HomeMy WebLinkAboutPermit D97-0014 - PHAN RESIDENCE - WALLS AND DOORSCity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEVELOPMENT PERMIT
WARNING:
Parcel No:
Address:
Suite No:
Location:
Category:.
Type:
Zoning:
Const Type:
Gas /Elec.:
Units:
Setbacks:
Water:
Wetlands:
336590 -0227
14001 57 AV S
220
AOFF
DEVPERM
C2
III 1 HR
Contractor License No ::
IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
001
North: .0 South: .0
N/A Sewer: N/A
Slopes: N
OCCUPANT PHUC PHAN
14001 57 AV S, TUKWILA, WA 98168
OWNER INTERURBAN ASSOCIATES
13975 INTERURBAN AVE S, SEATTLE WA 98168
CONTACT DONALD A. MOODY Phone: 206 865 -8437
16443 SE 35TH STREET, BELLEVUE, WA 98008
k**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
CONSTRUCT TWO SHORT WALLS AND CHANGE TWO DOORS.
FILL IN SPACE THAT HAD SLIDING DOOR.
k**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Construction Valuation: $ 2,300.00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr:
Curb Cut /Access /Sidewalk /CSS:
Fire Loop Hydrant: No: Size( .00
Flood Control Zone:
Hauling: Start Time: End .Time:
...
Land Altering: Cut: Fill:
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:
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * **
TOTAL DEVELOPMENT PERMIT FEES: $ 123.34
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature:
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: ;;;"..573."' Date: / 7— 7
Print Name:
Permit No:
Status:
Issued:
Expires:
(206) 431 -3670
Occupancy: OFFICE
UBC: 1994
Fire Protection: AUTO FIRE ALARM
East: .0 West: .0
Streams:
D97 -0014
ISSUED
01/27/1997
07/26/1997
4 Date: = 27 -6 --
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.
A
S .u. i t,
T
' T ype DEVPE
Parcel , # 33659 ,k*** ;**-k****
*: * * * it .
° Canditiona
1'. No cha nges `will be made to the plans unless :approved by t he
Archite or Engine'er Building Division
Electr permits shall be' obt .through the Washinatori
St ate`Divi ion of,l.,abci,''and :In this tries' "ar1'd all. eie t:r.ical
work wi`:ll be insbeot`.ed by t hat t agency '
3. r Al;l per.:mits. ,�ns'pe`otion r�eco ;arid. approved p 1a ti? snail be;
available at,��t;he iob site pr of to thte st;ar any�rcon
s t,>"uction »;Theses dig "eumepis are to be. mai'ntainea a nd evai 1
able until fitta:l ins ection apo `is grant'e'.d' '
4;. Al:l medianrca�T wonl� :steal i be'. under separ.ate,:permi .iclued by.
the Gity o.f
5 Any new ceiling gri anti, : fi xture insta1
r soui,red to meiet,.lateral: br'a.c n requiremen • for 'Seismic
Parti tion walls attached to c e i l i n g :�igrid must "be l ','ateral l v.
bra ed ih aver e cht t:g) f eet in length '
Al co,nstr °action a' be done ir, confor mance with apps owed
pl h 'and t eouint�enen.t3 'of zthe 'Urr arm Bu Code (1,994
Edi fort as amended .,� Untfor Mecha C.ode:'(199 Edition)
and Vas natal" 'State Ene.rgy\Code•.(1994 Edition).
Validity of P�ermi t Th:e fi ssuance of 'a o it or approva t =a
of n s "spec:�f catir,t�n: ,Fand'comouta shal l :riot ..be • con ,
tr�ue toy b;e a" perni�'t {f'oir or� an: >apors val .of a ny. viol. tion
ai.. qty c the
r p rovisions of , they building cads= -, o of any
othe Aor 4)1i nce' of .the iurisdicti ?' No mi't pea ng t
thcr;;itty to violate or cance1''the, p;r;ovi ions
Ode ` s.tal 1" be ' va PIA
VENTILATION IS REOUIRED FOR ALL AND',SPACES OF NE'+i'
OR. EXI T NG BUILDINGS. IN CONFORMANCE WITH' THE`. UNIFORM
BUILDING, CODE AND THE. STATE VENTILATION A ND.
INDOOR AIR i;QUAL�•ITY, CODE.: "CHAPTER 51= 1,3.'WAD
.111.:_MAINTIAN 1-HR. ;CONSTRUCTIO
5z : A
Status ISSUED
Applied: 01/21/1997 ,
Issued: 01/27/ 1997-
* * * ** * * * *`4 * * ** k* k * * * * *k k k **k*** k*•,F k. * ** k * ** k*
Project NamefTenant: � �
Pm tic Phan Su ( �• e Q
Value of Construction:
$2,300 + WSST
Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital
❑ Church ❑ Manufacturing ❑ Motel /Hotel 56 Office
❑ School /College /University ❑ Other
Site Address: 14001 �Eg�
14001 57th Ave. South, Tukwila,
Tax Parcel Number.
336590 - 0227 -09
Will there be rack storage? ❑ yes Igi no
Property Owner:
Western Pacific Properties, Inc.
Ph (206)
865 -8437
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
Street Address: City State/Zip:
16443 SE 35th Street, Bellevue, WA 98008
Fax #:
(206)
865 -8456
Contact Person:
Donald A. Moody
Phone:
(206)
865 -8437
Street Address: City State /Zip:
16443 SE 35th Street, Bellevue, WA 98008
Fax #:
(206)
865 -8456
Contractor:
Brian C. Nelson Construction
Phone:
850-9564
995 -6087
pager
Street Address: City State/Zip:
22620 94th Avenue South, Kent, WA 98031
Fax #:
850 -9564
Architect: NA
Phone:
Street Address: City State /Zip:
Fax #:
Engineer: NA
Phone:
Street Address: City State/Zip:
Fax #:
Description of work to be done: /- /CL /A) s /'/1 - 7N' - iil 4 -SL I Ur AA—,iJ f64_, ,
u it. D %lti?D 5//01J (A)41..L. S /4-N C.I-IAtG- 14.30 Doo&,S
Existing use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital
❑ Church ❑ Manufacturing ❑ MotelHotel tp Office
❑ School/College /University ❑ Other
Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital
❑ Church ❑ Manufacturing ❑ Motel /Hotel 56 Office
❑ School /College /University ❑ Other
Will there be a change of use? ❑ yes fill no
If yes, extent of change: (Attach additional sheet if necessary)
Will there be rack storage? ❑ yes Igi no
Existing fire protection features: ❑ sprinklers ga automatic fire alarm ❑ none in other (specify)
Building Square Feet: 4,760 existing
I Area of Construction: (sq. ft.)
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
CTPERMIT.DOC 7/9/96
CITY OF 7' IKWILA
Permit Center -
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Commercial / Multi - Family Tenant Improvement / Alteration 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.
APPLICANT REQUEST FOR PUBLIC. WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews may be determined by the Public Works Department)
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Flood Control Zone
Cl Land Altering 0 Cut cubic yds. 0 Fill cubic yds.
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension
❑ Water Meter /Exempt #: Size(s): 0 Deduct
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal
❑ Miscellaneous
❑ Hauling
❑ Landscape Irrigation
O Private 0 Public
O Private 0 Public
0 Water Only
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:
I ` 1 c'"1
Date application expires:
Application tak : (initials)
BUILDING O • (J HORI�i
Signature: (JL 4/ // EDAGENT:
.l 7171
Date: JA„tx, yl
7
/ �l '
Print name: 4 /j .d `
r�CJC.Jw(G•n Ut>
Phone:
S- � 5(// 3? Fax It. �/
� i (1 C�J�
( /
� 7� S_C-7
Address
.. .: /,j , s e .3 $ /
e�
City/State/Zip 0 ei
‘A;(:, 6-
ALL COMMERCIAUMULTI -FAY TENANT IMPROVEMENT /AL ATION PERMIT APPLICATIONS
MU BE SUBMITTED WITH THE FOLL • WING:
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
Y BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMI TED
❑ Complete Legal Description
ft" ❑ 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 ? SJsets 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).
El Floor plan: show location of tenant space with proposed use of each room labeled
❑ Tr 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.
CI E Indicate proposed construction of tenant space or addition and walls being demolished
Cl 7 Construction details
Pr ❑ 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.
a ❑ Washington State Non - Residential Energy Code Date shall be noted on the construction drawings.
LYJ ❑ 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 / 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
ACTIVITY NUMBER D97 -0014 DATE 1/21/97
PROJECT NAME PHUC PHAN
DEPARTMENT:
r�rl
BUILDING ` �� I MSION FIRE PREVENTION ❑ PLANNING G DIVISION ❑
n G PU BLIC � WORKS ST a3 " ❑ PERMIT C O OR D IN ATOR
Ia3Ig'1 tiI:-
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE ❑ NOT COMPLETE El
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
t
I
APPROVALS OR CORRECTIONS: (ten days)
APPROVED 11 APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
ety mi t C.00r�t nMov Copy
PLAN REVIEW / ROUTING SLIP
DATE
DATE
DATE
DUE DATE 1/23/97
NOT APPLICABLE ❑
DUE DATE 2/06/97
I
DUE DATE
APPROVED r7 APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) 0
(Certificadon of occupancy required. )
ACTIVITY NUMBER D97 -0014
PROJECT NAME Piauc PIHAN
DEPARTMENT:
BUILDING DIVISION r FIRE PREVENTION El PLANNING DIVISION El
PUBLIC WORKS STRUCTURAL El PERMIT COORDINATOR Q
J
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE
COMMENTS
PLAN REVIEW / ROUTING SLIP
TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
C�
REVIEWERS INITIAI. L2 DATE VS3
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
DATE
DATE
NOT COMPLETE [ • NOT APPLICABLE Q
DUE DATE 1/23/97
DUEDATE 2/06/97
APPROVED I J APPROVED WI CONDITIONS NOT APPROVED (attach comments) fl
DATE 1/21/97
1'
DUE DATE
APPROVED [3 APPROVED W/ CONDITIONS 111 NOT APPROVED (attach comments)
(Certification of occupancy required. )
PROJECT NAME
DEPARTMENT:
BUILDING DMSION
PUBLIC WORKS
COMPLETE
APPROVED
REVIEWERS INITIAL
APPROVED ❑
REVIEWERS INITIAL
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0014
5yo
PHUC PHAN
9
DETERMINATION OF COMPLETENESS: (T,Th)
NOT COMPLETE ❑
FIRE PREVENTION PLANNING DIVISION' ❑
STRUCTURAL ❑ PERMIT COORDINATOR ❑
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE E NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL. DATE 7— Z 3— %7
APPROVALS OR CORRECTIONS: (ten days)
CORRECTION DETERMINATION:
DATE
DATE
DATE 1/21/97
DUE DATE 1/23/97
NOT APPLICABLE ❑
I
DUE DATE 2/06/97
APPROVED W/ CONDITIONS O. NOT APPROVED (attach comments) fl
DUE DATE
APPROVED W/ CONDITIONS rj NOT APPROVED (attach comments) 0
(Certification of occupancy required. )
ACTIVITY NUMBER D97 -0014
PROJECT NAME PHUC PHAN
DEPARTMENT:
BUILDING DMSION
PUBLIC WORKS
COMPLETE
COMMENTS '
REVIEWERS INITIAL
REVIEWERS INITIAL
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
DETERMINATION OF COMPLETENESS: (T,Th)
NOT COMPLETE ❑
APPROVALS OR CORRECTIONS: (ten days)
CORRECTION DETERMINATION:
DATE 1/21/97
FIRE PREVENTION ❑ PLANNING DIVISION
STRUCTURAL ❑ PERMIT COORDINATOR ❑
I
DUE DATE 1/23/97
NOT APPLICABLE ❑
TUES /THURS ROUTING: PLEASE ROUTE n NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
DATE ( 'r' , q7
DUE DATE 2/06/97
APPROVED 11 APPROVED W/ CONDITIONS ❑. NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL DATE
DATE
DUE DATE
APPROVED ❑ APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
(Certification of occupancy required. )
ACTIVITY NUMBER D97 -0014 DATE 1/21/97
PROJECT NAME PHUC PHAN
DEPARTMENT:
BUILDING DIVISION ❑ FIRE PREVENTION ❑ PLANNING DIVISION ❑
PUBLIC WORKS i STRUCTURAL ❑ PERMIT COORDINATOR ❑
4
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE ❑ NOT COMPLETE L___I
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED IX
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 2/06/97
APPROVED n APPROVED WI CONDITIONS ❑ . NOT APPROVED (attach comments) El
REVIEWERS INITIAL
CORRECTION DETERMINATION:
C:ROUTE -F
�.. Cam--' DA TE 12 1 9 7
DATE
PLAN REVIEW / ROUTING SLIP
REVIEWERS INITIAL DATE
DUEDATE 1/23/97
NOT APPLICABLE ❑
..1
DUE DATE
APPROVED ❑ APPROVED WI CONDITIONS ❑ NOT APPROVED (attach comments) ❑
(Certification of occupancy required. )
I
****k * * * * ***** ****l k** h****** 4 k****l och * *Ah *s1*k* *:k*k ** *h* **:t*k*
CITY OF TUKWILA. WA C, — �r
-00 `'I TRANSMIT
* * * * * * * * *k*k * **k * * ***•k * h* k**** h* k***kk * *kk * *k•k*****:kk.kkA * *
TRANSMIT Number: R9700532 Amount: 127.84 01/217577.08 :57.:
Payment Method: CHECK Notation: NEVER PACIFIC Ini t: SLB
Permit : tta; « D 9 -0014 Type: DEVPERM' . DEVELOPMENT. PERMIT
Par 'No: 335590 -•0227
Site Address: 14001 57. AV. 5 ..
Total Fees: 127.84
'127.84. Totati'ALL Pmts :. 127.84
,.... Calance: .00
** A* *1t•A* k* A ******* *** * *s1:A ** * ***;kW,*:A11 * *fir * * * ****** * * * ** ** *A A **
Account Code
00
000/345.830
000/386.904
. • Oe"scr tut o '. • r • .
:BUILDING tl,QNRE
PLAN ,CHECK NONUES
' 'BUILDING SURCHARGE
. Amount
74.75
48.59
4.50
6; 01/21 9617 TOTAL 127.84
ProjectFA T
Type of insp ction:vi
Ilros si p tki
Date called:
S —
pecial instructions: ,
CRU-etZri 14 Et-Pt9
Date wanted: i - a.m.
# — tP
Requester: DE(,AI\1 1, 1 elsol
OCIZI cic16 - otog7
r4,ri;116.1117:17..1sc'r''' •
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
4206)431-3670
pproved per applicable codes.
I I
Corrections required prior to approval.
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[Receipt No.:
. 1, L.
Date:
INSPECTION NO. <
CITY OF :TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Date called:
Phone No.:
PERMIT NO,
(206) 431 -3670
Approved per applicable codes: Corrections required prior to approval.
Inspector:
Date: '
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
4
LA. el _
6.4 217 a
Approved per applicable codes.
COMMENTS:
T' INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY (JO TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
Project: Type of inspection:
Address:. Date called:
Special .Instructions: Date wanted: ,
Requester:
Phone No.:
>g
(206) 431 -3670
g Corrections required prior to approval.
Date:
.
j)nsPector:
I
$42.6f FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
.
...., -.:&41 x1% :94N.'nii.'Arii Eldadtli e4.�ta'G!ItJ�....'. a.. a.M.�r�w�+r,.a.sA'o..W�r -�. �wfxk._•_...L x...:.C. S'� "tk.rka:�i u:£,b
Project:
Type of ins pr} �,,
qubi. 6:7 A S
Date called:' _ 21 97
Special instructions: ,
.
Date wanted _ z - "7
9 1
O �
� c,pp..m`.
t
Requeste i0it'Vv t�tt..Ls"
(peril 0.: ct q g 6 osi
1 INSPECTION . RECORD '.
Retain a copy with permit f11- OO)
PERMIT NO. /
INSPECTION NO.
CITY OF TUKWILA BUILDING .DIVISION
6300 Southcenter Blvd., #1'00•Tukwila, VVA 98188
Receipt No.:
CO
Inspector
11
proved per applicable codes.
(206) 431 -3670
Corrections required prior to approval.
Date:
$4 • FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
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