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Home My WebLink AboutPermit 5741 - Southcentert Mall - Jonathan Edwards - Addition CITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 BUILDI NIG PERMIT (POST WITH INSP.1- ,;TION CARD AND PLANS IN A CONSPICUOUS LOCATION) BUILDING PERMIT NO. c 7 c// DATE ISSUED: 9- FEES DESCRIPTION AMOUNT RCPT 0 BUILDING PERMIT FEE PLAN CHECK FEE BUILDING SURCHARGE 350.00 228.00 4.50 ENERGY SURCHARGE 235-j 1808 .23s$ DATE 9 -01 -89 9. z49 OTHER: TOTAL - 582.50 PLAN CHECK #89 -239 PROM- C T INF OF1MA TIOTJ UI V 870 Southcenter Mall 40,000.00 PROJECTNAME/TENANT Jonathan Edwards ASSESSORACCOUNTN 262304- 9023 -03 TYPE OF Li New Building Addition (] Tenant Improvement (commercial) Li Demolition "(building) U Grading/Fill WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other DESCRIBE WORK TO BE DONE: 73 square feet addition to existing store (pop out). 1 i •` ore" PROPERTY OWNER Jacobs Visconsi Jacobs PHONE 216 -892 -2300 ADDRESS Center Ridge Road, Cleveland, OH ZIP 44145 CONTRACTOR JMF Construction, Inc. PHONE 226 -9874 ADDRESS 15 South Grady Way, Suite 625, Renton, WA ZIP 98055 WA. ST. CONTRACTOR'S LICENSE #f JMFCOI *148MV EXP. DATE ARCHITECT Charles Bergstrom PHONE 545 -8494 ADDRESS 3845 Bridge Way North, Seattle, WA ZIP 98103 COE)F COMPL IArJCF: USE SQUARE FEET OCC. LOAD SQUARE FEET OCC. SQUARE OCC. ' SQUARE LOAD FEET LOAD FEET OCC. LOAD occ. LOAD TOTAL SQUARE FEET TOTAL OCC. LOAD TOTAL TYPE OF CONSTRUCTION: I I -N UBC EDITION (year) 88 SETBACKS: _ _ 1. - FIRE PROTECTION:rm Sprinklers 0 Detectors 0 N/A UTILITY PERMITS REQUIRED ?O Yes ®N No (throug Public Works) ZONING: C -PBAR /LAND USE CONDI'TIONSOyes 0 N m • DATE: Z:- CONDITIONS (other than those noted on or attached to permit/plans): COMPANY: �i . - --ciZr, ,M. [ • Si. VC, ISSUANCE ED ISSUANCE BY• 1 -��4 BUILDING �" OFFICIAL DATE: q- lZ r*/ t7� I hereby certify hat I have of law and ordinances governing this permit does not pre•ume regulating construction• rea and examined this permit and know the same to be true and correct. All provisions this work will be complied with, whether specified herein or not. The granting of to give authority to violate or cancel the provisions of any other state or local laws the performance • r_work. I am authorized to sign for and obtain this building permit. I. SIGNATURE: m • DATE: Z:- PRINT NAME: COMPANY: �i . - --ciZr, ,M. [ • Si. VC, 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. CERTIFICATE OF DATE ISSUED: OCCUPANCY NO. aulimui 'IU rcfIVai I / (POST WITH INS( S'TION CARD AND PLANS V IN A CONSrICUOUS LOCATION) CITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433-1849 BUILDING PERMIT NO. c % c/7 DATE ISSUED: 9 _ - r FEES — DESCRIPTION AM RCP rr DA BUILDING PERMIT FEE 350.00 228.00 4.50 2358 110 , 35 R _Y-.)2.0 -0 - 9 9, . ?-• N5 PLAN CHECK FEE BUILDING SURCHARGE ENERGY SURCHARGE OTHER: Zip 98055 WA. ST. CONTRACTOR'S LICENSE # JMFCOI *148MV OCC. Lam. TOTAL. - 582.50 ARCHITECT Charles Bergstrom OCC. LOAD PLAN CHECK #89 -239 PROJECT •• INFORMATION SI �D'ES 271thCe1lter Mall SUl p VAL • •N 'U ON- X ZQ�S 40,000.00 PROJECTNAME/TENANT Jonathan Edwards ASSESSOR ACCOUNT #t 262304- 9023 -03 TYPE OT-0 New Building ❑ Addition (XJ Tenant Improvement (commercial) U Demolition (building) Grading/Fill WORK: 0 Rack Storage 0 Reroof ❑ Remodel (residential) 0 Other: DESCRIBE WORK TO BE DONE: 73 square feet addition to existing store (pop out). PROPERTY Jacobs Visconsi Jacobs / PHONE 216- 892 -2.300 ADDRESS 25425 Center Ridge Road, Cleveland, OH COMPLIANCE / ZIP 44145 CONTRACTOR JMF Construction, Inc. s• SIGNATURE: J` 1 ,,;`a! — HONE 226 -9874 ADDRESS 15 South Grady Wa Suite 625 Renton WA Zip 98055 WA. ST. CONTRACTOR'S LICENSE # JMFCOI *148MV OCC. Lam. SQUARE FEET EXP. DATE ARCHITECT Charles Bergstrom OCC. LOAD SQUARE FEET PHONE 545 -8494 ADDRESS Bride Wa North Seattle WA ZIP 98103 USE -3 / / CODE COMPLIANCE / UTILITY PERMITS REQUIRED? / s• SIGNATURE: J` 1 ,,;`a! — DATE: / a cop 1 W SQUARE FEET OCC. LOAD SQUARE FEET OCC. Lam. SQUARE FEET OCC. LOAD _ SQUARE FEET OCC. LOAD SQUARE FEET OCC. ..• ! TOTAL A ARE FEET TOTAL OCC. LOAD ---r- 'TOTAL. TYPE OF CONSTRUCTION: I I -N UBC EDITION (year) 88, SETBACKS: N - S - E - yes (� No W - (through Puauc works) FIRE PROTECTION: .4Sprinklers 0 Detectors 0 N/A UTILITY PERMITS REQUIRED? ZONING: c pBAR /LAND USE CONDITIONSoyes ®No s• SIGNATURE: J` 1 ,,;`a! — DATE: 7/02.76 CONDITIONS (other than those noted on or attached to permit/plans): COMPANY: r ,�. �'" • IST. `A)C• .� �. _. iii APPROVED FOR BUILDING ISSUANCE BY: ~ ; 1 :WM OFFICIAL DATE: a- _ I hereby certify hat I have rea 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 pre um to give authority to violate or cancel the provisions of any other state or local laws regulating construction the performance s r__work. I am authorized to sign for and obtain this building permit. s• SIGNATURE: J` 1 ,,;`a! — DATE: 7/02.76 PRINT NAME: - '��Ir' 1 l COMPANY: r ,�. �'" • IST. `A)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 frorn the last inspection. CERTIFICATE OF I DATE ISSUED: OCCUPANCY NO. M I A i CITY Of TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433-1849 INSPECTION RECORD PERMIT # Date Type of Inspection Site Address ic.1 500-thCqnk;e_r 1119.11 Requestor t?X*7 P\ricicr) Special Instructions V Date Wanted 109 p.m. Project ,TOrCKVVICO) Eduiarcl5 9-11- DQI 0 or 9% 9`6(t;1 Po1/43.er bi3ifed Phone # Inspection Results/Comments: Inspector 14otr-f4,- 40;2 Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, WashinUton 98188 (206) 433-1849 Type of Inspection 1■10A Site Address uritt„ /ynk.k\ (b. INSPECTION RECORD PERMIT # 10-1q" Date Requestor Fb knck-963on Special Instructions 1 1 165 Date Wanted I a.m. p.m. Project jhrlfriLihkr) ES:IWO/fel Phone # 914'7 Qc9Q Inspection Results/Comments: /17/9/19 eitea,& eg a It- 04-o 472AL Inspector Date ---og CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 INSPECTION RECORD b'. 140 PERMIT # I Date I o - (o- Early Type of Inspection '(L7P\ +`l. Date Wanted \Q" I / �i I?) p.r Site Address 0 f cent.e.r TcQ1 ProjectcpnOLdh(A Fau ard5 Requestor ?yob K. d -erson Phone # 91-1.1-410 Special Instructions Inspection Results /Comments: Inspector Date /0.-- /7— Cq7 CITY OF TUKIt Central Permit System ,ontrol No. 1:::357- .' ? Permit No. :C7 90 FINAL APPROVAL FORM TO: ❑ Building ❑ Planning ❑ Public Works Fire Dept. ❑ Police ❑ Parks /Recreation Project Name //f 7r i,ut A/ t i1.0-.1.e ok, Address e..; /1,14 ,// Type of Permit(s) 17 This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. This project is NOT approved by this department; the following corrections "are necessary: () to ,, ,. . � , C" I.) c. ) ) ) ) ) () () ) () ) Authorized Signature Date / This project is approved by this department: Authorized Signature Date CPS Form 3 J Cite of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433 -1800 Gary L. VanDusen, Mayor Plan Check M89 -239: Jonathan Edwards 870 Southcenter Mall THE FOLLOWING COMMENTS APPLY TO AND B COME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER '5 1 1I . 1. No changes will be made to the plans unless approved by the Architect and the Tukwila Building Division. 2. Electrical permit shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (872 - 6363). 3. All permits, inspection records, and approved plans shall be posted at the job site prior to the start of any construction. 4. When special inspection is required either the owner, architect or engineer shall notify the Tukwila Building Division of appointment of the inspection agencies prior to the first building inspection. Copies of all special inspection reports shall be submitted to the Building Division in a timely manner. Reports shall contain address, project name and permit number of the project being inspected. 5. All structural welding to be done by W.A.B.O. certified welder and special inspected (Sec. 306, UBC). 6. Any exposed insulations backing material to have Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 7. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform Mechanical Code (1988 Edition), Washignton State Energy Code (1989 Edition), and Washington Stae Regulations for Barrier Free Facility (1989 Editiona. 8. Validity of Permit. The issuance or granting of this permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other regulation or ordinance of this jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. *ILA City of rukwila O X41' Z FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 1909 Gary L. VanDusen, Mayor September 11, 1989 Fire Department Review Control Number 89 -239 Re: Jonathan Edwards - 870 Southcenter Mall, Tukwila, Wa. Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.104b) The mall grill door should be openable from the inside without a key or special effort. 2. All modifications to sprinkler systems shall have the written approval of the Washington Surveying & Rating Bureau, Factory Mutual Engineering or Industrial Risk Insurers, then by the Fire Department. No sprinkler work shall commence without approved drawings. (City Ordinance #1141) (NFPA 13, 1 -9.1) (UFC 10.307) Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) (UFC 10.302) Contact the Tukwila Fire Department, Fire Prevention Bureau to witness all required inspections and tests. (NFPA 13, 1-10.2) (UFC 10.307) 3. All wall and ceiling materials constructed of wood, shall be fire retardant treated. (UFC 10.401) All interior wall covering materials shall be fire - resistive or shall be treated to be fire - resistive, so as to result in a flame - spread rating as required by UFC Appendix VI -C tables 42A and 42B. A certificate of the flame spread rating is 1f kwil City o u a FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Gary L. VanDusen, Mayor Page number 2 required to be delivered to the Tukwila Fire Department. (UBC 4204) (UFC 10.401) In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. Numbers shall contrast with their background. (UFC 10.208) This review limited to speculative tenant space only special fire permits may be necessary depending on detailed description of intended use. Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D. file ncd City of Tukwila KAM M. o•Al1Ae11 ezooxu.wr.oa 11.13.1140 *LAM CNlCK Date: C1-7- File: #61 -239 Sheet 1 of ORDINANCE COMPLIANCE CHECKLIST Uniform Building Code, 1968 Edition. j PROJECT. DhlA114ML 'E ARCS istdost-eta ,'7th 66tYr 4CENTIU. NI L4. 1. OCCUPANCY GROUP. e "Z •esTa1L X04504 N/G . 2. TYPE OF CONSTRUCTION: la744 °SiPe ► We.• g 3. LOCATION ON PROPERTY: `i4.10 670 '1 GTt(, If`^J 4. BLDG. HT./ NO of STORIES: 4:445,1 L' 21 5. FLOOR AREA: w c e 71.6 '5l" sy 6VizaPeoNT ug .OLIT 0 2 6. OCCUPANT LOAD :. "one. 173 t,AtLD otTOV-0 VigOlgTt VI7. EXITING REQMTS. eo DETAILED REQUIREMENTS 21 8. OCCUPANCY: 9. TYPE OF CONSTRUCTION:. Z10. ENGINEERING REGS. & REQMTS: Ell. COMPLIANCE w/ W.S.E.C. ,4t.10 fit- -59 061,1 045121 •1eilari w P/ W4 12. COMPLIANCE w/ Chapter 51 -10 W.A.C. NOTES: BUILDING PERMIT APPLICATION TRACKING PLAN CHECK NUMBER (39 PROJECT NAME 3-6 n nctiicOn Edwards SITE ADDRESS fl o 3 6 yitic,e rat er 771a i l SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ". BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION (to be filled out by Plan Checker) SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE OCC. FEET LOAD TOTAL SQUARE FEET TOTAL OCCU- PANCY LOAD DEPARTMENTAL REVIEW "X" In box Indicates which departments need to review the project. (X) BUILDING - -I— I w� initial review CZ FIRE �-�-�� ? (ROUTED) toNSULTAit: bete dent �r y- r/ INIT: `:71 O PLANNING did. Aped- FIRE PROTECTION: 6v4rinkIsrs [ I Detectors (JN/A FIRE DEPT. LETTER DATED: 7.-//-1 ' INSPECTOR: 472- ZONING: (- 1R/LAND USE CONDITIONS? [ ]Yes ) No REFERENCE FILE NOS.: INIT: MINIMUM SETBACKS: O PUBLIC WORKS O OTHER INIT: PUBLIC WORKS LETTER DATED: INIT: BUILDING - l, /��o� final review REVIEW COMPLETED TYPE OF CONSTRUCTION: UBC EDITION (year): 6poxi; mes PERMIT NO. 5--77/ CONTACTED , 5-7q/ 1__- f L ra j�.5a C{ o [ 0 f rpc c dP' DATE READY DATE NOTIFIED 9 -- i'� - `1 _.._J BY: (init.)..Q�r PERMIT EXPIRES 2nd NOTIFICATION BY: (snit.) BY: (init.) AMOUNT OWING . �� 3RD NOTIFICATION CITY OF TUKWILA BUILDIIs.3 PERMIT APPLICATION Department of Community Development - Building Division FEES (for staff use only) 6200 Southcenter Boulevard Tukwila WA 98188 - (206) 433 -1849 • • . BUILDING PERMIT FEE`: 5b at, ...7.- S 5:52 !- V. PLAN CHECK O� NUMBER ■ c- l PLAN CHECK FEE °t, ate MO% 9 I -69 BUILDING' SURCHARGE y 5O ..-.1s 5i , a:1' nT'PL ICA HON MUST BE FILL El) OUT COMPLETELY ENERGY SURCHARGE:: OTHER: TOTAL - Sq9. . SITE ADDRESS SUITE # Sin �, -DUkhc..pri -1 {-'r Tfo \ VALUE OF CONSTRUCTION - $ ZD/o Cl) PROJECT NAME /TENANT OPA,7/#4J-LOG.,W'/)S•' SOOrA /C5U?2 i' ,%/ L- /('•uv 8l' /OGE .Jede -- ASSESSOR ACCOUNT # a 6 %�,"3oL1 - 90g7 -- 0-3 TYPE OF Li New Building U Addition NiTenant Improvement (commercial) ❑ Demolition (building) WORK: 0 Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other DESCRIBE WORK TO BE DONE: 73 Sa. F : /- Lp/T hYY 70 rX /S7 i 6 ST- E (pop our) BUILDING USE (office, warehouse, etc.) /& 7A /L- .S7I 2 NATURE OF BUSINESS: dEWGt_zy sAtE3 WILL THERE BE A CHANGE IN USE? NJ No U Yes IF YES, EXPLAIN: SQUARE FOOTAGE - Building: 749 . f- 73 Tenant Space: E r.-Az Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? jal No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER ,.1AC'oss, 7-,-/ 5, avi y �r �Gttoi ay„ PHONE 622_6g 70 ADDRESS M4Ur XLJJ B�'/.�CE JEW t�LE� �/, S' . S - ZIP / CONTRACTOR j H.I CpN. G>,,r /4i 7A}C - PHONE 226 -. '7' 7L ADDRESS /5 SUUri4/ (12A0Y 0A-`(, SV/rE 62S £C AYO/V (.JA - ZIP y8OSs- WA. ST. CONTRACTOR'S LICENSE # j:.,(F- C► 0 I.* 148 M u EXP. DATE ARCHITECT NaES' /SgGS7l�-7e4, PHONE .‘--liS� 89`i'¢ ADDRESS S 6`%c 15'0 'C It,) AY IQ. SEA77iE OA. ZIP d /L, 3 I HEREBY CERTIFY THAT I HAVE:REAl7t: AN t EXAMINED THIS i4f'PIaCATION ANi, : KNOW TH•.:S. ME: : i : :. ' i'i :::: , :.:::> :::::. : : : :::.:::.:::::> :i : :'.: °>;: >::::: Tt�UL ;AI�:C.ORaECTI�ND::f;�1M:.11` �, !^i. f�1��b:.TE�.:APPLY�a✓d �TNIS: f�ERMt7,:: ..;: BUILDING OWNER AUTHORIZED AGENT SIGNATURE O/i -- • DATE 1 /r 0 PRINT NAM dikenr.zES' E ,gEg'S1/Z01% PHONE ..e _804 ADDRESS 38,15 g / /OCEWAYA CITY /ZIPS , /o3 CONTACT PERSON eiyisaGT ff z6s"VZcHH PHONE` "•- 8i.c74t APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal • requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 1133 -1851 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architecVengineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. if you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 433 -1849. DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES 3,. 03/30/89 COMMERCIAL Slc3MITTAL CHECKLIST NEW C 616AENCU1L Bt 11.1:1 1091A isd building perttrit.appiicetion COMMERCIiAI 7ENANT'IMPROVEMEN Completed building permit application (one Ooh report stamped by a Washington State licensed i Topograpllcat survey; Enargycalouladons stamped by a;Washington glade !M engineer or :architect • l oattiof of iertant space Existing acrd proposed parking Overall building plan: Tenantlooadgn • Use of adlacent (common wall); tenant • C3veraN dtrtamions cf isuitding or :quara'.footag Floor plan of : proposed tenant space 'Tenant specs :plan wiih use of each room tabell • Exit floors, egiess patterns •New walls : ,.existmp;wsll, and,wags Eo be demob Conawetion details : .. ::. • Cross sections showing wail construction and method o attachment for floor and ceginp Striklu cak:utadans stamped by Washington State Iroen engineer may be required if structural:work is to be dose (2 sa 1Jily ork; is M be abne submit separate eldlrty porn peli»h uWrdtfal nfs Vime:;.. . . RA K STORAGE ....:: ;:. ..........::... . bon and.checkks.t. 'RE •ompletad building permit applcatiok =or Account'.Nuiaibei Narralive dsiscnbinp existing —.: material being installed NOTE A certification letter is required oflOf:0e permit ANTENNA(SATELUTE D18N Completed, building permit appiica MNS,or Acoaiutt Num ro (2)sets of plans, vrhlch )nd Building floor plan shots Entire space whore molt :W.Ill be. Kit • doors ensione';of.a$`i ........................ ........................ :Tenant. space floor: NOTE; ::hicluds c'riensionts :ot racks :Width :end' : andsxit.Waye: en plan;. • S toured calculaMns sanpdeoengneer e dy: bey r )a , Washin ....... ............................... RESIDENTIAL NEW SSINGG..LEEFAMIL,Y; DWELLING$/ADDIT .Completed building •permit applicaton (one for each struqure ........ :Legal desc tiptlon'; : lettd building permit ccount:Nu one: for each: stnctu Situ plan • Foundation Floor plan ■ Roof plant • Building elevations (ail views) Building cross: section Seucturel framing Puma.... Washington Stale Energy code data 6Q � Completed utility permit application •Six (6) sets of site plans showing utth es NOTE BullaYnp site plan and utility site plan may be:combieed ugily permk app/cation and checklist for specific submitp i lieqube Ao>ddorhi Mepographical and soils information may be requked she condition ments. NOT E: if a n y utili work is to be done provid a utill y permit app/ and plane must be submitted REROOFS Completed building: permit application (one for each ttructi Assessor Account Number Narrative descnbing existing roof, malarial being removed, material being installed NOTE•; A •gerfimcauon.!etteris roquired ptio. apecdort'r� • off of the pormlG r to r• tf ( l.r.-..+wwa• ey 77- 2%4' L 0 "I r / It up- 000te, :9111t14sr ►1 Lt SrtA c P. .E A HOW 5 t`a ". \&( Wo . NEw C •`ac s. _... t nl _ Schedue e r a 1. _..F Room Number. . f \M.. PLAtST(C LAM. wtL.: a.) -2,T# ia33i ' PLAT CUT OAK'. (kt\TCt -I , X( Tt 4 )„ ,i Tii...5 - 1 -1EATP •VAMIC � ' ASPBG,IZ ►. ` 12 x 12,x t s .TI E' I' `Ftz ST PLt4 ' « f N _:Fp�l.. !,t��i7 ;IaG :�TtzJES R.ot.! A "I,,,O.V ..._ PLC ;LASS - > 1..AZ1 C QUALXrr _/ eXpET - Ft, 1i SkE.i? SY CMgV, .4a >t WALI. FABRIC, - it it i, ry -rye '��" (( ,/� }p,, (� /? �6y (1 �+�, y, ^ l+M4r? 4+��`►.T ,a^1�. � V C.4I/ !— ♦ii.r�M��i>l i"is ` { wig \ URAL .... 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