HomeMy WebLinkAboutPermit D97-0202 - KINGSLEY RESIDENCE - DECKCity of Tukwila
Parcel No: 335140 -0055
Address: 3910 S 114 ST
Suite No:
Location:
Category: ASFR
Type: DEVPERM
Zoning: LDR
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: SEATTLE
Wetlands:
Contractor License No:
Permit Center Authorized Signature:
Signature:
Print Name:
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
f
Permit No:
Status:
Issued:
Expires:
Occupancy: DECK
UBC: 1994
Fire Protection:
.0 South: .0 East: .0 West: .0
Sewer.:. VAL VUE
Slopes: Y Streams:
0_10.,g_132±12-
(206) 431-3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEVELOPMENT PERMIT
D97 -0202
ISSUED
07/10/1997
01/06/1998
OCCUPANT KINGSLEY JOHN.-.V HELEN L
3910`;S:`114 ST, TUKWILA, WA 981
OWNER KINGSLEY JOHN V & HELEN L
3910 S'`114 ST, .TUKWILA, .WA 98168
CONTACT .JOHN KINGSLEY
3910 S 114 ST, TUKWILA , WA 98168
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Permit Description:
CONVERT, EXISTING CARPORT INTO A 236 S.F. UNCOVERED
DECK._ i
Phone: 2D6.764-0709
k*************.************** ** * * * * * * *;k * * *k.** * * * *k *** * * * ** ** *k *k* *fit. * * * ** * * * * * * * ** * **
ConstructIon Valuation $ •
PUBLIC WORKS PERMITS: *(Water
1,888.00
Meter Permits Listed Separate) Eng. Appr:
Curb Cut /,Access /Sidewalk /CSS`: N
Fire Loop Hydrant:: N No Size(in): .00
Flood Control Zone: N
Hauling: N Start Time End Time
Land Altering: N Cut: Fill:
Landscape, Irrigation: N
Moving Oversized Load: N Start Time End Time::
Sanitary Side Sewer: N .. No:
Sewer Main Extension: N Private: N.. Public: N
Storm Drainage: N
Street Use: N
Water Main Extension: N ' Private: N Public: N
k************************ k********************* * * * * * * * * * * * * * * * **k * * * * * * * * * *k
TOTAL DEVELOPMENT PERMIT FEES: $ 102.68
k************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Date ':2=L.
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,
I
Date: 7 - /6)- 7
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
. , .
Addi-ess: 3910 S 111 ST
= • Suite: •
• , Tenant:
TYpe : : DEVPERK
Status: : ISSUED. • • .
Applied: 06/23/1997
Parcel #: 335140-0055 ' Issued: 07
•
* , ** .,,,,,, **** .k. k :k: k** A. ** * ***** *:k*.i,* * **********k***-k ******************k** **** **It*
Perinit Condi t ions :.
• . _. 61 ehange. Il .,. . be made 4otasai, , T.), con_
' ' ki,41 la Building . .
.. ,,, i ,. . ;,?7,:,_. i: „...,,
stlal 1. be
2 All b e: j obs1.t prior :inspect aOrOv7 plans
fi" any
.„ to the
a b l e f t 64f:13e: a a g
-
3. : Al 'OOnstr of
a pproved :
tan- and rement the Uniform Bu i:1 d:, g.„,,COde
r 4 r4 r 0
i ,,Qn)
P at o tiW sr,1 t o l:L C i: . - rte t6 d 1 : 1 o :" p S OOn e:' b g r t e l. concrete exposed :1 (t .', : ' , • -
to-■.oia,tirC' 1 a i h 7 aka , will oh;:, up por t en t: aVityc....tmi- sh:Hal,i,.1
b. a': :s).(Pib`,.rfe - by . .,: concrete i..; , or,,, 1 pedest . proja9:t itia; ...
( abov,e),f 1 oors,,, : :-,.... 6-inc e. , 'emo,v. ,, e• exposed earth ..n le ,..
, '. ...., . • : .: •1_.:i W61.‘ a :66',. e .' :s uc h f 1 605 . : li.j:C z.31:7•,..::5 . , . • ; j; ;.. ..O ..‘,;;.,
i' ...• *:. 5:. ill height must l not l ess t han ntgn.,,...
•
Angsi?between ':fntermediate-.me'mbers„''haT.T such that a
14 diameter .sphere ..cannot pass through.:
' . Vali46 Ity . o 'P:ariiiit: •The ' is of i a permit or apprOVal
plans: • sPfOificati,ans y 4 not be , con:-",;::; :
sttii.ed4,;tii(be 4a Perpit'j : an.''.,, approval .,, of, any ' violation
. .: 'of 1.c.:0:1y ;':i4': prdylislons,.• of tti, a bujicitn~Aiode or of ;:;anY.
' o t 1‘ e ik i ordinance of ' th t presuMing;tOK.J
g i vW'i'eut to violate . or cal) i s i on s ,.of ::'thfii.
codesha 1.1 be . v,a 1 i d .
Permit No:. 097-0202
ProjectAum :/Tenant: /
/C //
�,. S.•
Type of work: in New Single - Family Residence ❑ Addition - Single- Family Residence
❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
❑ Remodel /Addition to Acce o Structure ❑ Garage(s)
Deck(s) - Covered ncovered ❑ Residential Reroof
Is this site served by: ❑ Sewer . ❑ Septic (King County Health Dept. approval required - 296 -4722)
Value of Constru tion: Dv '�I, //
a.
•• iii
Site_ A ` r 1 t 4' TU `�
l
Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
City State /Zip:
Tax Parcel - 75 Number: n C
� 6 �
Property Owner:
C9 /.vl i
For an Acc ssory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
Phone:
Street Address:
City State /Zip:
Fax #:
, __ _
,.11►0 S 1 tit 1 l> jtt JA\
Contract r: 6
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:
0 tOr\ &. 0 h
Phone: .
� + ^�^
(Y
o . 10
Street Address:
I r/v ,. »L) Th /TA I
IA.!,
City State /Zip:
1,1-/i,K
Fax #:
Description of work to be done: ( i �—{ - ' 1) C K
o by 2� nC t S\ 1 to q � -F1 r 0 �- I t lam$
Type of work: in New Single - Family Residence ❑ Addition - Single- Family Residence
❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
❑ Remodel /Addition to Acce o Structure ❑ Garage(s)
Deck(s) - Covered ncovered ❑ Residential Reroof
Is this site served by: ❑ Sewer . ❑ Septic (King County Health Dept. approval required - 296 -4722)
Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s)
Z. c sq. ft. Garage /Carport sq. ft. Accessory Structure(s) 2r. -2 )6 sq. ft. Uncovered Deck
Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) 2- - 3 lo sq. ft. Uncovered Deck
Floor Area Ratio: (total floor area of all structures divided by the area of the lot)
For an Acc ssory 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 TUII ''IILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
S1'PERMIT.DOC 2/13/97
F •R STAFF USE ONLY
Single - Family Residential Permit Application
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall 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 in 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 #: in Sewer Main Extension 0 Private 0 Public
in Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Cl Water Meter /Permanent # Size(s):
in 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:
Ia a3 -- c11
Application taiX7j itials)
PLEASE SIGN BACK OF APPLICATION FORM
BUILDINq OWNER OR AUTHORIZED AGENT:
Signature �;-
Date: .. 2 3 - 5 ,
Print n941 3 6 / /7//ci L,-) /
Phone: , � ` /`> ) 0ei
Fax #:
Address: j- f // 0 / iv
•� f / ;
/ 1--'L t.
City /State /Zip:
ALL SINGLE- FAMILY RESIDENT. a PERMIT APPLICATIONS MUST B. UBMITTED WITH THE FOLLOWING
➢ DRAWINGS PREPARED B\ .4 REGISTERED ARCHITECT OR PRV1.ESSIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDING OFFICIAL
> ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ opy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11a). 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)
❑ El 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.
.Z 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
H -9).
❑ ❑f Foundation plan and details
❑ El-- Floor plan
❑ ❑ Roof plan
Cl ❑ Building elevations (all views)
❑ ❑ Bu�i )n height
❑ ❑ B> 114:11`g"cross- section
❑ ❑ --- Structural framing plans and details necessary to completely describe construction
El El 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.
SIPERMIT.DOC 2/13/97
*k kkk *****kk**k*k *k*k*k**k**' * k**** *h*Ak *k*****kk*kAkkk*** **A k
CITY OF .;TUKWILA , • WA 1RANS�iIT
k *kk*�hk* *kk** * *kkk * ** *fi * ** *"10 ****k kk* * *** * *** ***** ***fik*
TRANSMIT Number: R9700611 : Amount: 64.00 07/10/97 08 :58.
Payment Methud: CASH Notation: JOHN KINGSLEY Init: SLB
Permit No D97--0202 Type:. DEVPERM DEVELOPMENT PERMIT
Parcel No 335140-0055
Site Address: 3.910 S 114 ST.
This Payment 64.00
.'i1•***•A•k **•i*********•*A *** k*• k******* * ****k,l****.AA*A****k*1*A*****
Account Code
000/322.100
000/386.904
Total Fees:
Total ALL Pmts:
Balancer
Description
BUILDING - RES
STATE BUILDING SURCHARGE
102.68
102.68
.00
Amount
59.50
4.50
i TT 071.0 .1717 TOTAL 64.00
Project:/ h A 1i S 1
Type of ins ction: �.
Address ID ±S VI
l
Date called: r P ` . 3 , 98
` q�
Special instructions: -
Date wanted:
t0 a ` to
p.m.
Requester: 1
C1 1�
-
Phone No.: / / 11 -o 709 .
C/
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
1'4
Approved per applicable codes.
I Receipt No.:
INSPECTION RECORD(
Retain a copy with perm .
IJ
1)19`7 oDQ
PERMIT NO.
6) 431 -3670
Corrections required prior to approval.
Inspector: (/ Date:
f _l $42.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
Date:
Project:
1'f1•43(..
Type of inspection•
POl,I.dW
Address:
3ctro
S.1/q
Date called:
(, -8 -9e
Special instructions:
Date wanted:
a.m.
p.m.
Requester:
Phone No.:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
L/.tom; • r.; )cJ l i f 11 t7.
mac-, Stb ic-s ( nt r'l4 113E cssr ik L. Oao ►* 1444 MA 1
Th hhS I() " 4 914ij r 14 14M is
_ - i f -o -�►., C n P u 13( ��' ate: �-�5
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(? -� ('>_ei Jam, o 0E-D.
Inspector:
INSPECTION RECOB
Retain a copy with per
D'r? o2.6L --
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
Date:
6 fgc)
1. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection,' fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
'COMMENTS:
Type of inspection:
.Dr✓Ci .
/) M' G.0 4 D'k /� t ,..
Address: rr
z) .R e5S4, .-
Al t. 4___
Special instructions:
j Requester:
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gi - i P �Ci� G o —�
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Project: i o
John )l_c,,1q_S1 t.i
Type of inspection:
.Dr✓Ci .
Address: rr
Date called: e'
Special instructions:
j Requester:
Date wanted: C -7
a.m.
^
U 4.))1 j`
Phone No.: / 7/0 1- ' 6 707
f01NbI'412s..Yi'a
•
•
INSPECTION RECORD-
Retain a copy with per
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670.
[t Approved per applicable codes. Corrections required prior to approval.
Inspector'
✓ Date
I I $42.O9 REINSPECTION FEE REQUIRED. Prier to inspection, fee must
be p at 6300 Southcenter Blvd., Suite 100. Call tq schedule reinspection.
Receipt Noy.
Date:
;'J
residential site plan
CITY OF TUKWILA
APPROVED
FILE COPY
foundation concrete slab
CITY OF TUKWILA
APPROVED
JUL 0 8 1997
AS 1401ED
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
JUN 2 3 1997
PERMIT CENTER
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12,RECErvEQ-
BUILDING DIVISION
CITY OF TUKWILA C re c
JUN 2 31997 311\1
PERMIT CENTER
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RECEIVED
CITY OF TUKWILA
JUN 2 3 1997
PERMIT CENTER
24 tly'1
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CITY OF TUKWILA
APPROVED
JUL 8 1997
AS NOIED
BUILDING DIVT
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ACTIVITY NUMBER D97 -0202 DATE 6/23/97
PROJECT NAME KINGSLEY JOHN
DEPARTMENT:
SO NG DIVISION FIRE PREVENTION ❑ aum. DIVISION
PiJSLICWiiRKB 7 I❑ STR CT[JRAL' -q ❑ ifirKOO ATL •
k
DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE 6/24/97
COMPLETE
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
1
1
APPROVALS OR CORRECTIONS: (ten days)
APPROVED I I APPROVED WI CONDITIONS n NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED ❑
REVIEWERS INITIAL
C:ROUTE -F
9errnit cooraroy ropy
PLAN REVIEW / ROUTING SLIP
NOT COMPLETE ❑ NOT APPLICABLE ❑
DATE
DATE
DUE DATE
7/08/97
DUE DATE
APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) 0
DATE
(Certification of occupancy required. )
1
'.xrATRU�1451 * �1v, tOg:,"pu.+gY49 F �:t
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0202
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION r
PUBLIC WORKS
4
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE 7 • NOT COMPLETE
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE
ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED W/ CONDITIONS
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED El APPROVED WI CONDITIONS
REVIEWERS INITIAL
C:ROUTE -F
KINGSLEY JOHN
FIRE PREVENTION C PLANNING DMSION El
STRUCTURAL PERMIT COORDINATOR Q
DATE 6- Z4 -Ql1
DATE
DATE
o qYs " T 1. tiKn ? t Jt M '.', ;7 ??�v 1.'r
DATE 6/23/97
DUE DATE 6/24/97
NOT APPLICABLE
NO FURTHER REVIEW REQUIRED El
DUE DATE 7/08/97
NOT APPROVED (attach comments)
DUE DATE
NOT APPROVED (attach comments) Q
(Certification of occupancy required.
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0202
PROJECT NAME KINGSLEY JOHN
DEPARTMENT:
BUILDING DIVISION FIRE PREVENTION PLANNING DIVISION
PUBLIC WORKS U STRUCTURAL [J PERMIT COORDINATOR Q
i
4
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE CJ NOT COMPLETE C
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE C NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED
REVIEWERS INITIAL
C:ROUTE -F
N
APPROVED W/ CONDITIONS
DATE
DATE
DATE y /q7
DUE DATE
DATE 6/23/97
DUE DATE 6/24/97
NOT APPLICABLE
7/08/97
APPROVED n APPROVED WI CONDITIONS E NOT APPROVED (attach comments) E1
DUE DATE
NOT APPROVED (attach comments) Q
(Certification of occupancy required.
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PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0202
PROJECT NAME KINGSLEY JOHN
DEPARTMENT:
BUILDING DIVISION El FIRE PREVENTION PLANNING DIVISION
PUBLIC WORKS STRUCTURAL PERMIT COORDINATOR t__1
I
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE
COMMENTS •
TUES /TETURS ROUTING: PLEASE ROUTE
REVIEWERS INITIAL Nk VJ tl
APPROVED
APPROVED
C:ROUTE -F
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
NOT COMPLETE Ej • NOT APPLICABLE
APPROVED W/ CONDITIONS
ROUTED BY STAFF I I (If routed by staff, make copy to master file & enter Sierra.)
APPROVALS OR CORRECTIONS: (ten days)
DATE b L(
APPROVED WI CONDITIONS E NOT APPROVED (attach comments) Q
DATE
DATE
DATE 6/23/97
DUE DATE 6/24/97
NO FURTHER REVIEW REQUIRED U
DUE DATE 7/08/97
DUE DATE
NOT APPROVED (attach comments) U
(Cerdficadon of occupancy required.
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I
ACTIVITY NUMBER
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION fl
PUBLIC WORKS
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLET
COMMENTS
APPROVED
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
REVIEWERS INITIAL
REVIEWERS INITIAL
REVIEWERS INITIAL
D97 -0202
KINGSLEY JOHN
C9
CORRECTION DETERMINATION:
DATE 6/23/97
FIRE PREVENTION ' I PLANNING DIVISION El
STRUCTURAL El PERMIT COORDINATOR Q
I
NOT COMPLETE El NOT APPLICABLE U
DUE DATE 6/24/97
TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED g
ROUTED BY STAFF U (If routed by staff, make copy to master file & enter Sierra.)
DATE (.3(
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 7/08/97
APPROVED APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) Q
APPROVED WI CONDITIONS
DATE
DATE
DUE DATE
NOT APPROVED (attach comments) 0
(Certification of occupancy required.