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HomeMy WebLinkAboutPermit D02-012 - KOCH RESIDENCE - FIRE DAMAGE REPAIRKOCH RESIDENCE 13723 42 AV D02-012 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Value of Construction: Type of Fire Protection: Type of Construction: Public Works Activities: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 7360600380 13723 42 AV S TUKW Contractor: Name: NORDIC SERVICES INC Address: 9618 MIDVALE AVENUE N, SEATTLE, WA Contractor License No: NORDISI180QA DESCRIPTION OF WORK: REPAIR FIRE DAMAGE. 250 SF SUBFLOOR. R &RG WINDOWS IN KIND. REPLACE 16' 2X4 WALL. REPLACE 2 HIP RAFTERS, AND 4 RAFTERS. INSULATE TO CODE. Curb Cut/Access /Sidewalk/CSS: Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Channelization / Striping: KOCH RESIDENCE 13723 42 AV S, TUKWILA, WA CARGO MARJORIE A C/O COFFEY MERLIN W, 7726 16TH AVE SW DUKE DECKER 9618 MIDVALE AVE. N., SEATTLE, WA $20,000.00 N N N N N N N N N N N N DEVELOPMENT PERMIT Private: N Private: N ** Continued Next Page ** D02 -012 bM. IMWFMM4iYn l�1�P'+MFM.a wWF+w'HWRHL+R^�rx � MwRUtMaF�V�p' M.! IM. MrtieNYa' J. ��Mrvsavv�M�w- a.:niMYitiirn^M.rwtW Permit Number: Issue Date: Permit Expires On: Fees Collected: Uniform Building Code Edition: Occupancy per UBC: Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: D02-01 2 01/24/2002 07/23/2002 Phone: (206)242 -3619 Phone: 206/522 -9570 EXT. 121 Phone: 206 522 -9570 Expiration Date: 01/01/2004 Size (Inches): 0 End Time: Fill 0 c.y. End Time: Public: N Public: N $534.56 1997 0007 Printed: 01 -24 -2002 z , _ H- w re 6 � U J w g ¢ = w z 1-- 0 w ~ W : O 0 O N. • H w w . • U_ ▪ � — O LLI Z ' O ▪ F .-. . Z Signature: Print Name: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: e Date: / — ��D 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 pe it does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating con ruc r the peybrmance of work. I am authorized to sign and obtain this development permit. D02 -012 Date: p et— 4 Z 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. Printed: 01 -24 -2002 doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7360600380 Address: 13723 42 AV S TUKW Suite No: Tenant: KOCH RESIDENCE PERMIT CONDITIONS 1: ** *BUILDING DEPARTMENT * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (248- 6630). 4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 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 or the performance of work. Signature: K • Date: / ' ) Print Name: D02 -012 Permit Number: D02 -012 Status: ISSUED Applied Date: 01/18/2002 Issue Date: 01/24/2002 Printed: 01 -24 -2002 �Z. r4 2 00 N W . J H W 0 2 Le u_ ?. = d Z H Z I— D l] . 0 - , • H W W H U tL .. z ` w 0 - O 1 z Project Name/Tenant: ) 4 ( . / c . A L(.) }' I h a E.., Type of work: ❑ New 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: r. (:) , C) l) e r> U Existing Square Footage for Structure: T 7 D sq. ft. Dwelling sq. ft. Covered Deck(s) Site Address: , City State /Zip: 15 701 y, rid /))/( .S 7 [4 K.,, . '11r._ 100 ' c Tax Parcel Number: 73 6, o 0 () ,- C) Proposed New S uare Footage: .. 'sq. ft. Dwelling - sq. ft. Covered Deck(s) Property Owner: mil i I I iap-∎ /c' 0 h / Phone: , ;vim 7.C7�93 l Street Address: 5/ 7 7 fv-i City State /Zip: Fax #: Phone: l ,?� C1 G' .f.) c) r) - g,_ 0 _ , Contractor: A /oR h% C C'i /U!('e_i --t i /7( • Street Address: q 6 / g /v/ , te. 4v e At cC'a . City State /Zip: g /a 3 Fax #: Architect: Phone: • Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: .b u K .� s p e c . I-6z4_ 0 0 Z.- a a 0.s 70 u 1 a l Phone: 376 4� Street Address: ' 6,/r . g , , Vcd-C ;<An A/ . eo /- /? City State /Zip: 7 q/0\3 Fax #: Description of work to be don / e: R 2 / )u • 4.- r= 'I, /J a v�Q �' C • a 5 O 0 S 4 I �_ /o o r /? f /2 6 a ,,.r (id ,-,/ s 114 lc MC ? l i'Lci' c C' /e I 0 )C y to c: ( r, 12.e III-c? (--e- h' p An - -i -Ct- • L/. ge ±.e 1t-5 • - r' -? * v C cc(.� /2-30 //2 -/ Type of work: ❑ New 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: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: T 7 D sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Proposed New S uare 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) *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 TL WILA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 OR STAFF USE ONLY Project Number: Permit Number: 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 REVIEW .OF THE FOLLOWING: (Additional reviews shall be determined: by the Public Works Department) ❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood 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 ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous 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: Date application expires: Application taken by: (initials) PLEASE SIGN BACK OF APPLICATION FORM SFPERMIT.DOC 2/13/97 .c•oeagt5r•, +r� dd^�MtTr�' ins, ?` L`)': C'! X' r�e.:.y+ tgC!+.'%. F. ;: �.•;n.r:a ... r;t.• . .. :xne +:r *. •ionbrnrAN'ewr•?te�a>;:r+. Z I I ~ W a: 00 c o co w w co W O 2 ga rn� 2 F_ W Z = F- ZI W U O O (12 O I— W W H - Li. 1 6 W Z U = O~ Z BUILDING OWNER OR AUTHORIZED AGENT: Signature: Date: Print name: Phone: Fax #: Address: City /State /Zip: ALL SINGLE - FAMILY RESIDENT/ ' ' PERMIT APPLICATIONS MUST BE 'Y BMITTED WITH THE FOLLOWING: > DRAWINGS PREPARED BY ., REGISTERED ARCHITECT OR PRO, ..SSIONAL ENGINEER MAY BE REQUIRED BAY THEIBUILDING OFFICIAL D M ALL DRAWINGS'SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED n 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) ❑ ❑ 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), a show proposed and existing power, water and sewer lines, existing storm drainage system, I-- z downspouts and foundation drains, and where drains tie -in. . rr 7. Parking plan. D 8. Lowest building elevation (if in Flood Control Zone). 0 0 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. co W 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. _J H 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the co L shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). W O 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. u. Q 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form d H -9) F- _ CI � Foundation plan and details z O ❑ Floor plan w w ❑ Roof plan . D o ❑ Building elevations (all views) o ❑ Building height w w ❑ Building cross - section H H ❑ Structural framing plans and details necessary to completely describe construction "—'O , , z w co ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available U at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. 0 ~ z ❑ 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 Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". BulldingOwner /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 t 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. SFPERMIT.DOC 2/13/97 !> lP.` M:; .fX'.+8Nth7fextcr;to:4'�.rs.:nn 411.1;44• >: { Payee: TRANSACTION LIST: ACCOUNT ITEM LIST: dm: Receipt City of Tukwila Current Pmts 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 71. RECEIPT ` re 2 Parcel No.: 7360600380 Permit Number: D02 -012 U O . Address: 13723 42 AV S TUKW Status: PENDING w O Suite No: Applied Date: 01/18/2002 W Z . Applicant: WILLIAM KOCH RESIDENCE Issue Date: J ~ N u.. w O Receipt No.: R020000063 Payment Amount: 208.81 LL N n initials: KAS Payment Date: 01/18/2002 11:30 AM = W User ID: 1684 Balance: $321.25 F ' _ z1 - . I- O zI— DUANE M DECKER Type Method Description I U, . Payment Check 2500 208.81 ujz O z Amount PLAN CHECK - RES Description Account Code 000/345.830 208.81 Total: 208.81 2704 01/22 /716 TOTAL 208.81 Printed: 01 -18 -2002 TRANSACTION LIST: ACCOUNT ITEM LIST: doc: Receipt 4u, City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7360600380 Address: 13723 42 AV S TUKW Suite No: Applicant: KOCH RESIDENCE Payee: NORDIC SERVICES INC Current Pmts Amount OSMagallsoMMOIsstutategstrepostenonstmedium RECEIPT Receipt No.: R020000093 Payment Amount: 325.75 Initials: SKS Payment Date: 01/24/2002 10:27 AM User ID: 1165 Balance: $0.00 Type Method Description Payment Check 11752 325.75 Description Account Code BUILDING - RES 000/322.100 STATE BUILDING SURCHARGE 000/386.904 Permit Number: D02 -012 Status: APPROVED Applied Date: 01/18/2002 Issue Date: 321.25 4.50 Total: 325.75 2940 01/24 9716 TOTAL 325.75 CITY Of TUFCWILa RECEIPT PW IDS:' 321.25 PW I1CD 4.50 CHECK 325.75 0:1/24/02 16 1602 0097 2940 Printed: 01 -24 -2002 -P o ect_ C : I t t-i C,e Type of Inspecti n: 9 ,i / Address: / ) 3 At, S Via al� (.( b / Special instructions: /V5 T Date wa a,m. Requester: lee frb Phone: lab COMMENTS: Approved per applicable codes. INSPECTION RECORD l Retain a copy with permit �C INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Sout13.0enter•Blvd, #100, Tukwila WA 98188 Date: RMIT NO, (206)431 -3670 Inspe or .e -e Date/ Corrections required prior to approval. El $47.00 REINSPECT! OIV FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: .7 ! �x�;e';y�' S ,�{3'' . p, `� it - :•+�;� . `yti#�'�.:% °w't . . • :.t,'ri::i;.u...•1,.u,. t z HZ. W 6 oo CO W z J � W O • �.. • Q D . I a 1- z F.' 1— O W F- 2 ut U � o D. W W' f- H. O .. z W z re c ( 1: M wY '1�yp of.• Ihspectio 1 a I ddr T3 /� Pt/ 5 Date c ed• (o /1/0.2 Special instructions: Da - a ed: a.m. l;EO Requ- ter: A--> 1 We _ Pho ,-.A.)10 e: _ 7 '* t .. "/".7 7 r ... f ^ "* .'t 'vL nr , ro.r +r'""... ..,!, ,r. a 7...+'.n_.-r! r flfmr ,. e..... n ne art• -r^+ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI 6300 Southcenter Blvd, #100, Tukwila; Y!tf 1;98188 , :jr4:k RERMIT NO. (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: e ft14 ' )1( 4 )- lee-e__ II $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: n a.1 ti .. 1 Ve4 ,,,ct w A 5 f b3 Pn } z ~ w rt J U 0O to 0. W= J H W 0 < co W r~ _ z � zO U 0 o — O I-- W W til O - . z r 1ect: Kr)C -� 1 Ty o Inspection: p� - Addres :� V 3 1- '/P Au .5 Date called: 55 1;, Special instructions: Da;7§7. a.m. Requ ster: - i P 3 - U/- L/g INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION -• 6300 Southcenter Blvd, #100, Tukwila, WA 98188 1 pproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: A. spect• r: C c A. ACA 7.00 REINSPECTION • E REQUIRED. Prior to inspection, fee must be paid t 6300 Southcenter Blv.., Suite 100. Call to schedule reinspection. ceipt No: Dates ^ 9 Date: J .1004:v.,14)1xD L" ' z mo re J U U O CO W= J I.. CO LL W O gQ U O. = d. w _ z � ZO . LLI 2 p O • N • I- W • W L I O ' .. z W U = ; z project: /1!^f ReSI-:e -hG� Type of I ection: wal D a LP - o/c/ -c?c)? znS t 7Ss : - ' l ,03 L/2 d , S Special instructions: ':4,0C4- Bo'( / Jr ' Date /J�a ! "" �� .01 p.m. Requester ix c Phopgoto _ pcc_ _ dd / zi e , . l INSPECTION RECORD Retain a copy with permit :INSPECT ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter'Blvd, #100, Tukwila, WA 98188 (206)431 -3670 pproved per applicable codes. Ell Corrections required prior to approval. COMMENTS: AlS 4 77 cMI /�c' rf, Z/ //,,f) spe Date: 3,0.x2_ $47.00 REINSPECTIOJ FEE REQUIRED. rior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. C II to schedule reinspection. eceipt No: Date: • r,iolject: 1 cry h /■-e5icte,virj, - Noe of Inspection: tkx( 111904 ra fl ress: - 79 qe9 A-v Date called: Special instructions: . Date wante - 3- oc2 c .ra_Di p.m. RequesSAr: va ve Phone: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila WA 98188 = PERMIT NO. (206)431-3670 Approved per applicable codes. DCorrections required prior to approval. COMMENTS: Inspector: ■ illErp- AM: A pl $47.00 EINSPECTION FEE RE Southcenter Blvd., Suite erpt No: S — 0 UIRED. Pri • to inspection, fee must be paid 00. Call to schedule reinspection. Date: z z re 2 w 6 -J 0 00 W I ui 0 2 g < • a 1— ILI Z 1.- 1-0 Z 1—' 11J w n 0 0 • = • l■ I 0 ▪ 0 z (1) • 1- Pr ject: , (oil ercii Type of Inspection: r I/ a_ iii (ni Address: I 7 7 v 1 1'`? A V Date called: Special irfstruc ions: ..,.. • Date wanted e 10--OcV - a.m. 0 f K p R h e o q;e i r : • INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 COMMENTS: ex ) Peel .5 I a L 7 $ Approved per applicable codes. Corrections required prior to approval. at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (206)431-3670 $4• I INSPECTION T REQUIRED. Prior to inspection, fee must be paid Receipt No: Date: Z • z :Lu 6 - 1 C-) 0 0: U) LU X - J Lu 0 u_ W I CI .. Z I— 0 Z I— W W. 0 2 D. .C1 W cj I— . Z L o j 0 P a ject: h _ !t of H . R s ,Jriv(P Type'of,Inspection (<.�f T/ elf ih)' Tr 11%1 i Address: 13 3 : `:J ' Date called: : = // Special instructions: Date wanted: J /,,7 — Ug a.m \.% p.m. Requester: /b'II XF Phone: l • INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF.TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila; WA 9818 PERMIT NO. 206)431 =3670 Corrections required prior to approval. Inspector: $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: w.., 4.1 : . p t y •. •fig�':.ar • SAN . y Aw i �?) "%!'1� "f i#;wYX::.J' •f is ir'K•? '7 za l zzajd2CM.'.IIh • � ! ''2:rT Yn:?ad `;' .ki" ai'F a� v y , .f i t i yj ,y. + �i d �4. ' ��:' nN. s` �1k �xM' '1'� Z W re 6 00 N 0 L1.1 • = U � ) • 0 2 L a • d = w I— Z I. Z I w U O - O F- w Z O 1— 0 Z Proj - • e of .sspection: , fte 'h41/1/16 A. • -ss. .,..' • • # ve. S .; . ., _ 4 . Date called: 1( 2 4/ 02...... Sp in Ave j4 ex OWS14-C. L ociL &D ivss Date wanted: 1 Requester: Phone 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 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (/..) /-11/ ( Atizy Re/V Inspec Date: / 42, V/o Z-- $47.00 REINSPECT ON fEE REQUIS(D. Prior to inspection, fee must be paid ( at 6300 Southcenter Blvd., Suite 160. Call to schedule reinspection. Receipt No: „„- Date: =.7.4*.t z Z • al 6 = -J 0 O 0 U) W I I.- (0 u_ W 0 2 g D u. a co a w z }-- z WW 2 5 • D C.) 0 w z I. - 0 p: 0 z 0> C. - r 5 T 167 z-3 424 que - rEg, TJETPkII, S7 Kock' *42A2.2_cl 0 0 Nis v.) 2, )02. RAF-relz.s FILE 'COPY I understand ti)arthe Plan Check approvals are subject to 9r-1-ors and omissions and approval of plans doe's not authorize the violation of any adopted code or ordinance. Receipt of con- tractor's copy of approved plans acknowledged. V By Date Permit No K ■ 1 0._ RAFTER, Ito" o o Ye' C-PX :PecK 6., For roof Sitnesbw- 14 05210 es. S■P".9041\ 14 IC. S r Ac... (e) rel)tov\ C (06, Ag....1.•■•■••=1. ; I tonfliewl solid core door be4weew garage, ad livIng Space. SEPARATE PERMIT REQUIRED FOR: 1.3*CHANICA -LECTRIC • L PLUMB 1 G GAS IPING CITY F TUKWILA REVISION NO. I c...0 r5 Re-1k 4 - ro e)(\ roof BUILDING DIVISION D O 2 O I 2. V - 2)0/ WA II_ 1 2" 0 .0 CITY Of TUKWILA APPROVED RECEIVED CITY OF TUKWILA APR 1 0 2002 PERMIT CENTER APR 1 2002 AS 1101ED 1041 5impsfln ace esAa CgpDE LIN Po3 2?3 Koc S zza 7 2-3 2n AV S 'To w r /&. W 1)0 - ©tom ? OI 2 r' W W 0 N; I_- = U, o w = O ~ z ° DO REVISION N0. I CITY OF TUKWILA A APPROVED 20 „ APR 1 1 2002 AS WILD LDiI4G DiVrStOk RECEIVED CITY OF TUKWILA APR 1 0 2002 PERMIT CENTER CD Concrete. VIA t. L. 5 x z C7 1.. 0 1 zxi-1 KtmJo 17-700+-1,r13. _ (sp. N 4. o • Concx _*__•ak 2-cl LA 2 y, 4_ AQE- a t 'IsOZ ••• .-• • • •-tor • GIP( OF MORA APPROVED Fwvekcia s PA(k lapt. - aro cov\erete_ v.) 0.. APR 1 1 2002 AS tiO FED tALDNG DIVVS1Ok RECEIVED CITY OF TUKWILA APR 10 2002 PERMIT CENTER fire damage repair east elevation job 81229 insulation rafters subfloor windows plan plan drawing Revision I No. I Date Received Staff Initials Staff I Initials Date Issued Summary of Revision: ; ' •'Staff Initials / 1 q-10 6 I Jc 04/ i 5/-/.2-0.1 Summary of Revision: 1 .e....0 Summary of Revision: ��A . i A, , _ ., , 1444,a4 A i Received By: Received By: Revision No. Date Received Staff Initials Date I Staff Issued I Initials I Summary of Revision: • Received By: Revision No. Date Received Staff Initials Date Issued Staff Initials Date Issued Summary of Revision: Received By: Revision No. Date Received j I Staff Initials I 1 - Date Issued Initials I Summary of Revision: Received By: PROJECT NAME: KO L t ' -Th d t - a ( d i h t Gv P E RM I * — 4 O :. 0 O 2 - O / Site Address: 137a?) / _ Mtes Su - Revision No. Summary of Revision: Date Received REVISION LOG ! Staff Initials f Received By: Original Issue Date: Date Issued (please print) (please print) (please print) (please print) please print Staff Initials mn ,,,,rm enw......m _.«.c»c;x..;.. _ari«.1271; .rvb3•r: aa,•.M.�,ann�: z 0 0 CO 0 J • = t✓ w 2 U- ?. I' = W zF- I— 0 Z IH w U � 0 O II•- w uj I— LL O w Z H =: 0 z ACTIVITY NUMBER: D02 - 012 DATE: 01 -18 -02 PROJECT NAME: William Koch Residence SITE ADDRESS: 13723 42 Ave S SUITE # X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued C. DEPARTMENTS: Building Division AwG I22 Pu lic Work,s kto- DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 11 Incomplete TUES /THURS ROUTING: Please Route APPROVALS OR CORRECTIONS: (4 weeks) Approved \PRROUTE.DOC 5/99 l li 1W ailli•Orr" . 4VOPM' IaMln *wxsa*nwsww.ixrn PERMIT COORD CUP'( PLAN REVIEW /ROUTING SLIP Fire Prevention (/t (1. ( -ZZ - al -- Structural Structural Review Required Approved with Conditions Comments: REVIEWER'S INITIALS: REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved n Approved with Conditions n REVIEWER'S INITIALS: PERMIT COORD COPY Planning Divi 1 / 1 -6; , '2- -62— Permit Coordinator DUE DATE: 01-22-02 Not Applicable No further Review Required DATE: DUE DATE 02 -19 -02 Not Approved (attach comments) Not Approved (attach comments) r= I I DATE: DUE DATE I I DATE: ACTIVITY NUMBER: D02 - 012 PROJECT NAME: Koch Residence SITE ADDRESS: 13723 42n Av S Original Plan Submittal Response to Correction Letter # DATE: 04 -09 -02 Response to Incomplete Letter # X Revision # I After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route C n APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete ri Structural Review Required n Planning Division U Permit Coordinator K DUE DATE: 04-11-02 Not Applicable U No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 05-09 -02 Approved ri Approved with Conditions IL Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ • Fire ❑ • Ping ❑ PW ❑ Staff Initials: • ,h7 WrittP6,1 z 1— w Ce .I O 00 CO al CO W w 0 wQ = cn d . w z = I— O Z I- W U 0 O ST w uu oc r u. or i c) O Z ACTIVITY NUMBER: D02 - 012 PROJECT NAME: Koch Residence SITE ADDRESS: Original Plan Submittal Response to Correction Letter # 13723 42n Av S DATE: 04 -09 -02 Response to Incomplete Letter # X Revision # I After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete Comments: Please Route Documents/routing slip.doc 2 -28.02 TUES /THURS ROUTING: REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: LETTER OF COMPLETENESS MAILED: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ Structural Revjew Required APPROVALS OR CORRECTIONS: n Approved n Approved with Conditions, Notation: 52e_. tA04 6vt. } LA..4.4.5 REVIEWER'S INITIALS: Planning Division n Permit Coordinator DUE DATE: 04-11-02 Not Applicable No further Review Required DUE DATE: 05 -09 -02 NR/ DATE: Not Approved (attach comments) n Y L.5p�:% $ H f DATE: L l ( 67_ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: z i- w aa 2 JU 00 co co LIJ WI CO W w O I • a I _ w z = f- I— O Z w 2 • o O • N O 1— W • w I— u'O z W . H = O ~ Z 1 PERMIT NO.: 1 BUILDING PERMITS INSPECTIONS ❑ 1 Progress Inspection Status ❑ 2 Pre - construction ❑ 3 Investigation ❑ 4 OK to Occupy ❑ 5 Remove Stop Work Order ❑ 6 Follow -up ❑ 7 Pre -Move Inspection ❑ 50 WSEC Residential ❑ 60 WA Ventilation/Indoor AQC ❑ 70 NLEA Inspection /Modular Struct ❑ 71 Mobile Home Tie Down Insp ❑ 7 1 Marriage Lines ❑ 90 Resteel [ 95 Footing Drains 100 Foundation Footings 200 Foundation Walls O 250 Foundation Insulation ❑ 300 Concrete Slab /Slab Insulation ❑ 350 Crawl Space ❑ 400 Shear Wall Nailing ❑ 450 Plywood Wall Sheathing 500 Roof Sheathing Nailing ❑ 525 Plywood Deck Nailing ❑ 550 Exterior Wall Sheathing ❑ 600 Masonry Chimney ❑ 610 Chimney Installation/All Types ❑ 700 Framing ❑ 750 Roof /Ceiling Insulation ❑ 800 Floor Insulation ❑ 801 Wall Insulation ❑ 802 Exterior Roof Insulation ❑ 803 Glazing Inspection ❑ 815 Lighting and Controls ❑ 900 Suspended Ceiling ❑ 1000 Interior Wallboard Fastening ❑ 1001 Exterior Wallboard Fastening ❑ 1110 Pre -Move Inspection ❑ 1115 Motor Inspection ❑ I120 Pre -Demo ❑ 1140 Pre- reroof ❑ 1400 Final -Fire ❑ 1700 Final- Building ❑ 1900 Final - Reroof ❑ 3100 Site Visit ❑ 4000 Special - Concrete ❑ 4001 Special -Bolts in Concrete ❑ 4001 Special- Ivlom/Resist Conc Frame ❑ 4003 Special -Reinf Steel Prestress ❑ 4004 Special - Welding ❑ 4005 Special- High - Strength Bolting ❑ 4006 Special - Structural Masonry ❑ 4007 Special - Reinf Gypsum Concrete ❑ 4008 Special - Insulating Conc Fill ❑ 4009 Special -Spray Fireproofing ❑ 4010 Special- Piling, Piers, Caissons ❑ 4011 Special - Shotcrete ❑ 401 Special- Grading, Excav /Fill O 4013 Special- Retaining Wall ❑ 4014 Special - Panels ❑ 4015 Special -Smoke Control System TENANT NAME: N 4Le- eeck Plan Reviewer: SOILUMEMIISMIMISSSIMmeammeastmitmossmor PIPitZn a ru, ..1V:.4 „�� ., , r .. ....,, Permit Tech: *ca Re■fi O CONDITIONS 5%3 -- pacAtt 10001 No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division 10002 Plumbing permits shall be obtained through King Co 10003 Electrical permits obtained through L & I 10004 All mechanical work shall be under separate permit 10005 All permits, insp records & approved plans available ❑ 10006 All structural concrete shall be special inspected ❑ 10007 All structural welding shall be done by WABO certified inspector ❑ 10008 All high- strength bolting shall be special inspected ❑ 10009 Bolts installed in concrete shall be special inspected ❑ 10010 When special inspection is required...notify Tukwila Building Division ❑ 1001 1 The special inspector shall submit a final signed report ❑ 10012 Any new ceiling grid and light fixture installation ❑ 10013 Partition walls attached to ceiling grid ❑ 10014 Readily accessible access to roof mounted equipment ❑ 10015 Engineered truss drawings & calcs shall be on site 10016 Any exposed insulation backing material shall have ❑ 10017 Subgrade preparation including drainage, excavation ❑ 10018 A statement from the roofing contractor verifying fire retardant class of roof 10019 All construction to be done in conformance w /approved plans ❑ 10020 Structural observation shall be provided for this project ❑ 1002I All food preparation establishments must have King Co ❑ 10022 Fire retardant treated wood shall have flame spread of 10023 Notify Building Division prior to placing any concrete ❑ 10024 All spray applied fireproofing shall be special inspected ❑ 10025 All wood to remain in placed concrete shall be treated ❑ . 10026 All structural masonry shall be special inspected T3 10027 Validity of Permit — 10028 Rack storage requires separate permit 10030 No occupancy of building until final insp by Bldg Div ❑ 10031 Comply with requirements of TMC 16.04 ❑ 10032 Remove all weeds, concrete, stone foundations, fiat concrete ❑ 10034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ 10035 Contact PW Div to obtain insp for water /sewer connect ❑ 10036 Manufacturers installation instructions required on site ❑ 10038 A C of O will be required for this permit ❑ 10039 Final approval for all TI w /in the limits of the SC Mall ❑ 10040 All construction noise to he in compliance with 8.2 TMC ❑ 10041 Ventilation is required for all new rooms & spaces ❑ I004 Fuel burning appliances ❑ 10043 .Appliances, which generate ❑ 10044 Water heater shall be anchored ❑ 10045 .. Reroof ❑ "Anchoring — All new constrict and substantial improvement shall be anchored to prevent flotation” Date: 4 1i v v Date: L 141'01 , X01 Z j— W QQ � J U 00 W J I— WO co I _ Z �. F- O Z I— W uj 2 • p O 5 O H W • W . I— H u' O W Z U (1) -2 0 Z PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -012 PROJECT NAME: William Koch Residence SITE ADDRESS: 13723 42 Ave S X Original Plan Submittal Response to Incomplete Letter # DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Approved Response to Correction Letter # Revision # After Permit Is Issued x TUES /THURS ROUTING: Please Route n Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 Fire Prevention Stru ctural Incomplete n Approved with Conditions CORRECTION DETERMINATION: n n DATE: 01 -18 -02 SUITE # Planning Division Permit Coordinator DUE DATE: 01-22-02 No further Review Required Not Applicable n DATE: DUE DATE 02 -19 -02 Not Approved (atta h corn ents) DATE: 7i?i Z DUE DATE Approved I I Approved with Conditions Li Not Approved (attach comments) REVIEWER'S INITIALS: DATE: z W CL U1 2 -I C.) 00 CO 0 CO CO u_ u O � Q = • d I- U ? _ F- 1- O Z H- uj U � O N O H w w Z ui O 4" . z PERMIT NO.: BUILDING PERMITS INSPECTIONS ❑ I Progress Inspection Status ❑ 2 Pre - construction ❑ 3 Investigation ❑ 4 OK to Occupy ❑ 5 Remove Stop Work Order ❑ 6 Follow -up ❑ 7 Pre -Move Inspection ❑ 50 WSEC Residential ❑ 60 WA Ventilation/Indoor AQC ❑ 70 NLEA Inspection /Modular Struct ❑ 71 Mobile Home Tie Down Insp ❑ 7 ' Marriage Lines ❑ 90 Rested ❑ 95 Footing Drains ❑ 100 Foundation Footings ❑ 200 Foundation Walls ❑ 250 Foundation Insulation ❑ 300 Concrete Slab /Slab Insulation ❑ 350 Crawl Space ❑ 400 Shear Wall Nailing ❑ , 450 Plywood Wall Sheathing 500 Roof Sheathing Nailing 525 Plywood Deck Nailing ❑ 550 Exterior Wall Sheathing ❑ 600 Masonry Chimney ❑ 610 Chimney Installation/All Types 700 Framing 750 Roof /Ceiling Insulation 800 Floor Insulation 801 Wall Insulation ❑ 802 Exterior Roof Insulation ❑ 803 Glazing Inspection ❑ 815 Lighting and Controls ❑, 900 Suspended Ceiling 1000 Interior Wallboard Fastening ❑ 1001 Exterior Wallboard Fastening ❑ 1110 Pre -Move Inspection ❑ 1 1 15 Motor Inspection ❑ 1120 Pre -Demo ❑ 1140 Pre - reroof ❑ . . 1400 Final -Fire 1700 Final - Building ❑ 1900 Final- Reroof ❑ 3100 Site Visit ❑ 4000 Special- Concrete ❑ 4001 Special -Bolts in Concrete ❑ 4001 Special - Mom/Resist Cone Frame ❑ 4003 Special -Reinf Steel Prestress ❑ 4004 Special - Welding ❑ 4005 Special -High- Strength Bolting ❑ 4006 Special- Structural Masonry ❑ 4007 Special -Reinf Gypsum Concrete ❑ 4008 Special - Insulating Conc Fill ❑ 4009 Special -Spray Fireproofing ❑ 4010 Special - Piling, Piers, Caissons ❑ 4011 Special - Shotcrete ❑ 401 Special- Grading, Excav /Fill ❑ 4013 Special- Retaining Wall ❑ 4014 Special- Panels ❑ 4015 Special -Smoke Control System TENANT NAME: WI � CONDITIONS 10001 No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division ❑ 10002 Plumbing permits shall be obtained through King Co 10003 Electrical permits obtained through L & 1 10004 All mechanical work shall be under separate permit ❑ 10005 All permits, insp records & approved plans available 10006 All structural concrete shall be special inspected ❑ 10007 All structural welding shall be done by WABO certified inspector ❑ 10008 All high- strength bolting shall be special inspected ❑ 10009 Bolts installed in concrete shall be special inspected ❑ 10010 When special inspection is required...notify Tukwila Building Division ❑ 1001 1 The special inspector shall submit a final signed report ❑ 10012 Any new ceiling grid and light fixture installation ❑ 10013 Partition walls attached to ceiling grid ❑ 10014 Readily accessible access to roof mounted equipment ❑ 10015 Engineered truss drawings & calcs shall be on site p 10016 Any exposed insulation backing material shall have elP . Subgrade preparation including drainage, excavation ❑ 10018 A statement from the rooting contractor verifying tire retardant class of roof 10019 All construction to be done in conformance w /approved plans ❑ 10020 Structural observation shall be provided for this project ❑ 10021 All food preparation establishments must have King Co ❑ 10022 Fire retardant treated wood shall have flame spread of ❑ 10023 Notify Building Division prior to placing any concrete ❑ 10024 All spray applied fireproofing shall be special inspected ❑ 10025 All wood to remain in placed concrete shall be treated ❑ 10026 All structural masonry shall be special inspected 10027 Validity of Permit 10028 Rack storage requires separate permit ❑ 10030 No occupancy of building until final insp by Bldg Div ❑ 10031 Comply with requirements of MAC 16.04 ❑ 10032 Retnove all weeds, concrete, stone foundations, flat concrete ❑ 10034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ 10035 Contact PW Div to obtain insp for water /sewer connect ❑ 10036 Manufacturers installation instructions required on site ❑ 10038 A C of O will be required for this permit ❑ 10039 Final approval for all TI w /in the limits of the SC Mall ❑ 10040 All construction noise to be in compliance with 8.2 TMC ❑ 10041 Ventilation is required for all new rooms & spaces ❑ l004' ❑ 10043 ❑ 10044 ❑ 10045 Plan Reviewer: Permit Tech: ,• , rxCt Q-eSideNee Fuel burning appliances Appliances, which generate Water heater shall be anchored Reroof "Anchoring — All new construct and substantial improvement shall be anchored o prevent flotation" it& Date: Z Z 02-- Date: Z • Z re W . 6 O 0 cn W H CO LL W 2 gQ cn = Z . Z I- I— O Z I— W W U �. O N. O H W • W H r _- U. Z U = O I— Z DEPARTMENTS: Building Division Public Works TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved n \PRROUTE.DOC 5/99 I I n PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -012 DATE: 01 -18 -02 PROJECT NAME: William Koch Residence SITE ADDRESS: 13723 42 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Incomplete CORRECTION DETERMINATION: Fire Prevention Structural Structural Review Required L - 53 Comments: APPROVALS OR CORRECTIONS: (4 weeks) Approved ri Approved with Conditions Not Approved (attach comments) REVIEWER'S INITIALS: DATE: Approved with Conditions n Not Approved (attach comments) REVIEWER'S INITIALS: � »"C11Y 76^� ^v'+ ✓- fn�t>Yn. use -••-. . y ...•• Y n Permit Coordinator Planning Division DUE DATE: 01-22-02 Not Applicable DUE DATE 02 -19 -02 No further Review Required DATE: \ DUE DATE DATE: z w w i U 00 CO w= 1-- U) u_ w O 2 J u.< to I- al z1.- F- O Z ~ • w U ❑ O N ❑ E-. Ill al Ir ..z w O z 1 } DEPARTMENTS: Building Division Public Works Complete` Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -012 DATE: 01 -18 -02 PROJECT NAME: William Koch Residence SITE ADDRESS: 13723 42 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) n n Structural Review Required APPROVALS OR CORRECTIONS: (4 weeks) CORRECTION DETERMINATION: Approved I I Approved with Conditions REVIEWER'S INITIALS: Fire Prevention ri Planning Division Structural Incomplete ri Not Applicable Approved ri Approved with Conditions Not Approved (attach comments) REVIEWER'S INITIALS: DATE: Permit Coordinator No further Review Required DUE DATE 02 -19 -02 Ixl DUE DATE: 01-22-02 DATE: ' - ``& — 02. DUE DATE Not Approved (attach comments) DATE: 1 z � re w 6 -J 00 co o • J H. CD L. w Q CO D I d. 1- w Z = I- O Z W W U 0 • Y . D 111 u u. 0: = O ~ Z ACTIVITY NUMBER: D02 - 012 DATE: 01 -18 -02 PROJECT NAME: William Koch Residence SITE ADDRESS: 13723 42 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Approved \PRROUTE.DOC 5/99 Please Route REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete Comments: TUES /THURS ROUTING: Structural Review Required Approved with Conditions REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved n Approved with Conditions REVIEWER'S INITIALS: bW Wq.M'gW H.� ...e.'ae. rr•1n w +Nr uF Planning Division Permit Coordinator DUE DATE: 01-22-02 'IYn'wrF>Lw:n•M R..e�u fay. Not Applicable DUE DATE 02 -19 -02 No further Review Required El DATE: 1 17 — a? Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: z o~c w . 6 J U 0 c 0 J w 0 J LL = • d I- w Z = I-0 Z I- w 0 O 9 O I-- w w . - 0 6 O - 0 City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 z 6 U O N 0 W = U) LL w 0 gQ • a H w Z� 1- 0 Z F- W uj U � Project Address: ), 37 D. 3 2_124 .4 V fi=r 5 U N O !— Contact Person: OD- ( 3 NC3'c..c1Lt oUSe Phone Number: P06. 5 7/ 2- 6/ 4 / = - U u-0. wt d' c2v e I/`o c� c S s teuY o -F .- �czw►. &Li N 1 z z Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: / D D Z, ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # Project Name: CL.A" V bow'. after Permit is Issued Plan Check/Permit Number: Do Summary of Revision: Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center bv: ❑ Entered in Sierra on • RECEIVED CITY OF TUKWILA APR 1 0 2002 PERMIT CENTER 08/30/00 ?+E2 n• wpnnorr�r +w u...wh+ 6 -•4.ww;,ue4varw t xAtrYA4 4 nWA rys 111.1 .!ritaeli 1 , .. F625.052.0(0/97) 1 7 625. 052 -000 (8/97) State of Washington County of Snohomish REGI STERED:' AS -,: PROVIDED BY ' LAW: AS CONST CONT GENERAL' ..;REGIST`: ; #.;,:: -EXP. DATE,.';' NCO NORDIS I 18 OQA': ;/:01 / 01/2 00 11/01/198 Dated: January 15, 2002 Detach And Display Certificate ;•... .,�..:r::i�,...y... ..:�.�;F .fit NORDIC SERVICES INC }' 9618 MIDVALEN, t; :``.:,;;. SEATTLE` Signature Issued by DEPARTMENT OF LABOR AND INDUSTRIES I certify that this is a true and correct copy of of NORDIC SERVICES, INC. as of this date Please Remove And Sign Identification Card Before Placing In Billfold cument in the possession Notary Public in and forthe State of Washington, resid&ng at Edmonds. My appointment expires June 26, 2004 • • • • • " • • , „ • y • • " ••• • •• E E NORDIC sERvicEs, INC. THE RECONSTRUCTION CONTRACTOR NORDISI180QA Louie Newhouse Field Supervisor 206 522 9570 Cell #: 206 571 2614 Email: Inewhluse2@aol.corn