1009 VISTA WAY.PDF1009 VISTA WAY
i r 1� r.,_� �,..w :m�. y+Z• d ���i w:,xa:sx .:tit v�� c� '.i'.'. ,, �..i.:w'.� ."nv.; ti J'v,:;.
t
a
Z
O
w
U
94
O
w
CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. • Owner: Washington Natural Gas Company
Name
815 Mercer Street
Mailing Address
Seattle, Washington 98111
Ci9TRE
State Zip
FT FIL
RECEIVED Permit No. 91--=3 I S
u� 1991 Issue Date 9 -
B. • Contractor:
�ti
��'I-
State License Number Telephone Number
C. a Address or Vicinity of Construction: 1009 Vista Way
Type of Work to be Done: Insta]!/ 1k,�PE IP Msin in,V4to Wi3•y-'friom 18' east to 238' west
of the centerline of 11 Avenue North per drawing #910-237
J#6043-3) (2)
60 Work in Connection With: ElSub or Plat r ElSingle Family El Projects.
❑ Commercial ❑ Multifamily W Utility
E. • Pavement Cut: ® Y ❑ N F. • Size oticut: 2 feet X 4 feet (Over Watermain)
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, forseen or unforseen, 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, cour - ' sts, and attorney f es y 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.
Name
Mailing Address
City State Zip
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant. $'
a
• A 24 hour notice is required for inspection;. Please call Engineering: 771-3202
• Work is to be inspected during progress and at completipr-
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature:
Date: September 13,1991
Owner or Contractor .
This Permit Must' be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: RVi/ G
Time Authorized: Void after �Z�1 1� days.
Special Conditions: )vA-
RELEASED B _ ate C7!
PERMIT FEE: :SC) c tft-) A
Restoration Fee:
Receipt No.:
Fund III Fee:
Street Cut Dimensions: x
INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
=$
Date
Eng. Div. March 1989
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
CITY OF EDMONDS ✓•
PUBLICORKREPARTMENT, ENGINEER* D OSION
APPLICATION FOR RIGHT-0E.41AY CONS TRUCTIQN PERE^IT
THIS PERMIT MUST BE -AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A. Permit to be issued to: b,k--G16,_.2 "
For Work at:(addr/ss or vicinity) A';e�
Type of Work to be done: 0-477y-4 x5sS!✓1
(attach drawing when applicable)
Time Required -- Start: Finish:
Owner:
J44MA&Aly-
Nam'e� -,m T
� ST
Mailing Address
3
FILE
City State Zip Telephone Number
Contractor:-�Yr/1.4 f,a
Nam
Mailing Address
City
State Zip
State License Number
v'
. Y 1
2
Telephone Number
B, 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 applicant or 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 fi6al+inspe'ction 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 sub-j-ect to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times. "��
Signature: `'u Date:
caner or A tit
TO BE COMPLETED Y ISSUING AGENCY:\ -7 �g �
Date Issued: c3 Permit No:,: Fee:
Security Bond: P?1d
Time Authorized:
APPROVED
10-771v (Revised)
ate:
IFiI':S I KEl1UlKU9EEN1b AKr. "iU 13E UTII II ll i1V (,O1�fJU1QCTIOIQ WITH THE M.U.T. C.D. MANUAL, PUBLISHED
BY THE DEPARTMENT OF TRPTPORWION, WASHINGTON, D.C..
CITY OF EDMONDS
- PUBLIC WORKS DEPARIMENT -
Construction Traffic Control Requirements
This notice is to set forth basic safety principles and standards to be observed by
all those who perform work in a public street, to provide safe and effective work
areas and to warn, control, protect, and expedite vehicular and pedestrian traffic.
General Requirements for Traffic Control Devices. Two-way traffic must be maintained
during work performance whenever safe conditions are possible. Maintain all necessary,
traffic control devices in proper condition and locations on an around -the -clock
basis until final work is completed and approved by the City of Edmonds. Provide
"Construction Ahead" warning signs,in advance of the work area in accordance with the
following speed conditions: Under 25 m.p.h. 500 lineal feet; over 25 m.p.h. -
1,000 lineal feet. Use of high-level warning signs is recommended on all streets,
especially in restricted sight distance areas.
_.__..___.. --.Street. Closure Requirements. _(Refer._.to Figure.. 6-4) ... '.'Street. Closed"._ signs.. and properly_._.
worded barricades, indicating street closed, in accordance with Manual on Uniform
Traffic Control Devices and City Traffic Code shall be provided at the nearest. inter-
sections to the work area which will allow an adequate traffic detour routing.
Directional "Detour Route" signing shall be provided at all turns throughout the
detour route on streets of heavy congestion, high volume, on -unusual directional
routing. Local access shall be provided whenever conditions allow safe passage.
Advance "Detour Ahead" signs shall be provided 500 feet in advance of the detour
route intersection of work involved.
The _Police, Fire, and Public Works Departments shall be .notified of the actual street.._ __.__ _ _...
closure location and period, both at the beginning and end. Streets shall be reopened
immediately upon completion of the actual work requiring the street closure.
It shall be the contractors responsibility to notify all abutting property owners
prior to commencing any construction which may impede traffic flow or cause the
temporary suspension of utility service. Notice should be provided 24-hours in advance.
if construction when possible.
Channelization of Traffic Lanes for Two -Way Traffic Without Provision of a Flagman
Refer to Figure 6-7 . Provide advance warning signs 1,000'lineal feet in advance
of traffic lane channelization markings or as stated for...traffic.speed conditions.. _._. ...
"Detour" or "Lane Change" warning signs shall be provided 500 lineal feet in advance
of traffic lane markings.
Cones or barricades shall be placed at a 15.to 30 foot_spacing,.in a tapered line, _..
at the lane change section for a distance of 100 to 250 lineal feet. For traffic lane
channelization, barricades are required to separate the actual work area from the
traffic thoroughfare routing.
One Lane Channelization for Two Directions of Travel With Provision of Flagman (Refer
to Figure 6-5 and 6-6) . Advance warning and lane change etour signs placed at
1,000 and 500 lineal feet, respectively, in advance of traffic lane markings.
Barricades are required to separate the actual work area from the traffic thoroughfare
routing. One flagman is required at work section areas of short distances.
Two flagmen are required at a work section area of long distances or when end of one
lane section is not visible from one end to the other. One flagman, only, is to be
designated to control traffic direction changes.
Flagman must possess a card certifying completion of the State of Washington,
Department of Labor and Industries Flagman Course.
State Highway Roadway Locations (Refer to Fig. 6-5 and 6-7). Advance warning and one- f
Zane detour traffic signs placed at 1,000 and 1,500 lineal feet, respectively, in
advance of channelization markers. Distances may vary as to existing speed conditions.
Lade change channelization taper markers placed at 30 lineal feet spacing for 300 lineal
feet in advance of work area. Other requirements as described for two-way or one -lane
conditions shall apply.
(Rpm c mA 9 / 7R l vl - (1VR R -
• ,
JL_J"L_j7
i
li
4
IJ MG
tlOVI]0
11�1
a1S111 1111IS 5,--1
lit
c 0,_o,
o Trw lQ Bur�w I \� I
•�u Niil�il\ w:� rin.�
.1
T n.,
Fig— 6-I. Trplcel epplirofjG_d.rear riyninp re+ t,@N _sf' wf,e preird Iw a .Md
prid.
FL.A. MAN
5n!J FT
Truck or hafresde with
w wu dnD Iigha
KEY
W* Flaprwen
�1
•
e�
FLAGMAN
500.ii
+�
3
ONELAN
ROAD ll
J,lOFi l
ripen d-E. Trpice/ ppplitefiew-rndnpwwn
prrorien. e/ fAu1 Ierefiew W e SJM
• 1*
Wnp 6pn u,ul c.
m Op-d. hlron t_�
.1 Oebw
wo.l a•• Iron �L �,��
vay.me.wr
Li0,. slwid 6. previdad
111 O.
. .••iw s.•e M ' od�fq d n�pM.
NCI1J0N1SN0? o sn . visiblo
' CN3 �---t eepropcMrq nothc
I FLAGMAN
I ` 500 FT .
i ONE LANE
' t ROAD
rl
I�
KEY I';'. ROAD
€-'Fi,gn I EGrrSTeL' _N
1rp.lu-id. \ 15GO Fi
C 1)lfm I
..:J
I'i�r. e•-1, frpirpl eppnc.rienr e/ h-Ml .enrrol d.rre.. w !Jane hieAwep where Me
I- i. cfuN.
' i as�xn:a
4^tl N i - H � Tndw.vldiY mil
�� �a .� 1nnw.0irry wN
a www.wnww•
rAiE: a N
lI.Vk
d ace I A M
1• N•.e rd .dud ^a t A
w«a:.,rs e5 a (/►vim_
pwwI. wwwd a: �M
a ✓�
•• rw,ddr..r A
a 1
~4
s
J ;V14
i
ID.0
�= f E047piKta71
11 :Yllt
I -I— 6-7. Irpk i eppnMien.�Jane ewll.11N .e/eq .Ain Ael/ M IOslwq M
. - de..d.
00
DATE:
STREr".-T FILE
14EMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT: 4074 2 iyGTGrYieN//�/�ifov �so9-V's1�s�y
�fir�dlcw. //
After review of the subject building permit application, we have
the following comments:
.►e64
A/w q ci. /G/�e�s �i�✓.Gr� ®✓Dw,r� SCCI�4Q
-r rQ � ��•�.clt w�iL�� O�\. •
,4ese A. '&A A- *0%- La-
~ d I Tip L- X. w /%�L4& T bao 4.t .LX a ge *� d
G � �,/ s� Q e� ✓Gv ✓ �; �� l � ✓ i s i � �� d"i4 K.. a -�
SK.i Ta � lit �� t�i,/��vw e r pI.L e�✓4 Y E. � . I �4 w.. So i
�s vc e-eu- n I_ e I- G �A. 1/ .c �� ✓�S i� /d de ask S
APPLICATION
F;
The City of Edmonds
r, for
7 EASEMENT NO. SIDE--------------------------------------------
SEWER PERMIT
NEW CONSTRUCTION E REPAIRS ❑ LID NO ................... . ASMT. NO. ------------------
OWNER ---- ........ -------- --- c; -------------- CONTRACTOR ......
. ..................... PERMIT NO.
JOB ADDRESS --------------------------- LEGAL DESCRIPTION: LOT NO. -------------- ?—
.................. ...... BLOCK NO. ....................................
We
..................................................................................................................................................................
'kTAIXU t-%U AT%l-%TrTfNTT \" Jt:.. r F�- 'NI I F—E W
Approved:
------- B�Y� �- ... .......... DATE./9
";'`''Rg"""y, "`.a _ r.. r'rT- T' � ', L r`---* .-"Fil"j=" :if"' 7 -z-*. t +rP'-,-.xF•g^tT.."+^ ',�, r ��` `�
rvN .,r >•. f� •t ., s i. aL
�
eo
d@ DS�=4eS'ID,E`S'E�WER''PER�M�IY°
�WrATER'SEWER DEPARTMENT
PE+RM�IiT
gg �.. ra:• �L'7,ZtE r ( i I` �3 t f. �' , F. ✓ r ' �t..'� t
.; Call ,TT6r2626 Por side sower Inapectlonsf nF$ORE covering any portlon�ipf the* cone ruction
4'. -5 .,\•Ina""ton wlll''be provIded!.;withIn„24,houre after,requst:. NO Bat: Sun;;�or'hollday_Inepectlona/
AADDRESSuIEGCATION OF:•CONSTRUCTIay
ON
t J�
4
' PROPERT _;LEG'AAL DESCRIPTION::,......... SPEC' A uC - ea
.... .... -- ,
,:. } UWNER;AND/OR,tBUII.DER ..:��'4.1; �?!?15.� LTlC. ......... i.
...
r
1;iMNiTRACTUR'Sf NAMES&. ADDRESS:....-:::C:...�AS.: M..,F CC�....a S..:.. , . ,. i
�.. 1lnissionSis+ ranted,:; Nn�ream�c? t'::,1;,Q h for;re r and/or connection of •a' side, sewer to .'the olt sancta sewer
s m im accordance with'City'of{Edmonds ordinances
t.. I
—^ENTION.IB.CALLEDlTOrTHE'F,OLLOWING: k S
The>owneral-oP'Ithe`property may:'.obfaln-a permit ;to';construct'-aewer.'insIde.property>11ne A'licensed''Side.sewertContractor•muet.be•employed^,to conafrucY
;n�`6r: ;side:sewer in,etreeC,area:, Do, not.,cover'any-portion of, sewer beforell[;'has.been ,Inspected`
NOTE: No, t : AAIIS�work,performed•:lnzciiy,.rlihI-of-way requires, an invasion of -Right of Way'Permifrobta.lnable; from;the.*CityJEnglneerle'.offlce
GNO,TE/No1 3.Obtalnrfull(;informatlonregarding':Ordlnance 11:18'030cand: Regulatfone 'governing sidei'sewere when you lge4 permit.,
INOTE' Nc. 4=Top„oP side:aewer must •have,at ,least ,30;'fnches coverage^af property' line tandl 12 inehee tnslde.iproperty, line; -minimum. grade, of 2 Jo`' 'No ^bends in grade,, i •1
.sharper --than, a1%111.be'�permitted : -
Sr-Trenchm,inr�atreel: must ,be water-'settled),and� surface- of'etreet restored to; -original. condIll on.: -•Contractors shall:be•responsible fore faflumldue,"to improper ..
k ; - 1work.wtiiehi-may.develop• witfiln=one year' of(completion., - t •,- {�•. ' '@i,'r. - r;:
,.
NOTF].No.t18—It"fs'unlawful,aoualter>or`fdotany other;work.than':is>provI ed±Por,ln •the•:yerinit or to'do any,•work;ron`the mein: sewer,oc:its,"eppurtenanceeY+except;,to141n.
-r-?serf;tfie•pipe•:Into�,the,wye: y
•DISAPPROtVEW 1�i Date By,, Date : By Date By
,APPROV+EDA -i 'Date .... ,' d,�c. /��;;:,/:.. By ........................................................... ...
Remarks.............................................................°
...... :...... ..... .............. ,-,..-..... ,................................. ............
-......-..........:...
:-i
nr\J BOTH}.Petmltf Copies MUST' Signed By Owner 'of..,Fri Performing'Constructlom PRIOR To Request For Inspection a
t
I ... ... ..... hereby certify that theNside6ke*,er,installation+constlucted'.under.'this permit U,
't(Owner, 'Contracting Flrm Perfo}' IngConatruction)A.'
�'µ alms ailed"an{ ordanceiwith'a71 goay&Pning. ordinances of the Ctty of Edmonds
s; Datedl:,this '-. day'.of.-....... .. x ..., 18
J Jf Check BEFORE you dig for. Water• p; Gasp 3 Telephone Yp, Powe; �,, Sewer �, ' Other pi dry
t.':tfx, e,t,_'F E- -l:-s .t,f �,. •t"`•' _.f,.g.��.. d:..4 '�;",.s'.0
APPLICATION
The City of Edmonds for EASEMENT NO_ ..... _............ ___________________________
SIDE SEWER PERMIT
NEW CONSTRUCTION 2--" REPAIRS ❑ LID NO_ __________________ _ASMT. NO. ------------------
OWNER __ -_y iE '---------•--------------------------------- CONTRACTOR .--- Ct � Z- 6A.V Rct�' ......-•--•----•-•--.......... PERMIT NO. 4;M 3
JOB ADDRESS /GC'..... LEGAL DESCRIPTION: LOT NO. ---------- r'-`------------------------ BLOCK NO. ------•-------•--•-•----------------
--•---•--•-•-•-••-•--••-•-•.....................................•-•••---•----•--- •------------•------------•---------------------......--------•--------------•---
NAME OF ADDITION.........'.L_--•--------------------.----------•-------------------
1
i
f
Approved:
DATE-------------------------------------------• BY ............................................................
11 /75
w..
Akram.
'
�"J"°'�'�"'�.,,:-.�-� � •
USE PERMIT
BUILDING DEPARTMENT
ZONE NUMBER
Applicant Fill
-
,
PERMIT APPLICATION Inside Heavy Lines
JOB
ADDRESS -
NAME (OR NAME OF BUSINESS)
/
LEGAL LOT /
AREA
SUBDIVISION NO,
._
. "_' f r / .% "-fMAILING
❑ YES ❑ NO•^•-
F;IL7"
ADDRESS
Z J.- .•! /
� ' •"`. f
VARIANCE OR
ADB NO.
/ ; j' �" !�
1 fj"
0
COND. USE NO,
(�
CITY
TELEPHONE NUMBER
_
=
PROPOSED YARDS
HEIGHT
FRONT :.i= SIDE REAR
:` OBI
NAME
' ALLOWABLE
PROPOSED
h A
J
U /';'% / .-,r_.
SIGN AREA SIGN
AREA
IL
W ADDRESS
h
OTHER -
REQUIREMENTS i
'� f S y - '} ''r •I
=
(r CITY
TELEPHONE NUMBER
R
PLANNING DEPT.•APPROVAL DATE
`-
NAME
STREET R/W f
Z - !' %`', % + '•� +
EXISTING STREET R/W'+;-.,/.— 1 FT, DEFICIENCY THIS PROPERTY
0 ADDRESS
h
COMP, PLAN ST. R/W + FT. FT.
U
,�":
Z
F CITY
TELEPHONE NUMBER
REMARKS y�, �r r•, ter:�. I.'�l� L( .1
e`•
W
W
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
Z
W
Legal Des" igtion of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY ❑ YES
�
WORK REQ'D ❑ NO
'/. r{ ,. rr ,.;,, ��; rr^ f 14',Ce:r't
UNDERGROUND ❑'YES '
WIRING REQ'D ❑ NO
Z
0
F /t :f-fr % '-�• �'"'��'� - ''`%'"�
TYPE CONNECTION
VERIFIED BY
IL
/-r I ,fi.r r•^-
0 ,t
W
3
El PERMIT
SEPTIC SYSTEM
NUMBER
W
C _
APPVD BY CITY ENG. I %i ❑' NO
W
Q�.,_ - -.T i�� ..�- _ ,;�_. .. ;�"`.
UI
REMARKS
0 �
W
J f
METER SIZE
SERVICE SIZE
r(
CLEARANCE
CHECKED BY
w,
W
`
h
Q
REMARKS
❑NEW RESIDENTIAL ❑GAS
LINE
--
FIRE ZONE
TYPE OF CONSTRUCTION CODE
❑ NON-RESIDENTIAL SIGN
' Ir-
'
❑ ADD
RETAINING
DEMOLISH
❑
SPECIAL INSPECTOR
REQUIRED
GROUP.
OCCUPANT
WALL
JAREA
JOCCUPANCY
LOAD
❑ ALTER EXCAVATE FENCE
OR FILL El ( X_FT)
ElYES ❑ NO
. I .1
,IN
F-
w
PLAN CHECKED BY THIS SITE IS LOCATED THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE
REPAIR PRE -MOVE SWIM
Q
INSP. POOL
Z
p
REMARKS
NUMBER OF STORIES
NUMBER OF
DWELLING J
UNITS j
_J
m
NATURE OF WORK TO BE DONE
PROPOSED USE 't
VALUATION
FEE
'
Z
PLAN CHECK
---
0 —.—
NO.
a PLOT PLAN INDICATE BUILDING SETBACKS,
G
ABUTTINSTREETS) _
BUILDING
I
PLUMBING
7 ( +
W ,fir i •: ,
0 ...+"'°e�'.•
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
•
� STREET FILE
CITY OF EDMONDS
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
�l
(Submit In Duplicate)
Permit to be issued to:
For work at: (address or vicinity) 1-14 XXi4�z
Type of work to be done: ( ul--mAQ --r C ki i ...1K <. a
(Attach Drawing When Applicable) /
r am. wdww ♦ . Aft. • . A— _ IA A a- ► 1.0�
Owner: a --hue-- L,4 S . 416A:—:'AA1J rJ
Name
Mailing Address
City ' State
Contractor: C
Name
City State
. Telephone Number
Telephone Number
Signature: G"'A'&oz 7V z / /
Owner or Agent �- Date Signed —
DO NOT WRITE
BELOW
THIS LINE
(To be completed by Issuing Agency)
Permit Issued (date)
.f
Permit Number � N ''�
Remarks:
Upon issuance of this permit, the contractor is responsible
for workmanship and materials for a period of one year
following ' spection of the restoration by the Engineering
Dept.
NOTICE:
Work subject to inspection and restoration in accordence
with city code. A 24 hour notice is required for inspection.
Call 775-2525
-CITY OF EDV04DS
ENGINEERING MPART13ENT
Insp DateL
Insp Date - ......... ..... By ---------- --------- :-.-Renfafts -------- ........... .........
----------------------- --------------------------
IiispDatq .................. By ---------------------- :-,Rertaj�ks ..................... ............. --------------------------------------------------
Insp Dad
-By ....................... �Picmarlj:s ........................... I ........... --------------------------------------------
Isfy, Rell I
Final_TBY
0
MEVO TO: Ilarry ilhi.tcutt �L
Buildino Official S T R.E,L'—' F
FRON: Richard H. Allen
Assistant Citv Fnnineer
SUBJECT: Building Permit Application For Pesign Homes, Inc. at 1009 Vista .
Iy - Lot 2 Waterview Manor
After review of the sub,inct h.ui1dina nerinit anplication, vre have the fol-
lov!ino comments:
1. Connection to sanitary sevier reoui.red.
2. Underground wirinn reouired.
3. Lot drainage to he contained on site or directed to
City storm system..
4. house and utilities locations to be coordinated by the
builder.
5. Right-of-way Invasion Permit reouired.for curb cut and drive
way.
1p
lIJfJ:RI'A:m,ir
Date
PERMIT ADDR W
LEGAL DESCP1,. T
r
1vI BUILDING PERMIT RF.VIE4! - ENf,INEERING DEPARTMENT CHECK LIST
Instruction:
Check Accuracy of Legal Description
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initi`al's
^N 1. This lot included in Suhdivisi n/P at Po.: VV�f
2. Site Inspection made on: d 1 Z
3. What are ground water and soil conditions?
4. Site Drainage'Checked? e5 1 6H W
5. Storm Sevier Availability- ____Sht.__V of Dwg. No. @- Project
Roadside Ditch A
6. Grading & Final Contours:
7. Septic Tank System Design Approved:
8. Sanitary Sevier Availability Sht. I of Ovig. No OProjec
Side sewer availability:
9. Sanitary Sewer Connection Fees?
,aXKW10. plater Mains & Fire Hydrants (Indicate Size Main) W
Check Fire Dept.'s Comments
11. Sidewalks:.(Site-inspection shows conditions of sidewalks as follows)
12.
Curbs: % 1 Curb Cuts/Driveways (Check driveways for safety, location,
grade and width):
Underground Hiring: Street Lights:
Street Right-of-way & Bldg. setbacks: Sht.-(=of rfficial Street Map.
Existing Utility
Access Easements:
Site Plan checked
18. Special Requirements listed in Memo to Bldg. Dept. 0
19. Commercial & Apt. Requirements for
20. Drawings stamped & notations made?
21.
22.
23.
All Items filled in on Bldg. Permit Application?13
Bonds posted for site work?
--r
Right-of-way Invasion Permit required? CiJl[1� C
COMMENTS:
1
1
mof
I •
6 &Lv
tiTi curl E SS
Gdd.l.-
v—ecto-424-555-57
46
VFot�!S t7tmpepwG
Z.
L�w
M-rle" ialy 1.cJG ov4 rr-rz
PILL
Pe 171 Pec,-T 8et21aE. Ot fa
3-
IAJ"I LL- orAE PvcJ#p A+J100*- vole_
61/16"
LOCO' C-rc
Gl
N1a t 0 - 61 A-t
NISX-f tfAi-- GL.fcb.QArUC G F2 oM ALL
PE t�¢.,c�,,�l�H
vet 7(0- 0-10 +
2Z0
. !4 GeC.�6,� ��-Cf�G.T
u112E 1:340_�
Ptac To - 11c
Nr
3-ILL OF MATERIAL
PERMITS: GOMOti.IQS
ij Z4-2'f-3 t
t(o0. &Z
7...X CODE:
aShhW on
jt
Naftnia Gas
�S �
P
MA I ki 1�-: XT
TO : 1000 V 14�;rrA
WY
j VC ASS CRlP`IC- . ;..�_ _ ,�,_ �J y -910 - Z37 l
—' i C-e—e:F C`? �� :)RAWiNG •"� I s