HomeMy WebLinkAboutPermit D97-0004 - ASSOCIATED GROCERS - ROOF DAMAGE REPAIRCity of Tukwila
Community Development /'Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 032304 -9024
Address: 3301 S NORFOLK ST
Suite No:
Location:
Category: ACOM
Type: DEVPERM
Zoning: M2
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: UNKNOWN
Wetlands:
S i gnatur AL_ � 1/
Print Name:_i__I & L'
Contractor Licence No: WGCLAC *370N0
.0 South:
Sewer:
DEVELOPMENT PERMIT
�... (206) 431-3670
Permit No:
Status:
Issued:
Expires:
Streams:
End Time:
Fill:
D97 -0004
ISSUED
01/10/1997
07/09/1997
Occupancy: WAREHOUSE
UBC: 1994
Fire Protection: AUTO FIRE ALARM
.0 East: .0 West: .0
OCCUPANT ASSOCIATED GROCERS
3301 S NORFOLK ST, TUKWILA, WA
OWNER ASSOCIATED GROCERS
P.O. BOX 3763, SEATTLE, WA;98124
CONTRACTOR W G CLARK CONSTRUCTION Phone: (206) 624 -5244
408 AURORA AV N, SEATTLE WA 98109
CONTACT JACK ADAMS Phone: 206 624-5244
408 AURORA AVENUE NORTH, SEATTLE, WA 98109
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
REPLACE SECTION OF ROOF THAT COLLAPSED DUE TO SNOW
STORM:
****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Construction Valuation: $ 3,000.00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng.- Appr:
Curb Cut /Access /Sidewalk /CSS:
Fire Loop Hydrant: No: Size(in):. .00
Flood Control Zone:
Hauling: Start Time:
Land Altering: Cut:
Landscape Irrigation:
Moving Oversized Load: Start Time: End Time:
Sanitary Side Sewer: No:
Sewer Main Extension: Private: Public:
Storm. Drainage:
Street Use:
Water Main Extension: Private: Public:
**************************** * * * * * * * *•k * * * * * * * * * * * * * * * * * * * ** *Il * * * * * * * * * * * * * * * * * * * * * * **
TOTAL DEVELOPMENT PERMIT FEES: $ 127.84
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature:__ _ .15 D ate :
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 pef^mit.
IL/V Date : 1 _///)_fri
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.
I
Address 3301 s' N ORFOLK :ST Per rni t N a D97 - 000 4
Suite
nan
Te Sta I SSU E D'
Type. DE -VPERM Applied 01/03/1997..;
Parcel '# 032 -9Q,�4 s
Isued 011/1.0/.1997 •
*k.Ar.' *'k k: *'k * k * * * *k *: * kk*' *k* kk *7k *. *kk *k * * * *., *kk * kit,* * * *'k * * * *` * *k **kkk* * * *,k * * *kk*
ermi t ::Cond i;tions
1 No; changes, will be ad
me ,to the .p •l ans • • unless approved b_v the; •
Archi:t;ec
. .t of E ; ac i d the .TuKwi la Bui idina D. f:Vi..0.
2:. Electrical permits shall be`.obta;i- riedy :through:.the Washin
S ate Division of Liabor and Indus and 3.11 electrical
work will .b,e i nspec ted by that agepcy�• (243 6630).
3. All : 1 shal be }.. under separat pe rnli t i ss.ued by
Tu w 1 l ,f � 1 n t' • r .e ,t
he CI of
11 00:
a
st ructit n
a b.;la unt1
Anv e p,.ased' ins%ilat'ions aback'ing ' mater:i s hall -' have` ca Plane,
Spread, Rating of r25: or ^Less, and ,ma terial .sha11 t ,:bear� irde nti
t :i :cati6'n showing the. afi.r .performance rat ing`ther?eof
�cansirti'ct to: be :done . in conformance wi th approved
r�ement `of -•the Uri i:form Bu i. 1 di ng Code (i 94i •
Ed.ijti�on) as' amended(' Un °i Mec hanical Code .(1994` Edit ion).;
•an;d' Wash i ngt 'S on tame Ene Code C 1994 Ed:i t i on
V pl a 1 }i iii tiv of Per'mi t Tie. s.suance of ; a per °m i t. or app, a ,
, s , , � , .
ans, ;'sp * ecificati as
ons nd' compu,tat,ions, not •be py• :.:(•
,;to�.be per mi..t ;for , o;r; , an` , . approval :bf : any ; viol'a`tion
of • a y ,. of` the provisions.° o f° txhe' btii ld l ngr Acode: or, ofan , „;
athet� .o�rd 47,0 nce _ of the t jufi i sd ct �� No permit p esugii n g , a
u th4rhsityr: to violate or cancel the p o '
rud: ion of this
cod ''ha1i be oval id:. >� 'the •
nspect'ion: a nd 'appraved p:l`ans spiel l b'e
the • ioh si te pr i ar to start of ` any
these, docu are .to be maintained and ava,i i
i nal inspection appr.o;va1 is granted
Project Name/Tenant:
/�
Value of Construction: (o
Site Address: C N � City State /Zip:
3 7 3 0/ e ,1v , ! - - s-1-
Tax Parcel Number: 0O3 l �
n7n-At7 s -aoat1 t7 , ,
Property Owner:
Existing fire protection features: ❑ sprinklers raautomatic fire alarm ❑ none ❑ other (specify)
Phone:
Street Address:
City State/Zip:
Fax #:
Contact Person: J
/� `
1� d 04n s
Phone: zi
CD C/- 5 Z
Street Address:
City State /Zip:
Fax #:
Contractor: W u 1 G
c / k .
Gv
Phone: it z y S Z
(0
Street Address: / /�
`7
City State /Zip:
>�u r0 a /Y ve N . Se,74. ire .
Fax #:
Architect:
Phone:
Street Address:
City State/Zip:
Fax #:
Engineer:
� I
d h �
( /
�JV' I . vi .t/i/iii p - e� , s
Phone:
2O — 3 99e 3
Street ddress: / � / q City State /Zip:
/ f S'd 5 /a /Q - 4,i-e ti-v /pvA wick 9g
Fax #:
a06, - 92 /— 9 5ze 49
Description of work to be done: K pAc L. e 5 e 0*. 'o r- o` - kO 67" > Co 1I4� 5 cQ
Existing use: ❑ Retail ❑ Restaurant ❑ Multi - family aWarehouse ❑Hospital
❑ Church ❑ Manufacturing ❑ Motel/Hotel ❑ Office
❑ School /College /University ❑ Other
Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family a Warehouse ❑Hospital
❑ Church ❑ Manufacturing ❑ Motel/Hotel ❑ Office
❑ School/College /University ❑ Other
Will there be a change of use? ❑ yes C3I no
If yes, extent of change: (Attach additional sheet if necessary)
Will there be rack storage? ❑ yes 53 no
Existing fire protection features: ❑ sprinklers raautomatic fire alarm ❑ none ❑ other (specify)
Building Square Feet: existing I
Area of Construction: (sq. ft.) Lf5' 2 14/)'
; i (r,M
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes Ca no I
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
Commercial / Multi - Family Tenant Improvement / Alteration Permit Application
C'TPERMIT.DOC 7/9/96
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews may be determined by the Public Works Department)
❑ Channelization /Striping
❑ Land Altering 0 Cut
❑ Sanitary Side Sewer #:
❑ Storm Drainage
❑ Water Meter /Exempt #: Size(s):
El Water Meter /Permanent # Size(s)*
CI Water Meter Temp # Size(s):
❑ Miscellaneous
❑ Curb cut/Access /Sidewalk ❑ Flood Control Zone CI Hauling
cubic yds. 0 Fill cubic yds. ❑ Landscape Irrigation
❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Est. quantity:
gal Schedule:
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.
Date application accepted:
Date application expires:
Application tak (initials)
BUILDING OWNER OR AUTHO: _ED AGENT:
Signature:
Date: �__. 8-- y7
Print name:
4.1'ti.Ql D O
Phone: 624.3 -2
Fax Fax #:
Address «2K
/9u.-o e a_ g
City /State /Zip .
64/4,
#(
9
L
ALL COMMERCIAL /MULTI -FAIRY TENANT IMPROVEMENT/ALTRIATION PERMIT APPLICATIONS
MLLIP,9E SUBMITTED WITH THE FOLL ING:
ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT,
STRUCTURAL ENGINEER OR CIVIL ENGINEER
➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Complete Legal Description
❑ ❑ Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures
(Form H -13). Business Declaration required (Form H -10).
Five (5) sets of working drawings, which include :
❑ ❑ Site Plan (including existing fire hydrant location(s)
1. North arrow and scale
2. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements
3. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions
4. Location of driveways, parking, loading & service areas
5. Recycle collection location and area calculations (change of use only)
6. Location and screening of outdoor storage (change of use only)
7. Limits of clearing /grading with existing and proposed topography at 2' intervals extending 5' beyond property's
boundaries
8. Identify location of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of
use only)
9. Identify location and size of existing trees that are located in sensitive areas and buffer (TMC 18.45.040), of
those, identify by size and species which are to be removed and saved
10. Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change
of use only)
11. Location and gross floor area of existing structure with dimensions and setback
12. Lowest finished floor elevation (if in flood control zone)
13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H-
9).
❑ ❑ Floor plan: show location of tenant space with proposed use of each room labeled
❑ ❑ Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of
any hazardous materials; dimensions of proposed tenant space.
❑ ❑ Vicinity Map showing location of site
❑ ❑ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack
layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of
rack. Structural calculations are required for rack storage eight feet and over.
❑ ❑ Indicate proposed construction of tenant space or addition and walls being demolished
❑ ❑ Construction details
❑ ❑ Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of
water supply to sprinkler vault with documentation from contractor stating supply line will meet or
exceed sprinkler system design criteria as identified by the Fire Department.
❑ ❑ Washington State Non - Residential Energy Code Date shall be noted on the construction drawings.
❑ ❑ SEPA Checklist - if intensification of use (check with Planning Department for thresholds).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other
land use or SEPA decisions.
❑ ❑ Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County
Department of Public Health prior to submitting for building permit application. The Department of
Public Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5)
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no
contractor has been selected at time of application a copy of this license will be required before the
permit is issued OR submit Form H -4, "Affidavit in Lieu of Certificate of Contractor ".
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
1 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.
CTPERMIT.DOC 7/9/96
a
Q (4 4.,..1.4/ 03 91 p.
Pvment Method: CHECK 1cittticjri: W.G. CLARK CONST iriit: SLL)
.... • :
, ...„ .
• - T y u • - • ..• • - • . • .• •
!';••?'•:-:••••••• • . • • ••• • • • - • ::•
i . 41'11 di1 :•.•• .•••••• •
•
This Pnvmerit 127.84 Total LL Pmts: 127.84
.00
ki,4v4.4,.,44..A.4.*•*1**,ti 4,414 •
t
• BUILD INO •.110NRE8'..:
--NONRES 48.59
•••• ••••:
" .• • • • " . . . •
625 5 01/08 W.17 TOTAL 127.84
1.... ` INSPECTION RECORD
1 Retain a copy with permit
INSPECTION NO. ,. .
COMMENTS:
CITY. OF TUKWILA BUILDING DIVISION
6300, Southcenter Blvd., #100, Tukwila, WA 98188
Project:
Approved per applicable codes. I 1 Corrections required prior to approval.
PERMIT NO.
2061_43.1:3670
Inspector: J L J Date: I / ,
$42.00 REINSPECTION FEE REQUIRED. Prior to in pection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
PRO;IECT' .'
LOCATION "
Battle,
PURCH. ORD.
NUMBER
S 3o t oC
s C x 2.
• .•
1
C
57 1614 e. W. •
206) 282-0666 •
MAILING
ADDRESS
F L
JAN 29
,OMI+11INI(T'v
-SeP t tea,►
ATTENTION: t j
ASTM TEST METHOD (AS APPLICABLE)
EQUIPMENT IDENTIFICATION AND SIN (AS APPLICABLE)
PACIFfC TES.TIN LABORATORIES
EASTSIDE DIVISION
A 98119 11824 North Creek Parkway N. 0101 • Bothell, WA 98011
-0710 (206) 485.4244 •451.8436 • FAX (206) 485.4611
330∎ S, - Raxe.Ac Si
At11.6 6,vw - ( " p '401...- - 1734
TACOMA DIVISION
2402 Pacific Highway E. • Tacoma, WA 98424
(206)922.9299 • FAX (206)922.1512
REPORT NUMBER LR 10
PREVIOUS RPT. NO
PENINSULA DIVISION
10726 Silverdale Way N.W. 0105 • Silverdale, WA 98383
(206) 698.6650 • FAX (206) 698.6648
REPORTED%
BY e V . • DATE
REVIEWED
BY � :� DATE • O• 7
NUMBER 1)0•4 ..t "C� • NUMBER ATE -mod _ h
1
ARCHITECT "' "_ "" ":S. T::
ENGINEER \+C'� 1 -
CONTRACTOR
' 'This sport is provided for the information of the dent only. The reproduction of this report, by airy method. and its trarundfal to ■ third means, ex :• L �
ol Pacific Testing Laboratories, is prohibited.' Y PAY. by any except {n full, wfdtorA •
. 'This C rb1ation attests to the accuracy f the results obtained from the actual test o t n s
ry performed and/or observations made within the defined scope d the work. Certification shall not be aorntruad b
inspection, approval ar aoceptanoe,d other associated work or a warranty of design or workability . of the specification requiremwryJ • i
Certified by
PadflCTistina L'aborafories
r an:;+'S t r'h✓;y:sr".T. 3 i : i::t':>r Y: - x --1 ..: ist1 ;Y,`:•FLL ".'t::,f..t�a4.:.au�..' ':+3.,.:.f::N' :4..r,: k;r+.i`•�. s �
F1ELD•CONTACT: � t',.
r.= .
� :u DATE •
WORK CONFORMS . YES:
/C#'�IOJ.
•
JOHN D. GRIFFIN ENGIN T 1S, INC.
CEVIUSTRUCTURAL CONSUL' 1G ENGINEER
„ ■,* • 11680 SLATER AVENUE NE
KIRK, W3NCITON
! (206) 823. LAND ASIII FAX (206) 98034 821 -9408
ITEM
ALE COPY . --�- --
I understand that the Plan Check approvals are
su bject to errors and omissions and approval of
{,le "rn-- does not authorize the violation of any of conl
AoPted code or ordinance. � ns �c1«•+Powledge I.
Tractor's copy UapPC I t �
By
D }ate
SEPA ATr= PER1‘,11T
REQUIRED FC^:
,MECHANICAL
ELECTRICAL
❑ PLUMBING
❑ GAS PIPING
rITY OF TUKWILA
r'
INDEX
9602d a
PROJECT k :11-WD aPpot s SHEE
I MO! . t`1ORRAAL tro►T1to
DATE (_ '1 . 91 BY Z t
STRUCTURAL CALCULATIONS -
SHEET NUMBER
- Kt . fe,o
o x 4o ? A '
put LE)... —
racrrrorii Tess 64012-D
I, v
A WIr
01\1 0( ICY, '1 LJ [ lf}i , i i �,.l: ✓ '
N? ?ROVC 1 Expuim. i }�;i i ?t)
eu
AN 1996
t =r2 ALL. ■$61J
LW • W _G Ca.AR1iZ
CITY RECEIVED
JAN 081997
PERMIT CENTER
OF
-617
.,u...we.m.s.uev..vu.wbu.rr a+.t•vrt.+,au;.taia�rvax cirt�M.a :sv.�ac :arscwxarra.'�Mrmtirs, sugww.�wstr+ao..a.� D,.vwm...n...sr..n.- .,.....
•'s' ' JOHN D. GRIFFIN ENGINEERS, INC.
Civil /Structural Consulting Engineer
11680 Slater Avenue NE
KIRKLAND, WASHINGTON 98034
(206) 823-9903 FAX (206) 821.9408
1.10 `_ :r Or- ,Car 7m-4'r eauev V -. , 'E 4 S E 1j foul'
ase- 77 /S 01/1460, EO 44,4CE 4(4, C
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4. ,/ z
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0 0/ /3133f.v3 ?, !(v3 rTI -z. /
C
dS
SHEET NO. / OF �1
CALCULATED BY .7Z,6 .7Z,6 DATE / / l / 7
CHECKED BY DATE /
SCALE
JOB
4"
LAS s
.....effe2p ZA lib GoAO = 1
P e_ s /o psF.
/too .4'„ / 'k� h10 /NG
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P,PP RQVE
AN 8 1996
I • - LJ I V J
P u y� k s" ul IwSI -
gl}II..1�1NG _ / � o 0
R = 9.13 4
• •
e JOHN D. GRIFFIN ENGINEERS, INC.
Civil/Structural Consulting Engineer
11880 Slater Avenue NE
KIRKLAND, WASHINGTON 98034
• (206) 023-9903 FAX (206) 8214408
7 3 • 4
&L. t 113 2
I
(•ZieF biF,f ) ,&t\04) 1 .
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SHEET NO
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OF
CALCULATED BY •■•/ f/ DATE
CHECKED BY DATE
' SCALE
sle, se- q),For
aci
7... 2 se- 1 ott t
r=
rf)42-474AAA', t e_itc ut,t, 4 jut
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JAN B 1996
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01/06/1997 15 37 .;. 36073408
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WASOI PON No.V.1)t : rUbillMUrrl1 -Ia woo moire as. al2
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A1S4.1N$D1.144;. Dt.i41'; ANIMA Oit4lti.
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palms. ta 1M►N•derim tlrltrPM. Nisi as Oa NoMttY awl .
M� OM lI WIWI pairs tlui1a.11d balm Flttrlalsa I *elm M IW aim it
• NAME .. /7i i� Dew
nit* 1 j ,. 7ti1M: ,
NAME ia.
Dana
PIUM Tide:
N • . DS
FIRPk Tito:
I IRM; Ttalr Tai
111ban1 ma.iiI rai
:awe ern leme tlrwwrA.rr. ____ Omer
.4 StMetili
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NrIPt A� .kJlli- automatic . .
Prat:. Plate tWA
Wwrk Steel „ A � E7
mama & over but Ci
Par awn. Ptomain
-
Structural Welder
%twits Proms GMAW . Mstut Stmt- awomatjc . .
Foam Plate Pwhlaa FRY venial Praowra„ Up .
meow: Steel raw Tor. E70S-X
Mama Raw 1B " -3/4" kit Groove & Fillet
!.clan{ Rewind Fat caapl.I. Primula Wails/ Yes
(350) 3504484, FAX; (360) 3514057
7157 Guide Meridian, Lyndon, WA 911204, Contractor Registration 0 SCH0021110
:� w;+J uS :,.r:= Xwi "i,Nitiidi Sep .,'A�Fi.€,i4, "•,Lid`2'r'"Sii'. *ry:i'.1''t�;�r i}' ti`,;;.� u � St�!c .2ri' :ai �kf ru,` iit2. • 3 .r t H ,
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LOCATION
LR 89-2
LI j- sL
ASTM TEST METHOD (AS APPLICABLE)
EQUIPMENT IDENTIFICATION AND SIN (AS APPLICABLE)
Certified Report by
Pacific Testing Laboratories
PACIFIC TESTIN LABORATORIES
EXECUTIVE OFFICES EASTSIOE DIVISION TACOMA DIVISION PENINSULA DIVISION
3257 16th Pm. W. • Swale, WA 96119 11824 North Creak Parkway N. #t01 • Bothell, WA 98011 2402 Pacific Highway E. • Tacoma, WA 96424 10726SilverdIIe Way N.W. *105 • Silverdale, WA 96383
(206) 282.0666 • FAX (208) 2520710 (206)485 - 4244.451.8436 • FAX (208) 4854611 (206)922.9299 • FAX (208)922.1512 (206)6988650 • FAX (206)696.8648
�,+� Z 71 REPORTElb lj)(� lei DATE (:' C j
X �'" (G' 5 BY 1 r ' `� .1W ll (6.
ADDRESS ' lU \5 , IS)L''Q R► 4, SI" , BYVIEWED DATE / /
5 -A i,.L W
E ck . NU MB R to/ A. NU B q60 ^ 1 �0QV O
ATTENTION: 1").:.s.1 `•, tN L ARCHITECT Q c /
PROJECT ' ENGINEER �"� �, e 1 c,.tIJ 7 tJy � ,...4 1
NUMBER CONTRACTOR
1.t�.�I r1 r •' .t• l.vt11
PURCH. ORD.
= L')
., I4-). - `!O __±Ls2 1 3aq
( : ) r4 -c
E.C•■(.4 f.,ek .j'") GI- 5 -1 , 5' - 41 " c)
13C
e k 14 A..lue-c< 'NJ Y31/
L411 i\e(ctitpi
Eli Lt.) '30
FIELD CONTACT: DATE
7. 5 v w .`. p r 'lCv � ''F..�i`AI ue "it,7
(SPORT NUAA R LR 108777
PREVIOUS RPT. NO
(%) C L -rc,„#
riJ ' •'
BOILU
WORK CONFORMS YES O ❑
'This report is provided for the Information 01 the client only. The reproduction of This report, by any method. and Its transmittal to a third pony, by any means, except In full, without the written permission
01 Pacific Testing Laboratories, Is prohibited."
"This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work. Certification shall not be construed to represent
Inspectlon, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements."
RECEIVED
DATE • CITY OF TUKWILA
JAN 0 8 1997
PERMIT CENTER
ACTIVITY NUMBER D97 -0004
PROJECT NAME ASSOCIATED GROCERS
DEPARTMENT:
B UILDING DJ N J FIRE f P VENTION El 1 DIVISION ❑ OIS
PUBC� / W ORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR II v+--1
NA 1
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE ID
COMMENTS
REVIEWERS INITIAL
REVIEWERS INITIAL
Ptrm* word' +naloY Cop'j
PLAN REVIEW / ROUTING SLIP
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
APPROVALS OR CORRECTIONS: (ten days)
APPROVED ❑ APPROVED W/ CONDITIONS ❑ . NOT APPROVED (attach comments) fl
CORRECTION DETERMINATION:
NOT COMPLETE ❑
DATE
DATE
DATE 1/08/97
DUE DATE ASAP
NOT APPLICABLE ❑
DUE DATE ASAP •
DUE DATE
APPROVED I I APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL DATE
C:ROUTE -F
(Cerd1cation of occupancy required.
REVIEWERS INITIAL
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
•
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0004 DATE 1 /08/97
PROJECT NAME ASSOCIATED GROCERS
DEPARTMENT:
BUILDING DMSION r FIRE PREVENTION PLANNING DIVISION' 0
PUBLIC WORKS STRUCTURAL PERMIT COORDINATOR Q
1
4
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE NOT COMPLETE El
DUE DATE ASAP
NOT APPLICABLE E
COMMENTS ' ()01, e- Y
TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF Ej (If routed by staff, make copy to master file & enter Sierra.)
DATE
DATE
5
DUE DATE ASAP •
3
APPROVALS OR CORRECTIONS: (ten days)
APPROVED APPROVED W/ CONDITIONS cSr NOT APPROVED (attach comments) 0
Z
1
DUE DATE
APPROVED APPROVED W/ CONDITIONS Ill NOT APPROVED (attach comments) 0
DATE
C:ROUTE -F eincurerva 4 A 1 Y
.
(Certification of occupancy rcquiced. )
(360) 3988484, FAX: (360) 398.2657
7167 Guido Meridian, Lyndon, WA 98264, Contractor Registration 0 SCHOLI•2111(6
This letter is at the request of Mr. Jack Adams, W.G. Clark. The roo f. repairs we are
to perform qualifies for a Class A system.
TOTAL. P.O1