HomeMy WebLinkAboutPermit M02-225 - MAYTON RESIDENCEMAYTON RESIDENCE
14231 53RD AV S
EXPIRED
M02 -225
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Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
7255200240
14231 53 AV S TUKW
MAYTON RESIDENCE
14231 5 53 AV, TUKWILA WA
MAYTON BRUCE P +YUBING LIANG
14231 S 53RD AVE, TUKWILA WA
PATRICK BJORKQUIST
13114 SE 258 ST, KENT, WA
Contractor:
Name: COLUMBIA HEATING
Address: 13114 SE 258TH, KENT, WA
Contractor License No: COLUMN *023CB
DESCRIPTION OF WORK:
INSTALL NEW GAS FURNACE AND ASSOCIATED DUCTWORK
Value of Construction: $2,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature: Date: /7 - /frd2
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. 1 am authorized to sign and obtain this mechanical permit.
Signature: t 7°11 Ctr'r -C- Date: L /G Z
Print Name: P z /G/e )-,_ e` 6.e /r- c / S
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.
MECHANICAL PERMIT
MO2 -225
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 631 -6544
Phone: 253 631 -6544
Expiration Date: 03/11/2004
Fees Collected:
Uniform Mechnical Code Edition:
MO2 -225
12/11/2002
06/09/2003
$56.94
1997
Printed: 12 -11 -2002
Signature:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7255200240
Address: 14231 53 AV S TUKW
Suite No:
Tenant: MAYTON RESIDENCE
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.
1: * * *BUIt.DING 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: 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).
7: 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.
8: Manufacturers installation instructions required on site for the building inspectors review.
9: 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.
10: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
11: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
12: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
PERMIT CONDITIONS
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.
Print Name/ Lti fC, , r �' y %c� / S sr
MO2 -225
Permit Number: MO2 -225
Status: ISSUED
Applied Date: 11/22/2002
Issue Date: 12/11/2002
Date: /.2. ///
Printed: 12 -11 -2002
Project Name /Tenant:
MA a A( /P.6 7 L7)6
Value of Mechanical Equipment:
20 cl .:3
Site Address : City State/Zip:
i 2 l 5 ''' A /1a s- -i /r re/ a k
Tax Parcel Number:
Phone: ( )
Property Owner:
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Street Address: City State/Zip:
Fax #: ( )
Contractor: /
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Phon ( � )
Fax #: ( )
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Street Address: City State/Zip:
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Contact rso : 15
Phone: ( )
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, :BU/LD/NG'O OR AUTHORIZED AGENT. ' : '" ".
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CITY OF 1" 'rKWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project Number:
Permit Number:
I (9R STAI I UM ()NI Y
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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE OUT BY APPLICANT)
Description of work to be done (please be specific):
f N 5 f - N LL 9frS 1 w) -e- t-
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 -4, "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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PER JURY 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:
-73
Application taken by: (initials)
09/W/2002
✓
Submittal Requirements
Floor plan and system layout
Roof plan required to identify individual equipment and the location of each installation (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
(including commercial kitchen hoods) weighing 400 pounds and greater (Uniform Building Code
1632.1). Structural documentation shall be stamped by a Washington State licensed Structural Engineer.
✓.
09/10/2002
miscpmt.doc
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.
RESIDENTIAL: Two complete sets of attachments required with application submittal
Submittal Requirements
New Single Family Residence
Heat loss calculations or Form H -6.
Equipment specifications.
Change -out or replacement of existing mechanical equipment
1 Narrative of work to be done, 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.
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7255200240 Permit Number: MO2 -225
Address: 14231 53 AV S TUKW Status: APPROVED
Suite No: Applied Date: 11/22/2002
Applicant: MAYTON RESIDENCE Issue Date:
Receipt No.: R020001725 Payment Amount: 56.94
Initials: SKS Payment Date: 12/11/2002 10:26 AM
User ID: 1165 Balance: $0.00
Payee: PAT BJORKQUIST
TRANSACTION LIST:
Payment Cash
ACCOUNT ITEM LIST:
doc: Receipt
Current Pmts
Amount
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Type Method Description
56.94
Description Account Code
000/322.100 45.55
000/345.830 11.39
Total: 56.94
3204 12/.1.1 171.6 TOTAL 56.94
Printed: 12 -11 -2002
COMMENTS:
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Special Instructions:
Date Wante
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes.
Date:
'Date:
(206)431 -3670
Corrections required prior to approval.
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.00 REINSPECTION FE REQUIRED. Prior to nspection, fee must be
d at 6300 Southcenter BI d., Suite 100. Call o schedule reinspection.
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Date Wanted: z
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Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 43. -3670
COMMENTS:
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Jr( 49-71174 "1";?
ns ctor:
(Receipt No.:
Date: 4
REINSPECTION FEE R = • UIRED. Prior to in section, fee must be
at 6300 Southcenter Blvd., Suite 100. Call t. schedule reinspection.
ate:
Q Approved per applicable codes. Corrections required prior to approval.
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Address:
Date Called:
Special In tructions:
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Date Wanted: a.m.
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Requesteri i
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KORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
Date:
PER
(206)431-MVO
Approved per applicable codes.
Ukorrections required prior to approval.
COMMENTS:
All
;
550 C—I ;WI 7 rf Go/V.15
.1440.4 2,60 IsOr
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Inspector:
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$47.00 REINSPECTI N FEE REQUIRED. Prior to inspection, fee must be
6-1 paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
- o' • ;•( 'z^.t-• • ••
marigannfelatMEMOSSMIAMMEMENES,
Project: /
Type of Inspection:
Address: /
Called:
Special Instructions:
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
El Approved per applicable codes.
commENTs
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INSPECTION RECORD
Retain a copy with permit
(206)431-3670
Corrections required prior to approval.
IDate:
6 t- 4- 4 4 / n I / 2_/3 &7
$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:
• -•
ProJectm
#t kti
Type of Inspection:
Address: y
Date Called:
Special Instructions:
Date Wanted:
a.m.
P.m
Requester:
Phone No:
Approved per applicable codes.
310
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
(206)431-3670
COMMENS:
T; Zit/ ne 20 fr,1‹
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7 441 c./.4-1-0( / 2-
inspecto r:
Date: / .
Corrections required prior to approval.
ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite) 00. Call to schedule reinspection.
Receipt No.:
'Date:
s • i":„; ,
•
CITY OF .. JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
7 FILE COPY 1
Residential Heating and Ventilation Compliance Form
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.: '17, SS O o
BUILDING PERMIT APPLICATION NO.: 1: 2 - 3 33
Project Name:: M Q la
Site Address: 14 3 1 : A v S l Tu'k f i LEA eS 1 `$
1. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
A. ❑
B. ❑
c.
Effective: 7/1/02
System Analysis - W.S.E.C. Chapter 4 (submit documentation)
Component Performance Approach - W.S.E.C. Chapter 5 (submit documentation)
Prescriptive Option - W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): .. f 4 S
X 20 BTU /h
❑ Heating System Installed, (check system type
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. Ea Other Fuels
11. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
1.
2.
3.
heat pump)
House Square Footage: 3 0.5
House Number of Bedrooms: 5'
G 1 1 2.O Maximum BTU of Heating System Output
Required Outdoor Air Table 3 - 2: Minimum - 1 2-5 cfm
Maximum - 1 6► 5 cfm
VYTU V A
APPROM
NOV 2 6 2002
f'S WILL)
4-6
below): t /Jo+
Pro p o c L -- 0 ri c .c..e.. o o o L o (,..)
6 1 S "7 LA- S C. + ; m e�
A- Fl - E= 19 60 e �� ��i e-4vt'f
9' g G 1, p -e-c --
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. SI 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.)
52 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).
Floor
Area, ft2
Bedrooms
Minimum Flex
Diameter
2 or less
3
4
5
6
7
8
50
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
";:501=10002 ?:.
'Z "55 -
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':`70` <-
',105'%
.1'85/
"128':
. 100:
150'
.',115:.
°173.;.:130.'
5 inch
':195:..145
15
`218 '
1001 - 1500
60
90
75
113
90
135
105
158
120
180
135
203
150
225
-'x.,:1501= 2000:'::'''.
'::'65:;;
:..':.7.':
'1.'.'''80 "
::120'
....95:'
> .143:
' °
'165
:125'
'188:-
'..140'2
','210'..
' 155 '
: 233 :
2001 - 2500
70
105
85
128
100
150
115
173
130
195
145
218
160
240
2501= 300(F .
'A7
•1:13'::
r ,:90»
.-.135'
.:105:•.
:458:.
.1
7 .;180:
135:.
,203 ..
.I .
' 225';
>165.:.
f248
3001 - 3500
80
120
95
143
110
f65
125
)188
140
210
155
233
170
255
, 35014?4000; °:
b �i�
='
\854$
'.128`
'41 °.
==: 150:'
,`;1`15?
'.?.173'
':130
1:195:
:145`•`.
•";:218 '
!:160'•
:.! 240:`
- .1 75 V
::
4001 - 5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
;. `:. 5001?6000't
s-10V
1158:`
':‘120,r:
az180'.
'
s
'':150:.
'225
'
:248'
= °•806:
:,170.':(,
`' -2931
6001 - 7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
:::.:7001:-8000:,?
4 125
::188 ::
" =140 :•
210:
, 155 4 ;
:Y233:.:i171r_
.255_
::185.;•
7'278;'
''.2
',!21.5
8001 - 9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
,:�`::'=. >.9000 ..: :'
':k145 ,
:, 218.
;:.::.160:70)
240:
;:175:'`
6263;.'
?:19C
:285
.'•205:.
`.308.
:220';
':;3307;
;'.:235
•. ;
X
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, increase 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.
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
k:G
M ". tiCa u.u:ti.: 6111.0 ' &r/ti1b1•..
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
a,!, 50
;`° :'5 :inch'
.i'
r '90 A
_= 5.incli . .. .
.•
::: 1 00.'''.
50
6 inch
No Limit
6 inch
No Limit
3
i.. .'" .'..7 ':f
t 4 ; inch? ` .
NA
4'incti: ,,.
'20, ".
3 ... .:
.
80
5 inch
15
5 inch
100
3
s
, , , ,2g 80:E.t *.Li.';.
'1. 1t4 inch`: .
..
... 90 `;r
,1.;... 6‘inch' ,r•::.:
.,No Limit'::
:A.'
.
100
5 inch'
NA
5 inch
50
3
, n-100,.. . .�.
' w:r6 =' >;)
`45 1,; =' ..
. .- . ,14;6•incli . . •_
No'
:-'3:;;= ; -
125
6 inch
15
6 inch
No Limit
3
. := 14 ": . . .s:. ' :
125
, �' inch* . ,
. inch
.
�:i: � -, 70
;:':': 4,7 inc . '
h" "; °r
_.
,_'.'No;•litnit , ` ,.
,. ..3 '..*::... ..
„
•. ;
X
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, increase 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.
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
k:G
M ". tiCa u.u:ti.: 6111.0 ' &r/ti1b1•..
July 3, 2003
Patrick Bjorkquist
13114 SE 258th Street
Kent, WA 98030
RE: Permit Application No. MO2 -0225
14231 53rd 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:
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 August 19,
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 3
Permit Technician
•
.c. -te
Xc: Permit File No. MO2 -0225
Bob Benedicto, Building Official
City of Tukwila
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: MO2 -225
PROJECT NAME: MAYTON RESIDENCE
SITE ADDRESS: 14231 53 AVE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 11 -22 -02
Revision # After Permit Is Issued
DEPARTMENTS:
BuiIct Division Fire Prevention
Public Works ❑ Structural ❑
Ilicl 0 6 . II -Lfi 's
Planning Division
Permit Coordinator
DUE DATE: 11-26-02
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete [ 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 RING:
Please Route S tructural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 12 -24-02
Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑
Notation:
APPROVALS OR CORRECTIONS:
REVIEWER'S INITIALS:
Documents/routing sllp.doc
2.28.02
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ACTIVITY NUMBER: MO2 -225
PROJECT NAME: MAYTON RESIDENCE
SITE ADDRESS: 14231 53 AVE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 11 -22 -02
Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Complete `J
Documents/routing sllp.doc
2-28.02
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
TUES /THURS ROUTING:
Please Route ❑ Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions a
Notation:
REVIEWER'S INITIALS:
❑ Planning Division ❑
❑ Permit Coordinator ❑
DUE DATE: 11-26 -02
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials:
DATE:
DUE DATE: 12 -24 -02
Not Approved (attach comments) ❑
DATE: 11 1 261 0r
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ACTIVITY NUMBER: MO2 -225
PROJECT NAME: MAYTON RESIDENCE
SITE ADDRESS: 14231 53 AVE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 11 -22 -02
Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
o
PLAN REVIEW /ROUTING SLIP
Fire Prevention
❑ Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ❑
Documents/routing sllp.doc
2.2B -02
APPROVALS OR CORRECTIONS:
Incomplete
Planning Division
Permit Coordinator
DUE DATE: 11-26-02
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 ❑ Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
DATE: \1
DUE DATE: 12 -24 -02
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Signature
Issued by DEPARTMENT OF LABOR ANI)
• • . .
•
, .. • . . :.
REGISTERED .AS PROVIDED BY LAW AS
corTsT PONT SPECIALTY
REGIST.-# EXP. DATE ...,
....,
- CCiiC: COLUMH*023CB 03/11/2004.
— EPPEPTIVE DATE • PV,0?/449/
.
• ..: CDLOMBIA
13114 SE 258TH •
KENT'WA 98031. - ,--.