HomeMy WebLinkAboutPermit M04-111 - WGW CONSTRUCTION - LOT 9WGW CONSTRUCTION
LOT 9
4222 S 116 ST
Parcel No.: 3347400040
Address: 4222 S 116 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name: W G W CONSTRUCTION
Address: 329 NW SECOND PL, RENTON WA
Contractor License No: WGWCOGW962JR
DESCRIPTION OF WORK:
INSTALL FURNACE, WATER HEATER, AND ASSOCIATED DUCT WORK FOR NEW SINGLE FAMILY
RESIDENCE.
Value of Construction: $0.00
Type of Fire Protection:
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 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: r _ , Date: / L b 7 b 1
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
WGW CONSTRUCTION - LOT 9
4222 S 116 ST, TUKWILA WA
WGW CONSTRUCTION
329 NW 2 PL, RENTON WA
KEITH MENGES
329 NW 2 PL, RENTON WA
MECHANICAL PERMIT
014 rldC-
M04 -111
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 246 -0740
Phone: 425 246 -0740
Expiration Date :04 /19/2006
M04 -111
12/07/2004
06/05/2005
Fees Collected: $83.56
Uniform Mechnical Code Edition: 1997
Date: /z 7.-4
Print Name: Pill>C 6 ) Ue
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: 12 -07 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400040
Address: 4222 S 116 ST TUKW
Suite No:
Tenant: WGW CONSTRUCTION - LOT 9
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -111
Status: ISSUED
Applied Date: 06/22/2004
Issue Date: 12/07/2004
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 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.
4: 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.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
8: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
9: 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.
10: 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).
11: 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).
12: 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 -111
Printed: 12 -07 -2004
Signature:
Print Name:
doc: Conditions
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
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
regulating construction or the performance of work.
,col/ % /5 (9/
M04 -111
as outlined. All provisions
cancel the provision of any
of law and ordinances
other work or local laws
Date: 1 6 7
Printed: 12 -07 -2004
Site Address:
Tenant Name: /_
Property Owners Name: �t j/✓ t0"/.f T.
Mailing Address: ,�Z ( H J Z i 71
':CONTACT-PERSO
Name: P A/19Tl40
Mailing Address: 3Z( ,X V 7
E -Mail Address:
E -Mail Address:
14
Company Name: r )() Gzw.T •
Mailing Address: 3Z'i /)1N ZA-7j
Contact Person: 4E114 Mr.Y1
Contractor Registration Number: 4)0(- 17 („/"WIZ_J Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT_ OF RECORD - All plans . must be wet stamped by Architect of Record
Company Nam
Mailing Address:
City State Zip
d % ■ Day Telephone t-f) ' Z-C, -• 6 7 ro
E -Mail Address: Fax Number: (i— S) ZZZ — 4,3 C3
Contact Person; e4
CITY OF TUKWIL *
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 **
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
7671T'1
City
Fax Number:
ENGINEER OF RECORD - All plans iinust be wet stamped by Engineer of Record ..,
Company Name: ,.%K(/G?vil c,rL si yN
Mailing Address:
Contact Person:?
E -Mail Address:
\application: \permit application (3.2003)
3/2003
S G10 vin 4Tu` -t
�SsdCr
2
Page 1
c '3147- odto-o
Floor:
.... Yes ❑ ..No
yv4 qvo .r
State Zip
Day Telephone: azs) 411a._ z442 -O7+o
City State Zip
Fax Number:
F e" rwl 1,4 7gdsr
City State Zip
Day Telephon Z-0 Z..4(4)-01-
City State ip
Day Telephone: t� S, 741' Z."Th
Fax Number:
cl
:3ydi.o.tai' —
Unit Type:
Qty
Unit Type:
Qty .
Unit Type :. ::.
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
I
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >lOOK 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
1
Hood
�J
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator— Comm /Ind
1VIl CHA1VICALTERIVXIT `INFOi ;ATIO14 206431 3670',
MECHANICAL CONTRACTOR INFORMATION •
Company Name: rr S bfre 4+,,
Mailing Address:
State Zip
Contact Person:
E -Mail Address:
Scope of Work (please provide detailed information):
Indicate type of mechanical work being installed and the quantity below:
BUILDING O THORIZED AGENT:
Signatur
Print Name�� S! 1
Mailing Address:
Date Application Accepted:
./- ci �f
\applications\permit application (3.2003)
3/2003
Date Application Expires:
/2 — 2Z--6 y-
Page 4
City
Day Telephone:
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): $
/ I V (fYM j . � /l eat e f dt'ieJ
Use: Residential: New ...X Replacement .... ❑
Commercial: New .... ❑ • Replacement .... ❑
Fuel Type: Electric ❑ Gas.... Other:
PEl21YII ZAPPLICATIONNOTES
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 Q ERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
City
Date: s /eti/ '
fro- Day Telephone: qi/ i �6 -5-7,0)
State Zip
Staf�fJgtials:
v:k ?.yiwu 4t : 'tom^ # ics:Y xk'
AO" 4ai ., � . �?i,�t#ik ' �'` .,. ` ".'.nb`ri '', ,. ' 'IA ^ O�' Y.. 'fit rliln� 's.i�aciR�iaY,in, ° iilu's�71y ^ . iE a.:ts«na:ca±.r
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
z
RECEIPT . z
ix 2
Parcel No.: 3347400040 Permit Number: MO4 -111 F
Address: 4222 S 116 ST TUKW Status: APPROVED N O p '.
Suite No: Applied Date: 06/22/2004
Applicant: WGW CONSTRUCTION - LOT 9 Issue Date:
u) u-
Q W O }} .
C J
Receipt No.: R04 -01639 Payment Amount: 83.56 u_
Initials: BLH Payment Date: 12/07/2004 11:31 AM w
User ID: ADMIN Balance: $0.00 z x '.
H O
Z I-
11.1
U
O —
0 (–
TRANSACTION LIST: W w
=v
Type Method Description Amount O
Payment Check 5266 83.56 V N :
0
z
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
EDMONDS PLAT LLC
MECHANICAL - RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
7,•-x4 1.2/07 .27 f TO D-',!... 7:377- 22
Printed: 12 -07 -2004
Project:
(V G ED �
Type of Inspe ion:
h
Addrq: 22.- /�c� ! -
Date Called:
Special Instructions:
Date Wantee5;__ ^�
J !.`�� - C
a 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
PER
(206)431 -3670
1121 .... per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
(?l4-1
$58. REINSPECTION FE - REQUIRED. Prior to inspection, fee must be
J paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
1 Recelpt No.:
IDate:
Project: _ .: , •
• J6t , . C'S — `O ci
Type of Inspection: i
.P•1'rc
' ..
Address:
4 /eW Z. 1 y ' Y .
Date Called:
' '"
% 'd
Special Instructions:
J 4 4/:?:„...
Date Wanted �
7
-S
a.m.
p.m.
Requester
i
Phone No:
7
r,•
TION NO. INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -3670
COMMENTS:
S Itf� ,
j Approved per applicable codes.
Corrections required prior to approval.
$58.1•t - REINSPECTIO l FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
'Date:
Project:LutiLd 14 Ci
Type o if..geclion i , ■
C.1 .$.\ So Leei-
Address: s
i-g-D.01. 1119 Si-
Date Called:
Special Instructions:
Date Wanted:
3 - 6 1 q -0 cs
a.m.
p.m.
Requester:
Phone No:
1-1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3670
0 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
OVwfa tjvCQY - tr t.‘ ‘t (0 Y
Inspecto
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:
Project: LUG ff0
Type of Inspectio
Address:
) -\: �; S I \' +
Il)
c �
Date Called:
Special Instructions:
Date Wanted:
3 ' ) - 'OS-
a.m.
p.m.
Requester:
Phone No:
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P10 1
PER
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1J/
C r P t r r tN.CL rdjr,,1/ I v. t *NSpc
Inspecto
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:
ProjeSt: 6
Type of Inspecti
1 t
Address:
L t)
S.
k4 s+
Date Called:
Special Instructions:
Date Wanted:
�_1-1 - 0,S
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
N101-1- 111
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
io4 - -- C ∎r`GA : 0t,f* 41 1 4e4445
s
541\\ he
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
Co
COMMENTS:
1 /..., 1 .Q( r, rml Opp •
� to n - \ P r O. -\-$ (1 11 ese re -. 1 ^ r'
11 1, � � l'
2.1 - i i r' b- rYl.e4
1
I 4O c, 0 X11c�
1.
i �, 1
0,4'r A.1i \v S�trn`4I +0 ln/lGiA 4A;
V c I 4)r; v(A Vl C e ) V-PV\l 4 - fV1U(
3.) rot( 4 . ..gy p v\4
40 i -e Li-n l/1;F
l
`ekP'Sc -Q S, )rAi
Requester: ,`.
•
7q sly 7
• b04e ∎ a 4 a -t 3 ‘.0 �oo. -- rt, „
Project: //��,,,,
1 /t 1 (,l1 � '0 �
T ype Inspection: I
i ° if h . i
Address:
V so. ll(� .
Date Called:
f /� rs
S Instructions:
•
Date Wanted:
"� / / ...
Requester: ,`.
Phone No:
) O(0'
7q sly 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
(inspector:
/IAA 'Date: 3_ 1
PE
206)431 -3670
Corrections required prior to approval.
-nC
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
t..
A.
B.
C.
B.
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
Mo'4-
1704 Zf f
MECHANICAL PERMIT APPLICATION NO.:
BUILDING PERMIT APPLICATION NO.:
Project Name: W(i4) (nYl4 -' Lot
Site Address' . 1(Co
II. WASHINGTON STATE VE
0
Effective: 711102
lapplicalionslheatinp and ventilation system — ronn h-6 (7.2002)
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
me copy
I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
• System Analysis — W.S,E.C: Chapter 4 (submit documentation)
❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): t (0762
X 20 BTU/h
1. House Square Footage:
= 33�
❑ Heating System Installed, (check system type below):
1. 0 Electric Resistance '
2. ❑ Electric (forced air)
3. PL. Other Fuels (gas, heat pump)
TILATION AND INDOOR AIR • UA
REVIEWED FO t(� R I�^^FF
r>zi� �t"Pteati n
SEP 23 2004
2. House Number of Bedrooms: 3
3. Required Outdoor Air Table 3 -2: Minimum - 6C cfm
Maximum - 1ZG cfm
Of Tukwila
City Pty'.
System Output
rl
RECEIVED
op TIJKWII A
JUN 2 2 2004
PERMIT CENTER
Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following):
1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.)
❑ Exception for outdoor air inlets - Forced air heating system w /interior doors undercut W
2. Ventilation integrated with Forced Air System (Section 303.4.2.)
3. ❑ Ventilation using Supply Fan (Section 303.4.3.)
4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.)
Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
1(0
0 4 II I
._.kuH�,;e. :+ate+- . +�a..nw+�l.�:t. as.ar.•..
Floor
Area, ft2
. .1 Bedrooms .
• 1 t
ii cot lfss
3
4
5
6
7
8
I i
4 Min't.
Mil..
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
< S.01 0 44
et
1'
65
98
.80
120
95
143
110
165
125
188
140
210
4000101i '
Al .
JJII
TOttatiO0
1:0&i.P.AfAii
apism
Mal
%too
atta
i,24
OW
.tt, 90
'
40:13g
1001-1500
60 i
90
75
113
90
135
105
158
120
180
135
203
150
225
trgitstgOtidOW
5
,
Wit
Natig
:;
1V015#
iltfig
11
1:1I251'.
Mtn
MOR
MVO
%Mr
2ool
040;-"'
85
128
100
150
115
173
130
195
145
218
160
240
Ma
02
OM
OTIV
foto
itov4i
4Orit•411
a1 20
Attivetot
152b3t
Itart
ttlf6g
3001-3500
80.
120
95 I
143
1 110165
125
188:
...1401
210-
155
233
170
255
gfettatitHM
f(tilt
42E1
glObirrrati*?,effS1
fii2174
fitge
041a
WO
;40
041A.
rilIsAlreta
4001-5000
95
143
'110
' 165
125
188
140
210
155
233
170
255
'185
XIMLQPZON
278
,S00:0600ffi
trft)Witagl'flildWfati.VNAV
fatiWitool
A2Vi
latM
f.140
AftiO,M11
• 6001-7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
B0#0011iOr "
AMA
OltaigiAii.0
ttlitl•
;416.
OW
. A. :Wit?:
L4g501
g.aki
g2
?AM
MO
8001-9000
135 ,
203
150
225.
165
248
180
270
195
293
210
315
225
338
laswevidem4:
tAKV::
423e.
Min
**104
,a00
OW
490
!OEM
*OA
tgigiV
1410
IfiltiD
2a
;MR
' Fan Tested CFM
0 0.25" W.G.
Minimum Flex
Diameter
Maximum Length
Feet
Minimum Smooth
Diameter
Maximum Length
Feet
Maximum
Elbows'
50
4 inch
• 25
4 irich
70 •
3
iStM
MiltA4ilh`thlif.MiaWitiltiAnig:•
.0414%.4,1„1
4610:14.0
Ofgovit,:+10140.
50
6 inch
• No Limit
6 inch
No Limit
3
W.4'e
'ftilttglifilaiROS
XA'AVIII.SNMftrfig?
Mattititheaggileioit
jeiVg
inti70.4
80 •
5 inch
15 .
5 inch
100
.. 3
Yittl
100
0. liiatililM
OttAc1.41011105.1,411,
• NA
...4.,V4igat: iiitlettftig:.
"0.0,01.NiStrOlOgO**AtclOttltrA
50
.3
- 65`4Y.1:71..100E-Mgt$
5 inch
5 inch
1:0&i.P.AfAii
Ai:RM liklil.WV
J4 54
.
AligliaitiiiiiteM64
125
• 6 inch
15
6 inch
No Limit
3
. 41:&.?;:at:•.:IRilitAttA
,
tift
IgialiliittiVAI.4.ii
40.04
ZitVIA7Iati-11
5:010Nikitlilitattt-
TABLE 3-2
VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS
Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM)
For residences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum. .
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
I
•
Effective: 711102 " \ff*
tapplicationstheating and ventilation system - form ff-6 (7-2002)
TABLE 3-3
PRESCRIPTIVE EXHAUST DUCT SIZING
PERMIT C00Rp-
PLAN REVIEW /RVU SLIP
ACTIVITY NUMBER: M04 -111 DATE: 06 -22 -04
PROJECT NAME: WGW CONSTRUCTION - LOT 9
SITE ADDRESS: 42i1.• SOUTH 116 STREET
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # afterrbefore permit is issued
DEPARTMENT b-/2 /1457 hIc>✓ ,,, (�
Building Division 0 Fire Prevention 0 Planning Division
Public Works ❑ Structural ❑ Permit Coordinator
CG
itt
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -24-04
Complete d Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROOTING:
Please Route , L`rl ( Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07 -22,04
Approved ❑ Approved with Conditions [� Not Approved (attach comments) ❑
PP PP PP (
Notation:
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Documents /routing slip.doc
2-28-02
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