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HomeMy WebLinkAboutPermit MI97-0069 - PYRAMID POINTE APARTMENTS - DEMOLITIONft) Nmst A1A-Ps•TiVE:MT5 4I'? ,O o.:. City of Tukwila r (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: Address: Suite No: Location: Category: Type: Zoning: Const Type: Gas /Elec.: Units: Setbacks: Water: Wetlands: 115720 -0360 15304 57 AV S DEMO MISCPERM HDR DEMO 001 North: .0 South: N/A Sewer: N/A Slopes: Y Contractor License No: TLHABI *124KF Permit No: Status: Issued: Expires: MI97 -0069 ISSUED 06/17/1997 12/14/1997 Occupancy: DWELLING UBC: 1994 Fire Protection: N/A East: .0 West: .0 Streams: OCCUPANT PYRAMID POINTE APARTMENTS 15304 57 AV S, TUKWILA WA OWNER KD ASSOCIATES Phone: 206 328 -3770 3316 FUHRMAN AV E, SEATTLE WA 98102 CONTACT CHARLIE LABODA Phone: 206 328 -3770 .3316 FUHRMAN AV E, SEATTLE WA 98102 CONTRACTOR •TLH ABATEMENT INC Phone: 206.523 -4441 9221 ROOSEVELT WY NE, SEATTLE WA 98115 ***********'***'**.***************************'********* * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** Permit Description: DEMOLITION OF EXISTING 2000 S.F. SINGLE FAMILY RESIDENCE, EROSION CONTROL, UTILITY LINES CAP AND REMOVAL OF EXISTING 3/4" WATER METER. **********•****************************************** * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** Construction Valuation: $ 8,000.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: JJS Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Size(in): .00 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Cut: Fill: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: Y No: Sewer Main Extension: N Private: Public: Storm Drainage: Y Street Use: N Water Main Extension: N Private: Public: .**************************************************** * * *** ** * * * * * * * * * * * * * * * * * * * * **** TOTAL DEVELOPMENT PERMIT FEES: $ 91.50 r**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Center Authorized Signature:_ tell5a=-- Date: 0- I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other state or local laws regulating construction or the performance of wArk. I am authorized to sign for and obtain this development permit. Signature: C, �� � Date: "'/' 19 Print Name: e / /i2I P/ /tX / *oi2 This permit shall become null and void 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. Address: 15304 57 AV S Suite: Tenant: Type: MISCPERM Parcel #: 115720-0360 Permit, No: M197 -0069 Status: ISSUED Applied: 05/28/1997 Issued: 06/17/1997 **- kk• k* 4. 4.** 4****. k* k*• k* •k *k-k.k *•kk4•k * * *4. * *•k *•k•k*•k 4.4.4. 4.k* *•4k•.** * -h•k *4***k *4•k *4k ** ** Permit. Conditions: Temporary erosion- control measures shall be implemented as the first order of bus iness....to.;pr?eve-nt sedimentation off site or into ex1sting..starm dra- ina'ge) fiab,jl.ities. The _.Si te shall have pe,rmanent erosion .corit,i'r-ol measures in p 1 ace as soon a,s* :prass"i b t e :after f i na 1 grading :: has been ° comp leted and d. p1^;i'or to tire;, Final Inspection. 3. ALL CONSTRUCTION ACTIVITY ASSOCIATED:; WITH THIS DEMOLITION SHALL BE LIMITED TO ..WITHIN 10` OF.,THE BUILDING. EXTERIOR. 4. Sewer and;water�; utilities sha1t be 'Plugged at''t;he, mains`:if they are;.to be abandoned. If they wi 11 be. -used again the near ;ifutur�e.,. for „a ' new buff 1'd�i+ng,,,. they shall 1 be, ,,capped at the.;;property line and 'at •the water meter respecti'vel_v. 5. Nip charges wi 1 1 be made . to the plans unless approved; by . the;; g t+I ) Arch'.i',tect'`cir„ Engineer,-;and th'e.,Tukwi la Building Di,vis on'. 6i. Al 1,= p,�rnr'it's+, in- specti,on records, . and approved plans shall he,,. ava'l,ab1'`e at the job-' "si`te- prl�:or to: the start of any con -... stru;ction: These doc,urnents!;ar.e t,u..be maintained and aVail - ab(Vey anti 1,, final. =•inspection approval is_ granted. 7. Alfl const.rUct;ion -to „be done:,, In conformance °with approved. p1 n.s and: reyui-rements`of:•! the Un1. /0n l3uii.lding Code ..(1994 Ed;ii± an) as arnended B Val idity of Pe.rmit. :The; issuance of a. .permit or approval ..o p1 inea, sp.eciifi.cat'ions,?-an'd comp,uta'tions :- shal,l not be con s trued to.: be a.- permit for, or an` approval .oft any violation% of ar4iv o; ,. the 'prov,i s ions of the ;bill's d,ing..code.. or of othe�rord.`inance - -,of the Jurisdiction: iNo`;per�m.it presuming `ti ss give �,authority to.. violate or cane 1, the provisions' of this: ;code shall l be valid: CITY OF T' 'KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Appllcatlon and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. Project Name/Tenant: 1 va ; _Q �� (M ,,j„ �1� 1 (j\ �1 Value of Construction: 1 r1t71. Site Address: City_ State /Zip: l ob 5�-I- 6...s Tit ,, , (4 . Tax Parcel ber: 1 1 "` � o -. ©.3 (cC) `/j ' In / Ctiea Property Owner: Phone: Phone: ,2,....: — ---7 Street Address: (/ wf- �ity1/lt�aA /nZi3pl:p2 Fax #: jz()) j / Contact Person: 1' �. L_elo "4-- e ., i 1 $one: City /State /Zip: <. 14.2.,c, 141 I Street Address: V i/ ,ta :/ ipFax • #: Zak _(p 9 0 Sewer Contractor: ri'(-H- /46.re y Phone: 2(;) 4,...-a _1444 ( Street Address: f / " / / it Afro i l: 4 Fax #: U% /', 7 — Architect: t /)_ `, d •hon5 ow' �J]-� •t C Street Address: /� /1 / Ci State /Zip: Vt1, 1/A / 4Iii ' 111.48. x #: Engineer: CONSI L Phone: Street 21"7 Address: `"71.' -f�" .D �fV /.l .Q LA- ‘Ni 01 Fax #: 5-'621 MISCELLANEOUS PERMIT REVIEW AND 'APPROVAL REQUESTED:'(TO BE FILLED OUT BYAPPLICANT) .; Description of work to be done: poll 0 /2. 1 r1t71. a • Will there be storage of flammable/combustible hazardous material in the building? ❑ yes no Attach list of materials and store e location on se a rate 8 1/2 X 11 paaaer indicatln. • uantitles & Material Sale! Data Sheets _ _Above Ground Tanks LJ Antennas /Satellite Dishes U Bulkhead/Docks Commercial Reroof IJ Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection/Exit Systems ❑ Temporary Facilities ❑ Tree Cutting APPLICANT REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Curb cut/Access /Sidewalk 1 Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Land Altering: 0 Cut cubic yards 0 FIII� cubic yards 0 sq. ft.grading/clearing Side Sewer #: : (��e ❑ Sewer Main Extension 0 Private 0 Public stSanitary Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): ` 0 Deduct 0 Water Only Water Meter /Permanent # RQ(r1UV't I Size(s): Water Meter Temp #_ Size(sL Est. quantity: gal Schedule: in Miscellaneous Moving Oversized Load/Hauling ❑ Channelization /Striping ❑ Flood Control Zone ❑ Landscape Irrigation Storm Drainage ❑ Water Meter /Exempt # MONTHLY SERVICE BILLINGS TO: Name: `/j ' In / Ctiea Phone: ,2,....: — ---7 �e7, Address: � (t 141 /11(rnai,-._, / r. City /State /Zip: <. 14.2.,c, 141 I -s?7 -- (� 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address: City /State /Zip: Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed 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 expire 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: Appllcatlon tae: (Initials) ALL MISCELLANEOUS P. ' IT APPLICATIONS MUST BE SUB ' • ED WITH THE FOLLOWING: ➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED ➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT ➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER ➢ CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW .Submit checklist - No: M=9 Above Ground Tanks/Water Tanks - Supported-directly "upon grade 0 exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1. ❑ Antennas /Satellite Dishes Submitchecklist No: ■=1. ' in Awnings /Canopies - No signage Commercial Tenant Improvement Permit ❑ Bulkhead/Dock Submit checklist . No M -10 ❑ Commercial Reroof :' .Submit checklist' . No: .M-6 Demolition:' . Submit checklist.- No: M- 3;,:M-3a ❑ Fences - Over.6 feetin Height Submit checklist No: M -9' ❑ Land Altering/Grading/Preloads Submit checklist No: M -2 El Loading,Docks Commercial Tenant Improvement Permit: •, Submitchecklist No: H -17 0 Mechanical, (Residential & Commercial) • Submit checklist " No:... M -8, . Residential 'only - H -6, H -16 Submit checklist ` No H -9 ri Miscellaneous; Public�Works Permits ❑ Manufactured Housingi(RED.INSIGNIA ONLY)- Submit checklist No . M -5 El Moving.Oversizedload/Hauling Submit checklist No: M -5 ' rl Parking Lots Submit checklist No: M -4 Residential Reroof - Exempt with following exception: If roof.structure to'be.repaired or replaced Residential Building Permit Submit checklist . No: M -6 ❑ Retaining",Wails - .Over4 feet in height ' Submit checklist No: M -1 ❑ Temporary:Facilities . Submit checklist No: M -7 ❑ Temporary?PedestrianProtection /Exit'Systems. Submit checklist . No: M -4 El Tree Cutting' Submit checklist No: M -2 ❑ 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 ". Bu/lding Owner /Authorised 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, 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN E• R AUT O - ZED t ENT: Signature: IPINI Date: Z 215, c Print name: ,it PA re_ Phoiv 5, 3170 Fax -ti -&ICI Address :.�.�tGi� 7 ((x nt h r✓vico„ Cil /Slat /Zi jc4 fie_w� iNee_ y Va oe_ W yr 73 (pZ MLSrPMT.lnY 7111/h ****** kh** A•******* h** h***k*k* A***** ***k* **A*** *k * ** *T1 ****kA****k CITY OF TUI(WILAI WA TRANSMIT ** drab*************** A****** k***** k* kk *#r ****k**k******k ****kk** *** TRANSMIT Number: 89700600 Amount: 91.50 06/17/97 12:36 Payment Method: CHECK Notation: TRIAD PROPERTIES Init: GAL Permit No MI97• -0069 Type: MI88CPERM MISCELLANEOUS PERMIT Parcel No: 115720- -0360 Site Address: 15304 57 AV Total Fees: 91.50 Phis Payment 91.50 Total ALL Pmts: 91.50 Balance: .00 A******* 11k********** .******44:A***A•ky4A*A**A*k*� *k**kA*****dA****** Account Code 000/3224100 000/345.830 000 /386.904 412/342.400 402/342'.400 Description BUILDING -, NONRES PLAN CHECK - UTILITY STATE BUILDING SURCFIARGE. INSP FEE -- STORM DRAIN INSP FEE - SmE/BS;; Amount 42.00 10.00 4.50 15.00 20.00. I wax.. ..,I. 1 ..< :Oil INSPECTION - RECORD. Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Project: - 1 ? dlaT6-- T e of ins ec YP P Date called: Address: 536 5 7 Special instructions: �-i ��d �� ���' b` Date wanted: 6I/' /q7 a.m. r Requester: •, Phone No.: '1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: k �Z- Date: 542.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 4 ..4 na ..4K'-4ns4H....,;n h..>,.:.... NSPE TION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO, (206) 431 -3670 Project: rom, a ea., n�� Type of inspectionyw r` Address. Date called: Date wanted: a.m. p.m. (s N.16 Special.instructions: ;--gy�'�pp ,l.i7 Requester: Phone No.: Li Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: c 47 $42.00 REINIPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Hf,v.rwarGPG[y[Yveac91! INSPECTION RECORD C Retain a copy with permit INSPECTIOr4 NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA :981880 PERMIT NO. (206) 431 -670 Pr lam),./ Pom4e.Ttriof_ (/I ecti .na l Ad r ss: d_y 5 Date call 9;16 ... O7 Special `instruc ons: Date wanted:} ,...7. / �� 0 7/ a.m. pm• Requester: h i&, Phone No.: Approved per applicable codes. p< Corrections required prior to approval. COMMENTS: ?v Pu(( ■`4 a PAL.- (Lf0- f. t 4~0. . j Inspector: - Date: S42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. City of Tu( vita Inspection Request Department of Public Works — Engineering Division Phone: (206) 433•0179 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Project: p y ect m i d po i rvi.e. , Permit No.: m L 9 1 ... 0069 Site Addresf: 5-71/ s /5 2..hci Noce, Date Called: Date Wanted: q _/6„ _ 91 q_ / 7_ 9 7 ■ Era.m. • p.m. Type of Inspection: demo bui Idi ny 'inspec-1- capped 0-11 i 4-ies Requester: Phone No.: 2 q 4/ _..72., 3 Special Instructions: . i/fr -2 //( . e.' t' 1 ; 1 / ( f ,i 'N, 1 ( , ' 1 1 . I, '‘ i j 1P• )(I\ A W....CV \S 11 Uk..i 1 t. t L. ii 0 L.W41 1 , A cikkA-A-A to ck C.A AU•AA e....6.1' L.C." \ OA A.,...1. "-(1' ; ,C, \ .7,1 Aei", t, 1 ‘ - Cii I a c -' r........__„ ,-, t A P.4•1.,‘ City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director September 24, 1997 Pamela Nelson INSCO INSURANCE SERVICES, INC, 9725 Third Avenue NE, Suite 602 Seattle, WA 98115 RE: Bond No. 440680S Dear Ms. Nelson: The City of Tukwila authorizes the release of the above mentioned bond to DALLY HOMES, INC. in the amount of $8,800. The demolition of a single - family residence at 15304 57th Avenue South, Tukwila, WA had a final inspection on September 18, 1997, If you have any questions, please feel free to call me at (206) 431 -3671. Sincerely, 4Uti.Q.),Un9 Shellie Bates Permit Technician Enclosures cc:' Daily Homes City Clerk File MI97 -0069 974.,e0 }Y::r•C3iStroRC .tR.�..G'"MigiViY.'V,:11 .'..e .'?Prttivga4li3"rYt?Aw fM° " tSi "'34Ct�'a'Si%iF¢`Mt^rl4CNYISi c VrAC InSC%) CO t ROLED DEMOLITION PERMIT PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: Vf1i11AVA. xesexmunwNNI K, 4FS i *a»c...10tillAewe.efk,Mrtirrevt fen IFIriT: ;. RECEIVED CITY OF TUKWILA JUN 171997 PERMIT CENTER Bond No. 440680S THAT we, Daily Homes, Inc. and Indemnity Company of California, a corporation organized and doing business under and by virtue of the laws of the State of California and duly licensed to conduct surety business in the State of Washington, as Surety,• are held and firmly bound unto the City of Tukwila, as Obligee, in the sum of Eight Thousand Eight Hundred and 00 /100ths ($8,800.00) Dollars for which payment, well and truly to be made, we bind ourselves, our heirs, executors and successors, jointly and severally firmly by these presents. THE CONDITION OF THE OBLIGATION IS SUCH THAT: WHEREAS, the above named Principal has been issued a demolition permit by said Obligee to demolish an existing structure at 15304 - 57th Avenue S, Tukwila, WA. Trt-,,,i;{- *k YVIT `j'Z -oO('cl NOW, THEREFORE, the condition of this obligation is such, that if the above Principal shall well and truly meet all conditions of said demolition permit during the original term thereof, or any extension of said term that may be granted by the Obligee with or without notice to the Surety, and upon receipt of a written discharge from the Obligee, then this obligation shall be void, otherwise to remain in full force and effect. IN WITNESS WHEREOF, the seal and signature of said Principal is hereto affixed and the corporate seal and the name of the said Surety is hereto affixed and attested by its duly authorized Attorney -in -Fact this llth day of June, 1997. Dall Homes, In . Indemnity Company of California Pamela Nelson, Attorney -in -Fact Insco Insurance Services, Inc. 9725 Third Avenue NE • Suite 602 • Seattle, WA 98115 • (206) 525.8201 • (800) 522 -8201 • Rot (206) 525.8288 • http: / /www.insco.com Underwriting Manager for: Developers Insurance Comoanv • Indemnity Comoanv of California • DevelooAra Surety and indemnity Comnanv v,;:» �t�::• r;::• ensn:+';• tr.,• r^ r> r.* �t. e:.. m+ rm,. a. nv' n, rw�•.: .- nr,.cuwrvs- r�rm.e. >.r••n +��.• " POWER OF ATTORNEY OF ..� IF..EMNITY COMPANY OF CALIFORNIH AND DEVELOPERS INSURANCE COMPANY P.O. BOX 19725, IRVINE, CA 92713 • (714) 263 -3300 N° 294391 RECEIVED NOTICE: 1. All power and authority herein granted shall in any event terminate on the 31st day of March, 1999. CITY OF TUKWILA 2. This Power of Attorney is void If altered or if any portion is erased. JUN 1 7 1997 3. This Power of Attorney is void unless the seal is readable, the text Is in brown ink, the signatures are in blue ink and this notice is in red ink. t'! J 4. This Power of Attorney should not be returned to the Attorney(s)-In-Fact, but should remain a permanent part of the obligee's records. PERMIT CENTER KNOW ALL MEN BY THESE PRESENTS, that except as expressly limited, INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY, do each severally, but not Jointly, hereby make, constitute and appoint "'LAWRENCE J. NEWTON, PETER H. HAMMETT, CYNTHIA L. JAY, CINDY E. PAULSEN, CARL NEWMAN, TIM CHURCH, SUSAN B. LARSON, MARSHA CLESSON, PAMELA NELSON, JOINTLY OR SEVERALLY*** the true and lawful Attorney(s) -In -Fact, to make, execute, deliver and acknowledge, for and on behalf of sald corporations as sureties, bonds, undertakings and contracts of suretyship in an amount not exceeding Two Million Fivo Hundred Thousand Dollars ($2,500,000) in any single undertaking; giving and granting unto said Attorneys) -In -Fact full power and authority to do and to perform every act necessary, requisite or proper to be done In connection therewith as each of said corporations could do, but reserving to each of said corporations lull power of substitution and revocation; and all of the acts of said Attorney(s) -In -Fact, pursuant to these presents, aro hereby ratified and confirmed. This Power of Attorney is granted and Is signed by facsimile under and by authority of the following resolutions adopted by tho respective Board of Directors of INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY, effective as of September 24, 1986: RESOLVED, that the Chairman of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to execute Powers of Attorney, qualifying the attorney(s) named in the Powers of Attorney to execute, on behalf of the corporation, bonds, undertakings and contracts of suretyship: and that tho Secretary or any Assistant Secretary of the corporation be, and each of them hereby Is, authorized to attest tho execution of any such Power of Attorney; RESOLVED, FURTHER, that tho signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon tho corporation when so affixed and In the future with respect to any bond, undertaking or contract of suretyship to which it Is attached. IN WITNESS WHEREOF, INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY have severally caused these presents to be signed by their respective Presidents and attested by their respective Secretaries this 14th day of June, 1995. INDEMNITY COMPANY OF CALIFORNIA By By D i e F. Vincenti, Jr. President .1L STATE OF CALIFORNIA COUNTY OF ORANGE Walter Crowel Secretary ) SS. 0 PANyx. GV POpffr�, 2 OCT. 5 ° o ATTEST 1 f)67 0, / rFOP0- ,-** * By DEVELOPERS INSURANCE COMPANY By D r to F. Vincenti, Jr. President On June 14, 1995, before me, C.V. Brink, personally appeared Dante F. Vincenti, Jr. and Walter Crowell, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal, Signature CERTIFICATE C. V. BRINK COMM. #1036712 0 NOTARY MUG • CALIFORNIA § ORANGE COUNTY A(y Comm. Exp. Aug. 21, 19911 The undersigned, as Senior Vice President of INDEMNITY COMPANY OF CALIFORNIA, and Senior Vice President of DEVELOPERS INSURANCE COMPANY, does hereby certify that the foregoing and attached Power of Attorney romains in lull force and has not boon revoked; and furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations sot forth in the Power of Attorney, aro in force as of the dale of this Certificate. This Certificate is executed in the City of Irvine, California, this 11 tnday of JUNE 199 7 'INDEMNITY COMPANY OF CALIFORNIA OVANyO_ DEVELOPERS IN�SURANCE COMPANY // /71. �/ e // IN /71 1 _ �OSUR, TO: FROM: DATE: SUBJECT: City of Tukwila Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION Permit Center Public Works Engineering June 6, 1997 Pyramid Pointe Apartments Demolition of Manager's Residence 15304 57th Avenue South Project No.: PRE94 -050 Permit No.: MI97 -0069 Contact Person: Charlie Laboda Phone: (206) 328 -3770 John W. Rants, Mayor Ross A. Earnst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON JUNE 6,1997: PERMIT FEE Sanitary Sewer (Cap) NO FEE Storm Drainage. $25.00 Water Meter Removal (Cap and Remove Existing NO 3/4" Water Service and Meter) TOTAL: $26.00 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) Finance Department (with a copy of application) "ntasrmm as ,,.. x,...i», �:r a,+.rror�ane eu wr aroma t s+uu row Nnm+tav �tmriaf �u+�rsy eNUtraaraaK n++ �c1Xfit196tR f4t�71AY51lta�lt€494'DR2llA%? -„ S 06/17/97 TUE 11 :18 FAX 522 4 V ' 1 •' Vtty 05/14/97 TLH ABATEMENT STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES P.O. BOX 44614 OLYMPIA WA 9904 -4614 T L H ABATEMENT INC KERANI LIANOS 9221 ROOSEVELT WAY N E SEATTLE WA 9611.5 ' CERTIFICATE # 01029 EXPIRATION DATE: MAY 04, 1998 X1002 RECEIVED CITY OF TUKWILA JUN 1 71997 PERMIT CENTER. The above referenced certificate number,shauld be listed on all asbestos abatement contracts obtained by the named individual or company. This number must also be listed on the protect notification submitted to the department as required by WAC 296 -65 -020. This certificate need not be kept at the project locations) but should be available for review if requested by the department. This certificate is not transferable. Application for renewal of this certificate must be received no later than MARCH 04, 1998, Sincerely, ASBESTOS CERTIFICATION PROGRAM (LETI3) IZcccntly honored ley I-ItJI) /II1/\ County I,,XCCutor, Ikon Si 111 for our commitment to 1)1 )\ id111g ,II Fordable in Kim), (_'count . 06/17/97 TUE 11:18 FAX 522 4^ "4 TLH ABATEMENT FAX TRANSMISSI.ON SHEET 1 YIN Abatement, Inc. 9221 Roosevelt Way NE Seattle, WA 98115 Phone: (208) 523 -4441 Fax: (206) 522-4099 WA St. Cont.N TLH A9I'124KF eon NAME: d/1/15 . FIRM: %A (l FAX #: 3 ^ CGr47 CITY: . • , DATE: 4/(-2(f7 FROM: G,.s cry-% total number of pages Including cover sheet: , RECEIVED CITY OF TUKWILA JUN 1 71997 PERMIT CENTER 06/17/97 TUE 11:18 FAX 522 4 " r- DETACH TO DISPLAY%ERTIPIOATS -1 L.. DETACH TO DISPLAY R4RTIFICATS_! CITY OFETUKWILA JUN 1 71997 ' PERMIT CENTER IZeccHtly honored hy I It1D/H-IA County kxecutor., Ron S 1 1fl For our commitment to providing affordable in Kim! Count 1• Agen(yiZa a i'da 0 C 7 Agency Use Only PU,' " SOUND AIR POLLUTION CONTROL AM"' " .10 Union Street, Suite 500 Seattle WA 98101-203, A. Project Type: 1 1. [] Asbestos Removal IL Property Owner: Dally Homes, Inc. Property Owners M . 3316Furhman Ave. E, #100 ms ai iti nn Addre4t: Date Received NOTICE OF INTENT P APCA MAY 141991 TO PERFORM: Agency Use Only 2. ® Asbestos Removal & Demolition 13. ❑ Demolition, No Asbestos Removal.] City: Seattle PLIA)C RINTCL E4it ;nuswafttormRClvfwAAILNI:canrl C. Asbestos Contractor: TLII Abatement, Inc. Mailing Address: 9221 Roosevelt Way NE City: Seattle l State: WA Zip: 98115 D. Site Address: 15304 -57th Ave. S Project Manager or Contact Person: Charly Laboda City: JPhone: ( ) 328 -3770 Fit-ate: WA Zip 981 02- Contractor Owner /CEO: Timothy P. Ozog Phone: (206) 523 -4441 Fax: (206) 522 -4099 Contractor Job No,: D116 t t'-- I State: WA Zip: 98188 Phone: ( ) 328 -3770 ® Asbestos Survey or Date Survey E. t] Mat'1 Presume•tructures: 1 (Conducted: AHERA Building AN.INF.N A Vft IIYI SRt' Uti ltan carom ,tlJ.DdASJUIr7UNPADJSCr3 Tnsncctoc Name: Bill Hutson No. of I Start �1rauung Fire (Lest Fire Dept. as demolttoo contractor blow Structures' 11 Dace: 6/2/97 2. Ordered Demolition (attach copy of Order) PAJNTNAAIC NFJtM Fria/au/um; Av lf/F is IN DOX f UN AAf x To Be Determined F. Demolition Information Demolition Contractor: was Certification No,: 960805 -02 4/23/97 Was Asbestos Found/ © Yes` If No, Attach Survey Explraton _pate: 8/9/97, 1 Phone: G. Asbestos rojeet Information: o. of Structures: see back if> 1) Start Comp etton Work Days - _ i F a u I 1 Dam: 5/27/97 Date: 7/31/97 Hours: 7A - SP 'Teri Total to be Removed: 100 Linear Ft, 5248 Square Ft. removed all asbestos material be n No Qty q removed by pro's Let fl No Other: Thermal System Insulation —(0 Boiler\Furnance Ins. ❑ Duct Ins ripe Ins. Surfacing Mat'l: f tJ Fireproofing ❑ Paints: Plaster a Textured Coatings Other: Misc. Mat'1: [X] Cement Bd ❑ Cement Pi . e ® Floorin _ Mat'1 Roofin _ Marl Other: H. Asbestos/Demolition Project Categories: l 0 Owner - Occupied Residential Asbestos Removal Project 0 Owner - Occupied Residential Asbestos Removal 'Demolition Project _ ❑ Owner- Occupied Residential Demolition Project, No Asbestos Removal 2. ❑ All Other Demolitions With No Asbestos Removal Project 3. A '10 - 259 linear feet or 48. 159 square feet (see back of form for options) 4. ❑ 260 - 999 linear feet or 160 - 4,999 square feet 3. ® 1,000 - 9.999 linear feet or 5,000.49.999 square feet 6. ❑ 10,000.49,999 linear feet or 50,000 - 99.999 square feet 7. 0 50,000.99,999 linear feet or 100,000. 149,999 square feet 8. 0 100,000+ linear feet or 150,000+ square feet ❑ Emergency Asbestos Project or ❑ Emergency Demolition Project 10. ❑ Alternate Means of Compliance friable materials or ❑ Demolitions 11. ❑ Alternate Means of Com fiance nonfriablc asbestos material N, ggtion Waiting Period Prior Notice Project Fcg NON - REFUNDABLE 10 Days 3 Days 10 Days 10 Days 10 Days 10 Days 10 Days Prior Notice S25 S150 5150 5300 S750 52,000 55,000 _J 510,000 I Twice Project Fee _1 10•Day Review Period Concurrent with Project Twice Project Fee Twice Project Fee L 1 do hereby certify that the information =mined in this Dodds-Won, and snpplenrenud dnta doseribed herein le, to the the best ditty knowledge scevnste and corn . lets. I stall not cause or o • . project or demoliton 'Wyllie' to begin win! the appropriate withal period has claps Complete teat Review may: ioFr,FG v t.A ray the Chr6/ TLH Abatement, Inc. Rcpr e. enling ARMEN CITY OF T' 'KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 itri M -3 Submittal Checklist Miscellaneous Permits DEMOLITION ✓ Site Plan Requirements Distance between structures and property lines ✓ Working Drawings Foundation must be completely removed Abandonment of Septic Tank for residential requires the following conditions be met: Existing landscaping Fill with Sand RECETVED- CITY OF TUKWILA Letter or receipt to verify above conditions have been met by pumping service Building location and total square footage Hauling requirements must be met if over 50 cubic yards of material is to be taken to or from site Fire Protection System Demo issued through Fire Department) High water mark of river if within 200 feet of shoreline MtY 19 2 8 Identify water meter size xt 7 pi j /'env+ Ke ;j,vittAp CENTER Foot print and location of structures to be removed -At 9, n yi + Temporary/permanent erosion control plan Two (2) foot contours on site Points of access for demolition activities Limits of area to be disturbed by demolition activities Locate existing sanitary side sewers and points to be plugged /capped at property line // De / i/o4A /4ey �� ' Locate existing water meters, identify existing meters to be removed by City Public Works staff. Identify existing water services to be capped by demolition contractor. 7 bF,r„o%itDh /�eyh S Identify existing side drain: modify and /or capped 1/4j Location of slopes 20% or greater, wetlands, watercourses and their buffers (1, �` Additional Requirements Asbestos Abatement: Obtain approval from Puget Sound Air Pollution Control Agency prior to proceeding with demolition If structure to be demolished is over 4000 sq. ft., SEPA checklist is required Construction debris to be taken to debris facility (King County informational handout available at Permit Center) Foundation must be completely removed Abandonment of Septic Tank for residential requires the following conditions be met: Pump tank empty Fill with Sand Dismantle /destroy cap Letter or receipt to verify above conditions have been met by pumping service Identify current sewer /water billing account number Hauling requirements must be met if over 50 cubic yards of material is to be taken to or from site Fire Protection System Demo issued through Fire Department) An inspection prior to demolition will be made and again at mid - demolition and after work is completed. BOND - A bond must be made in amount equal to the cost plus 10% and must be posted prior to issuance of permit. (Bond may be made in the form of surety or secured by a deposit in cash in the amount specified with a banking or escrow agent acceptable to the City, and conditioned as in the case of a surety. A surety shall be in form joint and several, shall name the City as obligee. This bond is required to be done in order to comply with all the conditions of demolition permit.) Title 16 City of Tukwila Ordinance 1393, 1986 Pam* C.00r�tnokor Gap PLAN REVIEW /ROUTING S ACTIVITY NUMBER PROJECT NAME _ DEPARTMENT: UILDING DIVISION n t Sdvi PTtLIC WORKS Pr • (li(QL(1-1 MI97 -0069 PYRAMID POINTE APARTMENTS DATE 5/28/97 FIRE PREVENTION ❑ IJ - 5 ac1 (Cry STRUC El DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE E4 COMMENTS PLANNING DIVISION ERPERMPIT COO�RI)fNA'tOR DUE DATE 5/29/97 NOT COMPLETE ❑ NOT APPLICABLE ❑ T1UES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ❑ ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) APPROVED ❑ APPROVED W/ CONDITIONS ❑. REVIEWERS INITIAL DATE DUE DATE 6/12/97 NOT APPROVED (attach comments) ❑ CORRECTION DETERMINATION: DUE DATE APPROVED APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL r..OAiTTC DATE (Cettitieadoa of occupancy required. ) CITY Op' 1UKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 RECEIVED CITY OF TUKWILA JUN 0 5 1997 PERMIT CENTER REVISION SUBMITTAL DATE: PROJECT NAME: PLAN CHECK/PERMIT NUMBER: I r II 11 V O V1 1 crUvc it to°97 PROJECT ADDRESS: C no CONTACT PERSON: (pay L&Ot PHONE: (0 3;2_ —' - \RZ( kk 51 fk Ni. REVISION SUMMARY: c I 0 SHEET NUMBER(S) C 10 "Cloud" or highlight all areas of revisions and date revisions. SUBMITTED TO: ((A /Y‘ RECEIVED JUN 05 1997 TUKWILA PUBLIC WORKS 3/19/96 1i ilg r et rs�, lr,' lj�i. s.^ �. �f;: ��iid-. �i:( iJx4tv,'•}! �Ystr. xrS�k�CF', 1' i'. �: Y. F„: 4] �' a' I���: �r�Y; �:l r., 3, x., iS�B::; VdC:✓[t 2', i��. �. �7' a. r3��T."�- ''t'C'Y:P.�h7;�°k,'yJ PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER M197 -0069 PROJECT NAME PYRAMID POINTE APARTMENTS DATE 5/28/97 DEPARTMENT: BUILDING DMSION • PUBLIC WORKS FIRE PREVENTION ❑ PLANNING DIVISION ❑ STRUCTURAL ❑ PERMIT COORDINATOR E DETERMINATION OF COMPLETENESS: (T,Th) COMMENTS NOT COMPLETE DUE DATE 5/29/97 NOT APPLICABLE ❑ TUES /TW RS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) •� REVIEWERS INITIAL DATE v2 -7/27 APPROVALS OR CORRECTIONS: (ten days) DUE DATE 6/12/97 • APPROVED n APPROVED W/ CONDITIONS. NOT APPROVED (attach comments) El REVIEWERS INITIAL DATE 5 A9/41 7 CORRECTION DETERMINATION: APPROVED APPROVED W/ CONDITIONS DUE DATE NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL DATE (Certiticadoa of occupancy required. ) ,iV.A("M.S..iEhPitg>Y!WP'J.4:i.J 'glt0; t L •- .Yl.6c PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER MI97 -0069 DATE 5/28/97 PROJECT NAME PYRAMID POINTE APARTMENTS DEPARTMENT: BUILDING DIVISION FIRE PREVENTION U PLANNING DIVISION 0 PUBLIC WORKS f J STRUCTURAL PERMIT COORDINATOR ❑ DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE 5/29/97 COMPLETE n NOT COMPLETE E NOT APPLICABLE El COMMENTS TUES/THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED I:Xt ROUTED BY STAFF 11 (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL 5 / / DATE S- 5 - lf7 APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) El DUE DATE 6/12/97 REVIEWERS INITIAL DATE CORRECTION DETERMINATION: APPROVED ■ REVIEWERS INITIAL APPROVED W/ CONDITIONS DATE DUE DATE NOT APPROVED (attach comments) ID (Ccrtificadon of occupancy required. ) 1 s! �CS� �ys•',� i't'fifs��i�..�i+tru.�:eS.,�. tiv�..ds�•f�s. {'.?',r�?'d�r,; wage¢ l,:figgigigm ...+•z PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER MI97 -0069 PROJECT NAME PYRAMID POINTE APARTMENTS DATE 5/28/97 DEPARTMENT: BUILDING DIVISION El PUBLIC WORKS L FIRE PREVENTION E STRUCTURAL El PLANNING DIVISION • PERMIT COORDINATOR a DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE [41 COTS • NOT COMPLETE El DUE DATE 5/29/97 NOT APPLICABLE TUES /THURS ROUTING: PLEASE ROUTE DRC NO FURTHER REVIEW REQUIRED El ROUTED BY STAFF I l (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE t APPROVALS OR CORRECTIONS: (ten days) APPROVED 7 APPROVED W/ CONDITIONS ❑. REVIEWERS INITIAL Aie4 DATE DUE DATE 6/12/97 NOT APPROVED (attach comments) E i(o/gi 1 CORRECTION DETERMINATION: APPROVED REVIEWERS INITIAL APPROVED W/ CONDITIONS DATE DUE DATE NOT APPROVED (attach comments) 0 (Certification of occupancy required. ) .K �'�';if:.F �. %t;' � F{�.y� i'ii. F C:.r t?�..:..r .: t.., {�r,..J'it�C ✓l.,drzyr� �'tF.i �i . RtS!. +;. r.y 1;'� ?T ai u i1,5Qti':,'h:'C'� LYt4c' t�v:ll::7t:�•i11`:t'l,iFdTIdC71� iC � ' LM1�'Fi 3., ',I PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER M197 -0069 PROJECT NAME _ DEPARTMENT: BUILDING DIVISION ❑� PUBLIC WORKS PYRAMID POINTE APARTMENTS DATE 5/28/97 FIRE PREVENTION n" PLANNING DIVISION ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑ DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE E COMMENTS • DUE DATE 5 /29/97 NOT COMPLETE ❑ NOT APPLICABLE ❑ TUES /TIiURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED E ROUTED BY STAFF l l (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE GI APPROVALS OR CORRECTIONS: (ten days) APPROVED APPROVED W/ CONDITIONS REVIEWERS INITIAL • DATE DUE DATE 6/12/97. NOT APPROVED (attach comments) C CORRECTION DETERMINATION: DUE DATE APPROVED i' I APPROVED W/ CONDITIONS NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL DATE (Certifiadon of occupancy required. ) 1