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Permit D02-076 - BRUNDAGE RESIDENCE - CARPORT
1 } Brundage Residence D02 -076 DESCRIPTION OF WORK: CLOSE IN CARPORT Public Works Activities: doc: Devperm City of Tukwila Contractor: Name: Address: Contractor License No: Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7340600800 Address: 13039 40 AV S TUKW Suite No: Tenant: Name: BRUNDAGE RESIDENCE Address: 13039 40 AV 5, TUKWILA WA Owner: Name: BRUNDAGE DANIEL L Address: 13039 40TH S, SEATTLE WA Contact Person: Name: DAN BRUNDAGE Address: 13039 40 AV S, TUKWILA, W DEVELOPMENT PERMIT Value of Construction: $500.00 Fees Collected: $43.28 Type of Fire Protection: N/A Uniform Building Code Edition: 1997 Type of Construction: Occupancy per UBC: 0017 Curb Cut/Access /Sidewalk/CSS: N Fire Loop Hydrant: N Flood Control Zone: N Hauling: N Land Altering: N Landscape Irrigation: N Moving Oversize Load: N Sanitary Side Sewer: N Sewer Main Extension: N Storm Drainage: N Street Use: N Water Main Extension: N Water Meter: Channelization / Striping: Start Time: Private: N Private: N ** Continued Next Page ** D02 -076 Number: 0 Start Time: Volumes: Cut Permit Number: D02 -076 Issue Date: 04/19/2002 Permit Expires On: 10/16/2002 Expiration Date: Phone: Phone: 206 -431 -0531 Phone: 0 c.y. Size (Inches): 0 End Time: Fill 0 c.y. End Time: Public: N Public: N Printed: 04 -19 -2002 z � ce 00 W 1 N lJ. w I O P . o w � E- u' O ..z o z Signature: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Print Name: \)P1--W R � MUPc1`� 1 D02 -076 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- enstruction or the performance of work. I am authorized to sign and obtain this development permit. Date: ' q 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. Printed: 04 -19 -2002 Parcel No.: 7340600800 Address: 13039 40 AV S TUKW Suite No: Tenant: BRUNDAGE RESIDENCE doe: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Ni1-0/«6/9ce„ PERMIT CONDITIONS 1: ** *BUILDING DEPARTMENT * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: 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). 4: 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. 5: 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). 6: 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. 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. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulati onstruction or the performance of work. Signature: Date: l ^� Print Name: D02 -076 Permit Number: D02 -076 Status: ISSUED Applied Date: 03/28/2002 Issue Date: 04/19/2002 Printed: 04 -19 -2002 z z re 2 00 CO Ili J H U) a., . WO u. < co I 1— W Z = I— O w U Ca O - W • u.l u u.. h' _2 ui U O H z Value f Constructiw Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) IQ a0 sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Tax Parcel Number: Property Owner: *For an Accessory dwelling, provide the following: Lot area Floor area of principal dwelling Floor area of accessory dwelling Phone: Street Address: City State /Zip: Fax #: Contractor: Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: Phone: Street Address: City State /Zip: Fax #: Description of work to be done: ©x Z ■/ 0 A R- Po 2T Type of work: ❑ New Single - Family Residence El Addition - Single - Family Residence El Interior Remodel- Single- Family Residence ❑ Residential Accessory Structure* ❑ Remodel /Addition to Accessory Structure 1 Garage$ Cl Deck(s) - Covered & Uncovered Residential Reroof Is this site served by: S wer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) IQ a0 sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) �' (o sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Floor Area Ratio: (total floor area of all structures divided by the area of the lot) *For an Accessory dwelling, provide the following: Lot area Floor area of principal dwelling Floor area of accessory dwelling * Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. CITY OF TII "WILA Permit Center ' 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 Single - Family Residential Permit Application SFPERMIT.DOC 2/13/97 Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews shall be determined by the Public Works Department) ❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. ❑ Moving an Oversized Load: Start Time: End Time: ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- viewed 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 ex- pire 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. Date application accepted: & Date application expires: Application taken by: (initials) PLEASE SIGN BACK OF APPLICATION FORM Project Number: Permit Number: BUILDIN AUTHORIZED AGENT: ALL SINGLE- FAMILY RESIDENT! ' ERMIT APPLICATIONS MUST BE : MITTED WITH THE FOLLOWING: DRAWINGS PREPARED BY .iEGISTERED ARCHITECT OR PRO! . iSIONAL ENGINEER MAY BE REP1 IMD BY THE BOLDING OFFICIAL D A 6RAWIN i BE AT A LEGIBLE SCALE AND NEATLY DRAWN BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433 -0179 for servicing district. ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ ❑ King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H -16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, downspouts and foundation drains, and where drains tie -in. 7. Parking plan. 8. Lowest building elevation (if in Flood Control Zone). 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form H -9). Foundation plan and details Floor plan Roof plan Building elevations (all views) Building height Building cross - section Structural framing plans and details necessary to completely describe construction Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, Variance, Shoreline or Tree Permit). Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department or the Tukwila Public Works Department prior to submittal of permit application. ❑ ❑ 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 ". ,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 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. SFPERMIT.DOC 2/13/97 ACCOUNT ITEM LIST: doc: Receipt Current Pmts 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DAN BRUNDAGE Amount PLAN CHECK - RES 000/345.830 15.28 RECEIPT Parcel No.: 7340600800 Permit Number: D02 -076 U O to 0 Address: 13039 40 AV S TUKW Status: PENDING to Suite No: Applied Date: 03/28/2002 H A pplicant: BRUNDAGE RESIDENCE Issue Date: 0 u_ WO Receipt No.: R020000419 Payment Amount: 15.28 LL Q co D Initials: KAS Payment Date: 03/28/2002 02:57 PM _ User ID: 1684 Balance: $28.00 I' _ CITY OF TLKWILA TRANSACTION LIST: Type Method Description = 0 Payment Cash Description Account Code TOTAL AL 15.20 CASH 15 CHANGE 0.00 Total: 15.28 03/29/02 10 15:I05 0097 5327 Printed: 03 -28 -2002 TRANSACTION LIST: ACCOUNT ITEM LIST: doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670 z RECEIPT Parcel No.: 7340600800 Permit Number: D02-076 -J 0 Address: 13039 40 AV S TUKW Status: APPROVED U) 0 Suite No: Applied Date: 03/28/2002 ul i Receipt No.: R020000515 Payment Amount: 28.00 g 5 Initials: KAS Payment Date: 04/19/2002 09:43 AM i 0 User ID: 1684 Balance: $0.00 I— Ili Type Method Description I W u Amount Payment Cash 28.00 Z Current Pmts Pmts DAN BRUNDAGE BUILDING - RES STATE BUILDING SURCHARGE ( Description Account Code 000/322.100 23.50 000/386.904 4.50 Total: 28.00 Printed: 04-19-2002 INSPECTION NO. INSPECTION RECORD Retain a copy with permit • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT: NO (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: $47.00 REINSPECTIgN FEE REQUIRED. Priotto inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: Address: Special instructions: Type of Inspection: Date called: Date wanted:. Requester: -ran hi Phone: N1 Approved per applicable codes. Corrections . required prior to approval.. COMMENTS: 7.00 REINSPECT! •N FEE REQUIRED. Pri9 to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call tischedule reinspection. ceipt No: Date: Project: & dot Type of Inspection: . t> r -- Date called: o a Special instructions: Date wanted: Requester: Phone: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 ocvs-6 to PERMIT NO. (206)431 67 riA _Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1:11 $47. REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: FILE COPY I understand that the Plan Check approvals are subject to errors and omissions and approval of plans does not authorize the violation of any adopted code or ordinance. Receipt of con- tractor's copy of approved plans acknowledged. Permit No. LSSEPARATE PERMIT REQUIRED FOR' [(MECHANICAL ffELECTRICAL PLUMBING ['GAS PIPING CITY OF TUKWILA BUILDING DIVISION NO CHANGES SHALL BE MADE TO THE SCOPE OF WORK WITHOUT PRIOR 'OVAL OF TUKWILA BUILDING DIVISION. NOTE: REVISIONS WILL REQUIRE A NEW PLAN SUBMITTAL AND MAY INCLUDE ADDITIONAL PLAN REVIEW FEES, MAR 2 8 2002 PERMIT CENTER roll-up door PROVED RECEIVED CITY OF TUKWILA MR 2 8 2002 PERMIT CENTER surfaced roll roofing roof cement footings existing framing SEPARATE PE OR: REQUIRE • - LUMBING ■ GAS PIPING BUILDING DIVISION CITY OF MAR 28 2002 PERMIT CENTER PERMIT NO.: tcz- 0710 BUILDING PERMITS INSPECTIONS ❑ 1 Progress Inspection Status ❑ 2 Pre - construction ❑ 3 Investigation ❑ 4 OK to Occupy ❑ 5 Remove Stop Work Order ❑ 6 Follow -up ❑ 7 Pre -Move Inspection ❑ 50 WSEC Residential ❑ 60 WA Ventilation/Indoor AQC ❑ 70 NLEA Inspection /Modular Struct ❑ 71 Mobile Home Tie Down Insp ❑ 72 Marriage Lines ❑ 90 Resteel ❑ 95 Footing Drains ❑ 100 Foundation Footings ❑ 200 Foundation Walls ❑ 250 Foundation Insulation ❑ 300 Concrete Slab /Slab Insulation ❑ 350 Crawl Space ❑ 400 Shear Wall Nailing ❑ 450 Plywood Wall Sheathing ❑ 500 Roof Sheathing Nailing ❑ 525 Plywood Deck Nailing ❑ 550 Exterior Wall Sheathing ❑ 600 Masonry Chimney ❑ ; 610 Chimney Installation/All Types 700 Framing ❑ 750 Roof /Ceiling Insulation ❑ 800 Floor Insulation ❑ 801 Wall Insulation ❑ 802 Exterior Root Insulation ❑ 803 Glazing Inspection ❑ 815 Lighting and Controls ❑ 900 Suspended Ceiling 1000 Interior Wallboard Fastening ❑ 1001 Exterior Wallboard Fastening ❑ 1110 Pre -Move Inspection ❑ 1115 Motor Inspection ❑ 1120 Pre -Demo ❑ 1140 Pre - reroof ❑ 1400 Final -Fire 1700 Final- Building 0 1900 Final - Reroof ❑ 3100 Site Visit ❑ 4000 Special- Concrete ❑ 4001 Special -Bolts in Concrete ❑ 4001 Special- Mom/Resist Conc Frame ❑ 4003 Special -Reinf Steel Prestress ❑ 4004 Special - Welding ❑ 4005 Special- High - Strength Bolting ❑ 4006 Special- Structural Masonry ❑ 4007 Special -Reinf Gypsum Concrete ❑ 4008 Special - Insulating Cone Fill ❑ 4009 Special -Spray Fireproofing ❑ 4010 Special- Piling, Piers, Caissons ❑ 4011 Special- Shotcrete ❑ 4012 Special- Grading, Excav /Fill ❑ 4013 Special- Retaining Wall ❑ 4014 Special- Panels ❑ 4015 Special -Smoke Control System TENANT NAME: SrLA • dt--L e- CONDITIONS 10001 No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division ❑ 10002 Plumbing permits shall be obtained through King Co 10003 Electrical permits obtained through L & I ❑ 10004 All mechanical work shall be under separate permit 10005 All permits, insp records & approved plans available ❑ 10006 All structural concrete shall be special inspected ❑ 10007 All structural welding shall be done by WABO certified inspector ❑ 10008 All high- strength bolting shall be special inspected ❑ 10009 Bolts installed in concrete shall be special inspected ❑ 10010 When special inspection is required...notify Tukwila Building Division ❑ 1001 I The special inspector shall submit a final signed report ❑ 10012 Any new ceiling grid and light fixture installation ❑ 10013 Partition walls attached to ceiling grid ❑ 10014 Readily accessible access to roof mounted equipment ❑ 10015 Engineered truss drawings & calcs shall be on site ❑ 10016 Any exposed insulation backing material shall have ❑ 10017 Subgrade preparation including drainage, excavation ❑ 10018 A statement from the roofing contractor verifying tire retardant class of roof 10019 All construction to be done in conformance w /approved plans ❑ 10020 Structural observation shall be provided for this project ❑ 10021 All food preparation establishments must have King Co ❑ 10022 Fire retardant treated wood shall have flame spread of ❑ 10023 Notify Building Division prior to placing any concrete ❑ 10024 All spray applied fireproofing shall be special inspected ❑ 10025 All wood to remain in placed concrete shall be treated ❑ 10026 All structural masonry shall be special inspected 10027 Validity of Permit /❑ 10028 Rack storage requires separate permit ❑ 10030 No occupancy of building until final insp by Bldg Div ❑ 10031 Comply with requirements ofTNIC 16.04 ❑ 10032 Remove all weeds, concrete, stone foundations, flat concrete ❑ 10034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ 10035 Contact PW Div to obtain insp for water /sewer connect ❑ 10036 Manufacturers installation instructions required on site ❑ 10038 A C of 0 will be required for this permit ❑ 10039 Final approval for all TI w /in the limits of the SC Mall ❑ 10040 All construction noise to be in compliance with 8.2 TMC ❑ 10041 Ventilation is required for all new rooms & spaces ❑ 1004 Fuel burning appliances ❑ 10043 Appliances, which generate ❑ 10044 Water heater shall be anchored ❑ 10045 Reroof 0 "Anchoring — All new construct and substantial improvement shall be anchored to revent t otation" Plan Reviewer: Permit Tech: Date: Date: C)1 Z W 00 co D W I N W W O • Q tn� _° I— _ Z � I— O Z I— WW U 0 - 0 1- W W H0 -O .• Z W U= O 1- Z DEPARTMENTS: *% !1 Building Division IBC J.Ocurtmru 41 i works Complete Documents/routing siip.doc 2-28-02 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) TUES /THURS ROUTING: Please Route S. Structural Review Required APPROVALS OR CORRECTIONS: hlcv 511 4ofo'3- F Prevention Structural Incomplete n PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 - 076 DATE: 03 -29 -02 PROJECT NAME: Brundage Residence SITE ADDRESS: 13039 40 Av S f Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued 410o- Planning sign C Permit Coordinator DUE DATE: 04-02-02 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: n No further Review Required REVIEWER'S INITIALS: DATE: PERMIT COORD COPY DUE DATE: 04-30-02 Approved Ti Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: z Z ce w 6 O 0 N LU J w w 0 2 N a = ▪ W = Z F 1— 0 Z I— w • w O — O F- w • w u' O . .. w • = O ~. Z DEPARTMENTS: Building Division Public Works Complete Documents/routing slip.doc 2.28.02 n TUES /THURS ROUTING: APPROVALS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 - 076 DATE: 03 -29 -02 PROJECT NAME: Brundage Residence SITE ADDRESS: 13039 40 Av S ' 1( Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Approved with Conditions n DATE: Planning Division Permit Coordinator n n DUE DATE: 04-02-02 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: Please Route �!� Struct ral Review Required _ No further Review equi ed REVIEWER'S INITIALS: DATE: DUE DATE: 04 -30-02 Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: z w ft -IU 00 0 u, W= w0 2 } J u. co I w z = I— I— 0 Z I— LU w U O 0 F- ill w ==O .• Z W = O~ z ( ACTIVITY NUMBER: D02 -076 DATE: 03 -29 -02 PROJECT NAME: Brundage Residence SITE ADDRESS: 13039 40 Av S 11 1A• Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works n n Complete ❑ Comments: DETERMINATION OF COMPLETENESS: (Tues., Thurs.) APPROVALS OR CORRECTIONS: Approved n Notation: Documents/routing slip.doc 2 -28.02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete n Planning Division n Permit Coordinator n DUE DATE: 04-02-02 Not Applicable TUES /THURS ROUTING: Please Route ❑ Structural Review Required n No further Review Required REVIEWER'S INITIALS: L5 /Z--' DATE: yt0L Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 04-30 -02 Approved with Conditions n Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: z < • w 6 —J U O 0 to W • I H CD u. w 0 to = = d z I— 0 Z I- w w O • ( -2 o 1- w w a.P. — O U= /— z ACTIVITY NUMBER: PROJECT NAME: D02 -076 DATE: 03 -29 -02 Brundage Residence SITE ADDRESS: 13039 40 Av S g Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28.02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n TUES /THURS ROUTING: Please Route ❑ Structural Review Required n n Planning Division Permit Coordinator DUE DATE: 04-02-02 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: No further Review Required DATE: 44- -1 - 07. DUE DATE: 04 -30-02 114 n Approved n 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: DEPARTMENTS: Building Division Public Works Complete n TUES /THURS ROUTING: Please Route Documents/routing slip.doc 2.28.02 REVIEWER'S INITIALS: ACTIVITY NUMBER: D02 -076 DATE: 03 -29 -02 PROJECT NAME: Brundage Residence SITE ADDRESS: 13039 40 Av S Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Structural Review Required n n Planning Division Permit Coordinator n DUE DATE: 04-02-02 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required DATE: -l O 2-O2 DUE DATE: 04 -30-02 Approved n 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: Balance Due: $ ;g , MO Need Current Contractor Registration Card: ❑ Yes ❑ No Need to Enter Contractor Information in Sierra: