HomeMy WebLinkAboutPermit PG06-046 - DOAN RESIDENCEDOAN RESIDENCE
14403 34 AV S
PG06 -046
Parcel No.: 0040000019
Address' 14403 34 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address*
Contact Person:
Name:
Address:
DOAN RESIDENCE
14403 34 AV S, TUKWILA WA
PETERSON LORRAINE M
14403 34TH S, SEATTLE WA
CHUONG DOAN
14403 34 AV S, TUKWILA WA
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $170.00
doe: UPC - Permit
City to Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Plumbing
Bathtub or combination bath /shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain...
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste 4
Sinks 0
Urinals 0
Water Closet 1
PLUMBING /GAS PIPING PERMIT
Contractor:
Name: OWNER AFFIDAVIT - CHUONG DOAN NGOC
Address:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL SINK AND TOILET FOR BATHROOM, (2) HAIR - WASHING SINKS, AND A WATER
HEATER.
FIXTURE TYPE AND QUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 760 -1453
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -046
08/07/2006
02/03/2007
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and /or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and /or water
0 treatment equipment 0
0 Medical gas piping system serving one to five
0 inlets /outlets for a specific gas 1
0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PGO6 -046 Printed: 08 -07 -2006
Print Name:
doc: UPC - Permit
City tom Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Permit Center Authorized Signature: MVIA At— p hJ Date: H` tglap
I hereby certify that I have read and xa in t s permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b c mph ith, 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 perfor�� ante of work. 1 am authorized to sign and obtain this plumbing/gas piping permit.
Signature: db Date: R -7- 0 6
( ' AI Cr p 6A Al
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number PGO6 -046
Issue Date: 08/07/2006
Permit Expires On: 02/03/2007
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.
PG06 -046 Printed: 08-07-2006
(DV OF TIJKV /1A
DEFT. C7 C_':': i Y D'`_ : ECM:NT
6363 CLVD.
TUKWILA, WA 93188
Parcel No.: 0040000019
Address: 14403 34 AV S TUKW
Suite No:
Tenant: DOAN RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
doc: Conditions
PERMIT CONDITIONS
* *continued on next page **
PERMIT CENTER
Permit Number: PGO6 -046
Status: ISSUED
Applied Date: 06/06/2006
Issue Date: 08/07/2006
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
PGO6 -046 Printed: 08 -07 -2006
CITY 05 TUKt°P.t A
DEPT OFCCY'a::fi0'c:.` '_C;t;_htT
6300 ° Ui};J�:�.r
TUKVJILA, V:A 96
he-
I hereby certify that I have read these conditions and will comply with them
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
regulating construction or the performance of work.
Signature:
r�li Lu c �
Print Name: CO /lr PM A/
doc: Conditions PG06 -046
PER MT CENTER
as outlined. All provisions of law and ordinances
cancel the provision of any other work or local laws
Date: 9 7 &'b
Printed: 08 -07 -2006
CITY OF TUKWILA
Community Developmentysartment
Public Works Department'
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htta://www.ci.tukwila.wa.us
•
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"
110:Ciet‘i
"%t
Site Address: 11 LLOj
Tenant Name:
Property Ovvners Name: V 0 Pc N , COVnAlf7
111-40 ti711 s TIlk Wit—A- city
Mailing Address:
Name: 1) 0 Pti4
Mailing Address: Li- U-0 9 ) — # ( 7 At
E-Mail Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
_
entutu/Tx
Contact Person:
E-Mail Address:
Contractor Registration Number:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
Q:UpplieationsWonns-Applications On Line3-2006 • Permit Applicationdoe
Revised: 4-2006
bk
King Co Assessor's Tax No.: V0 000-
Suite Number: Floor:
New Tenant:. 0 .... Yes
Day Telephone0,0 7 r ticg
ruk vittp, Zip
ef Numb t a o
Statt
State
State
State
..No
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
;Ikeat,sys, t
Zip
City
Day Telephone:
Fax Number:
Zip
City
Day Telephone:
Fax Number:
Page 1 of 6
Valuation of Project (contractor's bid price): S El)
Scope of Work (please provide detailed information):
t Pe 4&4 9 re, I t.et-in
` ) t4et >1
A/0 tier e lw.`
Will there be new rack storage? ❑ ..Yes TT
QMppliotiauWacm.-Applirniwa On Lim A3-2006 • Permit Appliwion.doc
Revised: 42006
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O 0b.O0
Cccr
Existing Building Valuation: S
� taer ne T�) 7L t -fr?— S
Fht4- M- 0 7oorw.. 2,t...1 etne
j91 f 719tn.a WS/ •
0.. No (If yes, a separate permit and plan submittal will be required)
1
11-00
MS;
W %;
c per
.:
PLANNTNG: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: 0 Compact: Handicap: ►
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alatm []..None Other (specify)
- Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑,.Yes ..No
1j "yes ", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material a ety Data Sheets.
SEPTIC SYSTEM:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Page 2 of 6
Scope of Work (please provide detailed information):
Water District -
❑...Tukwila ❑... Water District #125
❑...Water Availability Provided
Sewer District
❑...Tukwila
❑...Sewer Use Certificate
❑... Va1Vuc
0... Sewer Availability Provided
Submitted with ADolleation (mark boxes which apply):
❑...CivilPlans (Maximum Paper Size -22 "x34 ")
❑ ...Technical Information Report (Storm Drainage)
❑...Bond ❑..Insurance ❑..Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Rightof -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
❑...Total Fill
cubic yards
cubic yards
...Sanitary 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 _
QMpplia0eeffomu -Appl ostea On Liasd- 2006 -!tenet Apptiatien.doe
aaieed: 4-2006
M
Cali before you Dig: 1400-424-5555
lt lease refer to Public Works Bulletin n1 for fees and estimate sheet:
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
Private
Private
❑ .. Highline
❑ .. Renton ❑ ...Seattle
❑ .. Approved Septic Plans Provided
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right-of-way Use - Potential Disturbance
❑...Traffic Impact Analysis
❑ ...Hold Harmless - (SAO)
0... Hold Harmless - (ROW)
❑ .. Grease Interceptor
❑ .. Channelizaation
❑ .. 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 RefimdBlllina:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑...Sewage Treatment
Day Telephone:
City
State
Tip
Day Telephone:
City
State
hp
Page 3 of 6
= Unit Type:
Qty
� Type:
Qty
Unit Pe: ::
:Qty
:O puOiCgjpre sell
Furnace<100 BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>I00K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15-30 HP /1,000,000 BTU
Suspended/Wau/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /I,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number.
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
State
Zip
r
Valuation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
Use: Residential- . New ....0 Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Tvpe: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
Q:Uppliutiona mt- Appliatione On Line U-2006• Permit Appliation_dac
Revised: 4-2006
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Page 4of6
Fixture eType:
illy
Bitter* Type: -
- 'Qty
FixtnreType :.
m
Fixture Type:
a Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
. Sinks
7
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
3
Building sewer or trailer
park sewer
Rain water system — pa
drain (inside building)
Water heater and/or
vent
t
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
piping
t
Medical gas piping system
serving one to five
inlets/outlets for specific
gas
Additional medical gas
inlets/outlets — six or more
+ PLUMBING AND GAS PIPING CONTOR INFORMATION
Company Name: fVt(kJ F k
tt(4(3 _ y T
l H /JO AfAr 044"/
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
uation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
D Ma 2 F'ryi-
ti i Jr, Olen e• c WeaJ
t"
d cate type of plumbing fixtures and/or gas piping outlets bein g installed and the quantity below:
Q:Uppaaionaomu- Appaotimu On LISJ -2006 • Permit Appliaiondoc
Revised: 42006
W
TU KWJ/A- W Pv qg />S
city sate
Day Telephone: 00 0) 7 d i-Y f 3
Fax Number:
Expiration Date:
Page 5 of 6
ler
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Fermi;
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition).
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 OWNER OR AUTIIO
Signature:
Print Name:
I Date Application Accepted:
AGENT:
y--
Mailing Address: 1 U—q O3 — n J 4.
Date Application Expires:
/z - v �
Q1AppliutionsWomn- Appiicetions On Linet3-2066 • Permit Applic.tiov.doc
Revised: 42006
bd
Date: p - V.(-, - Oh
Day Telephon( 200 .76n 1903
`j /C 1 J J I t_Pr of
City State
Staff nitials:
Zip
Page 6 of 6
RECEIPT NO: R06 -01198
Initials: JEM Payment Date: 08/07/2006
User ID: 1165 Total Payment: 364.58
Payee: CHUONG NGOC DOAN
SET ID: 080706 SET NAME: DOAN RESIDENCE
SET TRANSACTIONS:
Set Member Amount
D06 -211
PG06 -046
TOTAL:
229.08
135.50
364.58
TRANSACTION LIST:
Type Method Description
SET RECEIPT
Amount
Payment Check 1853 364.58
TOTAL: 364.58
ACCOUNT ITEM LIST:
Description
BUILDING - RES
PLAN CHECK - RES
PLUMBING - RES
STATE BUILDING SURCHARGE
Account Code Current Pmts
000/322.100 224.58
000/345.830 -2.50
000/322.100 138.00
000/386.904 4.50
TOTAL: 364.58
Project'
A ,ci
Type of Inspection:
/fl J - Al 4
Add ess:
/9Q 0'3 3
/
,.,. s
Date Called:
Special Instructions:
Date Wanted:
-7
3 - )"07 P.m.
Requester:
Phone No:
2.6C- 7o - /&c
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
A pproved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
Inspector:
(A .t.[/'
1 /741\ )--/_)
n /_)
El Corrections required prior to approval.
ri 1--I $58.0b REINSPECTION FEEjREQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspection:
7-' n.a /
\,
Address:
/z/ go 3 .' /1u
5
'; e- /' ti4s A- 7/7.01..d
'
Special Instructions:
Date Wanted:
2— i 5- U 7
ken jd/ 12/s', e>7 <4ned
Requester:
°l /� nv Z K ,i vi/a/i
, /n,. - -7 ..
,
�i� fl of-- A. �h-, I n 5
A /
Project:
/06/,4/ % S_
Type of Inspection:
7-' n.a /
\,
Address:
/z/ go 3 .' /1u
5
Date Called:
Special Instructions:
Date Wanted:
2— i 5- U 7
Ca."m_
p.m.
Requester:
Phone No:
,.7C - 744 - /
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION
CITY OF TUKWILA BUILDING DIVISIO N
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM j jJ0
'7T J
(206)431 -3 70
Approved per applicable codes.
Inspector;
Corrections required prior to approval.
(Date: 2 C
$58.00 REINSPECT! 1 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
44h
Type of Inspecti n:
/7 #o /9/42, S �h/
Addr (,. Jrf 3
!/�}�f
Date Called:
Special In t r Instructions:
Date Wante� -:
/
2-4 -/27 p.m.
Request /
Phone No
7n 74 /S`3
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
t Mt9''/4 men, a. i- $nm...* S.
/7 7n S.t� �2tr 6 �mrJGt
eec7
/'
Inspector `
` f /
Date:
❑ Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
(206)431 -36
Corrections required prior to approval.
Project:
,l) 04 t/ /? , ds .
Type of Inspection:
/- /
Address:
/ x / 4 /03 3// it; vS
Date Called:
Special Instructions:
Date Wanted:
/..! Z7/ _off
P.m.
Requester:
` -/ 2ilA L e..-- /6,- , 1.4 / /i/ n t Z i A...✓er t ' /nF//.rsi.
Phone No:
,...?0G - 7eO - /`/s
Approved per applicable codes.
E/ Corrections required prior to approval.
COMMENTS:
riefr/trm/ I,vs//r /.:r../ on/ io S / wtt
l%
7 �� /) -7JY -le v /7c# 4` - Y• —1 / /iS'
07,,
/�
? in v3h'k F.t (IA r ii /"r! /
-,- r Li' e /h /rang ,Y
` -/ 2ilA L e..-- /6,- , 1.4 / /i/ n t Z i A...✓er t ' /nF//.rsi.
Insp tor:
A A. A-4/ II .
-
Date: y
A Ll' 4
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(206)431 -36
$58.00 REINSPEC19N FEE R UIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Bl d., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project: a
Typ of Inspection:
Address:
/ -3y A, Si
Date Called:
Special Instructions: -
Date Wanted:
a. m :
Requester:
Phone No
Zh — aZ — 9
INSPECTI•- N
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
( 06)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
$58.00 RREINSPECTION FL(REQUIRED. Prior to fee must be
pefici at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
Project:
v ,QQ5 •
Type of Inspection:
DG2A /tU, w457 8 I/F•trT
Address:
Az/ 3 lbw S
Date Called:
,0
_
Special Instructions:
Date W ted:
a.
Requester:
Phone No:
aoG- 2 0.v
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)43 t -3
Approved per applicable codes. Corrections required prior to approval.
CO ENTS: a
MAD
s'4 �./�t 4e
/! tits A-, h 4
$58.0 INSPECTION FEI( REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project:
A , S .
A ,
Type of Inspection:
Pre C.c of .l,vs�I'wtl
v
A dress:
/ y'/o3 iii A/ s
Date Called:
Special Instructions:
Date Wanted:
g -/3-66. P.m.
Requester:
Phone No:
.20G Xd -is
A pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
n
1-
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1 G -o
PER
(206)431 -36X0
Inspector it (_ n Date:�j , ., A �/
❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
IDate:
Pro {{
J)ORN /2r s
Type of Inspection:
Pre - ('fu"
.4%.
Address:
/41t/03 34 A</ S
Date Called:
Special Instructions:
f�s�u f 6
7
U�i�n
Date Wanted: /
- - d
a
P.m.
7 (n
Requester:
ao 6)2sd -S5Q L_
COMMENTS:
Inspector:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
0 Approved per applicable codes. Corrections required prior to approval.
1/14% - 17 /! p / / 7 Att e,
1 2 es // / x/
r ) ek—
u rtiu -1 tv�
A-v 11P-'
Date:
PERMI
(206)431 -3670
ri $58.00 REINSPECTION *tE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
ACTIVITY NUMBER: PG06 -046 DATE: 6 -7 -06
PROJECT NAME: DOAN RESIDENCE
SITE ADDRESS: 14403 34 AV 5
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DE ��
Bull ing Division
Public Works ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 6-8-06
Complete d Incomplete ❑
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 1d Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Document/muting sllp.doc
2 -28 -02
L , PERMIT COORD COPY
PLAN REVIEW/ ROUTING SLIP
Fire Prevention
Structural
Approved with Conditions
Planning Division
DUE DATE: 7 -6 -06
Permit Coordinator ❑
Not Applicable ❑
Not Approved (attach comments) ❑
RECEIPT NO: R06 -00808
Initials: JEM
User ID: 1165
Payee: CHOUNG NGOC DOAN
006 -211 145.98
PG06 -046 34.50
TOTAL: 180.48
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
'rs
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
SET RECEIPT
Payment Date: 06/06/2006
Total Payment:180.48
SET ID: S000000490 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
Amount
Payment Check 1821 180.48
TOTAL: 180.48
Account Code Current Pmts
000/345.830 180.48
TOTAL: 180.48
6133 06/06 9716 TOTAL 10.43
Steven M. Mullet, Mayor
Steve Lancaster, Director