HomeMy WebLinkAboutPermit M03-094 - CASCADE GLEN - LOT 13CASCADE GLEN -
LOT 13
3817 S 732ND PLACE
M03 -094
j
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600130
Address: 3817 S 132 PL TUKW
Suite No:
Tenant:
Name: CASCADE GLEN - LOT 13
Address: 3817 S 132 PL, TUKWILA, WA
MECHANICAL PERMIT
Owner:
Name: DREAMCATCHER HOMES LLC Phone:
Address: 13407 51 AV W, EDMONDS WA
Contact Person:
Name:
Address:
Contractor:
Name: 3 A K DEV & CONST CORP
Address: 13407 51ST AVE WEST, SEATTLE WA
Contractor License No: JAKDECCO23NS
DESCRIPTION OF WORK:
INSTALL FORCED AIR GAS HEATING SYSTEM WITH DUCTWORK AND GAS PIPING
Value of Construction: $4,000.00
Type of Fire Protection: NONE
Permit Center Authorized Signature:
doc: Mech
M03 -094
Permit Number: M03 -094
Issue Date: 07/24/2003
Permit Expires On: 01/20/2004
Phone:
Phone: 206 - 300 -6874
Expiration Date:09 /04/2004
Fees Collected:
Uniform Mechnical Code Edition:
$83.56
1997
Date: 7 5/e3
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 pe ` nce of work. I am authorized to sign and obtain this mechanical permit.
Signature: ` Date: 7(221
Print Name: c.S It4-2
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 -24 -2003
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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: 7/ /1)
Print Name: c iit`hrt'!■ Ke:
D03 -183 Printed: 07-24-2003
w
re f
U O.
U U ,
CO W
CO
W Oi
u_ a .
co v`
w.
Z ~
0
Z r~:
11J uj
2 o`
O IH'
w w
IH V
- Z' 1
•
U
z
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
z
Parcel No.: 1422600130 Permit Number: M03 -094 = ~
"--z
Address: 3817 S 132 PL TUKW Status: ISSUED
Suite No: Applied Date: 06/11/2003 6 m
Tenant: CASCADE GLEN - LOT 13 Issue Date: 07/24/2003 v 0
N D
w w
J
N IL
w
2
u. j
�
� w
z�
1- o
z i.—
w
w
0
O N
off
ww
I—
• U_
U. Z
ui
7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 c)
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). p
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.
8: 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.
9: Manufacturers installation instructions required on site for the building inspectors review.
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:
Print Name: - totirt
doc: Conditions
M03 -094
Date: 7 it !a
Printed: 07 -24 -2003
z
'SITLOCATI
Site Address:
Name: \ 74.
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
bpplicationetpermit 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**
L� Sri L� "�- . lZ• C.c?
t
Page I
26 >6%Z King Co Assessor's Tax No.: 11-1 2 2 -- o f 30
: : l7 L..) 3 ZY '' L . Suite Number:
Tenant Name: CrA.SC. - tb--€ l _ � - l�� LOS \ New Tenant:
Property Owners Name: - P '1Z, t-\ C- 14 •m1 C-
Mailing Address: Tv-As?, b (3.6
Zip 9
City State
Day Telephone:
City
ENGINEER OF:'RECORD -A ll plans must be Wet stamped by`Engineer olf Recort •
o-.
Floor:
.... Yes El ..No
City State Zip
Fax Number: Q{Z5) 7 1 2-4 'Il
State Zip
- )' �e l •e'z -1 Z . Day Telephone: C. 4 . 7y
v-- - j 7 7�L
s - . Y- • C Fax Number: ZS) 7L{ 1 76 —
T
Contractor Registration Number: -, C— fit✓ C. C.,. ?_3 Expiration Date: 6 7S---ET Z 4..p * *An original or notarized copy of current Washington State Contractor License must be presented a the time of permit i§suance **
HI TECT-OF RECORD All'plans must be weEstamped by drehitect otRecord::
State
City
Day Telephone:
Fax Number:
Zip
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
:r<
Unit Type:.
Qty •
Unit Type:
Qty
Unit Type:..;, ,
.Qty .:.
Boiler /Compressor:
Qty
Furnace <100K BTU
1
Air Handling Unit
>= 10,000 CFM
\
Other Mechanical
Equipment
0 -3 HP /(00,000 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 /1,750,000 BTU
Heat/Refrig/Cooling
System
`
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
:T - V T ♦ t _ .y Ta: +r.• �,:'.t'•! • ~ lq.. F:i• ?1_r. �,...r*f.•t.fn:ei;;�. -ty,`_ rt .. ..r. l '(4. °.
?1VI C AMCAL.PEi T INFO T �il ;' , 044$34 36`1 � °�
E 4 y x
r�r1 fl + 2 i� y : } °x• 1 . ¢ i��,�yy�'��.ct �: tr„ 1 .5 pt n 4 Y +.: t r t , ' t r r� iii s
:,3.,s kr't,?uj:t� .�. Ye i. ^. .St%"y �Pt� } +'4� /' ?+•=�i�;Y�*•L- f; ":!v`'�;t'!�i t�l �� ,r i;.. �: *t .i. i }-..,Y h��`.��t'. *t.. it= wti. `1.�. . tra'�`'.',`vf *,0
MECHANICAL CONTRACTOR INFORMATION
Company Name: ) t t.4. c
Mailing Address: 1 .-\' I I e3 O t 3 c L °1 F-H ki le_ t LTA .■5•" ? A tsx.o... t-c
State Zip y -8
Contact Person: _.....S - 7 hi } rS'Z Day Telephone: .g� e eszs --- 6 --71 w �
E -Mail Address:. .t?l' `s2 Q_' C,_ • Cam- Fax Number: OA 714 ( Z--6.L?
Contractor Registration Number: ....S V._ "s 0 Z3 r\ Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Indicate type of mechanical work being installed and the quantity below:
City
Valuation of Project (contractor's bid price): $ Li O-
Scope of Work (please provide detailed information):
Use: Residential: New .... Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....a. Other:
Gcable `to' 11 er00 401i1s A lie do
R
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.
BUILDING OWN 9R AUTHORIZE NT:
Signature:
Print Name:
Mailing Address:
applicationslpeimit application (3.2003)
3 2003
Page 4
Date: 0/ I /63
Day Telephone:(6c) a t's C 7L
City
State
Zip
Date Application Accepted:
l -- 77 - 6- 9
1 Date Application Expires:
I Staff Initials:
�
i
Payee: DREAMCATCHER HOMES
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Parcel No.: 1422600130 Permit Number: M03 -094
Address: 3817 S 132 PL TUKW Status: APPROVED
Suite No: Applied Date: 06/11/2003
Applicant: CASCADE GLEN - LOT 13 Issue Date:
Receipt No.: R03 -00893 Payment Amount: 83.56
Initials: SKS Payment Date: 07/24/2003 11:42 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2233 83.56
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
07.2 007./20 9716 TOTAL 2019
doc: Receipt Printed: 07 -24 -2003
Proj
c3cc cL'v ( 3
Type of Inspection:
-. I (/)
Address:
- Z I S 13 PI
Date Called: `` V'-
1 -o - o )- t
Special Instructions:
Date Wanted: a.m.
\- G - 0Y cp
Requester: i 1,
Phone No:
-
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Mo3: cqtl
PE
NO.
(206 431 -3670
I approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
' PV'v1n Cnw l'P` c
Inspector: �r - i Date: \ -� , �
'Receipt No.:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
r ',� .r k'T� �H' iau,.'1!� 4��1�; rt�s� '`'��2��4�37 ;,As;},.' °`,i'Y'�i ;s,,�, f �}�• t , . r
'��•4' �`,� �" w �� tr7 F a Esc.; < ?• ,.� :.
1
COMMENTS:
(716, - /3
Type of Insp o
/
`
) E\44 Cor -P \IPi
J
�
A.)G (1 IA r t n Inn o A (AK
\f∎ owl f -
()l,vv‘-P
\!ev\k ( 0vivl -ei't
t\ owk- V
Phone D (..(
7;0' -WC0 D.
}, ,
n
P Ject:
624
(716, - /3
Type of Insp o
/
Ase ' 17 S , + 32 06 1 ' Date
i
Called: '
Date Wanted:
1
/ 0/n
c �
?./-30/03
Special
Special Instructions:
( 3( 103 p.m.
Requester: IA
x !i /,
Phone D (..(
7;0' -WC0 D.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
Inspector:
1 Reipt No.:
air
INSPECTION RECORD
Retain a copy with permit
'Date:
PERMIT
N
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3670
Approved per applicable codes. Corrections required prior to approval.
r ate: `_ v R)
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
COMMENTS:
I.) - Ir. ! \ /P,As` a t IOw 'A 1'-1 r v V►.
r ove
1 1 V \ t t/ 0 0V' \f t ctQ Av
Address:
rro
IMP IA 1 / ` f. C J f - r 5 i h c.. 1 m,11 s k . cA r t-/C ; c,,i s
1 Mr.6 `"VTvvk IL I i1ne t c k r G tti i
Date Wanted:
\M tS 1 v\q 1 fn5iltcA Iri,1 • .P 1 h Sv \G ft
_
/
a.m.
G V1(' S-P C v V f t t.\ (4( f
¶
)
? 1
11,-, r t,-.4,1 1 -Pa, sl - r v r bavrI hr k
Phone No:
1-1
-1-0 So i I
`•
1
1
So ri-� \ , lotivNA - 's Y)ra tAA h \ 1 vt C .
c,GOi(e
IG\/ I h/i (1 V1 sot . 1- r f p V
lAA1V\\rV\VW\
Pr9je
1 C!��� C���. -�'L4j
Type of In pection
k Dl,fC i i - i (
Address:
ate Called: L -
Sp6da , Instructio n s:
Date Wanted:
_
/
a.m.
Requester:
11
Phone No:
--413 L
CITY OF TUKWILA BUILDING DIVISION
•
14 4 — I TM
c am - --._
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT 'i
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
'Inspectors
g Corrections required prior to approval.
Date:
9_19-
$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:
• Si t, .., ;
•!n
•i c�) a l,? : .
•
�:'tti. •- L t �.a1Cv::Hyrt..
Prop it:
�''{' ✓�
((
1
Type ofd ecti o
` fCJI � —1 v1
s s:
Address: : I - 1 S ,
I
Date Called: tO 0 -e)
I
Special Instructions:
w �.
Date Wanted: - '
q —4-�, - 0 - 5
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD 1)
Retain a copy with permit r tt -/ °
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4
1 - 3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
� I Q Y' Y'r(
1CO 4
Inspector
4 40 .Y.cuatr
Date: 0
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:
Z
I QQ Y
W
J U
00
• 0
w
w • 0
g
I
�
Z =
H
W I
• W
U 0
O -
O H
W W
I
L I O
LU
0—
z
1
Project Name:
Site Address:
Effective: 7/1/02
CITY OF JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Residential Heating and Ventilation Compliance Form
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.:
❑ . Heating System Installed, (check system type belo
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. [- Other Fuels (gas, heat pump)
BUILDING PERMIT APPLICATION NO.:
C SC ` C� lr i LO I
3 saw 13 z t°b P L ,
• 7.114c3ic 3pprQVals are
1. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B C below): Ci _ �'' " N
A. ❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation)
B. ❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
C. El Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): 2 5',0
X 20 BTU /h
51 Maximum BTU
w):
CITY OF TU WN
APPROVED
JUL 1 6 2003
,u) As NUILU
FILE COPY
of Heating System Output
=1 s rc
II. WASHINGTON STATE VENTILATION AND INDOOR AIR I UALITY CODE (select A or B below):
RECEIVED
CITY OF TUKWILA
JUN 1 .i Z003
PERMIT CENTER
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. ❑ 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.)
IX, Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
1. House Square Footage: 7.5 9D
2. House Number of Bedrooms: .4
3. Required Outdoor Air Table 3 - 2: Minimum - IF) C cfm
Maximum - cfm
Floor
Area, ft2
Bedrooms
Maximum Length
Feet
2 or less
3
4
5
6
7
8
Ti, qi,
AMik
7MM3x
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
7 41 .
BO 9
50,1
j 74 ;
65
98
80
120
95
143
110
165
125
188
140
210
' t :
5 inch
48
70"'"
'105'-.
::85
".:128
:'100.'
.x150 ::.1.15
80.
'..173
x ' 130'' ,
. 195 :'
"1145`
:;; 218:.
!i. • f,�0 '
4,, 0',
x 90
75
113
90
135
105
158
120
180
135
203
150
225
k +: ::,:1501= 2000 ? : =
` :65' " .
` 98
.' :'' = -'•
'.;120.
; '-95' - : =
141-
- 110.
':`.165:.125'.
6 inch
;;188:.
:140 ::
`
:1551:
'233:•
2001 -2500
70
105
85
128
100
150
115
173
130
195
145
218
160
240
=.$501 =3000 'µ<
,' IS "'
'113`.;
; :';90:=
' ;135'
.105
':158:.
120,
.A80 `
=..135:
= .203 :
• 150'i
:225.:
- . 165'
:'248:,
3001 - 3500
80
120
95
143
110
165
125
188
140
210
155
233
170
255
:i: '4350.1' 40001:::':
's 85-
!;:1 28'.
;::100.:;
; %150`
:: 1;15;=
a::1 73 :1
n130'`.
" :195'.:
;
, ".218' :.,160
r- '240:
+175?
x263'-
4001 - 5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
'q:',05001 `
:405
.' "158r'.
:.120';'
180'
.,;135'>
';203'.'
150
:" ::
' 165,''
;''248g
1800
:'
'j195','
.'
6001 - 7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
. ."7001;-8000'1, 1 `.:
'125` : :'.188
"':
7 140
- ..
1.55:x;
.:':233 :'
':170'
.255:1::
185` '
;278.`
' =200
:;300'
= .323,`
8001 - 9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
r'' >.9000 =
: 145'
;218 ::
•::160 "
:1240;':
"175:::
;:263::
;;190''
'285:,.
" : 205 -:
,.308:.
':220
- 330';'
:235':
''
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
"iVI `•i i 50 .:+'
., f: ; 5 inch " - 4 ` ,..
'' :'t 90 ... . ..
`5 inch" - .. ,
. 100'. , .. ,
.:i;a''
3 >` -' .' ,.
50
6 inch
No Limit
6 inch
No Limit
3
. 3,:, , 80 r: .x.
4 inch= ... i
, "' n ;.;;':,';
.> 4 inch:?
:.'20' • .
;,
.
80
5 inch
15
5 inch
100
3
80.
;-`6.inch
. :90 . : ,.
' 6 inch '
No Limit 2...
100
5 inch'
NA
5 inch
50
3
.V'. +.
•
.. ....6:inch ...
45"
'6,inch .
.:'.
No Limit.,
3,..,:., :.
125
6 inch
15
6 inch
No Limit
3
x,125'
7•inch .
70`: .
., ..... ..•7'
•
Limit
3 :::‘::
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
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
� 11li1 i COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -094
PROJECT NAME: CASCADE GLEN — LOT 13
SITE ADDRESS: 3817 S 132 PL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building ion [ � Fire Prevention
Public Works ❑ Structural
Documents /routing s1Ip.doc
2.2802
DATE: 06 -11 -03
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -12 -03
Complete d 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 RO
Please Route I Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
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:
PERMIT COORD COPY
DUE DATE: 07 -10 -03
DATE: