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1023 3RD AVE S.PDFiiiiiiiiiiii 4926 1023 3RD AVE S . 0 4 ADDRESS: ,s TAX ACCOUNT/PARCEL #: 4 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 Vs): 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 • . . � os-0�/o STREET FILE 5% P% IV. E'D t.: CITY of ED NDS 3 a5 Nov 1 19 y For -Inspection Call 771-3202 PUBLIC WORKS W J co 0 r N (A m Address of Construction: Property Legal Description (Include all easements): Owner and/or Builder: SDE rSEWER PERMIT PERMIT 07412 EWONDS rTREATPnENT PLANT Contractor & License No: fl, r- Single Family Residence _LZ Multi -Family (No. of Units ) Commercial (No. of fixture Units. ) Invasion.into City Right -of -Way: No (/s.Yes '(If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No _iz Yes (If Yes, easement required,. attach' legal.description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE'BACK I certify-tha Cl have read and shall comply, Date with the items listed on the back. Permit Fee: Issued By: J Trunk Charge: ,25,QD Date Issued: Assessment Fee: Receipt No.: Partial Inspection: Comments C Final Inspection Approved: �jr" Date Initial Rejected: N eason ** PERMIT MUST BE POSTED ON'JOB SITE ** Date Initial Date Initial White Copy - File Green. Copy - Inspector Buff Copy - Applicant Side Sewer Drawing The City of Edmonds EASEMENT NO- --------------------------------------= NEW CONSTRUCTION REPAIRS ❑ LID NO. ----- - ASMT. NO_ ------------ OWNER 140-FTO ..... ----------------------------- ----------- --------- CONTRACTOR --------- -------------------- ----------------- ------------------------------- ... PERMIT No. 741L.. --- JOB ADDRESS -------- 10Z_3 .4 . .......... 5 ------- LEGAL DESCRIPTION: LOT NO. --A ------------------------------- BLOCK NO. ------ -------------------------- ---------------------------------------------------------------------- EDMONDS NAME OF ADDITION ---------------------------------- "i-TREAMNY-KANT i------------------------------------------------------------------------------------ L as 3 T-1> 1:) &41,-VE_. So. 102-3 3 IRE) 23 moC 24k� 4'IDP. rarc-o.wvc I,Dp C-c- CAP PWW-0001-1 1/75 (REVA 1/78) DATE AftkL By The City of Edmonds Side Sewer Drawing STREET FlUMENT NO. ----------- ------ NEW CONSTRUCTION REPAIRS ❑ LID NO. .................. . ASNM NO.------------------ _F9 M 5 E L-F OWNER --------- L P,.., ------- ------- CONTRACTOR ........................................................ ( ..... PERMIT NO. JOB ADDRESS ...... LOZZ ------- 3..'R 6 . ........ LEGAL DESCRIPTION: LOT NO . ......... ........................ BLOCK NO . ...... ?n ........................ .......................... ........................................ ......................... .................................................................... NAME OF ADDITION --------- S.Q.V ...... Fa-rk -5RO MWOM-1 1/75 (REVA 1178) Lo c r Q-u ej C-1 . k --7 owl 4 " PV-c Side '3ewev- (7'cleep) Approved: DATE Bybav, --�--Okxc------------- ........... 9 CITY OF EDMONDS PUBLIC WORKS, DEP' SIDE SEWER PERMIT T FOR INSPECTION CA 775-2525 Ext. 220 Permit Issue Date - (1/ 7 * PER'iIT MUST BE POSTED ON JOB SITE 1. Address of Construction 1 O 23 37� s 2. Property..Legal Description (include all, easements) k.a-r Z. 1 ue- 2 _5o a n1 �,4 2cr. A-0o / T-i o -j 3. Single Family Residence X Multi -Family No. of Units Commercial 0 4. Owner and/or-B• rH—der` AL f_.Tt1 4., +I-AuDP-A,,j (ED11. pill, /it 5. Contractor & License No. as K-i ge--LT--'�f-"r--E,34 9L-7 6. Invasion into City Right -of -Way: No_X_ Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No X Easement required - U. attach legal description and county easement number. H a READ 'THE FOL.LOWT_NG AND SIGN: a. a a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each H installation for one year. wC. Commercial establishment re uires a minimum of a six inch (6") side sewer line. 0 d. Side sewers may not be ins os �A inc es (30") w to any structure. ae HOURS O e. Side sewer lines mustbee 1 i :a m �L f 2% 1.15 ) and maximum grade of 100% (45 O ). it H f. No turn in side sewer grea r ( al owed between cleanout. All 90 turns m t cted a 450 ( /•8 bend) and wye with removable cap. g. No down spouts, footing dr o Hcfou y nnected to side sewer system: TIIITICOORDINATINGCOUNCIL h. Pea gravel is required for e g wnen ins a 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. -` DATE 2% I I i0:06Iq I certify that I have read '7/3, / 79 and shall comply with the above PERMIT FEE: `�"° H -, G DISAPPROVED BY: Date: n ► B —Date: p CONNECTION FEE: N� APPROVED By: Date: O 44 * PERMIT MUST BE POSTED ON JOB', SIT i 30,1 DRYWELL SUMP /✓� (5 E E DETAIL Pi: Pine St. FROM HOUSE 7 DOWNSPOUTS A.D.S. SUMP <- 15 3 0 BG REMOVABLE TOP 6- COVER MIN. �4" TEE 7/ -p lLl �� !�l 4"A.D5. TIGHTLINE //- @ I p % MII`!, 4"A.D.S. PERT PIPE SUMP & DRYWEILL DETAIL NO SCALr I DOWNSPOUTS (T-fP) i 84 P-3 . 23 I--1tT,:-Z -- MIRAFI FILTER FABRIC r-.t -r- L - -1 � I I r PROPOSED %�- I —STORY; — — — — — — —RESIDENCE. joz. 5 r i n 30 i I LEGEiVD ti'./S,4/ED G�P<tDZ a /D2O5 EX/6771-X16 1 /Z.D' I PROPOSED DRIVEWAY THICKI-NED t S= Z% ED6E�_ TO. z �iSP/S! TO.�COU.P� DRAIN FROM O DOWN- ; 5 RO UTS \ -- I.F• 5z .Zs G C ,oz. 5 zoo MIRAFI FILTER FABRIC DETENTION TRENCH DETAIL NO SCALE Existing underground facilities have been shown on this drawing -for the purpose of assisting the contractor in locating said facilities in the field. The contractor shall be responsible for checking actual -field locations and checking with appropriate agencies that may have under- ground facilities within the project limits. The contractor shall be coley responsible for any damage to underground facilities resulting from his operations. O 3/4- I%2 WASHED ROCK 5-4 '0 C. B. �(C.B'17) p -i NI ! yVATE,e 133 0/ W _ lii � SLOPE L ' N N -- - 1534 too D DATE DRAlM�; _. 7RAFF ATE0 I $EWER I STREE 3 PLANN%I . PROPOSED I 1-5TORY i RESIDENCE �8 ',FF 97 I I I i CONTROL C-5. OI �! (CB 15) O0 I. tdi `v/ORIFICE LE.92. (SEE_ DETAIL) I > 00 o°/ L' 3A1 a a 9 C.B. I 1 P.6 (TYPE - I) I .1 CONNECT I i + TO EX IST. I i 12°CMP _ DO.59 7 P 5 > 6 49x3 t �-h x2` DEEP ROCK FILLED DETENTION t TRENCH (SEE DETAIL) . r C.b. (G.B.17 N A `;. r � y r 9� 9G_D I I s; x q 30 I I T -, � MATCH EXIST. 1 - �,77 PAVEMENT I i v,/,� 34 11 4`5TORM LINES 4.0% CB 15 v �I OUTFALL CONNECTION DETAIL f_95.01 _ ----- -NO SCALE GB ►5 _4" 'T' WITH REM0vAP5LE CAP. (i) I.E. 90. 59 TYPE I C5 (023-396 Ar1v S- PRINTED DRAINAGE PLAN JUL 151985 FOR REID-MIDDLETON & ASSOC. JOHN HOFTO. IN THE SE 1 /4 NE 1 /4, SEC. 26, T27N, R3E, W.M. CITY OF EDMONDS, WASHINGTON Reid, Middleton & Associates, Inc. En ineers Surveyors o Planners 9 y 5 hA Ave. N. Su ite ite 20 0, Ed monds, m on ds , W 9802 0 DESIGN DRAWN CHECKED DATE F. BOOK SCALE FIOLE 02 85 023 JLB JLB RLS 7.11.85 570 1"=20' SHEET OF REVI5ED 7-15-55 vL-n