HomeMy WebLinkAboutPermit D97-0365 - HUNTER RESIDENCE - DECK REPLACEMENTCity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEVELOPMENT PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 004200 -0061
Address: 4462 S 150 ST
Suite No:
Location:
Category: ASFR
Type: DEVPERM
Zoning: LDR
Const Type:
Gas /Elec.:.
Units: 001
Setbacks: North:
Water: 125
Wetlands:
Contractor License No:
Permit No:
Status:
Issued:
Expires:
Occupancy: DECK
UBC: 1994
Fire Protection: N/A
.0 South: .0 East: .0 West: .0
Sewer: •VAL.VUE
Slopes: . -Y.:,
Streams:
OCCUPANT HUNTER KRIS & ALLISON
4462 S 150 ST, TUKWILA WA 98168
OWNER HUNTER KRIS &:ALLISON
4462 S 150 ST, TUKWILA WA 98168
CONTACT ALLISON HUNTER
4462 S 150 ST, TUKWILA WA 98168
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
REPLACEMENT OF 320 SF UNCOVERED. DECK.
**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Construction Valuation: $ 2,560.00
WORKS PERMITS: *(Water 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:
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: N Public: N
**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TOTAL DEVELOPMENT PERMIT FEES: $ 202.59
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature:_ 4 � !� Date: /c 2 17-1
7
I
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: Date: la
Print Name:__allL`.On__./-4 rd
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.
Public: N
(206) 431-3670
D97 -0365
ISSUED
12/04/1997
06/02/1998
Address: 4462 S 150 .ST.
Sui te:
Tenant:
':Type:: OEVPERM
Parcel .# 004200- 0061
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Per�.mit Condit ons. •
1 : Nrt:?,change :will be made to „.t e plans unless approved by the:
Tukwila;.Bui ld1nq: Div1 �ion�
2 ` Al ! pee.mitsT inspection;t rds, and pr cyved plans sha:l l be
available at the:: Tots ;� prio to the aver, t °of,- any con'- •
str'uction, Theseu£documents` ire `ta {fie :maintain' 'd .and a vai 1
abbe u'nt i l t i t�a�; ths pr ova 1, i grunted � �'
1 ✓ . 1 Yl.' Y t)1 .-1 !F t f N
;, Al 1`. curl tr~u a sp .' Ito " d or ance.
onee in conf witth a pp;rwoved
plans a':nd tregclrr emerkt of the: Urtif.p m `Buil {Onde'f1 94
Edit i on) �a' , amende Unt nt t Mechan 6$ Code
and' Wash��ngtgrr�, c kate Energy Code x (199 4 Edi'tionl ; Y u r�
i er tavting shall sbe . �f'ound.ed on fir un,dis.tur be
gi rth a��12 in hes below f i;ri a sh gra `de.�
5 FP'AMINCs P03t to: be ing connection sha1.l be .made:.wi th an °`
appi d steed p;late:. connecto z r :Or. other approved method ; :'to
pr nv�,i'de; a posy t.ive coi ection' hetuieet) : post and begin, Approv,,
al o ttr «s regl'irement, c haTl f be ub :Li - 66t ot- field in'specticn:
b `' Woa P Qst to pie toridati n !connection s hall be m d, e withM
an � �i ta acid l e : c ar n e '-t i,,on er roth'er , approved .m
t o:fpriUv ide 4 or a po s :itt�v? c on �ahic_64:1 capable
refs # ting }at rc=ir1 uL 1 i,tt�displ,aceme:rzt >s � Fi.nal app r oval
thi connre,,pt: al;�l be sub`;jec.t not,�f y inspect ion :
7: Vaal dI ty a '' + Fermat'. ..1 f _ p i .�sua f �; �,er or :appr oval o
plan speci�t ompct bons s halI `not h co
ecmit ' for, or an.'approval zany v. cal rtXi`on
of r any of { t ea no va: ions, of the bu i) d.ing cod r o any;
othe o r df, ance,ot t he jurisdic:tiun' No per mat presuming t;
give *u to violate or. :cancelY the .tipr ov�s ±ion .of. :this,'
cede shad) 1 be v a l d •
Status ISSUED::
Applied: 11/21,(49§7
Issued.:'::.12 /047 199:
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Project Name/Tenant:
' KR ts r, AL Ls�
4u —
Is this site served by: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
RI
Value of Construction: AL
' a J ( OD, DC
Site Address:
" G.2- S', /st 5
City Stat /Zip:
u' .
2�e.d c.,t u ,1
Tax Parcel Number:
va4 Z 00 — c70 G
Property Owner:
,,,
Phone:
431 -7 P
Street Address:
*For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
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: A a S
P n - 37 4'7 - G a J 7
Street Address: GOB$
[, Al .f.) ��.
City State/Zip:
Y : P
Fax #:
Description of work to be done: 2 - er X tSi , 0 ice.. e- f soto.tlr /acs!
Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence
❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure'
❑ Remodel /Addition to Accessory Structure ❑ Garage(s)
t ElDeck(s) - Covered & Uncovered CI Residential Reroof
Is this site served by: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
RI
Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s)
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)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) 3 20 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.
Date application 1 c 1 epteci; 1
Date application expires:
Applicat' n taker
b : (initials)
CITY OF TUKWILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
SFPERMIT.DOC 2/13/97
FOR STAFF USE ONLY
T (7
Project N r...nr
; Nurnb.r;
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 ❑ 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 41: ❑ Sewer Main Extension 0 Private 0 Public
El 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.
PLEASE SIGN BACK OF APPLICATION FORM
BUILDING 0 ER 0, UTHORIZED AGENT:
Signature: 111,1, It `
Date: i (_ Z( - G7
Print name: F.l2,4t4.,k. b,. Sw .
Phone:y 782y
Fax #:
Address: i t a. St.(' ite Y ST
Cit /Stata/,Zip: of we:, 9 'cc '
ALL SINGLE- FAMILY RESIDENTIAL PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING:
N/A
❑
DRAWINGSA AR!D Bi REGISTERED ARCHITECT OR PRI. :SSIONAL ENGINEER MAY BE
-- B ' LDING OFFICIAL
U'i iI� A4 L BE AT A LEGIBLE SCALE AND NEATLY DRAWN
BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
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.
❑ El 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.
El El 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 CER
PERJURY BY 1
THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF
LAW THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
SFPCRMJT.DOC 2/13/97
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TRp! Ntio0o R97006B2 1.)inoUnt: : - - • •202 .. 59..11 / 2 1 1 9 7 . 11
1 No teti an ::. FRANK SW(N: - : ' . ' ' :Irrit: 1(4,1 ' •'. ' -
PnM it :No: '...1)9,7-...03b Type: : DEVPERM :DEVE.1:CI'MENT, TEIMIT
,
:"..•"::: :,•-: Pi*:rtel: No 06420o-0961:,., . . . '. ' -., : . i , : : ., .. -....: .--. . ,.• . ' " ...,..,..,,:: .......', ,.....
• ....S1 :fildIness.: '4.462..1.4 '1150 ST • ', : .', ' - • .. ' : , .: : ;.• ,.. ' .-
: '•',1' :. ' .. .H • - ' '.'..: . ., Total Feeei '' 202:.59
...
This Pgtyment, :. ' ' 222:;59 . , , To,tal ALL Pmts:7 '.. : 262.59
li a 1 a'nce : , .' : - 00
*0,-.A,14*Ii.i.: *A 4 .iirMit *4 k%vit•ifltA*1 A*
H•Account Code Deset-i . pt i on, . ' ' . Amount
.,.:'
000/322.100 : .. . BUILDING -.. RES ..1.49,..50
000/345. t330 PLAN pHizci; - RES .. 48.59
G0O/3E36,...904 .• STAT.,`E 111.1Il.pING SURCHARSE
• . , • . 4.50„,e0-)
l'444,'N'4,Ntee
PerSIMINIMOrmanjegozz
INSPECTION RECORD.
Retain a copy with perk
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100; Tukwila, WA 9/11B8.-
Project: T - - ctio
Address (62...... e� •
S M .......7.4......9 s Special instructions: Date wanted: ''-l__
—2.3 - 1 y
Reque eri j �
/(Approved per applicable codes. 1 1 Corrections required prior to approval.
COMMEND:
PERMIT NO.
Inspector: A�`'^,� ---
Date:
y z3l�p
$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:
Ph ne No.
PerSIMINIMOrmanjegozz
INSPECTION RECORD.
Retain a copy with perk
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100; Tukwila, WA 9/11B8.-
Project: T - - ctio
Address (62...... e� •
S M .......7.4......9 s Special instructions: Date wanted: ''-l__
—2.3 - 1 y
Reque eri j �
/(Approved per applicable codes. 1 1 Corrections required prior to approval.
COMMEND:
PERMIT NO.
Inspector: A�`'^,� ---
Date:
y z3l�p
$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:
INSPECTION RECOR
Retain a copy with peer
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100; Tukwila, WA 98188
COMMENTS:
PERMIT NO.
Approved per applicable codes. Corrections required prior to approval.
Inspector: Date:
$42.00 REINSPECTION FEE REQUIRED. Prior to in pec o n, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project:
Special instructions:
Requester: M 7
Phone No.: Lf39„7 1 33
(206) 431 -3670
Date:
Project: 1 y
a of ins ectio
Addq -.. (
.5r°
1 T ed L I -9
Special instructions:
Dahl y�ntedS .. _
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p.m.
Req steer: (Yi
— E 9 1 XP-V
INSPE T1ON NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes.
Receipt No.:
INSPECTION RECOR
Retain a copy with per
COMMENTS:
Inspector
$42.11 REINSPECTION FEE REQUIRED. Prior to inspection, fe: must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
COMMENTS:
(A 4 vZ -014.11/11 61 1 z nor C A ,.� -,►.)
;;D. - ctc.. u o. c z asnw c m a .. Poi . T7 ' Lo (.54. --
G caDr ; A ALT- f)INIG, for vnt1- /S Azia- u+111.0
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ft d.,(th.D.F.
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Requester:
Phone No.:
Project:
Type of irO 1
N
Address:
Date called:
Special instructions:
Date wanted: / i 7
t
Requester:
Phone No.:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Inspector:
INSPECTION RECORD r
Retain a copy with perm
Date: /
514 0.5b
PERMIT NO.
(206) 431 -3670
I Corrections required prior to approval.
$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:
L'
4 . / u p.
S r• /34C
/3'
RECEIVED
CITY OF TUKWILA
NOV 2 1 1997
PERMIT CENTER
tho Plan Check
i
and Mika n en:
c:.:;co not auffi el MMitic..
2ted code or L
of appnovsd
By
Date
L Permit No.
FILE COPY
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CITY
NOV 2 1 1997
PERMIT CENTER
_
PROJECT NAME
PARTMENT:
c�
BUILDING DIVISION
(C -
PUB }� I,,Cnn WORKS
•
• COMPLETE
COMMENTS
REVIEWERS INITIAL
REVIEWERS INITIAL
• PWmi+CcrJ. Copy
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER
D97 -0365
HUNTER, Ar i 5 4 PHI (
4
DETERMINATION OF COMPLETENESS: (T,Th)
TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF (If routed by staff, make copy to master file & enter Sierra.)
DATE
I
1
APPROVALS OR CORRECTIONS: (ten days)
APPROVED ❑ APPROVED W/ CONDITIONS El
DATE
I
CORRECTION DETERMINATION:
APPROVED I 1 APPROVED W/ CONDITIONS Il]
REVIEWERS INTTIAL
C:ROUTE -F
DATE
DATE 11/21/97
FIRE REVENTION P G DIVISION
Mit 113 S -T7 11 S' -c
STRU ❑ PERMIT COORDINATOR III
DUE DATE 11/25/97
NOT COMPLETE ❑ NOT APPLICABLE ❑
DUEDATE 12/9/97 '
NOT APPROVED (attach comments)
DUE DATE
NOT APPROVED (attach comments) ❑
(Certification of occupancy required.
ACAYt A. ? A ,
ACTIVITY NU BER D97 -0365
PROJECT NAME . HUNTER
DEPARTMENT:
BUILDING DIVISION r FIRE PREVENTION E PLANNING DIVISION 0
PUBLIC WORKS l l STRUCTURAL 0 PERMIT COORDINATOR
4
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE L I
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
REVIEWERS INITIAL
C:ROUTE -F
.., 1■1199, ..} .0wareVM..w.1 U•••[
PLAN REVIEW / ROUTING SLIP
NOT COMPLETE E NOT APPLICABLE Ei
CORRECTION DETERMINATION:
APPROVED APPROVED WI CONDITIONS
NO FURTHER REVIEW REQUIRED
DATE ' I - " 7
DATE
DATE
DATE 11/21/97
DUE DATE 11/25/97
DUE DATE 1 /9/97
NOT APPROVED (attach comments)
DUE DATE
NOT APPROVED (attach comments) Q
(Certification of occupancy required.
ACTIVITY NUMBER
PROJECT NAME ,
DEPARTMENT:
BUILDING DIVISION C
PUBLIC WORKS
1
J
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE Ej NOT COMPLETE l�
COMMENTS
TUES /T$URS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQ
ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
REVIEWERS INITIAL
REVIEWERS INITIAL
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
L
D97 -0365
HUNTER
FIRE PREVENTION
STRUCTURAL
DATE 8(2.S/q
1
APPROVALS OR CORRECTIONS: (ten days)
APPROVED C APPROVED W/ CONDITIONS n. NOT APPROVED (attach comments) 0
CORRECTION DETERMINATION:
APPROVED Fl APPROVED W/ CONDITIONS
DATE
t
DATE
DATE 11/21/97
PLANNING DIVISION E]
PERMIT COORDINATOR ❑
DUE DATE .11/25/97
(Cettificadoa of occupancy required.
DUE DATE 12/9/97 '
DUE DATE
NOT APPROVED (attach comments) 0
ACTIVITY NUMBER
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION C
PUBLIC WORKS
PLAN REVIEW / ROUTING SLIP
D97 -0365
HUNTER
FIRE PREVENTION
STRUCTURAL
4
DETERMINATION OF COMPLETENESS: (T,Th)
• COMPLETE NOT NOT COMPLETE
COMMENTS
TUES /TSURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED E,
ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL A v DATE t( ('"E",
APPROVALS OR CORRECTIONS: (ten days)
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED El APPROVED W/ CONDITIONS
REVIEWERS INITIAL
C:ROUTE -F
DATE
DATE
DATE 11/21/97
PLANNING DIVISION .
PEWIT COORDINATOR 0
DUEDATE 11/25/97
NOT APPLICABLE 0
DUEDATE 12/9/97
APPROVED �■ APPROVED W/ CONDITIONS C NOT APPROVED (attach comments) 1
- 9'
1
DUE DATE
NOT APPROVED (attach comments) 0
(Ccrdficadoa of occupancy rzquimd. )
ACTIVITY NUMBER
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION El
PUBLIC WORKS
COMPLETE n
COMMENTS •
C:ROUTE -F
REVIEWERS INITIAL
REVIEWERS INITIAL
PLAN REVIEW / ROUTING SLIP
N
D97 -0365
'MITE, ) 41.6 t I4/1)'son
4
DETERMINATION OF COMPLETENESS: (T,Th)
FIRE PREVENTION ❑ PLANNING DIVISION ❑
STRUCTURAL ❑ PERMIT COORDINATOR ❑
NOT COMPLETE ❑ •
unw, .rm w.re..«.e.:..r......uw+.«..: rcert mM!sfrM1 P!wNV!klvMrf +Rl;
TUES /TBJJRS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL j--Co) DATE 11 ) 2 `�
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED W/ CONDITIONS ❑. NOT APPROVED (attach comments) ❑
CORRECTION DETERMINATION:
APPROVED ❑ APPROVED WI CONDITIONS
DATE
DATE
DATE 11/21/97
DUEDATE 11/25/97
NOT APPLICABLE ❑
DUE DATE 12/9/97
DUE DATE
NOT APPROVED (attach comments) 0
(Certification of occupancy rcquircd.