WAltg98052Vit';;.:1;...7 !far #:•1',.141;i44).;,;41:,kJr.);:•1;•-•.., :•:,::II;;,. i...., ..,...‘--;!. ..'-;: .206.P 821:4321 3."....,.. . , 4---'.:.••?1,...-•:-..,•-•i Englneer'•'•*Ac!t.4.(4*.F;i:,t,,-:•:::•;;;;/•,,:•••41•;‘,.:':;tril.,:',.gi - ., • ' 4. • ;1;.I.,••,--;. 1, .. ; t ,:.,.. - • ....air • :Ur ,W0De,...signj;25-.;Inc::„`;,P•V;J:IiffriMA:':_int:-..,• •,:.:1,r ••••6.1.., ,'':.;-'411i!4.' :7,;:4; •••::11,t..,,,...2;i4-,,,,...„ '. .Phonef:.!.1...'/: •••;s:,',1-: • ••••:i:-!-.1?....4:.t.. • ;,;...;;;;-.(206.):!3:. 8224488647 :3';',;,:::.:0;i.....i7"...,;........; Street Address T,,:;•..j-i•!: '-.I...'•4;:i;':;;;0,,,i•••••;,:'•,•....City State/Zip: ......:•-• "07332,r"ttkerklenueli#Siiites'.12121Ciiklinct;:44.77i-l.t i'ri ., .l :.;fax #::r:,!.•••J"'„ii• •:,: '"ii,.;:,',. ' ;,.: ,w4:-.:;:i.; 1 • .^.....m (2062822:4870), .i.';•;.!''.'•,i., ,-.• 42.7, •:„...•••••-; 'XileMiwilltieellitilklabTrilletlEakikagig4lk,iiiiiriiiiiifearikiiiiii5ferdijaVgiiiriefdliiiiiNkiifirieka*WAVO, Description of wp,rIc to lae•done::::':i:;,;.;:r.:•••••,'-.S..,•;1.i. • - teonstruction'irofigrase-Iiried;sW•ales';42-conveyance-,pipes!•and',; catch'4basini•to .';service- new ,bldg -4ivic,a,•44-3.„....;;;;;:;41.;.-4.,;,.,v.1,m.,•.Q!!•...4,•'::,r .((e4"',. ; ::n :J:e A . 31. i..4'...1Vr•V . jj 1.■.;. .*"1.1.1,' `:;:l.'"... : '1:;!:!',"....:it.. ..',!.....1"..-4.: (3.;:" ".., ,.:•,,,Z+.!!!"-k• #47;../. Mill,ilierete'storage;offiainrrigletcombustible hazardous material in the builcling?..:-.,:i*,7'3.!...s....-i ,, yes,::,- 'L4 -,no i. ,4?:',.•• pa- t.„. k '6'',, : Attach list of materlalsand store • e location'on se •arate 8 1/2 X 11', a • er Indicatin • • uantitlesA.Material Safe Data Sheets • Above Ground T ; , tennas/Satellite Dishes i: 'Bulkhead/Doc ComMeicial•Reraof : a,. ':•!: '.:'•'.'•',.;,',•„,:: , • p...:. .. •• qW/kki.'FoAfti%?t, 141' 1. t.6ITS:riii:.611 il..i,,•11N''4,1,■,:i!,., ,..j.,' .P.:-:.;' ! '0..,1.' . r..II. : •.....,., .. . ,:::(,... - . , i,1 4 .,t'IL.,5;i..::,; r.i, •:. , re,,;,:$ if. ,;:s:...,...!..1. : :',I,,' i • , , -; .:Demolitio ,-....t,-:. - • • LJ Fence.1.,!...:+1, ' • ' .:.11!••::•': Mechanical ••: ...,..-•• ' "•::7„ ' Manufactured ,Housing7Replacement only 5 ifr• ■lr,i'■':141:010 IV i .ibltivitly4;/,,q;lg..1,!:!iii ,. 2 ; , 1"•, • 't),),,',.ii I, , *.ty :. ,. l g 9 :Temporary Pedestrian Protection/Exit S:' y •••sje1.1ms i''-rita. , -,• .i.,......,[. t Irmi, ,4!. ishsii-tr.....!...44,1,,IvAi••,. „. .. 7.,... • :. ',• . ..•'.'. , ‘ ■I•.: Lpiji;ii.""1.4';','".e..•••"?.f40 11711.:1.11,•,.': : ■ . 4 . !...'•,-""...,1;77:'"•ritl k• . • ...„ • i .,•••. 4 . :, , 7.-g.i. "•I‘;. :ri k.i;::...,:,:..'.. ; • 1:7•161;,,'..'i i ,1,,1,.,... :,,..• Facilities ; c; Tree Cutting '.t:I......,-.0.1: 't- • ....:,.,. .r. ,Temporary. hi . , ..r . i. •• ! -• "; • ;77.'•f7..:,:;•-.'411P,:a1CXNilitFIECIU.ES,T4FORillillSOELIftiNtslUBIP.U.BeICIWORKS'IllEli'MIT.-4:, •Channelization/Striping”,, .Flood Control Zone f•t,..*•':" •413,k?' ;Landscape :Irrigation 'Storm Dger • Curb'cut/s■ccess/Sidewalic ;' 0 Fire Loop/Hydrant (main to vault)#: • LeYidiAlterrig...:::2 C %HILL, Cubic yards. ft.grading/clearing SanitaSide Sewer #: . ' 0 Sewer Main Extension 0 Private 0 Public D Street . , „ Use 71 Water Main Extension. Private:!: 0 u .: • -.1 0 •.• bli c :•.•■• •: • ;::.•::,„•• • , a, . ! • waCer Keter/Expmpir size* i :Deduct .0 ilato:ron s • ::•!: . Water MeterlPermanent #•"••'• "•" • •,Size(s)- - ..• • ••• •••••,4 • •,••• • - •:•••- • , .-',•••• • ri-;.! •!:- • ',4*:;;;1!-•••.;!•••j: , 1;f:: . •,- • • ■, , . . . ;•f • • %,'•' • ••• *•:!:* .Water,MeterTemp.#"''. • _"' ' Est.uarktity: • ' *." gal Schedule'; •'' 1:;&•1;."' "'"N••••":, • ;,•4: • (■1 • . ilaneous • • ••; 1_ 1 Moving Oversized Load/Hauling • • ••••• :.•••••••:•. „' • • -; 7 :! ilMciiMsAstadOEtifilitiNdstrollelrihvOiro.• • ' Agst."iv-3)tiv• ftow-Wi044Yigigf44. ' 414.. 'OPA.-010410003W- • . , ;'xgk4tfg:('45mw;4 4„ 1...,,:.:,."',..T,i;,!"..::‘-1.1:1,11;,-,-,:'.•..!,-;:iy...,:::.'r„13,1!:.. : Aro;•:49;:,,wAstt ger,t,....e4.4.-,N...4149•&.::„•,,..,,..:,„ • 11.; ..........4......, :,„ ... , . .. ,. • _ .. . . 7..,' pi-Ion e.,..,9,,,qS.,',•'..',u,• 1..*.i....::•.:•;:-..;ik if..., .. '••:.,...• •.:".%,•;;.7.,:i!:;::t•-% ..41-0,••••!-‘• ,..; :11...,..i..,:,-.4,... ,f•Address:;40?0,i;,,,Wk,:tp,',;;E:,y;f:i„'4,1i.,T-,--'„;1..,,,-,..;..ali':•;,•,:iii..:;,:;• ri•,.•:.i. •,,;", '. ::,"..: ...4::•1.1•:;.•,-....:1•.ii w; , • !!, ;11i.,,t;:•:.(,:,..1.,-;,,,,,!,4.;*,...„-...ioi,4;•itc,,I;ii.n.irj,,,,;•;•.:,;.!..:f....,,t.,.....:,!!i..,:::v...,,,....1.....,.• .,,t; . •:: • L ••• :•.,,v, ,... • ....• ,H,:, . ..• . .City/,State,../Zip; ',.1•1:•?,;.,.;.•,.',.....,:,i:,..p.•;;•;;11,...,,•p• ,.........!:.ti.„:,. :.........,•;.,i, ... .........., .,..... A .. ...,..., ... .... .. • ,....... ...... ... .. ..... ......... !. - . . • s'n",,,, ::::.4!","74e,..".:;!..40...,..•4:„..,. "• 4 01•07':: 'i••i.:,:i:i.y},•,:,■•■•;.41 ',...4.4...:::. ,: ,,. .;.,..:: .;,., • ' 1 :: • •• ' • ''..-Iik.S.:..;.P'4,1:P4`..t442:•'.......-Vigter......; ff'...:1444,1:■:'...1. . -. r..,...:.. . i PoWe.r...1'...!::„!'1:1'.., ...,. ' '1 • Metro .: ••••'•:: •-?......";•,: :•••11;;;.;.• S• tan- ci:bY --4:•:.-.• -;i- ' ••••;. • . ' •Fre. rsits:0 ''' ' V'-•""E' :?1,;;.!*,-.--- • •. • ' • Wii■OfICOnStrUCtlalV.111•41/ citsis•-:t value of construction amount should be entered by the applicant.,:TbiS figure will be ' 4J4 J1.4M •• .• ,,..• • • - • • r viewed.and•ls subject to:possibie,reidsiOn by the Permit Center to ,comply with current fee schedule s.••„• •;•„,•••:, • t,•,• • • ••.' Noisy.otv.4,..0•04:•.;;•.;.i.0..:•;41:,.1,....a.• • r:; *l• . I, OA .:14,,,,11;4•:••••• .),•;•••• C.* • I- • 1•••,e, 1.q• ••Jk.* ) 1 44'4 plratlOrroggian. wicavons..1prxtilch„no, permit isisiited;withinA80.days..following:the.date-pfrapplication,shalL . ..; bylimitationallie:building.officiai may extend the time for action by the applicant for a period, not exceeding 180 days upon written reqUesf 4y.the',..applicant as defined in:Section:107A of the Uniform. Building Code (current edition) .No .application: .thall.be',extended, more than once.:,;k?:4••.i.11;•••,‘, • I. • ; ••• • ; •••••••.4.1“.., •••;•1! •.; • . • • • 4WAVBNOLWiltA'Rlt)EMSPtWftetntltntLftN.63i.tvoMum*ow4pnvo.fawswtoemtmaqooromtoweowkoyoom • ,tiz•l•-•••••41,1t*:.•541X541:1•..i.„, 411,4 . • ifp;;;A:,;•i t. Er •=1:,••• • • ;4P 30i,11 :4A AMIN, A •: •••••••••, 4%1/. • k,:••• • " . %I.L111. 94,414 • . • Pnone: • • *!AddreSS:;;41I4144 ;:j*;.•121 •••• •••••.• -City/State/Zip:-;4' -:•••• ; " • :;•- %-:,•.• ,-!,;;;;•f.4',AV:r "..114-4:4- 1,71 4,,•••1•1.,.:r!'it.! • ••• rit , •,1c, k. . • Application taken by: (initials) '11 • ;; 1' .; i•-.•••••••!'., : ••• ‘4. , • 1..1, • :!••••:•••••".• • .1:,1 • . , • ' -..• .• " • • • ;■• 4 4 '*;.i!1•1(•,'t •• c,•••••••1., ••:•• 1:- ‘:•4 '.! .'••; r. , • • • *•••.,f* • ••:•., • • •• •• • **- • •;s ;• :*. *:; . •i; •• ••••• • •••••• • z < • z L• AJ 6 0 O 0 cn 0 • Lu WI LL w 0 7.1 U- ° 1--• Lux 1-0 Z1- O co O - CI I- W w 0 Li= 0 (i) 0 •• •••.' • •• t4 TAFF: USEbNIAL2....._.L,' Miscellaneous 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. . . Troject.NamelTenant1 '•.i ::••■ •..,.• . : ,.. • .:: A *. r• ,. • • . • -, .:,. .‘ , •i• ...... .., , Tort.;."-Dent)-III Office Building, •7 • '' - ;.• . •' • :' f.'•. ..,'„SitetAddress:jaii:.....: Value of•Construction: . . $4 .1 ;rnilliom:- i .. • -4...2-..i".,,..• • ,.•.%.i...:•-• ,.. ,: - • . • . ,:: ..., .. 1, ir.,:city:ksIkteop:,;::: A.$601r:FOrtrZontWale;:t.':.T,ukwila',/ WA `• 98188- ,-, :.: ..::: ...:i.V.4feW.r.,r......,-.•., Tax IparcQllquinjiopi:;: :..'.'•-X.f: ',i' -29549u-ukt14 u•,.. • • • :• •:7•:•■ • : ' • A.'. f••••2., 1.4,.'S`•,.. : i''..Y. ••••,•,..t{ •!. • ••••• •'•,r. .• : •,,' ••• ••■ '11:AddreSS:;:sAlitirtiV'kitr,i'''rrtili .1,,,A •••It'.. 11....t,":ri, ..'14.';',,•'.4.11.;,•.i l' ... : 1.:t. 41 .,. . :V•et.'•44`...:•i•i;;VAPPi'•••4•••••Ail.'A74•Alf.::::.1.•••;;;f:■1::!14•Clii`../..•41.:•-•:::V.i...'.•• :Pli ...it., .•': • i.t.' . . iPtiPerty•OWnor.t."$:VI.011114!•':'':g.■;;I■i•'...1.:12 . ••••!': ••';:::',.r::r17e:..1,7.', :',;-.*-i%e ;,i,",vtlem, .•-z. ,,, ! 1...J01,1X4C::i!!Raclovichl Develognent .C.orP )1.":•;..,::;:.;! . ,Phone:' - :1'...'- " '-'11. • ••• H. ,,:' :.*!'n, : . ,...7.(206.)4454;76,060,.. ;17,.. !'...' i • • . 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" ' "••!• '• ''''• • ''•• "'•'• •" •• • '• • ••• • • • • • • .' • •• i,... ':' •Attach listvf materials'and stela's,- location'on separate 81/2 X 11.'peper indicating guantitiesA. Material Safety Data Sheets. , • • 'CI . 1 1 : 1 ti.'r. . : . „. .c om, •m. ."1e.,i.•",,•- r,•I -i•`-i •;i(4i ..i1.- . . 1R.I .•.,•.e•..•• .r.,• ,00 u'P..t ff(A•;:'' •••4A•'...'66qD. 0ye0,4.0, 6r•"o'.'u..'n d ,.. .m.,.,...1.,ki"' * . :.'" ...• ' 1 en'n e1i••1-/S at'.e 7i..t'. ' .i' .; t e Dishes i.sh; :. e q1s 0 • Bulkhead/Docks' Parking Lots &4 Retaining .Walls Temporary ...,- .. DemolitonKrit0-. FenCErt .MeCbgnICO7ManufacturedHousl4.'.i•s;ent:'. g•i'',.••...7',...R•'..,',.•: " e•L.;'.',!•=pla'•ce•:.,• ", .• • . m- • 1i i • e' • . n. • - t ' •'*••:. ., • only LI -"p74! , 14 i Pedestrian Protection/Exit Systems ..;:::,•,... • . . 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Load/Hauling •••'• ...; • .MisceUaneous '" • Irtito'NX—blivils" - at' Viessere thvdttrowso-...ov..oar. .441)ago... .f.lt. .110P.AVOlg..-.. ..a44/kAtwilS. .; . ...0004v#40.........: ' f ''.." n. •.,' • .,-. ' • '.ta., 4..5. 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'".,''.• ' ..1!•-' ' 0 Standby ....., • • • ,. . . • , .. ••• VirATE fErt E tVp.,1: Mat; ROW. 41 MIXQM n*WIliKkglat W-1?ike.i4 W.1470M01114%0103WW,17N %t, ••••■••••••••••,...loi..irs.d.S4141,40k.••••#-•••e.opre, 1•••••,•■ •• • ,•i.:•11•1•41■••••i:,.. arne: 1,11;i1.',444it'••••Cti)•410•1: i •■•• ; . , . 4...e. ;F....I:. , • . r.r...;••••••-• • • • ..• • e,',......,.., ddress::444:44:;:::.....,A..,;14az...,.„.:.•,,....4.0•Fi,....,., - ,, • - .City/State/Zip ....,,IN..; v.............. ....,:;.,,....cz, ,;,,-... •::,•.• ......:..., • •....-41,...: p.:,,.... ..1. A:7;4i 11•!..r.,.r,.: 7,7-.,7':.::‘•::.;'!i..1:!'•7..,";',:.' TTP....' : 41_,' • 1., 1, i 'JP. -;-:, :,.S.:0.• A.. ./ i.t..q1.1i A, .:::'• . ...:,f: -' ;*.is"?'•".r.t:''ep''..--"m*iiir-fft..:0."!'ittf.4'..P.''•ii-4!'te,"!:1:1""''''- .......... ..,,.--1 . • :,• • :.!....7-..--.1-,1-1.:_,!--- —'!..';.`•.', r: eel f-.....q,;;,,-*..,.•.....,....,..,.; ....4....,.0..,,4.. ,... .,, .,. .'......4:,,r4Valuti:ottonstcuction7.;Irl:411 cases-;eitalue-of 'construction amount should be entereci by the applIcant.,:;This figure will be •.'" •• !.. ,,.• • . I '1... . o ' ;•■• • • ' • '•• ..1‘..,„ .. •••• j • • • 71.:Z i'' ' • ' ! • .f• il / rbviewe'crandie'subject.to"possiblereVision by the Permit Center to ,comply '.with current fee schedule e.•-• ..”.: .'-':. • ..•4,.: .r,.... •• •• -L'.."..• ! .. 1;r1vi.:6;6.,4.:.viv.ot,,,,.4,00.fijk' i'''41,"'04.fi.Y.V:1'.4.''.' • r'; i'' 1%-.1‘.6'1A 0.4 •:';'.41'*".*- .3.:..t. '.,-..w • - '.. t.)'• , mt: 4,k- m....41c.r,.,:l. -,‘,...-: ,.,.',.!.•• •:••••.••• ';'.). ) :.: '.. Explration„of plan Review,' Applic4ons..foryyliich:r1o.perrnit Is IsOlUeotwithp A 80.pays.:following:ttle.date:pfrapplicatien,shalL 9.xpire.hy.,limliatio.n*ThebUliding official may extend the time for actiOn by the applicant for a period, notexceeding 180 days . . uppri. Written ieqU4(..liy..the:ap. applicant as ..defined Section Uniform Budding Code (current edition). Noapplication...:. : • ...Iie,h,a ll.bieitehdadriip han'once:4, ; i'r...T:i.:i :,.-: illk•'..A''•:; i:t.: :' ' .-- ..•: '. ''. 'i .y.. . n. , fr,.1.tra4... .,:.'f ;--:. .- . .: . :.!: . ......' ' .- • ,.:, • i' , ,..-. ...-.::...f:-:.... , -.:111..!.- A '.....• ....‘, • 4 • ' • •:•• • • • • .1' ..:• •.: . ... '11 • • • • •. '• .t? • . Application taken by: (initials) '' r:',...':"!1.: ' f):'. • 0+••• 4)4 't .•••;•+L•ir11••••.•:•4 .•;,••■'••••'• 4 ; ••• • • . • • •• • •••'. 1 • • , ':1 F .•‘' • ' t.I' • '11 ' " • • •t;it,l) 1;1' • ji • • • 111 •: • ` ••• •• j• • ,•' •• • • ••' 1,;'" . • , z < • 11- Z LL/2 -J 00 U.I WI --I F- U) uj 0 2 5 Li. a ° I- al Z I-0 Z 11J 0 o 0 ra t- ip tu I 0 Z W 0 o 1- z