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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 bb 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 bb 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