HomeMy WebLinkAboutPermit 0342 - Federal Housing AdministrationBUILDING PERMIT
4.
CRC. OF TUKWILA BUILDING F4:;MIT
14475 59th Ave. So. / Tukwila, Washington 9S„ti7
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N° 34..2
JOB ADDRESS
13002 — 42nd Ave. So.
DATE
11/12/73
LEGAL
10E5CR•
LOT NO.
Tract 14 & 20 ft.
BLK
of Tract 15,
TRACT
(aSEE ATTACHED SHEET)
Riverton A Replat
OWNER MAIL ADDRESS ZIP PHONE
2 Federal Housing Administration
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
K Co{�n.�vst�r'yu�ction, Inc. P. 0. Box 6098 Seattle, Wa. 243 -6333 223 -01 -13911
ARCHITE(�E,}�}(j�,}C (J(l%(JC MAIL ADDRESS PHONE LICENSE NO.
Fidelity Land Co., Inc. 11036 First Ave. So. Seattle, Wa. 98168
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
r LENDER MAIL ADDRESS /1 BRANCH
�(J, -.�
u C— �, 0 0 - GT �,sz • !J tic
NSC OF BUILDING
7
8 Class of work: • NEW • ADDITION ❑ ALTERATION • REPAIR ■ MOVE ! REMOVE
9 Describe work: DEMOLISH HOUSE
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE
PERMIT FEE 5.00
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required • Yes ❑No
APPLICATION ACCEPTED BY
PLANS CHECKED BY
APPROVED FOR ISS AN
E BY
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
[ Uncovered
Covered l Uncovered
.y�
NOTIC
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
—r
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
81G TU •/ OWNER (IF 0 N , BUILDE RI / `
t 1,•c.e_ C/11„:77_ .,...--c.e, /l 4/ 3
SIGNATURE OR AUTHOR ED AGENT •ATE)
PLAN CHECK VALIDATION
PERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERM
M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
CASH
•
+IA I,{1RM NO 2542 Rev, 5/72
IMIIII•
U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
FEDERAL HOUSING ADMINISTRATION
PURCHASE ORDER AND
PAYMENT AUTHORIZATION
(1 %rtuining To Expenses On Acquired Properties
See HM 4310.5, 4315.1, and 4320.1)
11011-..
instructions to Field Offices: For payment lo contractor
by Treasury check forward Paris I, 2, and 3 lo Office of
the Comptroller. For payment from rental income, Man.
°gement Agent will Transmit Part 1 with original account.
Ing report and Parts 2 and 3 with duplicate and trlpllcole
report copies. See Vol, V, Sec. 6, FHA Manual, for
detailed Instructions.
COMPTROLLER'S
USE ONLY
I. Bureau Voucher No.
2. Bureau Schedule No.
T0:3. Contractor and Payee
"K" Construction. Inc.
Payee's Account No.
91-W87724
Name Control
Rpt. Code
4. Street Address ,.
P.O. Box 6098
7. Field Office (City only)
Seattle
8, 0r0 7l�I,o,
j((
9 to 73
1� -26-
5. City
Li n1-,t1 o
6. Stole
i1aahini;ton
Zip Code
98168
10, Discount Terms
Not
11. Time for Delivery
10 days
Subject to conditions printed on the reve se side hereof, you are hereby rogues ad and authorized to perform the services and /or deliver the articles
below tor on attached) according to terms of your quotation. The Information Indicated in Items 7, 8, and 9 must appear •n oll packages, papers,
correspondence, etc., relating to this transaction. •
12 Ordered By ("HUD' or Broker's Name and Address)
FidoLi.ty Land Co.,Inc. �
11036 First Ave :So L�'' )!a'
io.ttle, iiashin�;ton 98168
13. Consignee (Address of property or project office)
13002 42nd Ave So
14, S • Lure
15. Title
Broker
16. AUTHORIZED BY
Sign. • ,
�, ,
Title
r; F .
Date
�.4g
(For completion by Field Office when _'
nrt(cles /seru(ces ordered by Broker)
17,
Item
No,
18, Articles and /o ery es
111 This Information Is itemized on bid specifications, attach a
copy and type below'IN ACCORDANCE WITH ATTACHED ")
19.
Quon
My
Unit Price
22.
Amount
20.
C011
21.
Per
FHA rase No.561- 021985 -203
•
1)3 fOLISII DWELLING & OUT BUILDINGS ACCORDING TO FORD! 471
FIIA specifications all for the total sum of
Obtain all necessary permits, and when work is Completed
attach completed and certified "Notice of Required pet
mite ".
■
1,212.00
If above pace insufficient-use Purchase Order and Payment Authorization-Continuation Sheet,
FHA Form 2542A.
TOTAL— INCLUDING
CONTINUATION SHEETS ,$ 11212 a 00
23. MANAGEMENT BROKER'S CERTIFICATION (IF APPLICABLE)
Dale Completed
I certify that I (or my representative) personally Inspected This properly and to the
best of my knowledge and belle( all specifications have been mei and all repairs
have been mode and payment therefor has not heretofore been mode.
Signature
24. CHIEF PROPERTY OFFICER'S (OR DESIGNEE'S) CERTIFICATION
Date Completed
Payment Approved For
$ on basis of _.__J
Acceptance of Broker's Inspection
11. Form 9519 Inspection Report
Signature
1111. Realty SpeCialiat
Dote
25. AUTHORIZED CERTIFYING OFFICER'S CERTIFICATION
Pursuant to authority vested In me, I certify that This
Purchase Order and Payment Authorization Is correct
and proper for payment,
Signature
Authorized Certifying Officer's Stomp
DO NOT USE SPACES BELOW THIS LINE
Amounr Suspended use.
(C1'e Altlll'hrl()
Atnnunl Verllled Crnrecl Inr Pnyo+nnl
(, ifluuinii' 11t Iiifliii si
$
_$
Ali owning rlaulllctitlon
WAIININ(1: Nu lllntl 1010, Thln 111, 11,11,C., "ITUpmtii,i nt 111 IlitileIu1) nl►d UtInitt DNVs I-'
Opn►nnl and I inland thinning MhnininUallon Trttnnnatlons, "pravidnN: "Whnnvnr, for
the immune of . , . Inllunnoh/tl In nny way the motion of soon Deportment • , , makes,
poisons, utters, or publishes any statement, knowing the same to be false , , , shell
be fined not more then $6,000 or Imprisoned not more than two years, or both."
ir 'n hl,l U, A� ! 1� I1NANtN C hrl I )+urulhul lu lug Illntle hr tellldl/ Chet
. . 1„11 I10.0i ,1thi 11 11.,11,) 11.,nl 1,,,11.1 11,
„ '• n' „API M ,PI, Or 114119nf MID URBAN OEVLI. OPMI.ni -
11 VI Rsl I10II5ltu) AOMIHISTRATIO11
PURCHASE ORDER AND
PAYMENT AUTHORIZATION
r11 "lnirung 7'u F:xpen.se.s On Acquired Properties
. Sec 11,1! 4310.5, 4,11.5.1, and 4320.1)
Instructions la Field Offices: roe payment to contiMkor
by Treasury check Iorward Parts 1, 2. and 3 lo Office of
the Comptroller, For payment from rental income, Man-
agement Agent will transmit Port 1 with original account.
Ing report and Parts 2 and 3 with duplicate and triplicate
report copies, See Vol, V, Sec, 6, FHA Manual, for
detailed insrructlans,
'^
USE ONLY
t, Bureau Voucher No,
2. Bureau Schedule No,
10 I. Contractor and Payee
' ,\, !: Ir l' ;rl.LOL,1,„t'•M) .ultl •
Payee's Account No,
("1-...i) , j1.94.
Nome Control
Rpl. Code
9. Dale
10-;673
. ir.,nl Ad•Iress
_ ■ .,,1__:: [11C i;ni9d
7, Field Mice (City only)
' .. 1:.,t,u LIZ
8. Order No
9577
r tly
t., ' •
6, Stale
ir: E:.i13.1:, trill
Zip Code
r.l: ':..
'
10. Discount idrms
1 I, lime for Delivery
1 ii t'a %i;
`,ubjnu to conditions printed on the reverse side hereof, you are' hereby requos ed and authorized lo perform the services and /or deliver the articles
6nlnw for on oiached) according to terms of your quotation, The Information indicated In items 7, 8, and 9 must appear on all packages, papers,.
„nn•,ponrlence, etc„ relating to this Ironsucllon, _
I:, c),d'rnd By (-HUD" or broker', Name and Address)
11Ir, I .:ltl i';f api�ltte
r( H + : 4.r ,',. f' NCr JU
.1 ,, , :.1.'..i..13. 'I 9','.nl 9..:1'a..
13. Consignee (Address of property or project office)
1 300 iir2?14 ,ftVt! ,..(.i ,
14. Signature
w....
15. Title
1ir:i,..:r.
In. AUTin)RIZED BY
Signature
• ,.
Title
s:A:
Date
N
a
i l•"r completion by Field Office when
articles /services ordered by Broker)
Linn_
{° �7[r.li4(:
7'
lire„
r to.
18, Articles and /or Services
III this Inlormollon Is itemized on bid specillcollons, attach o
ropy and lype'below•IN ACCORDANCE WITH ATTACHED')
.
r
19,
Quon.
Illy
Unit Price
f
22.
Amount
20,
Cost
21,
Pee
t, I'ta;tr'j ;.'o.;,761,-0219111;••20
, i '.: )' i.1,It.cl,j,r.l.17 A ii'1'7,L 11.11.,.'i.11l:0 11' :t. .. ,11, t: L. j, .i,:. 4-7
. "t 1,1 it'. r1t1:1.f'.j.tl.;],t;:t,n'tDD All i Or t1;c? i ..t11t1. El.,,T t ''t.0
` '.'L,. 13I t,.J,1. 1.10(101J vary j :H :•l`l:;Gtt 3 mil teix;11 11 ;4.1.: 1 fl. '.r1/.11 ?:1E)
.`,t.,:Id 1 (((t;'I. 1t;4A1 and •ct)rt411•i.ott itt ta'i',:i.r:'it t.l,i t,...t3c,ilr.;i YrtJ',il pt
,
'�L
'c' iti't.
$
$
1 yw ir.teC,JC)
11 above pace Insulllclonl•use Purchase Order and Payment Aulhorizalion•Conlinuoilon Sheet,
FHA form 2542A. • •
TOTAL— INCLUDING
CONTINUATION SHEETS
$ 11,212.'.„i
23. MANAGEMENT BROKER'S CERTIFICATION (IF APPLICABLE) '
D,,,r Completed
I certify That I tor.my representative) personally inspected this properly and to the
best of my knowledge and belief all specifications hove been mot and all repairs
have been made and payment Therefor has not heretofore been made.
Signature
24. CHIEF PROPERIY OFFICER'S (OR DESIGNEE'S) CERTIFICATION
halo Completed
Payment Approved Fbr
$ • ., bn bests of ---F-4”.
• Acceptance of Broker's Inspection
al Form 9519 Inspection Report ,
',19nnlnr0
Tllle •,I `L.�, :.i,1. "�i
• ti:. .,.,.1 .I.
Dote
•
25.'AUIHORIZED CERTIFYING OFFICER'S CERTIFICATION
Pursuant to authority vested In me, I certify )hot this
Purchase Order and Payment Authorization Is correct
and proper for payment..
Signature
Authorized Certifying Officer's Stomp
DO NOT USE SPACES BELOW THIS LINE '
Amount Si,spended ...�._".
`,„ .1•;n, 4edi
$
Amount Verified Cannel for Pnymnn,
$
so-
(SI,yrrntirre r,r inileslx)
,\„ .,,,' ",, , ti,“01rnlhsn
.
• ...•— •— •,,.,.,.. wwMywr,,.w..w.,,......,W,,,. a.,..iarr,trrw.
WARNING: Sintiun 1010, Thin 111, U.S.C., "Dolturtmont of tintlsing and Urban bevel.
)hllllttit 0011 Fli■tlirill 110101100 A(1111))date)Uon Tr11n9irntlolls, "provlclon: "Whnovnr, for
Ilnt pt000'111 it , , , 10110000l00 111 1111y wily tho nntlnit 01 slloh Dopnr1111ent , , • Innkns,
ponnia, 1111011*, it puhllnhon 00y mUllnn1111% knUWlttll thh name to bit lobo) , , , shall
fin flood nil morn than 3111,000 of Itnprinunnd out fool) than two ynnrs, or both,"
.___.w, .....r,............____.....�..
n,l,.,tllu. (t t,lNthaUIUD1 tRfty�