HomeMy WebLinkAboutPermit D13-172 - HAGEN RESIDENCE - GARAGE DEMOLITIONHAGEN GARAGE
DEMOLITION
5841 S 144 ST
D13-172
City oftukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-431-2451
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No.: 3365901235 Permit Number: D13-172
Address: 5841 S 144 ST TUKW Issue Date: 06/03/2013
Suite No: Permit Expires On: 11/30/2013
Project Name: HAGEN GARAGE DEMOLITION
Owner:
Name: HAGEN SANDRA D
Address: 5841 S 144TH ST , TUKVVILA WA 98168
Contact Person:
Name: SANDRA HAGEN
Address: 5841 S 144 ST , TUKWILA WA 98168
Phone: 206-313-1886
Contractor:
Name: OWNER AFFIDAVIT - SANDRA HAGEN Phone:
Address:
Contractor License No: Expiration Date:
Lender:
Name: SELF FUNDED - SANDRA HAGEN
Address:
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 960 SQ FT GARAGE
Value of Construction: $6,200.00 Fees Collected: $369.97
Type of Fire Protection: NONE 'International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0026
Electrical Service Provided by: PUGET SOUND ENERGY
**continued on next page**
doc: IBC -7/10
D13-172 Printed: 06-03-2013
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non -Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
LjA
Date: LQ J- I3
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. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature: �` ! Date: l0
Print Name: CAMATC., \-ka_
Q C
This permit shall become null and void ihhe 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.
PERMIT CONDITIONS:
1: ***BUILDING DEPARTMENT CONDITIONS***
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206-431-3670).
6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
doc: IBC -7/10
D13-172 Printed: 06-03-2013
Building Department (206-431-3670).
•
7: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IBC -7/10
D13-172 Printed: 06-03-2013
CITY OF TUKR.
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Per it No. t 71_
Project No.
Date Application Accepted: 5 -
Date Application Expires: t l t (4 (3
(For office use only)
CONSTRUCTION PERMIT APPLICATION
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**
SITE LOCATION
Site Address: 5841 S. 144th St 98168
King Co Assessor's Tax No.: 3365901235
Suite Number: Floor:
New Tenant: 0 Yes
Tenant Name: Sandra D Hagen
PROPERTY OWNER
Name: Sandra D Hagen
Address: 5841 S.144th St
Name: Sandra D Hagen
Phone: (206) 313-1886 Fax:
Email: coraleefxe80@yahoo.com
Address: 5841 S. 144th St
Zip: 98168
Phone: (206) 313-1886
City: Tukwila
State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Sandra D Hagen
Address: 5841 S.144th St
City: Tukwila State: WA Zip: 98168
Phone: (206) 313-1886 Fax:
Email: coraleefxe80@yahoo.com
GENERAL CONTRACTOR INFORMATION
Company Name: Sandra D Hagen
Address: 5841 S. 144th St
Company Name:
City: Tukwila
State: WA
Zip: 98168
Phone: (206) 313-1886
Fax:
Contr Reg No.:
Exp Date:
State:
Tukwila Business License No.:
Phone:
Fax:
H: ApplicationsWorms-Applications On Line \2011 Appliications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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..No
ARCHITECT OF RECORD
Name: ��� (� ode CAlr
n2�
Company Name:
City: State:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: ��� (� ode CAlr
n2�
Company Name:
City: State:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENRO/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.0951'�'.'
Name: ��� (� ode CAlr
n2�
Address:
City: State:
Zip:
Page 1 of 4
BUILDING PERMIT INFORMATIO 06-431-3670
Valuation of Project (contractor's bid price): $ 6,200
Describe the scope of work (please provide detailed information):
Remove old garageetid-btli4d-a-tte niartinriMITdrege
Will there be new rack storage? 0 Yes
Existing Building Valuation: $ 10
.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square. Footage Below
PLANNING 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): 14,740 Floor area of principal dwelling: 1,380 Floor area of 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:
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
Sprinklers ❑ Automatic Fire Alarm ® None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety 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.
H:\Applications\Forms-Applications On Line 12011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure ,
New :
Type of
Construction per
IBC
Type of
Occupancy per
IBC,
1st Floor
870
2nd Floor
510
3rd Floor
Floors thru
Basement
430
Accessory Structure*
Attached Garage
Detached Garage
c (D
11 ��22
560
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING 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): 14,740 Floor area of principal dwelling: 1,380 Floor area of 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:
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
Sprinklers ❑ Automatic Fire Alarm ® None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety 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.
H:\Applications\Forms-Applications On Line 12011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page 2 of 4
it.
PERMIT APPLICATION NOTES —
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 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).
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 AU RI AGENT:
Signature: i Date: 05/16/2013
Print Name:
Sandra D Hagen
Mailing Address: 5841 S. 144th St
Day Telephone: (206) 3134886
Tukwila WA 98168
H:\ pplications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
-bh
City State Zip
Page 4 of 4
41
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
RECEIPT
Parcel No.: 3365901235 Permit Number: D13-172
Address: 5841 S 144 ST TUKW Status: PENDING
Suite No: Applied Date: 05/16/2013
Applicant: HAGEN GARAGE DEMOLITION Issue Date:
Receipt No.: R13-01651
Payment Amount: $369.97
Initials: WER Payment Date: 05/16/2013 02:34 PM
User ID: 1655 Balance: $0.00
Payee: SANDRA HAGEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2248 369.97
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $369.97
221.50
143.97
4.50
a o .enc
Prinfarl• (IRA R -9)i
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.6 off
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
D(3-1'72
Proj t:..
6 ,
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e ofslnspectio
TypF . 0 A-- —.143-
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Addres :
11 I 44
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Date Called:
Special Instructions:
Wanted:f
- -
-----Date
`a m.
P.m.
Requester:.
Phone No:
UApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
n
A�
Inspector:
//
( (I/
REINSPECTION FEE REQUIRED. prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: ( /3
INSP CTION NO.
INSPECTION RECORD
Retain a copy with permit,) i 3 -1'7 2_
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ".
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
1 ri,.C4LI P_ At
Address:
Type of Inspection:
`r` 1JA Ste. Lo•AZ
/44-f Sr`
Date Called:
Special Instructions:
Date Wanted: )
Requester:
Phone No:
113.IS-e
DApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
PeU\ puis-r-B-e 4.(e:AAak
U 1- -,v-ti k 6 -a M i
Inspector:
Date: ,
REINSPECTION FEE RQU Prior to next inspection; fee must be
paid at 6300 Southcenter Blvd Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECT! IN NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C�
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (a. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
D 13 -(92-
Project:
1 I
Type o Inspection:
r
Add s a ( 4
t
44 (,c �
Date Called:
Special instructions:
/
Date Wanted:
«��—
lg
��.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
i
Insp ctor::
1 I
� ,-/(
Date: (Dr
r
n REINSPECTION FEE REQ1 ED: P or to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PEEMT OSID I••
PLA EVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-172
DATE: 05-16-13
PROJECT NAME: HAGEN GARAGE DEMOLITION
SITE ADDRESS: 5841 S 144 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPART ENTS:
uilding Division
i•'+x-13
�ublic Works
/1149\ Arfr
Fire Prevention in
Structural
n
S H'yJ
Planning Division
Permit Coordinator
u
m
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 05-21-13
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
TUESITHURS ROUTING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
DUE DATE: 06-18-13
Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
Permit:Center• Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg 0 Fire 0 Ping 0 PW ❑ Staff Initials:
Documents/routing slip.doc
2-28-02
1
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplan{�ci.tukwila.wa.us
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO:,(
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
15k , stat
as follows:
[please print nan1
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number j a , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
Owner/Owner's Agent*
Signed end sworn to before me this
ay of .1-1,(11 e_ ,20/3.
OT ' Y PUBLIC in and for the State of Washington
Residing at
Name as commissioned:
My commission expires:
, County
i;th( e
18.27.090 Exemptions. The registration provisions of this
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
•
chapter do not apply to:
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured,home dealer or
manufacturer; :'. 0" • „: ' .
18. An entity who holdsta valid el'ectr`ical contractor's
license under cha er7 j 28RCWthavtiemploys a certified
journeyman electrici 'ri', a -certified residential specialty
electrician, or an eleetrical trainee meeting.tl*ie
requirements of chapter 19.28 R*. to.rffrm plumbing
work that is incident . ly, directly„anppin4mediately
appropriate to the Ir, -.1% 1-' fit of a household
appliance or other snillittiastliolil utilization equipment
that requires limited electrfe ptf�/ i and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
" Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.
S 1 1-1 4 S 1 RCS tt 31.1
Cl`1,Q4rAE. AS
LEGAL DESCRIPTION:
HILLMANS SEAL 1'LE GARDEN TRS W 14FT OF E 111FT OF 15-16
&ALL 17
DRAWING INDEX
DWG NO.
A-1 TITLE SHEET AND SITE PLAN EXIST 1NG AND DEMOLITION
A-2 FLOOR PLAN AND ELEVATION
NEW
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
DOTE: Revisions will require a new plan submittal
and may include additional plan review, fees. j
RECEIVED
CITY OF TUKWILA
MAY 162013
PERMIT -CENTER
OCAiel S T S.c - Wit:
it lJk 31`10 `-
• • • • „
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...• • • : ••• • ..
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art ja.1A-ne)
.'BL t S • (41-0"`S-C-
-11-kti-JIL44 (AJ c4, —LSLC
SCALE:
APPROVED BY: •
RECEIVED
CITY OF TUKVVILA
MAY 1 6 2013
PERMIT CENTER
DATE :$71,..1201
DRAWN BY
REVISED
IDRAWING NUMBER
A-.2 .