HomeMy WebLinkAboutPermit M02-134 - DOAK HOMES - LOT 5DOAK HOMES -
LOT 5
12216 43RD AVENUE
SOUTH
M02 -134
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Parcel No.: 0179000250
Address: 12216 43 AV S TUKW
Suite No:
Tenant:
Name: DOAK HOMES INC - LOT 5
Address: 12216 43 AV S, TUKWILA, WA
Owner:
Name: DOAK HOMES INC
Address: 11917 4 AV SW, SEATTLE WA
Contact Person:
Name: DARRYL E. DOAK, SR
Address: 11917 4 AV SW, SEATTLE, WA
Contractor:
Name: DOAK HOM1SS, tPJC.
Address: 11111 4 Ay SW, SeA uc 1 u�A
Contractor License No: boA K t{ I$pgZNZ
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
$3,500.00
MECHANICAL PERMIT
DESCRIPTION OF WORK:
INSTALL NEW HEATING SYSTEM IN NEW HOUSE; DUCT WORK AS NEEDED
MO2 -134
Permit Number: MO2 -134
Issue Date: 10/29/2002
Permit Expires On: 04/27/2003
Phone:
Phone: 206 246 -6587
Phone: Zot. V.16 -(0S$7
Expiration Date: 68`01/20173
Fees Collected:
Uniform Mechnical Code Edition:
Date: -/l3 - Z9-gZ
$ 70.25
1997
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 const ction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: 4 .7 ∎1
r
Print Name)/1Z/2 /2 / �� �1/rk �•-
y .
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.
Date:
Printed: 10 -29 -2002
City of'1'ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000250
Address: 12216 43 AV S TUKW
Suite No:
Tenant: DOAK HOMES INC - LOT 5
PERMIT CONDITIONS
Permit Number: MO2 -134
Status: ISSUED
Applied Date: 06/24/2002
Issue Date: 10/29/2002
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: 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.
10: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform Building Code
and the Washington State
Ventilation and Indoor Quality Code, Chapter 51 -13 WAC.
11: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
12: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.).
13: 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: i
Print Name: 1,4g/2/ , r "
doc: Conditions
MO2 -134
Date: /07R7/9
Printed: 10 -29 -2002
Project Name/Tenant:
1 71X. M& /2(, C
Value of Mechanical Equipment:
3.
Site Address : City State /Zip:
/ 2-2 - 4 /3 i -C' S z-e c -.>/�//
Tax Parcel Number:
e' i 7 904 -- e, > S' r7
Property Owner: —
Phone: (
)
Street Address: City tate/Zi:
I /17 .- y, /,a? � 5�f e kr /� p
Fax #: (
) SOH
Contractor:
N . A y� -,.�� 51- '
v d� 7
Phone: (
) sou P
Street Address: , Cjt State/Zip
f , /,.7`..._ G // ' e f �U' SP ��/ �!
Fax #: (
) f �Yrr c 2'
Contact Person: /,%
�/� 2 / // .G i z>19- S 'r' '
Phone: (
) ^
/ /1 fug
Street Address: City State /Zip:
/ /V /7 (// f /)-- v(' ev, S'P / 9 ,y6'
Fax #: (
)
S z�
:'BUILDING #O. ER OR,' UTHOR EDAGENTr.
Signature: I - /
� 1 �� � y
Date :� -....2,0._. Oz
Print name: �„ / . ,
Phone: (2 )2 v -e'5,7..?
Fax #: ( e
Address: / /9/7 — 4 4 7 - 4. 4=Utz' 94...
City /State2ip:5•6 , e ?; /
CITY OF T UKWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Lei 5
f OR STM(I USE ONI Y
Project Number:
Permit Number.
Moto
Mechanical Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
MECHANICALP.ERMIT .REVIEW :AND APPROVAL REQUESTED: ( TO' BE; FILLED :OUT 'BY APPLICANT),
Description of work to be done (please be specific):
l a°
'* 2 j f /L' e zr' M ,e i r»-ip $ Sleet
`` J.4E. 'Coo? - k - f -1 /?! ti° co aa'cr
/vc'cv 4 (.9 et S e'
Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of
application, a copy of this license will be required before the permit is issued OR submit Form H "Affidavit in Lieu of Contractor
Registration ".
Building Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the
State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the
permit will be required as part of this submittal.
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
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 114.4 of the Uniform Mechanical Code (current edition). No application shall be
extended more than once.
Date application accepted:
Date application expires:
/Z 8 !Z ,
Application taken by: (initials)
✓
Submittal Requirements
Floor plan and system layout
Roof plan required to identify individual equipment and the location of each installatipY (Uniform
Mechanical Code 504 (e))
Details and elevations (for roof mounted equipment) and proposed screening
Heat Loss Calculations or Washington State Energy Code Form #H -7
H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut-
off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical
Code 1009).
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other applicable requirements of the Washington State Nonresidential Energy Code.
Structural engineer's analysis is required for new and the replacement of existing roof equipment
weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be
stamped by a Washington State licensed Structural Engineer.
Mechanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
SIDEN
Submittal Requirements
New Single Family Residence
complete sets of attachments required with application submittal
Heat loss calculations or Form H -6.
Equipment specifications.
Change - out or replacement of existing mechanical equipment
1 Narrative of work to be clone, including modification to duct work.
Installation of Gas Fireplace
Narrative with specification of equipment and chimney type.
If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe
condition.
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
ailltW
Payee: DOAK HOMES INC
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Current Pmts
Amount
Payment Check 2442
MECHANICAL - RES
PLAN CHECK - RES
Type
RECEIPT
Method Description
Parcel No.: 0179000250 Permit Number: MO2 -134
Address: 12216 43 AV S TUKW Status: APPROVED
Suite No: Applied Date: 06/24/2002
Applicant: DOAK HOMES INC - LOT 5 Issue Date:
Receipt No.: R020001522 Payment Amount: 70.25
Initials: SKS Payment Date: 10/29/2002 01:35 PM
User ID: 1165 Balance: $0.00
70.25
Description Account Code
000/322.100 56.20
000/345.830 14.05
Total: 70.25
2055 10/30 9716 W i sat 3 � rlt a: 10 -29 -2002
Project:
Type of Ins ectiioo
Addre s:
Date Called:
Special. Instructions:
e
�J
Date Wante�� `�
a.m.
Requester:
Phone No:
lixto
INSPE RECORD
Retain a copy with permit
INSPEIQN NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
40‘
$47.00 REINSPECTIOEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcen r Blvd., Suite 100. CaII to schedule relnspection.
'Receipt No.:
'Date:
,Rt oiect: . . I
DC.:(K-- 1 - Lote
Type olinspection:
- (()a
I ch se 4 Ay E
Date C41 cz 0 .9
Special Instructions:
Date Want :
n
03
Reque .
a trtrui 1
Pho il <P e N 6140 —. 3 7,q—.950
"
11 INSPECTION RECORD
Retain a copy with permit cP-I3
INSPEC ION NO. ' CITY OF TUKW PER �T
'LA DIVISION
\i'''' 0
6300 Southcenter Blvd., ‘#100, Tukwila, WA 98188
tE pproved per applicable codes.
COMMENTS:
I Rece t No.:
Qwerori-t
molt. ci.eA4
Date:
Corrections-required prior to approval.
„I," tri 4
(206)431-3670
C) 1 cr,/-1 p
Lcct 4- rc: 4-7 0 7-)- ■,/ en.)(:
. rr-1
tor: Date
... 0
.00 REINSPECTION EE REQUIRED. Prio to inspection, fee must be
d at 6300 Southcinte Blvd., Suite 100. Call to schedule reinspection.
re 11
00
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P ect:
71
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Type of Insp ion: ! '
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Address:
2 (( Q 1 3
��]ftions:
-.ci
Date Called:
3 r.'(D
Sp cial Ins
) gyp
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Date Wanted:
�/ p.m.
Requester: 1141°3
Phone No:
(' 4 t (70i02.,-m-Rizg 0
.5'u?::�,�:t'4 'i:•F,w.._:?k�.sii: «:....�.. r. t�'�s1,;?a:;<:a.+H.�a�.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
a Approved per applicable codes.
0'
(2 0431-3670
C orrections required prior to approval.
COMMENTS:
1
hn e 4 -1 N rl
w\.;� >n ( / TAT 1
o v , Y. rn n�
U't P uIAA/1
r vnrt r t 4 \I ✓\ \C't
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U`C
•\S Pine (0 4pC1 (h c'f b\h,P1-
Y
Inspector. c
Date:
5 03
$47.00REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
'Date:
er
rtc(tdc,13 - 1-
Type of 1 specti
d r iiII
���inJ 143 �
r
d
Date Calle� � 9 �lJ
Special Insttructions:
Date Wanted:
3 1010 6
Reques c:, ►s
Phone No:
0 3 7a - 02,Rl
INSPECTION RECORD
� � � .� ,
Retain a copy with permit a�g
INSPECTION NO. PERMIT NO. ) ,
CITY OF TUKWILA BUILDING DIVISION
6300Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3670
proved per,applicable codes. El Corrections required prior to approval.
COMMENTS:
$47.00 REINSPECTION FEE REQUI D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
?7iNG.` �' (= rY. "rte,•,[ )'t• {,., �' 'o, % c ,
� :ti4V ;a Nr f;i.luni
Project:'/ I
DX(f YVI Ps `1 --01
Typo Inspectto
K cu o 1 - ( h
Add s ' (^ 2.13 4 J
Date Cal le / (c9 1
Special Instructions:
Date Wa e a.m
Requestn y, 1S
Phone CLL i2 — � 2 o ,
INSPECTION RECORD
Retain l a copy with permit
INSPECTION NO. PERMIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
j Approved per applicable codes.
COMMENTS:
�•� � G t l � ovo ue;t f er1 v; rr° r[
I
- S-P {•E' ( )C GAS UY ,A, i l�
1 1
SC . Y�GW 4-c) cs./ h \-e hu v S
\00><- 0\s4oN 11
Inspector'
Z orrections required prior to approval.
Date:
" a3
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:
yw4
Residential Heating and Ventilation Compliance Form
(Complete Sections 1 and 11 for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.: MO2
Project Name: r -.� '&v41 /6tic
Site Address:
1.
5/31/02
CITY OF 't cJKWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 43 1-36 70
/ /4- e 5',
a. ❑
b. ❑
c.
3. Calculation /(House Sq Ft):
BTU /h X 2
1.
2.
3.
4.
1. House Square Footage: /
2. House Number of Bedrooms:
BUILDING PERMIT APPLICATION NO.:
Lo 7 e /oc
FILE COPY
WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below): C14( «
A. ❑ System Analysis - W.S.E.C. Chapter 4 (submit documentation)
B. ❑ Component Performance Approach - W.S.E.C. Chapter 5 (submit documentation)
C. ❑ Prescriptive Option - W.S.E.C. Chapter 6 (for prescriptive, complete the following):
1. House Square Footage (heated space): / 6 99
2. Heating System Installed, (check system type below):
Electric Resistance /21 BTU /h per sq ft
Electric (forced air) /24 BTU /h per sq ft
Other Fuels (gas, heat pump) /27 BTU /h per sq ft
(see item #1 above)
(see item #2 a, b or c above)
= 4 /5; g Maximum BTU of Heating System
I1. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
Y
3. Required Outdoor Air Table 3 -2: Minimum -
9
Maximum - / 1 7 / 3
cfm
RECEIVED
CITY OF TUKWILA
JUN 2 4 2002
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):
❑ Ventilation using Exhaust Fans (Section 303.4.1.)
❑ Exception for outdoor air inlets - Forced air heating system w /interior doors undercut 1/2"
❑ Ventilation integrated with Forced Air System (Section 303.4.2.)
❑ Ventilation using Supply Fan (Section 303.4.3.)
❑ 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).
� M 62 - 134
z
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CL 2
VO
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• = 111_,
NLL
W O }
co
LLI
u-?
F- O
Z F-
W
O N
F-
LU W
H �
W Z
O~
Z
Floor
Area, ft2
Bedrooms
Maximum Length
Feet
2 or less
3
4
5
6
7
8
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
<500
50
75
65
98
80
120
95
143
110
165
125
188
140
210
5501 - 1000: ::
;!,55!:,:,
::'.:433::::
".• :
, 1O5i's
' .85 ='•'
::128'.'.
,'.1001.
'.:150;.
..115::
:,173::.
130.
`195.
1 .45::
'
1001 -1500
60
90
75
113
90
135
105
158
120
180
135
203
150
225
'''
:
: > :98:'
. r :80
:f120
:e:,95
),143:''
110.
'' :165
'125.;
''::188' <>
: :140`<
:210'.;:
i155.`
•'233;;;
2001 -2500
70
105
85
128
100
150
115
173
130
195
145
218
160
240
ti4N' 2501- 3000:'
'x75
, ° .1:13
:
c935
=1054
41 .58;=
1 20.'
.`1 80:
435!
::203
. =150`'
: ^225
::=165 t
1;248'.;
3001 -3500
80
120
95
143
110
165
125
188
140
210
155
233
170
255
',',`:'.3501;4000;.' '
, '::85.',..:1
:
'
:15
' :115''
':173 `
,130=
'-1
'.:145'.
:118:1'
160'
: 240r
;:175
263''
4001 -5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
:i ; 1;5001= 6000.? : . . :.105"
•158
120 ' ,
- ' :180 "'
:135`'
'':203"
`150'=
'',225(i
`165 '
' 24 &:
;180'
, '270 °
:i195:
:293
6001 -7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
_'•x:7001= 800(.1:
,:125
- ::1881.:
:;140:
,210=
155`:
:;233;
;170 ^:
',255'
:185 :'
• 278 :
300'
''215%
:323
8001 -9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
t;',v. '' r >:,9000 °'::
.:145.'.
1118:
.. ::160':
':240 `
:.1 75'-
;.263'
:'190 ::
:"28V,
,205'
;308:
':220 :,:
.; :330
-:235
353 .
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 inch
70
3
`
r:::'550V
M ...
, . ',5: :... . .
;90 i -:
.., _ .
100 ,
50
6 inch
No Limit
6 inch
No Limit
3
s :.�
,';80 ., ' ,
.
'.. ". ;:4 ;inchZ. . '
!.NA '
4 inch`
20
3
80
5 inch
15
5 inch
100
3
..
```80,
,
;1,,,.;., ... 6;incti " <.. ,.
!'
. .. 90 _
.6 inch
No Limit
100
5 inch
NA
5 inch
50
3
:.
+ "100
;'6'inch
45 .
6 :inch'
.. No Limit
3
125
6 inch
15
6 inch
No Limit
3
125.
.)'::
'h'27 inch .:,
70 ..,
7 inch' .
`No Limit
3
5/31/02
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, 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.
•
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
1-
J
UO
N
W =
J
li..
WO
t j
N
~ W
I— O
W W
W
0
ON
f-
W W
u.
w Z
U=
O
z
March 11, 2003
Darryl E. Doak, Sr
11812 26th Avenue SW
Burien, WA 98146
RE: Permit Application No. MO2 -135
12216 43rd Avenue South
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila
Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the
Building Official under the provisions of this code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work is
commenced for a period of 180 days.
Based on the above, you are hereby advised to:
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit
or last inspection; or if the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -time
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection or request and receive an extension prior to April 27, 2003,
your permit will become null and void and any further work on the project will require a new permit and
associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer
Permit Technician
Xc: Permit File No. MO2 -135
Bob Benedicto, Building Official
City of Tukwila
Department of Community Development Steve Lancaster, Director
Steven M. Mullet, Mayor
?= :•.,tf a,, tr - .... �- .. 1. iN. y u.:.' s::: r: E, siL X73: �t+: t+ i:• u; iN:iMeG
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: MO2 - 134
PROJECT NAME: DOAK HOMES - LOT
SITE ADDRESS: 11216 43 AV S
DATE: 8 -28 -02
Original Plan Submittal Response to Incomplete Letter #
)t, Response to Correction Letter # ` Revision # After Permit Is Issued
DEPARTMENTS: ��
yto Division
Build ingDio
Public Works ❑
Complete Incomplete ❑
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
Documentslrouting slIp.doc
2 -28 -02
PLAN E E /RO C Nb'SL IP
Fire Prevention
Structural
Approved with Conditions
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 8-29-02
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER. MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route V Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS: DATE:
DUE DATE: 9-26 -02
Not Approved (attach comments) ❑
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
1
ACTIVITY NUMBER: MO2 -134 DATE: 6 -24 -02
PROJECT NAME: DOAK HOMES - LOT 5
SITE ADDRESS: 122443 AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Is Issued
DEPARTMENT
Buildi
Public Works
'vision
Documents/routing slIp.doc
2.2802
PERMIT COORD Cur '(
PLAN REVIEW /ROUTING SLIP
t -z2.oL
APPROVALS OR CORRECTIONS:
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete [1e
Incomplete
REVIEWER'S INITIALS:
PERMIT COORD CO:-
❑ Planning Division ❑
❑ Permit Coordinator O
DUE DATE: 6-25 -02
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route Nr Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 7-23 -02
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
l
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. D.TE.
CCO1 DOAKHI * 0 92NZ,3''0�03
EFFECTIVE DATE 08/09/1991
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11917 4TH AVE SW
SEATTLE WA 98146
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