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HomeMy WebLinkAboutPermit MI99-0236 - MASTRANDREA RESIDENCE - DEMOLITION..fir, :y<. t�; r w. +y: ,?y;,,r:t ,;y: t... :,t,. .,.^`Y.'a,.(n[d ;An;^.' ,±�z�eF�' ."�+,F1;�Y:,i� y! y��g.�rZ,i7: r irgaN�,,W.y,.NY•�a{ .{..4aar :'°S" : fAkr� egtti$y}��yy�,y ,.1 .., ...ii7y`r�<l4i`�.. .x.. .. .x. ... ..,.� ...11........ r.: liT '•jAt.,..rsTh.i..n'x�>v�4i.•4 A. ,.LSdr: i..(5f.r.} ,`fi'.,nn. it , {r 1�M��.`1..o-1�.4�.4 aGrif i+:J7'M:J�:F(.Uar+.��d..i .i?ey. rlfC.lt]i�."rHC:T`YTYY: '...` til.% �.tilL^'1- Chwi',s'"AM�4: %�Y.dHc MI99 -0236 14650 Military Rd. S. Mastrandrea Adario City of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 004000 -0820 Address: 14650 MILITARY RD S Suite No: Location: Category: DEMO Type: MISCPERM Zoning: RC Cont Type: Gas /Elec.: Units: 001 Setbacks.: North: Water: N/A Wetland.: .0 South: Sewer: Slopes: Permit No: Status: Issued: Expires: MI99 -0236 ISSUED 01/12/2000 07/10/2000 Occupancy: DWELLING UBC: 1997 Fire Protection: NONE .0 East: .0 West: .0 N/A N Streams: Contractor- License No: LCI * * * *110RJ OCCUPANT OWNER CONTACT MASTRANDREA ADARIO 14650 MILITARY RD 5, TIIKWILA WA 98168 ADARIO MASTRANDREA 14654 MILITARY RD SOUTH, TUKWILA WA 98168 ADARIO MASTRANDREA 14654 MILITARY RD, TUKWILA WA 98168 CONTRACTOR LOURIE CONTRACTING INC PO BOX 4021, KENT WA 98032 ***• k***• k*• kk*** k******• k*****• kk* k*** k*• k*******k **** * *k *•k•k***•** **** *k***•k•k***** * ***** Permit Description: DEMOLITION OF EXISTING HOUSE & CARPORT AND REMOVAL OF THE MATERIALS ** k*****• k******** k* k****• k*****•k kk**k k** *k*k *k *k•k***•k*kk *k** * *****k ** *fir *** * * *•k* *•kit** Construction Valuation: $ 1,000.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: LJM Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Flood Control Zone: N Hauling: N Start Time: Land Altering: N Cut: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: k*• k*** ***•k*** **•k * *•k•k ***•k * *** * *** ** ** ***•k* *• *•k * * **•k * * **•** ** * ** *** * *•k*•k*•k**•k* ** *•k * * **•k TOTAL DEVELOPMENT PERMIT FEES: $ 51.50 * * * ********k•k**•k* *•k ** •k *•k•k•k **•k *•k•k ***'* ****•k** •k *• k***** k* ***** ***k*** * **•k*k* ******•k* Phone: Phone: (206)000 -0000 Phone: 206 -242 -1538 Size(in): .00 End Time: Fi1l: Public: 200 Permit Center Authorized Signature:_ Date j:10}242.0_0_ 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 provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this development permit. — _____ Signature: Print Name: 0_,¢•63.129 Date: l� -. a C9 O© 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. CITY OF TUKWILA Address: 14650 MILITARY RD S Suite: Tenant: Type: MISCPERM Parcel il: 004000- 0820 Permit No: MI99-0236 Status: ISSUED Appl ied: 12/20/1999 Issued: 0171272000 kkA'. kk•k kk• k• A' kk• kk: l• k*• k• k• k• kkk• k' k k*•k' k*k• kk• k• kk• kk*• k* k*k*:.Ak• kky<' kk **k•k•k•k•k *kkk•kkkk *kk'k *kk Permit Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila. Building Division. 2. All permits, inspect.ion records, and approved plans shall be available at the job site prior to the start of any con- struction. These'`` documents are to be maintained and avail- able until final inspection .approval is granted. 3. Remove all .• weed,, concrete, stone foundations, .flat con - crete, concrete patios, masonry walls, garage floors, 'drive- ways and similar structures and all loose miscellaneous material. Properly cap sanitary sewer and water connec- tions, properly fill or otherwise protect all basements, cellars, septic tanks, wells and other excavations. 4. Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not, be con - strued 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 t.o.` give authority to violate pr cancel the provisions of this code shall be valid. 5. CONTRACTOR 'SHALL' NOTIFY PUBLIC WORKS UTILTIY INSPECTOR MR: GREG VILLANUEVA @ (20p433-0179 OF COMMENCEMENT AND COMPLETION'OF WOK. AT LEAST 24 HOURS ' IN' ADVANCE. 6. FROM 1: THROUGH APRIL 30, ' COVER ANY SLOPES AND STOCKPILES THAT ARE :3H: 1V OR STEEPER AND HAVE A VERTICAL RISE OF 10 FEET OR MORE AND WILL BE UNWORKED.:FOR- GREATER THAN 12 HOURS. DURING THIS TIME PERIOD COVER OR MULCH OIFIER'DISTURB[0 AREAS, IF THEY WILL BE UNW0RYED MORE TITAN. 2 DAYS. COVERED MATERIAL MUST BE STOCKPILED ON SITE AT BEGINNING. •OF THIS PERIOD, INSPECT AND MAINTAIN :THIS 'aTABILIZAT.ION WEEKLY AND IMMEDIATELY' BEFORE, DURING AND IMMEDIATELY FOLLOWING STORMS. FROM MAY 1 THROUGH SEPTEMBER INSPECT AND MAINTAIN TEMPORARY EROSION :PREVENTION AND. SEDIMENT AT :LEAST' MONTHLY. ALL DI'ST'URBED AREA'S OF THE SITE :HAIL BE PERMANENTLY STABILIZED PRIOR TO FINAL CONSTRUCTION APPROVAL. 7. NO WORK WILL OCCUR OUTSIDE THE CLEARING LIMITS SHOWN ON THE SITE PLAN. CITY OF 1 IKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous 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. Project Name /Tenant: - Vt5/V1Of., l 0 1p C, e)elgR RR -`~ Value of Construction: / D O O , "' Site Address : ..—.- City State/Zip: / %/67 5o -lit L ("niz f RP. 5/) /u k "rii,L, i1.J, 9,9" /6k Tax Parcel Number: Property Owner: /'D / Ri 5 i 4- Iv D /9 Phone: ( ) Street Address: City State/Zip: / /GA S,/ M 11... I 17.1 e9 ND . S' '" `1u/K1iJ 1 L/3 r� Cs?ie,s Fax #: ( Contractor: _ ` Phone: ( ) Street Address: City State/Zip: 1/'-9 5, 2 W/rC s f; ktn/fiLM 9,576 32 Fax #: ( ) Architect: n , 0 Sewer Phone: ( Street Address: � / City State/Zip: /. Fax #: ( ) Engineer: - Phone: ( ) Street Address: -. ✓" ,.;; , City State/Zip: Fax #: ( ) Contact Person ,p ' n1 + A �,� �� ►/ Phone: (dab )��,�^ 1(53 C f Street Address: 3/4-M E A5' A /3tUC City State/Zip: Fax #: ( ) MISCELLANEOUS PERMIt'REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) Description of work to be done (please be specific): De o J ,-r OA( 0 / E. x j S /fivv f j� D yo u 4N P a - 1 1 R Po P. 7 - A t •i . D . R . t ✓ M a c,i- vLE OF-11-1L5 N /1-TER 11 r S' S/= Will there be storage of flammable/combustible hazardous material in the building? ❑ yes 3 no Attach list of materials and story a location on separate 8 1/2 X 11 aper indicating quantities & Material Safety Data Sheets ❑ Above Ground Tanks Antennas /Satellite Dishes DIBulkhead/Docks ❑ Commercial Reroof ❑ Demolition ❑ Fence ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Facilities ❑ Tree Cutting Phone: APPLICANT REQUEST,FOR'MISCEL'IL'ANEOUS PUBLIC WORKS PERMITS ❑ Channelization /Striping d Curb cut/Access /Sidewalk Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone illttand Altering: 0 Cut cubic yards Fill cubic yards Ca— sq. ft.grading/clearing ❑ Landscape Irrigation ❑Sanitary Side Sewer #: "� "" ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only 3 Water Meter /Permanent # 00021/0 0 Size(s): 3f1/ ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load/Hauling MONTHLY SERVICE B/LLINGS;TO Name: Phone: Address: I City /Sta e/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER,METER DEPOSIT /REFUND' BILLING: Name: Phone: Address: City /Sta e/Zip: Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and Is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Dal Ica atonzb 9, Date a !?cation s: Applicati tak b 1 al All A•11S( 111ANI011S P112A!!! APP1l( A1!O,' AflIS1 R! SIJIM111111) U'llll 111! 10!!OU'l\(,: D , ., ILL DRAWJN•PS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN D 1 •'BrUILDING SITE PLANtAILID UTILITY PLANS ARL.TO BE c9MNINED D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER D CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) i1 , , ;� ., 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, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". d LC:>' -" //O RJ Bujldirt`gl:Ownerbtutho ized'Agent;.If the.7applicant is:o!her�"tthhan'tiie:o�'riet, registered architect/engineer, or cor;Itractor;.' r � � 1 `fir .. ,. ,., llcens�.by the State of;Washington, ; a notarjzed letter; from= thei'property,: owner authorizing the -agent to submit this per ►iittyapplicatlon'a'nd'obtalr ;'th)permit will ;be requited'as: part'of thisrsubinittal 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. ' 51113\111 AI'I'II( AlION ANI) 121(11111211) ( III( 1(1IS1ti IOK lAboiie Ground:Tank's/Waterl =Tanks = `'Sfippfitted dir'ectlybuPbn'graide , ` ' eitceedirig 5,000 gallon aril a`ratio'of jieigiit to dlameter'ot width which . exceeds2:1;: ., .,Y �1 : ' ,." i, ,G;;,` 1'I 121111 1215'IIS1' Submit checklist' "'No:' M 9 i1 Antennas /Satellite Dishes; , ,, +, ;: Submit checklist No: 'M 1 ri Bul khead /Dock ,i , l ' r f? Fax #:. l 'Submit'checklist,' . No;; M 10 Address: / %' L M(! IT-ARu RA 56 "Commercial Reroof ; `;r" ' Subrpit'checklist': 'No: M 6 'Demolition i Submit checklist No: M -3 0 Fences - Over:6'feet in' Height "° : Sub mit checklist No: M -9 ri ',Landi;Altermg/Gradmg/Preloads Submit checklist . No: M -2 ri Miscellaneous •Pubhc;Works'Permits': Submit checklist' No: H -9 ri Manufactured Housrng;(RED INSIGNIA ONLY) +; t Submit checklist No: M 5 Movmg Oversrzedload/Haiiling � ' � r Submit checklist . No: M 5 > r I. !H. 1 1 ,, ,Paikrpg�lots�l„ ,y�, r:, 2 1, 1 1It m i Submit checklist No; M-4 • Retaining Walis Over'4'feet;ir height''. Submit checklist` No: M -1 ri `'Temporary Facihtiei; i' 1 ' Submit` checklist.; No: M7 il Tree Cutting .: ," Submit checklist No::M -2 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, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". d LC:>' -" //O RJ Bujldirt`gl:Ownerbtutho ized'Agent;.If the.7applicant is:o!her�"tthhan'tiie:o�'riet, registered architect/engineer, or cor;Itractor;.' r � � 1 `fir .. ,. ,., llcens�.by the State of;Washington, ; a notarjzed letter; from= thei'property,: owner authorizing the -agent to submit this per ►iittyapplicatlon'a'nd'obtalr ;'th)permit will ;be requited'as: part'of thisrsubinittal 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' A'UTHORIZED`AGENT,•� --'-- ,,', ' Signature? . ,- ., —Ld //sde _4 _ _,y . Print name 1.4 1 Phone: (abet _ 2' 2 -/ 630 Fax #:. l ) Address: / %' L M(! IT-ARu RA 56 City /State/Zip: Kw /'4,/-4)ft 9/9/99 ndscpm l.doc PrAigbrt- :r40:4*Akit'hk?tN+*A*AA:4*h?,kAtA. 4 UPI' OF TUKWILA. WA A-A**A*A:A*4,*A4kAA**A*4**.\*A—A!**k* IRANSNIT Number: P980021-/ Amoy Pzivment Method CASH Notati MI •• 04 • ••• ••• ••• •• •••• ••• • ••• .1.1. • ••• ••• •• ••• ••• • . ••■• Os. t• • • ••• ••• •• .• Tilemit Not MI99-0236 Ty Parcel Nut 004000-0820 Site .Addreet 14650 MiOTAR !This: Pment 0.2.3 IQANSNIT !e**AAAA.N4k**A**.3.A*AA.A**A4*k***. rt- 51.L50 01/.12/00 1202 on: ADARIO MASTANDRE i w u MISCPERN MISCELLANEOUS PERMIT. RD S Total Feee: TotO ALL :Pmtsit 51.50 8alanceg *****4 5.1. .0Q Account Code Decriotion 000/322..100 000/306.904 BUILDING. --.NONRES • STATE OUTLOING 47.00 4.50 INSPECTION RECORD I Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 FL-f -DZL 1:k PERMIT NO. (206)431 -3670 P oject: CkVA C. t �C�,sto of c Type qf1 s ectio. . t 1�1 "‘ t V-1 Y10. Address, } IL-I(i 3 r�tt(tt(' ► \� L 2\S Date called: L _ !� 3r Special instructions: ...• Date wanted: i r - 1 + a.m. P.m. Requ ter: V 1 o P`° 2.-- 1S3e pproved per applicable codes. Corrections required prior to approval. COMMENTS: Ins D7-) Cid $4 .00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No I Date: IL INSPECTION NO. . INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9818 m.. ;' -023 PERMIT NO. (206)431 -3670 Proj ct: FICISACitACireit Type of ins io Address: �1. ( 5 • ILI630 M;1ay.,C1 Date called: I ` �, Z 00 0 Special instructions: � 1 ' o tR!.e t" C c I t * / jj Omer r\iu� Od0f Date wanted: 6.m l'11-3.000 p,m Requester: A ttC itt0 Phone: 20( —,Z l2- 1 53 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Ej $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No: Date: • ►vrsr MIL r( R0�40 1,4 :'� '� M2- 4 f Pik!/NZ i wAnilD Mprort'I\ • Llocr_ . 11.ati T i pAn These plans have been reviewed by the Work: Department for conformance with current City standards. Acceptance i subject to errors and omissions which do not authorize violations of adopted standards or ordinances. TVe res for ti- �+equ�.cy of the design reststtotallyLi Ifi _. Additions, deletions or revisions to these r .ter this date will void this acceptance v ' ;quire a resubmittal of revised drawings r iquent approval. Final acceptance le to field inspen by the Public Works WOO�hip��tor. ctb Dane: 20 -5'1 off. / TIvN CITY OF TUKWILA APPROVED JAN 10 2000 o.a 0. Mr 99O23& R9, S'' X ■q, 4{ 3 CITY OF RECEIVED DEC 2 0 1999 PERMIT CENTS( RECEIVED DEC 2 3 1999 PUBLIC WORKS 11E011IVEia CITY OF TUKWILA DEC 3 0 1999 PERMIT CENTER .. ... :' : ... Ornt,OFTUKVVIU11 • 14110EIVID: .. : .. • ,'!•::: T •.:. 0 <0 DEC 3 0 198 r‘i ■J` PERMIT CENTER •-•- Agency Use Only CASE #: q q o q ;js Puget Sound Air Pollution Control Ageny 110 Union Street, Suite 500, Seattle, WA 98101-2a. (206) 689 -4058 • Fax: (206) 343 -7522 Instructions for completing this form orb on the back. Please type or print clearly. AGENCY USE ONLY 1) Resid �tial 2. - -��% f / -iJ' ?f, 3. Application for Resident -Owner Asbestos Project Enclose $25 Processing'Fee Clearly Print your name and address below. This will be your retum mailing label. Name Address / 4664 MI ,siGjy ?4 S . City, State, Zip Code I LIAji.. IA) f 98108 Quantity to be removed /encapsulated: /CM Project starting date: /2 — 9 `/ Is this building scheduled for demolition? ¥Yes square ft. I Name of Person Conducting Removal: 11L�C1/ in tY1 s tI tf .• Daytime Phone #: ela0 071-1)-- 153 Evening Phone #• C,JGi� Completion date: 2 ❑ No 0 Q linear ft. (for pipe work only) Site address: THIS MUST BE COMJ'LETED (Attach a brief explanation If site address is different from mailing address.) 1 14/50 (24 s. Street Has material to be removed A / been sampled and analyzed? 0� Yes , If No, Please explain i jQn yiU .s- Tvkwc la, 98to City Zip code Count Facility type (check all that apply): Single Family ❑ Non -Owner Occupied ❑ Two or more units *Owner Occupied Type of material to be removed /encapsulated : ❑ Popcorn Ceiling ❑ Sheet Vinyl Flooring ❑ Vinyl Asbestos Tiles Cement Asbestos Board 0 Duct/FUrnece Wrap ❑ Boiler Insulation ❑ Mag. Pipe Insulation ❑ Other Pipe Insulation ❑ Stucco "., ❑ Plaster ❑ Other (specify) Is removal: ❑ Indoors A Outdoors Control measures & Personal Protection Equipment :,. '1/2 Face Respirator 'A Disposable Coveralls A Eye Protection *Disposable Gloves A Wetting ARubber Boots Plastic to Contain Debris ❑ Wrap & Cut (Pipe Removal) ❑ Other (specify) Briefly describe your method of removal: era\ i ndb•9ule. 0.40cSii W ib.le. Glsck •46bse. off- ,A c oJded tom; (' poly ictp. 4.1\ t,aor k_ d&Aei fr� eom ptGnceL s. RCCCIVCD CITY OF TUKWILA w. •iZn f lee i ul�fions • Asbestos disposal site: WtMnCO 1 /)L (OfAaay I CERTIFY TI IAT I AM TIIE OWNER OF THIS RESIDENCE AND THAT TIIE ABOVE INFORMATION IS CORRECT. Approved by: Sig ature Agency Use Only ; Date •.SAPCA Asbestos Program Specialist Permit Valid poly with Approved Signature ONLY PERMIT CENTER RECEIVED DEC 14 1999 • PUGETRSOUND CLEAN THIS IS NOT AN APPROVAL. . • " ••• : :••••••. : • . • • •• . . • • 1.1. ••• 4; • .. • ••.:. "•• •■•• 7.: • • . . •• " , . •:,..'••••••••• • .■1 •••;"- : • tr:;:•; • ' Cti CO C.r) • „....C) CO. :i. z,:- /:.• i . ' • ,:',.:CC..„.: :,.,. — . •.•-•y:.: zoi.,:i':.'e •.;,: "•-•• ,.. I . 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PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI99- 0236DATE: 12 -16 -99 PROJECT NAME: HOUSE & CARPORT DEMOLITION XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # _ Revision # — After Permit Is Issued DEPARTMENTS: Building fw� 1Z4 R Publi Wo <s 416iz -J-9 I✓D IIFire Prevention /Z-0/-9/ Structural n Planning Division rya lz it-lei Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 12 -21 -1999 Not Applicable Comments: TUES /THURS ROUYING: Please Route Structural Review Required nNo further Review Required REVIEWER'S INITIALS: n DATE: APPROVALS OR CORRECTIONS: (ten days) Approved n Approved with Conditions REVIEWER'S INITIALS: DUE DATE 1-18-2000 Not Approved (attach comments) Ei DATE: CORRECTION DETERMINATION: Approved n Approved with Conditions DUE DATE Not Approved (attach comments) El REVIEWER'S INITIALS: DATE: \PRROUTE.000 c /nn ."; 4 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. * EXP. DATE CCO1 LCI****110RJ 07/14/2000 EFFECTIVE DATE 12/11/r989 L C I PO BOX 4021 KENT WA 98032 1:625M2 (1411/ (1071 1