HomeMy WebLinkAboutPermit M04-172 - BIRD RESIDENCEBIRD RESIDENCE
4820 SOUTH 1457"
STREET
M04 -172
Parcel No.: 2610000130
Address: 4820 S 145 ST TUKW
Suite No:
Tenant:
Name: BIRD RESIDENCE
Address: 4820 S 145 ST, TUKWILA WA
Contact Person:
Name: TERRI BIRD
Address: 4820 S 145 ST, TUKWILA WA
DESCRIPTION OF WORK:
INSTALLING NEW FREE STANDING GAS STOVE.
Value of Mechanical: $2,100.00
Type of Fire Protection: N/A
doc: IMC- Permit
City o ?Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Owner:
Name: TRIDOR INC
Address: 2226 ELLIOTT AV, SUITE A, SEATTLE WA
Contractor:
Name: AQUA REC INC
Address: 1221 REGENTS BL, FIRCREST WA
Contractor License No: AQUARI *10RA
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 1
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M04 -172
Permit Number:
Issue Date:
Permit Expires On:
Phone: 206 - 443 -7735
Phone:
Phone: 253 - 770 -9447
Expiration Date: 02 /19/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -172
10/11/2004
04/09/2005
Fees Collected: $191.18
International Mechanical Code Edition: 2003
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood /Gas Stove 1
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 10 -11 -2004
Permit Center Author •
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 consfr6 ion or t e performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: Date: I C) I I o r
doe: IMC- Permit
Print Name: Tc&
City QTukwi1a
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Authorized Signature: iifvf o '
M04 -172
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04 -172
Issue Date: 10/11/2004
Permit Expires On: 04/09/2005
Date: /d' //-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.
Printed: 10 -11 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2610000130
Address: 4820 S 145 ST TUKW
Suite No:
Tenant: BIRD RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -172
Status: ISSUED
Applied Date: 09/29/2004
Issue Date: 10/11/2004
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: 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).
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.
doc: Conditions
* *continued on next page **
M04 -172
Printed: 10 -11 -2004
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
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
regulating construction or the performance of work.
Signature:
b04‘ Date: 10 i L f
Print Name: , l ' \ t(
doc: Conditions
M04 -172
ordinances
or local laws
Printed: 10 -11 -2004
Site Address:
Mailing Address:
CITY OF TUKWILA
Community Development Dc
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Name: e. \ c t .XX - ■ r- R;
Mailing Address: "l kkk5
\permits plusticc changcslpermit application (7 -2004)
Building Permit .
Mechanical Permit No. /I?D'— /
Public Works Permit No.
Project No.
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.: ,,,240
Suite Number: Floor:
Tenant Name : \ \cC New Tenant: ❑ .... Yes 5..No
Property Owners Name: tk\(\ (A 5 - . r \ `.A.
. 7 .w'A a
E -Mail Address:
Page I
City
W q9 \(j
State Zip
CONTACT. PERSON
Day Telephone: pulp — *t c-4 5%4 %4
"\ W pv c651 L993
City �\ State Zip
F flier: aOCo -551- \10.--
GENERAL CONTRACTOR INFORMATION (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
city
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
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 **
ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
State
Zip
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
:BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid pri $ Existing'I3`uilding 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
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:
0.. 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 Safety Data Sheets.
\permits pluslicc changa\pemin application (7-2004)
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
2° Floor
3r Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
:BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid pri $ Existing'I3`uilding 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
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:
0.. 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 Safety Data Sheets.
\permits pluslicc changa\pemin application (7-2004)
Page 2
PUBLIC WORKS PERMIT INFORMATION - 206- 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District #I25
❑...Water Availability Provided
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 applv):
b ...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
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...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
\permits plua\icc changes \permit application (7 -2004)
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Sewer District
❑ ...Tukwila 0... 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.
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
9
❑ .. Highline
❑ ...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
❑ .. Work in Flood Zone
❑ .. 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:
Number of Public Fire Hydrant(s)
Day Telephone:
City
State
Zip
Day Telephone:
C ity
Stat
Zip
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
Wood/Gas Stove
15 -30 HP /1,000,000 BTU
30 -50 HP /1,750,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFO. ,IATION 206- 431 -3670
ea),
MECHANICAL CONTRACTOR INFORMATION (�1 q.vc_0?-cs \ _
Company Name: P 2 cc.c v� \ S 5 r W l lr 1►v `rC. NA8, S \ \o-
Mailing Address: (LAO 1 ril: kn \-,. E PL)\ ally
.Q t �4 9�53�1,5
City P UO s State Zip
Contact Person: \ ' Y L) ' t tA Day Telephone: c)53 —110 -.q q y 1
E -Mail Address: Fax Number:
Contractor Registration Number: f\ Q O N \c 1 ` Q ( f\ Expiration Date: nom_
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
''YValuation of Project (contractor's bid price): $ a100
ll _
Scope of Work (please provide detailed information): 1 ST a \\ ?aS \D UY Y1 i V\� S 1 o\Irt OY\ \�c,
►■ coY\Acry k l \l tV• MOWN 4 — k.V\C\V CiVt \YVb MA : ∎ ry c !' ?S t► I p ti
"1V∎ L (. _ V\ In kD
Use:
Residential: New .... Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ... Other:
Indicate type of mechanical work being installed and the quantity below:
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 ; PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING S ``;h R OR AUTHORIZED-.AGENT
Signature.
\permits plus \icc changes \permit application (7-2004)
� Print Name: ` �■( `r
, a • c , _
Mailing Address: �r C) J \ 5 s
Page 4
Day Telephone:
r \ - VC-W \ V
City
Date: q .. t 'c(\
o o -4'4 -%
Rst LA
Sta Zip
Date Application Accepted:
4 i ' — a 4 (
Date Application Expires:
3 - .z � -os
Staff Initials:
i
Payee:
doc: Receipt
City of Tukwila
Parcel No.: 2610000130
Address:
Suite No:
Applicant:
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
4820 S 145 ST TUKW
BIRD RESIDENCE
Receipt No.: R04 -01385 Payment Amount: 158.94
Initials: SKS Payment Date: 10/07/2004 04:48 PM
User ID: 1165 Balance: $0.00
RICK & TERRI BIRD
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2560
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
158.94
Account Code Current Pmts
000/322.100 158.94
Total: 158.94
M04 -172
APPROVED
09/29/2004
E789 10 /11 9716 TOTAL 158.94
Printed: 10 -07 -2004
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No:: R04 -01332
Initials:
User ID:
Payee:
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
2610000130
4820 S 145 ST TUKW
BIRD RESIDENCE
SKS
1165
RICK AND TERRI BIRD
TRANSACTION LIST:
Type Method
Payment Check
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
Description
2557
Account Code
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 32.24
Payment Date: 09/29/2004 04:11 PM
Balance: $158.94
Amount
32.24
Current Pmts
32.24
Total: 32.24
M04 -172
PENDING
09/29/2004
5521 09/30 '9716 TOTAL 32.24
Printed: 09 -29 -2004
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Projec .
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Type of Inspecti n
P
Date Called:
Address: /� 77OP /
Special Instructions:
Date Wanted: /
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 (20
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
/
. _..d lILI4LL
0 S47. s i REINSPECTION FE (EQUIRED. Prior to inspection, fee mu be
paid at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection.
'Receipt No.:
!Date:
Proj
Type of ns ection:
Ad es
o 3 /c{S 'i
Date ailed:
( 9.81 q
Specia .Instructions.
Date Wanted: / ( � / ' O, Li
( //
Requester: �
C �I
P one No:
CQoc�> aq ~ K (
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20
Approved per applicable codes.
COMMENTS:
'INSPECTION RECORD
Retain a copy with permit
PER
-3670
Corrections required prior to approval. ,
El $47.''` EINSPECTI • . FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
Date:
pTh
NOTE:
and may
FILE CC:OPY
Permit No. Mud
Plan review approval is gigett to errors and ONSSiOrit.
Approval of coOirucljon documents does not authorka
the violati f a adopted code or ordinance. Racdpt
of approve, I d Cop and conditions Is adcnowledgsd:
•
No cheA
of wort(
Date: 1 - 04
C"
Ci
2
•
ty -- -
BUILDING DIVISION
E si‘A-i)(k_
RUM=
vi si t ta t be made to
prior a
la Building Dlvii
will requke a new
addonal plan
the scope
ova of
plan submittal
fees.
REVIEWED FOR
CODE COMPLIANCE
Aron rn er-,,T■fir rj)
OCT - 1 2004
ar_71 ASIOND
ity Of Tukwila
BUILDING DIVISION
igs Jor4.
Z6,E3
moir,,,demr 7 -- ay—MM.
-- SEPARA PERMIT
REQUIRED FOR:
Cl Mechanical
ID Electrical
E3 Plumbing
ve Gas Piping
City Of Tukwila
BUILDING DIVISION
csI
p 0 14-r Eft
i
CZY S2 2
4111. OW MEP ' 11111111 IP AMP
OW 4MP
M0 11 2.
-L.
REVIEWED FOR
CODE COMPLIANCE
pro-m."1
OCT - 1 2004
City Of Tukwila
BUILDING DIVISION
•
•
RECEIVED to,
ort ov lu‘oN
sEv 2 9 zotA •
peRmt-r CENSER
■-•
Venting Options & Specifications
10td1 GF 3 BV Allagash
WI GF 300 DV Allagash Venting Options & Specifications Venting
Heating Capacity'
Min /Max Heat Input
(BTU /hr)
Efficiency)
Hearth Requirements
Vertica l
Termination:
Max. 35'
Min. 8'
REVIEWE
CODE
DE COMP X NCE
` o �: c �, 7.00
City Of luccV`
BUILDING DtVI.S
. horizontal run 27' after
min 8' vertical rise
Min.
I 12 " �.
Min. II
24"
Mtn.
12» Min.
Centerline
56 L2"
` � 'rn1
Venting
Heating Capacity'
Min /Max Heat Input
(BTU /hr)
Efficiency)
Safety Features
Optional Blower
Optional Wall Thermostat
Optional Remote control
Dimensions
Height
Height w/ opt. short legs
Width
Depth'
Weight
Venting
Clearances
Rear
Side
Corner
io" deep mantel
Safety Features
Optional Blower
Optional Wall Thermostat
Optional Remote control
Dimensions
Height
Height w/ opt. short legs
Width
Depth'
Weight
Venting
Clearances
Rear
Side
Corner
10" deep mantel
B -Vent
up to 1,300 sq. ft.
19,000- 24,000 (NG)
19,000- 24,000 (LP)
up to 86% Steady State
(A.F.U.E. 73%)
Safety switch
Yes
Yes
Yes
28"
25 3/4"
22 3/4"
171 /2"
185 lbs.
4" B -Vent
2"
4 "R 10 "L
3"
12"
Direct Vent
Up to 1,30o sq. ft.
14,000 - 26,000 (NG)
14,000 - 26,000 (LP)
up to 88% Steady State
(A.F.U.E. 72.7%)
Sealed System
Yes
Yes
Yes
28"
2 5 3/4
22 3/4"
171/2"
185 lbs.
Simpson GS/
AmeriVent /Security
z"
3" R io" L
2"
16"
RECEIVED
CITY OF TUKWILA
SEP 292004
PERMI I
Jdtul gas stoves cannot be installed directly on carpeting, vinyl, linoleum or Pergo.
If this appliance will be Installed on any combustible material other than wood, a floor pad must be installed that
Is either metal or wood, or a listed hearth pad. This floor protection must extend the full width and depth of the
appliance. It is not necessary to remove carpeting, vinyl or linoleum from underneath the floor protection.
' Heating Capacity will vary depending on the design of the home, climate, operation and venting configuration.
' Depth dimension includes ashlip and flue collar.
' With maximum vent configuration
1,moy 0z
r`� l
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -172
PROJECT NAME: BIRD RESIDENCE
SITE ADDRESS: 4820 SOUTH 145 STREET
DATE: 09 -29 -04
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # _ Revision # /before permit is issued
DEPARTMENT :
-krill
Buil i g ivision
Public Works ❑
Fl revention
Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -30 -04
Complete [l Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO9,TING:
Please Route L' Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 10 -28 -04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slIp.doc
2-28-02
PERMIT COORD COPY
Planning Division
Permit Coordinator
Not Applicable ❑
DATE:
F625.052 -000 (8/97)
AQUA REC INC
1221 REGENTS BLVD
FIRCREST WA 98466
■
DEPARTMENT OF LABOR AND INDUSTRIES-
REGISTERED;AS PROVIDED BY LAW AS
CONST CONT GENERAL
'��;_� ' is �•i •i ,t
REGIST . # .; , ::. MCP
CCO.1`': ':AQUARI *11.0RA 02/,19/200.5
EFFECTIVE DI:TE" - 12/01/1989
• _ •■•... ,. . - . • .......«a «.».. . - ...., r_.. ... -..,. . ......r:..nr ...H«+cn - ;.,i: :r,i ^.:r:gnigFt.`mr.prM.°!'!