HomeMy WebLinkAboutPermit D05-035 - CAMACHO RESIDENCE - FIRE DAMAGE REPAIRCAMACHO RESIDENCE
14012 MILITARY RD S
D05-035
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City oY ukwila
DEVELOPMENT PERMIT
Parcel No.: 6099400020
Address: 14012 MILITARY RD S TUKW
Suite No:
Tenant:
Name: CAMACHO RESIDENCE
Address: 14012 MILITARY RD S, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractoi
CAMACHO REGULO
11823 25 AV S, SEATTLE WA
MARK ]ONES
P.O. BOX 766, BOTHELL WA
DRUHAN CONSTRUCTION INC
PO BOX 766, BOTHELL WA
- License No: DRUHACI992JB
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D05 -035
02/17/2005
08/16/2005
Phone: 206 387 -1399
Phone: 206 387 -1399
Expiration Date: 04/06/2008
DESCRIPTION OF WORK:
REPAIR FIRE DAMAGE INCLUDING REPLACING WHOLE ROOF (INCLUDING TRUSSES) , WINDOWS, SHEET ROCK,
INSULATION AND ELECTRICAL.
Value of Construction: $60,000.00 Fees Collected: $1,464.39
Type of Fire Protection: NONE International Building Code Edition: 2003
Type of Construction: VB Occupancy per IBC: 0022
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Flood Control Zone:
N
Hauling:
N
Land Altering:
N
Landscape Irrigation:
N
Moving Oversize Load:
N
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Storm Drainage:
N
Street Use:
N
Water Main Extension:
N
Water Meter:
N
Permit Number:
Issue Date:
Permit Expires On:
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: cOukwilama.us
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 C.Y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
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doc: IBC - Permit D05 -035 Printed: 02 -17 -2005
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: cOukwila.wa.us
i�
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number D05 -035
Issue Date: 02/17/2005
Permit Expires On: 08/16/2005
Permit Center Authorized 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 provisions of any other state or local laws
regulating construction o r the performance of work. I am authorized to sign and obtain this development permit.
Signature:
U, k : 0V---s Date: 2 t 1 0:s
Print Name: " " 0 ``�v`— �G � �e
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.
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doc: IBC - Permit D05 -035 Printed: 02 -17 -2005
,.... Cit of Tukwila
Egos
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 6099400020 Permit Number: D05-035
Address: 14012 MILITARY RD S TUKW Status: ISSUED
Suite No: Applied Date: 02/01/2005
Tenant: CAMACHO RESIDENCE Issue Date: 02/17/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall
bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site
and available to the building inspector for inspection purposes.
6: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
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doc: Conditions 005 -035 Printed: 02 -17 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. 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 work or local laws
1 regulating construction or the performance of work.
Signature:
Print Name:
Q) V\-.
Date:
doc: Conditions D05 -035 Printed: 02 -17 -2005
t Aw CITY OF TUKWILA, --
'�� Community Developmer epartment
Public Works Department
Permit Center
19011 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
1 ;
i
SITE LOCATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
CONTACT PERSON
King Co Assessor's Tax No.: 6e !VD - 0a ?d
Site Address I� 10\2 t � k a �l �C� S. Suite Number: Floor:
Tenant Name: ( �! !lL�o New Tenant: ❑ .... Yes [:]..No
Property Owners Name: G �� o \U� G ✓� r.{ �v� O
Mailing Address: IC K Z Z 3 Z S g ( a
City State Zip
Name: M GA_ DalIy Telephone: ?_ C3( 0 ?527J — 1 3 9 9
Mailing Address: P O aaX - l( o U a(�� 1 L\,)A CIg0 -1 I
11 11 II City State Zip
E -Mail Address: a ✓ U�, f o v\�t V in L�r y�� y2 v . Zcrn , wz. c Fax Number: � L( T UZ B V
GENERAL CONTRACTOR.INFORMATION (Mechanical Contractor information on back page)
ARCHITECT OF- RECORD..- All plans must be wet stamped by Architect of Record
Company Name: ✓ L.�,a �. Cs nnS�v U C.yt ILnC_
Mailing Address: V C) - 7cpCv
City state Zip
Contact Person: V\/,\ G ✓lL 7�0ti, -e -_�> Day Telephone: ZOCn `� - 7 - (3ct 9
E -Mail Address: CAV'UL^ct v, C u vs Av LA J v..v " ; V\_Q Fax Number: SCE Lt _)Z- Q_1R
Contractor Registration Number: M 0 6A A C I G5 Z- _S 0> Expiration Date: 9 I QK
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
;ENGINEER OF.RECORD -All plans must bemet stamped:by. Engineer of Record.
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
City State .Zip
Contact Person: Day Telephone:
E -Mail Address: _ _ Fax Number:
\permits pluslicc chanScs*rmit application (7.2004)
Page I
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$UILDING PERMIT INFQi MA N -= 206- 431 -3670
Valuation of Project (contractor's bid price): $ (_00 Existing Building Valuation: $
Scope of Work (please provide detailed information):
I� 4-J� V Q� 1. t'��t�n � �,._p, `1 r t >`.J� �U +� ��5J` �Q- �.`t U C�l� ` t � S .\ � G•�V' � �T�/� �- e LO L'tv„��G„ V
Will there be new rack storage? []..Yes [. No If "yes ", see Handout No, for requirements.
Provide All Building Areas in Square Footage Below
-C
Attached ,Carport
Detached Carport
Covered
Uncovered Deck
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq f3): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑..Sprinklers []..Automatic Fire Alarm []..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? Cl.. Yes ❑ ..No
If "yes ", attach list of materials and storage locations on a separate 8 -112 x I I paper indicating quantities and Material Safety Data Sheets.
1pennits plusVcc changalpermit application (7.2004)
Page 2
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Existing R
Interior E
Addition to T
New p
Type of T
Type of .
0 Floor (
(e
2r Floor
3t Floor
Floors thru
Basement .
Accessory Structure* .
Attached Garage
'Detached Garage -
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq f3): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑..Sprinklers []..Automatic Fire Alarm []..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? Cl.. Yes ❑ ..No
If "yes ", attach list of materials and storage locations on a separate 8 -112 x I I paper indicating quantities and Material Safety Data Sheets.
1pennits plusVcc changalpermit application (7.2004)
Page 2
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Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
PUBLIC WORKSTERMIT INI RMATION - 206- 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila El ... Water District # 125 ❑ .. Highline ❑ ...Renton
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate ❑ ... Sewer Availability Provided El.. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
a ❑ ...Civil Plans (Maximum Paper Size— 22" x 34 ")
3 ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report J p ❑...Traffic Impact Analysis
❑ ...Bond El.. Insurance El.. Easement(s) El.. Maintenance Agreements) ❑ ... Hold Harmless
f
f Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ .. Work in Flood Zone
El.. Storm Drainage
❑ ...Sanitary Side Sewer . El.. Abandon Septic Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Pavement Cut
❑ ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection "
Irrigation "
Domestic Water "
❑ ...Permanent Water Meter Size... WON
❑ ...Temporary Water Meter Size.. WON
❑ ... Water Only Meter Size............ WON
❑ ...Sewer Main Extension ............ Public Private
❑ ... Water Main Extension ............. Public Private
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ... Deduct Water Meter Size........
M
FINANCE INFORMATION
Fire Line Size at Property Line _
0—Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Day Telephone:
Mailing Address:
City State Zip
Water Meter RefundBilling:
- Name: Day Telephone:
Mailing Address:
City State Zip
%permits pluslice changes%permit application (7 -2004)
Page 3
Number of Public Fire Hydrant(s)
❑ ... Sewage Treatment
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MECHANICAL PERMIT INFOF•' - ATION - 206-431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
Commercial:
Fuel Type Electric
New ... ❑
New .... ❑
.❑ Gas .. ❑
Replacement..... ❑
Replacement..... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Unit Type:
Qty
Boiler/Compressor:
Q
Furnace <100K BTU
Air Handling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended/Wall/Floor
Ventilation'System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
- System
Air Handling Unit
Incinerator — Comm/Ind
Other Mechanical
<10,000 CFM
Equipment
PERMIT APPLICATION NOTES _. Applicable to all permits in this application
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.
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 R Og HORIZED AGENT:
Signature: Date: Z y�
Print Name: uv`� Day Telephone: Zvi- 3S - 7 c �
ailing Address: PD Q�y_ -- I(" ( - p ( I L.\'A �% y - k �
City State Zip
Date Application Accepted: I Date' Application Expires: I Staff Initials:
EWE
\permits pluslicc chanit0permit application (7.2004)
Page 4
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 6099400020 Permit Number D05 -035
Address: 14012 MILITARY RD S TUKW Status: APPROVED
Suite No: Applied Date: 02/01/2005
Applicant: CAMACHO RESIDENCE Issue Date:
Receipt No.:
ROS -00247
Payment Amount:
889.28
Initials:
SKS
Payment Date:
02/17/2005 03:41 PM
User ID:
1165
Balance:
$0.00
j Payee: DRUHAN CONSTRUCTION
TRANSACTION LIST:
Type Method Description Amount
Payment Check 093 889.28
i ..
ACCOUNT ITEM LIST:
f Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
�' BUILDING - RES 000/322.100 884.78
STATE BUILDING SURCHARGE 000/386.904 4.50
t
Total: 889.28
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0049 02/18 9716 TOTAL 889.2B
j doc: Receipt Printed: 02 -17 -2005
Cit y Tukwila of
i9Q0
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 6099400020
Address: 14012 MILITARY RD S TUKW
Suite No:
Applicant: CAMACHO RESIDENCE
RECEIPT
Permit Number: D05 -035
Status: PENDING
Applied Date: 02/01/2005
Issue Date:
Receipt No.: R05 -00123
Initials: SKS
User ID: 1165
Payment Amount: 575.11
Payment Date: 02/01/2005 02:31 PM
Balance: $889.28
Payee: DRUHAN CONSTRUCTION INC
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------------- ------ - - - - --
Payment Check 2652 575.11
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PLAN CHECK - RES 000/345.830 575.11
Total: 575.11
9463 02/02 9710 TOTAL 575-ii
doc: Receipt Printed: 02 -01 -2005
INSPECTION RECORD i �
3 Retain a copy with permit •L.��
INSPECTION NO. PERMI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projec
Type of InpEe ction:
Address:
z m" i/
Date Called: /
i.� - -v
Special Instructions:
Date Wanted: m.
S_- --.a- p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
/o l="inl
11 ector:
T - e - 4 Anew
Date:... i
$ ' 0 REINSPECTION EE REQUIRED. V to inspection, fee must be
p at 6300 Southcenter Blvd., Suite 10 all to sechedule reinspection.
Receipt No.: ' Date:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE I
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes
COMMENTS:
Projec
Type of Inspectii :.
Addrress: 77 l /
e Called:
Special Instructions:
Date Wanted: ,
Requester:
Phone No:
Receipt No.: Date:
Corrections required prior to approval.
$58.00 REINSPECTION P EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cal( to sechedule reinspection
e
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INSPECTION RECORD
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INSPECTION NO. I No.
C ITY OF TUKWILA BUILDING DIVISION
6 , 300 Southcenter Blvd., #100, Tukwila, WA 98188 24431-3670
Project:
Typeanspecti
Address:
Ml 1 /
Date Called:
Special Instructions:
date Wanted: a.m.
Requester:
Phone No:
elpt No.: 4, —Date:
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Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
elpt No.: 4, —Date:
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INSPECTION RECORD
Retain a copy with permit PE T NO
INSPECTION NO. PE T NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (?2,, 1-3670
"r ject:
Ty a of Ins ect
"oo
Pd esi-
-AU
D te
3/D
ial Instruction t:
S4-
Date Wanted:
2
r !>
:
Requester:
1�dalb4-�
Phone No:
960-321-
k Approved per applicable codes. Corrections required prior to approval.
'COMMENTS:
Inspecto Date
$58.OeREINSPECTIONtOE REQUIRED. Prior to Inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaLl to sechedule reinspection.
I Receipt No.: I Date:
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INSPECTION RECORD
Retain a copy with permit ��
INSPECTION NO. PE O
CITY OF TUKWILA BUILDING DIVISION ti
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
�I
Project:
O
Type of Inspection:
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INSPECTION NO. PE k 6)431-3670
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -035 DATE: 02 -01 -05
PROJECT NAME: CAMACHO RESIDENCE
SITE ADDRESS: 14012 MILITARY RD S
X Original Plan Submittal
_Response to Incomplete Letter #
_Response to Correction Letter # Revision # after /before permit is issued
DEPA RTMENTS:
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Building Division
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Fire Prevention (�
P�Ing
Pu blic Works
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Structural ❑
Permit Coordinator
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DETERMINA ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 02 -03 -05
Complete Incomplete ❑ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R TING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
■❑
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /roudngsllp.doc PERMIT OOORD COPY
2 -28.02
❑ No further Review Required
DATE:
DUE DATE: 03 -03 -05
Not Approved (attach comments) ❑
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