HomeMy WebLinkAboutPermit D05-004 - HAYEK LEATHER - FENCEHAYEK LEATHER
1015 ANDOVER PK W
D05 -004
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Cit � �f Tukwila �-
Y
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
DEVELOPMENT PERMIT
Parcel No.: 8836500020
Address: 1015 ANDOVER PK W TUKW
Suite No:
Tenant:
Name: HAYEK LEATHER
Address: 1015 ANDOVER PK W, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractoi
HAYEK HUSSEIN A
79 COLUMBIA ST, SEATTLE WA
HUSSEIN HAYEK
1015 ANDOVER PK W, TUKWILA WA
ALKI LANDSCAPING & FENCING CORP
11457 15 AV S, SEATTLE WA
License No: ALKILFC981CN
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
DOS -004
02/03/2005
08/02/2005
Phone: 206- 682 -4714
Phone:
Expiration Date: 02/15/2006
j DESCRIPTION OF WORK:
CONSTRUCTION OF A 10' HIGH CHAIN LINK FENCE WITH SLATS AROUND THE CARGO CONTAINER. (COLOR OF SLATS
NOT SUBJECT TO DESIGN REVIEW)
Value of Construction: $1,496.00
Fees Collected: $114.72
Type of Fire Protection:
International Building Code Edition: 2003
Type of Construction:
Occupancy per IBC:
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number:
0 Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
Street Use:
N
Profit:
N Non - Profit: N
Water Main Extension:
N
Private:
Public:
Water Meter:
N
doc: IBC - Permit D05 -004 Printed: 02 -03 -2005
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City J Tukwila
S teven M. Mullet, Mayor
Depaitmeitt of Coniniuitity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tuk Mla.wa.us
Permit Number:
Issue Date:
Permit Expires On:
r
Steve Lancaster, Director
D05 -004
02/03/2005
08/02/2005
Permit Center Authorized Signature: Date:
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 provisions of any other state or local laws
regulating construction� or the performance of work. I am authorized to sign and obtain this development permit.
Signature: Date: 7
Print Name j / N 1- V � L'
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 D05 -004 Printed: 02 -03 -2005
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City of Tukwila
j Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8836500020 Permit Number: DOS-OO4
Address: 1015 ANDOVER PK W TUKW Status: ISSUED
Suite No: Applied Date: 01/06/2005
Tenant: HAYEK LEATHER Issue Date: 02/03/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: 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.
5: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
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doc, Conditions D05 -004 Printed: 02 -03 -2005
6
City o f Tukwila
-.) race
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 or the performance of work.
Date:
i.
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doc: Conditions D05 -004 Printed: 02 -03 -2005
f RA w CITY OF TUKWILA
Community Developmen '�partment Building Perr. No. `
` 4 Public Works Department
Permit Center Mechanical Permit No.
rsoe 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188 Public Works Permit No.
Project No. E (2�j
f For o ice use onl
A
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
Property Owners Name:
Mailing Address: '
city
}
State Zip
CONTACT PTRSON
Name:
Mailing Address: V 0 "10
- -
Day
A- t g O a
State t Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT.OFRECORD = 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,
Company Name:_
Mailing Address:
Contact Person: -
E -Mail Address:
%permits plus \icc changes \permit application (7.2004)
Page I
City State Zip
Day Telephone:
Fax Number:
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BUILDING PERMIT INFORMATION - 206431 -3670
Valuation of Project (contractor's bid price: $�
Scope of Work (please provide detailed information):
GD -
Existing Bu,,amg Valuation: $ n
e "\� YV MHO �
Will there be new rack storage? []..Yes ❑.. 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 foundation of 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? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
El.. Sprinklers ❑..Automatic Fire Alarm [ ❑ . 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 locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
\permits plus \ice changes \pertnit application (7-2004)
Page 2
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Existin
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
2 nd Floor
3` d 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 foundation of 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? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
El.. Sprinklers ❑..Automatic Fire Alarm [ ❑ . 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 locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
\permits plus \ice changes \pertnit application (7-2004)
Page 2
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PUBLIC WORKS. PERMIT INFORMATION - 206 -433 -0179
Scope of Work (please provide detailed iatormation):
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑ ... Water District # 125 ❑ ., Highline ❑ . Renton
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate ❑... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department
Submitted with Application (mark boxes which apply):
... Civil Plans (Maximum Paper Size -22" x 34 ")
❑...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis
❑ ... Bond ❑ ., Insurance E3.. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless
Proposed Activities (mark boxes that a
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
. Non Right -of -way _
❑ ...Total Cut cubic yards
[]...Total Fill cubic yards
[]...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ... Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
El.. Pavement Cut
❑ .. Looped Fire Line
„
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size.. WO#
❑ ... Water Only Meter Size............ WO# ❑ ...Deduct Water Meter Size ........ "
[:]...Sewer Main Extension ............Public Private
❑ ... Water Main Extension .............Public Private
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ... Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City State Zip
\permits pluskicc changeslpermit application (7 -2004)
Page 3
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MECHANICAL PERMIT INFO* 'IATION -- 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
i Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑
Commercial: New .... ❑
Fuel Type Electric ..... ❑ Gas....❑
Replacement..... ❑
Replacement..... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Com pressor:
Q
Furnace <100K BTU
Air Handling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended /Wall/Floor
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
System
Air Handling Unit
Incinerator — Comm/Ind
Other Mechanical
<I0,000 CFM
Equipment
PERMIT APPLICATION NOTES —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.
Y CERTIFY THAT I HAVE READ AND EX INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PEN TY O ERJUR�f BY THE AWS OF THE STAT OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
iITT'D1N Vim nl\ () A Tu(l Rrl A
Signa�
Print Name:
Mailing Address:
.� ,►
Day Telephone: 2/:u�-,azE-
NO A W - qz-- -
City
Zip
Date Application Accepted: Date Application Expires: Staff Initials:
\permits plus\icc changes \permit application (7 -2004)
Page 4
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�,. Cit y of Tukwila
f908
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 8836500020
Address: 1015 ANDOVER PK W TUKW
Suite No:
Applicant: HAYEK LEATHER
Permit Number:
Status:
Applied Date:
Issue Date:
DOS -004
APPROVED
01/06/2005
Receipt No.: R05 -00134
Initials: SKS
User ID: 1165
Payment Amount:
Payment Date:
Balance:
64.72
02/03/2005 11:45 AM
$0.00
Payee: HAYEK'S LEATHER FURNITURE INC
TRANSACTION LIST:
Type Method Description Amount
- - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 12294 64.72
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100. 60.22
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 64.72
956 02/03 9716 TOTAL 64.72
doc; Receipt Printed: 02 -03 -2005
, Q City of Tukwila
1908
6300 Southcenter BL, Suite 100 Tukwila, WA 98188 (206) 431-3670
RECEIPT
Parcel No.: 8836500020 Permit Number: D05 -004
Address: 1015 ANDOVER PK W TUKW
Status: PENDING
Suite No: Applied Date:
01/06/2005
Applicant: HAYEK LEATHER Issue Date:
Receipt No.: ROS-00012
Payment Amount: 50.00
Initials: BLH
Payment Date: 01/06/2005 12:34 PM
User ID: ADMIN
Balance: $64.72
Payee: HAYEK LEATHER
TRANSACTION LIST:
Type Method Description Amount
---------- -------- --------------------------- ------ - - - - --
Payment Cash 50.00
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------------ ---------------- ------ - - - - --
BUILDING - NONRES 000/322.100 6.58
PLAN CHECK NONRES 000/345.830 43.42
Total: 50.00
AI. ri
rinr.- RAnAint Printed: 01-06-2005
N INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Pro' ct: '' 11
Type of Inspection:
A res
�h ubk P u1
Date Called
Special Instructions:
0 �i�ilG(ivt �i1'�- �..G1�Gf.
Date Wanted:
a
Requester:
Phone No:
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1908
07 - 05 - 2005
J 2
HUSSEIN HAYEK
1015 ANDOVER PK W
TUKWILA WA 98188
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit No. D05 -004
1015 ANDOVER PK W TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions 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, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -tine extension up to 180 days.
i Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 08/02/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
ta,& /4 �� --
Brenda Holt,
Permit Coordinator
xc: Permit File No. D05 -004
Bob Benedicto, Building Official
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 a Phone: 206- 431 -3670 • Fax: 206- 431 -3665
@i h
4
1908
January 13, 2005
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
Mr. Hussein Hayek
1015 Andover Park West
Tukwila, Washington 98188
RE: Letter of Incomplete Application # 1
Development Permit Application D05 -004
Hayek Leather — Fencing — 1015 Andover Park West
( Dear Mr. Hayek:
This letter is to inform you that your application received at the City of Tukwila Permit Center on January 6, 2005, is
determined to be incomplete. Before your application can continue the plan review process the following items need
to be addressed:
;i
` Buildine Department: Allen Johannessen, at 206 433 -7163, if you have questions concerning the
following:
1. Please show all exit doors of existing building; required exits may not enter fenced area.
Please address the above comments in an itemized format with applicable revised plans, specifications, and/or other
documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other
" . documentation be resubmitted with the appropriate revision block.
i. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have
'
enclosed one for your convenience. Revisions must be made in person and ►vill not be accepted through the mail
or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433 -7165,
Sincerely,
V 'pencer Stefania
!. Permit Technician
Enclosures
File: Permit File No. D05 -004
I
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431.3665
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PEPNE ": t, DORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -004 DATE: 01 -21 -05
'PROJECT NAME: HAYEK LEATHER
SITE ADDRESS: 1015 ANDOVER PARK WEST -
Original Plan Submittal X Response to Incomplete Letter #
Response to Correction Letter #_ — Revision #_after /before permit is issued
DEP RTM� Min f
Buildi vision [ Fire Prevention ❑ Planng A ision [�
9
Public Works ❑ Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Thurs.)
Complete [d Incomplete ❑
Comments:
DUE DATE: 01 -25 -05
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TOES /THURS 7"Structural TING:
Please Route Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS
DUE DATE: 02 -22 -05
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments Issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COOPD COPY
Documents /roudng slip.doc
2.28.02
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❑ No further Review Required
DATE:
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PERMIT C OP'D COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -004
DATE: 01 -06 -05
PROJECT NAME: HAYEK LEATHER
SITE ADDRESS: 1015 ANDOVER PARK WEST
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision #_after /before permit is issued
DEPARTMENTS:
Ab " M BuiAvi h s i on Fire Prevention LM Planning Division Ff
Public Works Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Th rs.) DUE DATE: 01 - 11 - 05
Complete ❑ Incomplete Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: � LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: SAS
TUES /THURS ROUTING:
Please Route ❑ Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions ❑
Notation:
REVIEWER'S INITIALS:
DUE DATE: - 02-08-05
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DocumenWroudngsllp,doc PERMIT COORD COPY
2 -28-02
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City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
REVISION SUBMITTAL
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Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, far, etc.
Date: / ;P-6 y Q Plan Check/Permit Number:
Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
1
Project Name:
Project Addre;
Contact Persorl:
Summary of Revision:
11UN10 1\ uARIUGA
RECENED
C17Y OF TUKW16A
JAN L 266
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas 4f revision including date of revision
Received at the City of Tukwila Permit Center by:
z Entered in Permits Plus on
\applications \forms- applications on line\revision submittal
Created: 8 -13 -2004
Revised:
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