1006 OLYMPIC AVE.PDFiiiiiiiiiiiiii
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1006 OLYMPIC AVE
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT 1 0
Call 175-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ............ iCSnCcl --- .................... . .........................................
PROPERTYLEGAL DESCRIPTION..................................................................................................................................................
.................................................. ..........................................................................................................................................................................................................
................................................................ OlVNERANDIOR BUILDER.....----.-. C-A
i ............ * ------ -- . ...... * -------------------------
*ACTOR'S NAME & ADDRESS....... . ............ ........... .................................. . .......................................................
R
Permission is granted ..... 1/14
'.�*11 I'V .................................... 197!.C4:for repair and/or connection of a side sewer to the city sanitary sewer
AWin accordance with City of Edmonds ordinances.
NTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Rlght-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends In grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6--It, is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDp Date..._ ................................... By........----.... Date .............. By................ Date.... ......... . ................... By ---__-------
Date ......... .... By .. ........ .................................................
APPROVED ......... . .....................................
Remarks: ....... . ...............................................................................................................................................................................................................
..................... ........................................................................................................................ . ............................................. .........
Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
-------------------- ---- hereby certify that the side sewer installation constructed under this permit
er of ing Firm Per
ing Construction)
nst+d Jong ordinances of the City of Edmonds.
Dated this ..... .............. day - of ....... I. A00V;(4*1;7 ................................... 19-776
Vv 6,.Ck BEFORE you dig for: Water E], Gas 0, Telephone E], Power E], Sewer v,_
E] Other 0 V
4i
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE): —7�( a,-i
COVENANTS(RECORDED)FOR:
CRITICAL AREAS : -c� � - DETERMINATION: ❑ Conditional Waiver Study Required
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:_[ C) AAR
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
L:\TEMP\DSTs\Fornis\Street File Checklist.doc
STREET FILE
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application:
1006 Olympic Avenue
DEPARTMENT
COMMENTS
DATE
WATER
3 . __ 7j
S T R E E T
c s - 7' aj c
S E W E R
75"
N 0 T E S
BUILDING
DEPARTMENT COMMENTS
C7
BUILDING DEPARTMEN
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
L//�► o/
MAILING ADDRESS
3 2�-7n3 --- / 11
CITY TELEPHONE NUMBER
4
U
F
;RES$
'-N)(/ sly 46E77741-A
Applicant Fill
Inside Heavy Lines
PamRt4o) 0-1 --302-z
NAME / / f
11-6
O ADDRESS
W CITY TELEPHONE NUMBER
G /vvu A.lh S 177L9--76-za
STATE LICENSE NUMBER I CITY LICENSE NUMBER
� 'A3-o/- 7®oS—
Legal Description of Property (Show Below or Attach Four Copies)
USE PERMIT
ZONE qW NUMBER
JUi3
ADDRESS / D D
RECEIVED
1UN
LOT COVERAGE t%OT C06/ERAGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
' LEGAL LOT VARIANCE OR CONDITIONAL USE
YES ❑ NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE: I
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY z
G
COMP. PLAN ST. R/W ............FT. ............FT. W
REMARKS zW
rr
z
w
SIZE
CHECKED BY
TYPE CONNECTION I VERIFIED BY
PERC. TEST I PERMIT NUMBER
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
D YES NO
SPECIAL INSPECTOR REQUIRED
GROUP
21
❑,❑
NEW
ADD
ALTER
® RESIDENTIAL
NON-RESIDENTIAL
El
GAS
LINE
SIGN
RETAINING
WALL
FENCE
-❑ YES ❑ NO
(OCCUPANCY
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
OF ED BE CODED 31.04.LSALES TAX
DEMOLISH
r;Cj EXCAVATE
REMARKS
❑
REPAIR
❑
OR FILL
N� MOVE
^
1 f
(.......... x.......... Ft. )
swim
POOL
UMJJk;H OF STORIES I NUMBER OF
O16 DWELLING
�i/ UNITS ObE
ATURE OF WORK TO BE ]DONE
-- • - �- . _ ...
Plan Check No .....................
z
BUILDING
aPLOT
PROPOSED USE
PLUMBING
PLAN (Indicate Building setbacks, abutting streets) -
HEAT & GAS LINE
FENCE
O
'+
SIGN
tRETAINING
WALL
N
POOL
ISWIMMING
DEMOLITION
PRE -MOVE INSPECTION
'
EXCAVATION OR FILL
C
r
Valuation I Fee I Receipt No.
t' SCI1TnnUL7
- PARCEL A
THAT PORTION' OF TRACT 20 j PUCE? SOUND MACHINERY KPOT FIVE
TRACTS ACCOf2DING TO THE PLAT THEREOF RECORDED IN
VOLUME J OF PLA"JS)ON
PAGE 471 RECORDS OF SNOHOM I SH . COUNTY, WASH I NGTON1
DESCRIBED AS FOI.I oWl ;
BEGINNING AT A POINT ON THE NORTH LINE OF SAID BRACT 20, A DIS 7Ai;Cr OF
7G3,OO
�s
FEET EAST OF THE NORTHWZPT CORNEn THEREOF;
`
THENCE S O°LCtC'i" E
PARALLEL WITH THE WEST LINE OF SAID I f;AC7 20A DISTANCE
OF 203,
7HE'!CE EA T, A. DISTANCE OF 50,00 FEET; THENCE N c l
10,00" E,
OF 85103 ;FEET; THENCE N 0*29'CO"' };r' A D1 ,TA?iCE OF
A DIS74PCE
2O,C0
, .
I t 1
1\ .4 L. O��I+,nTU 1'�'`. A DISTANCE OAF 50.74 T; E N
%FEE THENCE
FEET THE;;Ci
240 i 0" 1/ A •
�' i o i D
'``;r?�•r'< _ ;�OF.'.J0,,,74-FEET;,THEtKCE N 0°29100" W) A DISTANCE OF
I ;7..t;CE
MOD
SECTION -WITH THC .I`:ORM L INE OF. SA I D TRACT 20; THENCE
FEET TO AN INTER-
WEST, ALONG
NORTHftINy A. DISTANCE OF 60.00 FEET TO THE POINT
SAID
OF PEGINNIP.G.
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APPLICATION
TI& ' for City of Edmonds SIDE SEWER PERMIT EASEMENT NO- --------------------------------------------
�-a r
NEW CONSTRUCTION 0 REPAIRS ❑ LID NO. ..... .%---------.ASMT. NO- ------------------
OWNER L L�.YVREN c-- 01 1.._E�s�Y �G1 SS 1�15�N ��
•-• ------------------------- CONTRACTOR PERMIT NO. ..... .............
ADDRESS .� _-- L-YMP1G 1��/ENv� LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. ------------------------------.----.
r,
------------------- ------------------------- ------------------------------------- ---------------------------------------------------------------------------------
NAMEOF ADDITION--------------------------------------------------------------------------------
_lam-------
1 1 /75
114' City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION P�-- REPAIRS ❑
OWNER------------ 0 -------- c- /---. ----------
JOB ADDRESS --- 426 --------
i
EASEMENTNO- --------------------------------------------
LID NO- ------------------ ASMT. NO. ------------------
CONTRACTORIks ------ u2w.,�ez) ----
LEGAL DESCRIPTION: LOT NO- ----------- -----------------------
Approved:
------------ PERMIT NO.
BLOCKNO. -----------------------------------
DATE-------------------------------------------- By ----------------
PLAT OFSURVEY FOR LA' .•...--MrV At CA
That . rt i on of Tract 20 FFi e Machinery i n
po t get Sound ac ery Depot Five Acre Tracts, according to the'illsplat the recorded in Volume 5 of Plats, on page 47, records of Snohomish County,
Washington, described as follows: Beginning at a pofdt on.the north line of said -Tract
20, a d-l:stance of 163.00 feet east of the northwest corner thereof; thence SO'29'"00"E,
parallel with the west line of said Tract.20, a dtstance.of 203.60 feet; thence east,
a -distance of 50.00 feet; thence N81°16'00"E, a distance of 65.05 feet; thence NO°29'00"W,.
a distance of 20.00 feet; thence H42'24'46"W, a distance of 50.74 feet; thence 11424"16'170d,
a distance of 50.74 feet; thence NO'29'00'V, a distance of 90.00 feet to an intersection
with the north line of said Tract 20; thence Kest; along said north line, a distance of
60.00 feet to the Point of Beginning
30'
N. W. Corner of Tract 20
301
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— — - �- ----A— —50.00 — Z
0 -0� Na1'1610Q E -
1 65 05 /
0 \ 50.00'
N EA ST
ACCESS AND UTILITIES EASEMENT
7 at
_ . SET IRON REBAR WITH PLASTIC CAP NO'D. 45G1
OO = SET BOAT SPIKE IN PAVEMENT
o = EX15TI-NG TACK IN PAVEMENT
® = EXISTING "PK" NAIL IN PAVEMENT
0 = EXISTING IRON PIPE
REiD, MIDDLETON
&
ASSOCIATES,
INC.
CONSULTING ENGINEERS & LAND SURVEYORS
EDMONDS &
EVERETT. WASHINGTON
DESIGN
DRAWN
CHECKED
DATE
FIELD BOOK
SCALE
FILE No.4770
G. W. L.
7-1 0_ 751
375, p•GO
1" = 30'
SHEET 1 OF 1
Site address: 1006 Olympic
Edmonds, WA 98020-2513
Parcel ID # 00548900002011
Legal description: PUGET SOUND MCHY DEPOT 5 AC TRS BLK 000
D-11 BAAP ON N LN OF TR 20 A DIST OF 163FT E OF NW COR
THOF TH SOO*29 OOE PLW W LN SD TR 20 A DIST OF 203.60FTTH
E 50FT TH N81*16 OOE 65.05FT TH N00*29 OOW 20FT TH N42*24
46W 50.74FT TH N24*16 10W 50.74FT TH N00*29 OOW 90FT TO AN
INTERSECTION WITH N LN SD TR 20 TH W ALG SD N LN 601 f T TO
POB
Lot area:.36 Acres. (15,682 SF)
Lot coverage: NO CHANGE
Existing home - (2060 SF) and open / covered porches
TOTAL NEW structure coverage - -0- square feet
PERCENT NEW COVERAGE - 13.1 %
Impervious coverage: NO CHANGE
Project description: Reconfigure / remodel 590 SF for master
bedroom. Eliminnate two existing windows.
Project valuation: $75,000.00 . -
------ 8030XOXSL —
— — — — — — — — —
21'-6 1 /2"
MOOTING PLAN NORTI-��
A 1A11 _ Ar All 200.0'
46'-7"
p�0
0
Existing home
a)
0
C � �
/ 9
Q
U
-a
Et,
O
O <V
NORTH N
a)
w Driveway r'
urnCS(
- -
a
�l rocess shall be
•-- -- in this permit approv>l
Nppr ink as allowing or permitting the
intl3. __ ._ - wsrentlp ezyst�n$
maintenance ot" aet, witted ba►iding, stru
no, nr h . outside the scope of the
or site condition *t" lut of whether
•---
g, Structure or
itioii ie-aho�'o� or
or drawing. Such building, strums
lan be the subject of a sePare►te
may >. - ----
w
55 3
SITE PLAN
I. = 20'-0"
"o
bo
:a of
(Hats
85.0'
S
L
(1
d� An:
�, (3 RECEIVED c
val
i h 9
OCT 2 6 2001 34
i BY
20.0' BUILDING DEPT.
-------------
STD
EET FILE:
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