HomeMy WebLinkAboutPermit D04-273 - HOSTAK RESIDENCE - FIRE DAMAGE REPAIRHOSTAK RESIDENCE
15100 SUNWOOD BL
D04 -273
City �,l Tukwila S teven M. Mullet, Mayor
Departnteitt of Conin :unity Development Steve Lancaster Director
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci. wkwila. wa. its
DEVELOPMENT PERMIT
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Parcel No.: 8141401230
Permit Number D04-273
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Address: 15100 SUNWOOD BL TUKW
Issue Date: 08/02/2004
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Permit Expires On: 01/29/2005
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Name: HOSTAK RESIDENCE
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Address:
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Owner:
Name: HOSTAK DENNIS F
Phone:
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Address: 15175 SUNWOOD BLVD D22, TUKWILA WA
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I Contact Person:
Name: 3EFF SHANNON
Phone: 253 535 -9513
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Address: P.O. BOX 99566, LAKEWOOD, WA
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Contractor:
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Name: SIMCO CONSTRUCTION INC.
Phone: 253 535 -9513
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j Address: P.O. BOX 99566, TACOMA, WA
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Contractor License No: SIMCOCI999DZ
Expiration Date: 09/15/2004
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DESCRIPTION OF WORK:
FIRE /SMOKE DAMAGE REPAIR. REPLACING DRYWALL CEILING IN
KITCHEN.
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Value of Construction: $2,000.00
Fees Collected: $90.20
f Type of Fire Protection: NONE
International Building Code Edition: 2003
Type of Construction:
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Occupancy per IBC. 0021
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
! Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
i Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
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doc: IBC- Permit D04 -273 Printed: 08 -02 -2004
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�J��IILA; "wqs City +v.[ Tukwila Steve: M. Mullet, Mayor
o Z Department of Commuttity Developmetst Steve Lancaster, Director
O 6300 Southcenter Boulevard, Suite #100
N 2 Tukwila, Washington 98188
Phone: 206 - 431 -3670
o 8 Fax: 206 - 431 -3665
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Web site: ci.tukwila.wa.us
Permit Number D04 -273
Issue Date: 08/02/2004
Permit Expires On: 01/29/2005
Permit Center Authorized Signature: Date: �dV
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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.
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The granting of this p rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating con stru the ormance of work. I am authorized to sign and obtain this development permit.
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Signature: Date: Z D
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j Print Name: 1 A��� 1 Cx-- _
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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.
doc: IBC- Permit D04 -273 Printed: 08 -02 -2004
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�.. City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 8141401230 Permit Number D04-273
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Address: 1S100 SUNWOOD BL TUKW Status: ISSUED
Suite No: Applied Date: 08/02/2004
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Tenant: HOSTAK RESIDENCE Issue Date: 08/02/2004
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
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3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
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start of any construction. These documents shall be maintained and made available until final inspection approval is
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granted.
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4: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
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obtained at City Hall in the office of the City Clerk.
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5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
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of Labor and Industries (206/248- 6630).
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6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
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any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
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presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
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shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
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Building Official from requiring the correction of errors in the construction documents and other data.
7: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
* *continued on next page **
doc: Conditions D04 -273 Printed: 08 -02 -2004
1 Cit of Tukwila
1906
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. 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 work or local laws
regulating construction o�the performance of work.
Signature:
Print Name:
Date:
doc: Conditions D04 -273 Printed: 08 -02 -2004
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Building Permit NO. �� t>✓7
Mechanical Permit No.
Public Works Permit No.
Project No.
use
,Applications and plans.must be complete in order to be ac,ceptcd for review.
Applications willtn 0e accepted through thetmail y
or b ;)
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: 71yA16 —/,? scJ
Site Address: � 1 79' SL'") WOkO RL Aar: 172' x-' Suite Number: Floor:
Tenant Name: D epots HO 3T'gk New Tenant: ❑ ...... Yes ❑ ..No
Property Owners Name: - Dc - ✓ 's Bong -
Mailing Address / Sr/ 75 Sum WWO 9k -10, 400r.02-2- 'rV KWIwlk WJ� ( q�
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City state zip
CONTACYPERSON
Name: - C i Slr /A00 Day Telephone: 253" 53x`4r 1
Mailing Address Po 6 qG sV` LA Ce o 00% C � Wq9
City state zip
E -Mail Address: Fax Number: ZS 3 ^ Vim' o
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: 5 M Co t.C�► "M1C� 1 (i
Mailing Address C?Q S LA1�tJ Q�
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Contact Person: �' F S Day Telephone: "-3
E -Mail Address: Q Fax Number: 7 ,; 4' - &' d s ( V 0
Contractor Registration Number: 1;1 C4 Lb C !L9 a 2 Expiration Date: T
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* *An original or notarized copy of current Washington State Contractor License must be presented at the ime of permit issuance **
•ARCHITECT OF RECORD = All plans must be wet stamped by Architect of.Record
Company Name:
Mailing Address
City state zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD = All plans must be wet stamped by Engineer of Record
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Company Name: N. A.
Mailing Address
City state zip
Contact Person: Day Telephone:
E -Mail Address Fax Number:
Wpplicationsrcnnit application (7.2004)
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BUILDING: PERMIT INFORMATION — 206431 -3670
Valuation of Project (contractor's bid price): $ om
Scope of Work (please provide detailed information)
Dj11 Cs.. Cek L, 4V 6 (IGM-Ot- % ,
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Existing Building Valuation: S
M OW PAMAC* k# . AFOOL LG
I OF ill/ . VLDW A. . OA ,-r i tJ6
Will there be new rack storage? ❑ .. Yes [y ... No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundationbf all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? El ..... Yes V.-No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
❑ ... Sprinklers ❑ ... Automatic Fire Alarm ...None ❑ ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ...Yes No
If "yes ", attach list of materials and storage locutions on a separate 8 -112 x 11 paper indicating quantities and Uaterial So ety Data Sheets.
mpplicationsIpcnnit application (7.2004)
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1 Floor
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66
C-
2"' Floor
3" Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single - family building footprint (area of the foundationbf all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? El ..... Yes V.-No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
❑ ... Sprinklers ❑ ... Automatic Fire Alarm ...None ❑ ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ...Yes No
If "yes ", attach list of materials and storage locutions on a separate 8 -112 x 11 paper indicating quantities and Uaterial So ety Data Sheets.
mpplicationsIpcnnit application (7.2004)
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I MECHANICAL PERMIT INFORMATION — 206431 -3670' I
MECHANICAL CONTRACTOR INFORMATION
Company N
Mailing Address P. 0, gox 4
Contact Person:
E -Mail Address:
bAOD
L I J av000 q 0 0YCf
City state Zip
Day Telepl e: �i
3" 53s ��sl
Fax nber: 3 "
•.: — x' Z xpiration Date: C r
4ngton State Contractor Li Ise must be presented at the time of permit issuance **
Contractor Registration Number: J t M C,- 0
* *An original or notarized copy of current W
Fuel Tyne Electric......X Gas....
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
5 ?' •� U� ' 1►a C,�t,• fay! Gm 00 C-CX" JXACr P
Use: Residential: New ..... /colacement. ement.....
Commercial: New ..... ....
Indicate type of mechanical work bein
Other:
lled and the quantity below?
Unit Type:
Qty
U (t Type:
Qty
Unit e:
Oty
Boiler/Compressor:
t
Furnace <100K BTU
Xr Handling Unit >10,000
FM
Fire Dam er
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall /Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
Water Heater
\
50+ HP /1,750,000 BTU
Heat /Refrig/Cooling
S stem
Incinerator - Domestic
Emergency
Generator
\
Air Handling Unit
<I0,000 CFM Z
Incinerator— Comm/Ind
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Other Mechanical
Equipment
PERMIT A 11CATION Applicable to all permits � in: this application
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.
I HEREBY CERTIFY THAT 114AVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY THELAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
• BUILDING OWNE H ZED AGENT:
Signature: i Date:
Print Name: C, 2^0 KrX -I Ck Day Telephone: ?.%!g
Mailing Address: ?'0'. L^ic � %rq C 1 9
City state Zip
Date Application Accepted: Date Application Expires: Staff Init
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Wpplicutions'permit application (7.2004)
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�.. Cit y of Tukwila
1 1908
6300 S6uthcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Parcel No.: 8141401230
Address: 15100 SUNWOOD BL TUKW
Suite No:
Applicant: HOSTAK RESIDENCE
Receipt No.: R04 -00999
Initials: SKS
User ID: 1165
RECEIPT
Permit Number
D04 -273
Status:
PENDING
Applied Date:
08/02/2004
Issue Date:
Payment Amount:
90.20
Payment Date:
08/02/200410:53 AM
Balance:
$0.00
Payee: SIMCO CONSTRUCTION INC.
TRANSACTION LIST:
Type Method
E ---- - - - - -- - - - - --
Payment Check
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ACCOUNT ITEM LIST:
Description
-----------------
BUILDING - RES
j STATE BUILDING SU
Description Amount
8130 90.20
Account Code Current Pmts
------- - - - - -- ---------- - - - - -- ------ - - - - --
000/322.100 85.70
RCHARGE 000/386.904 4.50
Total: 90.20
3416 48/03 X716 TOTAL 90.20
doc: Receipt Printed: 08 -02 -2004
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INSPECTION RECORD
Retain a copy with permit
INSPECTIO1 NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Pr
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Type of Inspartion:
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Ad ress:
ate Called:
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Special Insttuctions:
Date Wanted:
p.m.
Requester:
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N proved per applicable codes. Corrections required prior to approval.
COMMENTS:
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I Receipt No.: I Date: 7
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L__j paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit ( f
INSPECTION NO. PE I N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje t: ,
Ty of Inspection:
Address
.5%404
Date Cali d•
9 t
Special Instructions:
Date W rated: a.m.
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Requester: ,
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Receipt No.: Date:
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2, INSPECTION RECORD
Retain a copy with permit . 2-73 P
INSPECTION NO. PE N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
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Type of I spection:
Address: �
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i Instructions:
16
Da Wanted: m.
equester:
Phone No:
Approved per applicable codes. F1 Corrections required prior to approval.
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Inspecto : Date:
$47.00 REINSPE 1� FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 South nter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD 2 ' • y 7
C Resin a copy with permit F -
INSPE ION NO. PERMI
c CITY OF TUKWILA BUILDING DIVISION�'� �� ✓�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 r (206)431 -3670
P o ect:
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Type of Insp ectio�
A
d15 1 -75 S� w v
ate Called: O o
ecial Instructions:
Date Wanted: a.m.,
Requester:
�-
Phone No*
Approved per applicable codes. Corrections required prior to approval.
I COMMENTS: u ��, r
Receipt No.: Date: 7
Inspector: Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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DENNIS HOSTAK
Main Level
Simco Construction
FILE OOPIf
LIVING
07160400001
1
Permit
Plan review approval is subject to errors and ornisslois.
Ponwal of construction downents does not authorize
the violation of any adopted code or ordinance.
conditions Is acknowledged:
CI approved Fie 4 I II
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SEPARATE PERMIT
REQUIRED FOR
13 Mechanical
Mr Electrical
p Plumbing
® Gas Piping Of TLIklfriiii.;
S
BUILD ING DMSION
Main Level
City of Tukwila
BUILDING DIVISION
REVISIONS
No changes shall be made to the scope without work thout prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG - 2 2004
City Of Tukwila
BUILDING DIVISION
625- 052.000 05!97)
DEPARTMENT of I-ABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. ## EXP. DATE
CCOl' SIMCOCI999DZ 09/15/2004
EFFECTIVE DATE 03/09/2001
SIMCO CONSTRUCTION INC.
P O BOX 99566
TACOMA WA 98499
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