Loading...
HomeMy WebLinkAboutPermit M04-095 - CASCADE GLEN - LOT 9CASCADE GLEN -LOT 9 3801 SOUTH 132 "0 PLACE M04 -095 doc: Mach City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1422600090 Address: 3801 S 132 PL TUKW Suite No: Tenant: Name: CASCADE GLEN - LOT 9 Address: 3801 S 132 PL, TUKWILA WA Owner: Name: DREAMCATCHER HOMES LLC Address: 13407 51 AV W, EDMONDS WA Contractor: Name: 3 A K DEV & CONST CORP Address: 13407 51ST AVE WEST, SEATTLE WA Contractor License No: ]AKDECCO23NS Permit Center Authorized Signature: MECHANICAL PERMIT Contact Person: Name: ]AY KEIROUZ Address: PMB 1190, 13619 MUKILTEO SPEEDWAY, #D5 DESCRIPTION OF WORK: INSTALL HEATING SYSTEM IN NEW SINGLE FAMILY RESIDENCE. M04 -095 Permit Number: M04 -095 Issue Date: 07/21/2004 Permit Expires On: 01/17/2005 • Phone: Phone: 206 - 300 -6874 Phone: 206 - 300 -6874 Expiration Date:09 /04/2004 Value of Construction: $4,500.00 Fees Collected: $83.56 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 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 or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Date: '7, / -r Print Name: 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: 07 -21 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z � re QQ � WV 00 N 0 J O 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2 u- 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to = d . start of any construction. These documents shall be maintained and made available until final inspection approval is t— _ granted. z 1 O 4: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread 111 uj index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed 2 o spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply 0 to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or o H floor finish. w w E- II ti.i z U = ' O~ Parcel No.: 1422600090 Address: 3801 S 132 PL TUKW Suite No: Tenant: CASCADE GLEN - LOT 9 1: ** *BUILDING DEPARTMENT CONDITIONS * ** Building Official. 5: 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. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. 7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 8: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 10: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 11: 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. doc: Conditions * *continued on next page ** M04 -095 Permit Number: M04 -095 Status: ISSUED Applied Date: 06/09/2004 Issue Date: 07/21/2004 Printed: 07 -21 -2004 z 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 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 regulating construction or the performance of work. Signature: Print Name: doc: Conditions M04 -095 of law and ordinances other work or local laws Date: _ r /(f & ZI Printed: 07 -21 -2004 Site Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Property Owners Name: Mailing Address: 7 l3 61`) S `'►tg ) me> Name: —- 1 `Z Mailing Address: J- LE Company Name: Mailing Address: E -Mail Address: \1-e t` - -.__ 7.�Z_ Contact Person: E -Mail Address: (M 74. U C-- Contact Person: E -Mail Address: Contact Person: E -Mail Address: 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 ** :SITE; LOCATI King Co Assessor's Tax No.: /11 ZZG c9 ^ O% 4° ) C7 3 8 al so J.; (�Z ( V LA - Suite Number: Tenant Name: "}-r C1^2A1_ '44 -c'S. ' n t y New Tenant: C L City Floor: ❑ .... Yes ❑ ..No A State Zip yE ONTACT: PE Day Telephone: C--0 6) 3 at5 6 City State Zip Fax Number: (LIZ 5, 74 I Z, 3 4 RAI CONT RACTOR :IIFORMATI_ State Zip city Day Telephone: 056 3 c 8 717 Fax Number: 1 17) 72-/ I Z 3 L 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** CHITECT= OF `RECO ins must e wet: to ri c bitect of Recor Company Name: Mailing Address: Zip City Day Telephone: Fax Number: State NGINEER OF REC is mus t be w4t stamped by Engineer of R cor Company Name: Mailing Address: Zip State City Day Telephone: Fax Number: 'RiI�YI:I G { PE tMrt NFORMA Valuation of Project (contractor's bid price): $ Zve, &a-6 . Existing Building Valuation: $�— Scope of Work (please provide detailed information): /■.1 .6 ' Will there be new rack storage? ❑ .. Yes ❑...No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below l . Floor •.2°,° Floor. Floors :_ ;Basemen) =thru ccessory :'Structures. 'Attached Garage Detached Garage ::Attached,Carport: Detached: Carpo •:Covered Deck :Uncovered Deck ": Addition to Existing Structure 1 63b. Type of Construction per UBC Type of Occupancy per UBC PLANNING DIVISION: I Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 1 6 33 "D For an Accessory dwelling, provide the following: Lot Area (sq ft): 217 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) FAQ Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes ❑ .. No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. p> "It WORKS PE RMIT INF TION ,206 a:7 b'i °��Sri,T ✓: i' f �, a +. 4 • 1 .`t C «� ,... Scope of Work (please provide detailed information): Water District ❑ .. Tukwila ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila. Va1Vue 0... Renton ❑ .. Seattle ❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided 0... 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") ❑ .. Technical Information Report (Storm Drainage) ❑ .. 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 ❑ .. Construction/Excavation /Fill - Right -of -way Non Right -of -way ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. 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... WO# ❑ Temporary Water Meter Size.. WO# ❑ .. Water. Only Meter Size WO# ❑ .. Sewer Main Extension Public _ Private ❑ .. Water Main Extension Public _ Private 33:01 Call before you Dig: 1- 800 -424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. 0... Work in Flood Zone 0... Storm Drainage FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: •, • 5. 0... Highline ❑ .. Renton 0... Geotechnical Report ❑ ...Traffic Impact Analysis 0... Maintenance Agreement(s) ❑ ...Hold Harmless 0... Right -of -way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance Number of Public Fire Hydrant(s) 0... Grease Interceptor 0... Channelization 0... Trench Excavation 0... Utilit Undergrounding ❑ .. Deduct Water Meter Size " Day Telephone: City City State - State Zip Day Telephone: Zip Unit Type: Qty Unit Type: Qty Unit Type: .. .Qty Boiler /Compressor:. Qty Fumace<100K BTU I Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 4 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent 0,4 Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind ME NIICAL! ICE+ RMIT X■FORMATIO I 20fr4311 y v r ,. ' p � c r, 7S ' y c . : MECHANICAL CONTRACTOR INFORMATION Company Name: tt'4 Mailing Address: 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): I l } �' /, t ! A 61 ' i ue Y.5 Use: Residential: New ...., Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas... Other: Indicate type of mechanical work being installed and the quantity below: % PPLICAT14 �YOTES =- A BUILDING 0 Iy • AUTHORI A t' T: Signature: Print Mailing Address: -P.iA -- t: pl ics b)le� to'a pe City State Zip City 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. Day Telephone Date: 6/5 As I State Zip City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 1422600090 Permit Number: M04 -095 Address: 3801 S 132 PL TUKW Status: APPROVED Suite No: Applied Date: 06/09/2004 Applicant: CASCADE GLEN - LOT 9 Issue Date: Receipt No.: R04 -00930 Payment Amount: 83.56 Initials: SKS Payment Date: 07/21/2004 02:50 PM User ID: 1165 Balance: $0.00 Payee: DREAMCATCHER HOMES, LLC TRANSACTION LIST: Type Method Description Amount ACCOUNT ITEM LIST: Description doc: Receipt Payment Check 2399 MECHANICAL - RES PLAN CHECK - RES 83.56 Account Code Current Pmts 000/322.100 66.85 000/345.830 16.71 Total: 83.56 Printed: 07 -21 -2004 Proje (( CO .. G,S r: (1-P '-o v1 q ! Type of Inspection: ( r et / Address: a9)0 S 3)- ?1 Date Called: Special Instructions: Date Wanted: �/, 6 - 0 i- a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 VIOLN oa PERMI 06)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: --- Re■rw*Co\-- CnyA P 1414-e C'\L_ v, ,,1 'Inspector! Date: JJ S47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Proj II r 1 .. QSCca lj �v+ 5 Type of Inspection: t+"ti Address: S \ i Date Called: Special ns tructions: Date Wanted: ? - r' —O a.m. P.m. Requester: Phone No: d INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 \A0 Ei Approved per applicable codes. ' Corrections required prior to approval. COMMENTS: •) i G r‘‘-\-0 ' c- ''PG✓-c -( V f ✓v�"' ` ) •t4 t LJ.n/� \ v\ S )\c 1(1 Inspector: '' N,6- n n Date: $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: Date: z W , et 2 1 00 N J H w Z Ui W . Z O N 0 I — V fL al z U= O ~ ' z Pr t: Type of Inspection ., Address: 5 4 DateCalled: � ! I v c° 4 ,S— Special I ns�ction s : !D irt.c+ i n ow �� � CAe - -P, re..olac e i,4 ? Date Wanted: a.m. �� VD-S— C p Requester: rte Phone No: — 300 -- (A 1 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Iz 0 4 rags' (206)431 -3670 ID Approved per applicable codes. w Corrections required prior to approval. COMMENTS:6 .l Sc 'Date: i s --- U $58.1's REINSPECTIOti( FEE REl1UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: SE Pro' ct: r *s f. o f f C ��� '1 Type of Inspection: c 1-3� zc.. /.ter Address: I 6(9/ 57 / - S2.-rt f( Date Called` Specia nstruc ions: Date Wanted: —/7 a.m. Requeste7 Phone No: INSPECTION RECORD Retain a copy with permit INSPE• ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206)431 -3670 COMMENTS: Date f� s . o< � Approved per applicable codes. Corrections required prior to approval. 0$47. REINSPECTION'FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: Date: Pro' ct: NA (� /r l �Jih �n� Type of Inspection: `` V f,0'1 - .roocik , N h Address: 6 o 6 132. Pt Date Called: 1 2 -`1 - 04 Special Instructions: Date Wanted: a.m. II2 - 0" 64 Requester: Phone No 2 0 S - &5 Inspector 3 :. **proved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Moo -0 (206)431 -3670 COMMENTS: r ec-4 wcnn s c o 4R.1 El Corrections required prior to approval. 'Date: $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: COMMENTS: r . ,�'J ! .., Ad r 3 ,So �3a ��� Date ailed: 1 JJ > f �', 7'� L/ e7,_ r rn.- -, ,li i , M k - _c,: -�,/4, .C,;.� A2 h, i,--e / ,.,.‘ r b y Date Wanted: il Special .-14,--6o .� � � � -A -,cf4 g! ,( 4,2--x. .. P e N (ra h `l3`D` 6( n 1 Pr6 Oct. , O ciiei n V C C Type of ns i�ion: i Ad r 3 ,So �3a ��� Date ailed: 1 (� D Instructions: . Date Wanted: il Special 1 a.m. Requester: f\i caL P e N (ra h `l3`D` 6( . Approved pet applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 '6)43 - 670 Corrections required prior to approval. 47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100: Call to schedule reinspection. 'Receipt No.: Date: COMMENTS: � ,k-e lv r•r -) 5 OCrr , -.. , I / 7• C, ( l S+ r4) r� flvt Y?eAlrn.✓t >7 I c�.` � - 1° S lion: Address: 33oi. S 7. ) l 01A v1 P CA -P \" 1 �, ,n -ray- I - ■ 4L CMG I In ()Or- I'OQ a) 1 fr G We 1 ►r\ l U e vt. 4 C t 4 4Q - I A a.m. p.m• (. < U c t fp . S'4 -ct ' IL 5 9.) i r\4.Gi I h 1' C' I.Po r l 1 1(''*� �i-6 t` 1 i )C` � Ar't" n� (A 1 r vv. r-Pi1 v i rto S . .2..'‘ CI '� Y!.. V'() Inc t. `i tr. 'k Y-P pl ac4Q.. �� 4, .•r- \') Y ip Proj ‘: Type of Insp lion: Address: 33oi. S 1:f Date Called: Special Instructions: Date Wanted: a.m. p.m• Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 p Approved per applicable codes. 04 21, INSPECTION RECOR Retain a copy permit • (20. )431 -3670 c orrections required prior to approval. Inspector:( i 'Date: $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: 1 Spa l A V f t� �4 G S �4 Ply/ , ) IJ reA.,Afv1 c,, \cL. c J(7 f\ ` 1� r'i rare 2 ) \ar\C 3(11 S-\ �ira 1 S n r e -1 v,t to ecia Instructions: 1 r orA , I")-e-I LL e-P,A YvA ; .f\ -10n v Requester: i t /r) r -01 or)r - 4 (so C-,o f 1 ��oc \ 3) _ A �,P �-', re £ 4-r).0 4 -) o 4- v eV\ 4 p ii 0c. 0 v. mcA1r\ -P 1onr I L1 it-wvw-e.. c �r∎ Wail ri kovte l-w 17° h er -, - T . r � \ -p aA ( ),c* -- 1,61+ I (( A a' ,J * 4o Yvna(� r0()t _c '-r) V" 1D'—'J la t\$ , S•PGt t 1 11 '6'0 A n(7 t-A 5 , lA4 / re'�c�,r,A 0 1►- J�` 5-P 5.) Fte3 Sf c [ (kur--k-. 4-f., 9 S MG i r. -. \-Yvvt (( e (. 62 4 .t. Type o Inspecti n: ,, • • • ress 1 - I 112 , Date Called: Q O ecia Instructions: Date Wanted: m. 1'� jq i.m. Requester: i ► Pho(O� ! 3 f '7 O� INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION: 6300 Southcenter Blvd., #100, Tukwila, WA 98188 j (2 .6)4 1 - 3670 El Approved per applicable codes. PNO. 15 Corrections required prior to approval. Inspector:(' -- 9 X r' ? .,(3A/v 1 Date: Ial )-,G` 1 El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: 12 -06 -2004 JAY KEIROUZ PMB 1190 13619 MUKILTEO SPEEDWAY, #D5 98037 RE: Permit No. M04 -095 3801 S 132 PL TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, xc: Stefania Spencer, Permit Technician Permit File No. M04 -095 Bob Benedicto, Building Official City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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: Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection. 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 and receive an extension prior to 01/17/2005, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M04 -095 PROJECT NAME: CASCADE GLEN - LOT 9 SITE ADDRESS: 3801 SOUTH 132 PLACE DATE: 06 -09 -04 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision #_aftelbefore permit is issued DEPARTMENTS: Buildir Di'Jts ion I Fire PrevenTion (� Public Works ❑ Structural REVIEWER'S INITIALS: Documents /routing slIp.doc 2 -28 -02 PERMIT COORD COPY Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -10 -04 Complete Incomplete ❑ Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROyTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 07 -08 -04 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: