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90-100972 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 9b - iaa97a PERMIT NO. 90-12 OWNER'S NAME TERRY JENSEN JOB ADDRESS 36632 2 AVE SW CONTRACTOR JENSEN CONSTRUCTION ADDRESS 2006 SW 306 LANE FEDERAL WAY CONT. PHONE 838-9860 CONT. REG. NO. JENSEC*132C0 2/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION LOT 14 MOUNTAIN VIEW HEIGHTS SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/1/90 BUILDING INFORMATION ZONE RS 15 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 3381+748=4129 TCT. SET BACKS: FRONT 20' _ SIDE 10' & 5' REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER __ GAS PIPING FT. 2.00 BOILER BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED __ SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER _ LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. SINK* 1 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 14X5.00 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE VALUAfiION $196,744.00 PLANNING DEPT APPROVAL = KEVIN ELLIS ON 3/16/90 PERMIT FEE $979.00 PLAN CHECK FEE 636_00 .�� Pc-prat3 FEE 7O_00 _ CHANICAL FEE 1 R_50 ✓ �� •UMBING \t ) TOTAL BLDG. FEES 1 701_50 PART P/C FEE SEPA REVIEW WATER SERVICE TD (0_ 4,-9WATER MAIN CHG. . FEE4.50 v iii. I� S.B.C.C. � I �(/ 3 OTHER FEES _ '�O AMOUNT DUE 1708.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: / OWNER OR AGENT G �'! DATE `' --- L' CITY OFBUILDING INSPECTION FEDERAL WAY BUILDING PERMIT941-1555 #101 REVISION PERMIT NO. 90-0012 NR OWNER'S NAME TERRY JENSEN JOB ADDRESS 36632 2ND AVE. SW CONTRACTOR JENSEN CONSTRUCTION ADDRESS 2006 SW 306TH T.ANE FEDERAL WAY CONT. PHONE 838-9860 CONT. REG. NO. JENSEC*132C0 OWNER'S PHONE 838-9860 OWNER'S ADDRESS 2006 SW 306TH LANE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC _- PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REVTSTON TO NEW STNGT.E FAMTT.Y TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE / i 410 DATE OF APPLICATION -6---5--90 BUILDING INFORMATION 4111ZONE OCCUPANCY B3 - _ TYPE OF CONSTRUCTION VN BLDG. SO. FT.- -308 SET BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT- PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING . FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER -- LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC. RETURNED _ SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES _ UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION 18,701.76 RIVISION TO LIVING ROOM OF NEW SINGLE FAMILY RESIDENCE BUILDING DEPT APPROVAL: KC 9-17-90 PERMIT FEE, 198.00 PLAN CHECK FEE 129_00 PLUMBING FEE •ECHANICAL FEE ;TAL BLDG. FEES DATE: _ -(/,D, __.? 1 SNRT RFEE ) , !/�� SEPA REVIEW AMOUNT: WATER SERVICE WATER MAIN CHG. RECEIPT: (4 1 DS.B.C.C. FEE 4.50 ) ....1.0 OTHER FEES AMOUNT DUE 331.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: / OWNER OR AGENT i. UI/ - - - DATE L 5--- ( ---- U • CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION _ NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PU$LIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT x VALUATION TO d—,;11-. BUILD Ia G D E PT APPROVAL.. SCC 9-17-90 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES 1 *-:.. / PART P/C FEE - SEPA REVIEW !A.-O.tiN`.i WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE - ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE CITY OF BUILDING INSPECTION BI LDI N FEDERAL WAY u U PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR _ ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY _ . DATE OF ISSUE _ DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY _— TYPE OF CONSTRUCTIONF _ BLDG. SO. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _ SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES ''' UNIT HEATER TOTAL MECHANICAL • AMOUNT VALUATION '1614.NNING DEPT APPROVAL = KEVIN ELLIS ON 3/16/90 PERMIT FEE PLAN CHECK FEE PLUMB MECHANICAL FEE I — 4 � �.1f s s TOTAL BLDG. FEES PART P/C FEE _ SEPA REVIEW WATER SERVICE _ 1 1) . WATER MAIN CHG. I _ 0 S.B.C.C. FEE OTHER FEES AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE C i IN - XI �� >-. ›- < )- )S% k CO Z m CO \ \ \ ''''N*i..' L \\A i." °....- w I-- a I-- a :1 4N: ! 1 T.Nc.1 N:i\k\; N \ \� 4) m H m z Z Z I ` i, < \ 0. o Z Z o ,^ a `, t-- t H w 0 W can = 1- o I I 1/ V \ v S 0 0 < Ca7 ? o o ' '` \ '\ Q N. v, N I i N. i 24 p a v t J 1 -� U IN 1 o Al ? O i 1 1 1 k Q N O OJ I 0 N 0 r `i r \ ( C , !, l� ', ^i 1 C,l . I °` , ��(' Y VI Z 11 • W , ' Y (� fl � ,A p v Q \ `1C C ' Ct ` J Z F-- 1- Q Q Q N y, v * .` cn 0 a 0 O o Et o • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEP TMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY 3 TYPE OF CONSTRUCTION VA./ STORES Lr U i !, BUILDING SQ. FT. 70 C @ c( = BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /40d1440- =-. BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION ( ¢' 70/ ` TE BUILDING DEPARTMENT REMARKS: J2e_vii Sf err r�/ � PERMIT FEE ��8 ` UC' I c r tc,' i + 4 d d( / cd a i PLAN CHECK FEE c PLUMBING FEE o' MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE 0 SEPA REVIEW r) S.B.C.C. FEE V-S-6 OTHER FEES 0 AMOUNT DUE 3 S I • sC - ASSIGNED ADDRESS: S-- t-Y( PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL V RECEIVED BY V (-- DATE ACCEPTED FOR FILING • • I" \ CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 OWNER �_f.-fl `IJOB LOCATION 6. 3. L('`i} A-Gee'- S • 1,:% OWNER'S ADDRESS /TIOSGIi,�� CIT' -4.r". /./)7/..: ..l... PHONE iII�� AV DESCRIBE JOB 4 , - 7t it, THE PROPERTY IS OWNED BY: SING/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �( -L iG/l� ' CONTRACTOR'S REG. #/t:/75--g 1 i`/-33(6 cCard MUST be presented CONTRACTOR'S ADDRESS�DD a .(O.i/7 CITY\z HON ,3r -"i'c�G EXPIRATION DATE / — R •— � � 'W 77/• 0 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 `�/.fi 677 PHONE �� 1 " 9,66 BOXSEWER DISTRICT t'/ e " /G� �/.. WATER DISTRICT �_G 4 - � � BOX 5 ESTIMATED PROJECT COST A SO,Delo EXISTING BUILDING VALUATION /S.0 BOX 6 PROPERTY TAX ACCOUNT NUMBER/ / - / • / LEGAL DESCRIPTION /`-i -H'i 'J "�'�•='='. F.• (If necessary, please submit a separate page with the legal description.) / BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR '/ 2ND FLOOR /.673/ 3RD FLOOR / BASEMENT / DECK / XC' GARAGE.'5:2,1?"- / BOX 8 ( INGLE FAMILY (v)1 EW CONSTRUCTION / SP'00 ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6z1 SQ FT BOX 9 PLUMBIK FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. SETS NOS PIPING, FURNACE G, ` 2 BATHTUBS ELEC. GAS >C $ Il) •O O I SHOWERS ( GAS HOT WATER HEATER $ (o -SO S LAVATORIES CONVERSION BURNER $ / SINKS BOILER, SIZE BTU $ I DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ I LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ �/ TOTAL FIXTURES $ N S "7 0 0 on TOTAL MECHANICAL FEE $ 16,5-0 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 PER- FORM THE WORK FOR HICH PERMIT APPLICATION IS MADE. OWNER/AGENT: AL- -" DATE: 3— t ie) ANP-006 2/90 • -- \ 2 Io � S c OFFICE USE ONLY(PLEASE DI NOT WRITE BELOW THIS LINE) ZONE F1S IS' ETBACKS: FRONT SIZE _ `_-AL"'EAR ' f ' HEIGHT LIMIT 23* PLANNING D PARTMENT APPROVAL L - ' _ REMARKS: ltd i itf — 50# e_S to�- Co � • i,-t '� v L.c CO Ck J€ r 2 ra(i'IC-(�1 Lo f 51-1111S ,'U(„L SEPA: EXEMPT \- NOT✓✓ EXEMPT J FIRE DEPARTMENT APPROVAL DATE REMARKS: /1/74- PUBLIC WORKS DEPART ENT APPROVAL C- DATE 3- :=_ -69 REMARKS: SQ01-t L 5 r3 ' rel-(&t c' e, - ' rro Va L1jfry D . TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY K. 3 TYPE OF CONSTRUCTION U•) STORES /7 1 L1( BUILDING SQ. FT. 2-6(7 7 @ 6 Fe U c) = -1i0 6 7_1 3 e 00 ya c{ �� BUILDING SQ. FT. 1 t @ (7- 3 0 = ,Zq y0. I{ O_ De- V--- BUILDING SQ. FT. 3 0 `f @ IO_O0 = 3V-(d,c 0 BUILDING SQ. FT. @ = BUILDING SQ. FT. @ c < BUILDING SQ. FT. @ Rty(o(tct( Mod(fit ev- - 0 - in TOTAL SQ. FT. TOTAL VALUATION 1 ' 6?P4 L.S R EBUILDING PERMIT NO. 90` 00- PLAN CHECK FEE REC'D --g)---s RECEIPT NO. PERMIT FEE q7Y. 00 PLAN CHECK FEE —646,04- PLUMBING FEE —gvo0 — MECH. FEE l8. co TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE 11' SO AMOUNT DUE BUILDING DEPARTMENT APPROVAL DATE REMARKS: ASSIGNED ADDRESS: 366 3 2- ��d i4 e 5 4J Lof lq G RECEIVED MAR U 1 1990 CITY OF FEDERAL WAY BUILDING DEPT. RECEIVED ACCEPTED FOR FILING LD e °411 //> • -1- „ i ----. , \ CS"' • 't-) , O.,. / - c7. JJ \\ c11 k d C'' ' 1 I v I r-,-, \ , I_____U cs ' I) si ! Clio_______\ �_ ,. 2i - • C) -h, ->`r . 7 oi 3 �"i r. a x Mm ( i C. 0E cr: —a / . _ , ._ I re- m0 ---1 1 i , Seattle-King Count epartment of Pubic Health 1 . RE \,fE CEI - Site Application for 0 - ite Sewage Disposal System (Submit 5 copies of application with 4 copies of plans) APR 5 1990 ALDER SQUARE Site Address: 'Approximately 36614 2nd Ave. S.W. (Attach a Site Vicinity Map) Street Address. 12006 S.W. ° Owner I -Jensen Cons t. I City-Zip Code I Fed•Wray,9 O ' J Phone I Street Address I Builder I Ote'i1er I City-Zip Code I I Phone I J Street Address 1 18422 S.E. 394 h? °;L 'c,.e t I Designer 1 Ed f}rarwOO I City-Zip Code I Auburn, 930,1)2 I Phone I 33-52G2 I PROPERTY INFORMATION: / • / Section: 1 . 1 ''1 Township: 121 11 Range: I ') 1 AI Parcel#: I'' i '.r4 r-31"9 `1 '°�'TT 1 i 1i"`tt– Subdivision Name: 1 ►•n1t 't 7 °1 View fteights 1 Lot: I,/ 1 3. 1 " 1 Block: 1 1 1 I Property Size: 1 f , 1 14° 1 0 I 21 71 sq.ft. Distance from property line to nearest sewer: i_ N/A i 1 1 ft. Water Supply Li (IP)I=Individual P=Public(More than One Connection) Public Water Supply Name: I •f '14,la• 1•2 4 I ID# I 1 t 1 1 i Sensitive Area: Li (Y/N)If yes,specify I I (L,W,0) (L=Landslide W=Wetlands O=Other) SYSTEM INFORMATION: Repair(existing) Li New System I I Type of Building 1 i rC i' I (SF/MF/COMM/INST) SF= Single Family MF=Multi-Family COMM=Commercial INST=Institutional Type of System Proposed: OP/M/PD/SF/HT/CT/E/O) G=Gravity GP=Gravity with pump M=Mound PD=Pressure Distribution SF=Sand Filter HT=Holding Tank CT=Composting Toilet E=Experimental 0=Other Date Soils Logged: 12 i – I 1 i –I 91 ''I r Soil Logs Attached:(Min.4/lot) 1 I I (Y/N)Detailed Plans Attached:(4 sets): I I (Y/N) Depth to Watertable or Restrictive Layer: I a I(.> i yI inches Average Slope in Drainfield/Reserve Area: I`' i I % CALCULATIONS: Number of bedrooms: U Total Gallons/Day(450 miniumum): 101 41 81 Q gal. Soil Texture Type(1-5): t1) Application Rate: I.1 et I I gal/sq ft/day Total Absorption Area: I 0 141011 sq.ft. Total Drainfield Length: alo_J ft. Septic Tank Size 11 10 10 10 I gal. /, Pump Chamber Size(if needed) C—I--I- 1'1 gal. Trench Depth(min/max): /1/3 16 inches I understand that failure to comply with King County Board of Health Rules and Regulations#3 may result in the disapproval of the sewage system being proposed in this application. Non-compliance may also lead to revocation of my Designer's Certificate of Competency and/or appropriate legal action by the Health Department. Designer's Signature: 'r //r i'<. l I.D.# r .} Date: 3-25-90 Fl l)isi wool OR EALTH DEPARTMENT USE ONLY APPROVED‘4-14-AD B . (date) Comments/Conditions: APPROVAL OF THIS DESIGN APPLICATION IS BASED SOLELY ON INFORMATION PROVIDED IN THIS APPLICATION AND DOES NOT CONSTITUTE PERMISSION TO BEGIN CONSTRUCTION OF THE SYSTEM OR ANY OTHER IMPROVEMENTS ON THE SITE.THIS APPROVAL SHALL NOT BE CONSIDERED AN ASSURANCE,EITHER EXPRESSED OR IMPLIED,THAT DEVELOPMENT PERMITS FOR THE SITE WILL BE ISSUED. THIS APPLICATION EXPIRES TWO YEARS FROM DATE OF APPROVAL. DISAPPROVED BY: (date) See attached Site Deficiency Sheet. 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. WHITE__DISTRICT/GREEN_AUDIT/YELLOW_DESIGNER/PINK OWNER/GOLDENROD LICENSES&PERMITS CS 13.15.97 ;.+,,9e ;.rt t, i1 (1,:i data SEPTIC SYSTEM :4 LCIFICATIONS (CONT'D) (PLEASE•)EH PRIOR TO COMMENCING CONSTSTION) A ternate mound or pressure distribution systems, except in Type 1 Soil , shall be installed d ring sustained dry weather as prescribed by the designer. N TE: The designer accepts NO responsibility of property lines and/or legal descriptions a provided by the owner. (SOILS REPORT) )IL LOG #1 0"-60" T SOIL LOG #3 Same SIL LOG #2 Same SOIL LOG #4 Same • AAITIONAL NOTES: T • _ 1 l 2 (PLEASE REVIEW PRIOR TO COMMENCING CONSTRUCTION) Li ;END:. r • � �- • l000 i SOIL LOG TEST HOLES SEPTIC TANK GALLON! El or E ELEVATION PUMP TANK IF REQUIRED 800 C ) CLEAN-OUT DRAIN FIELD akklq @'=" 0 FEET (INSTALLED) S I STEPS DOWN DRAIN FIELD same FEET (RESERVED) Or \IN FIELD: SCALE 1."-20' T ;HT LINE: 11 1 1 1 1 l 1 1 l l 1 1 1 I I I I I I I I I I 1 1 1 I 1 I,I I OWNER Jensen Con;t. r1 IER LINE: —W —W --W —W --W ---W —W - LOT SIZE: 14,027 Sq.Ft. Oi 1TION; The use of heavy equipment resulting in the compaction and/or removal of the original permeable soils from drainfield area may result in denial of septic system installing p; mit to septic system installer by the designer. I will be the owner' s or buildier's responsibility to inform plumbing contractors of the p imbing outlets, elevations, as noted on design of the septic system. P for to installation of septic system, designer shall be notified by septic system installer t make plumbing stub inspection. dumbing stub must be installei. and exposed. D. ;igner shall be notified by the installer upon completion of installation of the septic s stem and prior to the call for final inspection by the Health Department by the designer. 0 ler or builder must leave access for septic tank equipment; also clear area for septic tank a i drainfield installation. D vert downspout, footing, and any surface water drainage away from septic tank and drainfield a ea. \ I stall drainfield trenches to the natural contour of the site. 0 E PLUMBING OUTLET: Bottom of outlet to be set no lower than 8 inches below/a&orta top of t e original undisturbed soil line. 241-3 6 B ITN OF DRAINFIELD TRENCHES: To be set no lower than 441. inches below top of orignal u disturbed soil line. N TE: Additional site inspections of septic system due to owner' s , builder' s or septic s stem installer' s failure to comply to the designer' s specifications , as indicated on the s to application, will be to pay an additional $75.00 per inspection. I REQUIRED: Prior to release of installation permit, the owner shall provide and stockpile c -site, the equivalent of inches permeable soil cover material over installed drainfield t enches (approximately cubic yards) . I REQUIRED: Well to be drilled at designated location as indicated on Declaration of Well C venant. • REQUIRED: Well driller' s Log Report, including both chemical & bacterial water test suits , shall be forwarded to the designer by the owner prior to the release of the septic s -stem installing permit by the designer to the installer, ' REQUIRED_ At the, time of the As-Built Inspection, all septic tank and pump tank risers Ill be installed, and all permanent electrical wiring, including the alarm, shall be stalled and operational . (PLEASE READ REVERSE SIDE).