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91-101722 9) - 10f ""n'D. CITY OF FEDERAL WAY 33530 First Way South B U I L D I N G PERMIT BUILDING INSPECTION Federal Way, WA 98003661-4140 PERMIT NO._ 91-1658 NR OWNER'S NAME EMMETT CONSTRUCTION SITE ADDRESS 29806 5 AVE SW CONTRACTOR EMMETT CONST ADDRESS 24211 SE 436 ST ENUMCLAW CONT.PHONE 833-2424 CONT.REG.NO. EMMETLL325OZ EXP. 6/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE XXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. __INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. - SIGN GRADING OTHER . . .AND GARAGE/DECK TAX ACCOUNT NO. 233700-0090 LEGAL DESCRIPTION LOT 9 OF ROY H EMMETTS BUENNA VISTA #3,_ VOT,..75__ PG 2 OF PLATS, RECORDS OF KING CO WASH ELIZABETH Sf.. NYDER SSUED BY - DATE OF ISSUE DATE OF APPLICATION 12/3/91 BUILDING INFORMATION NE RS 9.6 SET BACKS:FRONT_ 20' SIDE 5'/5' REAR 51 HEIGHT LIMIT 30 II ka/M1 CCUPANCY TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEATGAS BLDG.SQ.FT. 3770 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. 2.00 GAS LOGS _ BATHTUBS 1 LAUNDRY DRAINS 2 - FORCED AIR FURNACEGAS 10.00 DUCT WORK RECEIVED SHOWERS 3_ URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 1 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 15 X_ $5.00 DRYER TOTAL MECHANICAL 18-50 AMOUNT NONE VALUATION 194,453 PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $972.00 "TREES ON LOT 8 EMMETS BUENNA VISTA TRACT SHALL NOT BE IMPACTED BY THIS CONSTRUCTION. FENCING OF TREES & ROOT PLAN CHECK FEE 632.00 $188.00 PROTECTIONS AS PER FWZC 90. 15 (ATTACHED) . HEMLOCKS ON LOT 9 PLUMBING FEE 75.00 MECHANICAL FEE 18.50 SHALL BE RETAINED" (444.00) ---PD 12/3/91 IRTP/CFEE PAREVIEW #4333 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PUBLIC WORKS 35.00 PUBLIC WKS DEPT APPROVAL = RON GARROW "INFILTRATION SYSTEM PER THE S.B.C.C.FEE 4.50 ATTACHED PLAN SHALL BE INSTALLED TO HANDLE RUN— FIRE FEE DATE: OFF FROM ROOF DOWNSPOUTS & IMPERVIOUS OTHER FEES AMOUNT: $1,293.00 - SURFACE AREAS" AMOUNT DUE $1,293.00 RECEIPT: el42K) 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 INFOBMATION RNISHED BY ME IS TRE ANJ�"CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. C. OWNER OR AGENT 4[.1 C� 14�l/l2C _ _DATE 7/1---CR vL __ CITY OF FEDERAL WAY 33530 First Way South ETION Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 4140 . PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE_ ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD. NEW MULTI-FAMILY g(UNITS _)MULTI.ADD. _ SIGN GRADING OTHER TAX ACCOUNT NO. _ '7 LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE _ SET BACKS:FRONT SIDE_ - _ REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION - CENSUS NO. TYPE OF HEAT - BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES - DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE _ MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS - S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 ___ o -m 0 0 0 - o m .- W M D m m 3 m pj I- O W O D `n 1 `p Z C7 0 Oti .\ , cI i o N 8 mN _ m 1 oZ , co D co co -1 1:: I Z 1 O O ix cn ,..1 1 1 „1/4.ki 1 1 j `. a a Z 0 a 0 \.11' a O DD D -Im c --Im -i D v m O v w \O O m O 11/4•11 0 I co O OZ I� � O v\\ r o o K o 'U r m r m = m CP D ` W I`1)' > \ n W 0 N. i O � o r D z ! O q 33Z c I ' a I , z m n Xi I a ‘'' P. O 7J N O il0:1W -< D -< -< `I ' 1, , 1 1 1 1 aermit # 911L,S1 DEZ .. 3s91 �OF FEAiL WwY CITY OF FEDERAL WAY OEC' BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: SPEC. OWNER ----A/2MFTT caUSTIIIJCT/cAl SITE LOCATION REDOAJO® TM // Sul ` Set! 298 rol OWNER'S ADDRESS 24211 SE 43i, TN Sr. CITY EAWMctMAJ PHONE 833 2424 DESCRIBE JOB S/MC-LE FAM , 1t.'Eu.+ GoA157-Rocr/oA/ 91'c' THE PROPERTY IS OWNED BY: SINGL(MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME -MMErr C©A)STROCTfOAJ CONTRACTOR'S REG. # EMM'E7'[.L 32.E pZ Card MUST be presented CONTRACTOR'S ADDRESS 242 I ( 5E 43eµ CITY F1VUMcJAW PHONE 83.3 --2 4 2.4 EXPIRATION DATE 6 //e/qz.- — 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 L ARR4' EMMETr PHONE 833-242.4 BOX 4 SEWER DISTRICT FEDERAL WAY WATER DISTRICT PEO RAL &t1A3' BOX 5 ESTIMATED PROJECT COST *t 00/58,cDO EXISTING BUILDING VALUATION NA BOX 6 PROPERTY TAX ACCOUNT NUMBER 2.3 3'70 0 - faittSEESE 0090 -c7 LEGAL DESCRIPTION 40r 9 liF Roy /i EA4I4E-rrS c L/ rJL/t/A ViSrA i'3 VOL 75; PAGE 2 OP / ATS RECCROS DF A /IVG CDUA%TV/ 14.4456A/AJ67VA) (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # �--- BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /S5-4/ 2ND FLOOR / 3RD FLOOR / BASEMENT 932 / DECK / GARAGE 8/6 / BOX 8 ()() SINGLE FAMILY () NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /D, 087 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. 3 WATERCLOSETS GAS PIPING, FEET U.,v\Def 100 I $ Z,oO 1 BATHTUBS NO. FURNACE, ELEC. GAS $ /o-vo 3 SHOWERS GAS HOT WATER HEATER $ 6*S O 4 LAVATORIES % CONVERSION BURNER $ r SINKS BOILER, SIZE BTU $ / DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER (GAS HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ 1S X TOTAL FIXTURES (/Ar'<.. 4 R. x S = 7SIC)O TOTAL MECHANICAL FEE $ /VS-6 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 ! HERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMP IYEES, U'! t ACCURACY 'F E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNE AGENT: ! ,__ , _' DATE: 472 ANP-008 3/90 • 0 , e — OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONEER P SETBACKS: FRONT Z0` SIDE 5' REAR S` HEIGHT LIMIT 3L., PLANNING DEPARTMENT APPROVAL ///92-- REMARKS: I;Y.S r,ki (Ad- S f4rn-e15 134G4-4,n-a Vises Tra.e.t 5,6a ( /14- b.e 1 kfteaticee by .is cosh-va on. Felt.cIfree' w Roe- po ccfia3.. as P'`''te >`uJZG V0,15. (C1-42-al-e-01 oc�b cm `10 q 6ICa-O -lac re/mina SEPA: EXEMPT V`7' NOT EXEMPT FIRE DEPARTMENT APPROVAL •L DATE /2--f 7- 9 REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL l?--6t- DATE J2- 31 - w REMARKS: ?niP,'-? t i on/ sYsi-n Pc-,2 77t-r- 4-1rfe-4 AL, J sr1-4-.A-- ac I"is t-cso 7 a ifylvatE 2vnrcf-F- F-20 rt acF ne-.NsPo�.7S A-A/a IfiPC,2V[*} ,Pv12(=ACE-ArCj4f 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 tc* TYPE OF CONSTRUCTION VN STORES l.,(Vi'tq 4.-sr, BUILDING SQ. FT. 't•r@ ?.Z ID = (o q 00.. j 7-Kw Z BUILDING SQ. FT. - 185 if @ ii 13575-4. G CoairjGt Q. BILDING SQ. FT. 1.15,‘/6 @ 112;50 / •30 = l `� 431 . $ BUILDING SQ. FT. ly8 @ to = lyso BUILDING SQ. FT. @ , • = M BUILDING SQ. FT. _ @ OGI(FCr( =" oeQ 0 TOTAL SQ. FT. 7) TOTAL VALUATION iq yiiS 3 • 7 B BUILDING DEPARTMENT REMARKS: PERMIT FEE c9 417a- PLAN 17ZPLAN CHECK FEE (fg' ' b 3.2.- PLUMBING PLUMBING FEE 7$• MECHANICAL FEE i 5-St TOTAL BLDG. FEES PART P/C FEE (44 co) SEPA REVIEW y 3,S y 00 S.B.C.C. FEE - `>(,S0 OTHER FEES AMOUNT DUE 1 -113- 1 .` ASSIGNED ADDRESS: z48•06 Ste` AVQ- S•W • PARTIAL PLAN CHECK FEE RECEIVED it) Amount4_t_l___ Date \Z' 3 I Receipt# 4 3 33 BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE /2- - (7 - r p f ACCEPTED FOR FILING S SEATTLE-KING COUNTY DEPARTMENT OF PUBLIC HEALTH - DIVISION OF SANITATION Room 904, Public Safety Building APPLICATION FOR BUILDING SITE APPROVAL (Submit in Triplicate) • (This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank Permit.) Location of Property-Street Address 5C4 298th St. Addition or Subdivision . LotBtlen Vista #3 Lot Block Type of Building: New . X Existing ..._ Single-family residence? X Basement none Dther (Specify) NOTE: This application may be submitted to the main office at 904 Public Safety Building, or, for prompter service, directly to the branch office having jurisdiction in the area in which the property is located. To contact District Sanitarians by telephone, place phone calls before 9:30 A.M. Seattle Office 904 Public Safety Building JUniper 3-2065 North End 15272- 15th Northeast EMerson 3-4765 Eastside 15607 N.E. Bellevue-Redmond Road, Bellevue TUcker 5-1278 Southeast 812 "E" Street,Renton ALpine 5-3496 Southwest 10821-8th S.W. CHerry 4-6400 Owner / Roy H• :zlxnett C"• Address 3-5;%21 1st Ave.South Phone CH•22342 Builder e`' e Address Phone ..._ Designer .....fin V, Ritghie Address 16814 -- 12th S.W. Phone .CH..3,0.811 Soil. Log Hole No. 1 • tt-b0" medilu:t-brown sand, silt and stones with trace of clay binIer. Soil Log Hole No. 2 same ..: ' SEP 1 111-77 Soil Log Hole No. 3 SQUTinIANLST...D+STRICT Soil Log Hole No. 4 HEALTH CENTER Elevation of Water Table, if encountered. (Distance from ground surface) none in Give estimated difference in elevation between high and low points on lot in feet Seg d $ att. Percolation Test Hol No. 1- Average rate 3.50 (Fall in minutes-per-in. bottom-6" of test hole) No. 2- „ )' 4,00 „ „ „ „ „ „ ,, „ „ „ „ „ .4D.a „ „ „ „ „ „ „ „ „ „ No. j- No. 4- " „ „ „ „ „ „ „ „ ,, „ „ No. " PP PP PI It PP PP PP PP PP PP /I5- PP PP PP Pt PP PI PI PP IP PP PP (For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on reverse side of application) , : '/ ,4 f; � _ Cert.:; 14 Date Sept44, 1967 Signature - Designer _.�%� , ; DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department) Accepted ._...9 - Not Accepted ......,:.W Date Date Health Department Sanitarian S-AP-118 Rev. 6/10/58 css13.15.2 d 4'" SEATT E-KING COUNTY DEPARTMENT OF PU IC HEAL7 ut ... fit, 1*1"b , Z. N_:. - �x fifty C DIVISION OF ENVIRONMENTAL HEALTH SERVICI .. ' ,,,,,, Roots 904. PUBLIC-SAFETY BUILDING - ,,. 19 �n. ."i,. ° e' SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM rt a • r (Submit in Tom) �OIITHEA.� DIEM ,,t , "' .r Q • (This accompanies the building permit application and is prerequisite to the issuance of the<tiWtVidMl �4ei� spo : * System Permit.) • ( , fl .�: NOTE If the property is within the boundaries of an operating sewer district or other sewering authority, it will be nets r : to obtain written permission from that authority allowing use of an individual sewage disposal system. ;,A¢ ,'4}fi . Location of Property-Street Address t 4 Addition or Subdw -ion j�;,,"�: f. :`�!/��'.z=1 V / -)7;2\ MC 3 Lot `f Block �h' '` (Or attach lega description) ".4 Type of Build,rg: New [)� Single Family Residence (Na Bedrooms Existing 9 Other 9 (Specify) .P5/2777 ;4<k4. Seattle Office 904 Public Safety Building 98104 JUniper 3-2065 , � tµ�, North End 1 55 /6206 /(f�+" /. O EMerson 3-4765 W � s. Eastside 15607 N.E. Bellevue-Redmond Road, Bellevue 98004 TUcker 5-1278 (SH 7- 7 ' Southeast 1 , Renton 98055 3c,0/ it/ - 91► ittr441•42:34.96 . i9ci'" , {: Southwest 10821-8th S.W. 98146 CHerry 4-6400 _ ?;,-4,41:{4':. k Street Address 1-1-e-11 IZ.TI` Ay . --- . Owner - I -Z. (,- ' i ,. r City-Zip Code . .�-A . Phone GN 2.-2-342- Street Address ��.,t�. _ Builder ' _ City-Zip Code • Phone - 1Street Address ---..2..t?..----'.4:-; -: `? Designer t'-'tc--)\--)- \ -; t .� ( ; ..i: i I _)'._(• = City-Zip Code 11.AA1->, I• \/f�'_L F 'i Phone Ci �."--( j--'7 I Soil Log Tests (Describe s.nilc onresm(vrati }tref.rathly 1w FHA'; uniform soil classificatior system). Minimum depth 48 inches. Hole No. 1 C77 "\-C- Cc, 0 t? _,` ,. , ,t '1-; :.... r- 11, Ca TC"SL �R. Lr�� 7; Cri ,I.Z. :Nola CIAy — Hole No. 2G Hole No. 3 evarZ. . - Hole No. 4 /2... --4 -- 5t ''' Evidence of Water Table, if encountered. (Distance from ground surface) A7Oti Source of Domestic Water Supply IN/,L TE.7Z .-/j7- Percolation Tests (Fall in minutes per inch, bottom 6 inches of test hole) Depth Average Rate Length of Time Soaked Hole No. 1 ?(" -.4, }11 , ;. 14 r� Hole No. 2 C'' 1-7 7 i !J 1•1 y" Hole No. 3 C" 4 nil Ai �; li r Hole No. 4 Hole No. 5 Hole No. 6 (For additional remarks or comments attach le ter in triplicate or utilize unused spaces around drawing on reverse side of application.) 7.---- :___________?, / -,. Signature-Designer L/ C r� 4 - C --—Bate J — 7 DO NOT WRITE BELOW THIS LINE. (To be filled in b Health Department) ('istrict Office Use) '' Accepted 0 S/ j� 'G �i 74 Not Accepted �i. _ ( AY 8 19 ( at .I (Distr S itarian S-AP-118 Rev.8-10-67 / ' CSS 13.15.2 lay,-.+ ,.,.,,y a4;, %,'+ ' '- �. r3 "•� - nv } ..,$yT_ i •�Ml'Mm,` P',. '} ”61�. —.. f'•�' Lt` `} t7t.' �i � .'''' o-T � e;i. 4 • ` + y' � o1rR ^ t ' ''ni . s'I�z7Fyir,1 4.7�fireptr�r,x .t.0 aAyi "�tMd3'1gC;eilmy ' f .��P1r4�J"S,":a ��at i, � -i, n', i' tii: } 'twt.„,rY �'i '+ ��k �� �.T?s� . t9 ,7 �,. n3v ��i{:srs-fi:- � #. i' iMa2��;;.n .�.r� 4L3^x3 � w, .94�a_4,, rt,j;- _:. ; aw." �vi.fi ��S{ �a J ��� ���00r � � � rztr �� r����" �� �c4t "� *x 4 Ya SEATTE-KI_NGCONTDEPARTMEOF PUBLIC HEAH � * §� r • p tT ' ...q1,-;349,1 '' DIVISION OF ENVIRONMENTAL HEALTH SERVICES ,,.' rK Room 904. PUBLIC SAFETY BUILDING � r1- i " SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM '`hi ` F ...40.0.44`4" ANA*4 ''(Submitin Triplicate) r ".i f - , (This accom antes the'buildm and is prerequisite to the issuance of the Individual Sewage Disposal p T g permit application System Permit.) '_ 1�Ti.ti•<r r y 44r`x 1 • _ NOTE: If the property is within the boundaries of an operating sewer district or other sewering authority, it will be necessary `r�; +. to obtain written permission from hat-authori - lowing use of an individual sewage disposal system. <, ,` Location of Property-Street Addres •' 4...i • L- Addition or Subdivision _./11#1'1'/ T7`S ite2e•-- ,1177>ril VST-A' ` Lot Block , (Or attach legal description) Type of Building: New IE." Single Family Residence (No. Bedrooms • ") Existing ❑ Other 0 (Specify) 001,2 • Seattle Office 904 Public Safety Building 98104 JUniper 3-2065 • North End 15272-15th Northeast 98155 EMerson 3-4765 Eastside 15607 N.E. Bellevue-Redmond Road, Bellevue 98004 TUcker 5-1278 (SH 7-1760) Southeast 12015 S.E. 128th Street, Renton 98055 ALpine 5-3496 ,,i Southwest 10821-8th S.W. 98146 CHerry 4-6400 4'a -4+ lki Street Address 1 7 2 . 1 I :ft,: Owner 1....../40-12—"! ry)Y 1 L 7T City-Zip Code. Phone '.!-#2-4843 u Street Address Builder t 4- City-Zip Code Ph ne _ Street Address '2 Z.( .3,, --~3.1.. Designer w./ go .w AU - ity-Zip Code__::` — - Phone C"' #1.1'2.---.79/.3......S*--.. --79f3 . Soil Log Tests (Describe soils encountered preferably by FHA's uniform soil classification system). Minimum depth 48 inches. Hole No. 1 ,02v t 1,.OA-* 1 GeJ/7'34 . 047-1J1:, Z' a ,t 1221/Z,L cSp r?1 CE!,1 �,./ Hole No. 2 `►--�2e4` Hole No. 3 Hole No. 4 Evidence of Water Table, if encountered. (Distance from ground surface) A / A Air /, ,✓ 7--' Source of Domestic Water Supply Percolation Tests (Fall in minutes per inch, bottom 6 inches of test hole) Depth " Average Rate Length of Time Soaked - RECEIV ,, ED Hole No. 1 �� t min j°_ AUG 4 Hole No. 2 0 L•ril1 /1 1969 Hole No. 3 t 2 :OuTHWEST p Hole No.'4 hiERL I H ISTr�ICT - Hole No. 5 CENTER Hole No. 6 (For additional remarks or comments attach tter in triplicate o utilize unused spaces around drawing on reverse side of ;2; application.) Signature—Designer O /..;44 t --C.'_'�—g..,,,,,.Date 7 "_ i�.+� ..r,--- .....,..6:74/4t ,,,,,,,,ii.u, DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department) (District Office Use) fi,` :, /Accepted �l 8,J/Z1�9 L(��'� C jam; /�S• �<at u .< at Not Accepted D (Date) : • (District Sanitarian) } ,.•-c_n o_�in oe.:'a_ n_�7 "_... ._. :. ,. ... •• .. `, '. ,. °f!< _....e....._...ko.'.�-a iu5.w°a4�t ..C+,<�k�.na���v. : �•\. • • SEATTLE-KING COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH SERVICES SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM (Submit in Quadruplicate) (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 me boundaries of a sewer service area, it will be necPcsary to obtain written permission from the sewering authority allowing use of an individual sewage disposal system_ Location of Property–Street Address SZ 6 S_W• Z -1. Addition or Subdivision 3L-( £&UJJ k- 027 7A -> Lot Block (Or attach legal description) Sewer Service Area Yes— No — Type of Building: New (.gr_. Single Family Residence --'(No. Bedrooms ) QA42LI&- T Existing ❑ Other ❑ (Specify) 3ASf m. North End 1600 N.E. 150th 98155 363-4765 Eastside 2424 156 N.E., Bellevue 98004 885-1278 or 747-1760 Southeast 3001 N.E. 4th Street, Renton 98055 228-2620 Southwest 10821 8th S.W. 98146 244-6400 Street Address /721/ /1vL S. Owner ./444 77 COIL ( City-Zip Code--A4 A977 L ZSLYA Phone L/7–Z (fc! Street Address Builder S ti4 City-Zip Code Phone Street Address i/// E. 5 #/ Designer rEC)!.--) L e,sn ) City-Zip Code �cZ t- 9Ao3/ Phone 7– 6 , Soil Log Tests (Describe soils encountered preferably by SCS soil classification system). Minimum depth 48 inches. Hole No. 1 O - S - � 6eAoLu1' 4..41/Ctrat Hole No. 2 SA-0-4 / .4 / Hole No. 3 54H AS I Hole No. 4 Ye" SAt•13 t 62AJL . Evidence of seasonal Water Table. (Probable minimum distance from ground surface) A--)01–) E- Source of Domestic Water Supply (--am- f-- tti . Q 'T• Percolation Tests (Fall in minutes per inch, bottom 6 inches of test hole) ,1u1 T J Auf-eh • Depth �AAverage Rate Length of Time Soaked Hole No. 1 2 y -/ ^'��� Z7 h.P S Hole No. 2 7 c1 y 3 j. -) L11, ES Hole No. 3 /gy 1/ /Lt�.�? 1/! PS. Hole No. 4 2- 41 6 #k y!. CS Hole No. 5 /g ltit�►� fh eS Hole No. 6 24:7" 3 OA 9'4 e.S- (For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on reverse side of application.) Signature–Designer Date of testing 1�r DO NOT WRITE BE THIS LINE. (To be ' led i. by He Ith Department) 16istr bffi`e 9 - la AcceptedA17- _�-� � , / . ., Not Accepted ❑ fc(' 5-a (Date) (District Sanitarian) VALID "FOR 12 fvtONTKS �.,T Cn r;,t, S-AP-118 Rev.8-10-78 CS 13.15.2 FROM DATE OF APPROVAL =; it CE;:771-i' ��„ SEATTLE-KING COUNTY DEPARTMENT OF-PUBLIC HEALTH - DIVISION OF SANITATION Room 904, Public Safety Building APPLICATION FOR BUILDING SITE APPROVAL (Submit in Triplicate) . (This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank Permit.) Location of Property-Street Address 527 5- VI • 298th 't• Addition or Subdivision ._ i_1,ot 121 Buenn,a Vista /43 Lot Block Type of Building: New It Existing ..._.........._... ....._...Single-family residence? X Basement partial daylight to .s de – no basement plumbing Dther (Specify) NOTE: This application may be submitted to the main office at 904 Public Safety Building, or, for prompter service, directlyto the branch office having jurisdiction in the area in which the property is located. To contact District Sanitarians by telephone, place phone calls before 9:30 A.M. Seattle Office 904 Public Safety Building JUniper 3-2065 North End 15272- 15th Northeast EMerson 3-4765 ' Eastside 15607 N.E. Bellevue-Redmond Road, Bellevue TUcker 5-1278 Southeast 812 "E" Street,Renton ALpine 5-3496 Southwest 10821-8th S.W. CHerry 4-6400 Owner stt Co. Address 15321 – lst AVA•5O• Phone Cli.a2-2342 Builder " Address Phone Designer Len .Y.......Ultra., Address Phone CH.3 1811 Soil Log Hole No. 1 ..._.O"–(O" medium-brown sand ani silt mixed with a few large stones; ose.a.ad.Dr>a l._Inc," gf ciay binder. Soil Log Hole No. 2 soma Soil Log Hole No. 3 ._.......... .... Soil Log Hole No. 4 Elevation of Water Table, if encountered. (Distance from ground surface) none Give estimated difference in elevation between high and low points on lot in feet ....sen...si;cawing....ttt. Percolation __ �� ,,C -f._. r . Test Hol No. 1- Average rate 6..00 (Fall in minutes-per-in. bottom-6 of tea hole) fi .. No. 2- „ „ . 4.,.5.Q „ „ If „ If „ „ P. „ I) ft No. 3- J � ,IJ1V No. 4- „ „ „ „ „ „ „ „ „ „ „ ,� No. 5- „ „ „ „ „ „ „ „ „ „ JOi– \'` 5T C SSCP �FA TN C •i\,1 E• No. 6- >> „ „ ,O „ ,P „ , (For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on reverse side of application) / / Signature - Designer --.;�;:,V`, i...,A:-' t. Cert #14 Date 8/5/67 DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department) Accepted ._ 1 Not Accepted c pted Date Date Health Department Sanitarian S•AP-118 Rev. 6/10/58 css 13.15.2 /6 - IT- DrG8S ' -,S '8 eIx .' /1Ivc °, °l `Aig,hn1® .Pp ..c.s/v' .is../Lvw- '�fP .1.Z 'f d./Alamo A .V.b'N7'' A'S' lYrrrp'eteO 4V/// - 3.947/ -/6 f# 11 wr�y� 's►i ,w6>HS tiv'7 •vNr/4,vlaN fr d %.,L = 311 ov'Y 1IoS Mr,., ' T P✓eYc' /va'' /r�vNs sy .7rdi '4,'x L�,4S/7 .c .s /Corr, �< rra, 3 e/.. �- ''^N �S - X86 � ss?�ady ,ivi/✓ X9's.00 ?1�1d'/►^ . ''Jd.,?soh r korr! D 6N/,..il .J4 e bur 1/\---— h'/:..5“* 779b'1 srd/ra 3eof.IX.9-L -r/or -I"' 0 % - - 'Nn3r+2 T,.L.i.Qwyt }4 /o`u b—yai- N v a 3 v , Q$ X , Z' s., NvN�a/J. e. N.915'3Ct 1,43.L.1/s N01-LV?J1'11dN A i _4 . \-# �, IA, ..., , ,,. I N r �/ ; �' �';/ ; - r Wdk -1 ,Of , f f 7//. //' . ,,, -b A Ilrhk ..x°1 //// ,//,, /,„///'/:/I/./.',..//l''''. /////://///, i? 11 Lk /s$447.°\A ., , , „/ y /0 0/0*/ / / / //:' ' // </ ///./ / // / ' If 1 / , / / /' / -' r.,,/ v 'III11 10 ., ' I a�9/ ao '1 q5. III . . . This certificate provides theplease return to: Department of Health and BUILDING LAND DEVELOPMENT Building & Land Development Parks, Planning & Resources Dept. with information necessary to 3600 - 136th PLACE Southeast evaluate development proposals . Bellevue, Washingt %0Egeki,400 (206) 296-6600!MUNITYHDEVELOPMENT DEPARTMENT KING COUNTY CERTIFICATE OF WATER AVAILABILITY DEC 2 7 1991 Do not write in this box number name , Building Permit ❑ Preliminary Plat or PUD co 0 Short Subdivision ❑ Rezone or other .1= APP ICANT'S NAME E iMe. tf Coh5T" 7c N Q) PROPOSED USE R e- s ; o['e v1 7 'c 1 ,, / C cl— co ca rl/, a. 9'`dT� 0 5- r_� ITe I'�. a •to U a`) LOCATION �� ) ' CCU 0 L T� � ) a) � /..,r �' rn m e ri- s t3 e)1 11 4 �%S ret' �Uo. 3 -0 LI- (Attach map & legal description if necessary) F-- O # # # # # # # # # # # # # # # # a •t• ' WATER PURVEYOR INFORMATION O CO C.) ,.'4 i,7 d /i C U O 1. a. ( '� Water will be provided by service connection only to an existing fj 1"4"� water main !;`' t feet from the site. size ,. CD O OR c1V >, b. ❑ Water service will require an improvement to the water system of: E N C O ❑ (1) feet of water main to reach the site; and/or • ca C.1 ❑ (2) the construction of a distribution system on the site; and/or Cp ❑ (3) other (describe) i4- E 4 > > c 2. a. l 11 The water system is in conformance with a County approved water comprehensive plan. OR b. ❑ The water system improvement will require a water comprehensive plan amendment. 3. a. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board approval for extension of service outside the district or city, or is within the County approved service area of a private water purveyor. OR b. ❑ Annexation or BRB approval will be necessary to provide service. 4. a. ri Water is/er- willvbe available at the rate of flow and duration indicated below at IL:.J no less than 20 psi measured at the nearest fire hydrant ..5?- .t. feet from the building/property (or as marked on the attached map) : Rate of Flow Duration ❑ less than 500 gpm (approx. gpm) 0 less than 1 hour ❑ 500 to 999 gpm ❑ 1 hour to 2 hours 11 1000 gpm or more FOR a 2 hours or more flow test of gpm 0 other ❑ calculation of gpm (Commercial ruilding Permits require. flow OR test or calculation) b. ❑ Water system is not capable of providing fire 'flow. • COMMENTS/CONDITIONS I hereby certify that the above water purveyor information is true. This certification shall* be valid for one year from date of signature. e ar d./ Act a.l 4(Ja���- q- S� w,e r- r es � 5�e r 6 Agency Name Signatory Name Th h n ,'cq,/ S•erul ces Coord,'garor ez,kt_a..e,74 S--- _,-..---4-rt -20/9/ Title Signature D to F 278 ` W1 - ialarc1 „4 /i 09 i tZo-Ns- III III /74 __ „,5; _.. , .. 'his certificate provides ; _• return to: Department of Health and ` W ,, BUILDING & LAND DEVELOPMENT Building & Land Development �t •,k »``., ��. ..';'11 Parks, Planning & Resources Dept. with information necessaryto ^' 70 t, 3600 - 136th PLACE Southeast evaluate development proposals . `, (' i';+ r' 1 .4 Bellevue, Washingto 998006-1400 , E EIVED BY • ,,":,, (206) 296-6600�1MUNiTY DEVELOPMENT DEPARTMENT • KING COUNTY CERTIFICATE OF SEWER AVAILABILITY DEC 2 19 Do not write in this box +-• A name C C2'— number O CDCU V L (tS U CU • Qf Building Permit ❑ Preliminary Plat or PUD (Ti -0 0 Short Subdivision CO Rezone or or other {'� Mett C� 5/ �•� >+ APP L ICAf1T'S NAME . i,,,, / , PROPOSED USE pL�Cj( // � � U LOCAT ION 7S7:65SCI /4 (t L r G U - / 7 l l CD t= . (Attach map & legal description if necessary) E >% C # # # # # # tl # ft )k # # • # # # #(I)• = 0 SEWER AGFNCY INFORMATION CZ U max - CD 1. a. (7 Sewer service will be provided by side sewer connection only to . Y YY an existing g” size sewer ac�J'czcehtfeet from the site and the 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 latteral to reach the site ; and/or ❑ (2) the construction of a collection system on the site; and/or • ❑ ( 3) other (descr:.be) _ 2. a. 12: The sewer system improvement is in conformance with a County approved sewer comprehensive plan. 'i OR b. The sewer system improvement will require a sewer comprel sive • plan amendment. 3 . a. (i The proposed project is within the corporate limits of the district, tl�� �{ or has been granted Boundary Review Board approval for extension of service outside the district or city. OR b. t , Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following : a. Connection charge : /0 ve._ ec1G.ct/ep/ f'G b. Easement (s) : tet- [ _ c. Other: !fe,orr e ec., -7 cz.,/�' orl art-d ��n vet: o-Fsewv r /,.�t e. Neeof t"o t7e. occr;-Fred -to 6E_c4j c/e , 9 r-a ✓r ry s,er-v • IR I hereby certify that the above sewer agency information is true . This .certification shall be valid for one year from date of signature. rec'ered W� Waler. 9PSeu)er" 4-rvt -e /V, SSc. S rbc. - Agen, y Name Signatory Name 7-eC ,/ ,'C'Cti SerVi'Ce5 oc5r/ i ' / ,/(9 O Title Signature ate D R% la _23'1 F279 • RECEIVED BY COMMUNITY DEVELOPMENT DEPARTMENT DEC 2 7 1991 FEDERAL WAY WATER AND SEWER APPLICATION for AVAILABILITY CERTIFICATION WATER 4-'. SEWER (Check One or Both) Owner /-p-7,-21e1174 < Agent ��" 7/7z- Address -/„.2// i Address SC Phone ( ,-.212‘-9) S /377 Phone L ) /47pro Property Address ������ �� �J� S �' Square Footage: �,0, Legal Description: /O 7 f /?D y /r, ,k-r7.2/7.7e/7 17;',5773, 3 (Attach Nap and/or Legal Description, if Necessary) Availability applied for this property previously? Yes r No If Yes: Date Name Proposed Use Current Zoning CS%moi% �'u�. - / City of Federal Way - King County (Circle One) Purpos (Check One) Building Permit Preliminary Plat or PUD Other: Short Plat Rezone Proposed Use: (Complete Appropriate Section) Residential Multi-Family No. of Lots / ATTACH SITE PLAN No. of Residential Units If more than one (1) , attach copy of Short No. of Residential Bldgs Plat/Lot Line Adjustment Application w/draw- Rec. Bidg(s) . • w/Pool ing or Preliminary Plat Plan. no. no. Ccrrmercial - ATTACH SITE PLAN Type: Restaurant Retail Office/Warehouse Medical/Dental Laundry Dry Cleaning Car/Truck Wash: Automatic Hand Auto Service Station Church Day Care Hotel/Motel : No. of Roans School : Elam Jr Hi Sr Hi Other: Specify Total Building Square Footage: Occupancy (No. of People) : Anticipated Water Use: gpd (gallons per day) Allow Two (2) to Three (3) days for issue. Fee is $ Jam . . c' per Certificate. Please check one of the boxes below and supply the appropriate information. fl Call at ( ) when ready for pickup. it completed certificate to: ���e-171 /3Z f fam ."-- tiz).7e%/ Gt,.01( '720„.2- NOTE: Fee must be paid at time of application. Federal Way Water and Sewer makes no representation that the Availability Certificate will be ac- cepted by King County or the City of Federal Way. PHNS 201.D.23 (11/7/91)