HomeMy WebLinkAboutPermit M03-086 - CASCADE GLEN - LOT 2CASCADE GLEN -
LOT 2
13222 38T" PLACE
SOUTH
M03 -086
Parcel No.: 1422600020
Address: 13222 38 PL S TUKW
Suite No:
Tenant:
Name: CASCADE GLEN - LOT 2
Address: 13222 38 PL S, TUKWILA, WA
Owner:
Name: DREAMCATCHER HOMES LLC
Address: 13407 51 AV W, EDMONDS WA
Contact Person:
Name: JAY KEIROUZ
Address: 13619 MUKILTEO SPEEDWAY, D -5, LYNNWOOD, WA
Contractor:
Name: J A K DEV & CONST CORP
Address: 13407 51ST AVE WEST, SEATTLE WA
Contractor License No: JAKDECCO23NS
DESCRIPTION OF WORK:
INSTALLING NEW FORCED AIR GAS HEATING SYSTEMS WITH DUCTWORK AND GAS PIPING
Value of Construction:
Type of Fire Protection:
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.
Permit Center Authorized Signature:
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.
d/gl Signature: �— ���� — Date: � 3
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
$4,000.00
N/A
MECHANICAL PERMIT
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.
M03 -086
Permit Number: M03 -086
Issue Date: 06/26/2003
Permit Expires On: 12/2312003
Phone:
Phone: 206 300 -6874
Phone: 206 - 300 -6874
Expiration Date:09 /04/2004
Fees Collected:
Uniform Mechnical Code Edition:
$83.56
1997
Date: G —2G -c f3
Printed: 06 -26 -2003
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600020
Address: 13222 38 PL S TUKW
Suite No:
Tenant: CASCADE GLEN - LOT 2
PERMIT CONDITIONS
Permit Number: M03 -086
Status: ISSUED
Applied Date: 06/02/2003
Issue Date: 06/26/2003
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).
5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
8: Manufacturers installation instructions required on site for the building inspectors review.
9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
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
regulating construction or the performance of work.
Signature: Date:
Print Name: J lfof- D
doc: Conditions
M03 -086
Printed: 06 -26 -2003
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ELOCAT1O
Site Address:
Tenant Name: GSCx.`zPz•€ l.0 r".J h� New Tenant: ❑ .... Yes 0 ..No
Property Owners Name "" f-� Cam. - GTt 1 ri:.�l C., L.-L. C..
Mailing Address ., l l 9 (^) 13 6 °) K U lr t Lib C) SZ ' -c' - L -Y13) b
City State of d_ 2 Zip
c
Mailing Address:- }-1-.'7
E -Mail Address:
Name:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
King Co Assessor's Tax No.:
\applicationstpennit application (3.2003)
3/2003
CITY OF TUKWILA
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 **
— T^ rL I L
C
Page 1
Suite Number:
Day Telephone: ( C C 3 coo & 7L1
City State Zip
Fax Number4 - Z) 7 I 763
City
Day Telephone: (Z ? '7L
Fax Number: C ?/ 7/4
Contractor Registration Number: .-S 'G CC. Z3 AS Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
State Zip
ARCHITECT:OF,YRECORD All plans must be wet stamped by,,Architect of Record
State
City
Day Telephone:
Fax Number:
:ENGINEER"OF ;RECORD pl "m ust • b wet sta by En " "gineer.of Record
State
Floor:
Zip
Zip
City
Day Telephone:
Fax Number:
+' ea3�;;aa�' � X:rr.Fziic,;i%riduk�:ac:n.»..vr
B uilli N(s y,ERMITt'iNFp ►TIO' 20� =�i31 367
r.+ ar4 •C: "' 1 r:'.S t� � r �- ..;...
�,��...�? ;'..!;c�tt ff,, its' �h�ri+ e�', i.`. i; �i= �` s' 4�.)>' at�'': ?t�•h•�t.: °',�;:Y.v�4,�;�•i.�.X :i``(".`r.7,?:. �3�`s5� 1i`»,'..r ,. a.
Valuation of Project (contractor's bid prig ..): $ 1 4t .. • — ' Existing L...tding Valuation: $
Scope of Work (please provide detailed information): CO rU. 'tt.e;r■/ c/ trv• tS 1 "4, •
Will there be new rack storage? ❑ ..Yes No No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION: q _
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) J )
*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.
1 ".Floor:
2"° Floor
3t Floor
Floors
Basement
Accessory Structure!
Attached'.Garage
Detached Garage
Attached: Carport
Detached:Ca port i.
Covered Deck
Uncovered Deck
Existing
Interior:
Remodel
Addition to
Existing
Structure
( !q
L-t
m
_,_T o _, ,.
Construction
per.UBC
A)
Type .of =
Occupancy.per
UBC
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 (4. 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.
\appliatiottatpennit application (1.2003)
N2003
Page 2
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Scope of Work (please provide detailed information): (` �`� `r ` 1 i , >7"e -, ve . ./\'y k a l-- ( l r /eS
Water District
0 ...Tukwila. Water District #125
0 ...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 apply):
0 ...Right -of -way Use - Nonprofit for Tess than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
(.Total Cut ,a-v cubic yards
❑ ...Total Fill cubic yards
FINANCE INFORMATION
❑...Water []...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
tappliationstpetmit application (3.2003)
3/2003
Call before you Dig: 1- 800 - 424 -5555
Please refer.to'PublicWorks Bulletin #1 for fees arid estimate sheet.
.. • Highline
Sewer District
❑ ...Tukwila . ValVue 0 .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided 0 .. Approved Septic Plans Provided
0 ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
0... Sewage Treatment
.. • Geotechnical Report ❑...Traffic Impact Analysis
.. • Maintenance Agreement(s) 0... Hold Harmless
.. • Right -of -way Use - Profit for less than 72 hours
.. • Right -of -way Use — Potential Disturbance
.. • Work in Flood Zone
.. • Storm Drainage
0 ...Renton
Sanitary Side Sewer ❑ .. Abandon Septic Tank 0 .. Grease Interceptor
...Cap or Remove Utilities ❑ .. Curb Cut 0 .. Channelization
.. .Frontage Improvements 0 .. Pavement Cut 0 .. Trench Excavation
.. .Traffic Control 0 .. Looped Fire Line ❑ .. Utility Undergrounding
.. .Backflow Prevention - Fire Protection 91
Irrigation a'
Domestic Water 'a
Permanent Water Meter Size... 5/ " WO#
.. .Temporary Water Meter Size.. ! WO#
0 ...Water Only Meter Size WO# ❑...Deduct Water Meter Size a'
.. .Sewer Main Extension Public — Private
❑ ...Water Main Extension Public , Private
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
Page 3
Day Telephone:
City
State Zip
Day Telephone:
City
State Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
,
Air Handling Unit
>= 10,000 CFM
,
Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >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
`
Hood
50+ HP /I,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm /Ind
MEGHANICAL1!ERMIT I
:ac , ::!.$r v.��,'- : ±v. .t� �:.,,•,
Company Name:
Mailing Address:
MECHANICAL CONTRACTOR INFORMATION
_, t 1.1 C
Indicate type of mechanical work being installed and the quantity below:
Print Name:
Mailing Address: S. ith- 1- 'LC
Date Application Accepted:
Vpplicationstpennit application (3.2003)
3t2003
City State Zip
Contact Person: s". t'''V FT Day Telephone: c 1.6.1 g--tser-6-A
E -Mail Address: ��- •--is., t'L-C Fax Number :r / { 'Zs) 4, 1 Z.6.
Contractor Registration Number: --- A% .- E. C. 7,3 rU S Expiration Date: e / / X
* *An original or notarized copy of current Washington State Contractor License must be presented aCthe t of permit issuance **
Valuation of Project (contractor's bid price): $ 46--0
Scope of Work (please provide detailed information): NA. 't 7%-L 1. -4 c1Z c€ . \NC_ .D\-e- -b ~' l �
LW J C-7 L i V 6").Ns 1 P1D■1
Use: Residential: New ....R Replacement ....
Commercial: New .... ❑ Replacement ....
Fuel Type: Electric ❑ Gas Other:
plicable 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.
Zae:
Date Application Expires:
Page 4
City
Date: 167 Z �� 3
Day Telephone o E, c� 7Z-1
State
Staff Initials:
Zip
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Z
RECEIPT 1 Z
r4 2
Parcel No.: 1422600020 Permit Number: MO3 -086 6 D
Address: 13222 38 PL S TUKW Status: APPROVED V 0
Suite No: Applied Date: 06/02/2003 N W
Applicant: CASCADE GLEN - LOT 2 Issue Date: ,=..
N IL .
W 0
2
Receipt No.: R03 -00781 Payment Amount: 83.56 g Q
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Initials: SKS Payment Date: 06/26/2003 11:27 AM = 0
User ID: 1165 Balance: $0.00 1- w
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Payee: DREAMCATCHER HOMES LLC j D
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Type Method Description Amount _
U. Payment Check 2213 83.56 Z;
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OF
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TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
9943 06/26 ' 1 716 TOTAL 3808.62
Printed: 06 -26 -2003
Protect: 'A z
C' GSCGr1 - e C ( -P�
Type of Inspection:
t + 1
Address:
11 39 T1
Date Called:
1?-- s - o3
--�
Special, Instructions:
Date Wanted:
tom` S - 03
a.n
p.m.
Requester: 1 )
Phiect_ 730' 2,..7to
•
4 118
INSPECTION RECORD
Retain a copy with permit
INSPECT IIN N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
A pproved per applicable codes.
COMMENTS: n MMENTS:
C OUY`e(A -Nr>n5 Cn
rw'A C'0vh t 1-P4R
O A-0 \t \C4
orrections required prior to approval.
Inspector
Date: Q
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:
..��
INSPECTION RECORD
Retain copy with permit
INSPECTION NO.
ITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P
Ad ress
Type of Inspection:
r nu
Date Called:
0
G3
Special'.In structions:
Date Wanted: t~ a.m.
1a J `0 p.m.
Requester: �
Phone No:
Approved per applicable codes.
Inspector:
Corrections required prior to approval.
COMMENTS:
Cl
Cs t/a P ot C t°(
c, r c � a c-�- Q vAnt
1'." ' 7
re Lir•.
1^ 9 a r "/Q r�J;
!! 6300 Vpp!ij
S
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(Date: S o3
S47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at$300 Soiithcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No. :
Date:
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Type of Inspection)
i(.!GY- C _14 - y. t - ,
Address: 32
32ZZ`�/ -
Date Called:, - „
y-
Special Instructions:
.,
Date Wanted:
Requester: �
� /C
Phone No:
(046) 7.3d
,> 'd3-Dq-
L.NSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
In .•. ctor: D— s
47.00 REINSPE ON FEE REQUIRE •. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: 'Date:
Approved per applicable codes. D Corrections required prior to approval.
SrS
Effective: 7/1/02
CITY OF 1 JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
FILE COPY
Residential Heating and Ventilation Compliance Form
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.: MO OS
BUILDING PERMIT APPLICATION NO.: r.70-168
Project Name: SC 'fir t b T Z
Site Address: 13 2 Z
1. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
A. ❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation)
B. ❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
C. ja Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): 033 n
X 20 BTU /h
❑ Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. J Other Fuels (gas, heat pump)
= Maximum BTU of Heating System Output
GM OF TU`t{M RECEIVED
�(�1j� D CITY OF TUKWILA
MAY 02 2003
JUN 2 5 603
ks
r;?CT C
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITIt'CODE (select A or B below):
PERMIT CENTER
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. 51, 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 1/2"
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. House Square Footage: Z 337
2. House Number of Bedrooms:
3. Required Outdoor Air Table 3 -2: Minimum - 85 cfm
Maximum - ) ZB cfm
Floor
Area, ft2
Bedrooms
Maximum Length
Feet
2 or less
3
4
5
6
7
8
25
43
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
`.:
' 5
,.,
'1 65
98
80
120
95
143
110
165
125
188
140
210
''' x ::50 F' ''''
"'.
. , •:4 inch''
70f.=
',105.' -:
-;:85','
'= -128
:1002
.!' 150.-
•.;115-.:'..173
15
'•.13O'>
2195''
`145`
,1218.::
10 11
w+
75
113
90
135
105
158
120
180
135
203
150
225
',=:sA 1501-2000''
"'':65:.`
:'
^= X80 :'•
c120 "
:.95`
:143;::
=110
'-
:
:188','i>140'
`210;.
=155
`=.233"5
2001 - 2500
70
105
85
128
100
150
115
173
130
195
145
218
160
240
f : :: ::2501:3000
=75-
, , =1'13
^•90;Y
,-;135`
.105'.
, •:158
.:120
d80`
2 135:
, =203:-
:150'?
, :225'.•
w=165"'
:248L-
3001
80
120
95
143
110
165
125
188
140
210
155
233
170
255
':`44501-4000'. >`;'3
:'
;
1: :100'
•:1504
:'1:.15` - '
'.1.73.<<'.
-'130'
`,".195',',1
: %.
160.'
• •240;`
A751
(; 263=
4001 - 5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
' :" W5OQV.6000 . :''
: 105
;;158;
' :1201
'11301•
:'135
- 203':
, ' 156`:'
7 : ;225
. '165,2'
:`:`248 = - '
:!:180°
( -276A
' :195':
293 •,°'
6001 -7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
!:7001- 8000;',:
:1251
..."`,181V
:' ->
' ^.
:;155 -.:1'233';
: :170;
.:255%
::185'
`200 ::;300.'
.:215:
X3233
8001 -9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
1:';4 • :9000!:"';
.1.45 •
':2:18-•:
>:160'
4,240:
'_
'196'
' 285 -%
:205 ::
'::220.
`= 330` :.'2353
:'`353
Fan Tested CFM
0.25" W.G.
Minimum Flex
Diameter
Maximum Length
Feet
Minimum Smooth
Diameter
Maximum Length
Feet
Maximum
Elbows'
50
4 inch
25
4 inch
70
3
r `: t: Stl . .. ' •
, .5 ", ':'r.'
, • . , 90 ..
. '5''inch .
... •T100:. :::;.;' .
' , `:
'
,:3; ? ..
,.,
50
6 inch
No Limit
6 inch
No Limit
3
7. , . _; 80 �;
.R - -.' , - 4 inch a
., _. •siNA'. . ..
. , •:4 inch''
.. 0 ': ;: ? _
.
80
5 inch
15
5 inch
100
3
, ....g.., , ,:•;...'•61nc
c,
90 ...
.....
6 nc •.
.. •No`Limit
100
5 inch'
NA '
5 inch
50
3
;_ „ ..� •;:"A100 . ::•4 . ,•.
. :.6: ,,
. ....45:' .
. ..s'6 ••inch ":..
, . . . No :Limit•.
_ .,.....
3_-.'.1.',': .h+
..._
125
6 inch
15
6 inch
No Limit
3
r , : x:;1.25 r".
::' • :!':•. •7- inch ..
70 , .. .',,:
a':.
7• inch=. .
. .., -: :; No •Limit` ?'" ..
.
3 t
_. .
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
Effective: 7/1/02
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, inc ease the minimum requirement listed fo 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum.
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
ACTIVITY NUMBER: M03 -086
PROJECT NAME: CASCADE GLEN - LOT 2
SITE ADDRESS: 13222 38 PL S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 06 -02 -03
Revision # After Permit Is Issued
DEPARTMENTS: � �
C. Buil ii Division
Public Works ❑
DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.)
Complete [� Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RNG:
Please Route Q Str uctural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07 -01 -03
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
PLAN REVIEW /ROUTING SLIP
'�//JJ // & �' 03
Fire`Pievpntion tt LJ Planning Division ❑
Structural ❑ Permit Coordinator
DUE DATE: 06 -03 -03
Not Applicable ❑
DATE: