HomeMy WebLinkAboutPermit 4672 - NC Machinery - ReroofCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address 17025 W. Valley Hy
Building Use 0fficp/Warphnuce
Property Owner r, c Machinery Co_
Address 17025 W. Valley Hy
Contractor Emerald City Roofing
Address 9202 Greenwood Avenue N
Reroof
BUILDING PERMIT
PERMIT # 'ab 7 Z
Control # 87 -079
Suite # Tenant N r, Machinery
Assessors Account # �y/q
Phone #
Zip
Phone #
Tukwila
FOR BUILDING PERMIT ONLY
Approved for
Issuance bM •
Sq. Ft.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd FI.
3rd F1.
'—
Total
Fire Protection: [( Sprinklers Detectors
Zoning Type of Construction
Special Conditions
98188
782 -4414
Total
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Valuation
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
1st F1. $
2nd F1. $
other $
other $
of Construction
25595
Receipt #6117 $ 259.00
Receipt # $
Receipt # $
Receipt #J5117 $ 1.50
Receipt # $
Receipt #_ $
__2605Q
FOR SIGN PERMIT ONLY
0 Permanent J Temporary
0 Single Face ❑ Double Face ❑ Wall Mounted [ Free Standing [] Other
Building face
Setbacks: Front Side
Square Footage of each sign face
Special Conditions
Side Rear
Total square footage of sign
MIS PERMIT BECUMES NULL ANU VOID IF WORK OR CONSTRUCTION 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 15 COMMENCED.
1 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 C THE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed Date , - /f
LICENSED CONTRACTORS DECLARATION
nder provisions of the Business and Professions Code, and my license is in full force and effect.
Date > —/ 1./2
I hereby afjifrm that
Contractor'(signature)
( ) 1, as owner of the operty,
offered for sale.
I, as owner of the property,
Owner (signature)
OWNER - BUILDER DECLARATION
or y employees, with wages as their sole compensation, will do the work, and the structure is not intended or
am
exclusively contracting with licensed contractor's to construct the project.
Date
J
71717 7 77
%CITY OF° UKWIw 4,4,1
Building ivision
6200 Southce,nter Boulevard
Tukwila, Washington 98188
(206) 433-1845 BUILDING PERMIT
PERMIT # (-46 7
Control # 87 -079
Work to be done Reroof
Site Address 17025 W. Valley Hy Suite # Tenant N C Machinery
Building Use Office /Warehouse
Property Owner N C Machinery Cn.
Address 17025 W. Valley Hy
Contractor Emerald City Roofing
Address 9202 Greenwood Avenue N. ea
Assessors Account # N/A
Phone #
Tukwila Zip 98188
Phone # 782 -4414
FOR BUILDING PERMIT ONLY Approved for
Is5uanra Ear
1- Zjp
S q • Ft.
Office
Warehous Storious e
Retail
Other
Occ.
Load
1st F1.
2nd F1.
3rd F1.
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoningµ..�'..__._.w .....__
Type of Construction
Special Conditions
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
Total Valuation of
1st F1. $
2nd F1. $
other $
other $
Construction $
2b)b'gb
Bldg. Permit Fee Receipt #f117 $ 259.00
Plan Check Fee Receipt # $
Demolition Receipt # $
Surcharges Receipt #5117 $ 1.50
Other Receipt # $
Other Receipt # $'_ _aL
.TOTAL.._...._ .. _ $
FUR SIGN PERMIT ONLY
❑ Permanent J Temporary
[] Single Face ❑ Double Face ❑ Wall Mounted ❑ Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
Total square footage of sign
Special Conditions
THIS PERMIt BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANUONEU FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 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 C O ' THE _PRO ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ,CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed 5
�- Date - /T' llt7
LICENSED CONTRACTORS DECLARATION
hereby aff trm that/t am lice se minder provisions of the Business and Professions Code, and my license is in full force and effect.
Contractor (signature) ,e .r Date `' r%
OWNER - BUILDER. DECLARATION
( ) I, as owner of the, roperty, or/my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
,CITY OF TUKWILA
Building Division
Tukwila,,tWashingtonu198188
(206) 433 -1849
Type of Inspection f ha/ (/ec,c,)
Site Address
Requestor
INSPEC 'ON RECORD
PERMIT # 1;6 72
Date
Date Wanted
Project
Phone #
a.m. o.m.
Special Instructions
Inspection Results /Comments:
Inspector `6 ,e5:1&"
Date /D /f97
Emerald City Roofing, Inc
9202 Greenwood Avenue North • Seattle, Washington 98103 • (206) 789 -7420
City of Tukwila
6200 Southcenter Blvd
Tukwila Wa 98188
Re: Permit : # 4672, N.C. Machinery (reroof )
Gentlemen:
S ei.pta er .2. ,_-1.9&7 —...,
1111 s(p I 1 \\,111:-I •
TIC 1 8(
cr`;
P LAt. ,- .
Please be advised that we have completed the installation of the
roof membrane assembly consisting of American Roofing Corporations
Specification #N200 - Double Ply Series, data sheet enclosed, which
is a Class B rated roofing system, per UL notification dated
11/3/86 - copy enclosed.
Project was completed 8/19/87 .
Sincer
G. t VID HILL
SECRETARY /TREASURER
gdh /bj
AMERICAN ROOFING CORPORATION
3100 S. Califomia
Chicago, Illinois 60608
Telephone: (312) 376 -1110
TGFU November 3, 1986
,Roofing Systems
AMERICAN ROOFING. CORP
0 -oust feu 0 aardi
Clue • - Fully Adhered
1. Deck: .C• 16/32 Inci1n 1
Buse Shat Typo G2 bus shut. OCF's "Perms Ply M.
Membrane "Ara Premium" (modified d,
- isit fused In place.
Claes 1. Duck: C -16/32 Molina 2
Rue Sheet Type G2 bus sheet. OCF's "Parma Ply 11r'.
Membrane "Aro Premium ", "Ara Golden Eagle" or "Arc Granular" (modified bitumen,.
3100 S CALIFORNIA
R10343 (N)
LOOK FOR CLASSIFICATION MARKING ON PRODUCT
Card 810343E replaces (two cards), 810343E dated April 16, 1886 and F
dated July 8, 1986,. filed TFJR.
49114001 ' Underwriters Laboratories Inc.*
•
SPECIFICATION SERIES
GOLDEN EAGLE SERIES
• C 300GE R 300GE
1 300GE RI 300GE
N 300GE
ARC BASE SHEET
OPTIONAL
SURFACING
' PRIMER
WHERE
REQUIRED
SUBSTRATE
• SINGLE PLY SERIES
C 100
R 100
R 10
R 110
ARC GOLDEN EAGLE
PRIMER
WHERE
REQUIRED
SUBSTRATE
ARC PREMIUM
OR
ARC GRANULAR
OR
ARC ALUMINUM
PRIMER
WHERE
REQUIRED
SILVER EAGLE SERIES
C 200SE
C 210SE
1 200SE
1210SE
N 200SE
N 210SE
ARC BASE SHEET
R 200SE
R 210SE
RI 200SE
RI 210SE
OPTIONAL
SURFACING
SUBSTRATE
DOUBLE PLY SERIES
C 200
C 210
1200
I210
N200
N 210
APPROVED
BASE PLY
R 200
R 210
RI 200
RI 210
ARC PREMIUM
OR
ARC GRANULAR
120
N20
R20
RI 20
OPTIONAL
SURFACING
PRIMER
WHERE
REQUIRED
SUBSTRATE'
ARC PREMIUM
OR
ARC GRANULAR
OR
ARC ALUMINUM
19
•
1 -20 -86
"ARC" MODIF
ED BITUMEN ROOFING SYSIEM - SPEC. NO. N -200
APPROVED
BASE PLY
SUBSTRATE
ARC PREMIUM
AMERICAN ROOFING CORPORATION
3100 S. California
Chicago, Illinois 60608
(312) 376 -1110
•
•
DESCRIPTION
Provide all labor, materials, equipment, supervision, and
incidentals as needed to install a complete American Roof-
ing Corporation reinforced modified bituminous mem-
brane roof system over a nailable substrate.
QUALITY ASSURANCE
Products used in the work of this Section shall be manu-
factured by The American Roofing Corporation (ARC) or
approved for use in conjunction with the products manu-
factured by ARC.
The Roofing Contractor and his personnel shall be cur-
rently approved by ARC as qualified to install the materials
of this section.
Do not apply roofing during inclement weather. Do not
apply roofing membrane to damp, frozen, dirty, or dusty
surfaces.
MATERIALS
ARC approved organic or fiberglass base sheet; or
ARC modified bituminous "BASE SHEET" reinforced with
a minimum 50 gram per square meter fiberglass matt and
weighing approximately 95 pounds per roll. There are
approximately 200 square feet of finished roof coverage in
each roll. Tradename: ARC "BASE SHEET ".
ARC modified bituminous roofing membrane reinforced
with a 170 gram per square meter polyester matt core and
weighing approximately 90 pounds per roll. There are
approximately 100 square feet of finished roof membrane
per roll. Tradename: ARC "PREMIUM ".
(OPTIONAL SURFACE COATINGS)
ARC white roof coating is used as a fire retardant surfacing
material which meets UL Class A fire rating criteria.
ARC dark brown emulsion coating is an asphalt latex emul-
sion roof surfacing material used as a fire retardant surfac-
ing material which meets UL Class A fire rating criteria.
ARC aluminum roof coating is a non - fibrated asphalt base,
reflective aluminum surfacing material.
PRODUCT HANDLING
All materials, except those that are shop fabricated, shall
be delivered to the job site with their original labels intact.
Bulk materials shall be identified by the manufacturer as to
specification issued.
All materials shall be stored in accordance with the instruc-
tions of the manufacturer prior to their application or instal-
lation. No wet or damaged materials will be used in the
application. Materials stored on the job site shall be a
minimum 4" off the ground or the roof.
Application of all roofing shall be accomplished in such a
way that each area will be complete at the end of each
day's work. All roof edges and incomplete flashing shall be
protected against water entry, particularly between work
periods.
All masonry, concrete and sheet metal surfaces incorpo-
rated into the roof system shall be primed with asphalt
primer meeting ASTM D 41 specification and allowed to
dry prior to installing bituminous roofing materials.
Wood curbs or nailers, where required, shall be pressure
treated with osmose K -33 or approved pressure treatment
meeting AWAP Standard P -5. Brush coat ends with special
osmose preservative or approved equal.
s2400
PREPARATION
Clean the substrate surface removing all dirt, debris and
foreign material.
The substrate surface shall be clean, firm, dry, and smooth
for the application of the ARC modified bituminous roof
system.
APPLICATION
Install ARC modified bituminous BASE SHEET or ARC
approved base sheet set with minimum 3" side laps and 6"
end laps, without wrinkles or fishmouths. Base sheet shall
be nailed 9" on center at the laps and 18" on center stag -
gered in rows approximately 12" apart down the middle of
the sheet using approved fasteners. (Coverage is approxi-
mately 100 fasteners per square).
Install ARC "PREMIUM" modified bituminous roofing
membrane sheet with minimum 3" side laps and 6" end
laps. On low sloped roofs the sheets shall be run perpen-
dicular to the slope of the roof or substrate starting at the
low point. All overlaps in the sheets shall be installed so as
to avoid water edges, wherever practical.
At all intersections between two different slopes, such as
parapet walls, roof curbs and narrow valleys, install one
additional ply of modified bituminous sheet extending six
inches on the surface of each slope. At all narrow valleys
(less than three feet wide) install two ply of ARC modified
bituminous roof membrane over base sheet.
The rolled membrane sheet shall be set and unrolled
approximately six feet to align sheets. The propane torch
shall then be applied to the exposed outer surface of the
roll until the surface reaches the proper application tem-
perature (generally 350 to 450 degrees fahrenheit). The
roll is then gradually unrolled to create a heat weld
between the membrane sheet and substrate. The remain-
der of the roll is re- rolled and installed in the same manner.
There should be approximately an eighth inch to a half inch
bleed out of the adhesive at the overlaps.
All overlaps shall be checked and sealed using a heated
trowel. At all locations where the lap is not sealed, the
trowel shall be used to open the lap and apply heat into the
lap to melt the adhesive on the back of the roll and seal the
lap. The edge of the sheet at the bleed out shall then be
struck with the hot trowel to create a smooth finished
welded seam.
Flashing sheets shall be installed in strips generally cut
from across the roll (maximum length should not exceed
6'). All flashing sheets shall extend a minimum of four
inches on the horizontal surface and eight inches above
the finished roof surface. Flashing sheets shall be installed
by the same heat weld method used for the roof
membrane.
Items related to reroofing operations such as sheet metal
gravel stops, roof vents, and similar items shall be incor-
porated into the new roof system in accordance with the
recommendations described in the current issue of the
ARC "SPECIFICATIONS AND DETAILS" manual.
APPLICATION OF OPTIONAL SURFACING
ARC "PREMIUM" roof membrane does not require a sur-
face coating and may be installed as manufactured without
additional surfacing.
ARC roof coating shall be
applied as the surfacing material over the membrane
sheet. Application of coating shall be in accordance with
the recommendations and specifications printed on the
container.
•
JOB INFORMATION DATA:
Specification Number:
Project Name:
Project Location:
City, State, Zip'
Total Roof Area: sq. ft.
Lineal ft. of flashing:
METHOD OF ATTACHMENT:
Base Sheet'
Surface Coating'
Type (if any)'
MANUFACTURERS OF MODIFIED
ROOFING MEMBRANES
•1•1,1,1
The Superior Membianes
A highly tested waterproof method in the building industry specially recommended for:
Roofs, foundations, terraces, garages, swimming - pools, dams, reservoirs, bridges,
viaducts, tunnels, canals, basins, subways.
ARC - PREMIUM rooting membrane is a prefabricated
membrane composed of a mixture of Bitumen and selected
Polypropolyene resins with a reinforcement core of
polyester. This mixture provides excellent performance
characteristics. Constant flexibility and plasticity at low
ambient temperatures is resistance to thermic aging
and U.V. degragation. This membrane application
is compatible with other B.0 R. systems.
The polyester reinforcement core is a
filament nonwoven fibre of 170 GR;Sq.m. that
withstands high and low temperatures, has
excellent resistance to moisture, puncture,
tearing with excellent elongation and
flexibility properties in addition to the
ability 01 easily forming to various con-
figurations, ARC - PREMIUM is
especially recommended for all
roofing applications. Waterproofing
of foundations, terraces, gar-
ages, reservoirs, planters.
ARC- PREMIUM is manufac-
tured with a plain black
Bituminous weathering
surface. The bottom sur-
face of the membrane is
provided with a very thin
polyethylene film fully
bonded to the roll
permitting direct
torch on applica-
tion to the
substrate.
Ai
r,4
VOI
Anes
)ecially recommended for:
servoirs, bridges,
ARC - ALUMINUM roofing
membrane is composed of a
polypropolyene modified pre-
fabricated membrane. with rein-
forcement core of Fiberglass mat and
a bonded embossed aluminum foil. Its
embossing gives aesthetic beauty in
every aspect while providing for structural
shrinkage and expansion.
Besides aesthetic relevance the aluminum foil
shelters the Bituminous compound from
weathering and normal U.V. aging.
U.V. rays and atmospheric gases together with
climatic variations cause some losses of resistance
in the exposed membranes.
This loss of plasticizing oils in the bitumen is retarded
when protected by the foil.
ARC - ALUMINUM is manufactured with an aluminum foil
weathering surface adhered to the membrane during the
production cycle. The bottom surface of the membrane is
provided with a very thin Polyethylene film fully bonded to the
roll permanently, direct torch on application to the substrate.
41P
ARC - GRANULAR is a
surfaced roofing mem-
brane composed of a
mixture of Bitumen and
selected Polypropolyene
resins with a Polyester rein-
forcement core and a mineral
protection surfacing. The mineral
surface is given by granules fully
bonded during the manufacturing
process to the upper surface at 180" a
3" lap at the membrane edge is left free
of granules allowing an easy welding of
the overlaps during application.
Thee mineral protection provides superior
resistance to aging of Bituminous modified
compounds caused by U.V. rays and reflects
solar rays lowering thermal aging. In addition,
the surface provides a tough wear resistant
surface.
ARC - GRANULAR is especially suitable for use on
roofing applications where aesthetics are of concern
such as residential and terrace construction.
z
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ARC- GRANDUTAR
TEST RESULTS*
MD 280 XD 177
MD 280 XD 177
MD 581 XD 58.7
MD 58.1 XD 58.7
T 8
2 o
<1.0g.
MD <1.0% XD <1.0%
00
11
0132g.
00
11
1
Xx❑ xx❑ Q
Ecs, M ciEl
01GICM2
p PASS ❑ FAIL
MD 98% XD 92%
MD 138% XD 124%
00
111
E❑❑
pOp
Of
''
as
aaa
22a
22a
RRa
Z
TEST RESULTS*
MD 149 XD 136
MD NA XD NA
s
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xx
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�° P $
aa=
v
x
c
v 2
J J
g g
❑❑
0132g.
J
g
❑
J
❑
ti J N¢ J J
g RI r Z- 4 g RI
PPE] xx❑ xx❑
S
In PASS ❑ FAIL
MD 93% XD 130%
MD 99% XD 118%
J J
g g
❑❑
c_ ❑❑
as
a�
a
22a
2ma
m2a
ARC - PREMIUM I
TEST RESULTS`
CD t0
xx
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00
22
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t0 �0
1 n
00
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(N0 (N0
z .-
0
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0
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JaJ
00
0132g.
-4 ....1
00
NN
d
ss
J
h r-. -J NNJ J
xx❑ PPE] Px❑
N N In N l!)
O in• V'
N N N N N N
$
E3 PASS D FAIL
MD 176% XD 175%
MD 99% XD 98%
JJ
00
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0
pf. ❑❑
as
as
a
OO
mma
00
2ma
OG
mma
VALUES SUGGESTED IN CGSB 37-GP 56M
GRADE 1 —Min. 66 Ibf (294N) (MD & XD)
GRADE 2 —Min. 176 Ibf (785N) MD & XD)
GRADE 1 —Min. 4.0% (MD & XD)
GRADE 2 —Min. 8.0% (MD & XD)
GRADE 1 —
If breaking strength is not met min. 19400
If breaking strength is met min. 2940
GRADE 2-
min. 14700
Shall not absorb more than 1.0g of water
Dimensional change shall not exceed ± 1.0% (MD & XD)
Four samples out of five will pass watertightness test
TYPE 1 —after testing at —22°F ( -30 °C) —
TYPE 2 —after testing at 14°F ( -10°C)
Max.1.0g/m2 x 24h.
TYPE 1. CLASS B ONLY
Expansion or contraction will be less than 1 mm/m between 10 and 30 cycles
Pass water tightness test after energy impact of:
Grade 1 -1.8 ft. lbf (2.45J)
Grade 2 -3.6 ft. Ibf (4.9J)
TYPE 1 After 1 hr. at 55 Ibf (245N) shall pass water tightness test
5 day conditioning
GRADE 1 —Min. 66 lbf (294N) (MD & XD)
GRADE 2— Min. 176 Ibf (785N) (MD & XD)
GRADE 1 & 2 — Pass water tightness test
Immersion at 50°C for 5 days
GRADE 1 —Min. 66 lbf (294N) (MD & XD)
GRADE 2 —MIN. 176 Ibf (785N) (MD & XD)
GRADE 1 & 2 —Pass water tightness test
Immersion at 50°C for 5 days plus 5 freeze thaw cycles
GRADE 1 —Min. 66 lbf (294N) (MD & XD)
GRADE 2 —MIN. 176 Ibf (785N) (MD & XD)
GRADE 1 & 2 —Pass watertightness test
CLASS A ONLY
Max. 0.5g. Toss
TYPE 1 ONLY —After prescribed number of weathering
cycles approx. 90 days duration
Shall not show cracking or blistering
Retain 90% of breaking strength, Test 1 (MD & XD)
Retain 90% of elongation at break, Test 2 (MD & XD)
Shall show no cracking, splitting or loss of adhesion
TYPE 1.a and 1.b —at —22°F ( -30°C)
TYPE 2.a and 2.b —at —14°F ( -10°C)
B Standard 37- GP -56M. Membrane, Modified, Bituminous, Prefabricated, and Reinforced for Roofing
icij
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S
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iii
ailli
(.;
6. WATER VAPOR
TRAIISMISSION *E96
7. THERMAL
STABILITY
I—
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Printed in U.SA
•
19
08
City of Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
1206) 433-1800
Gary L. VanDusen, Mayor
September 14, 1987
Emerald City Roofing
9202 Greenwood Avenue N.
Seattle, WA 98103
Attn: Larry Berg
Re: Building Permit #4672, N.C. Machinery (reroof)
Dear Mr. Berg:
Our records indicate that this permit has not been finalled by the Building
Division. In order for us to sign -off on this project we need you to provide
us with a written statement regarding compliance with the Uniform Building
Code (1985 Edition) roof covering requirements. The attached handout provides
you with an example statement. Please provide this information within 15
days of receipt of this letter or contact us with the status of this project.
If you should have any questions, please contact me at 433 -1852.
Sincerely,
Norm Bray
Building Inspector
CITY OF TUKWILA
Building Division �,'
62001 out hcentngtooulevard SU DING PERMIT APPLIC TION Control # W1-07q
(206) 433 -1845
Site Address /7 02s W /4 //e - y
Project Name /Tenant ,44/4:. /I./A(.4%1'00
Valuation of Construction 2,,5- j--y,s co Assessors Account#
Property Owner mot/ C c 4; ■ 6 j
Address / 2 4 � s w. L6' //7 y(""
Applicant ,5,.?'i -€t /c/ (-, yy
/
Suite# Floor#
Address 726
Architect /Engineer
Address
Phone P-S /- s.r�d
Zip
Phone '7 1-2.•f/V /Y
Zip 7P- /o3
Phone
Zip
Contractor / A i ,e,„-1,/ License# £ .'y .c=,? 4 /? /S V D 0 Phone ? l - /Y/ y
Address 7o 2 ( r.er --- ///, Zip "AP/0
Class of Work: ❑ New El Addition ❑ Tenant Improvement ❑ Remodel (residential) Reroof
❑ Demolition ❑ Interior Demolition ❑ Other
Describe work to be done
/R Pi e1 4-
/gco U -5›.
Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building .�/ Square footage of tenant space //-41
Building Use dcPcp 141.6- e44,sN Will there be a change of use? ❑ Yes
If yes, describe change of use, including square footages of changed areas
Will there be storage or use of flammable, combustible or hazardous materials on the premise or
area of construction? 0 Yes El No If yes, explain 1.aa,',✓
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 'PPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT AND THAT I HAVE THE PROPERTY OWNER'S LUT ATION TO DO THIS WORK.
Applicant /Authorized Agent (signature)
(print name)
Contact Person (please print)
Date 2- 2.3----,k2
Phone 7 2 •-
FEES: Building Permit Fee
Plan Check Fee
Bldg Code Sur Charge
Energy Sur Charge*
Other
OFFICE USE ONLY
(000/322.100) $ Receipt# - / /
(000/345.830) Receipt#
(000/386.904) 1.50 Receipt#
(000/386.907) Receipt
Receipt#
*New construction only TOTAL
SQUARE FOOTAGE /BUILDING USE INFORMATION
FLOOR
USE /Occ Type
SQ.FT.
UUC
LOAD
ZS-
Date Paid
Date Paid
Date Paid f,,r.�.
Date Paid
Date Paid
6c�
5-0 (OWES: $ •--a )
Square Footage of Entir
USEJOcc Typel SQ.FT.
OCC
LOAD
Buildin
USE /Occ Tvp SQ.FT.
OCC TOTAL
SQ.FT
TOTAL
OCC.
O
TRACKING
DEPT. DATE IN
BLDG
FIRE
DATE OUT
)1
PLNG
PWD
COMM
Approved for Issuance Type o oast.
To Mahan: Date Approved:
Approved (Initials) Per letter dated
Fire Protection: ❑ Sprinklers ❑ Detectors
Approved (Initials) ❑BAR ❑ LAND USE /SEPA CONDITIONS
Zoning Setbacks: N S E W
Parking stalls required for: Site Tenant Space
Parking stalls provided: Site Tenant Space
ADDITIONAL PARKING STALLS REQUIRED:
Approved (Initials) Per letter /plans dated