90-100061 `)D - 160o6.(
CITY OF BUILDING INSPECTION
FEDERAL WAY - BUILDING PERMIT 941-1555
INSPECTION REQUEST LINE- 946-6794
PERMIT NO. 90-0097 NR OWNER'S NAME DUNCAN CONSTRUCTION JOB ADDRESS 36619 2 PL SW
CONTRACTOR OWNER-DUNCAN CONST ADDRESS 11721 SE 183 ST RENTON CONT. PHONE 228-0970
CONT. REG. NO. DUTNCACT 1 41 MS 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 3 MOUNTAIN VT EW-HEIGHTS
i A -
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE MINIM DATE OF APPLICATION 3/12/90
al Fr,
BUILDING INFORM•TIeN
•NE RS15 OCCUPANCYR-3 TYPE OF CONSTRUCTION _ 5-N BLDG. SQ. FT. 1505-F737=4742 TOTAL
SET BACKS: FRONT 20.' SIDE 20 f ON .ST REAR _5_'___.____ STORIES 2_ HEIGHT LIMIT 30'
PLUMBING NO. 5 `RE7 EASTIECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER __. GAS PIPING FT 3-50 BOILER
RECEIVED
BATHTUBS 2 LAUNDRY DRAINS __ COMPRESSOR TANK(S)
SHOWERS 2 URINALS - FORCED AIR FURNACE 10-00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6-so MISC
RETURNED
SINKS 2 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS _L TOTAL FIXTURES 16 X $5__00 UNIT HEATER TOTAL MECHANICAL2n_n0 AMOUNT NONE
VALUATION $ 224,043.00 PLANNING DEPT APPROVAL: KEVIN ELLIS ON 3/29/90 (50% MAX LOT COVERAGE)
PERMIT FEE $ 1077.00 BUILDING DEPT APPROVAL: KEVIN ELLIS ON 3/29/90 (2 PARKING STALLS MIN)
PLAN CHECK FEE 700.00 FIRE DEPT APPROVAL: NOT APPLICABLE
PLUMBING FEE 80.00
ECHANICALFEE 20.00 PUBLIC WORKS DEPT APPROVAL: KEVIN ELLIS ON 3/29/90 (WATER ONLY, SEPTIC
TAL BLDG. FEES _ $ 1,877.00 SYSTEM REQUIRES K.C. HEALTH DEPT CERTIFICATE)
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE $4.50
OTHER FEES DATE PAID tl AMOUNT $1,881.50 RECEIPT gq/ / V6 (1)
AMOUNT DUE $ 1,881.50
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: r A /!��
OWNER OR AGENT I.0 It l A 3 U DATE / 7 9 Q
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
REVISION
PERMIT NO. 90-0097 NR OWNER'S NAME DUNCAN CONSTRUCTION INC JOB ADDRESS 36619 2ND PL SW
CONTRACTOR DUNCAN CONST INC ADDRESS 11221 SE 183RD ST RENTON CONT PHONE 778-0970
CONT. REG. NO. DUNCAC1141MS OWNER'S PHONE 228-0970 OWNER'S ADDRESS 11221 SE 183RD ST RF.NTON
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. 570780-0030 LEGAL DESCRIPTION LOT 3 MOUNTAIN VIEW HTS
ISSUED BY JOANNE JOHNSON DATE OF ISSUE / ) _ 2 J ^ l, DATE OF APPLICATION 12-3-90
BUILDING INFORMATION
ONE_ OCCUPANCY_ _ TYPE OF CONSTRUCTION - BLDG. 50 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
VALUATION ADDITIONAL PLAN CHECK FEE FOR REVISIONS: MM 12-6-90
PERMIT FEEvoma
PLAN CHECK FEE 30-00
PLUMBING FEE
MECHANICAL FEE
OTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: ( ) ) /,-)
WATER MAIN CHG.
S.B.C.C. FEE ti 0 CID,J
OTHER FEES
AMOUNT DUE $30.00 RECEIPT: / / Y
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: ' pyo
•
y:NT �' Alla _ DAT[z4V4•����'LJ
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERt;"IT 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 CONSTRUCTION _ _ BLDG. SQ. 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
VALUATION ;SDI i IONAAL PLAN CHECK FEE FOR R VXSIOF : re
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
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 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:
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER ,QVA/E_.4 ./ (yL/Sh2r/CJjp,J /Air SITE LOCATION _366/3 2 PZ. S.A)- me 4:
OWNER'S ADDRESS//z 7/ �6'_, CITY?,.J/C,A1 14/1— PHONE ??PJ--a 9,c;
DESCRIBE JOB iuJ,,c,P 664edy ko/4. ,-,-;16th..,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /)Jdc.4..ci C ... <rc . CONTRACTOR'S REG. #f);)-/C_1Li
Card MUST be presented
CONTRACTOR'S ADDRESS //22/ /d3 PHONE e_?—e-Jj2G
EXPIRATION DATE
— 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 /11-t-6.dwit PHONE —`..3c. /
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /L ,r .3 ,/Orrj /64-m:i lli,E.4) ifs
LEGAL DESCRIPTION `j 7o"n ) - 001
o
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT` / DATE:C4/3/.96
ANP-008 3/90
• I
OFFICE USE ONLY•(FLEASF DO NOT WRITE BELOW THIS LINE) .
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ti/f}-
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /�7,w1,s.,- ,71rxet1 DATE /�C'e-- i7C
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL y01 DATE /71-
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 TYPE OF CONSTRUCTION . STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: ,471...,Pr gciru r,,,,nc�� � PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE (ff.
OTHER FEES
AMOUNT DUE /
feevislU�
ASSIGNED ADDRESS: S� 5,J)-e
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY _-- DATE ACCEPTED FOR FILING
.,
(\c,
�� I
-/frA-
)/< 190
,Q cid, '� �l>
? 9
e�°oNp9O
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER r�'✓�'rf✓d�'�-� �, ✓1�� ' _ JOB LOCATION .'. - ;; i i `r_ Id'`t
OWNER'S ADDRESS //,,9,7. / -17- '-'7 " CITY -0 j-64- PHONE . , _
DESCRIBE JOB -z-V--z.47-"" L-T-'� ?
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 1/
BOX 2 CONTRACTOR'S NAME Ade -ie�� C�7-'-'4 `-i-- . CONTRACTOR'S REG. # - f i e,Z /'' jr
r �__._ .-----7Card MUST be presented
CONTRACTOR'S ADDRESS /��?�'_ f /Z-5 v / ` CITY r te' - --' PHONE J ,%'%,�
EXPIRATION DATE 4 - ..,>------ '20
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHIG• PROHIBITS ISSUING PERMITS ITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON i-r-r PHONES �-'2
BOX 4 SEWER DISTRICT # , - '%' WATER DISTRICT /`* /-2- '?/ i1' ' '
t
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT N BE
LEGAL DESCRIPTION
/A--/4/ -"- 7 _ilii A -!./ .
(If necessary, please submit a separate page with the legal description.) �,�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1. 1`1'7/ 2ND FLOOR 1700 /
3RD FLOOR / BASEMENT / ; DECK / GARAGE 7 1 /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .- '214"P""P", SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ SO
7
NO. 3 WATERCLOSETS GAS PIPING, FEET $ �p
02. BATHTUBS NO. FURNACE, ELEC. GAS $ E �. _
a` SHOWERS GAS HOT WATER HEATER $
eS LAVATORIES CONVERSION BURNER $
- SINKS BOILER, SIZE BTU $
✓ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
/ LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTE.FFIIX�T6 $
.S( ' TOTAL MECHANICAL FEE $ 7o
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 1 'ERMIT APPLICATION IS MADE.
OWNER/AGENT: ',-' DATE: l•'2--,61
ANP 006 2/90
0 . .
ii
. ,
ptwesf5/ c(€
OFFICE USE ON YZ(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE'S 15--U SETBACKS: FRONT 2-0 ' SIZ S t _c(--slt REAR S ' HEIGHT LIMIT >L
PLANNING DEPARTMENT APPROVAL k-C- 5 __ 2- — cr(-
REMARKS: 14-e_(f 4 7" = zh /
_ S'o /6.(-C.1Y L-of LoUc'Y--.5t1 e Z Ax( vt ecc v� �(o s /(s
SEPA: EXEMPT - )( NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: Ai/Of
PUBLIC WORKS DEPARTMENT APPROVAL !_ L DATE 3 - Z '? - (6
REMARKS: 1-1.i ck( F is 'c-`•l7 fe.-
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 - TYPE OF CONSTRUCTION I,• N STORES
,--DF-12—,--DF-12— BUILDING SQ. FT. -3 5@ cb^�
GA S BUILDING SQ. FT. 131 @ 17 = (Z 7 0
BUILDING SQ. FT. @ _
- - BUILDING SQ. FT. @ Q = b
BUILDING SQ. FT. (06 -L '@i--IF.-4- °'u[) _ y .b&
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 'L Jf O 3
EBUILDING PERIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE I 017 PLAN CHECK FEE --T--; PLUMBING FEE --W---429--- MECH. FEE -212 Z
TOTAL FEES 42,1 !' SBCC SURCHARGE -- ENERGY SURCHARGE AMOUNT DUE 8m_ rZ(—
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: 3“) 19 ��d 6L ..,
RECEIVED ACCEPTED FOR FILING
4c.,0t1 gnu .rtace S•WM. 1 I
(Attach a Site Vicinity Map) ` i'C�Ci% • �/.
Sunrid Street Address 1 25725 101st S.E. suite "A"
Owner I ge 0ev. 1 City-Zip Code I Kent, 98031 I Phone 1854-510/
Street Address 1
Builder 1 owner I City-Zip Code I 1 Phone I
Street Address 115 22 S.E. 394t1a Street 1
Designer I Ed Harwood 1 City-Zip Code 1 Auburn. 980021 Phone 1833-5262
PROPERTY INFORMATION: - Origins]. Tract
Section: 13 Q Township: 12 1 11 Range: 1 q 4 Parcel#: 14 1 2-ri-r 3.r0 r--91 Or-14r--9-
Subdivision Name: 'Mountain View Heights I Lot: IO i° 13 `
iI � -� ' Block: I t �`i 1 I
Property Size: I 0 16!1 5, 5, 5I sq.ft.
Distance from property line to nearest sewer: I N/Ai 1 1 ft.
Water Supply I_..I" (IP)1=Individual P=Public(More than One Connection)
Public Water Supply_Name: I K•C•W•D• 0124 I ID# 1 1 , i i i 1 1
Sensitive Area: 1 'II (Y/N)If yes,specify Li (L,W,0) (L=Landslide W=Wetlands 0=Other)
i
SYSTEM INFORMATION: 1
Repair(existing) LI New System U
Type of Building l i IS i 'I ` ., r
(SF/MF/COMM/INST) SF= Single Family MF=Multi-Family COMM=Commercial INST=Institutional
Type of System Proposed: IG IP I (G/GP/M/PD/SF/HT/CT/E/O) G=Gravity GP=Gravity with pump M=Mound
PD=Pressure Distribution SF=Sand Filter HT=HoldingTank CT=Composting Toilet E
Po 9 Experimental O=Other
Date Soils Logged: 12, '1 I1 "I 91 a Soil Logs Attached:(Min.a/lot) I Y I (Y/N)Detailed Plans Attached:(4 sets): I Y 1 (Y/N)
Depth to Watertable or Restrictive Layer: 1 3, bI inches Average Slope in Drainfield/Reserve Area: Ic� 1 8 1
CALCULATIONS:
Number of bedrooms: VII Total Gallons/Day(450 miniumum
8 ) P t4 ,s 1 I gaL Soil Texture Type(1-5): 13
Application Rate: I a t I gal/sq ft/day Total Absorption Area0, 6, G r ai sq.ft.
Total Drainfield Length: 131 01 a tic Tank Size 11 i Q i° r 41 gat.
Pump Chamber Size(if needed) I Q i i 'r �1 gal. Trench,Depth(min/max): F 1 I 210 , 21 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 bythe,,,l-lealtb Department: E
Designer's Signature: m ,d!" P.D.# 52 Date: 4"16"90
Ed Harwood
FO- HEALTH DEPARTMENT USE ONLY
APPROVED i 1 9Q:� j. -
(date)
Comments/Conditions:
I.
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. 1
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 l
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CITY OF FEDERAL WAY
BUILDING DEPARTMENT
PERMIT NUMBER (2 -
ADDRESS 36(, ' 1k , /
PLANS FOR (A-it
OWNE-
DATE SUBMITTED _ DATE APPROVED 3
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/APPROVED BY