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1001 5TH AVE S.PDF1111111111115134 1001 5TH AVE S ADDRESS: TAX ACCOUNT/PARCEL #: BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: L \TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc EDMONDS The City of Edmonds Side Sewer Drawing TREATMENT PLANT .1 EASEMENT NO . ......................................... IS4-i .308 NEW CONSTRUCTION REPAIRS ..a E)-N . ...... ........... . ASMT. NO ................... OWNER . ..sk.lan......................................................... CONTRACTOR .. . ..... e..J .eV ....M. JOB ADDRESS 00 S T H lqve- S. LEGAL DESCRIPTION: LOT NO. .............. BLOCK NO. .................................... . .......................... F�Ymt .................. "I'll) ------------------------------------------ met C.O. ? NAME OF ADDITION S;ad Sewer (Sch. 3034) Rclok;er Gasket ZSbl&%+,s Grade.: 2'16 Approved 6y G+%j EAa. -4 SON 40 ZVI T C-0. (8,8eep) to",C-0. C -0 24 -0. c I SurFace- C-IXP (1,4" d eve P) L,---- .5z TH .5 Ave Approved: EDMONDS PWW-0001-11/75(REV.11/78) TREATMENT PLANT 0 The City of Edmonds awing WA V i CE EASEMENT NO- ----------------------------- ---------- NEW CONSTRUCTION N REPAIRS E] LID NO- ------------------ - ASMT. NO- ------------------ OWNER------ l3ri5X-1.0-h-a ........................................................ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO- -------------------- JOB ADDRESS ... 1_. 0 . o . I -- — -.. 5 . T-0 .... A--V.0 ....... !� ................. LEGAL DESCRIPTION: LOT NO- ------------------------------------ - BLOCK NO. .......... I ......................... --- --- - ----- ---- ---- ---- ----- ... ... . ----- - 4foF fL e-41—hf4 NAME OF ADDITION ------------------------------------------- W4+-ev- Service Utie. C Sck..40) ago, P.S.1, (Loot) (100s) cn*ftum fNt'dVCiiV wive twatav- Service K ftixr 5 �ve . PWW-"1-1 1175 (REVA 1/78) z it Approved: DATE ------------ -------0-7 1 I1- BY ------ T Qgwm�kmcqm MR CITY OF EDMONDS • r: 'PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit A. SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date PERMIT MUST BE POSTED ON,JOB SITE 1.,� Address of Construction 7 �~ 2. "',Property Legal` Des'dription Not (11 de �ll e ents 3.- Single Family'Residence Muiti-Family No. of Units Commercial } CcrrJ 0, 9 4 . - Owner and/or -Builder 5. Contractor & License No. 6. Invasion into City Right-of-way,:' No), ' Yes Of Yes Right-of- way Construction Permit`Required - Call Dial Dig (342=5344) before excavation). 7.:, Cross other private property: Yes No6.! Easement required - attach legal,desc'rption and county easement number.. READ THErFOLLOiniT.NG AND SIGN-: .a..' Property owners,must obtain a permit to install side s their property. A licensed -side sewer c JL constr uct side sewers in the public righ -o:f- � b. The side sewer contractor assume fu o siDit+aftr installation for -one year. B�o�� c. Commercial establishment require a mi` um f a you (6° side sewer line. d. Side sewers may not be installed cl- h hirty 'nches (3 ") to,.any structure. e. Side sewer lines must be laid at ) and maximum grade of 100% (450). Comm f . No turn in side sewer greater tha ' wilt ar to 'eu between cleanout. All 90 turns must be constructed of a 45°a(1/bed bend) and Wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100':along sewer line run. j.` Trenches within City right-of-way must be.restored to original. conditions. Contractors shall be responsible for right-of-way failure due -to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. .1. Inspection during normal working hours only. Two (2) working days notice required. S• 2 �--y) 30$ /rcf m&ndJ 7-eAlLm DATE: 4 ,� side I certi y t at' I have read an shall comply with theabove ■�--- S>EF BgGk FoK CoarvEcTioi� GH.i�u c /�] y H PERMIT FEE: /® Q 0DISAPPROVED BY: Date: 935.00 A, 1087 -10CT�,,�y CONNECT-TI`ON' FEE: ` 2s Date: a APPROVED By : Date : V f�% -- �O V F P m._..�.., _.._.--- - .. PERML UST F n--%e7n--gin nrt C'T�1* .' • •.S j:-_.A•'-••'S : _ •J.:"' - '.):.'�' r, �. �.�•• .]r: i.Y� :� j.. .5. •'-•,i= h �!` !��.!')V' Y`. +�.•::. :,' i. :._r .l. :yam .;�. -..--�-..+y. �•F. :Y. �Zi•t_ :i_'�sL• .:ic t'.-_.�:"� [r" :'l �'. _ :[C.1�.. •r: .�. h: _ �} �:: �:. ..L.�`=-�t'� :�.- =i: _�:k : ZC�NIPNC • s y: •_ F 1 _ eCC'JPnr.c Group R, Division '1. (Apar„ment). -------�— . :Group 'B-3, .(Gpem ParkingGarages) CONSTRUCTION - : rpe V' I: Ho{ur _ :STORZES: _ '3;'stories -+- Ba66mnt �•' • - Lo`� AF.EA. ' �,{• �sl 7. q •63 :S Ft,. _ .. : -. • ' - _,• • -. - - .. ;_ ' ._ ,' _ :Allowable •-loti coverage @ 60',"a o 19, 058 Sq. Ft. .70 _'- .Two:. buildit gs @-: 7 ,12$ Sq . Ft . • each - 14,256 Sq . Ft. units €� ' 2 each' '- ,6 car.'parking . - < Prv`rided": ':32 ::cars= @ 'garage - ••. �•. - ' ....- �� .°�- .. _- :-.8.:cars--on site•.. � -. . - . - . - - .- • .. • - - - - P.l-1 that portion of the Test Half of• the Southwest Quarter of the t.orvnwest Quarter 'of Section. 25: Township 2`( -,forth, Ra!-4z-_ 3 _East, W.LIM ' ,-d?scribed . as follows: Ek,yirming at a point 60 feet ;;oath and 30 feet E--t or the Ncrthwest corner ,x of the said. South:: st Quarter of .the Northwest (�{arter; thence East 115-2 feat; thence South ,'300 : feet.;-.- ce west .115� .'feet ; thence ,,North. 300 feet to true point of. .begs rininS.,, _ EXCEPT.• South -25-. feet as conveyed to City of Edixx�r. by Deed recorded•: urider-:A..idiCor'-s File: ,12090102.: gow 77./ - �• --...` - . Yam' { �ti.•e� _. ITY OF E DPI O N D S PUBLIC WORKS DEPARTh1ENT ST' ��F FILE "'�.1INEERINC DIVISION PUBLIC WORKS EN`JIRONTIENTAL REVIEW NAME : _ �Cl. l 1LZ-2 r�41Ly�_�Lr ----- FILE # LOCATION' jpC��-i�2.p5- [-_1 SUBDIVISION PLAT P.R.D. MULTIPLE COMMERCIAL AN ENVIRONMENTAL REVIE14 OF THE PROPOSAL HAS BEEN COMPLETED AND THE FOLL014ING DETERMINATIONS HAVE BEEN MADE: I��rtLE-n�• __ - _ m 1�ro PREPARED BY: -DA--- WESTGATE B IL` � . U DIJI�,S INC. GENERAL CONTRACTORS RESIDENTIAL AND COMMERCIAL CONSTRUCTION 6605-200th S.W. LYNNWOOD, WASHINGTON 98036 .774-7707 January 26, 1979 City of Edmonds Building Dept. Attn: Mr. Whitcutt Re: Brickland 18 Unit Condominium — 5th & Pine Gentlemen: J AN 3 0 19Z9 Dir; t}f Pubft W0rkS. 0 A4 Z 9 1919 In accordance with your request, we submit herewith for your review and approval the estimate of construction costs for public improvements of the 18 Unit condo— minium to be.built on the property laying between Forsyth .Lane and Pine Street on the east side of 5th Avenue, Edmonds, Washington. 1. Water: 1 ea. 2" Water Meter @350.00 22 LF 2" Water pipe @ 5.00 2. Storm Sewer & Retention System: Lump sum quote (Modern Sewer) 3. Sanitary Sewer: Lump Sum quote (Modern Sewer) 4. Street: Removal of 45LF Exist. C & G. 1950 Sq.Ft. Sidewalk @1.00sq.ft. 122 LF Conc.Curb & Gutter @4.00LF 108 Sq.Yd.Conc.Driveway Apron — @ 8.00 Sq. Yd. 115 LF Asphalt Restoration @4.00LF SUMMARY: Item' #1 $ . 460.00 Item #2 7,800.00 Item #3 3,100.00 Item #4 .00 WSST @ 5.4% Total Estimated Costs Bond For — $ 15,297..00 . 826.00 $ 16,123.00 $ 16,12�.00 $ 350.00 110.00 $ 460.00 7,800.00 3,100.00 175.00 1,950.00 488.00 864.00 60.00 3,.937.00 0 Page —TWO- January 26, 1979 City of Edmonds Building Dept. Mr. Whitcutt;, should you have any questions, and/or suggestions, I would appreciate hearing from you. Yours truly, WESTGATE) BUILDER., INC—. . -.`ha d_A:-l'1 ohnson RAJ/sh 7 .: n'i a7 11 r'' 71 CITY OF. EDMON-UNPA979 Dir. Of Public L41orks TO: SUSPENSE DATE: ' • LU I.- Uj Uj H Z Q MAYOR As We Discussed MAYOR'S ADMIN. ASS'T. Investigate and report Take Appropriate CHIEF of POLICE CITY ATTORNEY Action Prepare Letter/Memo for My Signature Mayor's Signature Previously Ref'd CITY CLERK COMMUN. DEVELOP. DIR. FINANCE DIRECTOR FIRE CHIEF Status of Action? For your Information Note & File Return to: PUBLIC WORKS DIRECTOR C MENTS: r FROM: DATE: �— (3/77) 9, 91 Jil"N ROUTING FORK VV Tni-'t-'ial bAe STREET fl.L 8 GROUP FOUR, Inc. 19707 - 44th Avenue West . 206 775-4581 Lynnwood, Washington 98036 AV rrl r• �o 7 we STORM SYSTEM & DRAINAGE ANALYSIS WESTGATE BUILDERS 5th AVE. SO. b PINE ST. CITY OF EDMONDS, WA. •i —wN �C R1 November 1978 ' O ........ 8- 0 �. ��oj wASN;..* to 7 5 7 101 NAt V79 Of pubiiC Works • i L SURVEYING ENGINEERING PLANNING MANAGEMENT N v —77AA� OF ca4C:fVT,,e,4r1ON 9P,41AI,46t-- 15,451,V Ze 51olo,,e _712 r7e 222 6-.7;.l 6 2 06 Wiz. d " r11.5 er O.70 All;,?. /a./17) 04,41 t1jeltler) 6 Y, 4. (5 elsec 0. 12 A1117. To = /Z &Y, M/n e4e-,- 4 of,84,511V 0,30 A- * 0 -36 0,25 5 > 5 n,14 7r6jt--j 'r,O 79) �' 25�162)�0.38) 0. oov C, V 0. 60 V5 3G0 7 7' YO 7 7 7 -4 25 (o (o do)' = e16 /Y \J, 7 O7 Alod 78 Z E ' �PETE�VT/OA/ 462 z. ,oc- - /d yCM.o = d/7, 7 �f 3 ^� 0.4 r 260 L . F. - 24 "c�9,o - 8/6. ¢ ff 3 O. K /6 7 L. - Jo �CXi i d5L:F d17.7f1� 65 L. F -sad ctilP 4E725AM-ONAROJVW�:p - &V L.t"-36"cya = 9494/f3 ,DETE,�M/�/E D/,giLIETE,E� of O,P/F/C� y ; 0.6?�l�yh IZ X/Z = 99. io - '75.50 = 9.. 60 f'f i 'CIA. , D,6211'�¢�x36)` X /2 = 3, 208 %ruches Joy -3 j6 /17 cites .� �'�' D/4' A O !p 3, 2 4 L/DOLYMP/C fDUNDRY NO J435, OffJL'T IYNtRt asem&3 45 D/RfC7- LY OYtR LADWR 0 RMACIUCK /i Y/S/OLt B ANG ww of GRATE OWN, IX 140 CAPAC/TY, SLACK Wde# 6ATt SL/OL is DOWN 1' WAMWAN, C•t A/STR/GVT/AN GgtG Awl a daw sL/X-------- I a o CUT NOLt - dl` , D/A. Id /206AU6t PLArf WtLO TO CMP CRaIiS, : y fM/MT IVIAMALT/G ,mC AIR 10? Of 6MM fP. 4 /0, B Jr,4fiWD 6ALV. LADDER, o TYPt d • 44TCN DAS/N ALL Alfl%e ,W/fZ dAW 4 de 4W AMIZ40 aP l"fk2E'ale • ' , r .: `. o '' :' ::. o' CCN/P�V.Eti�Y /ff.�(�.4n'l,/,t9TfiP.l�L! ' �' CATCH 45ASIN N0. I RfSTR JCTOR DETAIL��/TToN AIM A77-A-C M M i N r / cl, it 'I f- , , I- - ? -- , k :j . : J I'l*J 'k Jv -,5" -, � - - LJ 13 lo� 'i_: r-j.j�.l�j11.), _ "--! I -- C_?Q1;;,1�:i�C.;J�I � i.l'' �... �... 't � , 8 4Y,��r--}+�-� � �AA J,, 00 .1; "1 U ln�' S'O ► Orr ma IB 4r. N-D 42 G7. 1@0 12 iz 'W Lil, IBI it i,j L--j �. S LLA6ARGER :j-" 18 y. ,. _� it .r , `l , i _ � . �. i a. 1, `1 � '} .31: ;- .. \ \ ' .j`c •.'>i_.l '-'; Y'� L!?;�/'►Y Oz to Nil ED 1910)t CAVY V VD 10' 117 AD. rl IN ,Y Pilchuck Contractors, Inc. Job # 107019956 & 106128895 April 29, 2004 Sheet 1 /1 Rob Inglis Ov HV o�%ts �• 31SOM av0a n } v� C a ASPHALT 4 t N,es_ 1. All signs and spacing to conform to the MUTCD and City of Edmonds Traffic Control Manual for In -Street work. 2. Channelizing devices are 28" traffic cones. 4. All signs are 48" x 48" B/O unless otherwise specified. 5. Alert affected residents and businesses SIDEWALK CLOSED �3Q LEGEND s 28" TRAFFIC CONE ® WORK AREA TRAFFIC FLOW IZATION DEVICE SPACING TAPER TANGENT 40 80 30 60 20 40 .. 'BUILDING DEPARTM NT Applicant Fill USE PERMITT ZONE NUMBER 0{ �6 F1 PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS.-/.-"60"/.`+•�..,'.C� ///L NAME (OR NAME OF BUSINESS) ✓ w IT MAILING LEG LOT- PLAT NAME SUBDIVISION NO. W ADDRESS S ❑NO 0 PUBLIC RIGHT OF WAY PER ORDINANCE NO. U� CITY TELEPHONE NUMBER },\ v^� EXISTING RIGHT OF WAY_ Q NAME PROPOSED RIGHT OF WAY I"' U J 1 ` v ,TTT DEFICIENCY OF RIGHT OF WAY W H ADDRESS //% s�J� F(/ I STREET/UTILITY WORK REQUIRED IXYES ❑NO N Y Z 0 V j RJ� •_) PERMIT FOR WORK IN PUBLIC R/W kYES ❑NO 3 E CITY �^y TELEPHONE NUMBER UNDERGROUND WIRING REQUIRED YES ONO D1 U_ CONNECTION TO SANITARY SEWER gYES ONO J m NAME SEPTIC TANK PERMIT REQUIRED ❑YES KNO a ,(_Q� SEPTIC TANK PERMIT NO, 0 ADDRESS F UU �� ,� ! ;,III V SEE MEMO DATED ,�!� �-� 0 K CITY TELEPHONE NUMBER REMARKS 0 ►-YN ®o w�1 4 U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY 81401 45<0 _VgAt�Et4 r_>0 QT=�- Legal Description Of Property (Shoal Below Or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE A_y__ � w REMARKS Q 0 3 a SIGN AREA ENV. REVIEW ADB NO. U U ALLOWED PROPOSED COMPLETE EXEMPT w SHORELINE 0 J Q D REMARKS ' w .J VARIANCE OR CU PLANNING REVIEW BY J DATE YARDS / �, FRONT / 0 1 SIDE aZ O REAR LOT COVERAGE `�-y NEW ��—Qy�RESIDENTIAL GAS ❑ GJ\ �} NON-RESIDENTIAL LINE SIGN FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT I ADD El ADD ❑ III ❑ DEMOLISH ❑ RETAINING SPECIAL INSPECTOR AREA REQUIRED OCCUPANCY OCCUPANT OCCU ❑WALL ALTER ❑ EXCAVATE FENCE oR FILL a ( X FT) ❑ YES ❑ NO GROUP LOAD l ❑ REPAIR PRE -MOVE swim PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX I 1 INSP. 1:1 POOL SHOULD BE CODED 31.04, Z NUMBER OF STORIES IN UM BER OFDINE REMARKS UNITS 1 II✓1 a J ` W j NATURE NATURE OF WORK TO 8E DONE 0 Cauno, F w o a j(�� d O� -' •�-' P OPOSED USE PLAN CHECK FEE VALUATION FEE 0 z PLOT PLAN INDICATE BUILDING SETBACKS, - W I I ABUTTING STREETS) I BUILDING d III PLUMBING W m 0 � MECHANICAL W 0 FENCE > - F E m "Applicant, on behalf of his or her Spouse, heirs, assigns and SIGN successors in interest, agrees to indemnify, defend and hold harmless i i the City of Edmonds, Washington, Its Officials, employees, and RETAINING WALL f tt a agents from any and all claims for damages of whatever nature, 0 x arising directly or indirectly from the issuance of this permit. IsSU- SWIMMING POOL o .m.; of Ilii I)crmil Shall m,l he deemed 1'. modify. waive or ICLIM- s /1 1 n — --- Date MEMO TO: Building Division Community Development Department FROM: 'Engineering Division Public Works Department l SUBJECT: S After review of the subject building permit application, we have the following comments: % Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the contractor. ,Z The contractor is required to keep the abutting 'streets cleaned of dirt and debris caused by the construction. / The "Right -of -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work within the Public Right -of -Way or public easement. Driveway.slope not to exceed. 14%. /�7( Connection to sanitary sewer required. i /% Septic Tank Permit required, submit design: /%. Fire hydrant required, submit design. / Site drainage per code See approved plans ✓ Curb �� Sidewalk g% Paving required. Z Bond required for public improvements. Submit cost. estimate. Underground wiring required. Approved Engineering Plans required when applicable. /-7 City Engineer Department of Public Works Rear. 7/78 • PUBLIC 14ORKS DEPIOR-ENT C IECIWT _ BUILDING PERMIT REVIEW S j-z 1 LSaT4E�) Street Right -of -Way. Existing p READ /- 2 3-72 Date Access Easements Existing "nrif—= REQD Utility Easement Existing TAb AE REQD — Lot per Subdivision Plat Assessor Map Site Plan Checked for Accuracy Underground Wiring Reqd.� . Check Accuracy of Legal Description d-- Environmentally_Sensitive Area Enviroranental Checklist Reqd. _ Flood Hazard Zone Shoreline Management Area Slope, Soil, Vegetation Stream,.Creek, Drainage Basin Existing Zoning Per Code . Amenities Design Board Approval Reqd. NI/E�S ADB # 130 Approval -a 1 Board of Adjustment Approval Reqd.� b4 Review By : - = - Date : stz ot''Watet Main• Size /V"C.1. Dn Enf 52�c.2 .91, D,1. G(�. Water Main, Reqd. Service Line Reqd. Hydrant Size Existing Hydrant Reqd. Per Fire Code Detector Check Meter Reqd. �,(% Size Cross Connection Inspection v e S Fire Department Comments Water Meter Charge Reqd. Review- by: Date • Septic Tat c sign tkpprove ate: Septic Tank Permit Reqd. Permit No. Sanitary Sewer. Availability SProj Drawing No.. - File No. t=5c- n- Side Sewer Availability �, ems,,, ram, - r � Sanitary Sewer Connection Fee Reqd. Review By; , _ a Date: D -Z.,a 713) Address Olen Ditch Existing Re - 1 qd.'_ .v Culvert Reqd. Size Catch Basin Rcqd. s Indicate on Site Plan Shoulder drainaj.,e maintain collection an s wale open ru'loff *.I-Inhole rcq'cT &Aar— Indicate on Site Plan Soil Conditions and Ground Water Field. Checked P y FXa te TIC 'Street Paving Rcqd. Curb and Gutter Reqd. Sidc walk Reqd. Curb Cut for Driveway Reqd. D: m Right-of-l-,Iay Construction Permit Reqd. JBond Regd. for Public Improver-m-1-its --7 Stree0 - S ee t treet Name Sign Reqd. t Otherer tL�her Signing Rqqel. Pre Permit Site '1n.§pcct:,ion made on C)') BY: S R WATER SIM= ENGINEERING specihl RequirLiPents listed in, men-o.to Commnity Dove lopi-m-n t DcpartnenC," Building Division Date o All iLups filled in on Buil ing Permit Application BY Dfite PL4 Drawingsp Staned and Notations Ihde BY Date Approved by PL1b1j.0 'Pocks Depai Revised: IV 10-1977 CITY of EDMONDS 1' 200 Dayton Street • Edmonds, Washington 98020 • Telephone (206) 775-2525 Department of Public Works DATE: - TO: '--Ru) L- TRANSi 1I TT I NG : ! coo ► � o��' ��`� y�11 � � AS YOU REQUESTED: FOR YOUR FILE: FOR YOUR INFO: REVIEW C01` MENT- AS IVE DISCUSSED: COMMENT E;. RETURN: FOR YOUR APPROVAL: FOR APPROPRIATE ACTION: RE,IARKS : �c�r� J�QU ►�.� c �. T'�r-�,�L�L..c��cvti`1 PU C UCZ� S l D C-�l AL � I�YLQ ��F �� - �12tVF��►�J �}�� p� � �� . G�sT 57'1 W114-r-� PUBLIC WORKS DEPARTMENT BUILDING nCDARTMEN T Applicant Fill ZONE ' j NUMBER. PERMIT APPLICATION Inside Heavy Lines ? JOB • NAME (OR NAME OF BUSINESS) ADDRESSloo5--.5-01L Lell�V`E�'"7�.�Y/ E LEGAL LOT LOT AREA SUBDIVISION NO. MAILING ADDRESS � W W41. ❑ NO Z STREET R/W CITY TELEPHONE NUMBER R EXISTING STREET R/W FT, DEFICIENCY THIS PROPER Y ��/` /-� COMP. PLAN ST. R/W FT. ��JFT. C� NAME —L7� `�y`J REMARKS U vow K. W &?-ti I n F ADDRESS _ D,60, 1332 U C CITY Q I . r� . TELEPHONE NUMBEF j G rV 1 0 ADDRESS F (0 (0 Q CITY FE- 0 Z wa TELEPHONE NUMBER `�14 U STATE L ENSE NUMBER CITY LICENSE NUMBE Legal Description of roperty (Show Below or Attach Four Copie CHECKED BY STREET AND/OR UTILITY WORK R/W PERMIT EO UIRED R EO' D, 9YES ❑ NO RYES. ❑ NO UNDERGROUND WIRING REO'D. YES ❑ NO TYPE CONNECTION YES VERIFIED BY SANITARY SEWER - ❑ NO SEPTIC SYSTEM PERMIT NUMBER APPV'D BY CITY ENG ❑ YES ❑NO R REMARKS METER SIZE BUILDING SUPPLY SIZE R SIGN AREA ENV. REVIEW _TAD B NO. ALLOWED I PROPOSED COMPLETE I EXEMPT 0 REMARKS W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS 1 LOT COVERAGE n/ I NEW l�J 10 RESIDENTIAL ❑ GAS FRONT ' o SIDE zU REAR NON-RESIDENTIAL LINE SIGN FIRE ZONE TYPE 2 OF CONSTRUCTION. CODE HEIGHT ADD ' I �b /M DEMOLISH ❑ RETAINING WALL SPECIAL INSPECTOR REpUIRED AREA OCCUPANCY ^'� OCCUPANT �� R ALTER ❑ EXCAVATE OR FILL FENCE X—FT) ❑ YES ❑ NO GROUP K LOAD Ei REPAIR aPRE-MOVE ^SWIM PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF INSP, IL_JI POOL EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. NUM ER OF STO IES ` UMBER OF DWELLING REMARKS : v�%�, UNITS ] j 40 1 uo t T1 1 Vkr-- 1 T h (WSQ(- -DO Pap- 78 Z r�ATUR OF WpR TO BE/D'O,N-E'�- - •g W C cJ Q W W PROP SED USE PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) VALUATION PLAN CHECK NO. BUILDING FEE I- Z W f IL PLUMBING 0 J W - HEAT & GAS LINE W 0 FENCE �. F SIGN Z WALL RETAINING 0 POOL SWIMMING U U Z tY W W z 0 Z W E W F Q 3 MEMO TO FROM: SUBJECT Date 1R Building Division Community Development Department Engineering Division Public Works Department 1` After review of the subject building permit application, we have the following comments: /X-7 Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grade's is the responsibility of the contractor. r The contractor is required to keep the abutting streets cleaned of dirt and debris caused by the construction. The "Right -of -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work within the. Public Right -of -Way or public easement. Driveway slope not to exceed 14%. Connection to sanitary sewer required. /% Septic Tank Permit required, submit design. Fire hydrant required, submit design.. �T Site drainage per code # See approved plans IV Curb. /X7 . Sidewalk ZX Paving required. Bond required for public improvements. Submit cost estimate. Underground wiring required. Approved Engineering Plans required when applicable. For Fred F. Herzberg, P.E. City Engineer Department of Public Works Rev. 7/78 IC [ARKS DEPART= CHECfd, Date BUIMING PERMLT REVM4 �J Jm s X, _Address Street ,Right -of -Way Existing �(�) REQD --- Access Easements Existing REQD -- Utility Easement Existing io1r8E_=' REQD Lot per Subdivision Plat Assessor Map Site Plan Checked for Accuracy Underground Wiring Reqd. S Check Accuracy, of 'Legal Description cl 'Environmentally Sensitive Area Envir-or- nei tal—Checklist- Reqd.- Flood Hazard -'Zone Shoreline Management Area Slope, Soil,. Vegetation Stream, Creek;_Drainage Basin. Existing Zoning Per. Code Amenities Design Board Approval Reqd. O' ADB �� 63v Approval,/., Board of Adjustment Approval Reqd. __ 10 Review By: Date ,. �o� Existing [Water Main Size�'[',!� E do Xf� 8" �7.1, 4V Water Main Reqd. AM .Service Line Reqd. / Hydrant Size Existing Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. Cross Connection- Inspection e- S 'Fire Department Comnents. 1 Water Meter Charge Regd.(f,/dQ Review by: ��.�JC�✓r�c Date : 1-2-7 ?--- Septic Tana- Design Approved - Date: Septic Tank Permit Reqd. Permit No =Mi -- r� Sanitary.Sewe,r Availability �- Pro* Drawing No. File Now Side Sewer Availability r f Sanitary. Sewer Connection Fee Redd. Review By: , Date: 1 Open Ditc1i i xisting �� Culvert . Re d q — c� Catch Basin Reqd.: Shoulder drainage nay.ntai.n collection H Reqd - Size --. Indicate on Site Plan on swale open.. ruioff ;!U1 Nhi-liole req �/�� Indicate on Site Plan — Soil Conditions and Ground I -later Field Cliecked . Revi.ew by te r-. Street Paving Regd • H Curb and Gutter Reqd. Sidewalk: Reqd. el W Curb ;Cut for Driveway Reqd. c� Right-of-t•1ay Construction Permit Reqd.'. � H i Bond Reqd. for Public L-rproverents Street Na-m Sign Reqd. Other. Si,ning Reqd. n.. Pre Pci�iit Site Inspection made on HBY: SU.:I R U "t�WATER 6 v't ►-` l S7.T=T �' y 1�GIitE�RING �1 '` Special Reguirc� ?zts li_s-tcd in 'ni`rib : to Conn pity Development` De �artinent; . Building Division > ! 13Y t Date o ! All items filled in on Bui diizg Pernut Application 13Y --v !I Date o Drawings .Stair-ped and Notati ns 1L-Ide � ! By Date a t A Al )'j)roved b POK i C i'orks De X u- trUz t t k� Y k` Revised: lv 10-1977 ,w CITY of EDMONDS 200 Dayton Street • Edmonds, Washington 98020 • Telephone (206) 775-2525 Department of Public Works DATE: — TRANS,'! ITTI NG : AS YOU RE FOR YOUR INFO: AS WE DISCUSSED: FOR YOUR APPROVAL: t+1 AVE �n FOR YOUR FILE: REVIEW & COMMENT: COMMENT F, RETURN: FOR APPROPRIATE ACTION: REMARKS: j�c�r-�C� ��QU ►�� vai2. 'T1r-��, �—r�L.L�c�•avt�l L^ LtTY C u►2Q ��,F ,a� �- ��2�v�.w �� gpp e� r-� PUBLIC WORKS DEPARTMENT .4a.1•. ''��,, •• f aYl^••r .. �.�' i � ._-+� - .. 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AITr •^r:'fa' d 4 h S i .f. �ti� - �' j ae Tn k•N ,�>. +. �i. ty„• � r7�r' ', r w } g t(i'J'syri `»Z 1"}4 "` "T.�- S la �t'• .{' .i . i �`` yZ,i�` aah-�,.... f •.,a•A S d R3, •f' -s't:: w :� ;i8'; 'sit - � i rJJ +'.:. S<c a7i / r1 r- a�.r fp na ,� EL4 -' - - .Y �; �.�r.S 1r �.�{ • - .._.. .1: eaiii�ra.. �. )-tt Y•Y •' .� '`.•. ) T rYriR:.'r �..7„/,:.}j. �.Le{r++^S _. 4. 4i••a�� •� m Hn;tP, •f,.• r�r xr �7 11A •1. STREET FILE CITY of EDMONDS 200 Dayton Street • Edmonds, Washington 98020 • Telephone (206) 775-2525 �'777 Department of Public Works DATE:--* /--/ 7-77 TO: ��►� v? Tt-y- TRANSMITTING: AS YOU REQUESTED: FOR YOUR INFO: AS WE DISCUSSED: FOR YOUR APPROVAL: FOR YOUR FILE: REVIEW & COMMENT: : COMMENT & RETURN: FOR APPROPRIATE ACTION: REMARKS: PUBLIC WORKS DEPARTMENT BY�'�x=-- CITY OF E® ®N ® S LARRY S. NAUGHTEN DEPARTMENT OF PUBLIC WORKS (206) 771.3202 MAYOR Edmonds, Washington 98020 Administration — 250 • 5th Avenue North Maintenance & Operations — 200 Dayton Street Mr. Earl Tuter 1 001 -1 005-5th Ave'. Edmonds, WA 98020 Dear Mr. Tuter: April 24, 1985 S.,-Unit #304 SUBJECT: BACKFLOW PREVENTION DEVICE TESTING The backflow prevention device in your water supply system is due for annual testing as required by State Code WAC 248-54- 500. Our records show a total of one device in your system. Please have the testing performed by a person holding a certificate of competency as a cross connection specialist, issued by the State Department of Social and Health Services (telephone - 464-7674). If a device fails its test, please have the necessary repairs made. Upon completion of a satisfactory test, have the certified tester fill out the enclosed Test and Maintenance Report and return it to this office within thirty days. Additional information relative to thsi matter may be obtained by contacting our Cross Connection Control Specialist at 771-3202, extension 294. Sincerely, PRCHIE BRENA Water/Sewer Division Supervisor ml Enclosure WILLEIKSEN DT MA CH DT CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT Permit No. O —�Q m.., ssue Date 111.4 Fr!/ S-V L E A. *Address or vicinity of Construction • Owner: -` Name //>D' 6 6 V7v .Y'WZ5 Mailing Address City, State, Zip Code • Contractoray//="/� Name J , Mailing Address ,a D Cit , State, Zip Code • Permit Issued To:/. �0 / Z/. Al. /=� • Type of Work to be Done:,yW,4 • Work in Connection With: ❑ Sub or Plat ❑ Single Family ), Comml. / Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes A --No State License Number Zze g S Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit m e available at the job site for inspection purposes at all times. Signature: Date Owner o Agent yt THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES yt yt CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued B Time Authorized: Void after _ 30 days Special Conditions: Ammendments: -1-0� a G Permit Fee: -20 Security Deposit: Receipt No.: Fund 111 Fee: Street Cut Dimensions NOV 4 1981 �r * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Dir. Of Public 1. Eng. Div. Decem 3 l �� Tr I TR7 : n pralrc>� ITEMO TO: Building Department FROM: Engineering Division January 23, 1980 �`Z77'80 (�� SUBJECT: DRAINAGE IMPROVEMENTS FOR BRICKLMIP CONDOMINIUMS, j1001 1005 FIFTH AVENUE' SOUTH r . The recent freezing, weather has revealed problems in the drainage system at the subject location. The concrete retaining wall on the east side of the property contains weep holes to keep ground water from building up.behin'd the wall. The water .flows over the driveway and, in cold weather, the water freezes creating a safety hazard. Water is also flowing over.the side- walk from the landscaping on the north side of the property. Prior to final approval, we are requiring that drain lines be installed behind the retaining wall, that the lines be tight - lined underground to the catch basins, and that the weep holes be plugged. A shallow interceptor drain is also needed next to the sidewalk. This line should also be tightlined to the drainage system. In addition, the grate in Pine Street has been crushed. We are requiring that the grate be replaced and the catch basin be repaired. It would be acceptable to us to have bonds posted for the work so that occupancy can proceed. A sketch plan of the retaining wall drainage is needed from the applicant to establish bond amounts. If you have any questions please contact Bob Franklin, extension 220. BF: jak ... 9 23 - 6 F anklin dt. OFREET FILE FILE COPY S June 3, 1930 MEMO TO: Building Department FROM: Engineering Division SUBJECT: BRICKLAND CONDOS. 1001 - 1005 5TH AVENUE SOUTH This memo is to inform you that the final engineering require- ments have been completed at said property. DS : j ky r DAN SMITH DT. R E G A R D I NG : ,8r-irC-Aloo� C��o (File Title R E C O R D OF C O N T A C T S S� rrn BEET RE DATE NAME: PHONE NO. & ADDRESS OF CALLER COMMENTS ACTION TAKEN INITIALS `% % % --% ! �/ Q 7/ i !/j QL✓ r In/. ///�' s O 7 4- ; 7 �-� r da g u G- v wb —S �' e C --Q-(��cl -ah- A kir 1780 Side Sewer Drawing EDMONDS The Cityf Edmonds omons TREATMENT PLANT EASEMENT I`'O. er.S •R• 154 f 308 NEW CONSTRUCTION ® REPAIRS OWNER Q 1^1 ...-- C 1 .... . �?..l a!'l..-- .....................................••----••-- CONTRACTOR ..M-Orn .............................. PERMIT NO. .. ...- 1005-5TH Ave• S. JOB ADDRESS LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .................................... .....(} i acJ,teg(-- 4;�--- S_i d e.- 5 ?C.-V V w► i ............................................ NAME OF ADDITION _(o"PV•c• Side Sewer ( Scin3034) Rubber Gocket Toir�-ES• G rade I - 2 % Opproved by City F nq Ifdeep) c 2'deep) PWW-0001-11/75 (REV.11/78) 0 eep, t �- �"�•a C.8"deep) J �.(�„ C•�• �'L'dee.p). � � , +— I 1 ' � �aC'•Q' �3,dte�l deep) �'_�3nsp.Tec-C I �4"deep) .5 T" Ave- ..................................... .0 t m `N� � II+-24 �• _(6- 0 • Medal Surf;Lce CAP EDMONDS Approved: I TREATMENT PLANT_ Oct 15 } 19r1q .... ...... :�P .... ...... DATE---- •.........................•-----.....By ......TC Drawing The City of Edmonds WATc,-ERVic-LEASEMENT NO . ............................................ ER ., NEW CONSTRUCTION 0 REPAIRS r-1 LID NO . .................. ASMT. NO. .................. OWNER........................................................ CONTRACTOR . ........................................ I ............................................. PERMIT NO. ........ * ............ TH JOB...tqe. !S ADDRESS . LOP O. ...............SV ......................................... * ......... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. .................................... NAME OF ADDITION .................. ,2." P V - C -. WO,+_-e Ir Sere ice Uviet ( Sc A. 40) 280 P.S.I.- ms- ------ 6F. IZ e_.u. Pope P-V-C- (100s) C.ft-etssure Re-clvC*in3 \1&%ve of I i pC.U. P;Pr_ (2- Jeep) • Z" 4--.) F6fooSide. WoLK (S'Al I 5'T^ HAVM. �,Wo-tetv- Service M4L*V-V- * Approved: t 9") PWW-0001-11/75 (REV. 11/78) DATE .(:!) C—--- 191 1 --------------- By ----.A .... A.P --- kK .01J CITY OF EDMONDS FOR INSPECTION CAT, B C ,. PUBLIC WORKS DEPANT Permit l�0 k SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date PERMIT.MUST BE POSTED ON'JOB SITE 1.'- Address off: Cons.truction b-T — e. (OC 2 .' Properlty Legal -Degcr�ipti`on �noc�lude11 e ents A rF U H a a m ca w H a z 0 U w M 0 H P4 w 3.' Single�Family,'Res idence' Multi -Family" No. of Units Commercial C£-'1G7► 00 4. - Owner 'a=nd/or-=-Bui-l-dex 5. Contractor & License No. nelt=- rA S'iaag.y.t /70QE,- 6. Invasion into Ci'ty Right -of -Way: No`Right-of- way Construction' Per.mit`'Required - Call Dial Dig (342-5344) before excavation). 7.. Cross other private -.property: Yes No Easement required - attach legal desc'H' tion and county easement number. READ THEr=,�FOL.hOWTNG 'AN•D SIGN.: a Property owners] must obtain a permit to install side s their property. A licensed,�side' sewer c ILItiro construct side sewers in the public rig h -off- DIAL -DI b. The side sewer contractor assume fu o si ili&)poftr ach installation for one year. sOFORE C. Commercial establishment require a m um f a YOU h (6 side sewer line. d. Side sewers may not be installed cl h hirty nches (3 ") to.,:any structure. ` e. Side sewer lines must be laid at ) and maximum grade of 100% (450) .�=w4@BWpIN+cow f. No turn in side sewer greater tha n is°allowed between cleanout. All 90 turns must be constructed of a 45 (1/8, bend) and wye with removable cap. . g. No down spouts, footing drains or floor drains.can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line sand at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved .by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. S• c�Y1 30$f !? DATE: d,ry.,dndi /TeA rnmekt? 7- .'"1,rlitL,t'n') (�Gc�+ G?JrfcJCl side I \\ certify y t at' I have read - HtDmply with the,.above -V'�aCWI`ECT-i��.41�erS PERMIT FEE: /0 0 0 DISAPPROVED BY: Date: ° 500 A & t 087 -IOCTP Date: CONNECTZON' FEE: � (?, -e- APPROVED By : Date: Totrl-7 �v F-�.� ____ PERMT. UST BE POSTED ON JOB 5I E 0 Iq -kvWC eKkS+ed 0 uj otr L O.,4A uj-se� Vc�; sr wTFAA -e�ts+el- Col.. 6A uv" Ap uj i - -? N � -��,-�Q-' Q-- °�- L,—��-"_ J--�- -- � I -- - - - Y li8 I--�Z--�---_•__ � i i a -----�'----,--'t—'— all �Tt►1� yj). '1 ; I I i� I �-` I •I � NS ✓`fit .1>t'.� ZC7NIIdG'• r N -1-1 tGrJPl1NGY`.-. C;roup1"'R, =Jive Eon" (Apartment), Groi p B-3rages), Na1r�lle,"T:IU CON 'Irpe`U - s-,- --- STORCLS. 3 stories.+ Busdment - �Vi APEA ;: s1iG3.�q Ft. F1lowable lot ,coverage @ 6U°-7l"t. DRU2L:llIP1G `ARL�: 14ro buildings 7;128 aq. > L each 14:,25& a�, Ft,.' -PARKING: total 'units . 2 ,each = , 3U.'cai par in Provided .. , 32: cars -0. 'garage ' B:cars on- :site... .. _ . � . r ✓, � _ .. ,I. � � _ ,f //- /�r� ^-/+yam Arl" /�b..':.r�,✓, :d.•Y'e�' r 1�':.O �..'.:iY'../. .r.`', �.+�"•'„id+ ,7',• /* J Ala that. pore cm of the j'lest Hal. f' of the: �C�utht.�es v Quart'er of tl�e Northwest c(uar7�ter cif Section.25'; Towmahip 2(:,North, Lastas coy 1-)g3:rring at, a point ('U . fcet South, <lnd - fr:c?L" E"st or the Nor thtaest cornf�r of the said. South::i�st. Quarter of .the 1'10rthwc-St (quarter; 1,;hence Ea.5t .1151, feet; t;henc:e Soutl•j, 1UU feet,;- ,thex sN West .1,15j feet; thence ,i>Jorth. 3001 feet to true: point: of' .btL;Jnrii.i�;: ;✓XCEP2':'.South�25�.feQt as conveyed to City of E:dMonds by Deedrecc�rdc ��: tuic!er -Au`rlitor',s Fi 1e . #2090102. APPLICATION for The City Of Muonds SIDE SEWER PERMIT / J OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ J LL W w A I f, 101�. 14H t+4/its '7:?{f� a� j Date BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $............ .------ SEWER WORK ORDER ISSUED .......... ...._................................ t �Alfi' i CARDNo . ....................... __..-._......... EASEMENTNo. ......................................... . Approved: ............. R... ....... BY DATE-- ... .......... CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: wwwxi.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Inc 1890 Planning • Building • Engineering October 4, 2007 The Executive Condominiums / Homeowner's Association 10'O1 Sth dmonds, WA 98020-4069 RE: Sign Obstruction on Forsyth Lane in Edmonds To the Homeowner's Association: GARY HAAKENSON MAYOR The city staff has noticed that your vegetation is partially blocking the stop sign (R1-1 in WTCD) as you head westbound on Fors_ yth'La This is in violation of City code, from which the following is excerpted: ` 9.25.010 Violations. A. It is unlawful for any person who either owns or has the right to possession, or both, of abutting real property to permit the erection or maintenance of any sign, device, structure or vegetation in the following circumstances herein set forth, and in the event of circumstances presently existing which by reason of this section are now in violation of the Edmonds City Code, said person shall immediately remove the same: 1. In such manner that it obscures or conceals any traffic control sign, signals or other device as to interfere with the full and effective use and visibility of the same to the motoring or pedestrian public; In order to reduce the hazard and enhance public safety, the City of Edmonds directs you to remove or cut back your trees to allow visibility in the future. Please complete the modification and trimming by October 18, 2007. Your cooperation in bringing your vegetation into compliance is appreciated. Please feel free to call me with any questions at 425-771-0220. Sincerely, BERTRAND HAUSS Transportation Engineer SAENGMertrandTublic Concerns\Vegetation Removal 1.ettea�S tLO�WeW�1 � t Ate_"St 11, 1890 0 PLANNING DATA STREETFILE New Commercial / Multi -Family Projects Name: G 12 Q r W l r2• Date: 0-f • 2. 0 0 (p Site Address: (O O S 15-+ A-Ve S (� x�cutTve \ Gored 0s J Plan Check #: BLD-2006- O (v 21 Project Description: (O G ai-6 WG F avi+enna 5 on m Of�-i P e,x i yfi rn g Go rt "W%,f rr u ✓ L Uses) Proposed: W GF Allowed Use: &NO) CUP File Number: . To Allow What Uses: Legal Nonconforming Land Use Determination Issued: (YES /@ Reduced Site Plan Provided: ES NO) Zoning: R. M I.5 Map Page: 15 3 Comp Plan Designation: M F - 9h pp4 5 i Corner Lot: ( ES / NO) 6TM / PforS!Ath (Vic/ &/ Flag Lot: (YES / O ADB File Number (date waived): 19i.9 •129 Lot Area: Plans Match ADB Approved: (YES / NO) ofveA 00 Shoreline Required: (YES /®O Critical Areas Determination #: N I A- --:� a It AN t V--- CA ❑ Study Required ❑ Waiver SEPA Determination: e%-PNYIO b ® Exempt ❑ Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake Ballinger. Requires: 1 Fee, 2 Environmental Checklist, and 3 APO List with notarized form). Required Setbacks Street: I S Side: ' O S re (5 styeei- I S ,. . Actual Setbacks -rD n Street- ($ I S;id e. 13 O s+ e� sheet I D �y •Reams sfir ce -1- 3 `1 Lot Coverage/FAR Required: 4-5 /• Lot Coverage/FAR Provided: N 1 (�o Lot Coverage/FAR Calculations: N 0 L Ar 14 GC- Bui/din Hei' ht , Datum,Point: / Datum Elevation:,� Maximum Height: 215 t 5 Actual Height: t (/ Subdivision: / Lot Aggregation Rdquired:.� Landscaping<. Landscaping Matches ADB Approved: N OY1e, regIAC f e CG Landscaping Bid Provided: (YES / NO) Bond Amount (100% Bid): / Plan Review By: ge;w 6,7&e a PLANNING DATA New Commercial / Multi -Family Projects STREET7=FIL7E Commercial Parkin RAnal ysls Business Name Type/Use Parking Ratio Tenant ' Area 'R'equired Parkin • a , 1 .. iota% Parking .Required: Total •Parking Provided.• Mu/ti-Farm/.Parking Ana/ sis 1 # Bedrooms per Dwelling Unit Parking Ratio # Units Required Parkin Studio 1.2/D.U. 1 Bedroom 1.5/D.U. 2 Bedrooms 1.8/D.U. 3 + Bedrooms 2.0/D.U. a .• Total Parking Required.•Total Parking Provided.• Other a,Vl �'�iy1 I'IA 5 3 5.8 " x 5.5- " x 3 a h i--e n n 4 5 = 19�•9 x 3 = 590-7- --� "MINI FACILI-Ty Pavitl a vi t w n a +D m at-un W I o r of ear �.Z fi. n g Ch I' m n e-- . OVA,& nn u s+ 5 vrt e v� " }en1 n a 5 -R v-rn vi eAA"' P u r5 u CW - t� Ec'oc'. Plan Review By: g'ie�w (� e'e Pilchuck Contractors, Inc. gycxo4 Job 4 1071621650 Nov 12, 2004 8g , Sheet 1/1 Rob Inglis '°n"" 4 t WORK AREA 3' x 5' @ 20' SPACING IN PARKING SHOULDER 41 ?_ x PM I ��. J �j 1 v7 P z� o Q J Z n re VI O �L � ' G Q ��II-k) J to L q 7 da a,,�'� QY � d TKO 9 �� dQ2 bill f � X( F FORSYM LN CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 50/70 40 80 35/45 30 60 25/30 20 40 Notes: 1. All signs and spacing to conform to the City of Edmonds Traffic Control specs. 2. Channelizing devices are 28" traffic cones. 3. All signs are 48" x 48" B/O unless otherwise specified. 4. Alert affected residents. 5. Work to take place between 9 a.m. And 4 p.m. 6. Work area will be 15' N of C/L of Forsyth Ln & run from a point 104' E of C/L of 5 Ave S to a point approx 414' E of C/L of 5 Ave S. O W J y G C iv y N • 28' TRAFFIC CONE ® WORK AREA TRAFFIC FLOW APPROVED AS NOTE[ BY ENGINEERING FLAGGER 0 SIGNAL LIGHT Date; ¢ r1 ¢ V/ WORK VEHICLE SIGN LOCATION ! City of Edmonds I -WA up -Tq - Plan Check # NA Date &JO-01 Project Name/Address 100 5— 5'- AN S 114e, 0(ew- -V& e, n S Vk4- - 3D? t Contact Person/Address Qg'<< Department: Building El Reviewer Engineering ❑ Planning ❑ Fire ❑ Public Works ❑ ❑ Submit 2 sets of revised plans/documents to the Permit Coordinator. ❑ Corrections may be made by red lining plans/documents on file with the City.. DATE FAXED (Attach fax transmittal) PAGE OF aNr TABLE NO.S-A—Continued a TYPES II ONE -HOUR, II-N AND V ONLY FIRE FIRE RESISTANCE OF, OPENINGS IN EXTERIOR GROUP DESCRIPTION OF OCCUPANCY ZONE EXTERIOR WALLS WALLS Not permitted in Fire Zones Nos. 1 and 2 ]—Storage and handling of hazardous and highly inflammable or q hour less than 5 feet explosive materials other than flammable liquids .......................... 3 2 hour less than 10 feet I hour less than 20 feet 2—Storage and handling of Class 1, 11 and Ill flammable liquids as 1 4 hour less than 20 feet specified in 11.B.C. Standard No. 10-1, dry cleaning plants us- 1 hour elsewhere Not permitted less than H ing flammable liquids, paint stores with bulk handling, paint 5 feet 4 hour less than 5 feet shops and spray painting rooms and shops .................................. Protected less than 20 See also 3—Woodworking %tablishments, planing mills, box factories, buf- 2 2 hour less than 10 feet feet Section fing rooms for tire rebuilding plants and picking rooms; shops, 1 hour elsewhere 1002 factories or warehouses where loose combustible fibers or dust 4 hour less than 5 feet are manufactured, processed, generated or stored and pin refin- ishing rooms................................................................................... 3 2 hour less than 10 feet 4—Repair garages ------------ ............... _................................................... 1 hour less than 20 feet Not permitted in Fire Zones Nos. 1 and 2 except 5—Aircraft repair hangars as set forth in Sections 1602 (c) and 1603 (c). 3 1 hour less than 60 feet Protected less than 60 feet I —Gasoline and service stations, storage garages where no repair 1 2 hour lest than 20 feet Not permitted less than work is done except exchange of parts and maintenance requir- 1 hour elsewhere 5 feet ing no open flame, welding, or the use of highly flammable liquids Protected less than 20 2—Wholesale and retail stores, office buildings, drinking and din- feet ing establishments having an occupant load of less than 100, printing plants, municipal police and fire stations, factories and .workshops using material not highly flammable or combustible, 2 1 hour B storage and sales rooms for combustible goods, paint stores with- Not permitted less than outbulk handling .---...... -- ..................................................... 5 feet See also Buildings or portions of buildings having rooms used for educa- Protected less than 10 Section tional purposes, beyond the 12th grade with less than 50 occu- 3 1 hour less than 10 feel feet 1102 pants in any room ......................--...............--- ..................------- For Notes see page 54. TABLE NO.S-A—Continued 1 2 hour less than 20 feet 3—Aircraft hangars where no repair work is done except exchange 1 hour elsewhere Not permitted less than of parts and maintenance requiring no open flame, welding, or 5 feet 2 1 hour the use of highly flammable liquids .............................................. Protected less than 20 Open parking garages. (For requirements, see Section 1109.) feet 3 1 hour less than 20 feet Not permitted less than 1 2 hour less than 20 feet 3 feet 1 hour elsewhere Protected less than 20 feet Ice plants, power plants, pumping plants, cold storage, and cream- Not permitted less than B-4 cries, factories and workshops using noncombustible and non- explosive materials. Storage and sales rooms of noncombustible o 1 hour 3 feet and nonexplosive materials................................................._._.._.. Protected less than 10 feet 3 1 hour less than 3 feet Not permitted less than 3 feet Not permitted less than 1 2 hour less than 20 feet 3 feet 1 hour elsewhere Protected less than 20 feet I —Hotels and apartment houses Not permitted less than, ...................... ......................... Convents and monasteries ( each accommodating more than 10 2 1 hour 3 feet Protected less than 10 persons)-------------------------...............---............................................ feet R Not permitted less than See also Section 311 hour less than 5 feet 3 feet Protected less than 5 1302 feet (Continued) C Z n O 3D 9 CO C r" _O Z !7 (i O v m Bla Dining Room 1'A I � t- i .. • .t FIR91ESISTANCE-RATED CONSTRUCTION where: A = Actual area of protected openings, or the equivalent area of protected openings, Ae (see Section 704.7). a = Allowable area of protected openings. A„ = Actual area of unprotected openings. a,. = Allowable area of unprotected openings. 704.8.1 Automatic sprinkler system. In buildings equipped throughout with an automatic sprinkler system in accordance with Section 903.3.1.1, the maximum allowable area of unprote�eninQs in occupancies other than Groups H-1, H-2 and H-3 shall be the same as the tabulated limitations for protected openings. 704.8.2 First story. In occupancies other than Group H, unlimited unprotected openings are permitted in the exterior walls of the first story above grade facing a street that have a fire separation distance of greater than 15 feet (4572 mm) or facing an unoccupied space. The unoccupied space shall be on the same lot or dedicated for public use, shall not be less than 30 feet (9144 mm) in width and shall have access from a street by a posted fire lane in accordance with the Interna- tional Fire Code. 704.9 Vertical separation of openings. Openings in exterior walls in adjacent stories shall be separated vertically to protect against fire spread on the exterior of the buildings where the openings are within 5 feet (1524 mm) of each other horizon- tally and the opening in the lower story is not a protected open- ing with a fire protection rating of not less than Y, hour. Such openings shall be separated vertically at least 3 feet (914 mm) by spandrel girders, exterior walls or other similar assemblies that have a fire -resistance rating of at least 1 hour or by flame barriers that extend horizontally at least 30 inches (762 mm) beyond the exterior wall. Flame barriers shall also have a fire -resistance rating of at least 1 hour. The unexposed surface temperature limitations specified in ASTM E 119 shall not apply to the flame barriers or vertical separation unless other- wise required by the provisions of this code. Exceptions: 1. ',This section shall not apply to buildings that are three, stories or less in height.' 2. This section shall not apply to buildings equipped throughout with an automatic sprinkler system in accordance with Section 903.3.1.1 or 903.3.1.2. 3. Open parking garages. 704.10 Vertical exposure. For buildings on the same lot, open- Iing protectives having a fire -protection rating of not less than , Y, hour shall be provided in every opening that is less than 15 feet (4572 mm) vertically above the roof of an adjoining build- ing or adjacent structure that is within a horizontal fire separa- tion distance of 15 feet (4572 mm) of the wall in which the opening is located. Exception: Opening protectives are not required where the roof construction has a fire -resistance rating of not less than 1 hour for a minimum distance of 10 feet (3048 mm) from the adjoining building, and the entire length and span of the supporting elements for the fire -resistance -rated roof assembly has a fire -resistance rating of not less than 1 hour. 704.11 Parapets. Parapets shall be provided on exterior walls of buildings. Exceptions: A parapet need not be provided on an exterior wall where any of the following conditions exist: 1. The wall is not required to be fire -resistance rated in accordance with Table 602 because of fire separation distance. 2. The building has an area of not more than 1,000 square feet (93 mz) on any floor. 3. Walls that terminate at roofs of not less than 2-hour fire -resistance -rated construction or where the roof, including the deck and supporting construction, is constructed entirely of noncombustible materials. 4. One -hour fire -resistance -rated exterior walls that ter- minate at the underside of the roof sheathing, deck or slab, provided: 4.1. Where the roof/ceiling framing elements are parallel to the walls, such framing and ele- ments supporting such framing shall not be of less than 1-hour fire -resistance -rated con- struction for a width of 4 feet (1220 mm) for Groups R and U and 10 feet (3048 mm) for other occupancies, measured from the interior' side of the wall. 4.2. Where roof/ceiling framing elements are not parallel to the wall, the entire span of such framing and elements supporting such fram- ing shall not be of less than 1-hour fire -resis- tance -rated construction. 4.3. Openings in the roof shall not be located within 5 feet (1524 mm) of the 1-hour fire -re- sistance -rated exterior wall for Groups R and U and 10 feet (3048 mm) for other occupan- cies, measured from the interior side of the wall. 4.4. The entire building shall be provided with not less than a Class B roof covering. 5. In Groups R-2 and R-3 where the entire building is 1 provided with a Class C roof covering, the exterior wall shall be permitted to terminate at the underside of the roof sheathing or deck in Type III, W and V con- struction, provided: 5.1. The roof sheathing or deck is constructed of approved noncombustible materials or of fire -retardant -treated wood for a distance of 4 feet (1220 mm); or 5.2. The roof is protected with 0.625-inch (16 mm) Type X gypsum board directly beneath the underside of the roof sheathing or deck, supported by a minimum of nominal 2-inch (51 mm) ledgers attached to the sides of the roof framing members for a minimum dis- tance of 4 feet (1220 mm). 2006 INTERNATIONAL BUILDING CODE® 93 �spp7�- L 's Z- ati1 1 5 VIM /QS2 = J -23 r �-� ni-73 c� �.,.. .. . AiY �"•ti' � —r •1�� .�'S �7�' �� 1. ti•;. ', �i{i,�%Gtlt... t'rt. . �w�' �_..;,:.'rle .,�;: �•t,.. � �; „ �, n� i .-� City o`I Edmonds Permit No: Ze�4-CO91 RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: J=aSaoo� A. Address or Vicinity of, Construction: $. /— U S 1 B. Type of Work (be specific): . u e% S y V� C-4Ca�9 �C ! _ c� ci i C. Contractor: ?fit ��.� ) �t} Contact: JL ,� 61t-� I I) i X�C SS Mailing Address: 1 �,33t:, AtGlo I,l��c1.V Phone: L)(33'J a6& Q 3 7 State License #:�1 LC FIc_-4 ICE i 11 Liability Insurance: Bond: $ City(Business License #: D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commerciale ❑ Subdivision ,a ❑', City Project ❑ EUC,(PUD,, VERIZyON, PS/E;,COMCAST, OVWSD) ❑ Multi -Family Single i Wily. ❑� Oth r INSPECTOR: F. PAVEMENT CUT: Z YES ❑ NO G. SIZE OF CUT X CONCRETE CUT: ❑ YES ❑ NO G. ❑ Mail Approved Permit ❑ Call for Pickup APPLICANT TO 1 AND SIGN INDEMNITY: Applicant understands by his/her signature to this application he/she holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may -be made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT Off! CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. ♦ Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required straining in their possession. ♦ Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. ♦ Three sets of construction ;drawings of proposed work are required with the permit application. ,� CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS IG Signature: 1 ' Date: �-X� L/ *' S(Contractor or Agent) cam.- FORUSE'ONLY Approved by: �M C lJNt1/�,L[ _ R,ght of away Fee %CPI :'t- . .. h Time Authorized: Void After '% l ijQ / Disruphon, Fee/Fund°;1'11-: Special Conditions: %dfhNTfi711/ SI SG'TBACC_ D/l�t I6spectiou Fee, e4taG/ 27t' dAm 4 MU p At— Total Fee: Syr 6LZ= C9,d5JA1b S 4, 1/ 04L , djzw-Ty Receipt No- AZT-faZAS X4141, jaFJe REQUIRED INSPECTIONS: ry/�JgdJJ4_ G t'oM-/LOL (P 'l NA-L- e *EVa P % LQ_0—_ . Call 425-771-0220, Ext. 1326 for a 24-hour voice -re corde inspection request line. FINAL APPROVAL OF PERMITTED WORK: DATE: Inspector's Signaimfe C:\Documents and Settings\CurtisNy Documents\Fortis\Engnmg\ROWpermit_ doc Revised 10/01/03 RIGHT-O City of Edmonds WAY_, CONSTRUCTION PERMIT A. Address or Vicinity of Consiruction: QC)C B. Type of Work (be speci ic A /'IS, 9 Permit Nwav/_ 0307 Issue Date: L 10 -7 0, 31 LOS 0 -x tza_ Hcd e- H0,4 C. Contractor: A Contact'.a" a A I c k I a7T I Mailing Address: 1,2*)�. Phone:40(g - 419 4,137 46(e- /-'1/ 9 - 4,3 S -7 State License #:-?I L. c k-,_T: 10.1 M A Liability Insurance: Bond: $ D. Building Permit #(if applicable); Side Sewer Permit R (if applicable): E. r_1 Commercial El S u*bdivis,ion El City Prbje'C*t El EUC (PUD, VERIZON, PSE, AT& T, OVWD) ra ❑ Multi -Family Singlefamily ❑ Other INSPECTOR: /V /\j I PAVEMENT CUT: CONCRETE CUT: YES' El NO LJYES [I NO G. SIZE OF CUT .' . x .4- A131'LICANT TO IZEAI) ANI) Sl(;N INDEMNITY: Applicant understands by his/her signature to this application he/she holds the City of Edmonds harmless from injuries; -damages or claims of any, kind or description whatsoever, Jbreseen, or unforeseen, - that may be made against the City of Edmonds or any of its departments'or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason Pfgianting this permit. THE CONTRACTOR IS RESPONSIBLE: FOR WORKMANSHIP AND MATERIALS FOR " A PERIOD OF.ONE YEAR FOLLOWING THE FINAL 'INSPECTION AND ACCEPTANCE OF THE WORK., ESTIMATED RESTORATION FEES WILL BEHELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as require.d.by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. * Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. * Three sets of construction. drawings of proposed work are required with the permit application. CALL DIAL7A-DIG (1-800-424-5555) PRIOR TO BEGINNING WORK. IHAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ONSITE ATALL TIMES FOR INSPECTIONS A , Signature: (Contractor or Agent) Date: FOR CITY USE ONLY Approved by: 1 CITY 1/? lz_- Right-of-way* Fee-*o2l_."15ac Time Authorized: 4id After 7 Special Conditions: Lr 1?,, 1) 1:- - 1414',, 7V 4�Restoration Fee: 300, (&2 ?5F"rrCZ CC I V\1,0 / 7W 5.10 ,1J�.J,WA%N-rA(t4 5",wN. _g,��-nuc�_-Total Fee: A S7 r120AA A g 01r rJHF- eijr1*,,.,rr--FD/W-)^Q9'- i,1T)/.jt-eSReceipt No: A Issued by: WAT-F,Z. !&-,n9_M. S6, ,Kt, Rose= All CoZc-kgs,,P4 4 f &0:t- fjo= v J,,7 1z, �, C22 —,x -:/ _,/� � =,. r r-1n'-Ad I-0- UPON COMPLETION OF PERMITTED. WOW AN ENGINEERING FINAL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT CODE (Phone 425-771-0220,'Ext. 1326) FINAL APPROVAL OF PERMITTED WORK. DATE: Inspector's Signature For inspection requirements see Engineering Inspection Information handout. NO WORK SHALL 111',GIN NUOIZ TO Fiimrr ISSUANCE DAMy Documcnts\Forms\Engnmg\ROWper-mit—.doc r STREET FILE 0 BUILDING ADDRESS1 OBLIC WORKS DEPARTMENT_ UItDING PERMIT REVI s ,BLDG. DEPT. SUSPENSE `DATE _1/0//� . JTE: ❑ OFFICE ADMIN. PUBLIC WORKS LOG IN CITY ENGINEER (check) ❑ Access Slope and Vehicle Access ❑ Drainage Plan ❑ Street File' []Legal Description ❑ Quit Claim. ❑ Easement Calculate Sewer Connection WATER/SEWER DIVISION ❑ Determine Meter Size ❑ C mplete Building Permit Review ® STREET DIVI ION •Single Family ,Multiple C omm�,�r�.�q ED INITIAL 4-t-w DATE u Ur public Works 1D//6 %I ❑ Complete Building Permit Review ❑ OFFICE ADMIN, — LOG OUT TO BLDG. DEPT. i rsseeeoe®ee®a®o®eeeaeeeaee®ee�o�ee�s®ee®o®■®■®ee®s®ae®o■:eo®■e®e®eesee�e®ee®e® �e®e®ee�aeee►e®asses®ee®e®o®e®a®■ease®a®ee®a®o®o®e®e®a®e®e®ue®o®oe�e® UILDING PERMIT APPLICATION (COMPLETE) ❑ 2 COPIES OF SITE PLAN ❑ 2•COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEWED BY FIRE DEPT.) ❑ 3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS REQUIRED BY SUBDIVISION ❑ GREATER TITAN 2,000 SO. FT. IMPERMEABLE SURFACE ❑ LESS THAN 2,000 SQ . 1 FT . (] ❑ CHECK ZONING REQUIREMENTS (SETBACKS) ® 1 COPI OF ENGINEERING CHECK LIST ❑ 1 COPY OF PUBLIC WORKS MEMO ❑ MULTIPLE OR COP-IMERCIAL YES ❑ (ATTACH COPY OF ADB APPROVAL INCL. ALL DRN-TINGS) NO ❑ j ❑ SUBDIVISION. — YES[] NAME i. DATED RECORDED NUMBER NO ❑ (ATTACH COPY OF REQUIR21ENTS) ❑ CHECK SEWER DRAWING AND ATTACH COPY ❑ IS DEDICATION'•REQUIRED YES[] (OBTAIN QUIT CLA121) ( CITY CODE ) NO ❑ DOES'CITY HAVE EASEMENT ON PROPERTY YES ❑ (ATTACH!COPIES OF DRAWINGS) NO '.❑' ❑ CHECK LEGAL ACCESS INGRESS❑ UTILITIES❑ YES ❑ ! YES ❑ _ NO ❑ NO 13 i HAS SEWER ASSESSMENTjBEEN PAID, Y£S ❑ L .-I D. NO. .'.PLAT NOI ;,SU.BDIVISION ❑i NO I i ; IF MULTIPLEI::=;INCLUDE NUMBER OF UNITS 0 IF COMMERCIAL:: INCLUDE NUMBER OF FIXTURE UNITS 0 T` CITY OF EDNWDW BUILDING PERMIT APPLICATI®IV NAME (OR NAME OF BUSINESS) W (MAILING ADDRESS CITY ITELEPHONE NUMBER F U W ADDRESS h_ I V Cr CITY TELEPHONE NUMBER a NAMF� 0 ADDRESS E CITY TELEPHONE NUMBER U STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Description of Property (Show Below or Attach Four Copies) Z 0 F a_ C U IA W 0 J a <7 W J ❑ NEW L RESIDENTIAL iF1 'PLUMBING NON-RESIDENTIAL MECHANICAL ❑ ADD ❑ DEMOLISH a SIGN ❑ ALTER a ORCFILLTE ❑ FENCE- X_1 .1 ❑ REPAIR 1:1 PRE-MOVEINSP./ swim COMPLIIANC EIINSP, POOL Z NUMBER OF STORIES NUMBERIOF 0 DWELLING F UNITS a NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) E U ! N W 0 ��/ USE j� =E ZONE �BE ADDRESS LEGAL DESCRIPTION I SUBDIVISION I SHORT SUB NO, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING [7 z PROPOSED E W DEFICIENCY OF RIGHT OF WAY W Z_ CHECKED BY U' SEE ENGINEERING MEMO DATED Z W REMARKS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS a: W REMARKS F a SIGN AREA JENV. REVIEW ADB NO. 3 ALLOWED I PROPOSED COM PLETEI EXEMPT L. SHORELINE # VARIANCE OR CU PLANNING REVIEW BY DATE YARDS LOT COVERAGE Z FRONT SIDE REAR Z REMARKS Z a J a CHECKED BY )TYPE OF CONSTRUCTION ) CODE )HEIGHT SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD ❑ YES ❑ NO REMARKS Z_ D J PLAN CHECK FEE BUILDING PLUMBING MECHANICAL VALUATION I FEE fL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, FENCE marquees, etc.) will require separate permission. SIGN Permit Application: 180 Days Permit Limit: 1,Year- Provided Work Is Started Within 120 Days RETAINING WALL V) "Applicant, on behalf of his or her spouse, heirs, assigns and SWIMMING POOL W successors in interest, agrees to indemnify, defend and hold harmless i the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, a x arising directly or indirectly from the issuance of this permit. Issu- a ance of this permit shall not be deemed to modify, waive or reduce TOTAL AMOUNT DUE J any requirement of an city ordinance nor limit in any, way the = City's ability to enforce any ordinance provision." ATTENTION APPLICATION APPROVAL 1 hereby acknowledge that I have read this application; that the in- formation given is correct; and that I am the owner, or the duly author- THIS PERMIT This application is not a permit ized agent of the owner. I agree to comply with city and state laws regu- AUTHORIZES until signed by the Building Official or lating construction; and in doing the work authorized thereby; no person ONLY THE his Deputy; and fees are paid, and i will be employed in violation of the Labor Code of the State of Washington WORK NOTED receipt is acknowledged in space pro - relating to Workmen',s Compensation Insurance. vided. SIGNAT F,-(OWNER AGE -T) DATE SIGNED INSPECTION DEPARTMENT CITY OF DIRECTOR'S SIGNATURE EDMONDS DATE THIS SITE IS'LOCATED IN THE CITY 775-2525 OF EDMONDV LOCAL SALES TAX SHOULD BE CODED 31.04. ATTENTION j ORIGINAL —File YELLOW — inspector IT IS UNLAWFUL TO USE OR OCCUPY AIBUILDING OR STRUCTURE UNTIL A FINAL• INSPECTION HAS BEEN IMADE'AND APPROVAL OR OCT +y PINK — Owner GOLD — Assessor A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. :'_Uu 102-7a o i�.•L e A d _ � ,s- .� --�' _ =�-=� � - Yam.-� _ -- - -�, - --��._ .. - •`- b -L L �`fy �9 Irk �D�ia-VD 5 CITY OF EDMONDS _ BLDG. DEFT. ------ CONDITIONAL -PERMIT WORK. ADDRESS. OWNER. .� APPROVED DATE. BY lBLDG. OFFICIAL i KEEP THESE STAMPED PLANS ON jOBSITE FOR ALL INSPECTIONS PERMIT NO. I SHEET OF IN A&WIV lb DRAWING NOTE: THIS OVERALL SITE PLAN IS NOT A SURVEY OF THE PARENT PARCEL. THIS DRAWING IS BASED ON INFORMATION OBTAINED FROM THE WESTIN GROUP, EDMONDS, WA DATED 10/16118 ADJACENT PROPERTY- ZONING: NA (RESIDENTIAL) USE: SINGLE FAMILY RESIDENCE I ANTENNA INFORMATION ANTENNA MFR. I STELLA DORADUS ANTENNA MFR. STELLA DORADUS ANTENNA TYPE 26SD9890 ANTENNA TYPE 26SD9890 AZIMUTH2sD kAZJMUTH 9 DOWNTILT TBD DO LT TED N H. SEPARATION NA O Y� UK B ANTENNA MFR. STELI DORADUS ANTENNATYPE 26SD98M 140• DOWNTILT TBDNA P I N N A C L E D E 8 1 O N O R O U P. 1 N Q ,:: [EOYL: H'E}ti.^.YJ EBYYEA.EfRE REb!btRTiAt ®®212 SAP RD,•203 BOTHELL, WA 98012 OFFICE 425-778-8132 FAX') 425-778-6391 PINE ST. (E) RIGHT-OF-WAY LINE d 21ti Y" sus y ' , (E) BUILDING �`.. )THE EXECUTIVE COND (E) BUILDING (CONDIMINIUM) Z =I: a W I•'T�J^I^'� 32* g CE) CO2 ELECTRICAL ROOM ' f (N) TX•1' CLEARWIRE AFREA f` ARKING t I LEVEL BELOW A , (N) PROPOSED CLEAT WIRE ANTENNAS t$ '. (E)BUILDING .(THE EXECUTIVE COND IMIN IUMS) CE)BUILDMG (CONDIMINIUM) �'."yac• =.e #p _ --Y�"` ti'- ` .. it (E) RIGHT-OF-WAY LINE clearw 0. nit 5808 LAKE WASHINGTON BLVD. SUITE 300 KIRKLAND, WA 98033 FORSYTH LANE OVERALL RITE PLAN -m SITE NAME: THE EXECUTIVE SITE NO. WA-SNO165-E 1001 5TH AVE S EDMONDS, WA 93020 A vtrof Gol� APPROVED BY PLANNING 10-1-1Il-10(0 -- P av►til avt+c*%v10L. Wt" tv vn u-K.tn WL47r of W Sfi1h 9 ('VN i mn� mod- MuSf 5C�rtCi10"1 D-'K}c 1/1 vt a 5 fY4w1 Vie,Ar- P w Irk A a.r► t +1) EGDL 2.010.0+0- k-3- ADJACENT PROPERTY: ZONING: NA (RESIDENTIAL) USE: SINGLE FAMILY RESIDENCE 1 O6 09 O6 PLAN REVIEW COMMENTS AH"BY:AH B 04 14 O6 ISSUED FOR ZONING AH A 03 13 06 ISSUED FOR REVIEW AH NO. DATE REVISIONS BY SCALE: AS SHOWN DESIGNED BY: RM DRA Zone P-M 1' S Corner X Flag_ Setbacks Required Actual Front r4 15 Sides r= t D I3D tD Aaar- 15 3 new Quiff W l S 3 9 Height 25 ♦ 6 N 1 L fre .JUN 13 2006 - BIACrry OOF EDMOONNDS PINNACLE DESIGN GROUP, WC. BOTHELL, WA OVERALL SITE PLAN coo STREET FILE RESUB �JUN 13 2006 ® LCCTV OF �pM �I I �. R/W - EOM 2" PE CAP 28'S CL & 75'E CL (_')S CL & i;_JE CL PINE ST 5 8"129'N I 1993 529 3i 3 o y UJ 5/8"40-N 527 1998 `q 1-3 �r 941T II i� Ftow y r,, 60' "1 �_. R!W ; TIE-INr \FUSE 28'S CL & 406'W CL (_')S CL & (_')W CL PROPOSED 2" PE IP MAIN i 28-S CL (_')S CL POWER, CABLE, & PHONE AT NORTHSIDE PINE ST ASPHALT N S E-Bound Lane �L W-Bound Lane 5' SIDEWALK 5' SIDEWALK • `-PROP. 2" GAS ► ► ► IX• WATER FITTER (CHECK BOX IF COMPLETE) 28'S CL 15'N CL 60' ROW Work area left in Clean & Safe condition ❑ ROADWAY CROSS-SECTION Complete all Pipe Tables and Gas Pressure Stamp ❑ N.T.S. Field changes Red -Lined on as -built ❑ Material verified and Changes noted on paperwork ❑ All Valve & Tie-in Locations noted on as -built ❑ Note beginning of Main, EOM & Line of Main locations ❑ Show Rope Locations & Cul-de-sac Radius ❑ Foreman's Signature Company Date STANDARD GAS CONSTRUCTION NOTES: 1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL "ONE -CALL" TWO WORKING DAYS PRIOR TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344 2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES. 3. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS. 4. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE. 5. ANY CHANGE IN ROUTE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY PSE GAS ENGINEERING SERVICES. 6. COMPLETE "PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST LEAD) INSTALLATION. 7. ACTIVE SERVICES DENOTED BY- XXXX 8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2500. 9. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT REDILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX . 10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS SHOWN ON THIS DESIGN UNLESS APPROVED BY PSE GAS ENGINEERING SERVICES. 11. SYSTEM MAOP DENOTED BY: ISYSTEM MAOP 45 PSIG 12. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL; OR BETTER CONDITION. 13. GAUGE AND MONITOR USE OF ALL STOPPERS AND SQUEEZES TO ENSURE ADEQUATE FEED. (USE MANOMETER FOR LP SYSTEMS) 14. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3400, AND 2525.1200. 15. COORDINATE INSTALLATION WITH CORROSION CONTROL- ----- --- -- PHONE --------- GAS MAIN INSTALLATIONIRETIREMENT Type/Work Pipe Size Type Estimated Length Actual Length Manufaclurer INSTALL 2" PE 175' GAS MAIN PRESSURE & TESTING TYPE TEST DATE ON -� - -TIME IPRESSURE ON -"-- TESTED BY DATE OFF TIME OFF TYPE TEST PRESSURE TESTED BY DATE ON TIME ON DATE OFF TIME OFF Design Press 60 SYS MAOP 45 PROJECT PHASE NOTIF# ORDER# rn a 0 SAP Superior Service/Meter Service/Meter Service/Meter Service/Meter Ind. Service Ind. MSA Dis. Reg. / FT HP Svc/MSA Relocate Retirement X160366566 107019956 X294479896 106128895 X490378001 X686563327 X513119401 Contractor. CONSTRUCTION COST CODES: 041-103-1 Project Manager Contact Information: PATTINESS CELL: 425-327-2783 EMAIL: patti.ness@pse.com REV# DATE BY DESCRIPTION 3 2 1 COUNTY EMER SECT SNOHOMISH 5 1/4 SEC OP MAP N W-25-27-03 164.062 Vicinity Map WORK SITE ST Q o = o tB WALNU yJ HOLLY DR HUWELL WY rn NCKOLIA r `*FAT�_WD tlr S DR itt� `r H� � xl HEMLOCK ¢ yy � LAUw ML 10 TH Q Cl1 C FIR to l FIR PL FIR FL � m ELM M ST ur E S y11�IT CU46 02 Owner/ Developer Contact Info ENID HAAG 10015 AV S, #105 EDMONDS, WA 98020 ATTN: ENID HAAG 425-775-7204 office a CALL (800) 424-5555 rn M 2 BUSINESS DAYS BEFORE YOII DIG M THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES � REAL ESTATE/EASEMENT PERMIT o NIA EDMONDS N FUNCTION CONTACT PHONE DATE PROJECT MGR PATTI NESS 206.418.4237 4/10/04 ENGR - GAS DRAWN BY CHECKED BY GAS WK CTR APPROVED BY MCNSEG CP APPROVAL PLAT MAP 164.066 MAPPING JOINT FACILITIES ARRANGEMENTS JOHN MOSS PATTINESS PATTINESS UTILITIES CONTACT PHONE# PUGET ENID HAAG SOUND ENERGY 2" PE IP MAIN EXTENSION 1001 5"S, #105, EDMONDS, WA 98020 DESIGNED BY PILCHUCK CONTRACTORS INC. 206-418-4253 4127104 206-418-4237 J 206-418-4237 ;;, 7 IF N m Z co _ D_ U U Z 'm O Z r. o Y U 7 SCALE: PAGE: 1" = 50' 1/1 ai w U n. 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I i � � - ". �., 11 ; ""', . 46' -7e) ,C ,ft --j F! � , . _,.:�, F-_, , ',,�, h v LANASCAPE SPECIFICATIONS ,y OCTOV Dt� 29'1 � Gill Nf�NG DEP?S ... APPROVED -TATE OF Wx NO �a7:.# t1 tt.. 41 js z !ra .,r4 -. .. ... . { .. �, - .. _ ... .. ... .. ... ..: � -,. .!�� ,.. .Ln! ,. ,♦: Q{i � {.1.� ;{i i ��;{.�{Mr .,:�r'�✓ : .� �'T�!1+'jr' + � � j jp `+i. 5 iil-*- }j''` .... . L)" Y : (.+i`l W U&tk fIANT5 "i u" �GwM' _ � _+ frt�i4N 1 (-+0_W M i.:. ..... y{'��/.. rwTr is ✓SN.I � # l+ . Yd _ . ... _ General a.. Plants to be in vigorous health, relatively free of pests. b. Plants out from larger sizes to meet specified sizes not acceptable. c. Plants to be nursery grown stock, except Aspens and Salal may be collected and nursery grown for one year. Leader to be intact on all. trees. d. Plant tags: One of each group tagged with common and botanical names. e. Minimum 50 of all plants to be largest size specified. f. No substitutions bermitted without written authority. g. Plants must be true to name per current issue of "Standardized Plant Names", published by the American Joint Committee on Horticultural Nomenclature. h. Guarantee all plants for 60 days after final acceptance, Materials a. Top o.il: upland sandy loam, fertile, friable, able to percolate moisture all seasons of the year, obtained from naturally well -drained areas and possessing characteristics representative of productive soils in the vicinity. Soil must be free of noxious weeds, roots, rocks larger than 1" diameter, debris and other materials detrimental to plant growth or objectionable in appearance. Peat soil is not acceptable. Existing topsoil on the site may be used if it meets this specification. b. Mulch: Pine ground bark, not containing resins, tannin or compounds in quantities which may be .detrimental to plant life. c. Fertilizers: For ground cover areas: standard commercial grade 10-10-10 analysis with 5QiZ of nitrogen derived from urea formaldehyde, uniform in compomit tali, free - flowing and suitable for application with approved spreaders. For trees and shrubs: 21 gram fertilizer tablets, 20-10-5 analysis. d, tutor: Available at no cost to contractor from 'standard hose bibs on buildings. Planting Procedures a. Treei and shrubs: Excavate tree holes 12" larger than and 8" deeper than root ball, ;shrub holes 8" larger than and 6" deeper than root ball; Set plash in na,t- vial. growing position and at Irrade originally grown; Bac.kfi ll around roots with tit z i:i:e y After backfilling halfway, ptit in fert.ilizo r table}ts, 4 •l:rbltI t.f. per trc �I Z0 00 J UJ and is wableto per nbrub, except stye tablets for larger transpl.iuxtod rhododendrons . t,=ate;^ thoroughly to fill voids around roots; Leave <a 2" deep water collecting basin around the base of plant. b. Groundcovers: Excavate hole 1211diameter and 12" deep; Set -plant in its natural Crowing position and backfill with topsoil. After planting and before mulching, broadcast 10-10-10 commercial fertilizer at a rate of 15 pounds per 1000 sq. ft. L!� over entire area, then mulch. UJ c. Mulching: gulch all plant beds with a minimum of 21' deep bark mulch as ,specified. d. Maintenance: Maintenance of plant materialsfor a minimum of 30 days after plant- ing last plant, :includes watering, plant replacement and necessary functions to brink; all plant materials to a vigorous, healthy growing condition at the time of final inspection. C a 0 e. Inspection: All materials furnished shall be subject to inspection and approval Q of Landcscape Architect any time during the progress of the :cork and until completion. All plants rejected, dead or missing; shall be replaced with name species, variety, size and grade by contractor before final acceptance. Any rejected plants are to be removed from the site immediately. � Clean up: *..J a. The contractor shall keep the site reasonably clean and free from debris, discarde ; plant pots, etc. at all times. CD b. Upon completion of the planting operations, the contractor shall generally clean ftuej up the site, sweep the sidewalks and other pavings as necessary, rake the beds as necessary and generally leave the site in a finished neat condition. `•. z r ON ALk,- Ti p IIItt . J; JOB NO. , '7 DRAWN. BY4':S1 _...... 1ET FILE CHECKED BT VCW .. � J AAL D BELL EwL I f ctri _ ira 'OATr.76, € 4i stzt,)WF ". SHEET { --�- .: OF ., A)D8-/30 - %� 0 L W 1005 FIELD NOTE: CREW TO FIELD LOCATE MAIN. IF MAIN 15 BETWEEN WATER AND SEWER, OFFSET 3' SOUTH OF NORTH CURB OR 15'N OF CL. w LF v Ss s ss ss I PROPOSED 130 ' I 2" PE IP MAIN 3'S PL (--- ')S PL EOM 2" PE CAP 3'S PL do 104'E C1 (--- ' )S PL ( )E CL PL 0 T PLAN SCALE: 1 - 50 TRANS. FIT. & TEST LEAD 3'S PL & 416'W CL (--- ')S PL (--- ')W CL TIE—IN 2" SHORT STOPPER H-17190 3'S PL & 414'W CL � (_— )S PL d (___')W CL 529 v 00 tV 03 Cn�..- IP GAS FLOW U0 r- ) s r �'' �S">"�� rC✓ f {s SS SS SS SS — ss FORSYTH LN .LQIE: OVERHEAD POWER FORSYTH LANE PHONE, CABLE ASPHALT CL S 18' Lane0-411— 18'� N FITTER (CHECK BOX IF COMPLETE) 5' SIDEWALK E-bound W-Bound Lane 5' SIDEWALK Work area left in Clean & Safe condition Complete all Pipe Tables and Gas Pres�:ure Stamp ► ►• ' ' �► Field changes Red -Lined on as -built ► Material verified and Changes noted on paperwork ► :• ,► ► ', ► °- ° All Valve &Tie-in Locations noted on as -built ° ° Note beginning of Main, EOM & Line of Main locations EX. WATER Show Rope Locations & Cul-de-sac Radius EX. SEWER 50' ROW 0 CL PROP. 2" GAS VS CL ROADWAY CROSS-SECTION 15'N CL Foreman's Signature N.T.S. Company Date STANDARD GAS CONSTRUCTION NOTES: 1. FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE -CALL" TWO WORKING DAYS PRIOR TO TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344 2. NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIRMENTS). 3. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES. 4. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS. 5. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE. 6. ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE. 7. COMPLETE "PIPE CONDITION REPORT" ON ALL METALIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST LEAD) INSTALLATION. 8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2500. 9. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX. 10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE. 11. SYSTEM MAOP DENOTED BY: ISYSTEM MAOP = -45-- PSIG 12. GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED. 13. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION. 14. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200. 15. MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400. 16. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH. RICK KESSLER PHONE 206-571-7908 17. NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS -BUILT IN RED. ( ) DENOTES FOOTAGE BETWEEN FITTINGS. GAS MAIN INSTALLATIONIRETIREMENT Type/Work Pipe Size I Type Estimated Length Actual Length Manufacturer INSTALL 2" PE 130' GAS MAIN PRESSURE 8 TESTING TYPE TEST PRESSURE TESTED BY DATE ON TIME ON DATE OFF TIME OFF TYPE TEST PRESSURE TESTED BY DATE ON TIME ON DATE OFF TIME OFF Desi n Press 60 SYS MAOP 45 PROJECT PHASE NOTIF# ORDER# O SAP Superior Service/Meter Service/Meter Service/Meter Service/Meter Service/Meter Ind. MSA Dis. Reg. / FT HP Svc/MSA Relocate Retirement X395211231 107021650 X327622222 106139979 X893201054 106139983 X856401541 106139981 X799526169 106140005 X352048520 106140007 Contractor. CONSTRUCTION COST CODES: 041-103.1 Project Manager Contact Information: PATTINESS CELL: 425-327-2783 EMAIL: pattl.ness@pse.com REV# DATE BY DESCRIPTION 3 2 1 ,OUNTY EMER SECT SNOHOMISH 5 A SEC OP MAP N W-25-27-03 164.062 Vicinity Map WORK SITE HOLLY DR + L41 ^HEHLOCN� OR _11IM"T LN to NE 1 .FIR ` K r ^vt EL S. r Owner/ Developer Contact Info BEVERLY BASIC 10055AVS EDMONDS, WA 98020 ATTN: SAME 425-771-6338 office CD 4 CD IV t�>r1 Ca CALL (800) 424-5555 2 BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES REAL ESTATE/EASEMENT PERMIT N/A EDMONDS FUNCTION =CONTACT PHONE DATE PROJECT MGR I P. NESS 206.418-4237 10/29/04 ENGR-GAS DRAWN BY CHECKED BY GAS WK CTR APPROVED BY MNSNHG CP APPROVAL PLAT MAP 164.066 MAPPING JOINT FACILITIES ARRANGEMENTS UTILITIES CONTACT PHONE# :: `'<. :,• PUGET BEVERLY BASIC SOUND ENERGY 2" PE IP MAIN EXTENSION 1005 5"S, EDMONDS 98020 DESIGNED BY PILCHUICK CONTRACTORS INC. P. MCGHUEY 206418-4214 11/8/04 P. NESS 206.418-4237 kl- P. NESS 2064184237 1I -p1 RICK KESSLER 206-571-7908 ;AP Superior Order: 107021650 Drawing Number: NIA SCALE: IPAGE 1"=50' 1 111