HomeMy WebLinkAboutPermit M03-166 - ENG RESIDENCEENG RESIDENCE
4836 SOUTH 150r"
STREET
M03 -166
z
z.
W
6
J U.
U O.
U
W =.
W O:
co d,
= W
'Z �....
Oi
•Z
W at
a.
U
ON;.
W W
Fr"W
_
• Z:
•
U Z
O F-
Z
Parcel No.: 0042000180
Address: 4836 S 150 ST TUKW
Suite No:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Tenant:
Name: ENG RESIDENCE
Address: 4836 S 150 ST, TUKWILA WA
Owner:
Name: MARC + RONALD + MELINDA ENG
Address: 4836 S 150 ST, TUKWILA WA
Contact Person:
Name: MARC ENG
Address: 4836 S 150 ST, TUKWILA WA
Contractor:
Name: DEMARTINI ENTERPRISES
Address: 10924 MUKILTEO SPEEDWAY, #206
Contractor License No: DEMARE *077LD
DESCRIPTION OF WORK:
INSTALLATION OF NEW WOODSTOVE
Value of Construction:
Type of Fire Protection:
$475.00
N/A
Permit Center Authorized Signature: Y � ( i/,/.%(P 0),- ` Date: / C % / /
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:
Print Name: W7?4,(°
doc: Mech
MECHANICAL PERMIT
M03 -166
Permit Number: M03 -166
Issue Date: 10/21/2003
Permit Expires On: 04/18/2004
Phone:
Phone: 206 243 -1389
Phone: 206 - 321 -8295
Expiration Date: 09/22/2005
Fees Collected:
Uniform Mechnical Code Edition:
$51.75
1997
Date: /O 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: 10 -21 -2003
Parcel No.: 0042000180
Address: 4836 S 150 ST TUKW
Suite No:
Tenant: ENG RESIDENCE
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
z
~ w
re 2
00
co J
(H
N u-
w0
u_
?
3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical N CJ
work will be inspected by that agency (206- 835 - 1111). w
z �.
4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any Z 0
construction. These documents are to be maintained and available until final inspection approval is granted.
w
5: All construction to be clone 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). o H
6 : Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be i 0
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any ~ F.
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this z
code shall be valid. V Z
O
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M03 -166
Status: ISSUED
Applied Date: 10/10/2003
Issue Date: 10/21/2003
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
7: 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: / ..// Date: ��
Print Name: 7 _
doc: Conditions
M03 -166
Printed: 10 -21 -2003
z
SITE LOCATIC
Site Address: . / `jai i T
Tenant Name:
Property Owners Name:
Mailing Address:— AF: 1_ / ?
Name:
Mailing Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
\appticationatpennit application (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 **
King Co Assessor's Tax No.: (.0,..7., 0O— cnrFe)—OZ
Suite Number:
/e.../E ?/9-
Cit
New Tenant:
Floor:
❑ .... Yes ,K.No
State Zip
NTACTPERSONr
Day Telephone:? —G- - ,3 (5
T 4w/ f ��
W4. 91 727 4 r
City State Zip
Fax Number:
GENERAL CONT RACTOR INFORMATION;.
Company Name: PP, VIA - �'II/1 11 !� cev J4
Mailing Address:/r, 2 7— cki ;5.. - i
e-ied64)/- C6 -I F-( - t . L7��
l City State Zip
Day Telephone:. G -- / —� �� 5C
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 **
ARCHIT crH" FRECORD,: = ';All plansimust be wet stamped by Architect of Record
Company Name:
Mailing Address:
State
State
Zip
City
Day Telephone:
Fax Number:
:ENGINEER OF: RECORD : =All lane ` "us't tie "et
_ ,, p m w stamped by E nginee r o� Recor�
Company Name:
Mailing Address:
Zip
City
Day Telephone:
E -Mail Address: Fax Number:
3.?t''w"i.:+e iuts'_5. ?:+J..rxatt� �;f,'°iJi�ti:`ti ?tr1 )1,4
aL'zir�w�+++ii,
B1,iJE PERMIT:INFORMATXON: `�0¢c
Valuation of Project (contractor's bid price): $ Existing Building Valuation: S
Scope of Work (please provide detailed information):
Will there be new rack storage? 0 ..Yes [] .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
1 ".'Floor;
2 Floor.;
3`° Floor
Floors: t_'
•basemen
Accessory . Structure*
Attached: Garage ,
Detached GaraBe
:Attached Carport.
Detached Carport
•
Covered peck
Uncovered Deck
Interior
Remodel
'Addition ` to
Existing
Structure
' of
Construction
per UBC
Type of •
Occupancy per
UBC. •
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 0.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 / I paper indicating quantities and Material Safety Data Sheets.
.appliationa'permil application (3.2003)
3/2003
Page 2
Scope of Work (please provide detailed information):
Water District
❑...Tukwila 0... Water District #125
o ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... 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.
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
❑.. Side Sewer
❑...Cap or Remove Utilities
❑ ...Frontage Improvements
❑...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑...Permanent Water Meter Size...
❑...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑...Water Main Extension Public _
lapplicationalpermit application (3.2003)
3/2003
Please: refer. to Public Works Bulletin' #l.for:fees and estimate sheet.
cubic yards
cubic yards
11
91
11
❑•
❑.
0.
❑.
if
ft
Call before you Dig: 1- 800 - 424 -5555
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
if
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ ...Renton
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑...Traffic Impact Analysis
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑. ..Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
lliv .r. �.t... ..uuiu:i.' " 1 � .. ..s.. -.avu. .. _.
Unit Type: '
Qty
, Unit Type :'
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace <100K BTU
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
15 -30 HP/I,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation Systcm
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
MECHANICAL' JERMITINFORMATION 206431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: / -r,/ 2. ;/7/2
Contact Person:
E -Mail Address:
Fax 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): / /J z5 -�4.// WO ( `
-54. mac!
Contractor Registration Number:
Use: Residential: New Replacement .... ❑
Commercial: New .... ❑ Replacement .... D
Fuel Type: Electric Gas Other: L.L )(D 0
Indicate type of mechanical work being installed and the quantity below:
.ItM =APPLICATION ''NOTES = Appl>tcable >}ti:all permits in: this lOkat.00
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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNF�,(t / 7t UTHORIZED AG 1.1T:
Signature:
Print Name:
1.P7 1 /) / /71 � pg_t - 5
■appticationatpermit application (3.2003)
4 :L
Mailing Address: --/
City
State Zip
Day Telephone: } 1 3:5 (
Date: /er /d U�
Day Telephone: Z/-11: — � 1 /_� /7 '
777-tk Gu4.
City State Zip
Date Application Accepted:
/0 fie- 3
1 Date Application Expires:
Staff Initials:
1
;.s
City of Tukwila
2
RECEIPT W
Parcel No.: 0042000180 Permit Number: M03 -166 i O
Address: 4836 S 150 ST TUKW Status: APPROVED co 0
Suite No: Applied Date: 10/10/2003 w _
Applicant: ENG RESIDENCE Issue Date: N
WO
Receipt No.: R03 -01272 Payment Amount: 51.75 u-
N a
Initials: LAW Payment Date: 10/21/2003 03:24 PM _
User ID: 1630 Balance: $0.00 ? i -
ZO O
0 0
O
N .
0 1--
W w
V- O
Payment Check 4630 51.75 LLIN
it = .
O 1 ' ;
Z
Payee: MARC D ENG
TRANSACTION LIST:
Type Method Description Amount
ACCOUNT ITEM LIST:
Description
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 41.40
000/345.830 10.35
Total: 51.75
3009 10/21 9716 TOTAL 51.75
Printed: 10 -21 -2003
Pro ct:
/ll 6 Pi.-
Type of Inspection:
r/NM-z --
A 4n6 / so S
Date Cabled: /9
o f
Special Instructions: �/
I / � �/ a__ / f��
,#/1E b PGs .
C�
�
Date Wanted:
—Q t/
/
p.m.
Requester
/'� e
Phone o 7/3 — o�
•
tii, Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
El Corrections required prior to approval:
COMMENTS:
/o 7
El $47.00 REINSPECTION tE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Pro
>aVCv E1 / 11.C6
Type of Inspection: /057-4-z-(---
Date Called: // c ^ -
V K
A dd�(� �sss s • l *4
Special Instructions:
Date Wa eed:
02y '-o3 ( a.rn. .m.
Requ�s et r: —�
Pl,( N 02 ( ;)7/3 -- OO 7
INSPECTION RECORD
Retain a copy with permit
/14 0
INSPECTION NO.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
PERMI
Approved per applicable codes.
va�tit+5_�
�} ( Corrections required prior to approval.
COMMENTS: �)� 7.7
1''' _ 7 c
OM 7 791., j •`�S 4 6, , ,/
A _,LlAts
0
S47. REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
'Receipt No.:
Date:
�, ^,,•�� n •�...��$.'�f'r1Z' +.. t•N i.'yi!,x!:lc.;.�, � fG •, X51 � {i).;" i',z:t,� +.:.•
1
z
re W
QQ �
J U
U
U O
CO
J 1—
W LL
W
u-Q
to _ 3
W
z so
Z I-
W
U�
c o
0 - CII-
W w
u O
z
U =
O
z
Project:
Type of spection: •
Addres
ya13C6 / St
Date C'alrted V
0p1
Specia Instr ctions:
('qi/ 1 hau r
befoie 1hspec iofl
Date Wanted:
io
a.m.
Requester:
� ' 2 ri< ryi
Phone o:
aoin - 7/3- 067e2
COMMENTS:
PERMIT N
Inspector:
•
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. Corrections required prior to approval.
2 I t - j 1 Date: V 7 3
(206)431 -3670
$47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
'Date:
By ..L=
Date/'
Permit No.
PORN
Ins >' (.a.s
N. , tort
F L
Q LOT 1
1 m +'
o
a.
o
V) � ele
el Y 4• o f
IMPORTANT: This Is not a Plat of Survey. It Is furnished as a convenience to locate the land indicated
hereon with reference to streets and other land. No Liability is assumed by reason of reliance hereon.
FILE. COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any of con-
adopted code or ordinance. O l�n� k
tractor's copy of app no l dged.
.STEWART TITLE COMPANY
of Washington, Inc.
Ara ilf IT
i t a e
oeo •,% ,I 50 TN
".3
(a r1
Ui * • o
, 0 * to
0 II
CO
w�f VI
ar • eT"ti
: tor i ! •
X 8 ,0 dk41
►''.4' 2
Ur 21 116.4•
d
SEPA
Pt
37•
ORDER NO. 1022:01 -
'1 a f5e
•
i It •.4
11
, .•
tl
4
,* ►
1 '{
A TE FERMI
IRED FOR:
i
E ECTRI • L
0 PLUMBING
0 GAS PIPING
CITY OF 'TUKWILA
BUILDING DIVISION
olio
FtECEIVED
CITY OF TUKWILA
OCT 1 0 2003
PERMIT CENTER
j79 &3 z t.. as
ads u
CITY OF TUKWILA
APPROVED
01 7n
� *T
/
1
'2
'23 eve*
• N
V
! '
�' �'
z
_ t " •
I — z
ce
0 0
U)
Ill I
CO W
�
= W
t— =
Z 0
ILI ill
U O
ON
Ww
LL
W
U
o =
1
z
44
DO YOU
Wood sto
this quest'
. 777 .1•90
Policy um ber
Name
OWN A WOODBURNING STOVE?
Don't Jeo )ardize Your Life Or Your Coverage!
wes increase the hazards under your policy and trust be reported to the company. Please
nnaire today. This form can be returned with your payment.
1. Wood ; tove manufacturer
Model umber 3100 / 7 _Th p
Style: ) Franklin, ( ) Parlor, ( ) Pot belly, ( 1 Fireplace insert, other:
2. Did a
3. When as the stove installed? /v— 6Z.
4. Has the installation been inspected and approved by a local fire department or building inspector?
( . ) Ye. ( ) If yes, when?
5. is the s ove located on non - combustible floor material? (>) Yes ( ) No
6. Is the ove at least 36" from any combustible material including the wood supply? ( ) Yes ( ) No
7. What • istance is the stovepipe from the ceiling? 6 S Ii VZ
or from combustible side walls? 7/1
CITY OF MIMI J cerE m p
ER.
OCT 1 0 2003
PERMIT CENTER
return
rofessional contractor install both the stove and the chimney? (54 Yes
3
No
8. Is the . himney constructed either of masonry or UL approved all -fuel metal? AQ Yes ( ) No
9. How o ten is the chimney cleaned? n1V t /}4 yPA,e
10; Does t e chimney extend at least three feet above the roof level and at least two feet above any portion of the roof within
a ten r of radius? Yes ( ) No
11. How i : the stove vented? Check below:
( ) bu It into fireplace ( ) stove pipe thru wall
( ) e pipe thru ceiling .. ( ) stove pipe into chimney
12. Does t e stove pipe pass thru a wail or ceiling via a ventilated thimble? ( ) Yes f><1 No
Are thi bles at least 3 times the diameter of the stove pipe? ( ) Yes () .No
13. Are as es placed in sealed metal containers only? t( Yes ( ) No If no, explain:
14. )s the ove the sole source of heat in your home? ( ) Yes ( No
15. Have v installed the following? (premium credits available in some states)
Smoke detector or local fire alarm?
Alarm system that alerts fire dept.?
Central station fire alarm?
For m e safety tips on proper maintenance and use of your stove, see our woodburning stove brochure.
Ask yo r agent for a free copy.
CITY Of NORA
APPROVED
()) Yes
( ) Yes
( ) Yes (
No
No
) No
OCT 1'i 2603
AS MAD
� fr D 144
# 8786
IDebBilautatiarai t•a Ia,at
Bill To:
M4a /
1 ? �� 1-7
3
I`b 5 too S
ju)tt,.a7C. 4 I c c1A gvtg
Phone #: pck a 1i 3_ 13 h6) - 4)3— c 3) (k"
DATE INVOICE# TERMS
;0/0./,_ I (07)
QTY.
Wood Stoves • Gas Stoves • Pellet Stoves
LICENSED • BONDED
DEMARE * 077LD
10924 Mukilteo Speedway #206
Mukilteo, WA 98275
(360) 331 -3868
Ship To:
DESCRIPTION
Phone #:
SALES REP
Travel
Start
Finish
PO #
SERIAL #
)4dite_i)q
TOTAL
z
l -
=
00
w
J F
g <
En_
_
1— w
Z =
Z1-
w
ON
C3 F-
w
F—
r-
U o
w
V=
o , -
z
- 1,us74471.&J (..)'7 /) 6,104001 -i/1 i
►'t / vM F/S Loon' ufti74)G
S %Ou FRY 04 i lei,)
1 ) S, ou
i-c70(' 6% pips_ X17
- "VuS74'. c Jj 7) r kS AJ'1 /A L.
j J ) ) f147 < Lz4 V 1 / ►1-
— 71I4L `-/1) ,11 J.1 fi
RECE IVED
0ITV OFr' ft
of imittA
*MLA
GAY 0 C T 1 0
APPROVED
2003
PERMIT CE
2G
NTER
OCT 1It
••164
--leg506-51-r-r".5.-- /
L 1St 06
1 1 , )
S>1 ���
n.. I II_ O /7
1 have read this form and now understand which areas of my
are not satisfacto I
VERIFICATION: a re not apppliance ap1ea have r to also made s,visual b e understand and Inspect which ion of areas Sub Total
the work and acknowledge the satisfactory completion of the '
work described.
Tax:
Signed: ' Balance Due:
Date: /6 - 4Z —
# 8786
IDebBilautatiarai t•a Ia,at
Bill To:
M4a /
1 ? �� 1-7
3
I`b 5 too S
ju)tt,.a7C. 4 I c c1A gvtg
Phone #: pck a 1i 3_ 13 h6) - 4)3— c 3) (k"
DATE INVOICE# TERMS
;0/0./,_ I (07)
QTY.
Wood Stoves • Gas Stoves • Pellet Stoves
LICENSED • BONDED
DEMARE * 077LD
10924 Mukilteo Speedway #206
Mukilteo, WA 98275
(360) 331 -3868
Ship To:
DESCRIPTION
Phone #:
SALES REP
Travel
Start
Finish
PO #
SERIAL #
)4dite_i)q
TOTAL
z
l -
=
00
w
J F
g <
En_
_
1— w
Z =
Z1-
w
ON
C3 F-
w
F—
r-
U o
w
V=
o , -
z
File: M03-0166
35mm�
Drawing
#1
rY w:
D:
Q O.
@ O(
mu!
w X:
1:
W.0}
2
u_ «!
22 a
z�
�,
W
2 k.
O -
:0
rz,.
0,
2>
UwL
1-
0 `
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -166 DATE: 10 -10 -03
PROJECT NAME: ENG RESIDENCE - WOODSTOVE
SITE ADDRESS: 4836 S 150 ST
X Original Plan Submittal Response to Incomplete Letter #
_ Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENTS:
Building Division 0 Fire Prevention 0
Public Works ❑ Structural ❑
DETERMINAT;rON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -14 -03
Complete
Comments:
Incomplete ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R�TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions [21 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 ❑
DUE DATE: 11 -11 -03
DATE:
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGZST. # EXP. DATE
CC01 DEMhRE *077LD 09/22/2005
EFFECTIVE DATE 06/04/1993
DEMARTINI ENTERPRISES
10924 MUKILTEO SPEEDWAY
#206
MUKILTEO WA 98275
OCT.21.2003 1 :16PM
. (&)a
erf
of a.d-o e. w-ftt c J'
as of 46..s
- .-. • I u .li Anrl 1)u.lduy (bttiluatc - - -- -•
-
S a,I,Lcic
46,4 DeNtA:S tic-
/ -I t
1
� 510N'� 1 ' h� Q.l,l
NOTAR ' t
mia�.ic = ('1. . 4- . jit Yes ( (1.4-- ant,
p
..! WAS ��. -.
— Uetach Mid l)kj I,I (•crufic;rtt -- • --
N0.165 P.3 /3
z
4
ce
0O
N �.
J X
N LL
u. Q
=d
w
Z '
Z F.-
F- 0
Z ~
n o
0
0 I—
W
U-
0
0 1 -
z
ti
File: M03 -0166
35mm Drawing
#1
N) —
SCALE: I /4' a I
CERAMIC TILE
DEARTH off
E)45TIN5
HA
D INING ROOM
NEW WOOD STOVE
FLOOR PLAN
LIVING ROOM
K I TGHEN
DN
HALL
BATH
BEDROOM
BEDROOM
BEDROOM
ENG RESIDENCE
4856 5 130TH ST
TUGW ILA , WA g8i88
RECEIVED
COY OF TUKWILA
OCT 1 0 2003
PERMIT CENTER
1403-1U0