93-101967 93_ /0/967
CITY
335300Firstt Way South F FEDERAL WAY BUILDING P PER ISSUED:MIT NO: 11/17/9365
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/16/94
ADDRESS: 1311 S 364TH WAY
NO. : 292104-9143
PROJECT DESCRIPTION:NSF - M/ PLUMBING & MECHANICAL
LOT #2 OF KCSP 1777080
OWNERflit CONTRACTOR - LENDER —
JAMES ROBERTS JAMES ROBERTS CONSTRUCTION INC
33405 - 10TH CT SW 952 SN CAMPUS DR #3-A1
FEDERAL MAY NA 98023 FEDERAL NAY NA 98023
74-8815 229-3590
JAMESRC11ONU
BLD?:X MEC?:X PLN?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -RR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1440:sf STORIES - 0 REQUIRED PARKING..: 2 SPRINKLERS' •9 PLAN CHECK DEPOSIT.* $ 734.18
CENSUS CATEGORY •101 2ND.: 0: 688:sf HEIGHT • 0.00 ft HAZARD CLASS ./ PUB MKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps FINAL PLAN CHECK...* $ 0.00
:R3 : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1129.50
TYPE OF CONSTRUCTION BSNT: 0: 1440:sf PROP...=: 239424 SIDE . 10.00 ft MATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N : DECK: 0: 804:sf REAR - 10.00:ft SERER SERVICE..:SEP PLUMBING FIXT....93* $ 119.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/04/93 RADON KIT 93 $ 20.00
. 0: 0: 0: 0: TOTL: 0: 4372:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N MEC APPLIANCE FEES.* $ 72.50
FUEL TYPES.:ELE FANS - 4 BOILERS/COMPRESSORS MATER CLOSETS - 4 URINALS • 0 TOTAL FEES $ 2119.68
PIPING.: 50 ft HOOD • 0 0-3 HP • 1 BATH TUBS • 2 DRINKING FOUNT.: 0
N000K..: 1 DUCT MORK • 1 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HMT • 1 MOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC - 0 5+ HP • 0 DISH MASHERS . 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
RANGE . 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMA IO FURNISED BY E S T AND RR TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT , ,rte ,/4� DATE A�7-4,_ -‘
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CITY OF FEDERAL WAY
_ BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
- OWNER �H v\t5 F OEact(E tRobecTS SITE LOCATION 1311 S. 36`{t- l,tM
OWNER'S ADDRESS 53405- /(.3ff of S+<.) CITY Ffo4-,4C
DESCRIBE JOB /Vel q
sin le r•,tl � 1 PHONE �7y- �FsIS'
THE PROPERTY IS OWNED BY: SINGL /MARRIED h PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -iii+'''? S R� � Res�de�i
06e23$ (or SS. for CONTRACTOR'S REG. # -vv e'S kc- ((On L.(
CONTRACTOR'S ADDRESS 33 L105" 10444- Cf SGL Card MUST be presented
EXPIRATION DATE g-�u- 9 3 CITY fede���r C ��7 PHONE .g 74- �, Is-
- OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 7-13-AnAcs Robe(4s C rno b(( # zz9_ 3Scto) PHONE E5 74- $E 1 S
BOX 4 SEWERD($TRICT ,AepTuo_ _WATER DISTRICT Fed (.„..)411 k,_%F)t62 E Swc-c-
BOX 5 ESTIMATED PROJECT COST 9O� 000 EXISTING BUILDING VALUATION --e-- mew Cons-r ucTJ—
BOX 6 PROPERTY TAX ACCOUNT NUMBER �`T I v`-1- 9114 3
LEGAL DESCRIPTION /o-1 a y -3 cxc- lKwc cc). s,,dk,it pV+ # 7770 S'0
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 74Ii z9G5 (..
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /1YYe. 2ND FLOOR / !o Is'Y
3RD FLOOR / -6- BASEMENT / /N`lU DECK / g 0 GARAGE / - ---
BOX 8 (X SINGLE FAMILY (4 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 11-/s coo SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE S
NO. '-J WATERCLOSETS GAS PIPING, FEET $
.2 BATHTUBS NO. I FURNAC ELECT' GAS $
1 SHOWERS GAS HOT WATER HEATER S
5 LAVATORIES CONVERSION BURNER
_SINKS BOILER, SIZE BTU $
S
1 DISHWASHERS AIR HANDLING UNITS $
/ ELECTRIC HOT WATER HEATER a HEAT PUMPS, SIZE $
/ LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE S
-- DRINKING FOUNTAINS COMMERCIAL HOOD $
-9 SUMPS, SPRINKLER VACUUM BREAKERS OTHER
0 DRAINS S
S
- OTHER 5
(-7 TOTAL FIXTURES 5
TOTAL MECHANICAL FEE S
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 PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN 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,THV INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
Cli Pi
OWNER/AGENT: -Tr�),2,--1-- at ( DATE: --S----- f- 3
ANP-008 3.90
NSEATTLE-KING COUNTY DEPARTMENT OF PUBLIC HEALTH _
ENVIMENTAL HEALTH SERVICES
•
SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
(Submit in Ouadruplicatel
(This accompanies the building permit application and is prerequisite to the issuance of the Individual Sewage Disposal
System Permit.)
NOTE: If the property is within the boundaries of a sewer service area,it will be necessary to obtain written permission from the
sewering authority allowing use of an individual sewage disposal system.
z
Location of Property-Street Address / / Q 5 3A 4iN . ',✓ 0
/ 7 �~t m
Addition or Subdivision !n f 2 Q K C,5. : f 7/lit, fl Lot Block
(Or attach legal description) Sewer Service Area Yes— No x
Type of Building: New k' Single Family Residence IIT. (No. Bedrooms - ) --I
/
Existing 0 Other 0 (Specify) -i
cn x
m
0
C o
North End 1600 N.E. 150th 98155 363.4765 m o
Eastside 2424 156 N.E., Bellevue 98004 885-1278 or 747-1760 -i 3
Southeast 3001 N.E.4th Street,Renton 98055 228.2620 m
Southwest 10821 8th S.W. 98146 244.6400 i --rz
i x-•1
Central 1002 Public Safety Bldg. 98104 625-2763 f�1
-oz
c
/ /' / Street Address COh . r C. ; - t ••••- s n
Owner j/�V"t 1`�Q[ F 4'� City-Zip Code (CRY J. Phone =,in
Street Address PAIN(�9 7 -`
Builder �G2 Jr -(' City-Zip Code DES $,WA 111 I55 Phone \� AD
m
/� Street Address (J moi• t' 0 3
Designer .61,J`�t 7ry're 11 / :ACI h4, C./-1 . City-Zip Code Phone
Soil Log Tests (Describe soil encountered preferably by SCS soil classification system) Minimum depth 48 inches '^
0
or
Hole No. 1 Q^4'OTS_4"-17J8Gi-./7N3B.ig6,451�-.w/LT Nrr_- lel:4a'�Sl._AR It STA_u.'/n/1r c rvi
n
. i• N� 3 c/1
Hole No. 2 +— • " - r - • - • % t K.-R.R.5Zft ..."Anr m
Hole No. 30-?_'1 r' a-14.R�G.-I._J4��,7 1.r�3GJ--Itr/J7ton-. 7-49 SC•6R-1 Sr&_ ►-z/ i - m
Hole No. 4.0-z„ r' 2'-L5" &_/- 25'-4c" 6- 4s- 9/'`S1 c,R a Si:Cr. 1/A"'r_
pa
Evidence of seasonal Water Table. (Probable minimum distance from ground surface) ,Y %.t 1-( U.1 =
Source of Domestic Water Supply 14,1 �. / l•.-t- z
1
Percolation Tests (Fall in minutes per inch, bottom 6 inches of test hole) ✓ <?;!T t„
z
Depth Average Rcte Length of Time Soaked o
Hole No. 1 ?S r 4 P QV eV,n `�,s� 7 Ti m
Hole No. 2 P 5 " <2 1'}'/t -- , ,
Hole No. 3_2-5'' , -S-n7`j' _ i`
Hole No. 4 .".•P4.8.1/2' _
« S Hole No. 5 Z �vl ,•5-A4i.r __ __ / '
Hole No. 6 ?5mi,Z Jj _..
(For additional remarks or co ments attach letter i triplicate or utilize unused spaces around drawing on reverse side of
application.)
V
L )Signature-Designer) r " • t Date of testing
Ml/ / REthVIED
DO NOT WRITE B •' THIS LIN(To b filled in b Health Department) (District Office l se
Accepted X 7u .._73 4--,r. G 7 - {' #INR_,., 1981
Not Acceptted ❑ (Date) `:AL!L) '!.''i ' iIbieelnc n,tananl ,.'41T}i11;_t 'I 'IL,i .
,Iti;;y, (,,,;i •,1- i.l't'huvnt- J.L i H CENTEP
S-AP-118 Rev.610.78 CS 13.15.2
Di4e1(.1(/
a.
•
• ADDRESS OF PROPERTY ;(3 /1 .,� "C rr r~ c Lk., =,• ..
SEATTLE-KING COUNTY DEPARTMENT OF PUBLIC HEALTH `./
ENVIRONMENTAL HEALTH SERVICES
AS-BUILT SEWAGE DISPOSAL PLAN
// __ (Submit in Triplicate) �� �/�
1� 1- 9'4�. /t G S_f�� 777! E C, PERMIT NO. . .. .
LEGAL DESCRIPTION: c - •
(:;(d i I•r't it Address 37/0. ...../.?..../it!('.% 5 .. ..._ Plane f..7/ .!
y.
/f Address Phone //
Builder — -
rl i. A /n 4SaC
Address, . ,)( . %!2fel" J Phone 2-4 /, L7/
. .... ... .i�Coff ' 7
CC ..�. i ....'' ;x,/, Phone Z•Z— �ZF 2, •
Installer. >!e,....):.'n :. ..7!.�';.y1.JC..6-Lc.0-� Address ✓r
I hereby certify the accompanying drawing is an accurate representation of the system installed at the Fated address. I further certify aN
recommendations and restrictions(concerning plumbing alb e _ti s,maintenance of grades,fills,surface drains,etc.)listed by me on my approved
site plan(or lastest approved revision thereof)dated .... have been complied with.I further certify that this system meets all
requirements of the Rules and Regulations established under King County , f Health Rule,Regulations lit&IV or City of Seattle Ordinance
No.90181 whichever is applicable.
--- :// .-4 .1".- ." 7
—57:
SIGNATURE D[fION[R
TO FI D IN BY HEALTH DEPARTMENT ONLY
•Date Accepted Y-..5.- 1 Date Not Accepted • I. L. +_ y`I. l
Signature of Sanitarian _. ..9. .
Remarks. `Ou-f,,, _
.. ..PFril jll rfr
•
INSTRUCTIONS: You may use the reverse side of this form for the drawing or attach separate sheet. Use a scale which wilt permit the greatest detail and
still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average-size family. Overloading the septic tank or disturbance of the drainfield
may seriously impair satisfactory operation. Points to remember:
1. Have your tank checked periodically to see if pumping is necessary (2x/2.3 years).
2. Do not channel ground water, surface water,footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure,driveway or patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field.
css is mut IIEV.FEB.77
L 1 1
IlEATT1LE4ING CfY1ttTY DEPA 'jEly
PTNT OF PlIC HEALTH /
ENVIROtENTAL HEALTH SERVICES
Total Fee: 575.00 APPLICATION FOR HEALTH DEPART?ENT
APPROVAL OF BUILDING PERMIT
Submit application, route map, building permit plot plans, and other required documents in triplicate.
The following must be completed and the fee must accompany this application:
Note: If the property is located in unincorporated King County, maR E yed a. • 1 1 ji!King
County Building and Land Development Division (B.A.L.D• . Propert es n o •• • • ties apply
to local building departments.
PROPERTY INFORMATION O C 1r
0 1 1993
House/structure is served by an on-site sewage (septic) system
Distance to the nearest public sewer ,VA -
Address of property V-3\ `3L,t,( ( w
Parcel Number (Tax Lot Account /) ) t / 2' '/ �-- 17/4(
Applicant's name M MES t• Po6275 Day Phone 5744- S'ss'S—
Applicant's mailing address 331/0 5— /O-Z' C( SA-) / Je/1're 4%L f oG 3
Owner's name S )beg( S Day Phone 2'7L(-s-ty/S^
Age of house 1JCLO Number of existing bedrooms, Existing square footage of house s�6
Are additional bedrooms being constructed or created? /c.6
Description of proposed changes/remodeling (attach plot plans, showing existing structure, remodeling
and septic system):
tee NI°ye eXtS7 )y /I'1a6r( Nemc — (3u.k .Ue,J
New square footage after construction %t,1 L eve&) . /o,x e 3 l rl C/uc%v1
SEWAGE *STEM INFORHATION D/4c( k (3,1-s,--7ler1T A-AO 10-{-?-A4-
Approximate dates septic tank was pumped (attached receipts) /.0-1- fCVlc C\ — Neo--) �S2
Additions or major landscape changes since house was constructed (examples: add family room, bed-
rooms, garage, patio, deck, pool, etc.; major fills or excavations done in landscaping):
Additions or repairs to sewage system (give date and describe briefly) ,4.)e
Other information which would be helpful in evaluating the sewage system (ie. drainfield easements,
• covenants, etc.):. yo��
WATER SUPPLY INFOid{ATION •
Public system (2 or more connections) ED Private (well, spring, etc.)
Name of Public Supply 3- e`a'L 1 c SC'- et Attach copiesh of al/bctwell e, clowelt
pp , covenants, chemical/bacteriological
sample reports
FOR HEALTH DEPARTMENT USE ONLY
Date Received
Iz1 APPROVED ' BY: .
Da to j '>EC ivao
71 DISAPPROVED BY:
Date
3
Comments/Condi tions t-,1:3 i Z f '',:j
24,:„""6., .
.Z� , , � �'l,.�TT I n'C" . 't� • �A e•. - • \ '� ,.� i'.r .�.�o� , ALDERS uAR!.a
Any person aggrieved by any decision or final order of the Health Officer may make written application for
appeal to the King County Board of Sewage Review if done so within 60 days of the above decision.
'tet\3b . A-e s,tk.;.L vs, ,r