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HomeMy WebLinkAboutPermit D97-0118 - FREEMAN RESIDENCE - MOVE HOUSEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D97 -0118 Freeman Residence 1220149th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 31 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Parcel No: Address: Suite No: Location: Category: Type: Zoning: Const Type: Gas /Elec.: Units: Setbacks: Water: Wetlands: Signature: - Print Name: 017900 -1555 12201 49 AV S S 122 ST & 49 AV S NSFR DEVPERM V -N GAS 001 North: .0 TUKWILA Contractor License No: BUILDBI066BC Curb Cut /Access /Sidewalk /CSS: Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving..:. Oversized Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: South: Sewer: Slopes: Y N Y N N N Y Y N Y N N Start Time: Cut: Start Time: No: Private: t., • Permit Center Authorized Signature: City of Tukwila 1 (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 DEVELOPMENT PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Permit No: Status: Issued: Expires: Occupancy: UBC: Fire Protection: East: .0 West: .0 .0 SEPTIC N Streams: Phone: (206)722 -0207 Phone: 206 722 -0207 OCCUPANT FREEMAN JUDITH 12201 49 AV S, TUKWILA, WA OWNER FINN MICHAEL :T 3611 I ST.NE #41, AUBURN WA 98002 CONTACT JUDITH FREEMAN 4750 39TH AVENUE SOUTH, SEATTLE, WA 98118 CONTRACTOR BUILDING BUSTERS' INC. Phone: :206.772 -6556 13001 MLK JR WY S, SEATTLE, WA 98178 ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: MOVE HOUSE FROM RENTON TO ALLENTOWN LOT. DO ALL REQUIRED WORK TO BRING HOUSE UP. TO CODE. ****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Construction Valuation: $ 47,424.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Appr: JJS No: . Size(in): .00 /! 0 1, End Time: Fill: End Time: Public: Private Public: D97 -0118 ISSUED 05/29/1 11/25/1997 DWELLING 1994 ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 11,484.45 ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date:5 a 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 work. I am authorized to sign for and obtain this development permit. *2 Date _r � /75'712 Li 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. $ ) `) Lj%Lt4 1 -(5 BALANCE DUE READY FOR ISSUANCE TATE CONTRACTORS LICENSE ' ` IRED? IS THIS CONTRACTOR IN THE SYSTEM? NO APPLICANT CONTACTED DATE CALLED CALLED BY v kY\ 6aq ... M1�Sd :SW ACTIVITY NUMBER Dql 0 \ DATE 5- 1 3 ) 13 17 PROJECT NAME F ornan DEPARTMENT: BUILDING DIVISION PUBLIC WORKS DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE COMMENTS TUES /THURS ROUTING: PLEASE ROUTE [ NO FURTHER REVIEW REQUIRE ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL � DATE I. I APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS. REVIEWERS INITIAL CORRECTION DETERMNATION: APPROVED fl APPROVED W/ CONDITIONS REVIEWERS INITIAL FIRE PREVENTION C STRUCTURAL NOT COMPLETE ILA DATE DATE PLAN REVIEW / ROUTING SLIP PLANNING DIVISION El PERMIT COORDINATOR Q DUE DATE 5- NOT APPLICABLE DUE DATE - 1'77 NOT APPROVED (attach comments) I DUE DATE NOT APPROVED (attach comments) 0 II (Certification of occupancy required. ;d'•iiw,i �::e� v "tiS.{'�t�t'.;�yr +,t2cK . .ct�).as..rerr...F• +a,Y�a.(ia,; T4rlcivr�+�. r ACTIVITY NUMBER ) 9 -7 — ( 1 2 ) PROJECT NAME 4-ry < L14 114 DEPARTMENT: BUILDING DIVISION ❑) FIRE PREVENTION ❑ PUBLIC WORKS NI STRUCTURAL ❑ 4 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE ❑ NOT COMPLETE ❑ COMMENTS TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ❑ ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS REVIEWERS INITIAL REVIEWERS INITIAL C :ROUTE -F oVitf " Zi " .41 io: Kris; 3704%%*S`Zi:0; k.TW zar,.?r,o ' ms.t tukz: oia t5t ? taaa? PLAN REVIEW / ROUTING SLIP 1Sl ti r• (-1 CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS DATE DATE DATE PLANNING DIVISION PERMIT COORDINATOR ❑❑ DUE DATE NOT APPLICABLE ❑ DATE DUE DATE NOT APPROVED (attach comments) ❑❑ DUE DATE NOT APPROVED (attach comments) ❑ (Certification of occupancy required. u aa '�` ` f �l . H J,e�Y S I�,lr.±+��Caet'N: t`, s 7i �rlt� ra �° A. 7 ���{ Y': �I�it' �'.', �ii(' N' 31 iFLr{ �:. 1���%..* �' 11�1�LSY1 ]`t♦��i!'r�.i�'�;�5'4f77��� i!'a�:r�; DEPARTMENT: BUILDING DIVISION PUBLIC WORKS DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE COMMENTS • TUES /THURS ROUTING: PLEASE ROUTE REVIEWERS INITIAL APPROVALS OR CORRECTIONS: (ten days) REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED Q APPROVED W/ CONDITIONS REVIEWERS INITIAL C :ROUTE -F ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.) DATE s //2/4 DATE DATE PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER [ 7 O \ DATE 5-'13) .- q'7 PROJECT NAME Fr an Ic O I y L- / S . FIRE PREVENTION 1 PLANNING DIVISION STRUCTURAL.. TRUCTURAL . E PERMIT COORDINATOR Q DUE DATE 5. 13- NOT COMPLETE El NOT APPLICABLE Er NO FURTHER REVIEW REQUIRED S AO 315 I I DUE DATE "5 APPROVED 1 APPROVED W/ CONDITIONS C. NOT APPROVED (attach comments) 17 DUE DATE NOT APPROVED (attach comments) 0 (Certification of occupancy required. ) ACTIVITY NUMBER Dfl ._ 0 t DATE 5 .- 1 17 ---- +4n PROJECT NAME -C r _ an, V C4 c 1 J DEPARTMENT: BUILDING DIVISION El PUBLIC WORKS DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE E NOT COMPLETE E COMMENTS TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ROUTED BY STAFF U (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL REVIEWERS INITIAL APPROVED REVIEWERS INITIAL PLAN REVIEW / ROUTING SLIP L C APPROVALS OR CORRECTIONS: (ten days) CORRECTION DETERMINATION: DATE DATE FIRE PREVENTION ' J PLANNING DIVISION STRUCTURAL El PERMIT COORDINATOR ❑ DATE 51/ 7cl -7 DUE DATE 5- 13 h�1 NOT APPLICABLE Ei DUE DATE "5 APPROVED n APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) 0 DUE DATE APPROVED W/ CONDITIONS 4-- NOT APPROVED (attach comments) Q (Certification of occupancy required. ) C:ROUTE -F ACTIVITY NUMBER D97 -0118 PROJECT NAME FREEMAN JUDITH DEPARTMENT: BUILDING DIVISION El PUBLIC WORKS !016.7, e 51'.1 7V �1xieS ". C PLAN REVIEW / ROUTING SLIP 4 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE COMMENTS TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRE ROUTED BY STAFF f1 (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL /■-'11 DATE 4 APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS REVIEWERS INITIAL FIRE PREVENTION ` 1 PLANNING DIVISION ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑❑ DUE DATE NOT COMPLETE ❑ • NOT APPLICABLE DATE 1 4 - DATE kt r:'"A4b^'n1Y,9 dP�X"1?]SL9J@i53''"' sYa��txr %mske/E1ht, im DATE 4/10/97 4/15/97 DUE DATE 4/29/97 NOT APPROVED (attach comments) fl DUE DATE NOT APPROVED (attach comments) ELI (Certification of occupancy required. ) i,'a $ry'. ,Sf i'inSzgpfr ACTIVITY NUMBER D97 -0118 PROJECT NAME FREEMAN JUDITH DEPARTMENT: BUILDING DIVISION ❑ FIRE PREVENTION U PLANNING DIVISION PUBLIC WORKS 11 STRUCTURAL ❑ PERMIT COORDINATOR 1 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE ❑ COMMENTS jUa ed e r , rau F i./ r a var /A-b, )€ i/'I {o i TUES /THURS ROUTING: PLEASE ROUTE fl ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS ❑. REVIEWERS INITIAL PLAN REVIEW / ROUTING SLIP NOT COMPLETE ft✓► / /an Ye ll/ Wu /o7 /N ad/ v rf /a4ad -j dvi TELL CORRECTION DETERMINATION: APPROVED I I APPROVED W/ CONDITIONS REVIEWERS INITIAL C:ROUTE -F DATE DATE DATE f u5r., 6' 2P; 1! �fSYR} SS' �MtO' 1J 1Rd9 !z7'iY:•,. +W"f:L�. .rX'�.,".Zi? DATE 4/10/97 DUEDATE 4/15/97 NOT APPLICABLE fl DUE DATE 4/29/97 El NO FURTHER REVIEW REQUIRED ❑ NOT APPROVED (attach comments) ❑ DUE DATE NOT APPROVED (attach comments) ❑ (Certification of occupancy required. •�-.. ra y N%�': t: DEPARTMENT: BUILDING DIVISION fl PUBLIC WORKS REVIEWERS INITIAL REVIEWERS INITIAL REVIEWERS INITIAL C:ROUTE -F ACTIVITY NUMBER D97 -0118 PROJECT NAME FREEMAN JUDITH TUES /THURS ROUTING: PLEASE ROUTE PLAN REVIEW / ROUTING SLIP FIRE PREVENTION ► I PLANNING DIVISION r STRUCTURAL Ej PERMIT COORDINATOR Q 1 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE [1 NOT COMPLETE COMMENTS �i �� (_, S - por � -- t -rJrvIr 0 I /U/ ec _ / 0 CORRECTION DETERMINATION: APPROVED [1 APPROVED W/ CONDITIONS ROUTED BY STAFF f1 (If routed by staff, make copy to master file & enter Sierra.) APPROVALS OR CORRECTIONS: (ten days) APPROVED l l APPROVED W/ CONDITIONS DATE //,5/q DATE DATE DUE DATE DATE 4/10/97 NOT APPLICABLE 4/15/97 NO FURTHER REVIEW REQUIRED I l DUE DATE 4/29/97 NOT APPROVED (attach comments) EI DUE DATE NOT APPROVED (attach comments) (Certification of occupancy required. •Lfnsrnr_a I ACTIVITY NUMBER D97 -0118 PROJECT NAME FREEMAN JUDITH DEPARTMENT: BUILDING DIVISION FIRE PREVENTION Q PLANNING DIVISION PUBLIC WORKS . STRUCTURAL E 4 DETERMINATION OF COMPLETENESS: (T,Th) DUEDATE 4/15/97 NOT COMPLETE NOT APPLICABLE !� COMMENTS J— co d-401 f COMPLETE REVIEWERS INITIAL REVIEWERS INITIAL C:ROUTE -F :'cS hCJ S*!40.∎Evt fezalf PLAN REVIEW / ROUTING SLIP REVIEWERS INITIAL DATE • TUES /THURS ROUTING: PLEASE ROUTE lr NO FURTHER REVIEW REQUIRED ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.) APPROVALS OR CORRECTIONS: (ten days) APPROVED I l APPROVED W/ CONDITIONS DATE DATE . DATE 4/10/97 DUE DATE 4/29/97 APPROVED El APPROVED W/ CONDITIONS C. NOT APPROVED (attach comments) PERMIT COORDINATOR I CORRECTION DETERMINATION: DUE DATE NOT APPROVED (attach comments) 0 (Certification of occupancy required. ) +g . a 5LW . t Fr t 3S'i, • '/. DATE: 53'.S,'F.1i �..oft,..:4N.J'i \Y.FSizittyl� City of Tukwila Department of Public Works April 17, 1997 PROJECT NAME: Freeman SFR PROJECT NO.: P97 -0032 PLAN CHECK NO.: D97 -0118 »T!FYd ii+P•Wl'ter4: Y:R✓b:'� +�riTMtttk�JS4C 4115.* sflMmY PUBLIC WORKS DEPARTMENT COMMENTS PLAN REVIEWER: Public Works has deemed the application to be incomplete as submitted. A Sample Residential Utility Site Plan Submittal diagram is attached for reference. Contact Joanna Spencer at (206) 433 -0179, if you have any questions regarding the following comments. 1) Sewer: Show the following items for the proposed sanitary side sewer: a) Size (4 "), pipe material (PVC SDR 35 ASTM 3034), slope (min. 2% allowed). b) Clean-out at house c) Point of connection to existing sewer main. Show location and size of existing sewer main. d) Pipe bedding per Tukwila Public Works Standards. 2) Access: Show proposed access driveway and edge of existing road pavement. ' Driveway width shall be a ten foot (10') minimum and a twenty foot (20') maximum. Driveway slope shall be a maximum of 15 %. Turning radii shall be a minimum of five feet (5'). Driveway shall be paved for a minimum distance of twenty feet (20') from the edge of existing road pavement. 3) Water: Show location and size of domestic water meter. Show location, size, and type of pipe material to be used for domestic water service. Single family water service connections shall be a minimum of 3/4 ". Show location of the nearest fire hydrant. 4) Storm Drainage: Show how the roof leaders and foundation drains will tie to existing storm drainage system in the street. to John W. Rants, Mayor Ross A. Eamst, P. E., Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433-0179 • Fax (206) 431-3665 • 6) Flood Zone Control: . A Flood Zone Control permit is required. Please have a licensed land surveyor identify grade elevation at the site per NGVD Datum and reference FEMA approved bench marks. Show lowest finished floor elevation. The minimum allowable elevation of the structure is the 100 year flood elevation plus one foot (1'). However, Public Works strongly recommends 100 year flood elevation plus two feet (2'). 7) Moving Oversize Load (MOL): A House Relocation License shall be obtained from the Tukwila City Clerk's office ($50.00 fee). A $5,000.00 bond shall be submitted to the City prior to the move. A $1,000,000.00 insurance certificate naming Tukwila as additional insured. Public Works Departme ', Freeman SFR Page 2 5) Power: Tukwila Undergrounding Ordinance applies. All utilities shall be placed underground or applicant may apply for a "Waiver to Undergrounding Ordinance/Obligation for Future Undergrounding." • r r NO 123' 4. 57th AVE S UYY:i 7 'C" CONC. SIDEWALK INDICATE EXISTING TOPOGRAPHY AT 2' INTERVAL SANITARY SEWER MAIN ,g9 DOWN SPOUT (D.S.) 19 STORM DRAIN (S.D.) 84' INV.EL186.23 — STORM DRAIN WATER MAIN INV.EL 186.23 City of Tukwila L')LZi^AV I1Y'.t[H? §fr.114wi MUoVNI mkritAYAR,ItU•Sk?Prr.NaxHpN.r ArikoI'wxVjtl mMr4MiaCkntriOAci 1YRYnt. rmmon ...,....n....”....+........•.o. PROPOSED TOPOGRAPHY AT 2' INTERVAL 22' t INDICATE IE AT ALL CONNECTIONS YARD DRAIN —\ 0.5% 142' 200 523 Birch Street LOWEST F7.00R ELEV- 200.52 CLEAN OUT (C.O.) 4 SIDE SEWER MIN. 2% K N 0 N N C.0 SS STUB 33' INV. EL 188.7 10' MIN. INV.EL197.14 26' 3/4' METER 10' MIN -20 MAX 62'02% NOTES: 1. CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE CITY OF TUKWILA INFRASTRUCTURE DESIGN AND CONSTRUCTION STANDARDS. 2. DOWN SPOUT DRAINS TO CONNECT MINIMUM 5' DOWN STREAM OF FOOTING DRAINS. 3. SHOW ALL EXISTING PIPE SIZES, SIDEWALK DIMENSIONS, ETC. 24' l � YARD MITI r r DRAIN INV.EL187.50 RSITE SAMPLE RESIDENTIAL UTILITY SITE PLAN SUBMITTAL Not to Coate, • Project Name/Tenant: Type of work: , Ws Single- Family Residence ❑ Addition - Single - Family Residence ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure' ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Value of Construction: Site Address: . 1;22_ a- 5 - an City State /Zip: ? 5 GV coritei' t) T ; Nei Atie 77.4 I6,1)( 10 la) Tax Parcel Number: 0179. c)O/6";53 Property Owner: / U VO /TH F , fRf� AN Phone: 72 4,QO 7 Street Address: _ 6 City State /Zip: X75 ,,__-)q— .x )14 S, se / wq 4s Fax #: Contractor: ' Ju (/i7' /-, 5, F1- rc- : -,� «„ Phone: Street Address: as g ) City State /Zip: , Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: Phone: Street Address: City State /Zip: Fax #: Description of work to be done: ' / ryfOV. e hbusc •f f►�;� +a�t . f�� A/���- ifo la f: . �7v 0 // I required work -- to ton fl Ito use s, IG Code. (I s ct/I '€ fire aC /c /;�7 Type of work: , Ws Single- Family Residence ❑ Addition - Single - Family Residence ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure' ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Is this site served by: 0 Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: ' / 2- sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck • Floor Area Ratio: (total floor area of all structures divided by the area of the lot) Or% /' G p ' ; x /0D For an Accessory dwelling, provide the following: Lot area Floor area of principal dwelling Floor area of accessory dwelling ' Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. CITY OF TUI VILA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 Single - Family Residential Permit Application Application and plans must be complete In order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews shall be determined by the Public Works Department) • Ora Channelization /Striping Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): • lood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. Moving an Oversized Load: Start Time: End Time: • Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public Storm Drainage ❑ Street Use ❑ W ter Main Extension 0 Private 0 Public • Water Meter /Permanent # / Size(s): -g /i 5 0 L. ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous }�- 1k'ef\ i(1 5C.Weri Welk—QC 5 lY)' rf- 1--c-e5 Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: 1 4 - 1 Date application expires: t0 I0 6 1l Application (initials) PLEASE SIGN BACK OF APPLICATION FORM SI'PERMIT.DOC 2/13/97 L.4/,Ls L/ 3 tl y � � ( �7 i3 / Uc: l\ 7 l-� l /eat - 1 - 6 IA) 0 4 (1( BUILDIN9 ER OR AUT.HQRIZED AGENT: Signaturez, ` ' ' -X(G�1 : C Y' � C`:a / ,' � / CG /' LcL r 'Z_ Date: GU, - /., z, .t 2, % i� - Print name' b'/'; 7"7ti F, f %f f1/ +/v 7 Ae: ,,;;) — .8:; -0,7 Fax #: Address: i„,/ t L) ,:-.?9-d- AL) e , c��� City %State /Zip c ) � ,`Z /E', 1 c A, (7 5' .) .'b * ALL SINGLE- FAMILY RESIDENTI g, PERMIT APPLICATIONS MUST BE BMITTED WITH THE FOLLOWING: ➢ DRAWINGS PREPARED BS( REGISTERED ARCHITECT OR PRO, .SSIONAL ENGINEER MAY BE REQUIRED BY THE BUILDING OFFICIAL D. ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433 -0179 for servicing district. ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ El King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H - 16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, downspouts and foundation drains, and where drains tie -in. 7. Parking plan. 8. Lowest building elevation (if in Flood Control Zone). 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form H -9). ❑ ❑ Foundation plan and details ❑ ❑ Floor plan ❑ ❑ Roof plan ❑ ❑ Building elevations (all views) ❑ ❑ Building height ❑ ❑ Building cross - section ❑ ❑ Structural . framing plans and details necessary to completely describe construction ❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, Variance, Shoreline or Tree Permit). ❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. ❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department or the Tukwila Public Works Department prior to submittal of permit application. ❑ ❑ Copy of Washington State Department of Lauer and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State 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. SFPL:RMIT.DOC 2/13/97 Project: re. ChAA AA T 6finspection. Ft AJ Address: 1020+ A-Ui S S instructions: t ' � Date *l a.m. p.m. Re tier: pq Phone: 44 .: 45,01'ftSi'!,(', I4i. tiS:f.3 Y+ iii . , nN i Y tk .+."' • i'.�.:y::� ::.. �"V.,'•,': �f �t.,' INSPEC ' ' NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Y 01'7 -Ol PERMIT NO. (206)431 -3670 © Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: 1 ■D 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: COMMENTS: - 7 he-ccez ,-,c_ a vc.."-I 77 csfAl , 0 7 x.r.4-a._ .Q /kr ,64,7.66 Y f(4 47 ATA- (5 4--._..,4.4 0 ee/Vale- F C4aftluic_ s P4c.._.-- ( Icr' / i 6- Date re a. Yi P.m. Reque TZ . 2. 0il lf . Phone: oLo- 760q-/Y& Project: v Yv v 1 Type of Inspectiopq—, / r Ad _201 ft4Afli__S. Date called: r 7a Special instruction . ( Icr' / i 6- Date re a. Yi P.m. Reque TZ . 2. 0il lf . Phone: oLo- 760q-/Y& INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ApproVed per applicable codes. Vj Corrections required prior to approval. Drse//0X, Receipt No: Date: ,%• ••,.• COMMENTS: -, 6),4 67 ,e /c' 7S 4 4 - pr sfr-- 0 '161/6 C 4120D ,C(;1" /X - .5. 4 : 1 c., , 7e , y( / 04' " t' /i2i.4 " Y At7,4-e_ /A /SAC cs.2(97 .,,ii-tze./ a,74-/A---1 6 ) soi-t4 6 aio-g‘e ge-CA777ii-b 7'7 ia,-8e4- /7-4 097 - 0 '244 u/e-c A/A64 c /A 74( — (hz-e-e...te e.,9( ■ `7e 776-b 4 ) .e.... /I/ ,47(f .s. (74----b$ xi oi,c .7 /yr./3 .. 7 <=rt.fs ,45 Pro j ct: ,q4,eei joil :, , «q /14 live ... , , ' Date called: Special.instruc / ions: , 5 itt -e 6 014) /4 . .0 W ,d-e4 0 9A4-'?.57€ Site-S ( Date wanted: /goy a 9/ .--)/ Requester: Phone: . i .. 7d5 793 /g -' 7.410A..earriara.VOKIZWOMitrillgra'nt7r4.fr..6.1:024 I V • '! ' INSPECTION RECORD Retain a copy with permit • INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431-3670 Approved per pplicable codes. rrections required prior to approval. Inspector. 9 El $47.00 R INSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Receipt No: Pro ct: �uD�T► - Type of inspectio of NElS ��ee���� t d 2 ss t 4 c V S Date called: „ ' — Ti Special instructions: /VOi .... . n k ' Date wanted•• 1' p O - �T " 1 7 �1�i�i Re Qr W /5Y Conf P hone No.: 77 - 0267 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 4f� i MMENTS: Approved per applicable codes. Gf Date 7 $42.d0.�Et�1 FE RE ED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectiol Receipt No.: Date; X11 ? ` PERMIT NO. (206) 431 -3670 Corrections required prior, to approval. COMMENTS: Type of Inspection: Si) Address: I t rtr Date called: 19V97 P.-} 7t/e..4.4 12,— A AbriCs 5 6 ' Plf 55 fit. it-ou • t t f a.m. P.m. iiaKesS c(2 . Phone: 1/119 9 "..0c-n-rt.44 o/ /firs 4 0 t ii//q Project. hAr.4.4.-".... Type of Inspection: Si) Address: I t rtr Date called: /0/6/pf Special instructions: Date wanted: • t t f a.m. P.m. Requester: Phone: INSPECTION Na • C- INSPECTION RECORD Retain a copy with permit • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 El Approved per applicable codes. ri Corrections required prior to approval. Inspector: Date: I I / 4 0 7 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: : : • Project: —^ *A00 .. v...,, Type of Inspection:/ (( '1 W rnP Address: Date called: q Special instructions: Date wanted: ie a.m. p.m. Requestery -e-m._ _..... Phone: • ,y INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)4 -3670 COMMENTS: Approved per applicable codes. a C rrections required prior to approval. Inspector: Date: itf el 9 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: P ject: ,v Q C "L ( ctL ... Type of inspection: ` - 5_ f) Address: fi t. L\ + 1 � l . Date called: Special instructions: l D v n � 1 c 0 Date wanted: C t TI. (22D Re U Phone c � c-�tL` — 0C\ \ \ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I :Approved per applicable codes. 'COMMENTS Inspector: INSPECTION RECORD Retain a copy with permit T Date: (206) 431 -3670 Corrections required prior to approval.:: 1,44 w[.., 1 Star Sidi( (, vE) L Act÷e a r U $42,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: • ;•-' May 19, 2000 Judith Freeman 4750 39 Ave S Seattle Wa 98118 RE: Permit Status D97 -0118 12201 49 Ave S Dear Ms. Freeman: In reviewing our current permit files, it appears that your permit for a house move and improvements, issued on May 29 1997, has not received a final inspection as of the date of this letter by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the building official under the provision of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, if a final inspection is not called for within ten (10) business days from the date of this letter, the Permit Center will close your file and the work completed to date will be considered non - complying and not in conformance with the Uniform Building Code and /or Mechanical Code. Please contact the Permit Center at (206) 433 -7165 if you wish to schedule a final inspection. Thank you for your cooperation in this matter. Sincerely, City of Tukwila Department of Community Development 'RDALP Bill Rambo Permit Technician Xc: Permit File No. D97 -0118 Duane Griffin, Building Official RECEIVED MAY 2 5 2000 COMMUNITY DEVELOPMENT Steven M. Mullet, Mayor Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206-431-3665 - 1 1 j', • M,dirAiLt •ESSFO fa ...!"iH TO SEND City of Tukwila Department of Community Development 6300 Southcenter Boulevard Tukwila, WA 98188-2599 Judith Freeman 4750 39 Ave S Seattle Wa 98118 FREE750 981182022 1N RETURN TO SENDER NO 'FORWARD ORDER ON FILE uNAwLe TU tIURWAKU RETURN TO SENDER. / IMW c CD d \AA mamamorems 11‘ I 044 i7 05/22/00 ti A14 1z' • p:�}.t ur C. OWNER: tYk!SLKNYrituRaittl. i:iskaa UNDERGROUNDING AGREEMENT WAIVER TO UNDERGROUNDING ORDINANCE OBLIGATION FOR FUTURE UNDERGROUNDING The proposed development at: /off oC D / X7'9 awe, ,SS: 4 . 1 (street address) Parcel No. 9— •a/ r.k.tVeidergrounding per Ordinance 486, 924 and 1321. In compliance with the requirements of Ordinance No. 1607 the property owner of this single - family development has demonstrated application of the Underground Ordinance will create undue hardship if carried out as part of the development. The Owner is obligated to participate in funding future undergrounding improvements for their proportionate share of said undergrounding fronting their property. Furthermore, if the L.I.D./U.L.I.D. process is used to carry out the construction of this undergrounding, the Owner waives the right to protest L.I.D. or U.L.I.D. formation for this undergrounding. Owner retains the right to contest the method of calculating assessments in such L.I.D. and the amount thereof to be levied against the Owner's subject property, and other property owned by Owner which would be within such L.I.D. This Agreement shall be recorded by the City Clerk with the King County Auditor as required by Chapter 35.91 RCW and the cost of said recording will be paid by the City. This Agreement shall be binding upon the parties, their respective heirs, legal representatives, assignees, transferees and.successors. This Agreement runs with the land. dl/ /2 1'`G� /F) / / 97 wner (Signature) Date CA/0%E ) („2042 Owner (Print Name) Phone CigM.s1 a t e, �v, �G• Gv`2 �CG Street Address 2/750 39 GAL,SU, i / 1 9,E?/ /re S'��z�- / age 1 of 2 City, State, Zip DTI- 0118 STATE OF. WASHINGTON County of Kt On this day personally appeared before me 6%.1))Vit-k k f , to be known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that ¶ i. Q- signed the same as . free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this (% day of NOL le..9.1' 1 9 _• - NOTARY PUBLIC AND FOR THE STATE OF WASHINGTON, RESIDING AT: V fi 1,X (C:doc 17) Page 2 of 2 • I q LOU- AVe-All-a= SoccrIA RECEIVED CITY OF TUKWILA NOV 18 1987 PERMIT CE;;.—. p5 6 173 e a_ . d • 1. (- ./ 1 / -C. C.. ec.eZZM 17:2 z a:6 ‘.‘ 74-.e z. a■••,2 a-e.4 /4z.e.e.-ex...e-a.....-71 • (.; /- RECEIVED CITY OF TUKWILA NOV 8 13.37 PERMIT CENTEI4 1 - t ;(3 DATE: October 24, 1997 c: TO: CITY OF TURWITA FROM. KATHY PENMAN SUBJECT: COST .ESTIMATE ;FOR: Judith Freeman 12201 49th AVeaue.S. included. 14661 P02 Seattle City Light, south distribution design, estimates the following cost for a distribution system to supply the above address. Telephone company and /or T.V. costs are not 1 Estimated cost to the customer for overhead service: $.254.27 • Estimated cost : for underground service: These costs are for esti purposes only.' Actual costs will be calculated and billed at time of construction. $ 971'.96 C „ fir ,.. OCT n t. t 2 1i97 { • •THEO' J Al /11# ,,.!/. 4 Ii �. CITY OF TUKWILA TREASURER'S CHECK 6200 SOUTHCENTER BLVD. PH. 206 - 433 -1800 TUKWILA, WA 98188 U.S. I BANK TUKWILA•ANDOVER PARK BRANCH 101 ANDOVER PARK E, P.O. BOX 80923 SEATTLE, WASHINGTON 851 BB -0023 U.S. BANK OF WASHING ON, NATI• NAL ASS - CIATIj 11 RI DOFARS CITY OF TUKWILA lrwxae_.. 19 -10 30 • City of Tukwila Department of Community Development Laurie Anderson, Finance FROM Brenda Holt, Permit Center DATE: March 2, 1998 SUBJECT: Release Cash Assignment MEMORANDUM O M 9q Date Please release the $5,000.00 cash assignment posted for Permit No. D97 -0118 to REDMOND MOVERS, INC. This permit has received all the necessary inspections. The original transaction was May 20, 1997. Please return the check to the permit center and it will be forwarded to the applicant. John W. Rants, Mayor Steve Lancaster, Director 63G0 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax. (206) 4313665 . October; 20, 1997 City of Tukwila 6200 Southcenter Blvd. Tukwila, WA 98188 Attn: City Clerk Re:. Bond Release This letter is to verify that the Judith Freeman project, permit No D97- 0118 has been completed. The site address for this project is 12201 49th Ave S., Tukwila, WA. Please refund the bond in the amount of $5,000.00 which was posted for this project on 5/20/97 in the form of a cashier's check. Please remit to the corporate address above. RSC:Ic Sincerely, REDMOND MOVERS, INC. Robert S. Cook Vice President RECEIVED CITY OF TUKWILA OCT 2 3 1997 PERMIT CENTER ,, ' ' , '....•••••••• 11 1 1 1 1 11 1 1 1 11 11 1 1 1 1 11 11 11ii 11 11 Is li dos It lia h li lt', k* . * * *kklr' *' *k *k�kry4 *,k *** 4. k;kk k.40 4** hk * * *k*A4** *k* * * * ** ** *k ** *.' • CITY OF 1 U!(WIt A lU' . ( TRANSMIT ` ':E ** * *k,k:4 * *. *kk.*k *k,k *.k * ** **11 ** * I ** h4 c* ***4•4*•k* *. %• h•k* *•k.4c:k:•k* TRf NSMI1? th m.her�:. ; Ft.970Q583 Amour•�t: .5;000...00 05/.0/.-17 13:05. P.avuien l M . � a s hre'5 N a at i ari: In i t': lizP Permit No:: D9770118 • ' Type: .DEVPERI4 DE PERMIT Parcel Na: .017300 -1555 .Si ddress: 12201 49 AV S.. • Locatian: 5 122 5T & 49 AV S . Tot31 Fees: 5..561..25 This. Payment 5 00 Total ALL Pmts: 5.000.00 Ra1ancei 561.25 4'********4*****.**** lr*** 'k•A * * *. * * * * ** * * * * * * * *•k * * * * * ** *. * * *4 *+1 * * * * ** Account Code Description 000/386.908. BONDS /DEPOSITS Boc)ok -cor Uu1/4ck■ h� ,^move. Amount- 5,000.00 c1i:, 7 05/22 /71.7 TOTAL 5000.00 Project: Type of i spection: I I, Address: 12201 45 , $' Date called: 1 /2..e Special instructions: • Date wanted:. 1/1—i )q 8 a.m.: P.m. Requester: BO D Phone No.: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: s c.pil fl INSPECTION RECOR Retain a. copy with pe 0 p a-Q.k lb 51 1134 (OP(iet t( e -NA U. rvat t..., - h) 5 Inspector: Receipt No.: \\ Date: RMIT NO. (206) 431 -3670 Corrections required prior to approval. 3 /`,'l IAD\ -F 0& Li' (I. C<r>,• ' t u°A- no rnti.cAfa.1t 3 / i f ed ly £ s J $42.00'REINSPECTION FEE REQUIRED: Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: roject: 4.‘ 1' ress: 1 1 P. ,Type of inspe '• I : D at e c alle d : lam- cL9 q Special instructions: °- CS) 'C P(Th Date wanted: a.m. Rester: Pho a No.: n Approved per applicable codes. INSPECTION RECORD Retain a copy with p " INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I I CC -CAViz PERMIT NO. (206) 431 -3670 Corrections required prior t� approval. COMMENTS: olvtirew6 I .e) ID c'- cc) ar . e.AA.; ' 5 4 . tom; 1( Yl eeJ 4 . ace;'' Q CA.P eStorN Inspecto Date: j / 9.4 / 97 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon. Receipt No.: Date: Special Instructions: Permit No.: c�- j g 14 7 Iq . 7 E-ib u, sr, G (► r, l a re- 0 / 4 ,f ti% 1 oit L I\c o A9p,�Clr/\I� pA- A-66i. Dr L Ct y 1 1'l -A 5 1 uc_i e / _1J Zec? pw n C. Requester. .� Phone No.: Project: j��L�� Permit No.: c�- j g Site Address: t -7,.. 4 9 it , A ca Date Called: t i i t, Type of Inspection: N\ cal- Date Wanted: • a.m. • p.m. Requester. .� Phone No.: City of Mt Avila Inspection Request Department of Public Works — Engineering Division Phone: (206) 433 -0179 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Attachments s . ri; ,• s4 *f:: i, i.# >; rat: -��? ! City of Tukwila CF: Steve Lancaster, DCD Director Duane Griffin, Building Official Brian Shelton, City Engineer Joanna Spencer, Development Engineer Greg Villanueva, Utilities Inspector Richard Takechi, Finance Department MEMORANDUM TO: Bob Noe, City Attorney C FROM: Kelcie J. Peterson, Permit Coordinator DATE: June 18, 1997 SUBJECT: Development Permit Application #D97 -0118 (Freeman, Judith) John W. Rants, Mayor Department of Community Development Steve Lancaster, Director On April 10, 1997 Judith Freeman applied for a Development Permit to relocate a house from Renton, Washington to a vacant lot in Allentown (12201 49 Av S). Also included in the scope of work is interior remodeling of the home and connection to water and sewer. The permit was approved on May 28, 1997 and issued to Judith Freeman on May 29, 1997. As part of the permit requirement the moving contractor (Building Busters, Inc.) posted a $5,000 bond and submitted a Certificate of Insurance in the amount of $1,000,000.00 naming the City of Tukwila as additional insured. Judith Freeman posted a Plat Bond issued by Contractor's Bonding & Insurance in the amount of $22,000.00 She also paid the sewer hook -up and water hook -up fees for the referenced property. On Monday, June 16, 1997 I met with Mr. and Mrs. Michael T. Finn who stated that they are the legal property owners. Shellie Bates contacted the King County Assessors office and their records also show that the Finn's are the legal owners. They stated that the property has not been sold to anyone and that they did not give Ms. Freeman permission to move the house onto their property. I am requesting your legal opinion on what course of action, if any, needs to be taken. Can you answer the following questions: - Should we perform the required inspections if requested by Ms. Freeman? - Should we release the moving contractor's bond if all requirements are satisfied? - What do we /should we do with Ms. Freeman's $22,000.00 bond I have attached a copy of the application and the issued permit. Please note that Ms. Freeman certified that she is authorized to apply for this permit. If you have any questions please do not hesitate to call me at X1672. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431.3665 1 iy -rl :4 t ' 4 .v,•ac,,v,' t .t.a %1 V ref+' '•}? -r m.* .' o, ,w�Jr�Witi 0 ?ir af1 0 C . i !k' V - � . Gr t c�, liPY��"57' ' •� : : ,.$ :...v.�t;��,- ..Y���. fair, �.: 4? fifV ::�,,..�5.i.•;�+::.,�r5....- .::urn.- .- :r,+LS.� Sw,: �v" r�n�fi�, r�. �,;.` ��? e�.. rr4' f, T..> ��7. L.' �, S. r>.. �n�,, �" f "t�tt..,',iC'�h.'!'s1.3'�CM.,f �. ;,�'ae3�•��.� PROJECT NAME DEPARTMENT: Pumi' C�od Copy PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER D O \ t g' DATE 5 )4 17 UILDING DIVISION B W RIs �� arc- ema.n Jur,11 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE rtd NOT COMPLETE ❑ COMMENTS REVIEWERS INITIAL FIRE PREVENTION gi PLANNING DIVISION ❑ �� 511 �7 R) ` ",b3R4 STRU y ❑ PE IT C INATOR I TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑ ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) DATE DUE DATE 5- 13- h NOT APPLICABLE ❑ 4 c■• 1 APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS . NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED ❑ REVIEWERS INITIAL C:ROUTE -F DATE DUE DATE f5 - 0 7 7 —6 17 DUE DATE APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑ DATE (Certification of occupancy required. NUMBER I. COMMUNITY NUMBER 53 00 d ( 2. PANEL �� / NUMBER r . 3. SUFFIX F 5-16-q5 4.. DATE OF FIRM INDEX DEX 5. FIRM � ZONE X • 6. BASE FLOOD ELEVATION en AO 12. us*d BUILDING OWNER'S NAME' CITY Tiik w;l� ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. FOR INSURANCE COMPANY USE POUCY NUMBER COMPANY NAiC NUMBER SECTION A PROPERTY INFORMATION .Tuo(e j'h (-rep m Gt n STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER j22XX Liq ra Ave. S. OTHER DESCRIPTION (Lot and Block Numbers, etc.) ` 0 k'5 41 ri nd Lf L/ 13Io 7 A-I) e r.../ e t Provide the following from the proper FIRM (See Instructions): FEMA Form 81.31, MAY 93 REPLACES All PREVIOUS EDITIONS Add; `/Ah STATE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SECTION C BUILDING ELEVATION INFORMATION SECTION D COMMUNITY INFORMATION O.•.B. NO. 3067-0077 Expires Mar 31, 1996 ZIP CODE F/ 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): tg(NGVD'29 ED Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate • the community's BFE• I I I I I I U feet NGVD (or other FIRM datum —see Section B, Item 7), 1. Using the Elevation Certificate Instructions, indicaq the diagram number from the diagrams found on Pages 5 and 6 that best describes the•subject building's reference level 2(a). FIRM Zones A1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I I I I U feet NGVD (or other FIRM datum —see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, Is at an elevation of I I I I I I U feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W U feet above Cl or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is UJ U feet above 0 or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 4 3. Indicate the elevation datum system used In determining the above reference level elevations: X NGVD '29 0 Other (describ under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, item 7), then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: X Yes. 0 No (See Instructions on Page 4) 5. The reference level elevation is based on: 0 actual construction g construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post - construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade Immediately adjacent to the building is: LLI 1 I I I I QI .feet NGVD (or other FIRM datum -see • Section B, Item 7). 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: U I U Li feet NGVD (or other FIRM datum —see Section B, Item 7). 2. Date of the start of construction or substantial improvement SEE REVERSE SIDE FOR CONTINUATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1—A30, AE, AH, A (with BFE),V1— V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway /non - breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER (or Mix Seal) James p Crones TITLE COMPANY NAME P ro- Fess;onaf Land Sv -ve,or - Crones ken Wcr. ADDRESS 19071 ` Ve 5:E. CITY `1 [� /'1 L-1r22DAT47 (20 !NE SIGNATURE Copies uld be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: marks EASE FLOOD ELEVATION A ZONES ON SLAB Used recerence V ZONES ADJACENT GRADE SECTION E CERTIFICATION WITH BASEMENT A ZONES r 4 ADJACENT :w GRADE •• The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 ESE FL000 ELEVATION 29537 ON PILES, PIERS, OR COLUMNS / STATE ZIP 9g0y2 Li 3 2 - 5930 • HOUSEMOVERS TELEPHONE . NATURE OF BUSINESS LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI- NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED HEREUNDER. Building Buster's, Inc. 13001 MLK, Jr. Way South Renton, WA 98178 This license is to be displayed conspicuously at the location of business and Is not transferable or assignable. N 19400 EXPIRATION DATE DECEMBER 31, 1997 DATE ISSUED LICENSE NUMBER. 5/21/97 HM -001 FEE SALES TAX CODE $50 NO.1729 CITY CLERK RECEIVEI ' CITY OF TUKWIILA • MAY 2 3 1997' PERMIT CENTER ,..„,_e. ed.„.t,.. HOUSEMOVERS TELEPHONE . NATURE OF BUSINESS LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI- NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED HEREUNDER. Building Buster's, Inc. 13001 MLK, Jr. Way South Renton, WA 98178 This license is to be displayed conspicuously at the location of business and Is not transferable or assignable. N 19400 EXPIRATION DATE DECEMBER 31, 1997 DATE ISSUED LICENSE NUMBER. 5/21/97 HM -001 FEE SALES TAX CODE $50 NO.1729 CITY CLERK RECEIVEI ' CITY OF TUKWIILA • MAY 2 3 1997' PERMIT CENTER ., I^ l��.. { "�5 L ~ A '',� '. ' {: 'il]C'.1LR ....., .. M . $f % Uf t ' f• `+�' i e : - * - i ,, -, ,,, . j;�i ° PRODUCER (206)763 -1360 FAX (2 0)763 -1433 Peter D. Beeson Company 5501 Fourth Avenue South, #101 ,3.s,'`o�.l�ct�.i: : ~' S-.rin:•Y l� �li.il"3+-'S P'h'! 1 ''a� ( ; 1 4Y. °:�i..Ll'.tr..f - ONLY AND HOLDER. ALTER THE � • ' T n j o . } _. DATE MM /DD/YY V o-zi; ;, r..j DA ( ) j Y.,.. .. i , S. y ':. t .. ti . J�..!l.. ti�ft';. -5i 05/20/1997 }} �..l ,- r�tu'Ewr!14..Cfi .....1 .. .l.- a•. •::. '' . `' • • ' ' - • ' ' - ' . CONFERS • RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98108 -2447 Attn: Peter Beeson Ext: COMPANIES AFFORDING COVERAGE COMPANY CNA International Reinsurance Company A INSURED Building Busters, Inc. 13001 Martin Luther King Jr. Way South Seattle, WA 98178 COMPANY Progressive Northern Insurance Company B C General Star Indemnify Company c COMPANY D I { i � H r Y � C( r. E 1.�. • ?,,, 1 f"t:� vii -f SR '.t. d ^ �.�.�. {. :� , J� .1� y , ,.y �.,. , ; v.�` ✓✓` : l�r.c � s�. ,.,�: ±1rt �- ; '��tri til { .,, i`4 .:g I : . �GEi.. ,`r� . , ... • ;MY r•f�5 -S `�!•s: si• 1�:'f.�t,�r• , '4. 1 'EN GE (» N•. , G i rc : 4tif :' . ;•,,. ; ,.. .1. e r'. a a. v ; i r h'' : y C ^ �� � .. h..tix •;4,i� ?��, 1�'Nai i. <t,,, .it .w . i .1..:';,hn ��.: i•. '�;�:: ..r.= - '...,.E+ . k:' �?, �A+ ��'-.. riS. �A��w' f, �riS v; 3�r,: rY 4 ... / „iYrt;'^;1�:tthu)s�n')�; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE WM/DO/TY) POLICY EXPIRATION DATE (MM /DD/W) LIMITS A GENERAL LIABILITY BFBI96 60159 07/01/1996 07/01/1997 GENERAL AGGREGATE $ 1,000,000 X X COMMERCIAL GENERAL LIABILITY —J CLAIMS MADE LX } OCCUR OWNER'S 8 CONTRACTOR'S PROT Wash Stop Gap PRODUCTS - COMP /OP AGG $ 1,000,000 PERSONAL S ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ MED EXP (My one person) $ B AUTOMOBILE X_ X _ X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 0 -41 -25 -959 -1 03/17/1997 03/17/1998 COMBINED SINGLE LIMIT $ 1,000,000 (PeDplerINJURY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO _ .__ ._.___. AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY. $ "•'„ ^'4'' ,,P $ EACH ACCIDENT AGGREGATE $ C EXCESS LIABILITY IUG 334053A 07/01/1996 07/01/1997 EACH OCCURRENCE $ 1 000 X 000 X l UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE $ 1,000,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY m' I 1 `u'H TORY LIMITS 1 ER -t: ' ' = >� t:' cx E5 +3:,i �ji�a?rlitf S EL EACH ACCIDENT THE PROPRIETOR/ PARTNERS /EXECUTIVE OFFICERS ARE: _ INCL EXCL EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE [ S OTHER RECEIVED CITY OF TUKWILA DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS All operations of or on behalf of the insured for 2111 G((��T E� ���C, . ' , , ;3 , t ! 1 r . x . 7 � Qsit �F.ip�• 4::4 Y.3' ',; ,�l,r. :.1N � �J I "' ,*h.. Ni1.'� :�1�.. t4. 'P{'"l} Y:."!. J� ' F�st' , i ty of Tukwila Permit Center 6300 Southcente r Boulevard Suite 100 Tukwila, WA 98188 %NCO D�26'St . 9 "` 'fio ',, F . , , + ,.M��.��,,•5 .��.a;���us?s����'�'��si ) ;x'.,,e.� ,,;� •�;•: x� i F�`�t�� �• s MAY 2 0 1997 the certificate holder. PERMIT'CENTER C v� * mr ;ryifi7,77;1"4 �. , . ,; TZ . i ,- H ' M 1 t Y' a \ "C�(': �7' ,.,.V f� J1 ~.... "Q�•'}. ��`''' !1 &. ,.. �P a 'J. s•, ...,>` a.e. �i. rd. eFr 1�'`.l',. @t ,...� h {�m'..a�r /.ts:. -0..avl` �filal SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTI HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMP / • AGENTS OR REPRES • NTA ES, AUTHORIZED REPRESENTATIVE Shang Wilson . 't, a t - r r : rc c•, e e mac• . , 4� , t ; �. ,?� ±I: r�s�r.. „ ��h,, ,,� C N �1g (`• �i`'. tom•: a l. ,: � .s 'i<����r�itD� s1. ;i7S .Vt;�?', « ; #Ar:L4,i'+ ii,VA-v e—ssto,rzo.w4 Nir..-51.is:1 inv 4 gte- eon( ;RAve ?,'P'?Stn +' V4t4K"trzT>.sC( v,r,oreelfAli.raVa.Va! n'il:1"9 - AVA:i21 :;':il:i".ft . 't Building priers, Inc. POLICY NUMBER: BFBI96 6' t COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- STATE OR POLITICAL SUBDIVISIONS -- PERMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State or Political Subdivision: City of Tukwila 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured any state or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. 2. This insurance does not apply to: a. "Bodily injury," "property damage," "personal injury" or "advertising injury" arising out of operations performed for the state or municipality; or b. "Bodily injury" or "property damage" included within the "products- completed operations hazard." QIT E Y'O FTUKWiLA MAY 2 0 1997 f'ERM$r CENTER CG 20 12 11 85 Copyright, Insurance Services Office, Inc., 1984 ❑ iitviY-.1.44 ' , p........, , ,tA%,„,,, , t.; „ . v 1St e..1 tiok310MBE - • 3 O. Jirk.. ,- .. .1 1. :. 1 P4 i •!..t , J.' .1.. ":.),.EXPIRATION, . . at t ...;; .; 44s. , ,,, ,1 f rit,;ei„ ti; ,.,,,, t; , -,;.7 , ., It:. ' "'; :‘, • ,r%. . ' , ••• 11 •`11 •111.' • gk, :-.,;,. v it: ii,, , 4iiA : .5: t • t :.:- , :t .), 10711 . , ,x,:!.. -"?,,t• . ) ,4 .. .11, rn ; 2720 -.2A6 ‘49 42, ALt. _as J RECEIVED ation • VINa.CPNIRACTQRS.STATWNT''':': I will move the structure in / section(s). In the event that it is moved in more than one section, inspection of the structural repair at the new site will be called for before being covered. I further understand that I must obtain a separate permit(s) from •the Department of Public Works to move the building. WA State Contractor's License Number Exp FOR OFFICE USE ONLY PERMIT # ate RECEIVED CITY OF TUKWILA MAY 2 0 1997 PERMIT CENTER ••••" 4.0 "4■•■•■a;sw...r 1' FL A -kvv Cc .•. 1 *9 r trl te • . ove.rhoil , 41/ if smes • RECEIVED • CITY OF TUKWILA APR 1 0 1997 PERMIT CENTER 04111'011 CITY OFUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 REVISION SUBMITTAL DATE: PROJECT NAME: 5- q? PLAN CHECK/PERMIT NUMBER: 1Y77 0 [ g Pernan, JfodrY-/T PROJECT ADDRESS: 5 !c-a 51-1- 4/9 ,v5 CONTACT PERSON: IAdi V t 1 i ►"l cut) PHONE: REVISION SUMMARY: CO((fC110/ s p ( C ( earth (M/e( d?' SHEET NUMBER(S) "Cloud" or highlight all areas of revisions and date revisions. SUBMITTED TO: CITY USE ONLY Bldg. Planning Fire Vnrklif 4 M - *Zi1`01 to _ s • RECEIVED CITY OF TUKWILA MAY 997 PERMIT CENTER 4e 0 Gj Fk -0 ✓ir Public Works 3/19/96 ' • • -;-.; • ',14014 d1'3.01 • \,, Cl '4/ *.r i , . 4., . , N?" i • ;:••/ 4 r1A "•.••■ • ,• • :-.0.1tofte-wa.....:..X.c". • • 0" '4 .1 :. Cr • q " ''. .- IN .•.,...• • • , • . 1!., ti` 1 i •'. \P.,..- .W, .Z ..,.■ ii N ,'::. \ ... ,... rrl . .4 ,, t . } ne` . 4 ..'.. '" '.,//-• '.-•', • . 44 ,, ,, - :. -:, :•• \ ...., „ . 7. e3 . :, •',', 4. : • :-• " . . \.(e'''‘) ... r." L) ''' 1 . ' g.':;''' \.. .:.: '::"...; .::.• , ' \,.: '' ', . .. •(' ..i , . ' .. ' . -4 .\ ,/ • .., t -,,,- , . ....•• - • \ - . ,,, i ‘ • .,••• • li . \ • ./..- : , / • .;•,- • • .1 .:,.' . , / • ,: • : ...1 .4. - '..,: '. .•-• 1 • (1 • 1 . . . . . . . ,./ ,A... I • , .., -er• : ' ",, ' , .... - /6 • ' ' • e. 7' • ,or,,i,,, • 4).: '-et. • .• i *- " ; .../.• ...••■• ; '" , 1 ' 4- , i . t ,... .. , , rti, . .• t . • . : ,,:. / . • tX CZ .4 ''. . r .1 ' ; • • I : • • ,•• f '0 •-• /,'47 t 4 1 • " s r■cr 1 • , WV ,t) a.. I , "-' • A4.7.+-, ti ig k• • .** • .1: . ".:3 4; irk" • "^) I •." ' a 4. ‘ •*; . 01 -1 • • - ) 1 •• , ) • • ) • • C 4 ; t \fi rt` A '4 , 1 LIN L • 1 'ks r \ 11 \ l'''',.• ' ..‘7- _ ..? ' 1'4 • ',. .r. ' 's • / .- e... . , It• • ''., . ' I .., 4- 141-4 .). . , , ox i ,„.. i ..1 ' 1 1,'; I. • •1} - . 4 4. ..• ' : ti l i . .... '.........t ..... . ......_........ .., . • , r , . ■ . . '''............„ .,. . f ., 1 '.• , . ri . i ..... t ..."...,"._ • •., i - --- ... -_-... -,....„--..........„ .......„ ...... —7.1.— . i . .. ({‘ : .) :: • • - , , ,... • ., ' 1 4 t"- • 1 V e , ■ • i ! ' ., Vo. IN 4 s . .k.L . •L `r‘ ', '4.'1 ' .. 4 : I . 1 " 1 , N ' 4;'; . 'ti ,''• is. ; i M ! : .:t I f . . 1 ...‘, .!..1 , ' ,../.., 1 : a ti I I ,, 'N. 1 ' } '... ■ 1 t - 1 * r!. ... . 1 : . .44.•■ ,...„, 1 9 4....... oar( 5h ACTIVITY NUMBER D97 -0118 PROJECT NAME FREEMAN JUDITH DEPARTMENT: BUILDING DIVISION El PUBLIC WORKS ex4: ��:aa;s ti;s rxrFnx +r+szryr :: { ins. :ts rproe ?v..,, C FIRE PREVENTION p STRUCTURAL El DETERMINATION OF COMPLETENESS: (T,Th COMPLETE n NOT COMPLETE e. S COMMENT§ ; \ Co y matI i c 4'L TUES /THURS ROUTING: PLEASE ROUTE E. ROUTED BY STAFF p (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL APPROVALS OR CORRECTIONS: (ten days) REVIEWERS INITIAL CORRECTION DETERMINATION: REVIEWERS INITIAL C:ROUTE -F DATE DATE DATE p Cararto' Campy PLAN REVIEW / ROUTING SLIP DATE 4/10/97 PLANNING DIVISION ❑ PERMIT COORDINATOR DUE DA 4/15/97 on NO FURTHER REVIEW REQUIRED El DUE DATE 4/29/97 APPROVED p APPROVED W/ CONDITIONS . NOT APPROVED (attach comments) p DUE DATE APPROVED I l APPROVED W/ CONDITIONS p NOT APPROVED (attach comments) 0 (Certification of occupancy required. ) SiONXtel,KiVa0, 211 4. ;sav » z2 rtaY�uat April 28, 1997 m V. , City of Tukwila Department of Community Development Ms. Judith Freeman 4750 - 39th Avenue South Seattle, Washington 98118 Dear Ms. Freeman: SUBJECT: Development Permit Application Number D97 -0118 NOTICE OF INCOMPLETE APPLICATION Freeman, Judith S 122 St & 49 Av S Fire Department: Contact Nick Olivas, Assistant Chief, at 206 575 -4404 for questions regarding the following comments. 1. The site plan must show the nearest fire hydrant, Planning Division: John W. Rants, Mayor Steve Lancaster, Director This letter is to inform you that your permit application received at the City of Tukwila Permit Center on April 10, 1997 was determined to be incomplete. Before your permit application can begin the plan review process the enclosed requirements from the Public Works Department. Fire Department and the Planning Division must be met. Contact Nora Gierloff, Assistant Planner, at 206 -433 -7141 for questions regarding the following comments. 1. The future carport will not meet setback requirements (front 20', second front 10', sides 5' and rear 10'). Your plans will have to be changed to meet the setback requirements. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 4313665 Ms. Judith Freeman April 28, 1997 Page 2 Public Works Department SEE ENCLOSED MEMORANDUM The City requires that four (4) complete sets of revised plans be resubmitted with the • ' , . •• appropriate revision block. • In order to better expedite your resubmittal a Revision Sheet must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions please contact me at the City of Tukwila Permit Center at (206) 431-3672. • Kelcie J. Peterson Permit Coordinator Enclosure File: D97-0118 • DATE: City of Tukwila Department of Public Works April 17, 1997 PROJECT NAME: Freeman SFR PROJECT NO.: P97 -0032 PLAN CHECK NO.:D97 -0118 .?#i :vkgA..VRAr TAVtritijAVVIeEtiCPr T,71V.V.T"T5r Wil ' PUBLIC WORKS DEPARTMENT COMMENTS Ross A. Eamst, P. E., Director PLAN REVIEWER: Public Works has deemed the application to be incomplete as submitted. A Sample Residential Utility Site Plan Submittal diagram is attached for reference. Contact Joanna Spencer at (206) 433 -0179, if you have any questions regarding the following comments. 1) Sewer: Show the following items for the proposed sanitary side sewer: a) Size (4 "), pipe material (PVC SDR 35 ASTM 3034), slope (min. 2% allowed). b) Clean-out at house c) Point of connection to existing sewer main. Show location and size of existing sewer main. d) Pipe bedding per Tukwila Public Works Standards. 2) Access: Show proposed access driveway and edge of existing road pavement. Driveway width shall be a ten foot (10') minimum and a twenty foot (20') maximum. Driveway slope shall be a maximum of 15 %. Turning radii shall be a minimum of five feet (5'). Driveway shall be paved for a minimum distance of twenty feet (20') from the edge of existing road pavement. 3) Water: Show location and size of domestic water meter. Show location, size, and type of pipe material to be used for domestic water service. Single family water service connections shall be a minimum of 3/4 ". Show location of the nearest fire hydrant. 4) Storm Drainage: Show how the roof leaders and foundation drains will tie to existing storm drainage system in the street. John W. Rants, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 4330179 • Fax (206) 431.3665 5): Power: Tukwila Undergrounding Ordinance applies. All utilities shall be placed underground or applicant may apply for a "Waiver to Undergrounding Ordinance/Obligation for Future Undergrounding.” 7) Moving Oversize Load (MOL): A House Relocation License shall be obtained from the Tukwila City Clerk's office ($50.00 fee). A $5,000.00 bond shall be submitted to the City prior to the move. A $1,000,000.00 insurance certificate naming Tukwila as additional insured. .:.:Fublie ...Works Departure •••.:.Freeninn SFR Fage.2 • 6) Flood Zone Control: . A Flood Zone Control permit is required. Please have a licensed land surveyor identify grade elevation at the site per NGVD Datum and reference FEMA approved bench marks. Show lowest finished floor elevation. The minimum allowable elevation of the structure is the 100 year flood elevation plus one foot (1'). However, Public Works strongly recommends 100 year flood elevation plus two feet (2'). riS 123' tt 57th AVE S INDICATE EXISTING TOPOGRAPHY AT 2' INTERVAL CONC. SIDEWALK SANITARY SEWER MAIN / DOWN SPOUT (D.S.) N INV.EL186.23 Th itGJ g.. w i ∎A'[ {Yt,L'*AKA.5 :8,'-;:nc4r'tr V.P.O'.?e rAlr)°f:Ai"e,Q' i".CW,SM4+.r�q!} }.n.,li'!k .. . .00731.1 1,11V AT 2' INTERVAL STORM DRAIN (S.D.) 84' INDICATE IE AT ALL CONNECTION YARD DRAIN INV.EL186.23 142' PROPOSED TOPOGRAPHY City of Tukwila 200 523 Birch Street LOWEST FLOOR ELEV■200.82 CLEAN OUT (C.O.) 4'0 SIDE SEWER MIN. 2% 1g6 0 n D.S. 10' MIN. STORM DRAIN WATER MAIN 22' INV.EL 197.14 16' 28' K n 198 NOTES: 1. CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE CITY OF TUKWILA INFRASTRUCTURE DESIGN ANC CONSTRUCTION STANDARDS. 2. DOWN SPOUT DRAINS TO CONNECT MINIMUM 5' DOWN STREAM OF FOOTING DRAINS. 3. SHOW ALL EXISTING PIPE SIZES, SIDEWALK DIMENSIONS, ETC. 24' 0.5% W YARD o wT C.0.4, 3/4 METER Cf DRAIN 10' MIN -20 MAX SS STUB 62'02% INV.EL 188.7 INV.EL 187.50 SAMPLE RESIDENTIAL UTILITY SITE PLAN SUBMITTAL Not to wale DATE: 11/20/96 RSITE i CBIC JUDITH E. FREEMAN ea' .'eJL':r:•kL::4.:i tw.4:1 )':. 7. R},! L! 5*. au +.fi:,w,.t:C: ^xrt.:Ali n}A . CONTRACTORS BONDING AND INSURANCE COMPANY sv - a, �s ;: zxowh, •■•W,s.cyArFV.+. via+ rxxxrm G reaVi KA RY'9. .I`e -, C'8%A.'3s}.SPS'r + i<'e;it Rt?i Bond No: LB0915 PREMIUM: $660 ;and LOTS 43 & 44, BLOCK 7; ALLENTOWN ADDITION This bond is executed and becomes effective this 10TH PLAT BOND WASHINGTON KNOW ALL PERSONS BY THESE PRESENTS, That we, JUDITH E. FREEMAN called the Principal, and CONTRACTORS BONDING COMPANY, a Washington Corporation, called the Surety, arc held and firmly bound unto CiTY OF TUKWILA -DEPT OF COMMUNITY DEVELOPMENT called the Obligee, in the sum of Twenty Two Thousand and 00 /100 Dollars ($ $22,000.00 ), for the payment thereof said Principal and Surety, bind themselves firmly by these presents. WHEREAS, Principal is developing a certain tract of land in TUKWILA, WASHINGTON described as RELOCATION OF A BUILDING WHEREAS, as a precondition to approving the plat, Obligee requires that Principal make those improvements as more particularly set forth in APRIL 3, 1997 LETTER FROM DUANE GRIFFIN WITH THE CITY OF TUKWILLA (hereinafter referred to as the Improvement Specifications) NOW, THEREFORE, the condition of this obligation is such that if the Principal shall construct the improvements described in the Improvement Specifications on or before APRIL 10TH , 1998 (or within such further extensions of time that shall be granted by Obligee in writing and consented to in writing by Surety), then this obligation shall be void, otherwise to remain in full force and effect. This obligation is subject to the following conditions: I. This bond runs to the benefit of the named Obligee only, and no other person shall have any rights under this bond. No claim shall be allowed against this bond after the expiration of one year from the date set forth in the preceding paragraph, or one year from the end of the latest extension of time consented to in writing by Surety, whichever occurs last. 2. This bond is not a forfeiture obligation, and in no event shall the Surety's liability exceed the reasonable cost of completing the improvements described in the Improvement Specifications not completed by the Principal, or the sum of this bond, whichever is less. day of APRIL 1997 CONTRACTORS BONDING AND INSURANCE COMPANY DEENA E, FULLER p{ 6i nal 62n-k to c:A CterKS of-6u_ L Iiol r',All.11l• 012495 Home Office: C'nntracl Surely 1213 Valley Street P.O. (lox 9271 Seattle. WA 95109.1127 (206) 625.72)5) (8011) 765.('131(' (206) 682.1558 FAX 44/A Attorney -in -Fact o: \mis \crua(u \1)10110103 1 (1.2.95 . TOR S :BONDINQANO, INSLJRANCECOIVIP4? Y I 1iESFOt4 ONLY FOH.iHE BOND DESCRIBHD•AN'D UP :YA Tt1E AMIOUNT SET FORTH fN THIS Y' :LIMITED :IOWERbFAf bRNEYANY tA4LiaEWILL: VOIDT HIS' POWEROFATT ORNEY.IF :YOU.FIAVB ST1tONS4 1irOgWANTtDVERIFY :; : `•••',POWER .ATTORNEY :CALL.' ; CONT1TACTOR S B:DNDi1GRNb'INU SRANCE'.0 OMP ANY. ,TOLl;FRE EAT•T(Ad01 )7i5f.142,, , • o I :: 22 , j..0 0aOF, . GO : . :E E 0.4,� . :.... • . . • 15 n rr • AlTorn . R d v c 'r ldon L134 d '.L imited Powa f of•AIt'Of u S piro • • Dale A r °vod ... •Q. t r • Tl n P. 4 vac p+wW» ntNamc i• . � . • T' ?'•N;TrnC o1.PrirClpaP r , • .. .. :C :I : :•Y' ':O T. K'W: l . . ... .. .,. . . � :•,:,•.•;.:•....,: . T. .F:..: .�! l"1•Ar :�.�`�E:P ;�'�,<� ;.Q :F. :' COM• MU• t� I' T Y:: A:> a: V E i; D' P. ME K :T : : : :. : : :• :' ;`�, > :�, : : : :•`• :'; area ;ol .. h u m s : . ; :.sas •.. • .. .. .. . • • • • • � R•k L;U(;A 1'1 O ; .' :H (1 ;1•.LD ll....: O 3" ' 4 ' cc, : } ,_ •. ..• ;.� — c:Localio' A ., Ii__bie : ..1.O.4 1 s:1 J- .j. : : ;ff k,E,• <••' ...s : a' . ...... . • KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING APANSURANCE COMPANY, o corporation duly organized andoxiolingunderthe ,andhaving rifle° In Seattle, King County, Washington, does by thee. presents nuke, constitute and oadiFh N A E , FULLER a SEATTLE WA to true Ind lawful attomey4n4oct, with full power end authority hereby conferred In is name, place end stead to execute, acknowledge and deliver the bond(o) described above; end to bind the Company therobyas fully and to the same extort es if each much bond was signedbythePree ident, Bodedwiththecorporate edo, tedbyisSe cretary; hirobyratifyingandconfirmingoilthatthesaidattorng . 91d Y naydo in the prdmisos.Said appointment is made under and by authority of the following resolutions adopted by the Board of Direclors d CONTRACTORS BC :EGAN) NSURANCE COMPANY on Y . I RESOLVED that D»Presi dent :athoraod to appcint as anc.may•inlact oftheCompany DEENA E. FULLER with power and authority toaptonboleti of the Company thee* aunty bond. which may Isom time to time b. spores .d by the Vice Pieident, Chief Finned ONcer, Provident or Chief Executive Officer of the Company, in such per sums and aocading to such condtiorr as say be opposed by dm Via Presiders, Ciief Finatthl Officer, Provident or Chief Executive Officer el du Cowpony. RESOLVED FURTHER Fiat each Power of Adomcy mat set forth de specific de'd drop of de bond to which it applies, the tame of to priuipot the name of the obipce, the penal sun. the bond number (except fora bid band w hem t is no number(, he identity itg number of the aEorre•in •ad, the identifying number at to Peter atAtlerney, and the name and aigraerre of the Vice Presiders, trio Chid Financial Officer, President or the Chkt Executive Max of deo Company; and may sat kith doe caption and areourt of addllanal trauranco or co latora1,11 any. RESOLVED FURTHER tat tie Chief Exoeeto Officer, President, Ctiol Fnaucal Officer or Vice Prosidont of tho Compny is alhodmd to a.hblish a specific mambas dab for ho Power olAmmoy and to moddy that data from time to time as the Chia! Executive 01 nmr, Presiders, Chief Francis Otdar or Vim President deems necessary in he sole diectetion: the appi able sip imam data to be deafly sal lath in any written Power of Attorney. RESOLVED FURTHER MI exceyt so otherwise provided In he Inuned,•edysreeedue re.ottoh, under ro ciraumtrnce. rid: el disconnect uncurl la any bid, permed,pertoaaneq or condimrkn peyrart and port anrrce bond ( la, operformaneaidpaymentobIguIonhorebondtameet coed$ 1, 2tOpea1 thebondIsponmt eedbydeSnvdBaienAdniridmnbr .Calte edbyheSnellDuhceakenbsir lon (oherthon a bd bold Mich te further nearktcd by ckuse(c)l exceed ra000 o:0; tad (ci o bid bad while is not gurrnteed byhe areal Bulines'Atrmirraah to cocated la aids where I the antral is awarded, he bad pen y.ncey pabnnarce bond. payment bord,er combuidea pertains: tee e and payment bad f.e., a pertormaco and payment ebetabon none bad lam/ to be executed puuauareb to tad botet is b.cad p,mog00o. RESOLVED fURTtIER that shore named Aeeory.nbd a gnnted power and authority termed du applicable penal limes net torh in dr immesa WY pec deg wool Ilan far any bond in an nmounl .yet to the 'mean of any addilond rei eunnce or of arty cash, leder of cndl or other **curtly teemed as tendered 'acuity by t e Compaq= inducement to imam the bond, so long ee he description and amount of additional rarnurahce or coiateml ere sat lath in the Power of Attorney. RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity end e both snow of the foregoing reeeLtione in arks limited Power of Attorney is hereby delegated to the following Femora, tie signature of any of the following to bind de Comply with napoct b the authenticity and elective eu of the foregoing rosdhtlar ass signed by the Secretly of the Company: Donald Sukin, Steven A. Gaines, Marc A. Wks kit end J. D. Mint. RESOLVED FURTHER that he signature' (including catdoaton taut rho Power of Attorney is III in force and .Year( of tr Chiol Entire ro 01 km, Pmddon, Chid Financed 01fear, Vice Pr a'dont and Notary Public, and the corporate and Notary ovals eppsrng on any Limited Power at A tot itey containing this and Um foregoing resdhiions s reel as he Limited Power of Attorney Seep and is animal an, man be by hocimilr, oral such Limited Power of Attorney shell be deemed an odd ire in el aspect,. RESOLVED FURTHER the all madame adopted prior to today oppoinths the above named as odome•l•od la the Compay ore hereby super pod ed. IN WITN ESS wt1ENEf,�NfRATRHg DONDNC AND INSURANCE COMPANY hr mused these woo:c e to be signed by is Chief Executive Of leer, Pnsdent, Chia Fist Officer end Vice NIA Wool and its wrpoab Naito be hereto Mod 7 l 7 Y `t Ay�f '.t\.h CONTRACTOIT ,16 (INSURANCE PANY ? ,`�tLPOR,yr� Qyr�4 ry : rr By, � E 1..A . 144 Mint .c .---- - 7". -� / 4 979 ''Y By y —_ r'' hyg S NI P � � ay; Steven A. Gaines, Proaidont Marc A. Mrkvicka, Chios Financial Ofiicor Donald Sirkin, Chief Executive Officer :'UMTfiG :powtH•A� :AYTORNE • suss.. ..:. :. > : <AE O CAREFULt.Y . • STATE OF WASHINGTON — COUNTY OF KING On 9 / 1 9 / 9 9 , personally appeared DONALD SIRKN, STEVEN A. GAINES, MARC A. MPUCVICKA and J. D. MINTO, to me known to be the Chief Executive Officer, President, Chid Financial Officer and Vice President respectively, of the corporation that executed the foregoing Linked Power of Attorney and acknowledged said United Power of Attorney to bo the free and voluntary act and deed at said corporation, for the uses and purposes therein mudened, end on oath stated that they are authorized to 'mule the ad limited Poser of Attorney. P1 WITNESS WHEREOF, I hove hereunto set myhandend. Rived my official seal Ute day and year first above written. NOTARY PUOLIC a STATE OF WASHINGTON MOLLY A. HUDSPETH • r�"� My Appointment Expires JAN 9, 129] _ • ,\ _ Notary Ik In and f the a of Washington, fielding at Seattle The undersigned, °ding under authority of the Board of Director of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby comiti aye In Ileu of Certificate of the Secretary of CONTRACTORS BONDNG MD NSURANCE COMPANY, that the above and foregoing is a full, true and correct copy of the Original Power of Attorney Issued by said Company, and does hereby further codify that the said Power of Attorney Is still in force and effect. GIVEN under myhand S Q al t t 1 e F W A this 1 m.Y:l'Yt4. :!«.,.•. a•�/ro� ^•x2F"'" :1v`� :....`. T'. ^ ;��'":a!�.r; :•nn rt .�%'TS'f',..., day of APR 19 97 Al (091396) • I understand that any remodel work, or additions to the structure, will • not be allowed unless shown in detail on the approved plans. I also understand that I cannot move the building into or within the city, ) or start construction or land clearing at the new site, until the proper permits have been approved and issued. t7IJJ1d .. wner s Signature FOR OFFICE USE ONLY PERMIT # ccn- oviNg CONTRALTO I will move the structure in CD section(s). In the event that it Is moved in more than one section, inspection of the structural repair at the new site will be called for before being covered. I further understand that I must obtain a separate permit(s) from the Department of Public Works to move the building. Contractor's Signature 4 — C/a. 4/= A Afrh `J--si Ji■'P, WA State Contractor's License Number Date Expiration Date 'en!. • Apr 03, . 1997 JUDITH E FREEMAN 4750 39 AV S SEATTLE WA 98118 RE: PRE - MOVE BUILDLNG INSPECTION (D97 - 0101) Dear JUDITH E FREEMAN': City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director 1. A pre -move inspection of the house located at 1630 4th Ave, Renton was conducted by a Tukwila Building Inspector on 04/01/1997. Attached is a list of items that the inspector observed and wrote up. Based on his report it has been determined that the house is suitable to be moved into Tukwila. It should be noted, ,however, that the inspector's report is not meant to be a complete �list.of items to be corrected. It is meant only to be an overall opinion of the general condition of the structure prior to it being moved. Specific code requirements will be addressed during the plan check process, after you submit a complete Building Permit Application. 2. If you decide to move the building you will be required to 'apply for and obtain a Building Permit before starting the move. It will expedite the permit process if you show on your application documents how you plan to make any appropriate corrections to existing or potential problems pointed out in the inspector's report. 3. Please be advised that this approval to move the house is good for 30 days from the date of this letter. If a permit application is not received by this office within that 30 day time period the approval to move the house will be automatically revoked. 4. Tukwila Municipal Code Section 16.04.140 states: "In the event a building permit is issued for a relocated building, the fees for building, plumbing, electrical and mechanical permits shall be based upon the total value of the improved building or structure at its relocated site as estimated by the Building Official." Therefore, the fee for the building permit you must obtain, before moving the building, will be based on the valuation of the building at $52.00 per square foot. This is the lowest valuation 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 Page 2 amount for residential buildings shown in the Building Valuation Data chart, published by the International Conference of Building Officials, which is the fee schedule source document used in Tukwila. Using that valuation, the actual fee will be determined using Table 1 -A, Uniform Building Code, 1994 Edition., A plan review fee will not be required. 5. Tukwila Municipal Code Section 16.04.170 states: "No relocation or demolition permit required by this chapter shall be issued by the Building Department unless the applicant therefore first posts a bond, in a form approved by the City Attorney, executed by the owner of the premises where the building or structure is to be located or demolished as principal, and a surety company authorized to do business in the State as surety. The bond shall be in form joint and several, shall name the City as obligee and shall be in an amount equal to the cost plus 10% of the work required to be done in order to comply with all the conditions of such relocation/ demolition permit as such cost is estimated by the Building Official. In lieu of a surety bond, the applicant may post 'a bond executed by the owner as principal and which is secured by a deposit in cash in the amount specified above with a banking or escrow agent acceptable to the City, and conditioned as required in the case of a surety bond; such a bond as so secured is hereafter called a "cash bond" for the purposes of this chapter." Based on the paragraph above, a bond must be posted for 110% of the work to be done, which, as a minimum, will include the complete cost of the new foundation plus any anticipated remodel or repair work shown on the plans you submit as part of the application package. Since it is not known what type of foundation you plan to put under the building, or if you• are planning any remodel work, the amount of the required bond cannot be determined until after the permit application is received. At the time the bond amount is determined, based on your submitted documents, you will be notified of the amount of bond that will be required. The bond must be posted before the permit will be issued. 6. As a minimum, the permit application package should include: A. Legal Description and Parcel Number of property where house will be moved to. B. Site Plan (See back of Building Permit Application) C. Foundation Plan. D. Structural details and cross sections of any new structural or remodeling work. Certificate of Water /Fire Flow Availability. F. Certificate of Sewer Availability. G. Signed Owner's Statement. H. Signed Moving Contractor's Statement. E. • . If you should have any further questions regarding permit requirements for moving the above referenced building please feel free to call the Permit Center at 431-3670 . D1 ri f Building Official Attachments: 1. Building Inspector's Pre-Move Inspection 2 Building Permit Application 3 Owner's Statement 4 Moving Contractor's Statement 5. Residential Site Plan (Sample) TO: FROM: DATE: SUBJECT: JJS /sal City of Tukwila Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION Permit Center Public Works Engineering May 23, 1997 Freeman New SFR/House Relocation 12201 49th Avenue South Permit No.: D97 -0118 Contact Person: Judith Freeman Phone: (206) 722 -0207 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON MAY 23, 1997: Access Flood Control Zone Moving Oversize Load Sanitary Side Sewer Allentown Sewer Connection Fee Storm Drainage Water Meter (one 3/4" permanent meter) Allentown Water Connection Fee PERMIT FEE Ross A. Eamst, P. E., Director $25.00 $50.00 $50.00 ate. O 0 $20.00 $6,550.20 $25.00 $260.00 $3,968.00 TOTAL: , # lo, 9A 3, O Two copies of the confirmed Utility Permit Application and plans are attached for inclusion in the permit file. Also attached are copies of business license with City of Tukwila, Certificate of Insurance Coverage (min. $1,000,000.00) naming City of Tukwila as insured, a $5,000.00 bond, and a haul route map. CF: City Clerk (with a copy of application, business license, Certificate of Insurance, and bond. Development File (with copy of application and plans) PW Utilities Inspector (with copy of application and plans) Finance Department (with a copy of application) John W. Rants, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 4313665 Ortrt!r,+tYkte .ti3+aa 097OU8 Re idential Sewer Use Certification 41 , (To be completed for all new sewer connections, reconnections, or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections.) Pursuant to King County Ordinance No. 11034, all sewer customers who establish a new service which uses metropolitan sewage facilities after February 1, 1990 shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council but is limited by state law to $10.50 per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. The charge is collected semi - annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge on this form should be referred to King County Wastewater Treatment Division at 684 -1740. (Please print or type) Owner's Name t`-� M J tA i . r�i (Last, First, Middle Initial) Property Tax I.D. Number (7/ . �7 �/ r �f -- !; ' ' - Property Legal Address: Subdivision Name Subdiv # Lot # �� . Y � l r � Block # Building Name (if applicable) Property Street Address / , y : /4 City, State, Zip % (e: - / .i % ,; Owner's Mailing Address if' /% r • ../ ,• • (If different from r above) 1� — / ( r'' , / i •) � i •/ r; Owner's Phone Number (9 /' (. ) / •. i l' ,' ''- Property Contact Phone Number ( Party to be Billed (If different from owner) Party's Mailing Address (if different from above) City or Sewer District 'TU K,1-^3 ILA" Date of Connection: Side Sewer Permit # b ' 1 0 ` I Please check appropriate box: Single- family ❑ Duplex (0.8 RCE per unit) ❑ 3 -Plex (0.8 RCE per unit) ❑ 4 -Plex (0.8 RCE per unit) ❑ 5 or more (0.64 RCE per unit) 1057 Rev. 11106 1.0 1.6 2.4 3.2 For KingCoun ccoun � J1 rMonthiy SixMorit Residential Customer Equivalent (RCE) No. of Units x 0.64 = ❑ Mobile home space (1.0 RCE per space) No. of Spaces x 1.0 = For condominiums, please fill out Supplemental Form A in addition to this form. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission correctedd data for deter �ination of a revised capacity charge. Signature Of Owner /representative L—.�; r� �/ f < << , c Date �/ �� `; 4-ft? Print NamTof OwneriRepresentativf3 j �r - / f • - t' t ,- , ? / / / ,Lit' ,A1 'ItiSX�A rel at. , f l Address: 12201 49 AV S 'Suite: Tenant: Type: DEVPERM Parcel #: 017900 -1555 CITY OF TUKWILA Permit No: D97 -0118 Status: ISSUED Applied: 04/10/1997 Issued 05/29/1997 ** * *•k ` k* 4 k•k•k.4•k•k *•k k k * *•k * k k * *•k * * **•k•k* k* ** k k k•k k k ** * k* * ** k* *•k ' k ** k *•k *-k Permit Conditions: 1. No changes will be Made to the plans unless approved by the Architect or Engineer and the.,.Tukwila Building Division. Plumbing permits shall -be obtained tFro ugh__the Seattle -King County Department .of = P ub'.iic Heaith. °Plumbing : ,.,will be inspected by thatvag'enc_v. including all gas pip'ing (296 - 4722). Electrical perm ts lY be 'obtained : through the `Washington State Divi =i:on of L•abor:`and Industries and a11.- :electr' ical work wi l i "tite inspected bv; that`agency> (248-6630). . All mectia6icai work shall be under separate permit issued. by the City of Tukwi la.,' 5. All permits; i nspect i on r ° e,cords. and approved pla shall ' b;e aval lable`''at the "job ...ite' 'prior to' the start of "' :any con - structFion: These docurents are-to be maintained` and,a able until'final inspe'ction approval is granted. . Anyt e;icposedN in'_.ulations' backing material shall have a ,Flame` Spread Rating; : of 25•'`or' ~less:. and matrer :ial, shall bear i'denti- l i g a t i o n showing , fire 'r.perforrnance ra•.t ing thereof. Al;l bonstruction -•to be done ,in-conformance,, approved plans :and ; r-e q ui'reme rit s' of.'the Unirfo'r Building Code (1994 Ed%t, on) a:5 emeended..-Un` rn Mechanical Code 11994 Edition) and' State .Energy 'Cod,e'`(1 . Validity \of= P'ermit . :'of :;a''pernrit or approval o Plait specifi:cations, and computations shall. not be .con strued to be= a permit for, or an approval caf, ``any viola t ion•'. of any. of - the provisions of the building code:'or 0f inv other',ord inance of the j u r i s d i c t i o n . No permi t.. presuming to give authority to'violare or cancel ..the provisions of this: code shill be ` l i d' 9 . There she'll be` occ'upancy of the b u i l d i n g ( s ) until the final inspectiin °has been completed by the Tukwila Building • Inspector: 10. Temporary erosion control measures. shall be implemented as the first order , of business toy: prevent sedimentation off - site or into exi`st..i'ng.,storm dr.a'inage' faci 1 i ties. 11. The site shall have permanent erosion,control, in place as soon as possible - .after final grading has been completed and prior to the Final Inspection. 12.. THE HOUSE SHALL BE ANCHORED TO THE FOUNDATION TO PREVENT FLOTATION, COLLAPSE, OR LATERAL MOVEMENT OF THE STRUCTURE PER CITY FLOOD CONTROL ORDINANCE. 13. FULLY ENCLOSED AREAS BELOW THE LOWEST FLOOR THAT ARE SUBJECT TO FLOODING ARE PROHIBITED; A MIN OF 2 OPENINGS HAVING A TO- TAL NET AREA OF NOT LESS THAN ONE SQUARE INCH FOR EVERY SOU - ARE FOOT OF ENCLOSED AREAS SUBJECT TO FLOODING SHALL BE PRO- VIDED. THE BOTTOM OF ALL OPENINGS SHALL BE NO HIGHER THAN ONE FOOT ABOVE GRADE, REFER TO FLOOD ZONE CONTROL ORDINANCE, 14. Driveways shall comply' with City commercial standards, Driveway width shall be a 25' minimum and 35' maximum. Slope shall be a maximum of 15%, Turning radii shall be a minimum of 10'. 15,. Driveways shall be paved for a minimum distance of 20' from t ee of existin road pavee rnnt ` For r dg esidential dr ;' w vs, a miri.imum 12 " concr{ b .or ADS N -:12 `pipe shal be' sfall,ed` under he drivewa the Wo existing drainage 'd.itch, :l,ocat:ion . rk .:cuing traff ic•..fiows s ha 1` be closel_v:.coordi wi th the :'City Uti;l`i'ti.es, ,In Traffic .Con,trol ,Plans.... shall': be. submitted t o the..Inspector for prior`appr.o,val'.' • No: sewer design, was provided "as::: par ,t:'of:` :app.l.i submittal ;;:The: .. side; sewer design,; and ..subs.equent:`c.onst.ruction shall be • : comp;l,et.ed ' i n: accordance with W C i.tv ,sewer . standards I.t: is .st'rongly re that; storm dr designs .be.. certif a` l ice.n se,d •, e.rig o.therwi, ....the.;.owne assumes 1.•a. 'for :the design. and any ."subse related damage. • P pri va t e sto dra i n -pipe shall be • e i.ther concrete . or • reinforced ',`ADS : :p.1 pe'. • ,,:Tr. eaten 'corruga.te.d "metal pipe may .. be.. used for detention, 'i ties `, 4, • .No .. water 5e,rvicex. de il wa t prov.ide k d,:as part bti14 t a s ubmi t tal . The z eater :service. design .and • s u bsequent yconstr 4 .s hal l .be' yin::. accord • zl , w.i:th City ; wat er s .'Type •` copper t ub:in 511311 . b used w:ith; Ci right of wa the wat m a in' Y to the water :me „ter.. as- 'one - of .:the • re PRIOR P TO aF -I ,SIGN,; OFF. APPL'ICANT SHALL SU • ,BMIT KING COU RESIDENTIAL NAL SEWER .USE CERi TIFICATION1TO : .PUBLIC`'WORkStFOR ,P.ROCES'tIN J f3.. This Payment Account Code 000/322.100 000/345.830 000/345.830 000/386.904 000/342.400 412/342.400 402/342.400 000/322.400 401/388.102 401/388.101 401/386.520 401/342.400 401/343.405 402/388.104 11.484.45 k .: *k•iL ** ** ** 1**• Ar4******* k******* kk•hk *kk A• k***A*****k•!l****dtkdrk•kkkk* CITY OF TUKWILA:. WA TRAHSMIf .k* *k****** ** .**k *4.** **•* ** **K ***.t.k *• * ** ******k•h* **•k TRANSMIT Number: 89700589 Amount: 1 05/29/97 15:48 Payment Method: CHECK Notation:. JUDITH. FREEMAN Init: SLB Permit Na: D9.7 -0118 Tyne: DEVPERM DEVELOPMENT PERMIT Parcel No: 017900 -1555 . Site Address: 12201 49 AV S Location: S 122 ST & 49 AV S Total Fees: Total ALL Pmts: Balance: Description BUILDING -. RES.' PLAN CHECK -- UTILITY PLAN. CHECK.- METER STATE BUILDING SURCHARGE INSP FEE -- UTILITY INSP FEE - STORM DRAIN INSP FEE - SME /SSS FLOOD ZONE CONTROL WATER CONNECTION WAFER SPECIAL CONNECT WATER INSTALLATION (DEP) WAFER INSPECTION. FEE WATER TURN-ON FEE SEWER ASSESS - ALLENTOWN 16484.45 16.484.45 .00 yl•A•*141 ******** 1t****** AA*** *•lock•Akz1•A•4**A* ***i4.**4yh* 4** ** *** Amount 556.75 30.00 10.00 4.50 30.00 15.00 20.00 50.00 60.00 3.968.00 150.00 15.00 25.00 6 07;42 O5130"9717 " 1131711 "17584.45