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HomeMy WebLinkAboutPermit 4016 - Markham - Custom Floral Design - Fire Damage RepairJob Address 15436 42nd So. Type Tenant /11Q�wwner Custom Floral Design Date Date of Issuance 0 - ,2u 15 (0-,21-115- D Attached Description of Work Fire damage repair Date 4.49a1 es v `--f - c101.3 1st Fl. Property Owner Wm C. Markham H -2 Address 154i6 tznd So. Tukwila, WA 98188 Phone 248 -3860 Engineer /Architect Bob Williams 6 -13 Address Federal Way, WA 98003 Ph n 874 -5100 Contractor Self Address Slab Phone Authorized Agent License No. V/a0u1 of Work Fire Protection C1 Detectors Use Zone R -1 Type of Construction i4,- AEee$ed -8' Issued By: mu Sprinklers INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Date Rec. 4 1st Fl. Rebar H -2 P.C. Footing 6 -13 8544 2nd Fl. Fdtn. M -1 Bldg. Slab (, - 2 4 1 gulp Frame Demo. Bond Wall Bd. Total Tot. 1500 Tot. Total 104.00 Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical ert. o ccupancy Size of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 4 1st Fl. 'aint Shop 1000 H -2 P.C. 41.00 6 -13 8544 2nd Fl. garage 500 M -1 Bldg. 63.Q0 (, - 2 4 1 gulp Demo. Bond Total Tot. 1500 Tot. Total 104.00 BUILDING PERMIT TUKWIILA THIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING Special Conditions Approved for Issuance B,, -i-- NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signature o - Contractor or Authorized Agent Date 6 -- c'P L/_. PERMIT NUMBER 4 10/6 Control Number 85 -166 FINAL APPROVALS: Fire Dept. Date Bldg. Official Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I J Address r ; Type ( /( l ',., si r Date Date of Issuance E] Attached Description of Work i ! { t , t? repiiII' Date Legal Description 1st Fl. Property Owner • 1F ( : . r a rkhil((t H• -,_: Address l.'f •'' 'I' - A " t l l�'4i l a , VA (., 3 1 Lr. ,Phone,, , ,ii , Engineer /Architect 1,00} . Ii ia i 'is - J." Address , . : F�11 ' ; , r:l 1 1ia , `y, l`I;. :h (fl., Phone. ,„/y , .i ? ' Contractor Address Slab Phone Authorized Agent License No. Vale of Work ire 'rotection CO Detectors Use one `,- 1 Type of Construction App .- ' ccepte.' ..y I - $I d 1;y: - Sprinklers INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Date Rec. # 1st Fl. Rebar H• -,_: - P.C. Footing - J." ,:.. 2nd Fl. Fdtn. p Bldg. Slab (a- `( ,1 k'.? ) Frame Demo. Bond Wall Bd. A Total Tot. :t', r LV)) Tot. Total 1'l,.t.i Dept. Ap rova s Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical Cert. of Occupancy Size of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. # 1st Fl. aiht Alt .,o li-t .- H• -,_: - P.C. ' 1.."? - J." ,:.. 2nd Fl. ant da, p Bldg. . (a- `( ,1 k'.? ) Demo. Bond Total Tot. :t', Tot. Total 1'l,.t.i NOTICE BUILDING PERMIT TUKWILA THIS ERMIT' ST BE PO STED CONSPICUOUSLY ON BUILDING Special Conditions Approved for Issuance By...- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signature of Contractor or Authorized Agent. Date PERMIT NUMBER '4 Control Number FINAL APPROVALS: Fire Dept. Date Bldg. Official. Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No.1 INSPECTION. REQUEST _411m0■wuu -e.• wnw A.S.5l v ysu +t'xxm4u :nw':icg0v Address: Date Wanted: C 4 ' a.m. p.m. Contr. or Owner_1ly 't 4 Type of Inspection ; Req. By • Taken By ,,Z CITY OF TUKWILA CENTRAL PERMIT SYSTEM - ROUTING FORM PERMIT NUMBER 1r , CONTROL NUMBER e:5 TO: 0 BLDG. ►� PLNG. D P.W. 0 FIRE ❑ POLICE (J P. & R. PROJECT Z,, 7v - 471-�l , -4p/' . ADDRESS / ', - l /x / 2-7, i , DATE TRANSMITTED 6 p /3 C.P.S. STAFF COORDINATOR D.R.C. REVIEW REQUESTED ❑ PLAN SUBMITTAL REQ TED 0 PLAN APPROVED RESPONSE REQUESTED BY RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW.. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: vvris PLAN CHECK DATE COMMENTS PREPARE ?4/1 I<<k: / / L r P_C_ mom 9 * suoect YA ecri-OrPitA C.C3•.SF IN.SLA LA taillak 4 CM__ La tali 0A..— - 111:11C t■..\\IC.. Ott • IL ilh 11.,_ • L. 111 et: _ OA, Ile 11■._ _ LA • • L1 I t» 1.1.11. T.& AIL L,CamE.11. ' • • • • • : ' • . ... • • .. ' . .1:: .... • '• • ....... • ' " • " • • • • . . . : - ....9_4‘;;; - : Signed • ' - ' ' -- - .... . . . . . .... . . .. . oWilson.lones .• . ..-•::-_. , • • •..- .:..........., . :.• • L.:— •• e.7; . eiPCK.1 _..:•,:.•;:.4 • , - . ....• .,.. , ........,...:„..,;:ii..*:.... ..... ......... -.:* .... :•.....:...:.-.:-:::: .... • . •.:.••• : • -. • •......-::::-.-..:::.;:. : ......... - ..‘.044 . . ... b.1:2 ...... . ....• . . • .• • .... . . . . . . . . ... • . • a.t•riA'f ME FORM 44.9:4' 2.P4111'. • c4.19113 * PAINIED IN USA • , • ..... . • ............ ..... ............... ................ 1 :1 1 1. •. : . ' • • , . • , • • 1:1•,:tt tt fr. • " . . p , • ...... tt:thmt:111:1H 41.1.11111. r .1 From. t • t.. .................. .. .. . • ..... • ~ 111 S• 111 ."ttt• . .. ttt ....... 111* .................. .......... ............................ Speed Messag •.•...• • •.• °:.• • • ... .. • • • • • ..... •••••:••::. ........... :...... ............... 11: I .......... ...... *::: .... ...... • ... .... .. ..... .... tt:Stttt :Ms ....... lit ............................ ... ......... .1 ......................................... . t • ...tr. . ...... tit: .............. .... •.• ••:•••• tttt Mitt • • • • t 11 ....... t 11 •S It 1 t ttt .......... ...... Ott ..11:111:::111:11111: 1:1111111111111•311:11tt11.:1 111 tit 1:11:1t: ....................... ... Mr. William Markham 15436 - 42nd Avenue South Seattle, WA 98188 Dear Mr. Markham: King County Executive Randy Revelle Department of Planning and Community Development Holly Miller, Director FIRE PREVE UIC+N Phone: 344 -2573 June 12, 1985 RE: Paint Shop - 15436 - 42nd Avenue South RECEIVED CITY OF MIN A JUN 131985 BUILDING bet This letter will confirm our June 11, 1985 meeting. The Fire Marshal's office has reviewed the attached plans, dated June 11, 1985 and numbered one through four. The purpose of this review was to establish Fire Marshal approval to repair fire damaged portions of the building. . Please be advised the attached plans were reviewed and approved, for fire code compliance, with the following understanding: 1. The paint shop is an H -2 occupancy. 2. All H -2 rooms or buildings in excess of 200 square feet must have not less than two legal, swinging exit doors. 3. Paint spray booth shall comply with Article 45 of the Uniform Fire Code. 4. Paint drying tube shall comply with Articles 45 and G2 of the Uniform Fire Code. 5. All areas in paint shops one and two, where flammable vapors . may be present, shall have electrical wiring suitable for a Class I, Division I area. 6. Mechanical ventilation is or will be provided at not less than six changes of air per hour. 7. All applicable occupancy separation walls set forth in U.B.C. Table 5 -B are provided. Building & Lend Development Division 450 King County Administration Building 500 Fourth Avenue Seattle, Washington 98104 1206) 344.7900 taw Mr. William Markham June 12, 1985 Page two 8. All flammable or combustible liquids are, or will be, stored in compliance with Article 79 of the Uniform Fire Code. If you have any questions, please feel free to call. Sincerely, TWM:sj CC: THOMAS W. McDONALD Fire Marshal Bob Minnott, Assistant Fire Marshal, Inspections ATTN: Dick Shankland, Deputy Fire Marshal Doug iG bbs, Tukwila Fire Department Attachment(s) (4) • RJA:jh s ,r, , tom:• ) �.. t li.!r ti�' king County Executive Randy lievelle Department of Planning and Community Development Holly Miller, Director W. M. Markham 15436 - 42nd Avenue South Seattle, WA June 11, 1985 RE: Code Enforcement Case No. 84 -6 at 15436 - 42nd Avenue South Dear Mr. Markham: An investigation of your business at the above noted address revealed records showing your business was established at this location prior to 1956. We closed our file indicating that your business was legal non - conforming. Since, -ly, R. ▪ Allred, Assistant Supervisor Code Enforcement Section tj /g (' 1 5 P )41 .at ' .A)Ab M 1 � * 6. 15 oMc€ f o P b a I , m L •61e. £ r Lki rrke. E/ 11 tia , b � rte, cam; 4 y , ite , / k ge��k • r Y� CASE Tr r y e, / 'OEK�Ar i /lr G.1po' I rN+ • /1ei/er. / f}s G ide � fJo itMC 0A-3 Jere pi Sq;c1Fie!attr` iiseemcTµau3 0� or liullding K Land Development Divialun 4S0 King County Administration Building 500 Fourth Avenue Seattle, Washington 96104 1206) 344.7900 +114.1 ADDRESS: ✓5 7���� ✓,�. J�D. CITY OF 'TUKWI LA BUILDING DIVISION INVESTIGATION REPORT DATE: (0 /7 /l5 OWNER /LESSEE: Ali `fOltR064P12 CN41: ,F/ • olR X15 ; foe sex 6 TOPIC: .5 � r,JA. 9V PERMIT ! : /�Or DAR — ' r',.c;s�rn ?4& A / / Att ite,5p,.c_rieve ,,JAS eo,< O Sr (�D d--,4b5 dem, 5eP Trn /t 3t9 dik.TVi?i 6 ie x r e� ie6 fAS; o AA17,Cj/ '67W ; u) o ,Sr 7;SO u)4. ', S 1,c ,›. 5-.&ec pe vn6o 115 Ai /A,' ", ;fL 114i /2? Amn (0 r? u)A5 A. ;6 . TA& #(-61),60 (5thuti.E./) - ehReg pPle,99e- ;e7 itadg/429_5 v7 � e 4/•,. . � 4 r • • L f/ •� � � a j ,. i 04 R� Pots 6et78e .57aferele ' 54- J/MQS pe�,A060 r &Sidi}', 1 3) crkid 1 /1,b,<1g i be ,P,5 likkd) 9)8(6cxi A6eZ 3)14Ec te,e0 Alec 7C 6i_A?A p-41596090 bt6 AI). A e e Ala 0,11.exiZeoe, 1 Pe(tid I llde4 po&1b1 OARle. 6EDg OA) c jog ,1, e . .986 1977 P; 'r (o7477A) AG7v0) SIGNED: /0 3: 36 f? et 6 E7 1 1 c c�P 5 I ei &,z�, 05, �C l /�?Aeruwr (l nn G-; I iS , �, U Avewn 7.561F FS-i J Mato.J off' e .5T lit er' oI eA e h grrvz,±. - rinc. Ivo .6*.ti t.dP-S ,9166 .70.v'SD,'L (qIQ e 1/0e65lirC) zeise, A/e), `57 oz/re /&5 U /death 4,0vk 4 4e ,PP .6c,ivee p e/oAi , - +c �c2�r,�(��53 der d FD A9ArAe , e a . ,�' ,m, 4 its Avid /1-644-F-40 tie u)aai u), -e() i► e WOK ;.l ■ :3o 0941 clifh,e46 al424 4 /he eF c i 2 aokit) ii7e 610A. AO,D 1219k) ,tAllob.5.5/ek) ,e4tel.k4/44,-)P 6 leyAfie hrs AeA OV P, e . 741.5 p•ei o io- � oarJ e $ / V ) he 19-4061 he �,�a1 ‘d&A i ,9- peii �- � , e )466" eoup.l or 11 :oo t.Odt ig,te IPAPetom Ar A6ca5 R u( �, m . //a 14)6 x' A3 fla C65. e►� , � ,eerh 021)1 c lx.) s Lvkl. e. A - /► 5r A105,m6tor el)*(.4: tc.)11, l 6 eptermeor .Spe/4. P. Tit teink,u7s a.)A s ait.), -- 0,4akyn exog mei() 1 ,714).a hf IOU?' ilk n get 64,nle /he 65A6e,,a.kecO 4,3 5,43. F6r01/401)00 RiEco_a6A A60,6 ,fm ke alied3 016 CWrbe1GZy tc) l t.�,�cK p2ac�s5, FILE COPY s s, I understand that the Plan Check t tp ^: o ovals are r AlAkk-WAM Date. . . 6 ..e 1. ur.5ffoi2.cs' C/ PAGE * ,L ` Permit No t d1 £yr ost dF .57-p ec`UT( -r-r . 4vie t,15e Atemem,p tom Prik ww (dm .C X�Kq c7 7 fTu'caR G rnD,m4rer ,ZLft A9cTL5 Poor PZAN RECE! BY "LIIy 1 3 1985 TUKW1Zq FIRE PRE VENTION M11R RECEIVED CRY OF ' UKWILA JUN 18 1985 MANS 01P?. 6x SOLID WOOD BEAMS w N 3 GARAGE #2 C ,E= I.C. /A1G Sc4Ltr , ~ _ ./ -0 - 2X • RIDGE 50t-FD 2 K` 8 cbpCRETE BLOCk WALL ( NOTE : 2X4 RIDGE BOARD T'D RIM ENTIRE ROOF To RECEIVE HOT TAR APPLIED RoOF. CITY OF ThletillA 'M '31985 MOMS 01,11: 6._ "_85 3 e t 4 c�lI Ad i C ARA & E PAGE 3 EXIST/W- S" CoMckErE BLoi.k WAtt .2X4 RIDGE ED. SOL BEAM SET IN Pock OA/ 8" ceAIGeEfr 6cock arnL L HOT TAR ROOF OVER 3/q" r* Exr. PLYWOOD goo #a .64epe -fl b -- ;1.1.1111.I11111I111111 pArnr swot> 4" 2 PkoPc9.5D RRBu /4T pooF SECT e Ili NCR7 / SOUTH ZX6 CEILING 3oisrs t6 "O.C. � g,. CbNCRErE B[oCk WALL (EX ISMIG ) M VJ r sm.)? PAGE 4 RECEIVED WY OF 111KMA JUI4 13 1985 MUM let , • /X/fa SOLID WOOD BEAF44S • GARAGE # CE/I.JNG .v, re l_ SCALE % " = ZXw J6t ST5 RECEIVED ary OF JUN 1 3 1985 BUMS oer. 2X4 RIDGE BOA-RD NOTE : 2X4 RIDGE BOARD TD RIM ENTIRE ROOF TO RECrIvE 140T TAR APPLIED ROOF, G4, -85 31 4 CIAR.t /A/j j GARAGE- - PAGE 3 . RIM ars 2X4. 8 CONCRETE B& CK WALL ~ City of Tukwila Fire K~U��� K���partment Bui1dind Official Buildind Department City:of Tukwila Control 485-166 Gary Van Dusen Mayor Hubert H. Crawley Jung 13y 1985 Fire Oh|& Re: Custom Floral & Display- 15436~42nd Ave. So. Dear Sir: The attached set of buildind plans have been reviewed by The Fire Prevention Bureau and are acceptable with the followiDd concerns: � 1, The total number Of fire eXtinduishers rgoUired for gmVp establishment is calculated at one extindUisher for each 3000 sm^ ft, of area. The extindVisher(s) should be of the "All Purpose". (2A, 10 B:C) dry chemical type. Travel distance to any fire extindVimher must be 75/ or less. (NFPA 10v 3-1,1 and UFC 10,301b) Extinduishers shall be .installed on the hanAers or in the brackets suPpliedv mounted ,in cabinmtsp or get oh shelves (NFPA 10v 1~6^6), and shal1 be installed so that the to of the extinduisher is not more than 5 ft^ above the floor. (NFPA 10, 1~6^9) ExtindUimhers shall be located so as to be in plain View (if at all Possihle)v or if not in plain view, thgu shall be identified with a sidn statindy "Fire E%t1nduisher"v with an arrow pointind to the unit. (NFPA 10, 1~6,3) 2^ Exit hardware and markind must meet the reoVirgmeDts of Uniform Fire Code Sections 12+104 & 12^114^ (H-2 to ocouPaDcy Per UDC 3320) 3. A pgrN1t is remuired for the usev stopadev haDdlind or sale of flammable or combustible limuids^ An application is enclosed. (UFC 4^101) A permit is reouired for the applicatioD of flemmable or combustible spray fin1shes. An application is enclosed. (UFC 4^101) A permit is remuired to opgratg an industrial bakiDg or City of Tukwila Fire Department, 444 Andover Park East, TuhvWla. VVmmhhotom MINI e»mwx mvm.ANIA ^ K' ' ~^. ' ^ City of Tukwila & K ��� � DK ° ��� Fire U����������������� �� Department M ��"�wn �n n o��n n� ' Pade number �� ��� K ~ U �d� U����������������� " "-~- ' Page numoer Yours trulgr 44 Gary VanDusen Mayor Hubert H. Crawley BnoOh|ef The Tukwila Fire Prevention Bureau' ` cc; Dob MinDnttv Asst.. Firg Marghall-NiDg C#UntW • Dick Shanhland, Deputy Fire Marshall ~King Cawnty ' d i ry nd oven (WC 62^102) 4^ The. paint spray booth must . comply with . UFC Article 5r which includes but is not limit/d to Providing approved ' automatic sprinkler protection on the downstream and upstream 'sides of filters^ (Plans to be submitted for approval prior to com- Nencing any 'sprinkler work. 5^ The paiMt drying oven must comply with UFC 45v UFC 62 and UFO Gtandar 62~1^ 6^ Mechanical ventilation must bg ppovided in spray booths and sPray~ fiDishMd areas per INC 45^206^ •7^ Electrical wiring and gaUipment in any spraying area mutt he installed Per INC 45^205 and The • National Electrical Code.. • 8^ SmOkinN shall be prohibited in any sprawng area and NO SMOKING signs shall be Prominently dioPlayed. (INC 45,706) • 9^ All flammable or ooNbUstible liouids must be stored and/Or handled in •compliaDce with 79^ � 10. All electrical .wiring is to be insPected by the State ElectpiCal Inspectory Washington State Departm'e nt of I abor ! Industries. City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 96166 (206) 575 King County Executive Randy Revelle Department of Planning and Community Development Holly Miller, Director FIRE PREVEiMON Phone: 344 -2573 Mr. William Markham 15436 - 42nd Avenue South Seattle, WA 98188 June 12, 1985 RECEIVED CITY OF TUKWILA JUN 13 1985 1111v opt'. RE: Paint Shop - 15436 - 42nd Avenue South Dear Mr. Markham: This letter will confirm our June 11, 1985 meeting. The Fire Marshal's office has reviewed the attached plans, dated June 11, 1985 and numbered one through four. The purpose of this review was to establish Fire Marshal approval to repair fire damaged portions of the building. Please be advised the attached plans were reviewed and approved, for fire code compliance, with the following understanding: 1. The paint shop is an H -2 occupancy. 2. 'A11 H -2 rooms or buildings in excess of. 200 square feet must have not less than two legal, swinging exit doors. 3. Paint spray booth shall comply with Article 45 of the Uniform Fire Code. 4. Paint drying tube shall comply with Articles 45 and 62 of the Uniform Fire Code. 5. All areas in paint shops one and two, where flammable vapors may be present, shall have electrical wiring suitable for a Class I, Division I area. 6. Mechanical ventilation is or will be provided at not less than six changes of air per hour. 7. All applicable occupancy separation walls set forth in U.B.C. Table 5 -B are provided. Building & Land Development Division 450 King County Administration Building 500 Fourth Avenue Seattle, Washington 98104 12061844.7900 `up • 4. Mr. William Markham June 12, 1985 Page two Attachment(s) (4) 8. All flammable or combustible liquids are, or will be, stored in compliance with Article 79 of the Uniform Fire Code. If you have any questions, please feel free to call. Sincerely, THOMAS W. McDONALD Fire Marshal TWM:sj cc: Bob Minnott, Assistant Fire Marshal, Inspections ATTN: Dick Shankland, Deputy Fire Marshal DouGibbs, Tukwila Fire Department JOB ADDRESS ". :5-4:/ 5% `'7 . J e? . TENANT l , � /, '. „f (7/ .. �.. /- irCi1 -t r". 1.1. DATE OF PPL• &PI DESCRIPTION OF USE - / / LEGAL DESCRIPTION �' ' (ATTACHED ❑ PROPERTY OWNER / / ADDRESS PHONE ENGINEER/ARCHITECT •-•}1 ., -' l.:t a "7) C ADDRESS !` /` /1: —Wilt. (�J4/ ' ( PHONE (- < i C9C, CONTRACTOR ADDRESS ( PHONE AUTHORIZED AGENT LICENSE NO. VALUE OF WORK 7, r " ) FIRE PROTECTION SYSTEM SPRINKLER DETECTOR USE ZONE TYPE OF CONST ADJUSTED VALUE SIZE OF UNIT GRADING CUBIC YARDS CUT FILL SIZE OF BUILDING WORK TO BE DONE: a 1ST FL. 2ND FL. DEPT. APPROVALS SENT CORR. APPR. PLANNING HEALTH TOTALS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA• TION AND KNOW THE SAME TO BE TRUE AND CORRECT. FEES AMT. DATE REC. NO REC. BY P.C. Li / e?.:') C/i1 i K ._5s;,! /" ADJ. SIGNATURE a ; %.Gc :rc:- %!7rz '`i;;; ;,- ,1, -2.r`; .J: /._ -.,: •. r ,: 7. B.P. (- (42 J 4 (2s/ 8 DEMO. I COMPANY ' ,.,ma " • / DATE .' - / "''' — -5.. -- PHONE 2 `' - - .." `') TOTAL USES SO. FT. OCC. OCC. LOAD ,9/ .'S /vf' f 6.i 6 1:1. 6 A $ l „4 n Pi - ! TOTALS DEPT. APPROVALS SENT CORR. APPR. PLANNING HEALTH PUBLIC WORKS FIRE • APPLICATION FOR ILDING PERMIT CITY OF TUKWILA CITY USE ONLY CONTROL NUMBER g-5 / ' SPECIAL CONDITIONS PLAN CHECKED BY DATE APPROVED FOR PERMIT BY DATE