HomeMy WebLinkAboutPermit M04-030 - SKROGSTAD RESIDENCESKROGSTAD
RESIDENCE
13357 37T" AVENUE
SOUTH
M04 -030
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Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7358600260
Address: 13357 37 AV S TUKW
Suite No:
SKROGSTAD RESIDENCE
13357 37 AV S, TUKWILA WA
SKROGSTAD DAVID P
13357 37TH AVE S, TUKWILA WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S, SEATTLE, WA
Contractor License No: GLENDHA053Q2
MECHANICAL PERMIT
DEBRA COONS
12462 DES MOINES MEMORIAL DR, SEATTLE WA
DESCRIPTION OF WORK:
REMOVE EXISTING OIL FURNACE AND INSTALL NEW OIL FURNACE.
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature: ( dA. Vf
The granting of
regulating co
Signature:
Print Name:
doc: Mech
$3,198.00
N/A
M04 -030
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 243 -7700
Phone: 206 - 243 -7700
Expiration Date :11/02/2005
Fees Collected:
Uniform Mechnical Code Edition:
Date:
M04 -030
03/02/2004
08/29/2004
$52.00
1997
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.
rmit •. -s not presume to give authority to violate or cancel the provisions of any other state or local laws
y i on 0y e perform• ce o ' •rk. uthorized to sign and obtain this mechanical permit.
Date: 3 ` z- b I
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.
Printed: 03 -02 -2004
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Parcel No.: 7358600260 Permit Number: M04 -030
Address: 13357 37 AV S TUKW Status: ISSUED ce
ur
Suite No: Applied Date: 03/02/2004 J v
Tenant: SKROGSTAD RESIDENCE Issue Date: 03/02/2004 0 0
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5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any o
construction. These documents are to be maintained and available until final inspection approval is granted.
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6: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 H
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). LI Z
lb co
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
7: Validity of Permit. The issuance of a 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 the building code or of any
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
8: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform
Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC.
9: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
10: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
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 th's permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating cons by or the performance of work.
Signature:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Print Name: 4 OK � 1A1
PERMIT CONDITIONS
M04 -030
Date:
Printed: 03.02 -2004
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Site Address:
Tenant Name:
Mailing Address:
Contact Person:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applicationa\pertnit application (3 -2003)
3/2003
CITY OF TUKWIL,zt
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 **
S
/33W 3 r7 6 4u S).
Property Owners Name: I A-V irC SK R 06- S —S)
Mailing Address: 1 3 3 5- i 3 - 7 A- i6 So
King Co Assessor's Tax No.: '1f7 ?2tO 67-&O
r COTACT rE
Name: (L-45 Coo N S Day Telephoner 2-o 0 " Z w 3 - 7 7 °A
Mailing Address: Z`-(o 2 MD) Q/1��J■NLIA -l-. c){1. .SE/4.911-4- \jJ - / (5i
City State Zip
E -Mail AddressrlYlf} -t L@ c'.c 0.P t :c 1 /J6- . Gcyv1 Fax Number: ( ?-4-43 ~
Company Name: 04 Le f / Th N Cr
/2._V ‘z, fr /,,i45 /76.17691/4e DEC ?_1 w� S gi C
Day Telephone: (2 O 2 -t 3 _ 17 op
Fax Number: (7,., (, ) 7 L! 3 - 3L iq
Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
tQ SL8- Coo tvS
E -Mail Address: �4�G
Contractor Registration Number: -�OP
Page I
Building Permit No
Mechanical Permit No.
11/1 O3-0
Public Works Permit No.
Project No
Suite Number:
LA-
City
(For office use only)
Floor:
New Tenant: El .... Yes ..No
State Zip
City State Zip
TE
,
A .. J A . :,�'e.i,i.�..k',4; ?;tiir:,.. 5 x:ti�rrn ; �:e.+irr�u.
len must be wet stamped by Archilteet,oft egorc
State
Zip
City
Day Telephone:
Fax Number:
State
Zip
City
Day Telephone:
Fax Number:
: �; ,L�i- �.y;,;:ii7�ti+su�L= �•�_.. .u.:,:;a..t�. ^:i,3�:�� "- .iaYss,:a:a:2:
i •
. ;BUILDING`PERMIT INFORM ,ION 206- 431 - 3670::.
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
16 Floor.
2 " Floor
3f Floor
Floors thru,
Basement ,
Accessory Structure*
Attached Garage
Detached Garage
A : ;
Detached Carport
Covered Deck
Uncovered Deck
Existing
Interior
Remodel
Addition to •
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
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 ft): 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 PROTECTION/HAZARDOUS MATERIALS:
❑..Sprinklers ..Automatic Fire Alarm ❑..None ❑. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ..Yes ❑ ..No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safely Data Sheets.
tapplications \permit application (3.2003)
3/2003 Page 2
Onomnetawausnammenewenzessainnarnmemosrmr
ct
:-PUBLIC WORKS PERMIT IN ItMATION. -', 206- 433 - 0179'
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
Q ...Tukwila ❑ ... Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. 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):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
Q ...Technical Information Report (Storm Drainage)
Q ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
Q ...Construction /Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
\applications \permit application (3-2003)
3/2003
cubic yards
cubic yards
Q ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
Q ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size..
❑ ... Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ...Water Main Extension Public _
„
If
Call before you Dig: 1-800-424-5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
Q .. Looped Fire Line
„
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size If
FINANCE INFORMATION
Fire Line Size at Property Line
Q ...Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Q ...Sewage Treatment
t �`
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Unit Type:. .
Qty
Unit Type:
Qty
Unit Type:
Qty ,
Boiler/Compressor:
Qty
Furnace <100K BTU
l
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace> 100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP/1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
MECHANICAL PERMIT INF, IIMATIoN - .206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: �- G��/�,�G.� 6��
Mailing Address: / 7 0 1 Obis' ' / hrs) "
.- 2 . _ 9
�p City State Zip
Contact Person: 7 � t /� ?' om C49 C49 fs Day Telephone: Z a 2-'43 —7 ? o v
E -Mail Address: 444/-1f -, -„.. ,a -7, / Gar^ Fax Number: --1-`f 3 - e3 c/
Contractor Registration Number: �--( 7't) QMA 6 S3 9
2 Expiration Date: 'Z /// / nc -
* *An original or notarized copy of current Washington State Contractor License must be presented the time of permit issuance **
Valuation of Project (contractor's bid price): $ 3 19 ? Z
Scope of Work (please provide detailed information):
— 1 - )7 ( Ytil n\1 C /ST) tj Cr (')i L. 'lam 2- ►U,t1-e_ A- A' O 7 V46(_ IUni-► o% L fueetJ,
Use: Residential: New ....0 Replacement ....
Commercial: New ....0 Replacement ....0
Fuel Type: Electric ❑ Gas
D! L
Indicate type of mechanical work being installed and the quantity below:
1EI2MF'
LICTI4 NOT ES
AQpUca
eto` a
erthitsrm this
,Iicatio` n
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 C RTIF/ THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF R / ' Y BY J E LAWS OF,T4 STATE OF SHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING
Signature:
Mailing Address: .Z . 2
\applications \permit application (3.2003)
3/2003
HOR4ZED GENT
Print Name: kJ/c::-&'
Date: 3 - 2- b `I
Day Telephone: \ 2 a Q 2 Li 3 - dC)
!I , 11 111 a
Page 4
City
State
L
Zip
Date Application Accepted:
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Parcel No.: 7358600260 Permit Number: M04-030
Address: 13357 37 AV S TUKW Status: • APPROVED N p
Suite No: Applied Date: 03/02/2004 w w
Applicant: SKROGSTAD RESIDENCE Issue Date: -'
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w 0 :
Receipt No.: R04 -00247 Payment Amount: 52.00 J
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P
Initials: BLH Payment Date: 03/02/2004 12:47 PM w:
User ID: ADMIN Balance: $0.00 z i
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Type Method Description Amount
Payment Check 52530 52.00 111`
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2
GLENDALE HEATING AND AIR CONDITIONING
MECHANICAL - RES.
doc: Receipt
RECEIPT
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
8406 03/03 9716 TOTAL. . 52.00 •
Printed: 03 -02 -2004
Windows
area
uval
c -uval
htm
btuloss
btugain
N Clear - Heat Absorbing - Reflective Glass Clear
Glass Double Pane Metal w/o Break No insect
Screen Drape / Roller Shade Half Drawn None
Green Grass
46
0.870
1.00
9.47
1,817
439
S Clear - Heat Absorbing - Reflective Glass Clear
Glass Double Pane Metal w/o Break No insect
Screen Drape / Roller Shade Half Drawn None
Green Grass
46
0.870
1.00
22.68
1,817
1,053
W Clear - Heat Absorbing- Reflective Glass Clear
Glass Double Pane Metal w/o Break No insect
Screen Drape / Roller Shade Half Drawn None
Green Grass
58
0.870
1.00
41.70
2,272
2,420
Floors
area
uval
htm
btuloss
btugain
Basement Floor - Insulation none R-0 Heavy dry / light wet
soil
800
0.027
0.00
972
0
Floor over enclosed unconditioned crawl space / basement
None - Floor cover: Any - Side wall: R -11 insulation on
exposed walls - sealed space Passive
400
0.025
0.07
442
10
Doors
area
uval
htm
btuloss
btugain
Wood Hollow Core - Storm: None
42
0.470
21.00
888
415
At'
4
Homo=
Dave Skrogstad
13357 37th Ave. So.
Seattle, 98168
Heat Loss / Heat Gain Summary Report ' ,
Skrogstad
2/17/2004
prepared by
Glendale Heating
12462 Des Moines Memorial Dr.
Seattle,Wa 98168
Desian Conditions House Style Single Story with Basement Conditined Square Feet 2000
Winter Indoor Temp (9 72 Summer Indoor Tema (9 75 Daily Range M EIIvation 14
Winter Outdoor Temo (F) 27 Summer Outdoor Temo (9 82 Grains 0 Latitude N 47
232
8,632
6,816
42
888
415
1,200
Calculations are based upon ACCA Manual J Version 8 - Release 1.01
1,414
SECEIV
crn, OP T UKWILA
t{ . 1 lfii�`i
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p trFIMr t GENIES
10
Page 2 of 2
Walls
area
uval
htm
btuloss
btugain
Basement Wall Below Grade Four Inch Concrete R -11
Framed Insulation depth: Floor - Extemal Insulation Board:
None - Framing: - Core:
1,408
0.061
7.70
3,866
662
WALL Wood Frame Construction R -11 Cavity Insulation
Siding None - Extemal insulative board:
886
0.097
19.10
3,869
1,642
Windows
area
uval
c -uval
htm
btuloss
btugain
E Clear - Heat Absorbing - Reflective Glass Clear
Glass Double Pane Metal w/o Break No insect
Screen Drape / Roller Shade Half Drawn None
Green Grass
70
0.870
1.00
41.70
2,726
2,904
4
H2magamer
Dave Skrogstad
13357 37th Ave. So.
Seattle, 98168
Desian Conditions
Winter Indoor Temp (F1 72
Winter Outdoor Temp (F) 27
Heat Loss / Heat Gain Summary Report
Skrogstad
1,452
2,295
5,489
7,735
2/17/2004
Prepared by
Glendale Heating
12462 Des Moines Memorial Dr.
Seattle,Wa 98168
House Style Single Story with Basement Conditined Sauare Feet 2000
Summer Indoor Tema (F1 75 Daily Range M Elevation 14
Summer Outdoor Temp (F1 82 Grains 0 Latitude N 47
SQFT HEAT LOSS (BTUs) HEAT GAIN (BTUs)
CEILING/ROOF 1452 5,489 3,293
WALLS 2295 7,735 2,304
GLASS 232 8,632 6,816
DOORS 42 888 415
FLOORS 1200 1,414 10
INFILTRATION 13,464 1,109
NET LOSS AND GAIN
DUCT LOSS AND GAIN
OUTPUT
80.0 % INPUT
TOTAL LATENT GAIN
TOTAL SENSIBLE GAIN
SENSIBLE RATIO
SUBTOTAL 13,947
INTERNAL SENSIBLE GAIN 3,550
INTERNAL LATENT GAIN 1,000
INFILTRATION LATENT GAIN 0
37,622 18,497
LATENT GAIN FROM DUCTS 1,028
R2 8,494 3,222
46,116 22,747
57,645 1.90 TONS
2,028
20,719
0.91
HEAT CFM 933
COOL CFM 1,333
Roof /Ceiling
Ceiling Below Roof Joists White / light color asphalt shingle
- any wood shake - dark / medium color tile - slate /
concrete - light / unpainted metal - light / silver membrane -
Iight tar / gravel R -11 Blanket / loose fill
area
1,452
uval
0.084
htm
27.00
btuloss
5,489
btugain
3,293
3,293
2,304
Page 1 of 2
July 2, 2004
Debra Coons
12462 Des Moines Memorial Drive
Seattle, WA 98168
City of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. M04 -030
13357 37th Avenue South
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection 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 provisions 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, you are hereby advised to:
• CaII the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
Steven M. Mullet, Mayor
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit
or last inspection; or if the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -time
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection or request and receive an extension prior to August 29,
2004, your permit will become null and void and any further work on the project will require a new permit and
associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer
Permit Technician
Xc: Permit File No. M04 -030
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
LICENSE DETAIL INFORMATION Form
Current Filter: None
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Registration# or License GLENDHA053Q2
Name GLENDALE HEATING & NC INC
Address 12462 DES MOINES WY S
Address
City
State
Zip
Phone Number
Effective Date
Expiration Date
Registration Status
Type
Entity
Specialty Code
Other Specialties
UBI Number
New inquiry by CITY ,
L &I Confa..ctor Indust
SEATTLE
WA
981682266
2062437700
11/22/1995
11/2/2005
ACTIVE
CONSTRUCTION CONTRACTOR
CORPORATION
GENERAL
UNUSED
600003167
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
* * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
* * * VIEW CONTRACTOR INSURANCE INFORMATION * * *
NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER , check the
rial Insurance Premium Status or return to the L&I Constrac ion
Compliance Home Page
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=GLENDHA053Q2
Page 1 of 2
03/02/2004