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1010 CAROL WAY.PDFiiiiiiiiiiiiii 10498 1010 CAROL WAY ADDRESS: TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS%/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #' DRAINAGE PLAN DATED: PARKING AGREEMENTS DA' EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: I n t o 16 I SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DA' SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: G WATER METER TAP CARD DATED: , I oA w I LID #: LOT: BLOCK: L:\TEMP\DSTs\Forms\Street File Checklist.doc 77 . �.t . 'k rN1, ' aa� ABUILDING -PERMIT Appl xo t 1 CITI( OF E6W)NDS 641 ding Department Permtr hmtt one yeaz p~ r �i I Y2iT *h. �VtA9 .YRt APPLICATION is hereby made for a permit to construct 'h - following work it accordance �vtth the accom 1 ti (� w� panying Plans and specifications. Two sets asubmitted herewith for app otia1. jfyt`e�xC_ new falter Jp� � �g Work addn air .... (MrY� .4 Use cone . Fuc wnc. Const. ripe....... �...... Occupancy �.. # Address. /4/0 i�..Cl Lot. ........... ........ Bik....................... Addn Sepric tank ...... / G`-'..`• ..... .—•� _ r Lot frontage •................ ........... r L.:........... 1. side......... �e$.... •rear.---....... r. afde........ ::....:. na Bldg. set -backs — front .........Z.�...- •• 'yet+ S 3 /O Owner. -... �GtC�1\aaress ./v �do . _. Address............ Tel. No (� ti J'J A Address. ..Tel.. No... ... Jet„ ....... Plans b;........................................ � `. r.• ............................. : . ......... ......... . ( ..... ..... .. . A�. 14'a •. Y }f} � Z Y i •.i.. r l:. l 1 .......................................................................................................................:.......... .................................................. - '1 The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulatiiie work: Signed Owner/Agent a 1J ' � .... Address ................ ... .... Date ...9.............. a� PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance vntlf ap proved plans and specifiations, and Bui!ding Department notations thereon. rt " x 1 s ,i -a Jp'}.. Permit fee. Recd. • � a I a i j Building Department By-. _. Date..-.-.i.: ice%.(-. _ This Permit does not cover Plumbing, Sewer or Electrical'cnstallaaons t ,.>, i� � -.? �r J APPLICATION The Cityof Edmonds for SIDE SEWER PERMIT EASEMENT No........................................... NEW CONSTRUCTION 0 REPAIRS O 116-07100 OWNER...•........................•----.....---------------•--....................... CONTRACTOR....-------------•-••--•------------•............--........-. --•----•---•......................... PERMIT No....................... ADDRESS .......1.0.1.0..C3C0l... Way ............................................................. LEGAL DESCRIPTION: LOT No............................................... BLOCK No............................................. 0 Is • NAME OF ADDITION . DYE TESTED ON SEWER, 1972 Approved: DATE................................................ BY ................. .................................................... ' y,r�,v.rr,-h•' �i#�4-�,�'fh:,'l"�Idi�(j'�aa-'�,�fr^+'�py�Ak+.2,f-w'ti§.,'>�1'.»'adt'WF�I.'�'+li^➢thRiY;.,r�niNt.�pfi's^,a,�+�^,�^�*r,•�.,�-: :ninMk�'�y'T- - "`,y�q+i'�'t'(�,,. OF ED'MONDS CCSMMUNITY SERVICES DEPARTMENT .RIGHT-OF-WAY CONSTRUCTION PERMIT A. • Owner:;WASHINGTON NAT•L: GAS COMPANY Name 815 Mercer Street Mailing Address Seattle Wash. 98111 STREEt atFion. ILE Zip k' I V 1►i y� o.� � kA 4VI B. • Contractor:. N 0 cNr 5 4B1'I! Rm�iNo.,--, ! 91 _ O 9 -7 Issue Date Name Mailing Address City State Zip State License Number Telephone Number. C. • Address or Vicinity of Construction: 1010 Carol Clay Type of Work to be Done: Paslaission is requested to Inst. ik- PE IP Main in Carol Wy from 21'W of c/l of 10 Am. N to 179'E of c/1 of 10 Ay. N Per Attached Drawing 912-405 D. • Work in Connection With: El Sub or Plat M Single FamilylR ��60AII7n City 9rojects ❑ Commercial ❑ Multifamily ❑ Utility E. • Pavement Cut: ❑ Y FLI N F. • Size of Cut: X APPLICANT TO READ AND SIGN r- 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, cou'_rt hosts, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORK&SHIP 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 or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • 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: March 23, 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: FjVI/ PERMIT FEE: qOLPAD Lon Z Time Authorizeoid ter 1\6 ne' days. Restoration Fee: OSpecial Conditions: nditions: 10 0410 /,fir Receipt No.: j r't-re -To PAy1= e-AfLo,_ wAY T"t5 sjr-,,.Ar'fL. Fund 111 Fee: —_ �JocD Ai-TC Z;_NjAte( I cN Street Cut Dimensions: x = $ U RELEASED BY: Date 3 _ a INSPECTED BY Date ix 0 NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. March 1989 FIELD INSPECTION ES ( nd 111 -Route copy to Street �Dej;t. FIELD INSPECTIONI%IES Comments: x CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. Ju13 N 19 No............................... No.' ........................................ Meter Tap { Size.............................. Size ........................... ............ Mfgrs. No.-.. Style ......... ....�........ ...... For ................ f....'h. I..........................................................................................................................._.............. ......................................................................................_............................... . LotNo ........................................... Blk. No .................................... ............... Add................................................................ _. ............ _....... _........... Service Location ..-..1��'� .... t.......... I MeterLocation............................................................................................... MakeTap.............................................................................. ..................._........ ......................................................................................_........................._....__.............. Pressure..................... lbs. Test .................................... % SendBills to.................................................................................................._..... 4 Date of Work ..:: .... ..................... �..�....� .�........... �... Foreman I Guar. Voucher No ........ ,:..................... $............. - .......... ..........._..... Remarks: ......... . ................................................................................................ . ..... ...... ........................................................................................................... _....... ............... ................................................... S EtTE.FI .. . ....... . .............. OUTGOING Index .......... Reg ....... Route Bk......... StenciL..... Card........ INCOMING Index .......... Reg ....... Route Bk......... StenciL..... CarcL....... i Ma& .1 Chargeable to Installation Met( NO. SIZE DESCRIPTION RATE AMOUNT •-------•--- Meter ... ....... ......_.. .......t- Meter Box .............................. .............. .... 2.... QJO.. MeterPlate ............................ •---•--•............................. __ Check Valve ......................•••• .............. ............. .......... .............. ......... Pipe, Galv. Screw .................. .............. ............. .......... -••------- •. .......... Nipples ..... .............................. -------------- ---------- Bushings .................................. •---------.... ............. .......... ............... .......... Plain Ells ................................ .............. ---.......... .......... ---------------------- ------------------------ St. Ells -•.............................. _.. Tees .......................................... .............. -•---• .......... . ............. ---- o --�'�--- -a --------------•-_... ............... ..---....---• ..........................----------- .............. jo... ........ .. . ----:: :- .- Material Chargeable to Taps Connected NO. SIZE DESCRIPTION RATE AMOUNT .............. I.......... Pipe, Black Screw ................... ............. ...................... ........................ Pipe, Galv. Screw .------------..... ............... ...-•--•----. ......... --------- =.... .......... Lead Connections .....-•-•-- __ .............. .----•-_.... ......... Curb Cocks ............................ .............. .-- ••-------------- ...•-•...•.... ........ )-... . ..,�/.. Corp. Cocks ........................... .............. .... .....- .............. .......... Unions .................................... .............. ............. .......... .............. .......... Saddles ................................ --- .............. ..... -- .... - .......... -•------- ---------- Nipples ......................... .---_-.•----- --.....---- ......... ............... ......... Bushings .................................. .............. ............ .......... .-•.................•---- Plain Ells ................------_----_- ............ .-------•---. .......... •---•--------- ••---•---- Street Ells .................... ••••.... ............. ............• .......... -----•---- •--------- Tees .......................................... •............. ............ .......... --------•--•-• •........ Curb Boxes --• .................... .... _---•.-_ - ------------- ---------- ...--•••-•---- .......... S. O. Extensions --_-------•--•---- ••........... ............ .......... ............... .......... Gates ........................................ ............... ............ ........... ................... -----------•-- ... -•------ Plugs ........................................ Couplings .-----••-------- •............. ............. . •-•---•-- •---- •--• ........... Q , ............ ----------•--• .............. --• ---------•---- .............. .......... .......... .......... ••---•---- .......... .......... Gate Boxes ............................ ..................................................... ..................................................... ........................................................... ........................................................... ........................................................... .---•................................ ............. .............. .............. .............. ... ........... ............ ......--.............. ............ .... ......... ............ ........... .......... ......... _....... ----•----- ---------••--• -•••-•--•---• .............. .......... -• ------••-- .............. ------•--- ... •...... --•------. ..... •.... .......... ......... .......... ........................................................... -•....................••-•••--•--••-•-...............................•... ........... ............................................... .......................•••.............••••---•-••-••-•-.................. ........................................................... ................•••••-•••••••--•---•-••--._._...............-••-•••..---•• Hours Time —Day Men .------- ••-•••--•--•-• ......-•---... ............... -----_------ ............. ............ ............. ............ ............ --------.............. ------------ .......... ----..... .......... .......... .......... ---------- ..3 ... ...,. .. Hours Time —Monthly Men ............... --------••-- ---------- ........... Hours Time —Auto ...---••••_.... .......... .............. Superintendence ----- ------------ --- -----..._-......----------- ------._.. ............................ ..... TotalTotal .............. ....----.............. • • so 6011 3I R/W Q 3l0 O r N � rya jaN W •19„d Nvoq. X 19 d� a / w 29~d . EA. 2' ST IN IP 17' 5 _70C318 / ' I '/Z" 73'5 O9� 1968 Z" S<tRVICE Tom_ 19'5 b- 7-1' W 3 Z^x 11/4" PE -REDUCER 1915 4 I91W CAROL Wy r_ 7 I 11/4" PE CAP 1 0 3'PA5T SERY/CE 1 O E,O.M. L0C. f PROPOSED 1 1/4" PE IP MAIN 19'S NOTES: J, FIELD LOCATE ALL UTILITIES CALL I-800-4Z`I--5555. 48 HOURS BEFORE DIGGING Z. LAY DETECT WARN/N6 WIRE OVER ALL PE DIRECT CURIAL PIPE 3. I N5TAL L ONE POUND AN ODE. FOR EVERY /000' OF 4OCAT//VG WIRE 4, SURVEY NOT REGUIREO 5. MAINTAIN A S' HORIZONTAL AND 3' YERT/CAL CLEARANCE FROM ALL CITY UTILITIES ,p IR # 6043-3 - 9 ^`_ -- — a 1 /1/4" PE CAP 52-630 7 I Z.,, X 1114" PE REDUCER 7Z-400 e 10, TEST_ LEAD WIRE -_` -- -930 s IT _#_IO TEST LEAD BOX (ZW/RE) 50_307 4 ! Z" rRAN51T/CAI F/TT/N6 79-g00 _3 _.. _'__ S E R 1/ / C E TEE H 17 5 Of 7 6 - -7 / I 2 I 200' 20o' #14 GAUGE OETECT WIIRE 8s-94o _ 1'/4-"-SOR-11 PE PIPE_ _ 70-170 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: EDMONDS 1 /4 SEC: NE Z4- Z7- 3 --_ - - PLAT: 16 Z. 6 7 ----- — - -- _— _ OP MAP: / 6 0. 6 z VV jt A \Ahsr ingta r Erwrgy Comrx 'Y AREA: 2 4 TAX CODE: SEO. NO: — _ --- D. G . R: 3 1'/4" SDR-11 PE IP MAIN EXT. TO: 1010 CAROL WY Dm: L. HIRSCH 3 /5 9I IR 6043-3_L RR ! ---- JOB 9 1 Z- 4 O 5 _ - NO. DESCRIP 110N DATE BY APP'D CHK D: JAF— 7S ZZ• G1 �RAwING -- -- - - - - — --- _ .� ----- - - ------ - -- - - --------- - G� 1 'I' REVISIONS ---- --- -- -SCALE: = 5 O • -- APP h/Y�^~ I I Z ` T O 5 • 0 C] • UBC �� ` �:�.� ALL N t ; `�' . � REL.00ATEp' EEXTEND� RE -BUILT OR ` �,,� c `'� r, LECTRICAL UTILITY " L 'u I AND/OR SERV'CE SN.4LL BE F' CE UNDERGROUND EFFECTIVE 7-1-98 CAROL INAY Oil CITY OF BUILDING WORK: ADDRE OWNE APPROVED DATE: BLDG. OFFICIAL _ 'LOT PLAN SCALE: 1 "-20' OWNER Howard Fankhauser and Laurie Cooper ADDRESS 1 O 1 O Carol Way, Edmonds; g8020 SITE:: Same PHONE: (4.�5)11 1-5505 TAX 1.D. No.:. 005 q 21-0000=1 100 I LEGAL: Sunset Acres, Lot 1 1 EDMONDS Any request for modification, variance or other DEPARTMENT administrative deviation (hereinafter "variancef) must be specifically called u , e Approval of any plat orgy- .PY onta 4 'rA ��L provisions which do not comply with city code �r and for which a variance has not been ! specifically identified, requested and considered by the appropriate city official in accdrdance with the appropriate provision of �cityf code.: or " 3' PERMI T NUIPABER state law does not approve any items not to code U � A (4 specification. oc Z � d Z �. ZnLU J (.5 L.0 a- Z �L� .JXO a- W C). 1006 N.E. Ravenna Blvd Seattle WA 98105 voice 206-524-2808 fax 206-523-1019 V-1 F _V, K I • 0 • STREET FILE