HomeMy WebLinkAboutPermit M05-035 - US INKU S INK
17300 WEST VALLEY HY
M05-035
City of Tukwila
Parcel No.: 2523049021
Address: 17300 WEST VALLEY HY TUKW
Suite No:
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
Tenant:
Name: US INK
Address: 17300 WEST VALLEY HY, TUKWILA WA
Owner:
Name: RELCO INVESTMENT CO L L C
Address: 8851 SE 37TH, MERCER ISLAND WA
Contact Person:
Name: CANDICE GALLAGHER
Address: 2800 THORNDYKE AV W, SEATTLE WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W, SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
GAS TO GAS WATER HEATER CHANGE OUT - MODEL RHEEM G75 -125.
Value of Mechanical: $1,000.00
Type of Fire Protection:
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
doc: IMC- Permit
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -035
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 282 -4700
Phone: 206 282 -4200
Expiration Date:09 /02/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -035
03/24/2005
09/20/2005
Fees Collected: $170.40
International Mechanical Code Edition: 2003
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood /Gas Stove 0
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment 0
Printed: 03 -24 -2005
Permit Center Authorized Signature:
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 aut to violate or cancel the provisions of any other state or local laws
regulating constru n or e performance of wor . aut ized to sign and obtain this mechanical permit.
Signatur • Date: 3 25-a
Print Name: / /.L`/.t7/� c� /
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: IMC- Permit
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: ci.tukwila.wa.us
M05 -035
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -035
Issue Date: 03/24/2005
Permit Expires On: 09/20/2005
Date: 3rd y aJ
Printed: 03 -24 -2005
Suite No:
Tenant: US INK
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: M05 -035
Status: ISSUED
Applied Date: 03/16/2005
Issue Date: 03/24/2005
Parcel No.: 2523049021
Address: 17300 WEST VALLEY HY TUKW
PERMIT CONDITIONS
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 2
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 = d
start of any construction. These documents shall be maintained and made available until final inspection approval is 1- _
granted.
1- O
4: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall w w
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum 2 o.
distance of 4- inches shall be maintained above the controls with the strapping. 8 cn
5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of w w ;
Public Health - Seattle and King County (206/296- 4932). H
ui z
U N`
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.
doc: Conditions
* *continued on next page **
M05 -035
Printed: 03 -24 -2005
City of Tukwila
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
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
regulating construction or the performance of work.
doc: Conditions
M05 -035
of law and ordinances
other work or local laws
Printed: 03 -24 -2005
Name:
E -Mail Address:
Company Name:
Mailing Address:
\application,\pcnnit application (7.2003)
7/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 **
Contact Person: / t71S( c.e (` 7CJk /
E -Mail Address: ' / /�
Contractor Registration Number: ' W 4S / 16 log
Page 1
City
Fax Number:
(� r King Co Assessor's Tax No.: S ( 7q00--/
f
Site Address: ' 3 00 w V L�, Suite Number:
y
Floor:
Tenant Name: � � S
Property Owners Name:
Mailing Address: 1 7 50 O l a r (a -11A.rzi
City State Zip
New Tenant: .... Yes fl ..No
';CONTA'C,T.PER$(
Day Telephone: yZt 7 70 32
Mailing Address:
Zip
Stale
GENERA
City State Zip
Day Telephone: Ce 0) C2C6
Fax Number: /
Expiration Date: �j /,L' Or
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT ' 0F R_ EC
Company Name : -;
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City State
Day Telephone: `=
Fax Number:
F ENGINEEROF,REC
Company "tie:
Mailing ,,ddress:
City State Zip
Contact Person: Day Telephone:
E -M Address: Fax Number:
z
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F. W
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Unit T e:
Type: ..:.. �. ;,...: �=
:.Qty
: Type: • - `
.
Qty
.Unit:T a
Type: :
Qty
Boiler /Corn ressor:'. :..:
� P
t
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipme t
1
0 -3 HP /100,000 BTU
Fumace>100K BTU
Evaporator Cooler
(()
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
.
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm/Ind
MECHANICAL CONTRACTOR INFOR TION (,� �,
Company Name: r,2 f y y v (gyp ,J�
Mailing Address: G(G C -P 74-1/-c � j Z1L
Contact Person: ( md) Q 9a16,2_?A-5,/
E -Mail Address:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Indicate type of mechanical work being installed and the quantity below:
BUILDING OWN OR AU IZE AGENT:
Signature: 'j44 ovr) iSS , (1(
Print Name: Lu- 7ft yn Qui jt
Day Telephone:
Mailing Address:? X 2-D3 6-'L✓ -r!� ��- ���3
City
\appliations\permit application (3.2003)
(yodel Thwro c 75
City State / ip
:
Day Telephone 2 2 - 'Zj
Fax Number:
Contractor Registration Number: /,0,rk( ( Expiration Date: g7Z(Or
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Use: Residential: New .... Replacement .... ❑
Commercial: New .... Replacement ..
Fuel Type: Electric Gas.. Other:
,_ PERMIT = APPLICATION NOTE Applicable_to all perlmtts >rn th>ts. app cation _
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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
2 .--h4e2As --
42%S - 7 o 32t
State
Zip
Date Application Accepted:
5 /4 — vs
1 Date Application Expires:
Staff I ials:
1
Payee:
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
h .
mo w `
Parcel No.: 2523049021 Permit Number: M05 -035 1 o ,
Address: 17300 WEST VALLEY HY TUKW Status: APPROVED co o
Suite No: Applied Date: 03/16/2005 co kw
Applicant: US INK Issue Date:
w
2
Receipt No.: R05 -00416 Payment Amount: 142.32 E <c.
Initials: SKS Payment Date: 03/24/2005 02:43 PM w
User ID: 1165 Balance: $0.00 ` z
WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Description Amount w ~O •
142.32 U N
O
( -L
Payment Check 4559
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - NONRES
RECEIPT
Account Code Current Pmts
000/322.100 142.32
Total: 142.32
1394 03/24 9716 TOTAL 284.64
Printed: 03 -24 -2005
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.: R05 -00378
Initials: BLH
User ID: ADMIN
Payee:
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
2523049021
17300 WEST VALLEY HY TUKW
US INK
WASHINGTON ENERGY SERVICES COMPANY
Payment Check 4526
PLAN CHECK - NONRES
Account Code Current Pmts
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Amount
28.08
28.08
Total: 28.08
M05 -035
PENDING
03/16/2005
Payment Amount: 28.08
Payment Date: 03/16/2005 01:27 PM
Balance: $142.32
1070 02/16 9710 TOTAL 56.16
Printed: 03 -16 -2005
1
Prrit -r .....4 fr .....
Type of InspeM (1‘2
Address:
113 DO W •t)alte
Date Called:
( , f 1 0[05-
Special Instructions:
Dal Wanted: / (403' (P•
Requester 1 1 , ! , 1
/4.,
rn .c o „,..r g706
INSPECTION NO. • •
CITY OF TUKWILA BUILDING DIVISION 7 a
■
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
tg Approved per applicable codes.
COMMENTS:
Inspe
IRece
4vv-sA
INSPECTION RECORD
Retain a copy with permit
r 0-11
c 17 1=1
Corrections required prior to approval.
9 11 1 oc
Date:
58 REINSPECTION FE REQUIRED. qrior to inspection, fee must be
paI� at 6300 Southcenter bid., Suite 100. Call to sechedule reinspection.
I t No.:
'Date:
5
File: M05 -0035
5mrn Drawing
#1
t
Univer Gas Comt._,clai Water Heaters
zS
MAR - 3 2005
r
Small Jacket
Diameters
Short
Floor- to-Vent
Heights
Multiple
Water Connection
Options
(en Weald
REVI , ACE
CODE gams
MAR 18 2005
- City yy O(: Tukwila
BUILDING DIVISION
•
Available in Sizes Ranging From 35 -100 Gallon Tank -Type Models
198,000 BTU/Hr. thru 400,000 BTU/Hr.
Universal Gas Commercial Water Heaters are specifically designed to
minimize the difficulty of replacing failed water heaters and are versatile for
new installations. These products are designed for applications requiring
large quantities of hot water. FILE COPY
Construction Features:
• Universal tank design -
maximizes installation adaptability
by offering models with Top, Front
Side and Rear Side Inlet/Outlet
water connections.
• Universal space saver design -
short heights and small jacket
diameters result in greater
installation flexibility.
• Patented multi -flue tank design -
proprietary steel formulation,
patented multi -flue design, and
two coats of high temperature
porcelain enamel to maximize
corrosion resistance result in a
superior heat exchanger design.
RECENED
CITY OF VOILA
MAK 1 6 2005
Certifications and Ratings: s: CENTER
RUUD
• Low profile automatic flue
damper -
low profile design minimizes over-
all product height. New heavy duty
vent hood supports are designed
to withstand rigors of installation.
• Spark-To-Pilot ignition system -
standard on all models. Provides
reliable and energy saving ignition
sequencing by Igniting the pilot
only when the thermostat calls for
heat.
• System Sentinel LED
diagnostic system -
our exclusive diagnostic system,
with glowing LED lights, verifies
system operation sequence by
sequence.
• Full port, full flow brass drain
valve
• Efficiency - these models have been tested according to ANSI test
procedures, and exceed the thermal efficiency and standby loss
requirements of ASHRAE Standard 90.1b -2001 (Part of the Federally
mandated Energy Policy Act (EPact)). Also exceeds energy efficiency
codes of all states including California Energy Commission (CEC).
• Safety and construction - these products are design certified by the
CSA: a) For operation at 180 °F. b) To meet all safety and construction
requirements of ANSi 221.10.3. c) As an automatic storage or instanta-
neous water heater. d) As an automatic circulating tank water heater.
e) For operation on combustible floors and in alcove installations.
All models are North Carolina Code compliant.
CERTIFIED FOR A 150 PSI MAXIMUM WORKING PRESSURE
(160 PSI FOR ASME MODELS).
• Optional constructions - ASME construction is available on designated
models. UL Sanitation (NSF5) compliant models are available when
equipped with optional leg kit. (Part No. AE35450)
Continued next page.
MD5-o%
•
DIMENSIONAL INFORMATION mi
cumptsim,s
e hnwn
I
Engitsh and Molfir
WATER CONNECTIONS
APPROXIMATE
SHIPPING
ASME
NUMBER
N M
NUBE
UNITS
A
B
C
D
E
F
G
H
IN//O
FSIDET
REAR
G50 -98
inches
62 -3/4
57 -1/8
22 -1/2
22-5/8
5
50.112
1/2
15
1
1 -1/2
1 -1/2
270 lbs.
NIA
mm
1594
1451
687
575
127
1283
13
381
25
38
38
_ 122 kgs.
NIA
( �.{ .2?
°"
" 4
inches
65-1/2
61
26-1/4
25
5
56
3/4
20
1 -1/2
1-1/2
1-1/2
480 lbs.
N/A
mm
1684
1549
667
635
127
1422
19
508
38
38
38
217 kgs.
NIA
G82 -156
Inches
68- 13/16
64
26-1/4
25
6
58-5/8
3/4
20
1-112
1 -1/2
1-1/2
490 lbs.
N/A
mm
1748
1826
687
635
152
1489
19
608
38
38
38
222kgs.
WA
G76-180
inches
68-13/16
64
26-1/4
25
6
58-5/8
3/4
20
1 -12
1 -12
1 -1/2
5401bs.
N/A
m
1748
1826
667
635
152
1489
19
508
38
38
38
245 kgs.
WA
G37 -200
inches
49 -1/4
43-3/8
26-1/4
25
6
37 -5/8
3/4
20
1-112
1-1/2
1-1/2
405 Ibs.
N/A
mm
1251
1102
667
635
152
958
19
508
38
38
38
164kgs.
WA
676-200
inches
68. 13116
64
26-1/4
25
6
58-5/8
3/4
20
1 -12
1 -12
1-1/2
540 lbs.
N/A
m
1748
1626
667
835
152
1489
19
508
38
38
38
245kgs.
WA
G91 -200
inches
76 -5/16
71 -13/18
26-1/4
30-5/8
6
66-3/8
3/4
20
1-1/2
1.12
1-1/2
600Ibs.
N/A
mm
1938
1824
687
778
152
1686
19
506
38
38
38
272 kgs.
WA
G100-200(A)
inches
73 -1/16
66. 118
30-1/4
23-1/4
6
57 -12
3/4
23
, 1-1/2
2
2
780 lbs.
835 lbs.
mm
1856
1680
788
591
152
1460
19
584
38
51
51
353 kgs.
376 kgs.
G72- 250(A)
Inches
71- 1/16
64-1/2
26-1/4
25
6
58-5/8
3/4
20
1 -12
1 -12
112
590 lbs.
630 lbs.
m
1805
1638
667
635
152
1489
19
500
38
38
38
267 kgs.
285 kgs.
G100- 250(A)
Inches
73.1/4
66-1/8
30-1/4
23 -114
6
57-1/2
3/4
23
1112
2
2
795 lbs.
8351bs.
mm
1881
1680
768
591
152
1480
19
584
38
51
51
300 kgs.
378 k9s.
G100- 270(A)
inches
73-7/8
66-1/8
30-1/4
23-1/4
6"
' 57 -12
3/4
23
1-1/2
2
2
805 Ibs.
845 lbs.
mm
1878
1880
768
501
152"
1480
10
584
, 38
51
51
345 kge.
383 kgs.
G72.300(A)
Inches
71
64-18
26-1/4
25
8
58-5/8
3/4
20
1 -1/2
1 -1/2
1 -1/2
590 lbs.
6301bs.
mm
1803
1629
687
835
203
1489
19
508
38
38
38
267kgs.
285 kgs.
GBS- 300(A)
inches
78 -7/16
72.5/16
26-1/4
30-5/8
8
66-3/8
3/4
20
_ 1 -12
1-1/2
1 -1/2
6401bs.
6801bs.
mm
1992
1837
667.
778
203
1686
19
508
38
38
38
290 kgs.
306 kg:
G100- 310(A)
inches
75
6812
30-1/4
32 -1/4
7
61 -3/4
3/4
23
1 -12
2
2
7701bs.
810 lbs.
mm
1905
1740
768
819
178
1568
19
584
38
51
51
349 kgs.
387 kgs.
G65- 360(A)
inches
70 -11/16
64 -12
26-1/4
25
8
58-5/8
3/4
N/A
WA
1-1/2
1-1/2
6401bs.
680 lbs.
mm
1795
1638
687
835
203
1489
19
N/A
WA
38
38
290 kgs.
306 kg3.
G65.400(A)
inches
70.11/16
64-1/2
26-1/4
25
8
58 -5/8
3/4
N/A
N/A
1.12
' 1-1/2
6401bs.
6801bs.
mm
1795
1538
887
635
203
1489
19
WA
N/A
38
38
290 kgs.
306 kgs.
G65- 400(A)
Inches
78-13/16
72 -5/16
26.1/4
30-5/8
10
66-3/8
3/4
20
1-1/2
1-1/2
1-1/2
6401bs.
6801bs.
mm
2002
1837
667
778
254
1888
19
508
38
38
38
290 kgs.
308 kgs.
G100.400(A)
inches
76
68-1/2
30-1/4
32 -1/4
8
61 -3/4
1'
23
1 -1/2
2
2
770 lbs.
810 lbs.
mm
1930
1740
768
819
203
1568
25'
584
38
51
51
349 kgs.
387 kgs.
'3/4" (19mm) for LP. Models. ' 7' (178mm1 Vent for L.P. Model. Increase Helaht 3-5/8' (92mm1 for NSF Models-
UnWersal Gas continued.
All Models Require a 120V Power Sou .3 amps. (A) Suffix Indicates ASME Tank Construction Available.
RHEEnn - rrw�
UNIVERSAL"
CLEARANCES
MODEL
NUMBER
TO
UNITS
OMBUSTIBLES
SIDE
REAR
TOP
650-98
inches
2
2
12
mm
61
61
305
=4116-
inches
2
2
12
ti ,,-„„ -.— ''''.
mm
51
51
305
G62 -156
inches
2
2
i2
mm
51
51
305
G76 -180
Inches
2
2
12
mm
81
51
305
G37.200
Inches
2
2
12
RIM
51
51
905
G76 -200
Inches
2
2
12
mm
51
51
305
G91 -200
Inches
2
2
12
mm
51
61
306
G100- 200(A)
Inches
2
4
12
mm
51
102
305
G72- 250(A)
Inches
6
6
12
mm
152
152
305
6100- 250(A)
Inches
2
4
12
mm
51
102
305
G100- 270(A)
Inches
2
4
12
mm
51
102
305
072- 300(A)
Inches
6
8
12
m m
152
152
905
G85- 300(A)
Inches
6
6
12
mm
152
152
305
6100- 310(A)
inches
6
6
12
mm
152
152
305
G65- 360(A)
Inches
6
6
12
mm
152
152
305
G65- 400(A)
inches
6
6
12
mm
152
162
305
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6
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152
152
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152
152
306
Universal Gas continued.
DIMENSIONAL DIAGRAM
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Allow a minimum of 18' (457mm)
front clearance for servicing.
08 -03 -2005
CANDICE GALLAGHER
2800 THORNDYKE AV W
SEATTLE WA 98199
RE: Permit No. M05 -035
17300 WEtrrxrrEY HY 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:
CaII 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 - time extension up to 180 days.
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 09/20/2005, 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,
Brenda Holt,
Permit Coordinator
cfr
xc: Permit File No. M05 -035
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665
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ACTIVITY NUMBER: M05 -035
PROJECT NAME: US INK
SITE ADDRESS: 17300 WEST VALLEY HY
DATE: 3 -16 -05
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
O 40 V
Building Division
Public Works
PERMIT COORD COPY
PLAN REVIEW/ ROUTING SLIP
MS) 1 Or
Fire Prevention 14,
Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
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 y Structural Review Required
APPROVALS OR CORRECTIONS:
Documents /routing slip.dac
2-28-02
Planning Division
No further Review Required
Permit Coordinator fin
DUE DATE: 3-17-05
Not Applicable ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 4-14-05
Approved ❑ Approved roved with Conditions Not Approved (attach comments) El
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
(8/97)
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F623-032-000
DEPARTMENT OF LABOR AND INDUSTRIES
WASHINGTON
2800
4-Of -r-g44-wv
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
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'EFFECTIVE DATE 09/02/
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Title
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• ENERGY 'SERVICES CO
THORNDYKE AVE W
SEATTLE WA 98199 .•
Detach And Display Certificate
• State of Washington
County of Snohomish
I certify that this is a true and correct copy of said document as of this date
Date:
File: M05-0035
35mm Drawing
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