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Home My WebLink AboutPermit 6905 - Riverton Heights Lutheran Church - ReroofR\ VTEThf\J 4_16.taS LUTIelzikki CtAge.)4 Mat TYPE OF CONST.: Reroof UBC EDITION (year) 1988 SETBACKS: N — S — E— W— FIRE PROTECTION: OSprinklers O Detectors (51( N/A UTILITY PERMITS REQUIRED? Yes UTILITY (] ®NO BAR /LAND USE CONDITIONS? 0 Yes (thrbugh Public Works) a No ZONING: CONDITIONS (other than those noted on or attached to permlt/plans) PLEASE SEE ATTACHED "REROOF CONDITIONS" REGARDING VERIFICATION OF ROOF CLASSIFICATION. WA. ST. CONTRACTOR'S LICENSE # TUKWIRC1.25N6 /1 :7 ARCHITECT PROPERTY OWNER Riverton Height Evang. Luthern Church PHONE 243 - 0520 ADDRESS _ 3500 South 140th Street, Tukwila, WA ZIP 98168 CONTRACTOR Tukwila Roofing Co. PHONE 241 - 5385 ADDRESS P.O. Box 68517, Tukwila, WA ZIP 98168 WA. ST. CONTRACTOR'S LICENSE # TUKWIRC1.25N6 EXP. DATE 8 -26 -92 ARCHITECT PHONE ADDRESS ZIP y ' t( , �: tt R �; ' .i �; USE .fir � / ;3; ., n ,;j',.,c, ,'•i,• � , U 1i 1 •�t r4 y y ,F' „�•. �, ;(�..' .. }. Si'�ai: �. v �t.. .. l' .,,�. •. -r.•S; ` t'; / r,. ",. .p;i �t' i� 'r:. p GDD�.,�:. .•,i� : 4,j''�,� 01: hlC . ,. }, .. ; • G'1 'i, ?" .�,�,., ,. .., :.;.., ii: ' •' r '' v....,' ; s.• r , . • . e . i . / r•:. - y ,74 v,: •:�, "y , , . , as ; .,. : . i .. •. ,'• . �i:'•'.r.i` i • � ' FLCJOR1: V SQUARE FEET OCC. LOAD SQUARE ! OCC. FEET LOAD SQUARE FEET OCC, LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD TOTAL SQUARE FEET TOTAL OCC. LOAD TOTAL CITY OF TUKWILA Dept. of Community Development- Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 BUILDING PERMIT NO. DATE ISSUED: SITE ADDRESS APPROVED FOR ISSUANCE BY: CERTIFICATE OF OCCUPANCY NO. 3415 S 140 St BU[LDW3 PERMIT (POST WITH INSPECTION CARD AND PLANS IN A CONSPICUOUS LOCATION) �K�. .li� L•v ! {t% 7�>A i •try � �y '7 +r aL�,• a '• �, .Y t.••;,'. ; }i �r:n/ t.i: a��K�. ,i�;.f.j , :�: {L. :j , i= ',F>E�S'�"l�7 } °'{'l,• „'I }�.,,.,:. {,• r t.r1�: {'M�t;;i• DESCRIPTION AMOUNT 'RCPT # BUILDING PERMIT FEE 63.00 PLAN CHECK.FEE'.: • BUILDING'SURCHARGE< : OTHER: hive st igation : TOTAL PLAN CHECK NO.: 91 -520 }' S ,leis„ +��5. , .i3' 1 s i v•�i r 1(h ,;yia �;-•,;. ;; ne:,,r•;�,;�� "r •i�+,'n.� L);tit�`�'v • N4r , {k.0 S;•,; �S, �; o: 7y�it ;SJI,�'/.:!':�r;.:: "i. •;.. to v•:' } �• SUITE # 15174 1:5174 63:`00:;::45:17::4 130.50 DATE 12 -27 -91 12- 27 -91 12- 27.9 VALUE OF CONSTRUCTION - $ 4,000.00 PROJECT NAME/TENANT ASSESSOR ACCOUNT ft Riverton Heights Luthern Church 152304 -9155 TYPE OF ( j New Building U Addition Li Tenant Improvement (commercial) L.) Demolition (building) Li Grading/Fill WORK: 0 Rack Storage ® Reroof 0 Remodel (residential) 0 Other: DESCRIBE WORK TO BE DONE: Remove to top layer of insulation and reroof with 3 —ply hot asphalt and gravel (Class "A "). letitiya • 4 11FI S I hereby certify that I have read and exa i 4 - ir d this permit and know the same to be true and correct. All provisions of lay 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 for and obtain this building permit. BUILDING OFFICIAL DATE: /2_27_ ?/ SIGNATURE: p DATE: I 'a 2_1 PRINT NAME: (J t L e S COMPANY: t`W, LA (2.00<:(yUr. 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. DATE ISSUED: 'On Lau PERMIT NO. CONTACTED DATE READY DATE NOTIFIED BY: (init.) PERMIT EXPIRES 2nd NOTIFICATION BY: (init.) AMOUNT OWING 3RD NOTIFICATION BY: (snit.) BUILDING PERMIT APPLICATION TRACKING PLAN CHECK NUMBER 6 11 — 5a INSTRUCTIONS TO STAFF ® Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ". BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION (to be filled out by Plan Checker) SQUARE FEET LOAD SQUARE OCC. FEET LOAD SQUARE FEET OCC. LOAD SQUARE OCC. FEET LOAD SQUARE OCC. TOTAL FEET LOAD SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. O FIRE O PLANNING O PUBLIC WORKS O OTHER BUILDING - final review PROJECT NAME Rk ∎JJ2x-t - L uMex n Church SITE ADDRESS _ SUITE NO. `I 16 5 In to REVIEW COMPLETED 2(BUILDING - b1- a"i'�I initial review INIT: INIT: INIT: INIT: INIT: ROV (ROUTED) CONSULTANT: Date Sent - WJ.REM FIRE PROTECTION: 11 S•rinklers FIRE DEPT. LETTER DATED: ZONING: REFERENCE FILE NOS.: MINIMUM SETBACKS: N- UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: TYPE OF CONSTRUCTION: Date Approved - (Thle Detectors INSPECTOR: N/A IBAR/LAND USE CONDITIONS? ( )Yes S- E- W- UBC EDITION (year): TOTAL OCC. LOAD No 08/17. SITQADDRESS 4 ��. SUITE # ` -- 5. ›.o , \4o 54 5O . \4,5 VALUE OF CONSTRUCTION - $ oV . 00 PROJECT NAME/TENANT av4 N (,- MV - m Ik - (5 Lu - vt ) vr \ ASSESSOR ACCOUNT # 15,- 3o 4- -'A 1 S3 TYPE OF • New Building U Addition Tenant Improvement (commercial) Li Demolition (building) WORK: 0 Rack Storage (XIReroof 0 Remodel (residential) 0 Other: _ DESCRIBE WORK TO BE DONE: a -- k-c:1 r° C I r c- i Nom` h • •- '�L'. ' (2.0k- � �\J../ % i;Z 3 °- et---‘f 1 - r A -6 R- (1 A 6-f2( / C L4-5j "0 ,. I �. _. CaO t= i t; -A o ( BUILDING USE (office, warehouse, etc.) ff 0.40 ikc NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? allo 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: - 3)00 SO F•i WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? Callo 0 Yes IF YES, EXPLAIN: PROPERTY OWNER .,\,/,CmL.. , .-1 i T.S EvAmx L_Q- c- otr1`., .t t. 0 PHONE • Z -_ ()gap 1 ZIPc.� e1 b8 ADDRESS - .3So0 .{.L' SQ. 140 Kwl 14 .- r - ) CONTRACTOR ... - icw \ L cz. -D fi ( N tr e D PHON a41 5 s c ADDRESS t om , p , (- o ) < (08 51 - 1 v s�w,� 4 W P . ZIP, I b WA. ST. CONTRACTOR'S LICENSE # -- 1- UKw1'(2...0 1,. 1 4 EXP. DATE Q -, H - f � ARCHITECT PHONE ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON DATE APPLICATION ACCEPTED ADDRESS ? 0 , o -� BUILDIF PERMIT APPLICATION AMOUNT:: DESCRIPTION% BUILDING PERMIT. :FEE PLAN CHECK FEE: BUILDING SURCHARGE: OTHER'.. : TOTAL: -':I <:L HEREBY :CERTIFY: THAT I HAVE READ :AND EXAMINED THIS; APPLiCATIOt BE TRUE: AND;. CORRECT, AN -A.M AUTHORIZED TO `TH.IS.PER SIGNATURE PRINT NAME QA J1 6 J\ALe5 DATE DATE APPLICATION EXPIRES t' Or) ! Z 7-0 ( PHONE 7.41 _ CITYZIP- cr1/4.4<W /L4 l�l 9 PHONE Z41 58 5. APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and Is subject to possible revision by the Building Division to comply with current fee schedules. 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. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. 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 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. if you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 431 -3670. c{& 03/16101 COMMERCIAL . . . . .....„. NE COMMERCIAL BUILDINGS /AOC Completed • • • .. • • .. • • - building permit application (one for each structure) . ...................... ASSeSsor:ACcOunt:NUMber':: •• •••••• Two snts of the following • . Specifications . ; . • Structural calcULtions stamped by a Washington State licensed . . ".1 en . ................ Soils report stamped by a Washington State licensed engineer Topographical survey Energy calculations stamped by a Washington State licensed ..•••••• engineer or ..• .....„. . . ..... • •... .... • • . .„ . „. . . • _ •-• - _ • ...:.:. .• • , . . . . . :Legal description • .Working drawings ;••• stamped by e Washington State licensed 'architect which inclUde:'.::::••••'••••••••;•:•.•• . . . ••••• .•••• • • • ArChl tectUral drawing Structural drawing Mechanical draWings•••:••• • .• s ;I' .. . •• ••••••••••••:.•:.,.. ...... : . • :: SUBMITTAL CHECKLIST • . . ".•:i:•••• •••• •:••. •••••...:• • •:::•.:•••••• Civil drawings • .... • :•, • • Landscape pen .• ••• . . . . • . •••• Completed utility permit application (one for entire project) .. . . SetS. of civil drawings NOTE: See UtiliVpermItapplic.stion and checklist for specific submittal " ••:.•••• : • ..." • •••:. •::. • . " . .. Completed building • permit application :.:• . ••• •,'Assessor Account Number . .. .:••.: . , .. . . •••. .:Two(2).sots of lans, which Building floor. plan shOwing::•••• ••••••::" .:::••••:"•:•••••••=:••••••••••:. . • where:racks:will : Eflr0 space pimensiOnt Tenant! rack storage layout aiSlee and . ••• NOTE:::4nClUde:diMensiOns of racks (height width and length) aisles and exit. ways On Structural calculations stamped by a Washington State licensed �ngineer (rack st�rago 8' and over).:;*. • . RESIDENTIAL NEW SINOLE-FAMILT.DWELI,INGS/AODITIONS • . : • • __ICOMpl building permit application (one for bach•:strUcture).:1:,::::::::;': ri Legal description ':'::••::••••• • ::•• Assessor Account Number Two sets (2) of working drawings which include . . . , . : (On plan,. show closest hydrant Foundation plan . ',.. accOSS to building showing Floor plan wldthandlengthof .• . Roof plan Building elevations (all views) Building cross section PtruCtUreLfraniing plans . Washington ••••••• ••• .:••••••••;:• •••••:•••••••••••••"••••••••••••••• ••••••• . :'• .::-.•:...••••••:•••:',' • State ••••:••••••-•':' COmpleted utility permit application Six (6) sets of site plans showing utilities • • ; ; :••• • • • NOTE:. Building slto plan and utility site plan may be combined See utility permit application and checklist for specific submittal reqpirementS topographical and soils information may be required if unique:'• site conditions, • e • • • '• • • " • :* • " • COMMERCIAL TENANT IMPROVEMENTS Completed .building permit application (One for oath structure or :Assessor Account Number :'•:•••••••• ::•:.:•TWO:(2).•Setsof construction plans which IriClOdsif';:'.. Site plan • • • • • • ocationartenant.ePaCe use of each room labelled • Existing and proposed parking Landscape plan (if applicable, I e change of use) E Overall building plan • Tenant location Use of adjacent (common wall) tenant Overall dimensions of building or square footage Floor plan of ni.s • • Exit doors egress patterns • New walls existing wall, and Walls to be Pro? • Tena demolished • Construction details . • . •. • .• •-• •:•••••••••::: sections. shaWing'well:oonstrooion•ond method of .::: • for 'floor and oeiing Structural calculations stamped by a Washington State licensed engineer be • required itettUctUral:Wokie:: e sets) required • • • ..._. • • • NOTE If any utility work Is to as done, submit separate utility permit .................... . . •••■••■•■•■••• ''' • '' ' ' ' ' • ''' ' ANTENNA/SATELLITE: DISHES • AeSeesoiACCOtint.NUMber. ' • • '7WO(2) kide Site Plan (showing building and location of antenna/satellite disl Details antenna/satellite dish arid method of attachment . . Structural gton State l ..Completed....building•pernilt applicetiort":(one::.toraebh::ste.tictu'rey.":: Assessor Account Narrative describing existing roof, material lielng •••••..• material being installed • NOTE:::',1.ertificittion letter." Off 6/. the permit ' ' ' . . . . . .. . . . . . . • . . . • . . . int" E Compkited building permit application (one for each [1 Two (2) sets of working drawings which include s tructure ri Assessor Account Number Site plan Foundation plan • Floor plan Roof plan • Building elevations (all views) Building cross section • Structural framing plans :/VOTE: If ny.utlljtyw�rk Is to q� and plans must be submitted • • . . . . . LII Completed building permit application (one for each structure Assesior.Accpunt Number Narrative bIrtg eibaing :rampited; an material being installed::...„ ::•-• • NOTE:A Certification letter'is.reqUireelprkir.tOlfinal:lnspection ; • . :;.• . ;• •••.. - Project i Ali (k , C Jype of Inspection; f Tddr • c Date Called: Specla In truct ons: V'.<.4'- Date Wanted: I _ 0. ....... Z - "'l m• a � , Requester: r--� , a L- j,?/11 Phone No,; 3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. COMMENTS: ' Inspector: Receipt No.: + INSPECTION RECORD Retain a copy with per I — 1 6.5:Fp rro N Via. Date: Cod 05 PERMIT Nq: (206)(206) 431-3670 ❑ Corrections required prior to approval. 1---22 -`7 • ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COMMENTS: • R ' pe o nspect on: _ ?srock Q mov R Tc� j ' Address: 34 is 5 I s [ "( V' rJC, c-;. sr 1,4 I Sa lle : , a ,, ) < r t,L.S a eiset MI I Ngrt.C' y F AnL9 tx N.DEYLC/ i Date Wanted: JJ t'�� I am. r�m ..: Au. t t- - - e G a.- 4- 0✓� - u,-P C ' q ,4P Phone No.: O-.l 4 L — r e-GV Lek-ct rIc /T.- t „4 s T 4 A i1/4/ Z14 • c (...4-81 ` A ii-ah . I tAr (NZu.t 1-bri w l LL.. g..1/4 A r !k8 IS .P wb11_________ eT e w Project: ' tV�r n hk R ' pe o nspect on: _ ?srock Q mov R Tc� j ' Address: 34 is 5 I s [ "( y ✓ I Sa lle : , a ,, ) Special Instructions: 9 1.-{p— 1 . Y 0D) 1•Q. ' Date Wanted: JJ t'�� I am. r�m Requester: 0.0 1 6 yYl- 2Y.`..a Phone No.: O-.l 4 L — r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. '') INSPECTION . RECORD sr) Retain a copy with permit (206) 431 -3670 0 Corrections required prior to approval. Date: /2, Cl $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. f Receipt No.: Date: Name / WARNING: The failure to stop work, the resuming of work without permission from the Building Division, Or the removal, mutilation or concealment of this notice Is punishable by fine and imprisonment. c :! Ac .. 17,; t: ii_!i • . .«- / op CITY OF TUKWILA BUILDING DIVISION • 6300 SOUTHCENTER BLVD. TUKWILA, WASHINGTON 98188 TELEPHONE (206) 431 -3670 ALL PERSONS ARE HEREBY ORDERED TO AT ONCE i STOP WORK PERTAINING TO CONSTRUCTION, ALTERATIONS OR REPAIR'S ON THESE PREMISES AT is 1-;..Toni 14E: ‘'T1 - 4:A - • TH_LSORDER IS ISSUED BECAUSE ,.J le c:';ti I :; c.,,.:; +r41: 10 /4• !" � �.'. ktir:.r "4J C.•( C') ('.' ) Ar.i:> r1r'r' } =. C.N:/1 " l.�. (AM POSTED / 0: � PM �' -� 2 1 - 19`1 i BY "X" REQUIRED INSPECTIONS PHONE APPROVED INITIALS CORRECTION NOTICE ISSUED 1 Footings 431 -3670 2 Foundation 431 -3670 3 Slab and/or Slab Insulation 431 -3670 4 Shear Wall Nailing 431 -3670 5 Roof Sheathing Nailing 431 -3670 6 Masonry Chimney 431 -3670 7 Framing 431 -3670 8 Insulation 431 -3670 9 Suspended Ceiling 431 -3670 10 Wall Board Fastening 431 -3670 X 11 Pre — Reroof 431 - 3670 12 13 14 FIRE FINAL Insp: 575 -4407 15 PLANNING FINAL 431 -3670 16 PUBLIC WORKS FINAL 431 -3670 X 17 BUILDING FINAL 431 -3670 CITY OF TUKWILA Department of Community Development - Permit Center 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 SITE ADDRESS: 3415 S 140 St BUILDIIIG PERMIT INSPECTION RECORD (Post with Building Permit In conspicuous place) BUILDING (C905 PERMIT N0. DATE ISSUED: SUITE NO.: PROJECT: OTHER AGENCIES: Plumbing (including gas piping) — King County Health Department — 296 -4732 Electrical — Washington State Department of Labor and Industries — 277 -7272 Riverton Heights Luthern Church CALL FOR INSPECTIONS AT LEAST 24 HOURS IN ADVANCE (INSPECTOR COMMENT SECTION ON REVERSE) INSPECTION PROCEDURES AND REQUIREMENTS All approved plans and permits shall be maintained available on the site in the same location. 1. FOOTING - When survey stakes and forms are set and rebar is tied in place. 2. FOUNDATION - When forms and rebar are in place. 3. SLAB - If structural slab or if underslab insulation is required. 4. SHEARWALL NAILING - Prior to cover. 5. ROOF SHEATHING NAILING - Prior to cover. 6. MASONRY CHIMNEY - Approximately midpoint. 7. FRAMING - After rough -in inspections such as mechanical, plumbing, gas piping, electrical and fire stopping is in place. 8. INSULATION - After framing approval, but before installation of wallboard. Baffles must be Installed to keep attic ventilation points clear. 9. SUSPENDED CEILING - Fasten diffusers, lights and seismic bracing. 10. WALL BOARD FASTENING - Prior to taping (see UBC Chap. 47 and Table 47G). 11. 12. 13. 14. FINAL FIRE INSPECTION - Contact Fire Department for their requirements. 15. FINAL PLANNING INSPECTION - Contact Planning Department for their requirements. 16. FINAL PUBLIC WORKS INSPECTION - Contact Public Works Department for their requirements. 17. FINAL BUILDING INSPECTION - When all work, corrections, reports and other inspections are complete. A preconstruction meeting with the Building Inspector may be scheduled prior to starting the job by contacting the Department of Community Development, Building Division at 431 -3670. Although not required, a meeting of this type can often eliminate problems, delays and misunderstandings as the project progresses. x,,14,90 Pro -5385 t Page No. of Pages ° Tu<wilaRoofinaCo. Yam Nor Malmo s..w liv33a1 P,O, Box 68517 Tukwila, Phone: 241 WA 98168 CONTR, # TUKWIRC125N6 \ STATE TAX # C 600 482 507 PROPOSAL SUBMITTED TO Riverton Hts. Luthern Church PHONE DAIL Nov. 22, 1991 STREET 3500 South 140th JOB NAME CITY, STATE AND ZIP CODE Tukwila, Washington 98168 JOB LOCATION ARCHITECT DATE Or PLANS JOU PHONE We hereby submit specifications and estimates for: — Remove existing roofing to insulation and dispose. Re -roof with: Spot mop one layer of 28 lb. fiberglass base sheet. Solid mop two layers of type IV fiberglass ply sheets. Extra ply at edges. Top coat with pea gravel in. hot asphalt. New scuppers and facia metal. few places. Repair missing shingles Patch lower roof in a on main roof. Guaranty 5 years. K rDcrq,Z.1 , 4\\1‘.7.,. ___ 4I(-)p .en s 4A wo21� Payment in full upon completion. v_ __ Tlr 1Jr11puius hereby to furnish Tukwila Roofing Co. Is registered with the State of Washington, as a specialty contractor and has posted with the state a bond purpose of satisfying claims against the contractor for negligent contract In the r f Y Clho contractor's business. The registration is �` �U�JL This bond or cash deposit material and labor — complete Registration No. TUKWIRC125N6, or cash deposit of $4,000 for the or Improper work or broach of expiration date of this contractor's may not be sufficient to cover a If any supplier of materials used In or subcontractor is not paid by the be liened to force payment. If you wish you with original "Tian release" project. The contractor is required to If you request it. General Industries. Authorized in accordance with above WSST @ 8.2% Total : specifications, for the sum of: , . . 51 0 . 00 l 423 .12 claim which might arise from the work done under your contract. your construction protect or any employee of the contractor contractor or sub contractor on your job, your property may additional protection, you may request the contractor to provide documents from each supplier or subcontractor on your provide you with further Information about lien l documents information is also available from rom the rho Department mont of Labor or a end $ 5583 .12 — — All material Is guaranteed to be as specified. All work to be completed in a workmanlike manner Signature according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance Our workers are fully covered by withdrawn a V t/pt^ Note: nls !pos'� by us if not accepted within Am 30 days Arrrptattri of Vt'tlpil .attl —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. l r Date of Acceptance' y /t/' "Any controversy or claim arising out of or relating to this contract or any breach thereof, shall be seined In ccordance with the arbitration t byr{aI of e BETTER BUSINESS BUR AU „” — --- Signature