HomeMy WebLinkAboutPermit M04-186 - MONEYTREEMONEY TREE
20 FORT DENT WY, #230
M04 -186
Parcel No.:
Address:
Suite No:
City Gil 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
2954900455
6720 FORT DENT WY TUKW
Tenant:
Name: MONEY TREE
Address: 6720 FORT DENT WY, TUKWILA WA
Owner:
Name: JOHN C RADOVICH LLC
Address: 2000 124Th AVE NE #B 103, BELLEVUE WA
Contact Person:
Name: JESSE MONTEZ
Address: 7717 DETRIOT AV SW, SEATTLE WA
Contractor:
Name: MACDONALD /MILLER FAC SOL INC
Address: PO BOX 47983, SEATTLE, WA
Contractor License No: MACDOFS980RU
MECHANICAL PERMIT
DESCRIPTION OF WORK:
ADD 2 NEW VAV'S, DEMO 1 VAV, AD 22 NEW GRILLES /DIFFUSERS, ADD 2 NEW PNUEMATIC
T- STATS, RELOCATE 3 PNUEMATIC T -STATS AND RELOCATE SENSOR. AIR BALANCE.
Value of Mechanical: $4,600.00
Type of Fire Protection: International Mechanical Code Edition: 2003
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.... 2
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
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M04 -186
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 768 -4288
Phone: 206 - 763 -9400
Expiration Date:12 /31 /2004
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -186
11/03/2004
05/02/2005
Fees Collected: $211.95
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 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 11 -03 -2004
Permit Center Authorized Signature:
doc: !MC- Permit
City vi Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulnvila.wa.us
Steven M Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04 -186
Issue Date: 11/03/2004
Permit Expires On: 05/02/2005
Date: /1
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 loclaws
regulating constri ion or the performance of ork. I am authorized to sign and obtain this mechanical rm
Si nature: �� 7. :jam '% / F Date:
g / ate.
Print Name: / % A/
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.
M04 -186 Printed: 11 -03 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Tenant: MONEY TREE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Conditions
PERMIT CONDITIONS
* *continued on next page **
M04 -186
Permit Number: M04 -186
Status: ISSUED
Applied Date: 10/22/2004
Issue Date: 11/03/2004
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
7: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
8: 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.
Printed: 11 -03 -2004
w
Q.
U v;
. co
CO
9
N
WO
g r
J
p W.
• � i—
p
:O
•
OH
W w
w
O —
z
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:
Print Name:
doc: Conditions
(Th
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Date: _ ///
,/
M04 -186
Printed: 11 -03 -2004
CITY OF TUKWILA
Community Development aepartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
CONTACT: PERSON
Name: '.,SC,536, /4c»'t+2L
Mailing Address: 1 11 1 "D ch..° it ALAI_
Sw
E -Mail Address:
Company Name: ) Ak.a,.' C/15+,r t1C4/O f%
Mailing Address: 2.1 I I S pro. qut. AAA.
Contact Person: '.M'►r e_o, ert• A
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
I c In erc1/4.l 12/111b1
Contact Person: Ve SS CL m b rte.
E -Mail Address:
\permits plus\icc changes \permit application (7 -2004)
Page 1
Building Permit. No.
Mechanical Permit No.
Public Works Permit No.
Project No.
(For office use only) . .
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 **
King Co Assessor's Tax No.: -zic 'I°)O - o y55
Site Address: (p7 Z.0 r+ DEh} w o.••, it 23 0 Suite Number: 1 IV Floor: 1
Tenant Name: (n once.) TirGt.
Property Owners Name: C, M2 pVt
Mailing Address: 2O t'ZI AA14tR. NL: £ /O3 fie, rls/ 1dl t.4A '34/O
Zip
City
Day Tele one
Secciits
City
Fax Number(
GENERAL CONTRACTOR INFORMATION Contractor information on back page)
o
SP An. e
City
New Tenant: .... Yes
State
')co$ - 4' LSit
❑ .. No
LA) P /r /d4
State Zip
2�x
N ) 168 — S ZS 9
W A 94 Z�2,
State Zip
Day Telephone: (a_b(•') 3(.2.- 722-1
Fax Number:
Contractor Registration Number: " see me CH cow-re ACj°Q, Expiration Date:,
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT .OF.RECORD All plans must be wet stamped by Architect of. Record
Company Name: 1v )4iNt
Mailing Address:
Zip
State
City
Day Telephone:
Fax Number:
ENGINEER
OF RECORD- All plans must be wet stamped by Engineer of Record
o
City L State Zip
Day Telephone: ( i� — 7 znr
Fax Number:
•
BUILDING PERMIT INFORMATION - 206- 431 -3670
Valuation of Project (contractor's id price): $ Existing Building Valuation: $
Scope of Work (please provide . /ailed info ation):
Will there be new rack storage? ❑ es ❑.. 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 PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes ❑..No
If 'yes ", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
\permits plu,Vcc changes \permit application (7.2004)
Page 2
. •
Existing '
Interior
Remodel
Addition to
Existing
Structure'
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
lit Floor
•
.
2n Floor
•
3r r .
thru
Basement
Accessory Structure*
Attachgd Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck .
.
Uncovered Deck .
BUILDING PERMIT INFORMATION - 206- 431 -3670
Valuation of Project (contractor's id price): $ Existing Building Valuation: $
Scope of Work (please provide . /ailed info ation):
Will there be new rack storage? ❑ es ❑.. 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 PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes ❑..No
If 'yes ", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
\permits plu,Vcc changes \permit application (7.2004)
Page 2
PUBLIC ::WORKS ; PERMIT INF ^RMATION- 206- 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size .. WO#
❑ ...Water Only Meter Size WO#
❑ ...Sewer Main Extension Public Private
❑ ...Water Main Extension Public _ Private
tpermits pluskcc changcstpermit application (7 -2004)
Pleas efe to
Call fore
blic
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...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
❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Pavement Cut
❑ ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
or
ull
00- 424 -5555
n #1 for fees and estimate sheet.
Highline
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.
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:. -
Mailing Address:
Water Meter Refund/Billing:
Name:'
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Page 3
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace> 100K BTU
Evaporator Cooler
Ventilation Fan Connected
to Single Duct
.
Diffuser
t L
3 -15 HP /500,000 BTU
Floor Furnace
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
L
Incinerator — Comm/1nd
Other Mechanical
Equipment
MECHANICAL PERMIT INFORiviATION - 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION y�A I
Company Name: 1 ► 1 �4 L�b r1�\ 6. / V I l� e
Mailing Address: 11 ` 1 ‘ `k /o'(+ r tAiL S W
Indicate type of mechanical work being installed and the quantity below:
WA t 1VCie
City State Zip
Contact Person: 'Sirs e M O 1 - Z Day Telephone(206 )1(gt — 4 Lt3 (fr
E -Mail Address: Fax Number:
Contractor Registration Number: NIA MOO'S ) S 0 e..0
* *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): $ q (SOD OD A
Expiration Date: I - 3 I '-'O
N� 1. 0 VA V IS "D .enfto I ✓AU ,
AQn 2. I►e.., 1?Nue ,,t.AC T- OA*
o.na• reIoCeftke. I SGnto✓.
Scope of Work (please provide detailed information): A DO 2
ad 2Z new 67e1Iles/ f4turser
2.12. CG-tt 3 QNJ amc..'CIC. '` - $TPeTs
lair bG..l C:.tn
Use: Residential: New .... ❑ Replacement ❑
Commercial: New .... ❑ Replacement
Fuel Type: Electric ❑ Gas ....0 Other:
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.
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.
ER OR AUTHORIZED AG •
) 44 .4.44 b.I I
Mailing Address: '1117 17 fO I'+ Qt& S W
BUILDING
Signature:
Print Name:
Date Application Accepted:
Date Application Expires:
Staff tials:
i
\permits plus \icc changes \permit application (7.2004)
Page 4
Date: / 0 - 2.0 -pkt
Day Telephone`?.L'7O "NA- Yxi b
Sta-tf Cit OL
City State Zip
a iF.iiaMi
of
dl+
i Ll:t.nt: tL =A4c's
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
RECEIPT
Parcel No.: 2954900455 Permit Number: M04-186
Address: 6720 FORT DENT WY TUKW Status: APPROVED
Suite No: Applied Date: 10/22/2004
Applicant: MONEY TREE Issue Date:
Receipt No.: R04-01488 Payment Amount: 175.56
Initials: SKS Payment Date: 11/03/2004 03:24 PM
User ID: 1165 Balance: $0.00
Payee: MACDONALD-MILLER FACILITY SOLUTIONS, INC.
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Check 967056
ACCOUNT ITEM LIST:
Description
MECHANICAL NONRES
175.56
Account Code Current Pmts
000/322.100 175.56
Total: 175.56
6615 11/03 9716 TOTAL 1.75.56
Printed: 11-03-2004
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Applicant: MONEY TREE
Receipt No.:
Initials:
User ID:
Payee:
R04 -01442
BLH
ADMIN
TRANSACTION LIST:
Type Method Description
Payment Check 966703
ACCOUNT ITEM LIST:
Description
doc: Receipt
MACDONALD MILLER FACILITY SOLUTIONS INC
PLAN CHECK - NONRES
Account Code
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 36.39
Payment Date: 10/22/2004 01:54 PM
Balance: $175.56
Amount
36.39
Current Pmts
36.39
Total: 36.39
M04 -186
PENDING
10/22/2004
249 10/22 9716 T0TAL.. 36.39
Printed: 10 -22 -2004
Project: �--
,�/7/ C,e,./ -2-C.
Type of Inspecti�;
il=ili
Addre /.
Date Called: / 4' ,
Special Instructions:
Date Wanted: , -� c / Wanted: _
r G 't% p.m.
Requester: �,' •--- _.
/ (C (, /
Phone No:
_,.: 9 -4/75 .
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
7 S ) -eryv ‘ ", A- CO � ��
Inspector* f � •tlN` • 'Date: 1
El $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:
Projecy;,�,
7
O� 3
T-F � f
Type o Inspection: /1 _ •t,14- 1 , J
L{ Jr \l
::
Address
01-70
�.
L�.�. `t�"'
Dat ail
07 /Oct
Special Instructions:
./
-K
Date Wanted:
n.
Re
Phone No:
.'574 4 7—
476
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Inspector:
A
PERMI
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
r'
i
fDate: 1■-- k 8,ob'
D $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Pr
rootq m 7 c � e
Type of Inspection: .
f-o u vi - fi
A r ress:
-7� /i .,ei/1 / N
Date Called:
I i
/ 1
Special Instructions:
�.
I • I BO)
s-1- Fl v -- loo ✓ n P
I v � . k UQh YS tyli _jai c
Date Wanted:
.
'y5 /ay
a .m.
.
Requester
Da,
Phone
�� �
I
57/ 3
INSPECTI • N NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Y v1 U.vv► j-I v.
['Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
iii
Corrections required prior to approval.
COMMENTS:
R4( A. pik n UO1I
C) art \ v SO\(A a y\p I.41 'VA0
In c..
Or 070-
U 4 r J 1 (i4t° S
c yro.'d
ik
'01
P
Inspector: t QS) 'Date: 5_.01
$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:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -186 DATE: 10 -22 -04
PROJECT NAME: MONEY TREE
SITE ADDRESS: 18240 OLYMPIC AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENT $:
Ke )o.24' o'f
Building ivision 41
Public Works ❑
5/0 ALA, -r4-oLf
Fire Prevention [A
Structural ❑
DETERMIN ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -26 -04
Complete Incomplete ❑
Planning Division
Permit Coordinator
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROpTING:
Please Route 371 Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 11 -23 -04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Documents /routing slIp,doc
2 -28 -02
PERMIT COORD COPY
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials:
DEPARTMENT OP LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CO _ GENE
•_ 1+ F.S99OItp.-12•/31[20D4
MACDONALD /MILI,E$ FAC ; SOL INC
PO -BOX • 47983 -
SEATTLE WA .98106
Detach And Display Catifirate
REGISTERED AS .PROVIDED BY LAW AS .
•CGNSTF.COisIT• .GENERAL !--;:o•
:mop. ;;'r MACDQFS980RU .12/31/2DA •
.e`FECX'IV.E :DATE
MACDONALDJI ILLE • FAC _SQL - INC
PO BOX •479131. .
SEATTLE � ,
Signature
Issued by DEPARTMENT OF-LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
V .z 7 /° 3
a
ea/P
•'% I W /
,
L i
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR YHAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
VWFus.,/CiILL1 E E SCHEDULE
.wifot, 1 M NI L1 UtEC I p1bYEt, . - -- ._ _sae
I - NM
C0t1EN15 .
- r
TITU.5 MW
f/n f.&& CUM
•-
IIpfEP
NO1F1
i
IAY -11
LAY -RI
$IIPPE�f, i
[EfUOVE11N
A
0
4
Z--
d .. .. _ ••...
_f r
ZXPIRES: 6-
X141 DWG 1-33S013c ...21r1 4-s-93
Phowef +s3 ne sal Z•
RECORD PJsN61 t52C& 1•42 • •AS
oC A 15113IZ. OD 10443 • €35
13121 LT
200 - 2455 * KEY
I _sire FARM 200 - ate _ '• KE
APN: ViS490 - 04SS
AS WILT •rD $/V/d4 1
3NfCN. •31+15 - T> $7
CAC. 46 5133 CaaN
a lila WVLE1.1U 84991„ 05/13/
�••`� 121 111111111111FIL. GO 11147
.Z. _ _ 2 140 8 bo /q3
_►�T *4274 eta 4/I
T f 11 NAL 6D
110
eta
3W)
fa'
I.�.'!:- '•••�' 0•.1.1.1 ..
•■•••••••••••...
r .
t I II
1 1
'+wc•l Number
Addhss
22000.3
Taxpeys►
A vac. •1511312.00 • OS - 44-02
• •
2!M900456
4720 FORT DENT WY
JOHN C RADOVICN LIC
t
i
. _ 1-._.
4 eM010 •n so non rw been bomb,• lOng a . County . trop, •
*rely w w WI WW1, mow wow 11AO1 �am raw* MOM
1.111111ffifflal w ioNINOw► f~t•w or 1111111111, w w ••••f. 1111m0•1rMm
l,..m_u wows no to use w aton w&.... fa_.. tong Comp MP MIN We tar ttntr
Wank •r•OI, wwwl, LMI0.Mr. w NPUlrowsmo anew 110 nw wow R h• rr i rww w wl polo tw11,t . non ww w "Om w• r
AMMO •n Ns MN. MY me w •a Atfw w oism m en se 011,*
111111•110 IIIIMMPO n • Ms. 01••.
•
I
._j.
7
/
b•tY .ro
••!
•
•
ru,c '
1.R ST FLODZ i CPL7 J
a
fE6
- A•► • •
r
4-
IL i
City of Ulm&
BUILDING DIVISION
11•110•10 ra•■••••••••••••• am. • •••••••• •••••••••••
•
•
•
•
• .1••
1
SEPARATE ratNat
REQUIRED FOR:
CI mw,.rd
!.e Hectic*
'dip
Jot Piping
aty Of Tukw„a
BUILDING DIVISION
!in re4ew sow's! Is subject to errors and aniaMona.
rAppsoval of construcdon donansas does not ai2ra01r
The violation of any adoprd code or ordnance. Wet
d , , . _ . - , Copy and =Moss Is adotowMO
• . • I
• ,
..�•..►r w.t--
. -. . - .>� .loo ice
41X,z�1111 S. . • ziK '
WA IZ__ r . _.12Q _i10._:410
112 V T& -OW4' 1'
I I It VFEC-2X1 334
114 MO- MU re 1t5
I I*A VEPE - I a1 IV 2yo
i 1 5 VFCG -S Si
1 1 25 144,
25 VC - I 3 bV 305
124 YCC6 - on PO �_ • 20
1.4 vim; - t oed+ ro. a
7 I N� VFEG -2w' l zc
gal vi E - o5 4 A• ♦ to5
v
b2 vrEC • o�s 0 �4�
PE F- F- Og o rt • • 0 I4a
/ •
a scow tccr
- P 140411X lsE A
No dolpr 3110■ bo mils OD the asps
of work without Ater opprovol of
Toloollo NOME: Morflions anew plat slbroRdl
and ntny Include acIdllioirl pion wow law
WOO
t�05
1230
1010
2140
50
1315
31 5 -
w
J-
.-
$DJSa c1UlW NI= 11TWJUAN MN true a* WIC TRAMS • Tnu 90 12 TIM 7 a vAC 91111 AA N
OL'rDAURS 11 rtlRVRtA* MOLT w1T1114 SCi 23 0 34 TIPP 21111 N • POI -1110 AT NAY Mil STA POT 090129 ON
11W mugwump ON >R 01192 NAP 019 f!1 NO I (* ONION 119111 ff110 11A11CA OW 2OP• ISM WM if 00101 MS
1 1192. 11111t1•0T 19 1la. TIT M I L T A T MIA 10 ID= L1111314,4111 2031 PT T A P ON A Lt1 w•w & 10 PT, NOM AT NIA.
MT IWLY MAW 'AC KONNlDY 1R• VAN CU S. 1111 PT 111111G MIS 211 ALO OP RA L.111. 91 w 10 WS OP
041111NRMRTR MOANRTR10LACOMM 1110 - 1211TAPL2$7iIL91111!153PrAWILY LNfPL11 M
CONv1Y• 10 K C UNINIR000101190 NO 7Wf7AA1 • N 1•4•4111 11/ M PT TO WD POLY LAM ALO ID SILT 1$ 1 91.71.40
123 62112A/0N MOLT Li OP LAM DONv1tYO 10 a T OP1VRw11LA 111C0101190 1'10 74411101103 T Afro LAST tW NIPLT MI
1111 I R O COMM M011 A TA1 T RA MO 1205 .•s w ILO ARC OP CUM 10122 RAD OP OPT t C/A (A >a 10.27 *ac
1 1 0 1 0 1111.1• P t TN TAMER 10 /11111411011:00 Nava $0-*4 $ %.0 n 111 TANG M 10111AC1101110 CO-tvs AIR$ ARC OP
Cl1RMI 101102 MAD A R • dA OF !►2441 Ait UINOTR 13A PP 111 ?MOOR TO lLl1,>1111101:2MS $ /3414/11 ?a.0 Pt 111
UMW? 10 1101:1121110 COUR* Ala AMC OP CUIVI 10 ROT PAD rrPI * OA al 0. MO AC 1.11/0 LI W.W 1R 111 ?MOW
1 1 o t I L •C > M 1 O C V t I 1 9 11 f i > 0 M e i Aa R 10 lin UM nit 1O CRT OF =MLA met 1110011111110 NO 2/1110110
•
700
S25
350
1 85
315'
2$
29
11
7;s
20
5.0
5.0
S0
10
5.0
3.0
2. 7 (
; ►`
410/34
277/10
211/140
211/ I/
211/1$
8l'/
211/20
21i /I
2
211/1
.4• arm
s711i
'
v
molts: carrot, Or wAu PI•UImPP A.4 /off S"ritta. MAD 1 11251ALLE9 6Y EL•ECTE.ta, CoviVcrat
21 EC TO PRov10E PoWER WIQlNG s OlscoNNEcr
3) Et To u :r uL.czK FAN To TURN 6N C OFF V/ REsrr00sa LIGHT'S.
Al CONTROL_ LT LINE rOL.TACIE TI EEN10Z11 r"
140 e: ► r10PUCAE. tea PWFUSEC ASIA ACP, E1,P st*I WijP VIrruste. of usE E,QUIY.
a ~ j.► - •- a..•.��a:- ..wi.. - -p -- ti... -L.t !..17-
V
Notts..
•
.�t
r
• • . N .A
AU1 2
ERMIT
A
M04-186
•
...R ..`y •••• Iwo.•.....o - --,••••••* ••••••'•• •••••••• II• •.. .M` - O• •.D
4 .
•
a
4
_E)444--- FAIL- -.
- r
N it .
M&1 M4.P4L. TYPE"
r�
� Se ?
_
_YP.M_ o
�4P ..
/ Lda - - -
ylf _ J�is .
EF -Z
EF- 3
Is RoAN 361
NUTONE
411/111 1c SP -1
NE.
wi11t1iE
pit Nc
_
100'
..-
150
_
AS' 120/ 14
..- IPo/ t
as• r20/1
100'/
129 W
7
I
yE.s
-
"5
to
_
Mo
MUM _
I. REM4vE
EIlt57,Z. 3
TRANSFER FAN SC-14 ED ULE
TT-1 1 GReeh HELK 5 1NU1E 1
I 1I
oS j2�iI i '/.* NY 1 550
j IG
NEW 1 2.4
.
4
Z--
d .. .. _ ••...
_f r
ZXPIRES: 6-
X141 DWG 1-33S013c ...21r1 4-s-93
Phowef +s3 ne sal Z•
RECORD PJsN61 t52C& 1•42 • •AS
oC A 15113IZ. OD 10443 • €35
13121 LT
200 - 2455 * KEY
I _sire FARM 200 - ate _ '• KE
APN: ViS490 - 04SS
AS WILT •rD $/V/d4 1
3NfCN. •31+15 - T> $7
CAC. 46 5133 CaaN
a lila WVLE1.1U 84991„ 05/13/
�••`� 121 111111111111FIL. GO 11147
.Z. _ _ 2 140 8 bo /q3
_►�T *4274 eta 4/I
T f 11 NAL 6D
110
eta
3W)
fa'
I.�.'!:- '•••�' 0•.1.1.1 ..
•■•••••••••••...
r .
t I II
1 1
'+wc•l Number
Addhss
22000.3
Taxpeys►
A vac. •1511312.00 • OS - 44-02
• •
2!M900456
4720 FORT DENT WY
JOHN C RADOVICN LIC
t
i
. _ 1-._.
4 eM010 •n so non rw been bomb,• lOng a . County . trop, •
*rely w w WI WW1, mow wow 11AO1 �am raw* MOM
1.111111ffifflal w ioNINOw► f~t•w or 1111111111, w w ••••f. 1111m0•1rMm
l,..m_u wows no to use w aton w&.... fa_.. tong Comp MP MIN We tar ttntr
Wank •r•OI, wwwl, LMI0.Mr. w NPUlrowsmo anew 110 nw wow R h• rr i rww w wl polo tw11,t . non ww w "Om w• r
AMMO •n Ns MN. MY me w •a Atfw w oism m en se 011,*
111111•110 IIIIMMPO n • Ms. 01••.
•
I
._j.
7
/
b•tY .ro
••!
•
•
ru,c '
1.R ST FLODZ i CPL7 J
a
fE6
- A•► • •
r
4-
IL i
City of Ulm&
BUILDING DIVISION
11•110•10 ra•■••••••••••••• am. • •••••••• •••••••••••
•
•
•
•
• .1••
1
SEPARATE ratNat
REQUIRED FOR:
CI mw,.rd
!.e Hectic*
'dip
Jot Piping
aty Of Tukw„a
BUILDING DIVISION
!in re4ew sow's! Is subject to errors and aniaMona.
rAppsoval of construcdon donansas does not ai2ra01r
The violation of any adoprd code or ordnance. Wet
d , , . _ . - , Copy and =Moss Is adotowMO
• . • I
• ,
..�•..►r w.t--
. -. . - .>� .loo ice
41X,z�1111 S. . • ziK '
WA IZ__ r . _.12Q _i10._:410
112 V T& -OW4' 1'
I I It VFEC-2X1 334
114 MO- MU re 1t5
I I*A VEPE - I a1 IV 2yo
i 1 5 VFCG -S Si
1 1 25 144,
25 VC - I 3 bV 305
124 YCC6 - on PO �_ • 20
1.4 vim; - t oed+ ro. a
7 I N� VFEG -2w' l zc
gal vi E - o5 4 A• ♦ to5
v
b2 vrEC • o�s 0 �4�
PE F- F- Og o rt • • 0 I4a
/ •
a scow tccr
- P 140411X lsE A
No dolpr 3110■ bo mils OD the asps
of work without Ater opprovol of
Toloollo NOME: Morflions anew plat slbroRdl
and ntny Include acIdllioirl pion wow law
WOO
t�05
1230
1010
2140
50
1315
31 5 -
w
J-
.-
$DJSa c1UlW NI= 11TWJUAN MN true a* WIC TRAMS • Tnu 90 12 TIM 7 a vAC 91111 AA N
OL'rDAURS 11 rtlRVRtA* MOLT w1T1114 SCi 23 0 34 TIPP 21111 N • POI -1110 AT NAY Mil STA POT 090129 ON
11W mugwump ON >R 01192 NAP 019 f!1 NO I (* ONION 119111 ff110 11A11CA OW 2OP• ISM WM if 00101 MS
1 1192. 11111t1•0T 19 1la. TIT M I L T A T MIA 10 ID= L1111314,4111 2031 PT T A P ON A Lt1 w•w & 10 PT, NOM AT NIA.
MT IWLY MAW 'AC KONNlDY 1R• VAN CU S. 1111 PT 111111G MIS 211 ALO OP RA L.111. 91 w 10 WS OP
041111NRMRTR MOANRTR10LACOMM 1110 - 1211TAPL2$7iIL91111!153PrAWILY LNfPL11 M
CONv1Y• 10 K C UNINIR000101190 NO 7Wf7AA1 • N 1•4•4111 11/ M PT TO WD POLY LAM ALO ID SILT 1$ 1 91.71.40
123 62112A/0N MOLT Li OP LAM DONv1tYO 10 a T OP1VRw11LA 111C0101190 1'10 74411101103 T Afro LAST tW NIPLT MI
1111 I R O COMM M011 A TA1 T RA MO 1205 .•s w ILO ARC OP CUM 10122 RAD OP OPT t C/A (A >a 10.27 *ac
1 1 0 1 0 1111.1• P t TN TAMER 10 /11111411011:00 Nava $0-*4 $ %.0 n 111 TANG M 10111AC1101110 CO-tvs AIR$ ARC OP
Cl1RMI 101102 MAD A R • dA OF !►2441 Ait UINOTR 13A PP 111 ?MOOR TO lLl1,>1111101:2MS $ /3414/11 ?a.0 Pt 111
UMW? 10 1101:1121110 COUR* Ala AMC OP CUIVI 10 ROT PAD rrPI * OA al 0. MO AC 1.11/0 LI W.W 1R 111 ?MOW
1 1 o t I L •C > M 1 O C V t I 1 9 11 f i > 0 M e i Aa R 10 lin UM nit 1O CRT OF =MLA met 1110011111110 NO 2/1110110
•
700
S25
350
1 85
315'
2$
29
11
7;s
20
5.0
5.0
S0
10
5.0
3.0
2. 7 (
; ►`
410/34
277/10
211/140
211/ I/
211/1$
8l'/
211/20
21i /I
2
211/1
.4• arm
s711i
'
v
molts: carrot, Or wAu PI•UImPP A.4 /off S"ritta. MAD 1 11251ALLE9 6Y EL•ECTE.ta, CoviVcrat
21 EC TO PRov10E PoWER WIQlNG s OlscoNNEcr
3) Et To u :r uL.czK FAN To TURN 6N C OFF V/ REsrr00sa LIGHT'S.
Al CONTROL_ LT LINE rOL.TACIE TI EEN10Z11 r"
140 e: ► r10PUCAE. tea PWFUSEC ASIA ACP, E1,P st*I WijP VIrruste. of usE E,QUIY.
a ~ j.► - •- a..•.��a:- ..wi.. - -p -- ti... -L.t !..17-
V
Notts..
•
.�t
r
• • . N .A
AU1 2
ERMIT
A
M04-186
•
...R ..`y •••• Iwo.•.....o - --,••••••* ••••••'•• •••••••• II• •.. .M` - O• •.D
4 .
•
a
4