06-104136It I • ilding - Single Family
City of Federal Way rmit 06 -104136 -00 -SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 section quest Line: 253 8
Ph: (253) 835-2607 Fax: (253) 835-2609 AL p q ( ) 35-3050
Project Name: EILER
Project Address: 37117 3RD AVE W Parcel Number: 218820 2690
Project Description: ADDruct sq e s ition. No plumbing or mechanical work.
Owner t
Contractor
Lender
MATTHEW R EIL ATTHE EILE
VFEL
37117 3RD AVE SW
MATTHEW R,EILER
37117 AVE 7117 3RD SW
FEDERAL WAY WA 98023-7336
37117 3RD AVE SW
FEDERAL W A 98 -7336 WAY W 023-7336
FEDERAL WAY WA 98023-7336
s Cate ry�4 - Res
Incl s: #1
Occur v Class:
alt/add - no change in num
#2 #3
rlf�►
Area (sa. ft.
New/ Additional Sq. Feet - 1 st Floor ............ 248
New / Additional Sq. Feet 3rd Floor ................
New / Additional Sq. Feet- Basement ................
New / Additional Sq. Feet - Deck ..........................
Mechanical to be Included? ......................�........
New / Additional Sq. Feet - Other .......................
New / Additional Sq. Feet - Total .....................
Zoning Designation ........................�.RS 15.
0
\/A Ad Sq. Feet - 2nd FI cy #1 - Area (Sq. Feet).....
cy #I -Construction
F
w / Additional Sq' Feet - Gcupancy #I - Class.............mbing to be Included? ..............
cupancy#1-lijil ....................
0
....Type _ B
............ . 0
.................No
Residence (1 or 2
L family)
-2008
!006
n the above described property and
ations of the State of Washington
. Date:
1.I � ® ice__-. �= - �►.�_
Area (sa. ft.
New/ Additional Sq. Feet - 1 st Floor ............ 248
New / Additional Sq. Feet 3rd Floor ................
New / Additional Sq. Feet- Basement ................
New / Additional Sq. Feet - Deck ..........................
Mechanical to be Included? ......................�........
New / Additional Sq. Feet - Other .......................
New / Additional Sq. Feet - Total .....................
Zoning Designation ........................�.RS 15.
0
\/A Ad Sq. Feet - 2nd FI cy #1 - Area (Sq. Feet).....
cy #I -Construction
F
w / Additional Sq' Feet - Gcupancy #I - Class.............mbing to be Included? ..............
cupancy#1-lijil ....................
0
....Type _ B
............ . 0
.................No
Residence (1 or 2
L family)
-2008
!006
n the above described property and
ations of the State of Washington
. Date:
THIS CARD IS TO MAIN ON-SITE
CITY OF tommuni Develo m nt Inspection Record
t3' p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104136 -00 -SF
Owner: MATTHEW R EILER
Address: 37117 3RD AVE SW
FEDERAL WAY, WA 98023-7336
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until itis approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Initial Erosion Control (4365)
To be done prior to breaking ground
By G Date -67.
❑ Footings/Setback (4110)
Approved to place concrete
By Date
❑ Foundation Wall (4115)
Approved to place concrete
By Date _
❑ Final Erosion Control (4375)
Approved
By Date
❑ Final - Building (4050)
Approved
By Date
For ins or reference only__
O Rough Electrical 13 FINAL - Electrical
Approved Approved
By Date By Date
Q
Drainage/Downspout (4040)
E]Slab/Concrete
Floor (4255)
❑ Underfloor Framing (4285)
Approved to backfill
Approved to place concrete
Approved to sheath floor
By
Date
By
Date
By Date
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
❑ Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date — —
By L Date
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
OTE: Prior to scheduling a Framing (4120)
Approved
Approved
spection; Electrical, Plumbing &Mechanical
[Rough-in
and Fire/Draft Stop inspections must beBy
Date 2./ Dg
By
Date
ed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date . _
By
Date $
By (S Date
I
❑ Final Erosion Control (4375)
Approved
By Date
❑ Final - Building (4050)
Approved
By Date
For ins or reference only__
O Rough Electrical 13 FINAL - Electrical
Approved Approved
By Date By Date
my OF
RECEOD
Federafflay PERMIT
COAf1 ffffDEV8LOPIBM$BRV/CBS SFFCO ME EL PL DE EN FP
1 i\
3332S 8m AVENUE SOUTH • POEOX 9718 au
AftLICATION
FEDERAL WAY, WA 98-89-9718 ,/
Z53.895.2607• RAX 253-835-2609
www.dtwtredcn*mu.mm CITY OF FePERAL WAY
0 ILDINQ DEPT
The ollowirig is required in ormation - an ?ncoMelete geelication wit I not be accented. Please print legibkAn iny or
PROPERTY INFORMATION
SITE ADDRESS ?77 f I ! f- AVE E IS' o, SUITE/UNIT q
ASSESSOR'S TAX/PARCEL # 1 'L - Z I LOT SIZE (sf) I S OOD
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) P%x(,K tr1 o(-• "'r -Of- 6A-S--s�corAA A 3 p=er a(th--0
!A ami- P-,rf-k►fatam+a wl IN VOL 40 of i Ph 50, RFZ•s( V5 0 KING Co,
PROJECT•• •
TYPE OF PERMIT BUILDING ❑ PLUMBING O MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
�1►3C-l.t-E S�bf'�`� 15i'touX«o�-OU lAk�ol� �2A-�t"ii Pr'(�DlTlbti' 't -a SouTk�
trNo of EXtSTI� 4 t-Fot�lE '
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
m A- rrH-Cw Et Le 3 - s 1
MAILING ADDRESS CITY, STATE, ZIP
M I ( 3 20 tAV-c Sw Ft -V4 w A q $ aZ 3
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CONTRACTOR'S REGISTRATION NUMBER (eopy of card required with each application) EXPIRATION DATE
COMPAW NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑' Tenant 17 Agent
❑ Other (Describe)
EXISTING USE PR1Vy'NA'f%y RESiMt-XC- PROPOSED USE S Amt
EXISTING ASSESSED/APPRAISED VALUEVALUE OF PROPOSED WORKS (�� OOa
SPRINKLERED.BUILDING? ❑ YES JejNO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES KNO
WATER SERVICE PROVIDER �p(LAMIAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 0 HIGHLINE YPRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING PROPOSED
TOTAL
SQ. FT. SQ. FT.
SQ. FT.
BASEMENT
AIR HANDLING UNITS
FIRST
Co (o O 'z 4-
� O s
SECOND
FAN>SERTS
HOODS (Co..
THIRD
BOILERS
FIRERANGES
FOURTH
-
COMPRESSORS
ADDITIONAL FLOORS (DESCRIBE) +%F adz-:-�
TER HEATERS
DECK (COVERED?)`
GAS
GARAGE ❑ CARPORT ❑.
(--- tx"T'4C r*c-o 440
NUMBER OF FLOORS y .eons
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or
as part of this project. Do not include existing fixt' ores to -
A NCUANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FAN>SERTS
HOODS (Co..
WOODSTOVES
BOILERS
FIRERANGES
MISC (Describe)
COMPRESSORS
FURGAS
TER HEATERS
.DUCTS
GAS
PLUA?BING /.l0AIc-1309
� iS(ornun/sh—Combo)
SHOWCLOSETS
(r &q
MISC (Describe)
DISHWASHERS
SINDRINKIN
FOUNTAINS
GAS PIPE OUTLETS
SUMRAINWATER
SYST
WASHING MACHINES
U
HOSE BIBBS
IAVg
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .made. I further agree to hold
harmless the City of Federal .Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application.
VNAME/TITLE%9M DATE
(signature) (nom)
RELATIONSHIP TO PROJECT Owner O Agent O Contractor O Architect a Other
Rnilrtin i11 An — lanllary 1 W M P8¢e 2 of 4 Mflandouts\Permit ADolication
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1
351MPSON STRAP TIE
?° "'q LS'rHD/STHD DOWN
u se /A
r :--
1
SPALL REDUCTION SYSTEM pas*,..„,—
�smi
°°` x tivi
FOR STHD AND HPAHD s��
FEATURES
t , °-o •Secures holdown to wood form-board i ry s/�®� �0,'19
•Allows for proper side-cover. t. r ':=� 1
Vt° •Keeps strap vertical.
11 I�,'•,. /
•Prevents tilting or twisting of strap
��°Do during the concrete pour. �U
•Uses one 16d duplex nail.
02' 12 MIN
REBAR LENGTH BENEFITS / - a
" •Greatly reduces spalling and costly retrofits. m
! y o°;tl. .x •Prevents strap movement parallel and �l� o
perpendicular to late.
SPALLING LOAD REDUCTION! p p eq
H" 4 If strap is bent horizontal 90°during •Decreases possibility of misinstallation Keyhole Feature
installation,and then bent vertical for of strap to wood member. Patent Pending
nailing to the stud,concrete spalling
•Simple to use: —Common jobsite nail.
could result.Load reductions may —No additional expense.
apply,see installation note. When using keyhole feature,care should be taken when removing form �
boards. If concrete is not set,the duplex nail will move the strap placement.
• Strap Length I 1 Allowable Tension Loads(DF/SP/HF/SPF)(133&160)
Min (L) Avg 1 End Distance
Model No. Stem Ult @ Code
Standard/Rim Joist Wall Std Rim I. Nails 2000 y""e 1�"" le )'" 1))�" ie y" 1y" I, Ref.
Model Joist Psi
Model 1,
2000 psi Concrete (2500 psi Concreted 3000 psi Concrete
—71 LSTHD8/LSTHD8RJ 6 21% 35y 8 24-16d sinker 5918 1695 1695 1695 CI825 1825 182) 1950 1950 1950
STHD8/STHD8RJ 6 21% 35y8 8 24-16d sinker 7167 1760 2050 2345 1950 2210 2385 2135 2370 2425
STHD10/STHD1ORJ 6 23y8 36% 10 28-16d sinker 10555 2035 2575 3295 2610 2880 3295 3185 3185 3295
STHD14/STHD14RJ 6 31% 39% 14 38-16d sinker 15080 3235 4220 4805 3800 4295 4805 4365 4365 4805 32,121,
LSTHDB/LSTHD8RJ 8 21% 35y 8 24-16d sinker 5918 1695 1695 1695 1825 1825 2335 1950 1950 2975 122
4 STHD8/STHD8RJ 8 21% 35y, 8 24-16d sinker 7577 2370 2370 3195 2370 2370 3195 2370 2370 3195
STHD10/STHD10RJ 8 23y 36% 10 28-16d sinker 11780 2745 2745 3725 2990 2990 3725 3230 3230 3725
STHD14/STHD14RJ2 8 31% 39% 14 38-16d sinker 17453 3885 4430 5785 4160 4430 5785 4430 4430 5785
1.'RJ'after the model indicates STHDs for rim joist applications,e.g.STHD8RJ. 6.Allowable loads have been increased 33%and 60%for earthquake or wind
2.STHD14RJ on 8"stemwall requires 30-16d sinkers,with the(le)load at 133%of 4960 lbs. loading with no further increase allowed;reduce where other loads govern.
3.10d commons or 12d common nails may be used with no load reduction. 7.Strap may be bent one full cycle.
4.Minimum nail end distance to prevent splitting is 10 x diameter,11/2"for 16d sinkers, 8.Calculate loads using straight line interpolation for corner distances
10d common and 12d common. between Y"and le.
5.For two pour with 4'slab or less.The STHD14 load at'/i'end distance 2000 psi is 9.STHD14 and STHD14RJ installed on HF/SPF in an 8"stemwall:
3235 lbs.and 4220 lbs.at 14"end distance.The STHD10 at the same condition is the le load is 5280 lbs.
2035 lbs.for'/2"end distance,and 2750 lbs.at 10"end distance.
zz
POST—TENSION INFORMATION
z
z
I
z ^ ,• .;I ' Model Distance Allowable
Code
from Fasteners
No. Loads Ref.
Vim Post Tension •:• il • ; Cornerc.73 (133)
1 Cable Placement 1; �L ____
. k4 in a Garage �+r�= s. '/2'Min 13-16d 2705 20,
T •.:•, i U :.� HPAHD22 124
Footing a" • ,i, :• h 8"Min 23-16d 4570
Pt 5 ,@ T1 , t-zr,f ' LSTHD8/ ' "Min 24-16d sinkers 1695
U
o [5t_ 1' LSTHDBRJ 8"Min 24-16d sinkers 1695
,a• R. t, t�"TyP. STHD8/ '�"Min 24-16d sinkers 2055 121
- _ f. STHD8RJ 8"Min 24-16d sinkers 2345 122
I* Top View of Post Tension
AIL
• I STHD10/ 1"Min 28-16d sinkers 2055
•1. Cable Placementj,. , IV STHD1ORJ 10"Min 28-16d sinkers 3185
14 "HAIRPIN,"TYP.
d 1.Minimum concrete strength is 2500 psi.
I • , "
--•:�� 2.Post-tension steel is minimum /z diameter,7-wire,low-relaxation
tt" ',. ! 4" strand in accordance with ASTM A416,Grade 270 ksi,with a
l ��' ' • POST TENSION guaranteed ultimate strength of 41.3 k.
DETAIL 1 1 DETAIL 2 3.Anchorage is monostrand-type anchor system with current ICB0
,,,_,1
g�,. � .,';ti� :;•/;:., TENDON, 9 y
When installed on a I :>1� OPTIONAL Post Tension approval using a ductile iron casting of at least 2.25"x 4.5'of
•raised curb, use Stemwall �COLDJOINT Cable Placement bearing and reusable pocket formers on all stressing ends.
POST TENSION Corner Installation 4.It is the designer's responsibility to provide reinforcement to tie
installation and loads ANCHOR,TYP.
(page 31 and 32) 9"�.1 (no rebar required) cold-joints and to resist bending stresses in the foundation due
(rebar required) l✓ to anchor uplift. 31
Adhesive Anchoring Systems
4.2.7 HIT HY 20 for Masonry Construction =TO - ------__
drI
HIT HY 20 Allowable Loads for Threaded HIT-A Rods in Hollow Concrete Block,
Lightweight Concrete Block, Brick with Holes,Clay Tile
.,
HIT A Short2"(51mm)Embedment HIT-A Standard 3-3/8"(86mm)Embedment
Anchor Clay Tile
Anchor UW or N/W Hollow Concrete Block Brick with Holes
Type Diameter
in.(mm) Tension Shear Tension Shear Tension
lb(kN) lb(kN)
lb(kN) lb(kN) lb(kN) lb(kN)
1/43 255 340 365 305 130 100
(6.4)3 (1.1) (1.5) (1.6) (1.4) (0.6) (0.4)
HIT-A 5/16 370 505 565 530 150 220
Rod (7.9) (1.6) (2.2) (2.5) (2.4) (0.7) (1.0)
525 90 775 930 150 220
Anchor (9.5) (2.3) (3.5) ) (3.4) (4.1) (0.7) (2.2)
1/2 525 1230 775 1375 150 500
_ (12.7) (2.3) (5.5) (3.4) (6.1) (0.7) (2.2)
1 Based on using a safety factor of 6 for tension and 4 for shear.
2 Due to wide strength variations encountered in masonry,these values should be considered as guide values. TO
3 1/4"anchor diameter installed at 2"embedment in brick with holes and clay tile.
HIT HY 20 Allowable Loads for Threaded HIT I Inserts in Hollow Concrete Block, .1Lightweight Concrete Block,Brick with Holes,Clay Tile1,2 Hollow
Saw
HIT Short 2"(51mm)Embedment HIT Standard 3-3/8"(86mm)Embedment
•
Anchor Clay Tile
Anchor L/W or N/W Hollow Concrete Block Brick with Holes:
Type Diameter
in.(mm) Tension Shear Tension Shear Tension ItiSh(kN)
ear
lb(kN) lb(kN) lb(kN) lb(kN) lb(kN)
Now,.screw240
510 300 530 85 150
(6.4) (1.1) ( • )
2 3 (1.3) (2.4) (0.4) (0.7)
175 220
HIT-I 5/16 400
780 585 75 1
Insert (7.9) (1.8) (3.5) (2.6) (3.3) (0.8) (1.0)
)
Anchor 3/8 400 1425 1160 1380 185 435
(9.5) (1.8) (6.3) (5.2) (6.1) (0.8) (1.9)
1/2 400 1800 1160 1635 185 500
(12.7) (1.8) (8.0) (5.2) (7.3) (0.8) (2.2)
1 Based on using a safety factor of 6 for tension and 4 for shear.
2 Due to wide strength variations encountered in masonry,these values should be considered as guide values.
3 1/4"anchor installed at 2"embedment in brick with holes and clay tile.
Anchor Spacing and Edge Distance Guidelines
Cla Tile Hollow, Normal Weight&
-
Brick with Holes&Multi-Wythe y Lightweight Concrete Block
Brick Walls Spacing: Spacing:
Spacing: scr=sm;n=One(1)anchor per tile cell One(1)anchor
Scr=smin,=Two (2)complete bricks ,Scr=Smin= per block ch
in any direction Edge Distance:
Ccr=cmin= 12" (305 mm) Edge Distance:
Edge Distance: from free edge c,=cmin= 2" (305 mm) min.from
Ccr=Cmin=Two(2)complete bricks, free edge
or
16" (406 mm)in any
direction(whichever is less.) ' • 1 ' • • ' •
H I
• t I
I I
Wall Elevation
180 Hilt,Inc.(US)1-800-879-8000 I www.us.hilti.com I en espanol 1-800-879-5000 I Hilt(Canada)Corp.1-800-363-4458 I www.ca.hilti.com I Product Technical Guide 2006
Public Health-Seattle & Kit ounty Health Department Use Only .,,,, ".
Application for Hetllth Department Approval of Building Permit LE
For houses or structures served by an on-site sewage (septic)system(OSS) Record I.D.Number APPROVED
--- -
Eastgate Public Health Center- 14350 SE Eastgate Way, Bellevue WA 98007 ON 135
--_.--. SEATTLE-KING COUNTY_ __
(0'
(206) 296-4932 Fax: (206) 296-4919 Application Fee: $285.00 DEPT. OF PUBLIC HEALTH
-� /� ----
Please submit application and all support documents in triplicate Health Dept. Use Only ,1.c EI-tS
,
The minimum support documents include: - ----y
T - Guide Page/Loc. I
1. detailed route map and directions to property DATE ,
2. plot plan scaled at 1"=20' or 1"=30', 11"x 17"max. size,to include: - "
• house footprint and any proposed changes to that footprint ... ._ .. . ._.. ... ........._...
• location of septic tank and pump tank,drainfield and all tight sewer lines i ,
For DDES use Only ' _ r �U
• location of reserve drainfield area(repair area)
Date Received ! 1$�_____.___i____' ___�`�_ ��`
• all water lines and well sites, show 100ft radius around all well sites --1 I
Tracking No. I Pao Po� _. t
• location of all out buildings N
Permit Tech I APsa�,r i5t:l H$UStr
-1
• location of all driveways and parking areas , is �c c - S1! P
(L-x15 (r r .rc,i
• all property boundaries and easements HD Fee Collected: Yes N( 1 o�cv) ,
• all streams and bodies of water s
3. Floor plans of what is changing in the building 11"x 17"maximum size paper. Y % ---.--'
Property Information 0 1 ,pEC�
Address of Property 3.7 t i 7 3 e- Ave- 5 t ) Parcel No(APN): z I 8 2 v 0 Z (O `� i 24`~ -
City r� :Egr,,s ic.?,4y Zip code 9802,5 r /J.. zo` ,,�1 , -1 -i
Applicant's Name NiA TH`Ev el t,. ti? Day Phone ( z - ) 3 �- Li: 31 • t 7•r 1 '' a -. _ _ _ '�' 4% T 0 CuR1 G1✓ ` 10'
Applicant's Mailing Address 5,pt,:, .t A?o„X;,; City Zip �,e, t ,` r7�¢ - Pawl
/
Owner's Name 5 b,.0 A S B ovc- Day Phone ( ) _ �fZ
Age of House 3 fi y Distance to nearest public seweri 1—- _ _
Existing Square footage of house t Z ors Number of existing bedrooms to‘ f� --- '
Square footage to be added Zs�, Number of bedrooms being added o _'t° - ' —
Description of proposed changes 1�` x t t9' SUP reOC“k'i ; D,VQ_ R> To lEr Fs Cool'P ,VT" .. $`c' fii: � _
'T! t r
Type of On-Site Sewage System ServingProperty: ° w �. — !R3 _ __ `"`� '
YP g Y P rty: 5/NGc,F Comefigzl� . F 4 ',v,��rc. g 4,tv)0- - '
Additions or repairs to sewage system(give dates and describe briefly) 2,-- .. or ,-- L ( • �) (1
Rt rr 1 a. _art r-.1t Z83' G2.�iDi D12 -r iFtE�-i), — c ' _ T �,
rraU.14 -_�
Addition or alteration in-group R �
Describe or attach any drainfield easements, covenants or notices on title, which may impact the property occupancies. When a permit is required
' \\,,
smoke alarms shall be installed as required p.iTO C�q���tttiq
for new construction. Alarms shall be •
•
�t�G `'
interconnected and hard wired IRC 313.1.1 11
Water Supply Information ?71 17 V MES x Public water system(water supply with 2 or Water System Name: LAYS N A-v aid ti-r I I s.I-r y Dam!�._`- ---...,_,.„...ilip..,N
more connections) State I.D.Number: 4 t 9 t 7 9 /
1____. 6eai./;3/4-
.l Private(well,spring, etc.)attach copies of well log,well covenants,chemical bacteriological sample reports.
For Health Department Use Only Released Initials D `eEiv
E 0„...„.. , ,,,,,,,, zrt1.�`
D
Approved 7 z 8/0-5-Date - 0----- Date !�v- S 7 =f L cl Fi a 3
Jar pP / By: a e froc.: 3.-1 t, 3Ru c vri
❑ Disapproved Date By: J U N 1 0 2005 = '�
❑ Hold Date By: TAr4a : lucre CzAt. stt.�G,r �,yv,pk t �►
Comments/Conditions: EASTGATE tgAulFt : L�3' see.tpfU otsiiz.-r50not4 RECEIVEDENVIRONMENTAL HEALTH wen; o1 ;t �, t� ; i ,t. ---
ID
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ractihig irtspection required
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t xw BreWer 253s=835-2759 ti
CAM OF m,L WPM
s COMMUNE f DEVELOPMW
PERMIT: 061041300-SF --- ---
SITE: 37117 3rd Avenue SW
PROJECT: Addition (OTC)
EILER
_ — DATE: 8/16/06
HIMP DATEAPP
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