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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. 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