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HomeMy WebLinkAboutPermit MI97-0128 - BEST WESTERN - REROOFCity of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 000580 -0030 Address: 15901 WEST VALLEY HY St: 01 Suite No: Location: Category: ACOM Type: MISCPERM Zoning: TUC Const Type: Gas /Elec.: Units: 001 Setbacks: North: Water: TUKWILA Wetlands: Permit No: Status: Issued: Expires: Occupancy: UBC: Fire Protection: .0 South: .0 East: .0 West: Sewer: TUKWILA Slopes: Y Streams: Contractor License No: JMR00I *153M9 MI97 -0128 ISSUED 08/12/1997 02/08/1998 HOTEL /MOTEL 1994 .0 OCCUPANT BEST WESTERN 15901 WEST VALLEY HY, TUKWILA WA 98188 OWNER NENDELS Phone:: (206)533 -4200 LIU SHUH -WEN, 616 W HERON, ABERDEEN WA 98520, CONTRACTOR J & M ROOFING INC. Phone: 206 439 -9991 P.O. BOX 69315, SEATTLE, WA 98168 CONTACT SAM JOYA 3425 S 146 ST, SEATTLE WA 98168 ***************** A•********•***************•* k****** * * * * * * * * * * * * * * *k * * * *•*'** * * *** *fir * * ** Permit Description: PLACE TORCH DOWN CLASS B ROOF OVER EXISTING BASE TWO PLY ROOF. ***************************************************** * * *'k * * * * * * * * * * * * * * * * * * * *k * *k ** Construction Valuation: $ 75,259.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Size(in): .00 Flood Control Zone: N Hauling: N Start Tine: End Time: Land Altering: N Cut: Fill:. Landscape Irrigation: N Moving Oversized Load: N Start Tinie: End Time: Sanitary Side Sewer: N , No: Sewer Main Extension: N Private: N Public: N Storm Drainage: N Street Use: N Water Main Extension: N Private: N Public: N *************************'*************************** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 741.75 *•k k * * * ** * * * * * * * * * * * * ** * * * * * * ** *************. * **** * ** * ** * **** * *** **** * * * * * ** k* ** * ** k* Phone: 206 439 -9993 Permit Center Authorized Signature: (\ACP\11. Date:_ 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 provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this development permit. Signature: Print N a m e: 724►,2 G rY96,., Date: 5 "la-9? 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. CITY OF TUKWILA Address: 15901 WEST VALLEY HY St: 01 Suite: Tenant:, Type:• MISCPERM Parcel #: 000580 -0030 Permit No: MI97 -0128 Status: • ISSUED Applied: .08 /11/1997.,, Issued: 08/12/1997. k* *** * *** k*** k** k************ k• k• k• kkk• k************ k• k •k•kk•kk** * **k *A****Ick•e, *•“ *, Permit Conditions: 1..No:changes will be made to the plans unless approved by the 1ir�;wi.1a Building 2. All 'permits,', inspe "ction r'�eco"r�ds`, and.rapproved plans shall be available at the job, site pr•i ar to the start of .any con - struction. The;seA,`;document `ar;e to. be maintained; and avai 1- ab l e until f i n:a l;Hnspe'et iori approval is granted. 3. All . construot;ion ,to,.be done in conformance with ,approved plans and;...iregiri,rer,en;ts '-of thee , - Uniform,, Bu i i d i ng; Code (:1594. Ed,i t i on) /as' ame•nded;, Uniform, Mechan i ca•1 Code (1994 • Ed i on) , and Washington 'Sta`te Energy .Cod* (1994 Edi t Son) Validi.,ty rof Permit..,. The ,issuanee .of a permit or a'pprtival. of 'planspec1fications,. end;' computations shall not be.c.on -.'./ • strue,d^,•'tokbe a permit .for, or an approval of, any vii la.tion, of atiy, of ::tale .provisions of the building code or of any other'- .ordinance of the.. jurisdiction. No permit presuming, to g;lve,,'.authorlty, to v,i•olate on cancel; the provisions `;of ,this cod.e°; sha 1 1 be,'va l i,d'. CITY OF TUKWILA Permit Cen�•• 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. Project Name/Tenant: ri ':i,- (. L.. �..,-� -ir r i l • l (i ^, Will there be storage of flammable /combustible hazardous material in the building? ® yes ❑ no Attach list of materials and story a location on se arate 8 1/2 X 11 a er indicatin. • uantitles & Material Safet 2 to Sheets Value of onstruction: 75c 2$9'..00 Site Address: r ,1& , 1. �t, %( , ,� ..i d( 4 ; ; CIty State /Zip: �, ; �.c �: �� r Tax P rcel Number: c AC) 0030 Property Owner: � 0 Water 0 Sewer � 0 Standby Phone `25 ZZ 1 61z. Street Address: 15901 -) • 6lk7 /2c/ 7n! City State/Z .:_ 4 (.ua • 'Ad/ 0 Fax #: Contact Person: sci rn J ©(../ q Phone: t1 3 G ,F,73 Street Address: scale it Stte /Z aip: Fax #: Contractor: *, : � l � j ) ( 1 Phone: .2 I r 3(/ - F/ Street Address: • . f, ! ::57`;- I/ 1r City State /Zip; ✓' Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS'PERMIT REVIEW 'AND:APPROVAL.REOUESTED :`(TO BE FILLED OUT BY APPLICANT) Description of work to be done: p�.�.�= _,s ' d- qce.. for 11, It t#,, =E •a U/ • / Pj /- - Will there be storage of flammable /combustible hazardous material in the building? ® yes ❑ no Attach list of materials and story a location on se arate 8 1/2 X 11 a er indicatin. • uantitles & Material Safet 2 to Sheets Above Ground Tanks LJ Antennas /Satellite Dishes Bulkhead /Docks iG Commercial Reroof ❑ Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing- Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting APPLICANTREQUESTFOR MISCELLANEOUS PUBLIC WORKS PERMITS n Channelization/Striping ❑ Flood Control Zone ❑ ❑ Landscape Irrigation ❑ ❑ Storm Drainage ❑ ❑ Water Meter /Exempt # ❑ Water Meter /Permanent if ❑ Water Meter Temp # ❑ Miscellaneous LJ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 Sanitary Side Sewer #• ❑ Sewer Main Extension Street Use ❑ Water Main Extension 0 Private 0 Deduct Size(s): Size(s): Size(s): Est. quantity: gal Schedule: ❑ Moving Oversized Load/Hauling Size(s): sq. ft.grading/clearing 0 Private 0 Public O Public O Water Only MONTHLY SERVICE BILLINGS TO:: Name: Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address: City /State /Zip: 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 linlitation. 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. Date appllcatlon ccepted: Dale application expires: 0 ow Applicat n faked,: (initials) I ALL MISCELLANEOUS PERMIT APPLICATIONS MUST BE SUBMIT D WITH THE FOLLOWING: ➢ ALL DRAWINGS SHALL H� .. AT A LEGIBLE SCALE AND NEATLY`URAWN ➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED ➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT ➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER ➢ CIVILJSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground .Tanks/ Water. Tanks - Supported:directly'upon grade exceeding 5;000 gallons and:a ratio of height to•dsameter or:width, which exceeds 2:1 .: PERMIT REVIEW Submit checklist No -M -9 ❑ Antennas/Satellite-Dishes :. Submit checklist ', • No :. M -1 ❑ Awnings /Canopies. - No. signage . Commercial Tenant Improvement Permit .. ' ❑ Bulkhead/Dock Submit checklist :. No :`' M -10 ,. ❑ Commercial:Reroof Submit checklist:' :No :M -6 ❑ Demolition. Submltchecklist ;.:No, M =3, M = 3a ❑ Fences - Over 6.feet:in Height " Submit checklist: No M -9`' ❑ Land Altering/Grading/Preloads Submit checklist No:. M -2 ❑ Loading Docks . . "Commercial Tenant•Improvement Permit. ±SUbMit checklist Not'H =17' ❑ Mechanical (Residential & Commercial) Submit checklist: No:::: M -8,', Residentialsoniy - H -5 H -16 :: ... . ❑ Miscellaneous Public Works Permits Submit checklist; • • No H-9 . ,:. ❑ Manufactured Housing :(RED INSIGNIA .ONLY).:. Submit checklist - No: M -5 ❑ Moving Oversized Load/Hauling Submit checklist No M -5 : ❑ Parking Lots Submitchecklist No:. M -4 0 Residential Reroof - Exempt with following exception:: If roof structure to be.repairedror replaced Residential Building Permit . Submit checklist.. No:. M -6 in Retaining; Walls- Over 4 :feet in height Submit checklist .•' No :. M -1 : ❑ Temporary•Facilities Submit checklist .No: M -7 ❑ Temporary' Pedestrian Protection/ExitSystems : ;: ' Submit checklist : No;. M -4 .. ❑ Tree Cutting Submit checklist No: M-2. : ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent if the applicant Is other than'the owner,.. registered architect/engineer , ;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. 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 / AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: �� 1 Date: (6_5_ 9� Print name: 5' Q "n \O (e, r cA , phor�el � _ / ID_ J `Citty I Fax #: Address: / /U t / Q / 1 „ j /State /Zip: AA►SCPAAT nnr- 7/1//0/; Ia*****•**,.*** k,*.* h***** al'*** * * * * * ** * * * *,1s�1 * *kk *k * * * * * * **0 *k * * * *.k *k,k TTY OF TU!(WILA, WA : TRANSMIT:. of* k****!.*.* r4�kkh** r��k• k�hrik'**, k, if***** �1******** k* �4* *�htht4�lr/r *.t4k * ** * *'Ar4,04rk TIU NSMIT. Number: R97.00b2;i Amoamt: . 741..75 08t110,7'•08eA9- P,av41en -t. Metha.d:. GNECK ,Nata .ipn . J .a M 1R0OFTNG.... Inita-. K" P -...- ,. :Pewit Na:. MX c12 Q12E3 Type: MI3CPI RM : M.ISCELLANEUUS , PERMI'P- Parcel No:. 000580,-00 1.0 `• . ' 9.i to Address a ° 15301 WEST VALLEY HY. 3t :.01 F1: Un: Total Fees: 741..7.5 This 'Payment 741.75 Total ALL. Pmts.: :74&.7.5. B sl ante: 00 k * *. * * * * * *;itiltdtilr drik'�i *, * *, * * *. * * * * * * .k* * *k* * * *** * * * * * * * * * * * * ** * Description Ama.unt OIL DING - NONRE$ 737.2 STATE BUILE ING SURCHARt3E,: 44t) Account Cade:. 000/322 s 1'00 000/286.904 • • INSPECTION RECORD Retain a copy with permit INSPECTI • N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila; WA 98188 XIST PERMIT N (206) 431 -3670 Pr Type of inspection: n Address: ‘51:10\ ,� Date c :fled: .r \ ♦ — • Special instructions: ........ ` Date wanted: ` -V-Ot� ru�,r Rqc��( �1 ter:. -J Phone NO. Approved per applicable codes. Corrections required prior to approval. COMMENTS :, d71 _ 0--90 r u�' 11 c( /ed > 60142,--1 1.64( y D Cf G^�' L� lilt A.►�j'r'L —_1� a,�cl �.ld 1i /-�'� 41);41,..___400 Inspector v Date: 7 ,v $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Bivd., Suite 100. Cali to schedule reinspection. 1 is 1 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit N'h.,... =g1 i o 12 5 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 . (206) 431 -3670 PERMIT NO Prstject: -� v ti ., ,��" ro�tl� (.� Type of insp ction: I��t� o�B� n� e rt./ (1,--1 D want_ I <...,I �- p.m. Ad je sb, 1 �!x. II .e.(., { Special Instructions: J Req star: L 1.0„..A. Phone No.: ? ...q.....\00 vJ�� VA w)t-c. II-Ant-v.0-6- Pt t,IN C1 stow - i r is Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4 9.eN.- (2 - A-a 0 ,4'-9 ext.A cKt ►s ue S-hra k IA CA 64-4--- f% N D 1 r.1 G► 44-,FAA 1,�v�^,--1‘... it.cci - 0 i' 1 u. P cvL. pro 0 S cm. ()NIL-- DILA-10S ;0 S .E 43 d t-ava sS RA- , L cita* - F 0tz -A-1 J . SLA ►.) IL J (24F A-; ilise 0Azmi4.7.1% 03 1.7. tM∎ - MINV S MO 0 Vel-r-c..Nn) 4014Ai OS vJ�� VA w)t-c. II-Ant-v.0-6- Pt t,IN C1 stow - i r is L /y + w.y.., n 4. Inspector: Date:/i4 I $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. City of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director May 17, 2000 Sam Joya 3425 S 146th St Seattle Wa 98168 RE: Permit Status MI97 -0128 15901 West Valley Hwy Dear Mr. Joya: In reviewing our current permit files, it appears that your permit for a re -roof, issued on August 12, 1997, has not received a final inspection as of the date of this letter by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the building official under the provision of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, if a final inspection is not called for within ten (10) business days from the date of this letter, the Permit Center will close your file and the work completed to date will be considered non - complying and not in conformance with the Uniform Building Code and /or Mechanical Code. Please contact the Permit Center at (206) 433 -7165 if you wish to schedule a final inspection. Thank you for your cooperation in this matter. Sincerely, c—"?;) <4.14.p. Bill Rambo Permit Technician Xc: Permit File No. MI97 -0128 Duane Griffin, Building Official 4:!'; 3a',Yt`.N+;it l xq'•,,„a y2:f'?�i`�.'; rat. FLAT ROOF FLEX CAP US INTEC ADD CRICKETS AND ROOF ENTIRE ROOF I.- Clean existing roof by removing all debris. Nail. 'any loose roofing membrane and or cut down edges and protrusions in preparation for re- roofing. If during the cleaning or roof installation process, any indication of structural unsoundness is discovered, the contractor will immediately notify the owner. Any repair work not referenced else where in this proposal will only be done upon mutual agreement. 2.- Apply a 28 lb fiberglass reinforced base sheet with 2 "- side laps and 6 "end laps directly to the substrate and extend up all cantstrips at least 2" mechanically secure 9" of center at sidelaps and 18" on center in two Tines 12" from each edge. (Staggered) Mechanical fasteners used for securement shall be square head simplex nails of sufficient length to penetrate at least 7/8" in to substrate. 3.- Install per manufacturer's specifications, a modified Permaglas Flex Cap APP 4S bitumen membrane. Warranty: l0 -year material according to the manufacturer's written warranty (reflective coating required) and 5 -year labor according to the J &M Roofing Inc. written warranty. 4..- Install a new 1/2" firtex or equal composite type recover board over the roof area, attached as required by the manufacturer. 5,- Install an EPS Type I tapered insulation system. Slope 1/2 per foot. 6.- Per standard membrane flashing procedures, insert flashing membrane up and under siding or tnetal counter flashing, then seal off at roof deck, making sure that full adhesion is achieved at all laps, seams and edges. Old caulking will be removed and new materials installed if required. Wood siding will be re- nailed after lifting to fully secure materials. 7.- Install new 26 -gauge pre- painted perimeter edge metal using threaded galvanized neoprene washer nails. Color: Brown on lower of existing cap flashing. 8.- All drain rings, screens and clamps will be removed and cleaned, then reinstalled per manufacturer's specifications. It'any part ot'the drain cannot be reused, that part will be replaced at an additional charge. (Material only; no extra labor will be charged). 9.- All existing downdrop scuppers will be removed and discarded. new STAINLESS STEEL downdrop scuppers will be installed according to manufacturer's specifications. RECEIVED CITY OF TUKWItA Proposal Submitted to Best Western South Center Address 15901 W Valley Road City, State, Zip Tukwila, WA. 98188 Attention Sung Phone Number 425 - 226 -1812 Job Name Sane Job Description Flex Cap and Crickets Job Address ■s.. Same City, State Tukwila, WA Fax Number 425 - 255 -7856 Date 7/10/97 Bid No 97 -07 Quantity Crickets Source AP Estimator Del Lewin FLAT ROOF FLEX CAP US INTEC ADD CRICKETS AND ROOF ENTIRE ROOF I.- Clean existing roof by removing all debris. Nail. 'any loose roofing membrane and or cut down edges and protrusions in preparation for re- roofing. If during the cleaning or roof installation process, any indication of structural unsoundness is discovered, the contractor will immediately notify the owner. Any repair work not referenced else where in this proposal will only be done upon mutual agreement. 2.- Apply a 28 lb fiberglass reinforced base sheet with 2 "- side laps and 6 "end laps directly to the substrate and extend up all cantstrips at least 2" mechanically secure 9" of center at sidelaps and 18" on center in two Tines 12" from each edge. (Staggered) Mechanical fasteners used for securement shall be square head simplex nails of sufficient length to penetrate at least 7/8" in to substrate. 3.- Install per manufacturer's specifications, a modified Permaglas Flex Cap APP 4S bitumen membrane. Warranty: l0 -year material according to the manufacturer's written warranty (reflective coating required) and 5 -year labor according to the J &M Roofing Inc. written warranty. 4..- Install a new 1/2" firtex or equal composite type recover board over the roof area, attached as required by the manufacturer. 5,- Install an EPS Type I tapered insulation system. Slope 1/2 per foot. 6.- Per standard membrane flashing procedures, insert flashing membrane up and under siding or tnetal counter flashing, then seal off at roof deck, making sure that full adhesion is achieved at all laps, seams and edges. Old caulking will be removed and new materials installed if required. Wood siding will be re- nailed after lifting to fully secure materials. 7.- Install new 26 -gauge pre- painted perimeter edge metal using threaded galvanized neoprene washer nails. Color: Brown on lower of existing cap flashing. 8.- All drain rings, screens and clamps will be removed and cleaned, then reinstalled per manufacturer's specifications. It'any part ot'the drain cannot be reused, that part will be replaced at an additional charge. (Material only; no extra labor will be charged). 9.- All existing downdrop scuppers will be removed and discarded. new STAINLESS STEEL downdrop scuppers will be installed according to manufacturer's specifications. RECEIVED CITY OF TUKWItA 10.- Flash all vents, boxes and similar roof penetrations, following the manufacturer's flashing details for using a modified bitumen torch -on membrane. 11.- Seal and flash around all pipes, conduits, poles, and other roof penetrations using modified bitumen standard flashing techniques according to the manufacturer's specifications. 12.- Install 2" x 4" x 8" wood blocking under horizontal conduit or supply piping. Blocks will be anchored to pipes or conduits, after setting in place on a membrane pad. 13.- Relocate existing roof drains(s) to improve roof drainage to a mutually agreed location. All required pipe extensions will be coupled using tight line connections if routing is to be through interior spaces. 14.- All HVAC units will be lifted and the new roofing system installed underneath. Flash sleepers according to the manufacturer's specifications. All sleepers will be inspected and replaced if new ones are needed. There will be an additional charge when replaced. 15.- Install new lead pipe vents and flash according to the manufacture's standard specifications. 16.- During the course of this work, .1 & M ROOFING, INC., shall use all means necessary to maintain the work area, safe and in a orderly manner. All waste material shall be contained in one area as much as possible and removed from job site when all site when all work is completed. 17.7 In consideration for providing all equipment, labor and materials here in described, complete in accordance with the above specifications, for the contract sum of: $( 75,259.00) + Tax Payment to be made as follows: 100% Upon completion. ii-j,c cil;:e .>.; r.:? : t;ranAii;)iaii:;l':(i PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER MZ- 11.OIZ6 PROJECT NAME delC45+ Wr., SiG Iii DATE 8ii97 DEPARTMENT: BUILDING DIVISION FIRE PREVENTION PLANNING DIVISION' PUBLIC WORKS D STRUCTURAL El PERMIT COORDINATOR 0 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE COMMENTS NOT COMPLETE DUE DATE 14 4 NOT APPLICABLE TUES /TIJURS ROUTING: PLEASE ROUTE d NO FURTHER REVIEW REQUIRED El ROUTED BY STAFF EJ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) APPROVED I ! APPROVED W/ CONDITIONS REVIEWERS INITIAL DUE DATE NOT APPROVED (attach comments) l_--. DATE g' I I' CORRECTION DETERMINATION: DUE DATE APPROVED n APPROVED W/ CONDITIONS NOT APPROVED (attach comments) REVIEWERS INITIAL DATE (Car ifica ion of occuoancY :vaulted. )