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05-1031351 City of Federal Nay Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 ph: (253)835-7000 Fax: (253) 835-2609 Building - Single Family Permit #: 05 -103135 - 00 - SF Inspection request line: (253) 835-3050 Project Name: WILSON Project Address: 29040 7TH PL S Parcel Number: 515290 0010 Project Description: NEW - New single family home with plumbing/mechanical. ****4bedroom/$450,000**** Owner Applicant Contractor Lender ROBIN D & COLLEEN L WILSON ROBIN D& COLLEEN L WILSON ROBIN D& COLLEEN L WILSON IST SAVINGS BANK OF RENTON 1111 S 287Th ST 1111 S 287TH ST U 3. 201 WELLS AVE S FEDERAL WAY WA FEDERAL WAY WA 1111 S 287TH ST RENTON WA 98055 98003-3176 98003-3176 FEDERAL WAY WA F Description Includes: if Bathtubs - --�� Dishwashers Census category: 101 -New si #1 #2 #3 #4 1 Occupancy Group: _ R-3 U 3. Construction Type: Type V- B Type V- B fl - Mechanical Fixtures - —= --- Occupancy P Y Load: Description Quantity F Description 1 Air Handling UnitsBBQs Floor Area (Sq. Ft.): Ducts � Fans --�L�7 � i Fireplace Inserts � � Furnaces �F-2 Ranges 1 st Floor Proposed Sq. Feet ................................. 3400 Basement Proposed Sq. Feet ........ .................. ...... 3225 Basic Plan ................................................. No Census Category................................................. 101 - New single family houst Occupancy #2 - Construction Type ..................... Type V - B meek Proposed Sq. Feet ....................................... 406 Fire Sprinklers Required...... ................................ No Garage Proposed Sq. Feet. .......... .................. ...... 893 Height of Structure ............................................. 21 Mechanical................................................. Yes Occupancy # 1 -Class .......................................... R-3 Occupancy #2 - Class......................................... U Plumbing ................................................. Yes Total Building Sq. Feet ........................................ 7924 Total Proposed Sq. Feet.......................................6625 "Zoning Designation ............................................. RS 9.6 Plumbing Fixtures Description QuantityI Description _ Quantity [_ Description if Bathtubs - --�� Dishwashers _—Quantity 2 Laundry Washer Outlets —� 9 2 Lavatories 6 Other Plumbing Fixtures 3 l Showers 3 Sinks ��� L Water Closets 5 Water Heaters 2I Mechanical Fixtures Description Quanti Description Quantity F Description Quantity Air Handling UnitsBBQs 1 Ducts � Fans --�L�7 � i Fireplace Inserts � � Furnaces �F-2 Ranges CONDITIONS: Right of way permit is required for driveway curb cut, storm connection and frontage improvements to be installed prior to final inspection. Please contact ROW permit desk at 253-835-2725. r w i r A' PERNUT EXPIRES April 12, 2006. Permit issued on October 14, 2005 I hereby certify that the above information is correct and that the consfttion on the above described property and the occupancy and the use will be in accord ce with the laws, riles and regulations of the State of Washington and the City of Federal Wa ` Owner or agent: ` Date: City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code certifying that at varieuaordinttnees of th Eity4egulating building ---- construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: WILSON Address: 29040 7TH S Permit number: 05 - 103135 - 00 #1 #2 #3 j _ #4 Occupancy Group: R-3 T U — Construction Type: Type Occupancy Load: Floor Area Owner ROBIN D & COLLEEN L WILSON Name: 1111 S 287TH ST Address: FEDERAL WAY WA 98003-3176 3 - Zy — %Z Date The priorityfocus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. THIS CARD IS TO MAIN ON-SITE C�TYoF tommunity Developm nt Inspection Recor' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05 -103135 -00 -SF Owner: ROBIN D & COLLEEN L WILSON Address: 29040 7TH PL S FEDERAL WAY, WA 98023 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 it is 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. ❑ Final - Mechanical (406 ❑ Temp. Erosion Control (4365) ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By GmJ Date By Date �/000 BytA_ Date ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By e,' c/V Date — © �y - (if Date ?, (� By G C'3 Date . 2- - v ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By C Cj Date,3 ' 2 7 • G By e, 6j__ Date 6 — -- Of&p Byei Date 4 —is _ p ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) Approved to install rooting Approved By �/4 Date ( B Date ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) Approved to release test Approved By Date By - Date Y 4- By By Framing (4120) Approved to insulate Date Y// 7/' Final - SWM (4375) Approved Date 3-2., - o ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370 Approved Approved By ,,.) Date 3 • Z v - g:q By Date ❑ Mechanical Rough -in (4165) Approved BDatec. y NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By G w Date + •, ❑ Final - Plumbing (4075) Approved By G LAJ Date ,3.20 • o Insulation (4150) Approved to install wallboard By Dat ❑ Final - Mechanical (406 Approved By Date ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370 Approved Approved By ,,.) Date 3 • Z v - g:q By Date ❑ Mechanical Rough -in (4165) Approved BDatec. y NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By G w Date + •, ❑ Final - Plumbing (4075) Approved By G LAJ Date ,3.20 • o 4,'11,11 vt / i is EJ 3-27-04 �/ -� RECORD OF SURVEY a a MkA& &.0iffftle SIMLA rN, 0 0 Ty KING CuuN WASH NGTON r-<1 NE 1/4 of the NW 1/4 of Section 1-D, Township 21 North, Range 4 East, W.M11,1 10OUVIOU:5 --5 (J A #CA C NJIMSF, 0 (Ly 279.9 893 PoTto 3�8 is ,51tc WALK 3 qq do DRIVEWAY Adjoining House optk WAN6 Finished Floor Iq pto 2 FI-DoT ?0 House 275.70' > Garage — 275.11 0 7qS 94 20' 40# 60 �owEs,r • REV- -20# 2 A� IL A 00, R 7-1�11,1'11.11 MONUMENT FOUND AS NOTED Fg0510#j CON-rROL. Lo F1.o0q Z85 0 REBAR & CAP SET 0 SURVEY PIN FOUND AS N07FD WOOD FENCE Ab /`0 CO 4 CASED MONUMENT COPPER PLUG K1 TH PUNCH IN (0 CONCRETE ASSUMED N 51=*08'00w W ALONG THE CENTERLINE 7104) OF 7TH PLACE SOU7H A/1 VERTICAL DAELM W 1 *23 501 KING COUNTY N1. 4 .8 .0.3 Adjoining House LEGAL.DE SCRIP 77ON Finished Floor Lower Floor - 286.08 LOT 1. BLOCK 1&, MARINE HILLS NO. 14, ACCORDING 19 TO PLAT THEREOF RECORDED IN VOLUME 86 OF Upper Floor 294.47 PLATS, ON PAGE 58, RECORDS OF KING COUNTY, WASHINGTON u. loe ONDEKC7ROLAND 'POW G k SIN6LE CuA.9 CUT AND A)Ar6k 4fo \0 mt SEWEP, C0r4jqe<.-rI0d AiYD P,- 0 0 F40W CONTkOL COMNECrIW n/ 00 40 E%IST#4� SToRm srzvjEAL1AE 400 Ifyti I ff 285.1 284.tt CASED MONUMENT COPPER PLUG KITH PUNCH IN CONCRETE (3127104) Sur ve . RECORDERS GLEN 11RCA it .�vd for law& am= ROBIN WL SON RECORDING No. THE Lu I Filed for record this.- at— JW. In book -..of— at page SIMI&: 1 20 Drawn: E8 SURVEY MOMMMAM at the request Date.- 3/30 '0 Repfsed.- 6 8 S'u—rw .Md by. rHE Lor suRvEy COMPANY COMPANY vsvk "AU3 1 14 &U #A Afanager StIp. of Records EORES LAND SURVEYING SURVEYOR'S NOTES: - 1. SURVEY PERFORMED BY FIELD TRAVERSE AND ELECTRONIC DATA COLLECTION. 2. USING TOPCON GTS 211D. TOTAL STA77ON AND HP-4-8GX DATA COLLEC770N. J. CLOSURES EXCEEDED THE MINIMUM REQUIREMENTS AS ESTABLISHED BY WAC 332-130-090. 4. THIS SURVEY DOES NOT PURPORT TO SHOW ALL EASEMENTS OF RECORD OR OTHERMSE. 5. PROPERTY CORNERS SET, EXCEPT AS NOTED, REPRESENT DEED LOCAffOk�. OVWERSHIP LINES MAY BE DIFFERENT. OSWOUS ENCROACHMENTS, IF ANY. ARE .55HOWW. HOWEVER NO GUARANfft OF OWNERSHIP IS EXPRESSE§ OR IMPLIED. ECEIVEI) JUN 3 0 2005 CITY 41AL PagEMI 'e I oIIII f I SUR VE YOR "S CER 77RCA 7t 7h1s map correctly represents a survey made by me or under my direction in conformance with the re ts the Surve quIremen of y Recording Act at the request of ROBIN A in H, 2004. A- SIgned and Sealed L ic. No. 6228 CRY Or 4 A EC E Fa2ir ,A,-1�, I FePERMIT Federal . - � i ,,O'.IMUAITY DEVELOPMENT SERVICES 33315 8'"AVENUE SOUTH•PO BOX 9718 JUN 3 //��Z005 . 0' FCO ME EL PL DE EN F FEDERAL WAY,FAX 98083-97/8 /� � �L I C A T I O N ?SJ-875-2807•FAX 753 ti corn 09 TC / 2. • 10 u�unn.nlgof(edernlu.aV.Com CITY OF PED BUILDING DEPT. The following is required information an incomplete ap lication will not be accepted. Please print legibly(in ink)or type- r' PROPERTY INFORMATION :; SITE ADDRESS 2 9v�/7 V / Lh PL Sc, SUITE/UNIT # ASSESSOR'S TAX/PARCEL N 5 / 5. 290 - 0010 f r / /` LOT SIZE(s./) /SSU / LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) Lor egIot& 4//r 174)9R/n/E N/LL di-/y i itf/tach sapar-PROJECT ae�P.91.-a lengthy legaf desmpeonl TYPE OF PERMIT )(BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlq) L •E C eno _:P , .a ' -- S Al. _ - d 1i/1 RESIDENCE PROJECT NAME(Name of Business or Owner Last Name) Wit..50/\/ .:. PEOPLE'INFO RMATION PROPERTY NAME n OWNER ROI3I / b V / bilee,v L. ` ,/LSO ` (253PRIMARY PHONE 8,3`3 MAILING ADDRESS T ` c w STATE,Z I ~� J (- Y8.37 /1// S` 287Z-4( � CITY, ZIP FE, AL 8(44 y w,q, 9800_ CONTRACTOR C MPANY NAME APPLICANT NAME /41: 1',/ / , OFFICE PHONE .5[ CL1$fi,„/ 6457 ?ic.'' //,' i �5v 4 tiP (3) 63/- G10b' MAILING ADDRESS CITY,STATE.ZIP `7! ri.— �7,/i/ A�� r 5CELL PHONE _ O ,2 /-( G ���t;�.f ,tF/4/4 /1"0V, (./., s irde -0/0.5— CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / B L C/ONTRACTORS REGISTRATION NUMBER(copy of card required with each application( / (y��s9,'T ..__-/4,K9 S S l.5` /J ,�•J _57EXPIRATION DATE // APPLICANT COMPANY NAME APPLICANT NAME P08./Alf. �J� J��CIA/ OFFICE PHONE MAILING ADDRESS / /�^+ (� � �39 - �83 7 CITY,STATE,ZIP CELL PHONE 1/11 Si 282r.' Sr. raVe WAY 14)4. a,3 ( ) RELATIONSHIP TO PROJECT - ❑ Architect kTenant 0 Agent 0 Other(Describe) FAX NUMBER ( ) CONTACT l RC) �1 n I /� I�l`^ PRIMARY PHONE l 'j1 IYAw! Y I 02 S 3 eB9—q 3 7 3cf "_/G7 4 LENDER Per RCW 19.21095: Lender information is NAME , I / , required;if project value exceeds$5,000 / i5 1 1 Vvi'ee Ji MAILING ADDRESS CITY,STATE,ZIP VV ✓ ea-ck `?u r ic' jg',ft r "1 . t •vF` e f,, ' -,,* DETAILED BUILDING INFORMATION r� _ \---- EXISTING USE ,,e, , PROPOSED USE 4_ uJ /,,, _../:,/ EXISTING ASSESSED/APPRAISED VALUE $ Q� !`n�j//0 0Q VALUE OF PROPOSED WORK $ ' _c, 44DO__ SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED?�r /REQUIRED. 0 YES Ild N0 WATER SERVICE PROVIDER ❑ LAKEHAVEN Yll HIGI{LINE /� ' I„ ❑ TACOMA 0PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAREHAVEN •4 HIGIILINE 0 PRIVATE(SEPTIC) • AREA DESCRIPTION EXISTING SQ. FT. PRO .D SQ. FT. TOTAL BA,EMENT �/NIIJil UniAM5H /971/ 125Y 32 * FIRST 3 yvv 3 4/ ©c SECOND THIRD FOURTH // ADDITIONAL FLOORS(DESCRIBE) / �/ / DECK(COVERED?) Alai COVLRED 9106? !D(p GARAGE/CARPORT 89 3 8 93 HOW MANY FLOORS? TOTAL CXISTUIG 741211TOTAL PROPOSCO TOTAL .S aO ARO PROPOS O • Zl "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ , 0. A00 Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. • MECHANICAL• ([ /}fj'(� Value of Mechanical Work $ J V" – )( IIBQS AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS ' FANS HOODS(Commercial) WOODSTOVES n 1 • BOILERS FIREPLACE INSERTSRANGESMISC(Describe) COMPRESSORS FURNACES / GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Showncombol SHOWERS ' WATER CLOSETS rrot it MISC(Describe) --41•71— DISHWASHERS SINKS 40, DRINKING FOUNTAINS -ti} GAS PIPE OUTLETS -Q,/�• SUMPS 0 RAINWATER SYST 1,... WASHING MACHINES tkf-r URINALS 3 HOSE BIBBS w LAYS(o,mroom s.,i1:) / VACUUM BREAKERS 4ty- ELECTRIC NATER HEATERS :: ewe s -. µ r-s-•DISCLAIII'E 1SIGNATQRiEBLOCS n _ W.- ' I certify 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 authorized 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, in luding its of I. ers and employees, upon the accuracy of the information supplied to the city as a part of this application. `/�C� NAME/TITLE á/' i DATE 6/ `� //O� (Signature) (TRIO ( RELATIONSHIP TO PROJECT kOwner 0 Agent 0 Contractor 0 Architect 0 Other { FOR'OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR U TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? n YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES a NO • ,I Bulletin#100–March 30,2004 – Page 2 of 4 k\Handouts–Rcvised\Penni(Application • • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES '7.4,411111S)%1•..,•••, 33530 First Way South CITY OF ''`‘regAgZei, PO Box 9718 Fed a ra Federal Way WA 98063-9718 253-661-4000;Fax 253-661-4129 www.cityoffederalway.com SCHOOL DISTRICT IMPACT FEES Name of Project: Wilson -New Residence Permit #: 05-103135-00 Project Address: 29040 7th Place S Tax Parcel(s)#: 515290-0010 Applicant(person's]paying fee): Robin& Colleen Wilson Applicant's Address: 1111 S 287th Street; Federal Way, WA 98003 Project Planner: N/A Total Amount Collected: $3,011.50 Receipt Number: Date Collected: Name&Address of Persons to Receive Refund: See Above Applicant Information FEES COLLECTED Type of Impact Type of Project/#of Lots Date to Refund Amount Received Management Services Quadrant Mitigated Location/Park Area Money Account Account Streets/Traffic Within five 306-0000-000-345-85-000 8053 years of receipt SWM/Drainage Within five 304-0000-000-345-85-000 8051 years of receipt Parks Within five 303-0000-000-345-85-000 8050 years of receipt Schools Determined by FWSD Within six years $2 868.00 001-000-000-229-10-001 8054 of receipt `D SWM 304-0000-000-345-85-001 8052 Fee-in-Lieu Parks 303-0000-000-345-85-001 8055 Fee-in-Lieu City Admin Fee $143.50 ($) 001-0000-074-345-89-002 8065 Copy to: *Management Services(Tho Kraus) SMW(Paul Bucich) Traffic (Raid Tirhi) Parks(Donna Hansen) Streets(Marwan Salloum) Schools(Joanne Tibble) X Notes: Grace Skidmore Page 1 9/20/2005 • . 0 i • -- E_RU '_s—_. King County Certificate of KingConnty Sewer Availability Dept.of Development and Environmental Services Building Services Division 900 Oakesdale Avenue Southwest -----5--- Renton, Washington 98055-1219 Alternative formats available (206)296-6600 TTY(206)296-7217 upon request King County Certificate of Sewer Availability This certificate provides the Seattle King County Department of Public Health and the Department of Development and Environmental Services with information necessary to evaluate development proposals. Do not write in this box number name Building Permit 0 Preliminary Plat or PUD 0 Short Subdivision 0 Rezone or other eo co Applicant's name: AO6fAt LlI I / 6'et) 2 ,L1 i Proposed use: M C - 4, //__ a. �� ,...i cP z Location: 029' Q 7 PZ. 5 7L— / .5 02 90- 00 10 E~� 6 LgT .l- B L Zi‹, /1/ /44/44/1-4./A/ 1-(11-1-5 /� 1 (attach map and legal description if necessary) i Sewer agency information: a r If 1. a. Sewer service C be provided by side sewer connection only to an existing L, size sewer ) feet from the site and th2 sewer system has the capacity to serve the proposed use. OR ❑ b. Sewer service will require an improvement to the sewer system of: ❑ (1) feet of sewer trunk or lateral to reach the site; and/or ❑ (2) The construction of a collection system on the site; and/or O (3) Other(describe) 2. � a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan. OR O b. The sewer system improvement will require a sewer comprehensive plan amendment. 3. a. The proposed project is within the corporate limits of the district or has been granted Boundary Review 7,\, Board approval for extension of service outside the district or city. OR O b. Annnexation or Boundary Review Board (BRB) approval will be necessary to provide service. 4. Service is subject to the following: a. Connection charge: 2-,)__rg4 C*L-CU L 4 2'N b. Easement(s): {r-5 ,/ YUL/ �� c. Other: 6 r E. S Gv-=fL f,ESM 1'i--- Q l t/ �1� Comments: *The District,at its sole discretion,reserves the right to delay or deny sewer service based upon capacity limitations in District and Other Purveyor facilities.* I certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. LAKEHAVEN UTILITY DISTRICT CORNWEL Agency name gnatery name, ENGINEERING TECHNICIAN II i ®g-D/-D5 Title S nat e ?./e - Date 6/1/4,, Ssewer availability form.doc b-cert-sewer.pdf 02-07-2002 Page 1 of 1 • KING COLIY CERTIFICATE ERU / King County OF WATER AVAILABILITY Department of Development and Environmental Services Building Services Division 900 Oakesdale Avenue Southwest Renton, Washington 98055-1219 Alternative formats available 206-296-6600 TTY 206-296-7217 - s upon request King County Certificate of Water Availability This certificate provides the Seattle King County Department of Public Health and the Department of Development and Environmental Services with information necessary to evaluate development proposals. Do not write in this box -C number name to Building Permit ❑ Preliminary Plat or PUD ❑ Short Subdivision ❑ Rezone or other E. co Applicant's name: I ...o aIN w L L Sok) ,b .$ Proposed use: 1-► - !t4)L. 2 ° : Location: t L - _6 0/ c o2go�D 7 � � I`L, ,.5--/;79,9� � cl' 5 , L.0m 1I •LDGic. /L6 M i4-kivk1, d-f t GLS J ' (attach Map and legal description if necessary) i : Water purveyor information: d, (I a 1. ;q( a. WatercANbe provided by service connection only to an existing (CJ i. (size)water it ,,i that is ,5 4 ✓ feet from the site. , OR ❑ b. Water service will require an improvement to the water system of: ❑ (1) feet of water main to reach the site; and/or O (2) The construction of a distribution system on the site; and/or ❑ (3) Other(describe) 2. a. The water system is in conformance with a County approved water comprehensive plan. 0 OR ❑ b. The water system improvement is not in conformance with a County approved water comprehensive plan and will require a water comprehensive plan amendment. (This may cause a delay in issuance of a permit or approval). 3. a. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board 7,, approval for extension of service outside the district or city, or is within the County approved service area of a private water purveyor. OR 10 ❑ b. Annexation or Boundary Review Board (BRB) approval will be necessary to provide service. 4. a. Water is or will be available athe rite of flow and duration indicated below at no less than 20 psi measured at the nearest fire hydrant E� ✓ feet from the /property (or as marked on the attached map): 0111 Rate of flow at Peak Demand Duration Spv 6°Alki&A' V El less than 500 gpm (approx. gpm) 0 less than 1 hour 011' ❑ 500 to 999 gpm ❑ 1 hour to 2 hours ?/t 1000 gpm or more 2 hours or more ❑ flow test ofother gpm ?/� j$( calculation of 9�o gpm (FSR E Law AVt4 tL AD(L! rY s Ll w+iT�O 13Y MAX, pr ALLo4,ADc( FLS VEcc e-sr* iiv MAIA) or lo Fps (Note: Commercial building permits which includes multifamily structures require flow test or calculation.) PER DlJT OR s rA 00104,e0 ❑ b. Water system is not capable of providing fire flow. 5. K a. Water system has certificates of water right or water right claims sufficient to provide service. OR ❑ b. Water system does not currently have necessary water rights or water right claims. Comments/conditions: I certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature. LAKEHAVEN UTILITY DISTRICT LEN CORNWELL Agency name gn ory name 0 ENGINEERING TECHNICIAN II _ =DI_..os Title Sig at re // Date $///b, f 11Iv11 Highest` y.- Min. +h In ___.61%/Pressure Zone; _Elevation of Property— -'C'" 6Gtl1trP); Est.• Pressure 73 psi The District, at its sole discretion, reserves the right to delay or deny water service based upon capacity limitations in District and Other Purveyor facilities. Water availability form Rev. 05-19-2003 Page 1 of 1 ImpERViouS SUAPACE5 RM"F 3qu9 Dsck- yob &AaAUE 893 Pgno 3�8 Sloe WAS 3 Nq DRIVEWAY {590 OVER RA06 23S FIL°NT 1PQPtd_ Z'q RECORD OF SURVEY KING COUNTY, WASHINGTON NE 1/4 of the NW 1/4 of Section 5, Township 21 North 000 RU'ILrzILy i Adjoining House Finished Floor / House = 275.70' Garage;-- 275.11' E�r2 C_L a L$0.3 L.OU/E5-r FINISH GRADE �••�• i.g7t3 \ ra j. 'J RLFV. �I iF�—i^R6510N CoNTReL ��� Z SILT FENCE CASED MONUMENT COPPER PLUG WITH PUNCH IN CONCRETE / 0,,(3127/04) \ r, .SINGLE CURBCUT l \ /\ SEWER CONNECTIDM1I AND,`0'v 20S.7o \ \0 FLOW CONTROL CONNK-rIO/J R0 L7A5'17NU STORM SEWERLINE iQ�O�srOhfy 33 [�A,S ti �S 03 N f 279.9 t "I Lo Loo ER �LooR Z85 Fv z,y N / <h _ A t Y ry� \ CV I \ 01 v fj Adjoining House Finished Floor Lower Floor = 286.08' Upper Floor = 294.47' Ere `L1: 3ot.a UNDERGROUND POWER AND WArcp r? 285.1 284.4\ !O� R/tok CASED MONUMENT COPPER PLUG WITH PUNCH IN CONCRETE (3/27/04) • REBAR k CAP SET O SURVEY PIN FOUND AS NOTED -------- 0- WOOD FENCE i BASIS OF BEARING ASSUMED N 51%9'08'00' W ALONG THE CENTERLINE OF 7TH PLACE SOUTH VERTICAL DATUM 1 1 KING COUNTY- [A. S.L. lbe1u«. - Sa u¢J ISI 1*i.M. \L 2LI.ba• 1`r1\: F•L LEGAL DESCRIPTION LOT 1, BLOCK 1•� MARINE HILLS NO. 14, ACCORDING TO PLAT THEREOF RECORDED IN VOLUME 86 OF PLATS, ON PAGE 58, RECORDS OF KING COUNTY, WASHINGTON SURVEYOR'S NOTES 1. SURVEY PERFORMED BY FIELD TRAVERSE AND ELECTRONIC DATA COLLECTION. 2. USING TOPCON GTS 2110 TOTAL STATION AND HP-48GX DATA COLLEC770N. 3. CLOSURES EXCEEDED THE MINIMUM REQUIREMENTS AS ESTABLISHED BY WAC 332-130-090. 4. THIS SURVEY DOES NOT PURPORT TO SHOW ALL EASEMENTS OF RECORD OR OTHERWISE. 5. PROPERTY CORNERS SET EXCEPT AS NOTED, REPRESENT DEED LOCAT ONS. OWNERSHIP LINES MAY BE DIFFERENT. OBVIOUS ENCROACHMENTS IF ANY ARE SHOWN. HOWEVER NO GUARAN7ft OF OWNERSHIP IS EXPRESSE OR IMPLIED. JUN 3 0 2005 ✓•3UtL01Nc g�PrWAV Paae 1 0l 1 PPE L 0 T SUR e /'�/e Y COMPANY i LAND SURVEYING Surveyed for. ROBIN WILSON RECORDERS CER77F/CA TE RECORDING No.i Filed for record this__ day of 20 at M. In book_ol at page _ of the request 0� . ' S .� :y;•.. ; a s e � zt:=I°� SURVEYORS CER Af7CAI 7h/s mop correct/y represents a survey mode by me or under my direction in conformance with the requirements of the Survey Recording Act of the request of ROBIN h4 ON 17 CN, 2004. Slgned and Seo/ed 7 Og Lie. No. 6228 ��a Sco/e.• 1" = 20' Drawn: EB Date: 3/30/04 Revised.• urve,m y. E LO SURVEY COMPANY Z�\q SW 32rl....')S� e�a�.k 1b 'n. WG gao23 Manager — SLp. of Records q,,,, �-Iy3,�Z1es 0-v, 'v.