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1113 5TH AVE S (2).PDFIIIIIIIIIIII 5141 11135THAVE S PLANNING DATA -- Signs -- STREET FILE . Name: ; -mcock_ NA0A Date: Site Address: Plan Check #: BLD-2101110G� Project Description:. AL Reduced Site Plan Provided: ES NO) Zoning: Comprehensive Plan Designation: Map Page: Corner lot: (YES / NO Fl�Lo ADB File # (or date waived): ,g}` atkime_ v;e-Q 707AL Area: r Type ofSi n Type of Sign Allowed in Matrix Allowed area per Unit TOTAL sign area Proposed � ,conditions zone.- •.. met; ,, unit allowed for' ' sign rea this sin Example wall w intemdl illumination Yes, with conditions Yes 1 sq. ft/lineal R: attached 91 2 attached wall 91 square feet _ ZO square feet _ — wall Sign #1 Mon�..r 5%nx1�g�� Woo ,uu�;; yew NIA Io ft. PV. N/A 10 sry. P1. Sign #2 Sign #3 L TOTAL Sign Area for Tenant/Sife Max Permitted: Previous Total: per �PPI'`''`�� ait S %—Ke- Proposed Total - Si n e1 t Sign Sign Type: co I,es .+o Max Permitted: 3l "�? ual Height: Sign Type: + Max Permitted: Actual Height: Sign Type: Max Permitted: Actual Height: Si n Li htin Sign Type: Proposed: AInke-Allowed in Zone: Sign Type: Proposed: Allowed in Zone: PLANNING DATA STREET FILE . -- Signs -- " n Colors Proposed: Acceptable? Requires ADS Approval? Sign Location If freestanding and 3-feet or over (unless a.fence) meets setbacks? S' ^ ` Reqqired Setbacks . Street: Side: Sider Rear: 4aupi Setbacks Street: Side: Side: Rear-. Landsca in fvr. Freestan'd , Si'':ns. Size: 19— a �C-9W�59623$ location: �, Critical Areas/ Det ination : ex ❑ Study Required Waiver ^��*+��. ��.ured• Other Plan Review By: . City of Edmonds Permit No: 2'DO 3r jI y,3 RIGHT-OF-WAY «CONSTRUCTION PERMIT Issue Date: A. Address or Vicinityof Type of Work (be specific C. Contractor: T 7lali _ Mailing Address.: f 4J State. License #: I.T=TdutA! q-90 -' D. Building Permit # (if applicable): 4J Phone: Liability Insurance: Bond: $ Side Sewer Permit # if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ EUC (PUD, VERIZON, PSE, AT& T, OVWD) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: MyJ21W U_ 161I t F. PAVEMENT CUT: ❑ YES ❑ NO CONCRETE CUT: ❑ YES ❑ NO G. SIZE OF CUT X. 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 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 required 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 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 Signature:,,• (Contractor or Agent) Date: r''' c_ d ? A , FOR CITY USE ONLY 1 &0* -1- 15',9 51 rcm- Approved by: _ if ul � Right-of-way Fee: -tt 0 50 10,O&JO i Time Authorized: Void After 4P-7 / �W1. ?-C.�'!.3 Disruption Fee/Fund 111: Special Conditions: r firmyi4 j2tft 16GL Restoration Fee: - :?�,.�i��.U� /� �S�', 'L' i1, 2 Total Fee: ZS d .0 1 l • Receipt No:;a. r" 11 - ,o Issued by:. /at UPON. COMPLETION. OF PERMITTED WORK, AN ENGINEERING FINAL'., INSPECTION. IS REQUIRED PER CHAPTER 18.00 OF THE EDMOND'S %:'':;`:. . COMMUNITY DEVELOPMENT CODE (Phone 425-771-0220, Ext -132'6 FINAL APPROVAL OF PERMITTED WORK: 'rM DATE: 4 j Inspector's Signature For inspection requirements see Engineering Inspection Information NO WORK SHALL BI,"GIN 1'It101Z TO 1'F1ZMIT ISSUANCI? City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT A. Address or Vicinity of Construction: ZT I/ 1_ B . Type _�f WorkJbe §pecific):— C. -Mailing Address//-D 44VU : State License D. Building Permit-W (if applicable): Permit No'da Issue Date: V Phone:2D6 �2_ -2-- 2- �-�2_ 33 2-J" Liability, Insurance:: 114" Bond: $ 4eo� Side Sewer Peimit # (if applicable): E. [_� Commercial '[] Subdivision EJ City Project ❑ EUC (PUD, GTE, PSE, CHAMBERS, OVWD) �e_Multi-Family (:J Single Family-.' ❑ Other INSPECTOR- F. PAVEMENT: ❑ YES, ❑ NO G. SIZE OF CUT x H.-Charge: $ CONCRETE CUT:' E] YES f-40 IDElliNITY. Applicant understands -by'hislher,.signi7tu"r'e to this.a"ppl&.ation 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, includingbut 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 ANDxATERJAL&,FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THj WORK ESTIMATED RESTORATIONI`FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT I OR'CREDIT.WILL I BE'PW6CESSkDFOR ISSUANCE TO THEAPPLICA NT. * Traffic control and public safety shall be in accordance with"'City rejulAtiofi' s as 'required by. the City Engineer. Every flagger must be trained as required by'(WAC) 296-155-305 and must, fikvecertification. verifying completion of the - required training in their possession. + Restoration ,is to -be in accordance with City codes. All 'irfi ,ich,Work shall be pat6e�d with asphalt, or City - approved material prior to the end of the workday - NO EXCEPTIONS.�,.,. Af + Three sets of construction drawings of proposed work are required with`the.permit application. 1HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE_ THAT IMUST MA E THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS or Signature: Ddte (Contrac or or Agent) CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK Appkovedby; Time,Authori $pecial�Cop,,di WFOR UFI'Y USLOINLY '. . . _. .. ., 1. -2&11) Y� V1% I -`ftig,-.hi_16f_*way Fee: kfter, &I -,Disruption.,Fee7Fund,111i' 4;;11 2 rz brKNT�...-q,�t;-L?cRestorition Fee: .4,,-. wvi t- 4c, -fl+V,' Total Fee:, it4m LT A% Receipt No. 1710 oirmm 9Jssued_by, :-- I -- y F V ; F;1 Oil A', V UPON COMPLETION. OF PERMITTED WORK, AN ENGINEERING FINAL INSPECTION IS REQUIRED PER I CHAPTER 18.00 OF THE EDMOND.S COMMUNITY DEVELOPMENT CODE. FINAL APPRO VAL'OF PERMITTED WORK.- t--A VVJ 141 IVIT A INSPECT bR SI GNATURE' DATE: 110,11)N For- inspection requirements see Engineering,lnformation Handout. �iVVI Wl oo o 0 (p C) Q cx�&, I-k 1 V4 s i,,5 mss o�1 � f a y 301 • ,ryX C� ueHTlA Mqk C3, CAR �t M Cc�MMfR GgRq Rq Clq0 Gf� NOTE, A- IF DRIVEWAY WIDTH EXCEEDS 15', INSTALL A FULL DEPTH EXPANSI❑N JOINT. OR 16' VERTICAL DRIVEWAY APRON SHALL BE A MINIMUM EXPANSION JOINT OF 6' THICK AND SHALL BE PLACED ON 5, 2' OF 5/8' CSTC AND COMPACTED GRADE. 1/2' LIIP 110 $1-OPE 6' CURB CONCRETE SHALL BE CLASS 3- 3000PSI DRIVEWAY CURB TRANSITIONAL DETAIL FOR CURB AND GUTTER OR VERTICAL CURBS CURB AND GUTTER SHALL BE POURED SEPARATELY FROM THE SIDEWALK. FORM INSPECTION REQUIRED PRIOR TO POUR. Est 189y REVISIONS STANDARD DETAIL STANDARD DRIVEWAY ENTRANCE DATE SCALE DWG NO. 5/14/98 NTS E2.26 r ' v , - JaMES H. Rtla Ty t(�� /LEROY F. MIDDLETON — C. WAYNE JONES _. LLOYD H. NELSON STREET FILE Rea, ' & 4 . &C. ENGINEERS SURVEYORS • PLANNERS toy 0 r J-r�/C 324 Main Street • Edmonds, Washington 98020 • A206) 775.3434 November 10, 1977 File No. 5328A Page 1 of 3 YP, STORM DRAINAGE CALCULATIONS FOR , �FG/S7�Re'�`�1�t SHAMROCK PLAZA, A CONDOMINIUM SS/ONAOil FOR I R I SH HOMES ite Information Area = 0.84 ac. Slope = 2% ± westerly Site Condition Residential lot w/house, garage and numerous small buildings, paved driveway. Longest distance to discharge Southeast corner to Northwest corner = 322' Assume development of property to take care of own runoff. Runoff calculations using rational method; Q = Ci,A Undeveloped Runoff Calculations Overland flow velocity = 1.0 ft/sec for short grass and lawns using fig. C-1. Runoff coefficient = 0.40 using table C-1A for Residential Single Family areas. Time to Concentration = T/c = L/(V)(60) + 10 min. = 322'/(1) (60) + 10 = 15.37. min. Intensity = i = 1.28 in/hr. @ 10-year frequency of storm. Seattle curve(incl.) Q undeveloped = Qu = CiA = (0.4)(1.28)(0.84) = 0.43 c'.f.S. Q allowable = 0.43 c.f.s. Developed Runoff Calculations Longest overland flow distance to point of discharge NE corner building to NW property corner = 240' Overland flow velocity = 2.9 ft/sec for paved area w/slope = 2.0% maximum Time to Concentration = Tc = 2401/(2.9)(60) + 5 min. = 6.38 min. Intensity = 2.05 in/hr. @ 10-year storm Seattle curve(incl.) Runoff coefficient weighted: Roof: C @ 0.9 w/area = 0.29 ac. Asphalt: C @ 0.85 w/area = 0.32 ac. Lawn E Planting: @ 0.20 w/area = 0.23 ac. therefore, prorating "C" = (0.29)(0.9) + (0.32)(0.85) + (0.23)(0.2) 0.84. = 0.69 MUNICIPAL ENGINEERING s WATER SUPPLY • WASTE TREATMENT • SURVEYS & CADASTRAL ENGINEERING AIRPORT PLANNING. & DESIGN 0 MARINAS • PORT & INDUSTRIAL DEVELOPMENT 0 FEASIBILITY STUDIES November 10, 1977 File No. 5328A Page 2 of 3 Q developed = Qd.= CIA = (0.69)(2.05)(Q.84) = 1.19 c.f.s. Tc 6.38 2.05 0.5996 1.19 10 1.62 0.94 20 1.05 30 4o 0.83 .61 0.48. 50 0.68 0.3 9 60 .0•59 0.53 0.3 0.30 See hydrograph for storage required. Sizing Retention System 480 ft3.required. Utilizing Volume Only 12" 0 pipe = 0.7854 ft3/LF 10" 0 pipe = 0.5454 ft3/LF 8" 0 pipe = 0.3491 ft3/LF 6" 0 pipe = 0.1963 ft3%LF If perforated pipe. is placed in 3' x 3' washed, 3/4i"'- min.~'gravel bed al lowing 30% void*between-gravel: 12" pipe would yield 3.25 ft3/LF (3 X 3) - 0.789 x 0..3 + 0.785 = 3„25 ft3/ft. 10" pipe would yield 3.08 ft3/LF 93 X 3) - 0.789 x 0.3 + 0.785 = 31,08 ft3 f / t. `Install two perforated systems: a. 72 l.f. 12" helical perforated Alum. storm sewer 16 gu.age @ 0.50% b. 75.; I-f. 12" helical perforated Alum. Storm Sewer 16 guage @ 0.50.E Volume provided = 481 ft3 Install 56. "1,.f1 12" he1icaL-14. gal. Alum.'Storm Sewer@ 0.50% = 43.96 ft.3 Total = 524'.96 ft3 ?- 4.81 ft3 ok Sizing Orifice Q = 0.43 c.f.s. required h to fill retention system = 3.54' Assuming difference from outlet to overflow = 3.6' Q = CdA 2gh 0.43 = (0..62) A (64.4) (3.6) . ... ... Li C. F i 1 : 140. 53: 8A Page 3 of 3 A = 0.43 = 0.04555 ft 2.8911 9 0 0 2 Use 3" orifice The.variation will increase the peak discharge by 0.03 c.f.s. ok. .r - -- - - -- -• - -- - . � AZT . , .. _ ........ . --- - .. -- ._...... _ , _ , , _1. i 7. i. —777- Is Will• , , • — _ _.�__ —.—__.ter.._ ... �. _ t � 1 _ a_.. - s - :+�•" a�.r :... - �� uii'¢o� ..S'�o arc ¢ _ _ _.. _ •- - - - _ .._. - 30 60. T/ME - Allear s ; f16A0 :.. ' . MMOLETON 3 ASSOCIATES Engineers o Sbrveyors • Planners 324 Maln St 775-3434- Tob 1_DD/ EDMORDS, WASHINGTON - APPENDIX B-1. `` ^*, •: '?IL:T.' F:>s:r UENCY-INTtN311 TY-DR:,TION DATA ' FOR VARIOUS RECUR,rENCE' PFRIODS AT SEATTLE, WASHINGTON . _ f Durat..on __.T _ �_c. _V _nt nsi y� Duration Intensity t ; tit,nutes Inch: a n=r Hour _ Minutes ....._ zncnes _n_ ��r_�iouY - - -- _S�_Y i..._...jo�� SIYr �.__ �.• 5 Yr__1_0 _ Yr 2 5 Yr .. . 5 1.83 2.23 2.72 40 0.53 0.68 0.8 6 1:70 2,10 2.55 42. 0.57 0.65 0.79 '- ' 7 1.56 1.�7 2.41 44. '0.56 0.63 0.77 . 8 1.47 1.85 2.25 .46 0.54 0:63 0.75 - 9 1.39 1.73_/ 2..09 .48 ' 0.52 0..61 0.73 10 1.31 1.62' 1.96 50 0.51 0.59- 0.71 t. 11 1.24 1.53 1..86 52 0.50 0.58 0.70 .: 12 1.19 1.46 ;�.. 1.77' 54• 0.45 0.57 0.69 ;. 1.14 1.4-0 1.70 56 0.48 0.56 0.68 ..13 14 1.10 1.35. 1.63. 58 0.47 0..55 0.66 �.. 15 1.07 1.30 1.58 60 0.45,' 0.53 0.64 16 1.03 .1.25 1.5i 65. 0.43- 0.50 0.60 _...: �. ;- 17 1.00 1.20 1.46 70 0.41 0:48 0.58. 18' 0.97 1..15' 1.39 75 0.38.' 0.45 0.55 : 19 0.93 1.10' 1.33 80 -0.37. •..0.44 0.53 20 0.90 1.05, 1.27 85 0.36 0.42 0.51 �. 0.87 1.01 1`.22 90 0.35 0Al 0.5021 22 - 0.34 0.98 1.18 95 0.34 0:40 0.48 j.' 23 0.82 0.96 1.16 100 0.34. 0.39 0.47 , 24 0.81 0.94 1.14 105 0.33 _. 0.38 25 0.79 0.92 1.11 i10 0.32 0.37 Q.46 a 26 0.77 0.90 1.09 115 0.31 0.36 0.44 y- 27 0.75 0.88 1..06 2 H r s 0.31 0.35 0.42 28 0.73 0.8"6 1.04 3 Hrs 0.25" 0.28 0.33 29 0.72 0.185 1.02- 6 Hrs 0.18. 0.20 0.241 = 0.70 0•.83.. 1.00 12 Hrs 0.13 0.15 0.17 1 .30 32 0.67 0,.79• 0.95 18 Hrs '0.11 ".:;. 0.12 G.i4. .j. 34 0.64 0.75 0.91 24 Hrs. 0.10. .0.11 0.13 36 0.62 0.72 0:87 ' i 38 0.60 0.70 0.85� JAM ES H. REID LEROY F. MIDDLETON C. WAYNE JONESRE�+�• ��f 40— LLOYD H. NELSO ��``rr LE i Mr. Bill Nims City of Edmonds Engineering Dept. Civic Center Edmonds, Washington 98020.. Dear Mr. Nims; • ENGINEERS • SURVEYORS • PLANNERS 324 Main Street • Edmonds, Washington 98020 • (206) 775.3434 December 15, 1977 File No. 5328AX Enclosed please find 3 copies each of the Revised Utility Plan and the Estimate of Utility.l.nstallation for Shamrock Plaza, for your approval. Very truly yours, REID, MIDDLETON & ASSOCIATES, INC. 'A0041f Allan R. Morgan Enclosures ARM/ejj MUNICIPAL ENGINEERING • WATER SUPPLY • WASTE TREATMENT • SURVEYS G CADASTRAL ENGINEERING AIRPORT PLANNING G DESIGN • MARINAS • PORT G INDUSTRIAL DEVELOPMENT • FEASIBILITY STUDIES JAMES H. REID F. LEROY F. MIDDLETON • C. WAYNE JONES LLOYD H. NELSON, ,STREET FILE RC44 , 47". ENGINEERS • SURVEYORS • PLANNERS 324 Main Street • Edmonds, Washington 98020 • (206) 775.3434 December 15, 1977 File No. 5328AX ESTIMATE OF CONSTRUCTION COSTS FOR UTILITIES FOR SHAMROCK PLAZA CONDOMINIUM 1. Sanitary sewer 135 1.f. 6" conc. @ $8.00 l.f. 2. Water. _ 1 Fire hyd. assembly @ $1,000.00 ea. 1 8" Detector check valv t vault @ $5,000.00 ea. 210 l.f. 8" Ductile iron water main @ $11.00/l.f. 1 - 8" M. J. Tee @ $120.00 ea. 1 - 81' Gate valve @ $350.00 ea. 70 I.J. 2" Water service P.V.C. 200 psi @ $2.00/l.f. Total of'Water 3. Underground power 4. Storm sewer 226 l.f. 12" Helical alum. @ $8.00/1.f. 173 l.f. 8" Helical alum. @ $5.00/1.f. 6 ea. Catch basins @'$300.00 ea. 50 c.y. 3/411 min. washed gravel @ $5.00/c.y. Total Storm Sewer Subtotal 10% Contingency Total 1,000.00 5,000.00 2,310.00 120.00 350.00 140.00 $ 8,920.00 $ 230.00 1,808.00 865.00 1,800.00 250- 00 $14,953.00 1,495.00 $16,448.00 MUNICIPAL ENGINEERING • WATER SUPPLY • WASTE TREATMENT • SURVEYS fi CADASTRAL ENGINEERING AIRPORT PLANNING G DESIGN • MARINAS • PORT & INDUSTRIAL DEVELOPMENT • FEASIBILITY STUDIES FILE STFIEET PUBLIC FORKS ENVIROfJr1EfJTAL REVIEW PROJECT NAME: T C ISti i-+nYVI= INC, F I LE f# � � 13-�'�MIR S 2 3 Of\)kT coK) Dc)M I►Q J V M AN ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS BEEN COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE BEEN MADE WITH REGARD TO: CAPPOTYC+ A.cjb, 1! cc)=m ins . !i' • ►D _ , - a ► T4E cl'� - puspusm Ran K ► D6 ! .`.11r]► OT _1. dal . PCMMI pmcffy- -:::g LJL PREPARED BY: DATE: i P/W Env.Rev. 3/77 EET FILE ; PUBLIC ►JORKS ENVIRUNMENTAL REVIEW! PROJECT NAME: IRISH HOMES, INC. FILE 23 unit condominium ASSESSMENT DATED: 1113 - 5th.Avenue South AN ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS-BEEN COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE BEEN MADE: DRAINAGE: A city storm sewer is located in the public right-of-way with sufficient capacity to accomodate the surface run off' from the site. The approved drainage plan includes a reten- tion/detention facility with an outlet to the City system. GRADING: The grading plan provides for minimum -disruption of soil and change in topography which will result in a positive affect on the environment. UTILITIES: Sanitary sewer system, storm sewer.system, power, domestic water system existing in the public right-of-way, adjoining the site with sufficient capacity to serve the proposed devel- opment. CIRCULATION,: The approved plan includes proper access to 5th Avenue S. which will provide safe ingress and egress resulting in.a ositive affect on the environment. ... .... ... OTHER: Existing noise and air pollution levels will increase from vehicular traffic due to increased traffic flow. PREPARED BY: William J. Nims DATE: 12/8/77 REVISED: 10177LV 23 O N I TS l i2.(5f1 kc (address) M� (date) Street Right -of -Way Existing PrREQD z Access Easements Existing READ H 94 Utility Easement Existing Q �� uN� ,�LPEQD w Lot Per Subdivision 0102ft Plat A Assessor w Site Plan Checked for Accuracy (: z Underground Wiring Reqd. . H 0 - Check Accuracy of Legal Description 7-1 z Review by 1?:;, S Date w Existing Water Main Size Water Main Required Service Line Required Hydrant Size Existing O1G c�4 Hydrant Reqd Per Fire Code 1'•40-.s Size (o'' w Detector Check Meter Reqd. Cross Connection Inspection H Fire Department Comments Water Meter Charge Reqd. �%z /OG1D °� 8"-- S000 Review by Date / S 7 Septic Tank Design Approved A) Date --^ Septic Tank Permit.Regd. Permit No. —� Sanitary Sewer Availability '�•�.s Proj. Drawing No. File No. E�- S R - ZZ5 Side Sewer Availability 5 -,>ct 7'1 w Sanitary Sewer Connection Fee Reqd. ? TO BE D�iEp�l�N►/�p 3 Review by Date 1,2 - 6- 29 w Open Ditch Existing ,g�/= Regd. Culvert Regd.,, T Size a Catch Basin Reqd. f�,�i Indicate on Site Plan— O Shoulder drainage maintain collection on swale open runoff H.. `n Manhole reqd. " ,�Q Indicate on Site Plan Soil Conditions and Ground Water Field Checked 6' Review by 05 o •T a - Date Revised: lv10-1977 Page 2 • � � • • , .., - Street Paving Reqd. Oil H - Curb and Gutter-Reqd. - - w Sidewalk Reqd.�T / w Curb Cut for Driveway Reqd. x Right -of -Way Construction Permit Reqd. H Bond Reqd:- for Public Izprovements - <— — Street Name Sign Reqd. JY�, Other Signing Reqd. A Pre Permit Site Inspection made.on — Crj z 0 BY: SEWER H w w WATER w v� STREET 1/�C-4i � , H ENGINEERING Special Requirements.listed in memm to Corr mity Development Department, Building Division BY N Date _ o All items filled in on -Building Permit Application v w BY Date w Drawings Stamped and Notations Made ` a BY Date Approved by Public Works Department Revised: lv 10-1977 PUBL' C WORKS DEPAR CKLIST 2 " N I T5 k `� ` ' r J OM M UILDING PERMIT REVIEW -'X'j ;7, T STREET FIU: (address to / 0 Street Right -of -Way Existing ��'' � REQD Z. . Access Easements Existing N(�� REQD H as Utility Easement Existing ko �..� �g , PEQD w Lot Per Subdivision Plat_ Assessor Map 'f w Site Plan Checked for Accuracy z Underground Wiring Reqd. H Check Accuracy of Legal Description 7--1 z Review by 1?:> S Date w Existing Water Main Size Water Main Required Service Line Required 1 % � Dorr�esrt $" F.,eE�i.v-o Hydrant Size Existing O1G c4 Hydrant Reqd Per Fire Code Y'�s Size (o'' w Detector Check Meter Reqd. Cross Connection Inspection "<-e-_,5 Fire Department Comuuents 3 Water Meter Charge Reqd. �%y — /OG1D`� 8"-- S000 Review by Date ! a 6 7 Septic Tank Design Approved /v Date --�'-` Septic Tank Permit Reqd. A Permit No. --y Sanitary Sewer Availability Pro". Drawing No. ) File No. S Z - 2Z5. Side Sewer Availability F- 5cPct ?Ty w Sanitary Sewer Connection Fee Reqd. ? TO BE D�%E,an;.�✓�v 3 Review by Date /A.6— �- w Open Ditch Existing Reqd. f'- Culvert Regd. �, /_ter,/ Size -- x Catch Basin Reqd. �,��; f,�i Indicate on Site Plan- o Shoulder drainage maintain collection on swale open runoff U' ?Manhole . re d/>/- / q �.��t ran Indicate on Site Plan _ Soil Conditions and Ground Water Field Checked r Review b Date Revised: 1v10-1977 -- - 'IJ jJ1IGd1jt rm PER JAIT APPLICAT16 Inside Heavy Lines - .— Iy h� H Numt$FR I ` I JOB �N A,M El. jUi NAME OF BUSINES ADDRESS `�/s d / oJ" G! / - LEGAL LOT/ LOT OT AREA SUBDIVISION NO. pj M (LING ADDRESS 6�pp YES ❑ NO Z 3 L s -9 / �Iwl STREET R/W 0 CITY ELEPHONE NUMBER /+� EXISTING STREET R/W 60 FT. DEFICIENCY THIS PROPERTY E.Q 77�- �y�� <Y COMP. PLAN ST. R/W C� FT, O FT. NAME REMARKS 2 F ADDRESS W CHECKED B Z U I CITY TELEPHONE NUMBER STREET AND/OR UTILITY WORK R/W PERMIT REQUIRED 0 `/Gill t�V J G�r� 1 2— &YES ❑ NO NO :&YE5 ❑ NO W NAME UNDERGROUND , S WIRING REO'D. JDYES ONO 0 F ADDRESS - TYPE CONNECTION I�„VES VERIFIE BY U Q ��%% Z-3tii /V tom' q 4 SANITARY SEWER NO fC ♦• CITY I ITELEPHONE NUMBER SEPTIC SYSTEM ❑ YES P MIT NUMBER 0 'r „ � `N A� � s� C V '1 - , APPV'D BY CITY ENG. 5PN o U .� STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Z2,3 'tz-HGi-) Legal Description of Property. (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE - W?c .i `� a W W 0 REMARKS�0/�/ i��/ ' Q F. �� 63 ES / 7 �� b 3 SIGN AREA ENV. REVIEW ADB NO. I N ALLOWED PROPOSED COMPLETE EXEMPT W 0 J Q U REMARKS W J VARIANCE OR CU . PLANNING REVIEW BY DATE �-7't/ NEW YARDS �/ FRONT / D /.SIDE ,REAR LOT COVERAGE I v f AS RESIDENTIAL ❑ LINE uJ _A0 FIRE ZONE �' sue` TYPE OF CONSTRUCTION r/ / /� CODE j�✓f HEIGHT NON-RESIDENTIAL SIGN ADD i / �s� DEMOLISH ❑ RETAINING ALTER EXCAVATE WALL SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT GROUP LOAD FENCE - ❑ OR FILL ( X FT) ❑ YES ❑ NO /Q4� - ❑ REPAIR, PRE -MOVE r'jSwIM PLAN cHEc D THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL INSP, 1`il POOL SALES TAX SHOULD BE CODED 31.04. NUMBER OF STORIES NUMBER OF MAR DWELLING � _��--�J UNITS Z NATURE OF WORK TO BE DONE W f F tY Q a W PROPOSED USE Z VALUATION FEE 0 PLAN CHECK F No.. / Z a PLOT PLAN INDICATE BUILDING SETBACKS, W a ABUTTING STREETS) U BUILDING V (�( v Q �/ V a Ln 0 PLUMBING W J W S WO HEAT & GAS LINE FENCE > F SIGN Z f RETAINING WALL 0 SWIMMING POOL U I hereby acknowledge that I have read this application; that the in. TOTAL AMOUNT DUE 'N • FiLIE coat CITY of EDMONDSEET FILE � 1200 Dayton Street • Edmonds, Washiw;ton 98020 • Telephone (206) 775-2525 f ,�/ Department of Public Works DATE: 1211 TO: u,r V A--jA NW 9A r--. gdanu*ll 57w -.1i r Sir v VL- A AS YOU REQUESTED: FOR YOUR INFO: AS iVE DISCUSSED: FOR YOUR FILE: REVIEW & COMMENT: COMMENT F, RETURN: FOR YOUR APPROVAL: FOR APPROPRIATE ACTION: REMARKS: PUBLIC WORKS DEPARTMENT BY: STREET FILE DATE: I Z S1-1 14EMO TO: Building Division Community Development -Department FROM; Engineering Division Public Works Department SUBJECT: Pxw1gaciZ PLAZA -2:5 UPIrS After review of the subject building permit application, we have the following comments: Reid, Middleton & Assoc., :s, Inc. Pl Engineers ® Surveyors ® a'nners 324 Main St. Edmonds, Washington 9802 T"'T FILE 3 DATE _-- -- Novembe r. 17 , _1.977 ---- ----_ _-- TO Phone 775-3434 SUBJECT File e No. 5328AX John Miller r Engineering Department - - — City of Edmonds— — Civic Center Edmonds, WA 98020 > Enclosed please find 3 copies of the Utility Plan for the Shamrock P,ha'zaCondom;ibn,i um*fy0!r your rev i ew and approval. -,. v If you have any questions, please contact our office. SIGNE ❑ PLEASE REPL Y ❑ NO REPLY NECESSARY Allan R. Morgan Reid, Middleton & Ass( ites, Inc. Engineers ® Surveyors ®�Planne( -T' T FILE 324 Main St. Edmonds, Washingon $$ 0 DATE ____ November 16, 1977—____—___ Phone 775.3434 SUBJECT F i le No. 5328A_-._--__ TO John Miller -_ — City Engineering Dept_ Civic Center _ Edmonds, WA 98020 > -_ _ --__ _ Enclosedpleasefind 3 copies each of the storm water retention plan and calculations for the Shamrock Plaza Condominium for your review and approval. If you have any questions, please contact our office. SIGNED/_%`/_IiGC`�-1� • ✓�' - ` -- ❑ PLEASE REPLY ❑ NO REPLY NECESSARY Allan R.. Morgan Computer ID # STREET !FILE BACKFLOW PREVENTION ASSEMBLY TEST REPORT NOV 19 -NJU PUBLIC '-WORKS- _. RETURN NO LATER THAN NAME OF PREMISES,4&-A94 "OC- ?-4AIA CONTACT PERSON SERVICE ADDRESS Y//3 LOCATION OF ASSEMBLY / % /,it,, ASSEMBLY V t Al r �d/ 7 ��j MANUFACTURER . ODEL SIZE SERIAL NO. LINE PRESSURE AT TIME OF TEST LBS. TYPE OF ASSEMBLY Reduced Pressure Assemblies Pressure Vacuum Breaker Relief Double Check Assemblies Air Inlet Check Valve 1st Check 2nd Check Opened at psid psid Valve Initial Test DC -closed tight Closed tight � Op ened at Did not open ❑ Leaked ❑ RP- psid Leaked ❑ psid Leaked ❑ Repairs and Materials Used Test After DC -closed tight ❑ Closed tight ❑ Opened at Opened at Repair RP- psid psid psid _ psid AIR GAP INSEPCTION: Required minimA um air gap separration provided ... Yes ❑ Nog .,REMARKS: ll-Z r-96 THE ABOVE REPORT IS CERTIFIE INITIAL TEST PERFORMED BY,�L REPAIRED BY FINAL TEST PERFORMED BY BE CERT. NQ!& " 0 0/ Q DATE —� DATE CERT. NO. DATE r Computer ID # BACKFLOW PREVENTION ASSEMBLY NOV 19 IJJU TEST REPORT PUBLIC WORKS RETURN NO LATER THAN NAME OF PREMISES � ��" �� CONTACT PERSON SERVICE ADDRESS LOCATION OF ASSEMBLY � / / �/_-/ 0i./ /� � /1—G�- ASSEMBLY -'�' MANUFACTURER MODEL Sizie SERIAL NO. LINE PRESSURE AT TIME OF TEST LBS. TYPE OF ASSEMBLY Reduced Pressure Assemblies Pressure Vacuum Breaker Relief Double Check Assemblies Air Inlet Check Valve 1st Check 2nd Check Opened at psid psid Valve Initial DC -closed tight Closed tight Opened at ❑ ❑ Test Did not open Leaked RP- psid Leaked ❑ psid Leaked ❑ Repairs and Materials Used Test After DC -closed tight ❑ Closed tight ❑ Opened at Opened at Repair RP- psid psid psid psid AIR GAP INSEPCTION: Required minimum air gap sepaiation provided ... Yes J No p REMARKS: THE ABOVE REPORT IS CERTIFI INITIAL TEST PERFORMED BY REPAIRED BY FINAL TEST PERFORMED BY BE RT. NO.�/' 6d�0 DATE 1 O-'U CERT. NO DATE DATE �- STREET FILE. CITY OF EDMONDS --`•PUBLIC WORKS DEPARTMENT RECEIVED BACKFLOW DEVICE TEST REPORT OCT 2 1989 PUBLIC WORKS NAME OF PREMISES Z.0 C /T 7, SERVICE ADDRESS LOCATION OF •DEVICE �,l/ 1/,#vL i dci / < rb?;Cf- k/A DEVICE: C U /= �� c 3/�:/ t f Manufacturer Model Site Serial No. LINE PRESSURE AT TIME OF TEST LBS. r PRESSURE DROP ACROSS FIRST CHECK VALVE LBS. CHECK., -VALVE NO. 1" CHECK`SIALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE.,.. INITIAL 1...LEAKED ❑ 1. LEAKED' ❑ 1. OPENED AT LBS.': TEST 2. CLOSED TIGHT 2. :.-CLOSED••TIGHT REDUCED PRESSURE 2. DID NOT OPEN O.:. CLEANED ❑ CLEANED ❑ CLEANED ❑ REPLACED: :REPLACED: REPLACED: DISC ------------= ❑ DISC -------------- ❑ DISC.UPPER------ ----------- -----= ❑ R SPRING =-,-------- ❑'. SPRING ----------- ❑ DISC.LOWER---------------=------ ❑ E GUIDE -=---------- d; GUIDE --=--------- ❑. SPRING -------------_. ------------ , '❑ p =PIN RETAINER ----- El. PIN RETAINER----- ❑ DIAPHRAGM, LARGE A HINGE PIN ---=---- ❑ HINGE PIN -------- ❑ UPPER ----------------- -------- ❑ I SEAT ------------- ❑ SEAT ----:--------- ❑ LOWER ---------------- --------- ❑ R DIAPHRAGM ----=--- ❑' DIAPHRAGM;-=------ ❑ DIAPHRAGM, SMALL S OTHER,DESCRIBE*== 0 OTHER, DESCRIBE.-- ❑ UPPER ----------------------- ❑ LOWER ❑ SPACER, LOWER OTHER, DESCRIBE FINAL OPENED AT LBS; 1 TEST CLOSED TIGHT -=--- C]' CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS: / Z.( ) 'r THE ABOVE REPURT I$ CERTI-FIED TO B INITIAL TEST PERFORMED BY. OF ,C4910oAJ0 REPAIRED BY-.- DATE` FINAL TEST PERFORMED BY OF DATE CITY OF EDMONDS -2-PUBLIC WORKS DEPARTMENT BACKFLOW DEVICE TEST REPORT RECEIVED OCT 2' 1989 PUBLIC WORKS NAME OF PREMISES , � .(tea e /� y� � Z. - I'ISERVICE ADDRESS 1'13 S 5 a LOCATION OF •DEVICE /fir if /}-v f 7- %�/i, -Poe Pe DEVICE: �/ lei w G � _ �� yd i7 Manufacturer Model Size Seri 1 No. LINE PRESSURE AT TIME OF TEST d LBS. PRESSURE DROP ACROSS FIRST CHEGK VALVE LBS. CHECK':VALVE NO. 1'. CHECK -`;'VALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE. INITIAL I., LEAKED ❑ 1. LEAKED"° ❑ 1. OPENED AT LBS.'- TEST 2. CLOSED TIGHT :- 2. CLOSED TIGHT REDUCED PRESSURE 2. DID NOT OPEN :' ❑` . CLEANED ❑ CLEANED ❑ CLEANED ❑ REPLACED: REPLACED: REPLACED: DISC -----------= ❑ DISC ------------- ❑ DISC.UPPER------ -- -------------- . Cl R SPRING =-=--------- ❑T. SPRING ----------- ❑ DISC.LOWER---------------- --- El E GUIDE ----------=- d, GUIDE ------------- ❑.. SPRING ----------- =-------- P .`-,PIN RETAINER ---- ❑. PIN RETAINER ----- ❑ DIAPHRAGM, LARGE A HINGE PIN ---=---- ❑ HINGE PIN -------- ❑ UPPER ------------------------- ❑ I SEAT ------------- ❑� SEAT ----=-------- ❑ LOWER ------------------------- ..: ❑ R DIAPHRAGM -------- ❑` DIAPHRAGM.-=------ ❑ DIAPHRAGM, SMALL S OTHER, -DESCRIBE == ❑ OTHER-, DESCRIBE.-- ❑ UPPER -------------------•-- LOWER_ --------------- ❑ SPACER, LOWER OTHER, DESCRIBE FINAL OPENED AT LBS, TEST CLOSED TIGHT----- CL,QSED TIGHT----- ❑ REDUCED. P ESSURE REMARKS: THE ABOVE RENURT IS CERTDFI JOA.B .R E: _ INITIAL TEST PERFORMED B. OF, DATE/G REPAIRED BY DATE`' . FINAL TEST PERFORMED BY OF DATE 'J CITY OF EDMONDS -- PUBLIC WORKS DEPASTREET FILE BACKFLOW DEVICE LEST REPORT NAME OF' PREMISES SERVICE ADDRESS LOCATIONL OF DEVICE c_14r -(lanufacturer �odel S( e Serial No. LINE PRESSURE AT TIME OF TEST LBS. PRESSURE -DROP ACROSS FIRST CHECK VALVE LBS. CHECK VALVE NO. 1 CHECK VALVE NO. 2 IrJITiAL I 1. LEAKED ❑ 1. LEAKED ❑ TEST I.2. CLOSED TIGHT 2. CLOSED TIGHT R E P A I R S CLEANED A REPLACED: DiSC------------- ❑ SPRIidG----------- ❑ GUIDE ------------ ❑ PIN -RETAINER ----- ❑ HINGE PIN -------- ❑ SEAT ------------- ❑ DIAPHRAGM -------- ❑ OTHER, DESCRIBE -- 0 •. FINAL TEST CLOSED TIGHT----- [I CLEANED 7 REPLACED: DISC ------------- ❑ SPRING ----------- ❑ GUIDE ------------ ❑ PIN RETAINER ----- ❑ HINGE PIN -------- ❑ SEAT ------------- ❑ DIAPHRAGM - = ------ ❑ OTHER, DESCRIBE -- ❑ O1FFFRFNT1Al_ PRESSURE RELIEF VALVE 1. OPENED AT LBS. REDUCED PRESSURE 2. DID IiOT OPEN CLEANED REPLACED: DISC.UPPER ---------------------- DISC. L0:•!ER ---------------------- SPRING -------------------------- DIAPHRAG;-I, LARGE UPPER------------------------- LOI.,ER------------------------- DIAPHRAGM, Si,iALL UPPER----------------•--------- LOIv! FR --------------- SPACER, LOI-IER OTHER, DESCRIBE OPENED AT LBS. CLOSED TIGHT----- I] REDUCED PRESSURE REMARKS,�CpRQEp THE ABOVE REPORT IS CERTIFI o INITIAL.-TEST PERFORIMED B OF Qjyjova 5- DATE l 2 REPAIRE.p BY DAT FINAL TEST PERFORMED BY OF _ DATE 1 / 7 2 CITY OF EDMONDS -- PUBLIC WORKS DEPAiEET FILE BACKFLOW DEVICE IEST REPORT NAME OF' PREMISES SERVICE ADDRESS LOCATIM OF DEVICE Al 47— 'DEVICE : ,A4— flanufactur e r t odi ei Size Ser al No. LINE PRESSURE AT TIME OF TEST LBS. PRESSURE -DROP ACROSS FIRST CHECK VALVE LBS. . CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED 1. OPENED AT _LBS. TEST 1-2. KO, REDUCED PRESSURE CLOSED TIGHT 2. CLOSED TIGHT 2. DID NOT OPEN ... CLEANED ❑ CLEANED ❑ CLEANED REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- O DISC. UPPER ---------------------- R SPRUNG ----------- ❑ SPRING ----------- ❑ DISC.LO:,,ER ---------------------- E GUIDE ------------ ❑ GUIDE ------------ ❑ SPRING -------------------------- C. P PI,+ RETAINER ----- ❑ PIN RETAINER ----- ❑ DIAPHRAG,•i, LARGE q HINGE PIN -------- ❑ HINGE PIN -------- ❑ UPPER ------------------------- [: I SEAT ------------- ❑ SEAT ------------- ElLOB.,ER ------------------------- L R DIAPHRAGH-------- ❑ DIAPHRAGM -=------ ❑ DIAPHRAGIM, Si,IALL $ OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -- ❑ UPPER------------------------- i SPACER, LO',IER '1 OTHER, DESCRIBE OPEi;ED AT LBS. •. FINAL TEST CLOSED TIGHT ----- ❑ CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS; CO go c—,o G_/O THE ABOVE REPORT IS CERTIFIED U INITIAL..•TEST PERFORf-IED BY OF �� p� DATE REPAIRED BY DATA FINAL TEST PERFORMED BY - 0 0 l O OF DATE 1/72 CITY OF.*ONDS PUBLIC WORKS DEP� GREET FILE BACKFLOW DEVICE. IEST REPORT NAME OF PREMISES SERVICE ADDRESS T ' LOCATIOPJ OF. DEVICE A c4ce -" /ram Il�� LT DEVICE: _I�/�� ►�4� G — -`� I t�anufaeLurer t�oi'lel Size Serial N No. LINE PRESSURE AT TIME OF TEST ....... =� _ LBS. PRESSURE DROP ACROSS FIRST Cl.li-C is VAL'd L LBS. t CHECK VALVE NO. 1. CHECK VALVE 110 2 I DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED ❑ 1. OPENFD AT _ _ _ LBS. TEST 2. CLOSED TIGHT CLOSED TIGHT X' REDUCED PRESSURE DID NOT OPEN CLEANED Cl CLEANED ❑ . CLEANED EJ REPLACED: REPLACED: REPL�.CED: DISC ------------- ❑ DISC ------------- ❑ DISC. UPPER ---------------------- [, R SPRING ----------- ❑ SPRING, ---------- - ❑ DI SC.LOt•,ER---------------------- E GUIDE ------------ ❑ GUIDE - - - - - - ------ ❑ SPRING -------- ------------------ C P PIN RETAINER ----- ❑ PIN RETAINER----- E DIAPHRAGt•J, LARGE A HINGE PIN! -------- ❑ HIN'E PIN -------- El UPPER ---.---------------------�- ❑ I SEAT -------=----- ❑. SEAT ------------- ❑ LO+:;LR------------------------- R DIAPHRAGt1-------- ❑ DIAPHRAGM --------- ❑ DIAPHRAGt•J, SHALL S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -- ❑ UPPER ----------- - - - - - - - - - - - = -- �1 L0,-;f:R--------------- Ej SPACER, LONER OTHER, DESCRIBE OPENED AT LBS. FINAL TEST CLOSED TIGHT ----- ❑ CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS: THE ABOVE REPORT IS CERTIFIED 0 B TR INITIAL TEST PERFORMED BY OF /l4o S DATE_ 7- //:�% REPAIRED BY DATE FINAL TEST PERFORMED BY - OF _ DATE CITY OF _OONDS -- 11UBi-IC WORKS DEPOMENSTREE I FILE BACKFLO14 DEVICE: BEST REPORT PIAME OF PREMISES SERVICE ADDRESS �l%,3 �5 LOCATION OF DEVICE ,P�f�C A 5' DEVICE: '��E'� d_ Too Manufacturer Model Size Serial No. LINE PRESSURE AT TIME OF TEST _ __ -7--O PRESSURE DROP ACROSS FIRST ClIEC is VAL'r E LBS. LBS. CHECK VALVE NO. 1 CHECK VALVE NO ? 1 DIFFERE11TIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED ❑ 1. OPENFD AT _ ___LBS. TEST 2. CLOSED TIGHTCLOSED TIC REDUCED PRESSURE 2. DID !QT OPEN CLEANED ❑ CLEAiNED D CLEANED U REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- ❑ DI SC.UPPFR---------------------- E� R SPRING ----------- ❑ S11RIPJr,------------ O DISC. LO,-,ER---------------------- E GUIDE ------------ ❑ GUIDE ------------ ❑ SPRING -=------------------------ P PIN RETAINER ----- ❑ PIN RETAItIER ----- 0 DIAPHRAGMI, LARGE A HIi,GE PIN -------- ❑ H1N E PIPJ--=----- ❑ UPPER ------------------------= CI I SEAT -------=----- O' SEAT ------------- ❑ LO':;LR------------------------- [, R DIAPHRAGM -------- ❑ DIAPHRAGM -------- ❑ DIAPHRAGI-1, SHALL S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -- ❑ UPPER ---------- - ------------- CJ LOIJER--------------- ❑ SPACER, LO',IER OTHER, DESCRIBE OPENED AT LBS. FINAL TEST CLOSED TIGHT----- ❑ CLOSED TIGHT----- ❑ REDUCED PR_ SSURE REMARKS: THE ABOVE REPORT IS CERTIFIED TO BE T INITIAL TEST PERFORMED BY OF RFPAIRED BY FINAL TEST PERFORMED BY OF CER=CATE # : _,do T-ZC_c4pjDtp'7 -zo -g f7 ' 4-93 , DATE j DATE DATE 1 /72 f CITY OF EDMONDS -- PUBi_ IC WORKS DEPARST EET FILE BACKFLObJ DEVICE: PEST REPORT NAME OF PREMISES '�� u Cc SERVICE ADDRESS LOCATION! OF DEVICE �1J_�/� vL �— i�%✓ ,0,� r/��/��'��':� �'�= " DEVICE: Manufacturer Model lze Serlal No. LINE PRESSURE AT TIME OF TEST_^ J LBS. PRESSURE DROP ACROSS FIRST C ILC i, VALVE - LBS. CHECK VALVE N10. 1 CHECK VALVE 1•40. ? I DIFFERCHTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED O 1. LEAKED O 1. OPENED AT LBS. TEST 2 CLOSED TIGHT ' CLOSED TIGHT `' RI-DUCEO PRESSURE 2. DID !-IOT OPEN O CLEANED O CLEANED O CLEA`IED O REPLACED: REPLACED: REPI"PCED: DISC ------------- O DISC ------------- O DISC. UPPER ---------------------- C' R SPRING ----------- ❑ SPRING ---------- O DI SC.L0:•,ER---------------------- L-1 E C.IJIDE------------ O rlUiDE------------ O SI'RIHG--------------------------- C p PIN RETAINER ----- O PIN RETAINER ----- 0 DIAPHRAGI•l, LARGE A HI,':GE PIf--------- O IMME PINJ-------- O UPPER -----------------------•-- C, I SEAT -------=---- - O- SEAT------------- O LO':;LR------------------------- C. R DIAPHRAGM -------- ❑ DIAPHRAGI•I-------- ❑ DIAPPRACii'l, SI.IALL S OTHER, DESCRIBE -- O OTHER, DESCRIBE -- O UPPER ----------- - - - - - - - - - - - - -- Q LO;'i:R--------------- - ❑ SPACER, LOl•!FR OTHER, DESCRIBE FILIAL OPENED AT LBS. TEST CLOSED TIGHT----- O CLOSED TIGHT----- O REDUCED PRESSURE REMARKS THE.ABOVE REPORT IS CERTIFIED T R `7 INITIAL TEST PERFORMED BY _ OF REPAIRED B'f17 FINAL TEST PERFORMED BY --c OF jE,O J,f /J S' DATE DATE DATE 1 / 7.t CITY OF EDMONDS -- PUBLIC WORKS DEPARThPN"fREET FILE BACKFLO!•J DEVICE: I'EST REPORT NAME OF PREMISES SERVICE ADDRESS LOCATIOt! OF DEVICE AM 1.► r y617 DEVICE: /fir _' Mai �rer Mode4-1 l Size e ial hlo. u LINE PRESSURE AT TIME OF TEST_____., LBS. PRESSURE DROP ACROSS FIRST CIILCi: :VALVE LBS. CHECK VALVE h10. 1 CHECK VAL"JE NO. ? i DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED D 1. LEAKED ❑ 1. OPENED AT LBS. TEST 2. CLOSED TIGHT CLOSED TIGHT( REDUCED PRESSURE 2. DID '40T OPEN O CLEANED ❑ CLEANED O CLEATED 0 REPLACED: REPLACED: REPLACED: DISC D DISC ------------ ❑ DI SC.L'PPER------------- --- E' R SPRING ----------- ClSPRItJr,; ---------- -. D DISC. LO;-;ER---------------------- L� E GUIDE ------------ 0 rlUIOF------------ D SPRING ---------=--------=-------- C P PIN RETAINER ----- D PIN RETAINER ----- ❑ DIAPHRAGI.1, LARGE ~ A HI,,GE PIN -------- ❑ I4I1'-i E PIN -------- ❑ UPPER -------------------------- ❑ I SEAT ------------- ❑, SEAT ------------- D LO':;ER ----------------- R DIAPHRAG:i-------- ❑ DIAPHRAGM -------- ❑ DIAPN.RAGi•1, SI•IALL S OTHER, DESCRIBE -- D OTHER, DESCRIBE --0 UPPER------------------------- ID L0,i:R--------------- _ ❑ SPACER, LO',!ER OTHER, DESCRIBE FINAL OPENED AT LBS. TEST CLOSED TIGHT----- D CLOSED TIGHT ----- ❑ REDUCED PRESSURE REMARKS: THE ABOVE REPORT IS CERTIFIED T INITIAL TEST PERFORtiED BY REPAIRED BY FINAL TEST PERFORMED BY OF OF DATE DATE DATE CERTI"I= # : dvi'�'Q CITY OF.EDMONDS -- PUBLIC WORKS DEPARTSTRE.ET FILE BACKFLOW DEVICE LEST REPORT ilAME OF PREI.11SES 'C Q CC t'j SERVICE ADDRESS��`'��1% LOCATIOPJ OF DEVICE f fV M�DQ2 o is 0A/ <-S X DEVICE: _Aq —3 JAI Manufacturer Model. Si—V S al t1o. LINE PRESSURE AT TIME OF TEST r LBS. PRESSURE DROP ACROSS FIRST Clli_Ci, VALVE —LBS. . CHECK VALVE NO. 1 CHECK, VALVE td0 2 I DIFFEREtITIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED O 1. LEAKED ❑ 1. OPENED AT LBS. TEST 2. CLOSED TIGHT 2. CLOSED TIGHT REDUCED PRESSURE ' O 2. DID OT OPEN CLEANED ❑ CLEAiNED ❑ . CLEANED CI REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- ❑ DISC. UPPER ---------------------- R SPRING ----------- ❑ SPRING ---------- ❑ DI SC.L0,-ER---------------------- L-? EGUIDE ------------(� rlUIDE------------ ❑ SPRING -------------------------- P PIN RETAINER ----- ❑ PII'•J RETAINER ----- O DIAPHRAGM',, LARGE A HIi'GE PItt-------- ❑ HIMI;E PIN --=----- ❑ UPPER ---.---------------------- ❑ I SEAT -------=----- ❑l SEAT ------------- ❑ LO1;;Et?------------------------- u R DIAPHRAG,1-------- ❑ 01APHRAG11-------- ❑ DIAPI'RAGM1, SMALL S OTHER, DESCRIBE'-- ❑ OTHER, DESCRIBE -- ❑ UPPER - ------------------------ LOWER --------------- U SPACER, LO',!ER OTHER, DESCRIBE FINAL OPENED AT _ LBS. TEST CLOSED TIGHT ----- ❑ CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS: THE ABOVE REPORT IS CERTIFIED T INITIAL TEST PEP,FORMiED BY OF rO-$1-6 ,s DATEf'i 4FI REPAIRED BY DATE FINAL TEST PERFORMED BY OF DATE 1/72 O'TREET FILE CITY OF EDN.ION�DS -- PUBi_IC WORKS DEPARRIE14T BACKFLOW DEVICE IEST REPORT NAME OF PREMISES SERVICE ADDRESS LOCATION! OF DEVICE IM - A iht04-r QA DEVICE:J/j //rS N1anu fac Uu & oc LINE PRESSURE AT TIME OF TEST_____ PRESSURE DROP ACROSS FIRST -CHECK VALVE LBS. LBS. CHECK VALVE NJO. 1 CHECK VALVE NO. 2 IiDIFFEREHTIAL PRESSURE RELIEF VALVE 1. LEAKED ❑ 1. LEAKED ❑ INITIAL 1. OPENED AT _ LBS. TEST Ri-DUCCU PRESSURE 2 CLOSED TIGHT 2- CLOSED TIGHT 2. DID NOT OPEN ❑ CLEANED ❑ CLEANED ❑ . CLEATED U REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- ❑ DISC.UPPER---------------------- [, R SPRING ----------- O SPRING, ---------- -. 0 DI SC.LOI-,ER---------------------- L EGUIDE ------------ ❑ GUIDE ------------ ❑ SPRIHC--------------------------- P PIN+ RETAINER ----- ElPIN RETAINER ----- ❑ DIAPHRAGM, LARGE A HIi,GE PIN; -------- ❑ 111N1;E PIP1-------- O UPPER --------- C' ISEAT -------=----- 0' SEAT ------------- 0 LO';;EI.------- ------------------ R DIAPHRAGI'I-------- 0 DIAPHRAGM -------- ❑ DIAPHRAGMH, SMALL S OTHER, DESCRIBE'-- 0 OTHER, DESCRIBE -- O UPPER ----------- - ------------- Q L0Ili:R--------------- ❑ SPLICER, LOI•!ER OTHER, DESCRIBE FINJAL OPENED AT LBS. TEST CLOSED TIGHT ----- ❑ CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS: THE ABOVE REPORT IS CERTI INITIAL TEST PERFORMED BY REPAIRED BY FINAL TEST PERFORMED BY OF DAT E �--/ DATE DATE 1/7B CITY OF EDIVIONDS DEPARTMENT OF PUBLIC WORKS (206) 771.3202 Edmonds, Washington 98020 STREET FILE LARRY S. NAUGHTEN MAYOR Administration — 250. 5th Avenue North Maintenance & Operations — 200 Dayton Street April 23, 1984 Shamrock Plaza Condos ,1113-5th Ave. S., Edmonds, WA 98020 Attn: Homeowner's Association Gentlemen: SUBJECT: TREE FOR BANNER USE Recently you verbally authorized the City to use your large tree to tie a banner across 5th Ave. South for a Roz Sumner's banner.. The City desires to establish standard locations for banners and would like to receive written authorization from you to use this tree when a location is needed for banners. This would eliminate the need to place additional poles unnecessarily. We would require Street Use permits for organizations placing banners with appropriate insurance coverage. For your convenience, please sign in the space provided for authorizing this use. RM/ml If you have any questions, please feel free to call me. Sincerely, BOBBY R. MILLS Acting Supt. of Public Works The City of Edmonds is hereby authorized to use the tree for overhead banners subject to appropriate Street Use permit and insurance coverage. Date �s ROUD DT 2216Z HIIZ DT CITY OF EDMO.NDS WORKS UORTMENT -- PUBLIC ... _, - STREET BACKFLOW DEVICL TEST REPORT FILE fIAME OF PREMISES k, SERVICE ADDRESS 21.13 LOCATION OF DEVICE _/ 6y� Y. ;Ikcl DEVICE: h _ � — �— Manu ac rer 4loel Size erial No. LINE PRESSURE AT TIME OF, TEST_ LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE _ LBS. VA CHECK LVE NO. IT CHECK VALVE 110. 2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1., LEAKED ❑ ( 1: LEAKED ❑ 1. OPENED AT _ LBS. TEST '2 _— PLDUCED PRESSURE 2 CLOSED TIGHT CLOSED TIGHT 1 2. DID NOT OPEN � CLEANED ❑ CLEANED ❑ CLEATED C1 REPLACED: REPLACED: REPLACED:. DISC ------------- ❑ DISC ------------= ❑ DISC. --------------------- - R SPRING ----------- El SPRING ------------ ❑ DIS.C.LO.-JER---------------------- C� E GUIDE ------------ 0 GUIDE ------------- ❑ SPRING --- ----------------------- E] P PIfd RETAINER ----- ❑ PIN RETAINER ----- ❑ DIAPHRAGi-I, LARGE q HIirGE PIf,--------. ❑ I1If�lGE PIN -------- ❑ UPPER -------7----------------- - ❑ I SEAT -----------.- =❑ SEAT -=----------- ❑ LO'.IER------------------------- ❑ R DIAPHRAGH-----_-- ❑ DIAPHRAGM -------- ❑ DIAPHRAGM, SMALL S OTHER, DESCRIBE.'-- ❑ OTHER, DESCRIBE -- ❑ UPPER --------=---------------- ❑ LO';;ER--------------- ❑ SPACER, LM-IER OTHER, DESCRIBE FINAL --- -OPENED AT L8S. TEST CLOSED TIGHT---=- ❑ CLOSED TIGHT----- ❑ REDUCED PRESSURE REMARKS: THE ABOVE REPORT IS CERTIFIE 0 B INITIAL TEST PERFORMED BY - OF REPAIRED BY FINAL TEST PERFORMED BY OF DATE�11141,?J DATE DATE 1 / 72 CITY OF EDM0NDS -- PUBLIC WORKS DEPARTMENT �, cc BACK -FLOW DEVICE iEST .'REPORT NAME OF PREMISES �el Rio c- c SERVICE .ADDRESS ;/,��/ c�� o LOCATION OF DEVICE DEVICE: Yiiz Ilanufacturer Model Serial No. LINE PRESSURE AT TIME OF TEST_`_.'_ _ LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE CHECK; VALVE NO. 1 1- - CHECK VALVE NO. 2 DIFFERE11TIAL PRESSURE RELIEF VALVE INITIAL -TEST 1. LEAKED E) 1. LEAKED ❑ TIGHT 1. OPENED AT _ LBS. REDUCED PRESSURE 2 CLOSED TIGHT 2. CLOSED 2. DID ,IOT OPEN CLEANED ❑ CLEANED ❑ CLEATED EJ REPLACED: REPLACED: REPLACED:'. DISC ------------- ❑ DISC ------- •---- -- ❑ Disc. WIPER ----------- ----------- R SPRING ----------- ❑ SPRINCI----------- ❑ DISC. LOb1ER--- .-------=----------- LEll GUIDE =----------- ❑ �UIDF ----=-------------E ---- T P PIN RETAINER ❑ PIN RETAINER----- ❑ . DIAPHRAGI LARGE A HINGE PIN -------- ❑ HINGE PIN -------- ❑ UPPER -------------------------• El I SEAT -=----------- ❑ SEAT -------------- ❑ L0�-1ER------------------------- C' R DIAPHRAGM -------- ❑ DIAPFIRAGM-------- ❑ DIAPHRAGM, SMALL S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE --EJ UPPER ------------------------- ❑ LOl•1ER--------------- U SPACER, LO11-1ER OTHER, DESCRIBE ---- r-IId.AL OPENED AT LBS. TEST CLOSED TIGHT---=- ❑ CLOSED TIGHT----- ❑ REDUCED'PRESSURE REMARKS: THE ABOVE REPORT IS CERTIFIED TO B T E: INITIAL TEST PERFORMED BY OF A: Qm aDATE REPAIRED BY DATE] FINAL TEST PERFORI'IED BY OF DATE p /P-06/o 1/7-q CITY OF EDMONDS -- PUBLIC WORKS DEPAR�IEET FILE BACKFLOW DEVICL I -EST REPORT NAME OF •PREMISES ' ��/�/Y/ l��{�� `1 A 7—A SERVICE ADDRESS LOCATION' OF DEVICE AT ✓ DEVICE: Ma ufacturer LINE PRESSURE AT TIME OF TEST PRESSURE. -DROP ACROSS FIRST CHECK VALVE e LBS. 41 Size LBS. Serial No. �— CHECK VALVE NO. 1_ CHECK VALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED ❑ 1. OPENED AT LBS. TEST 1.2. REDUCED PRESSURE 2 CLOSED TIGHT CLOSED TIGHT 2-. DID NOT OPEN L CLEANED ❑ CLEANED .. ❑ CLEATED REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- O DISC.UPPER ---------------------- R SPRING ----------- ❑ SPRING ----------- ❑ DISC.LO!,JER---------------------- I E I GUIDE ------------ ❑ r,UIDE------------ ❑ SPRING -------------------=------ P . PIN RETAINER ----- ❑ PIN RETAINER ----- ❑ DIAPHRAGM, LARGE A HINGE PIN -------- L1 HINGE PIN -------- ❑ UPPER ------------------- - - - - -- � SEAT -------------- ❑ SEAT ------------- ❑ Lot-JEP,--------------- ---------- 1. R DIAPHRAGH-------- ❑' DIAPHRAGM -------- ❑ DIAPHRAGM, SMALL, S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -- O UPPER ------------------------- L 101,.!FR--------------- L SPACER, LO',IER '1. OTHER, DESCRIBE i FINAL OPENED AT LBS. TEST CLOSED TIGHT----- I ❑ CLOSED TIGHT ------ ❑ REDUCED PRESSURE - REMARKS - THE ABOVE REPORT IS CERTIFIED T E RUE: CC5`1' /5 9 INITIAL•TEST PERFORMED BY ��^•� OF /Lr%-7 DATE REPAIRED BY DATE FINAL TEST PERFORMED BY OF DATE 1 /72 1 .0 V CITY OF EDMONDS -- PUBLIC WORKS DEPSTTREET FILE BACKFLO-W DEVICE {EST REPORT NAME OFIRE1•IISES '' �",yy/�yl�l CO SERVICE ADDRESS J��3 ��r SUdil7U�/�S LOCATIOf OF DEVICE DEVICE: 'G�f's'C flanufactIrr Model LINE PRESSURE AT TIME OF TEST PRESSURE -DROP ACROSS FIRST CHECK VALVE LBS.. Size Serial No. LBS. CHECK VALVE NO. 1 CHECK VALVE NO.-2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED D 1...,, OPENED AT __LBS. TEST 2. CLOSED TIGHT 2. CLOSED TIGH REDUCED PRESSURE 2• DID NOT OPEN �,, CLEANED ❑ CLEANED ❑ CLEA.'!ED :- .REPLACED: REPLACED:. :' REPLACED: "< iSC------------- ❑ DISC -----.--=----- ❑ DISC. UPPER ---------------------- SPRING ---------- - ❑ SPRING ----------- ❑ DI SC.LO,,JER ---------------------- E ;=.IJIDE--------_--- ❑ r.,UIDE------------ ❑ SPRING -------------------------- ,- p PIN RETAINER ----- ❑ PIN RETAINER ----- ❑ DIAPHRAGI-1, LARGE A Ei1i;GE PIN -------- ❑ HINGE PIN -------- ❑ UPPER ------------------------- ;. I SEAT ------------- El SEAT ------------- ❑ LOI;EP,------------------------- R DIAPHRAGMI-------- ❑ DIAPHRAGM - _ ------ ❑ ' DIAPHRAGMI, Sl•iALL S OTHER; DESCRIBE -- ❑ OTHER, DESCRIBE -- ❑ UPPER-------------.------------ LOIJFR--------------- SPACER, LOINER OTHER, DESCRIBE FINAL OPENED AT LBS. i TEST CLOSED TIGHT----- ClCLOSED.TIGHT ----- ❑ REDUCED PRESSURE REMARKS-0 THE ABOVE REPORT IS CERTIFIED TO E T,RUE: �'N.S"�-�� INITIAL- TEST PERFORMED BY )'&''L OF 4,0 d QJ DATE DATE REPAIRED BY FINAL TEST PERFORtIED BY OF DATE 1/7' DATE: • STREET FILE INSPECTION RECORD CITY OF EDMONDS , PUBLIC WORKS DEPARTMENT PROJECT: \.% sfry- AS i t\ S /r.1 L1112 ST Ir I LTb r' n,r q- llJ STc f�nn. Scz war- '� D cc i s too C. 4-rt ^ A S i ou g cw BY: 1/781v Ati - STREET FILE CITY OF EDMONDS —PUBLIC WORKS DEPARTMENT BACKFLOW DEVICE TEST REPORT. ,-'`• NAME OF PREMISES _ 2� /VG c l'klz 1 2 i4 61 ,SERVICE ADDRESS �1113 C'A-F LOCATION OF DEVICE `�j/T,�'/% w c._= �U,� il//_� LEA DEVICE: Manufacturer Model Sjolze Serial No. LINE PRESSURE AT TIME OF TEST C� ' i LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE LBS. CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED ❑ 1. LEAKED ❑ 1. OPENED AT LBS. TEST 2. CLOSED FIGHT Er2. CLOSED TIGHT REDUCED PRESSURE Z. DID NOT OPEN ❑ CLEANED ❑ CLEANED. ❑ CLEATED n REPLACED: REPLACED: REPLACED: DISC ------------- ❑ DISC ------------- ❑ DISC.UPPER ----------------==---- R SPRING ----------- ❑ SPRING ----------- ❑ DISC.LOWER---------------------- Ci E GUIDE ---•--------- ❑ GUIDE ------------ ❑ SPRING --------------------------- P PIN RETAINER ----- ❑ PIN RETAINER----- ❑ DIAPHRAGM, LARGE A HINGE PIN -------- ❑ HINGE PIN -------- ❑ UPPER------------------------- 7- I SEAT ------------- ❑ SEAT ------------- ❑ LOWER ------------------------- L: R DIAPHRAGM -------- ❑ DIAPHRAGM-=------ ❑ DIAPHRAGM, SMALL S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -- ❑ UPPER ------------------------- C, " LOWER L SPACER, LOWER OTHER, DESCRIBE FINAL OPENED AT LBS. TEST CLOSED TIGHT----- CLOSED TIGHT----- REDUCED PRESSURE REMARKS: A L(/�� Cry foci rTi� THE ABOVE REPORT 1S CERTIFIED TO BE TRUE: C G 5 INITIAL TEST PERFORMED BY / OF L" IJ love) hl.Z7 S DATE ,PAIRED BY DATE _14AL TEST PERFORMED BY ,�1 C% sb OF DATE — jr*+ 0• CITY OF EDMONDS -- PUBLIC WORKS DEPARTMENT BACKFLOW DEVICE LEST REPORT NAME 'OF PREMISES 6 yA%YJ LIC,' /a z- A SERVICE ADDRESS / / / 3 �� 41 41�= S o t Uri c,a/DS _ LOCATION OF DEVICE �/),2; o.9 C 6' p F' .Su ,t�•c �`!/� /4 T l.C's9syc.- DEVICE• a ct S Z Z. -' � anufcureR Model Si- e Serial No. LINE PRESSURE AT TIME OF TESTit- LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE a LBS. - CHECK VALVE NO. 1 CHECK VALVE 140. 2 DIFFEREEJTIAL PRESSURE RELIEF VALVE INITIAL 1. LEAKED 1. LEAKED X• 1. OPENED AT LBS. TEST 2. CLOSED TIGHT ❑ 2. CLOSED TIGHT ❑ REDUCER PRESSURE 2. DID NOT OPEN E. CLEANED ❑ CLEANED ❑ CLEATED L- REPLACED: REPLACED: REPLACED: r,,,-, ❑ PISC---------=--- ❑ - DISC. UPPED --- L. R SPRING ----------- ❑ SPRINT,----------.- ❑ DI SC.LO':IER---------------------- 1 E r,UIDE------------ ❑ clUIDE------------- ❑ SPRING -------------------------- L- P PIN RETAINER ----- ❑ PIN RETAINER----- ❑ DIAPHRAGM, LARGE %: A HINGE PIPJ-------- ❑ HINGE PIN,-------- ❑ UPPER ----------------------'---- I SEAT ------------- ❑ SEAT -=-----.:.----- ❑ LO',JER------------------------- �- R DIAPHRAGM -------- ❑ DIAPHRAGM -------- ❑ DIAPHRAGM, SMALL S OTHER, DESCRIBE -- ❑ OTHER, DESCRIBE -.- ❑ UPPER------------------------- L LOWER --------------- �- SPACER, LOt-IER OTHER, DESCRIBE FINAL 0PENED AT LBS. TEST CLOSED TIGHT ----- - ❑ I CLOSED TIGHT----= ❑ I REDUCED PRESSURE REMARKS: f �� f � @vr"c_�� l ;C L we ul-p om a 7'r37 THE ABOVE REPORT IS CERTIFIED TO BE TRUE: /S a 5; INITIAL TEST PERFORMED BY 5W-47ol/ OF 'vrvc.-V,vr DATE REPAIRED BY �•(� P 46 0 11C b P J F'p � DATE FINAL TEST PERFORMED BY OF DATE 1/76 5A-rl�,p *AlF& CITY OF EDMONDS -- PUBLIC WORKS DEPME1vET-- BACKFLOW DEVICE LEST REPORT 26 NAME OF PREMISES SERVICE ADDRESS ///3 1�f;- f S a ` 0ew 6Q 4-5 I't _ LOCATION OF DEVICE 'NjoaA,F o!-_.- DEVICE: -- Manufacturer iodel Size Ser-. LINE PRESSURE AT TIME OF TEST LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE Z LBS. INITIAL TEST R E P A 1 R, S CHECK VALVE NO. 1 1 CHECK VALVE NO. 2 1. LEAKED ❑ 1. LEAKED O 1 2. CLOSED TIGHT 2. CLOSED TIGHT 2 CLEANED 11 !:ED: DISC ------------- Li SPRING ----------- ❑ f;UIDE------------ ❑ PIN RETAINER ----- ❑ HINGE PLII-------- ❑ SEAT ------------- ❑ DIAPHRAGM -------- ❑ OTHER, DESCRIBE -- ❑ FINAL i TEST CLOSED TIGHT----- ❑ REMARKS:__ ' 5~/— d CLEANED 0 REPLACED -------------- u SPRING, ----------- ❑ r,UIDE------------ ❑ P114 RETAINER ----- ❑ HINGE PIN'-------- ❑ SEAT ------------- ❑ DIAPHRAGM -------- ❑ OTHER, DESCRIBE -- ❑ DIFFERENTIAL PRESSURE RELIEF VALVE OPENED AT LBS. REDUCED PRESSURE DID NOT OPEN 17: CLEANED REPLACED: r ..nrn Di- --------------- - - --- DIS C.LO!ER --------------------- SPRING ----------------- -------- DIAPHRAGN, LARGE UPPER --------- I ------------------------- DIAPHRAGM, SMALL - UPPER----------------------•--- LOI.!ER --------------- SPACER, LOWER OTHER, DESCRIBE OPENED AT LBS. CLOSED TIGHT----- ❑ REDU ED PRESSURE Cc THE f'.!? EVE REPORT IS CERTIFIED TO BE TRUE:-JS o %. INITIAL TEST PERFORMED BY i/, /9Sj�L-�r`on/ OF �/)/ylaN/J S DATE%/-/.7'!� REPAIRED BY DATE FINAL TEST PERFORMIED BY OF DATE 1 / 73 CITY OF EDMONDS S�R�ET FILE PUBLIC WORKS DEPARTMENT, ENGINEERING'D I APPLICATION FOR RIGHT-OF-UAY CONSTRUCTION PERMIT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts ^ - - A n A, Permit to be issued to: For Work at :(address or vic Type of Work to be done: ISA- M (attach drawing when applicable) Time Required -- Start:_ d Owner: a.l—r; A- Name .a to I M fling Addr ss Ll �o ` .City/State Zip Contractor:yt`.. rtO\,e,L_ Name t o 11 6 r1 rL• Mailing Add ss Cit• State Zip 1\ . Finish: 1 ILL 1V V .Telephone Number -' V.- I� W� Y b P State License Number =u s t Telephone Number •` ti NO [40Rh TO BEGIN PRIOR TO PERMIT ISSUANCE 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 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 subject 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 avable at the job site for inspection purposes at'all times. 1*-� N _ Signature: 1 Date: Owner or Agent TO BE COMPLETED BY ISSUING AGENCY: Date Issued: �� — Permit No.: 78-�7�F Fee: Security Bond: Time Authorized s A. PROVED 1:J -,---.INTER-OFFlCE STREET FILE T ❑C 4 rORM - - 4ITTLES SUBJECT: COMMUW-i;�A(TIONS -761 DATE 1 e 1910 . m FROM ,-Ct:fr L L-1 EET FILE City of Edmonds Engineering Department 250 5th Ave. North Edmonds, Washington 98020 RECEIVED IF-1 Lez - ROV - 91979 Dir. Of Public- Works laish Homes, Inc Attn: Dan Smith, City_Engineer, Dear Mr. Smith: October 7, 1979 RE: Sidewalks - Shamrock Plaza.: Condominiums 1113.5th Ave. South, Edimnds Several months back we requested a release from the sidewalk assessment in front of the Shamrock Plaza.Condcminiums since we had installed them ourselves relative to occupancy permit. The title report on the closing of our recent sale still shows the assessment- against the property, thereby causing Irish Hanes, Inc. to indemnify the Title Company against loss by reason of the assessment, in order to get clear title to close the sale.. We are again requesting that the City .release the assessment to eliminate this problem and any other future problems of clearing this at some later date when the actual dollar amount is determined. We notice that.work has already progressed on sidewalk completion along 5th Avenue South. Your early response will be -greatly appreciated: Very truly yours, IRISH HUMS, INC. Howard D. King HDK: hh 10 JU I -P 0 S - 1) �-M� L)", tjoj Residential & Commercial. Construction 0 21026 - 67th W., Suite E • Lynnwood, WA 98036 0 774-8858 U WOMCITY OF EDMONDS 1 �� DEPARTMENT, ENGINE* NG &ISION ST T FA CATION FOR RIGHT-OF-WAY CONSTRUCTION PFRMTT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A, Permit to be issued to: For Work at :(address or vic Type of Work to be done: (attach drawing when applicable). Time Requite -� Start: _ 11 LFinish: 2 C� Owne i M icing Aaaress v Cit State Zip Tele one Number", - Contractor: Zaie ame tate_License Number 14-6 Mail'ng Address City State Zip Telephone Number ** NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE ** Be 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 employee's, 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 subject 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 mu t be available at the job site for inspection purposes at all times. Signature Date: (- / Ll�U Owner or Agent TO BE COMPLETED AY ISSUING AGENCY: J/ rSi' 6 c Date Issued: Permit 0.: e: ;S — Security Bon _-f Time Authorized: APPROVED B Date:�� A r 0 STF�EET CITY. OF EDMONDS 4 ��B C WORKS DEPARTMENT, ENGINEERING DIVISION RECEIVED APPLICATION FOR RIGHT-OF-hIAY CONSTRUCTIOtI PERMIT JUN 13 1978 THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECT.IW.d�&FI- Applicant to Complete Parts A and B A. Permit to be issued to: Snohomish -County P.U:D.,,-No.�,l,f- For Work at : address . or vicinity) ( y) 1113 - 5th Avenue South .Edmonds Shamrock Plaza Condominium s o i Type of Work to be done: install undergro.und,power;system 3 eV v i (attach drawing when applicable) Time Required -- Start: approx. 15 days Finish: take 2 days d Owner Name Mailing Address. City Work Order No. 886171 Telephone Number Contractor: Snohomish County P.U.D. No. 1 Name State License Number P. 0. Box 1107 Mailing Address Everett Washington 98206 259-9775 Fred Eagan City State Zip Telephone Number Engineer State Zip 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 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 subject 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 th per"eA lable at the job site for inspection purposes at all time . Signat e: Date: ,. TO BE COMPLETED BY ISSUING AGENCY: Date Issued: d/i Security Bond: Time Authorized: Permit No.: 78-/Sa- Fee: /S' U IU— //Iv (KnviCori i PPROVED BY Date: - q?FZ-V 4, CITY OF EDMONDQ PUBLIC WORKS DEPARTMENT, ENGIN#RING DIVISION STREET FItEICATION FOR RIGHT-OF-WAY CONSTRUCTION. PERMIT 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: R L4, 0, rF Work at : (address or vicinity) _1-S�DVtELI#JV Sgv1yt 5 Type of Work to be done:C %AT (�t.t� K ,,�J 15WL—t,. (A +DLf.'' (attach drawing when applicable) Li D d c r J 3 D/ Time Required -- Start:_ �'� (� c� Finish: Owner: ry1. '�: \ S k1 a '�a C t - tA� Name Mailing Address L�ro City State Zip Telephone Number Contractor: I Name State License Number Mailing Address �. City State Zip 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 Ior 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 issuanceof 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 subject to inspection and restoration in accordance with City Code. A 24=hour, riot -ice is requiredorJnspection b En Engineering. Y g g Call 775 2525, ext. 220. 1 �understand.ahat this p� must,. be .avai ] e.. atthe =job si a for ins- ecti;on K -- P purposes <.at alI ytimes. Signature: Date: Owner or Agent C, TO BE COMPLETED BY ISSUING AGENCY Date Issued:"-' O Permit : ' Gc No. 72-/3,G _Fee Security Bond: Time Authorized: _ & APPROVED BY 10-771v (Revised) Date STREET FILE MEMO TO: Art Housler, Director Finance Department FROM: Leif R. Larson Director of Public Works SUBJECT: REIMBURSEMENT OF STREET CUT SECURITY DEPOSIT - ORDINANCE #1935 R/W CONSTR. PERMIT NO.: 78-030 DATE ISSUED: 2-7-78 LOCATION OF WORK: 1113 --5th Avenue South/ SECURITY DEPOSIT AMOUNT: $186.75. RECEIPT NO. & DATE: 2701; 5=15-78 COMPLETION DT. OF REPAIR: N/A Please prepare a Treasurer's Check in the amount of $186.75 made payable. to the following: Russ Johnson 16009 North Meadowdale Road Edmonds, WA 98020 The balance of the deposit in the amount of $ -0- is to remain in Street Division Revenue Fund 111-000-000-389.10. lv Blandin Saterlie Alle rc CITY OF I-.OMMONDS PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION APPLICATION FOR RIGHT.-OF-IlAY CONSTRUCTION PERMIT. THIS PERMIT MUST BE AVAILABLE AT, '.['!iE JOB SITE FOR INSPECTION-PURPOSE-S Applicant to Complete Parts A and B , A. Permit to be issued to: '�7)� For [cork at:(address or. vicinity) /• -�� +Y , Type of Work to be done: /-�7Z P_ (attach drawing when applicable) Time Required -- Start: 2 ) Owner: _nC Name Mailing Address Finish: -T'j/L%%E. City State Zip Telephone Number Contractor:�J 1(�G' J� `•,l h j 7 /c'G Name /State License Number ai�liin Address City State Zip 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 4 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 no;t�limited to the defense of any•legal proceedings including defense costs, court cost'`s and attorney fees by reason of granting.this permit. Upon issuance of this perm-ft;",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 Depos't-(est-imated 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 subject to inspection and restoration +in accordance with City Code. A 24-hour notice is required r sp ction by Engineering..: CalP',775-2525, ext. 220. I understand that this pe it mus be available at the job slte°,f.or .inspection purposes at all times. Signatur %'.v Date: wn oriAgent C. TO BE COMPLETED BY IS,VUI, AGENCY: Date Issued: E , 7 -% `Permi-t- Fee: (; Security Bond: Time Authorized: - -2 = APPROVED BY �t ,� �, Date: --2 �' W1 J . -ACO 1 '� I I I i � I I �S � 21 I Z� � Iz 14� 1�1H 1' Z Q., 3-4 STVii:�fim RLE DATE: 2 14EMO TO: Building Division Community Development Department FROM; Engineering Division Public Works Department SUBJECT: 2.d3 \J N( 1 5 After review of the subject building permit application, we have the following comments: gw:g a �(z iwm; - G irr snkwo-An A 21 2 s Cuoyt &aESS art. Imo. _ � � A • A � .� � .I 4�1 �A / I • • 1 �� • /1 �/ 7 7 L � I i I � 1 • STIR. EET FILE PUBLIC WORKS ENVIRONNMENTAL REVIEd PROJECT NAME r ■ !ir 1/ ►.FILE ASSESSMENT DATED; c -1II Ida P7> AN ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS BEEN COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE BEEN MADE; I uln e5 I. do ijulfil�c-_ ..ice .� R��L� . Ir. - . V45 L s:-* s lic�i_ dry- 1 LAj PREPARED. BY:J�>jj,,,L BATE; lli6 %)Ill8 STREET FILE MEMO TO: FROM: DATE: Building Division Community Development Department Engineering Division Public Works Department SUBJECT: .� 00m i NIii After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway graces is tie responsibility of the contractor. (2) The contractor is required to keep the abutting streets clean- ed of: d,irt and debris caused by the construction. (3) A "Right -of -Wav Construction Permit" is. required, from the Ingineering Division of Public Works, for any work within the Public Right -of -Way or public easement. Driveway slope not to exceed 14%. 0 rZ019.40roldap-MIM -7ntT=t0I&161M.4-M Msoff_-�ANMM'" low, t PW S/77 Compu!er ID 4 STREET FILE RF-CF-IVED BACKFLOW PREVENTION ASSEMBLY OCT 1991 TEST REPORT PUBLIC WORKS DEPT.. RETURN NO LATER THAN NAME OF PREMISES -h4 kn /'Y�G �` �-Z CONTACT PERSON SERVICE -ADDRESS LOCATION OF ASSEMBLY 1j2 ia• %�L/LL'1dLlaL ASSEMBLY -k.1'� •L- C D I 0 G `''C 2l01- 9/ ;�� +i-4LTURER VDEL 5 E SEZZiALN0, r LINE PRESSURE AT TIME OF TEST LBS. TYPE OF ASSEMBLY Reduced Pressure Assemblies Double Check Assemblies t st Check I 2nd Check i ! I I Initial DC-c'osed tight Test RP- psid 1 I I Leaked '.,.1 Relief Valve Closeo 1 7nt j Opened at Leaked J I I psid I I I I i I 1 I � �eDc�fs i and I i I t:larPt:aic i i 1 Used I I 1 � i I i I l � I I Tes! After i DC -closed tight 1 Closed !Ieht J i Opened at i Repa'r I I P- psid psid I � I Ci C. Pressure Vacuum Breaker I Air Inlet Check Valve Opened a! psid i -- pc:d Did nct open J Leaved J j Opened at psid AIR GAP IN PCTiON: Required minimum air ga separ t' n provided ... Yes J No J REMARKS: -8 �% psid I THE ABOVE REPORT IS CERTIFIED TO BE E: Y" INITIAL TEST PERFORMED BY CERT. NO. �'� ODD DATE 0 REPAIRED BY DATE FINAL TEST PERFORMED BY CERT. NO. DATE Computer ID # BACKFLOW PREVENTION ASSEMBLY TEST REPORT RECEIVED 00 4 ,011 PUBLIC WORKS DEPT. RETURN NO LATER THAN NAME OF PREMISES, �'iG1 m 1/1 Z a CONTACT PERSON SERVICE•ABDRESS-- LOCATION OF ASSEMBLY A f,C O 9-1 !y►_�o . �� (r' 1 Il P �(7 ASSEMBLY N G A I ;MA' SAC Tt1REn LINE PRESSURE AT TIME OF TEST (0 5- LBS. TYPE OF ASSEMBLY � C I in�l!al j Test ' R2D2'rs and i taa�e� as Used i i Reduced Pressure Assemblies Double Check Assemblies Relief 1st Check I 2nd Check Valve i �r�— DC -closed tight e, � Ciosea — rt � Opened at F?- psid I Leaked J psid LoQ�ed t i i Test A.tier DC-ciosea tight J Repair j RP- psid i C;osed t:eht J j Ooen.ed at psid Pressure Vacuum Breaker Opened at 1 psid Did nct open J Cpened at psid AIR GAP INSEPCTION: Required minimum a;r gap paration provided ... Yes j REMARKS: No J Check Valve i I i -- ps:d L=_ake� J j I i psia THE ABOVE REPORT IS CERTIFIED TO TRUE: INITIAL TEST PERFORMED BY CERT. NO. 0 0/'0 DATE REPAIRED BY _ DATE FINAL TEST PERFORMED BY CERT. NO. DATE 'X`�•+lYr F1.T ''�'�'!'�Y".�d'�a7' z .Ya��da '�✓Mr ��2� /�'h ".. , . ... ..... � . •1 -r i+!y ji.AT{etS�. t17; r t y t •k}�Y• 4.. : . , :. .: ;;A 4:°.... Critical Areas Checklist � Site Information (soils/topography/hydrology/vegeLr oon) 1. Site Addressa4cation:. / 3 '�S 6 , yf 7 2. Pro Tax•�A unt . g �� >.� .,,, - perty cxo Number. ono qua -/6 4.d`cuw �4-cc 11.` c��2.3-•'�y7' � 3. Approximate Site Size (acres or square feet): 3 (� �' �B , f 7 5c�. F 7,_ 4. Is this site currently developed? des; ao. `' If yes; how is site developed? e C k.o, 5. Describe the general site topography. Check all that apply:; Fiat: less than 5-eet elevation -change over- entire site. - Rolling: slopes on site generally less than 15% (a vertical rise of 14-feet over aj horizontal distance of 66-feet). HilIT.. ` slopes present on site of more than 15% and iess`than'30% .( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet): Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): . b. Site contains areas of year-round standing water: 0 ; Approx. Depth:' ' _ . r 7. Site contains areas of r • ± .. ^. . seasonal standing water: �n , Approx. Depth: What seasons) of the year_. _ ,...: 8. Site is in the floodwa y 1ll b fioodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-- round? /Il D Flows are seasonal? - 0 (What time of year? 10. Site is primarily:' forested ; meadow ; shrubs ;mixed urban landscaped oawn,shrubs etc) 11. Obvious wetland is present on site: For City Staff Use Only IS3 L` - L Site is Zoned? �-M 1. (+ ?-M13 CA 2. SCS mapped soil type(s)? 9t* a2 ,, L,, We r 3. Wetland inventory or C.A. map indicates wetland present on site? 4 • ',Critical Areas inventory or C.A. map indicates Critical Area on site? 1\l0 5.. Site within' designated earth subsidence landslide hazard area? ► 0 6. Site designated on the Environmentally Sensitive Areas Map? 1Q DETERMINATION 'STUDY REQUIRED CONDITIONAL WAIVER _/ WAIVER Reviewed by:.v,r 1.� (L/5%I/ ( Tanner Date L T •. . , .. . r t1 •'f ' 4 .? '3 c ' J 7v qe�' 1 i K t , t{.Djt F. ,, ^,1 '•s.. ,a, `3 } ,+ , � j4 L i t'-P �rFa Jr 2 r�jY °.�. r ..,,a• r,4 ti fatiax9a� ,c,. i bk u Z l�`T35"o✓. - ` r ,,, rr J i S t'� rii i i yt ` '3°rfrtaj 3 3� ,i�A FYI Z r 4 .,' 9a 19�O �.. .,--.. - +"�� }.... •�:".1:Jhi..+i t 1.•kt -t.+,.fr. 't ''Y . C><ty, bf Edmonds Criti `� �`>.�, ..1.:�`ycat Areas:�;Ciecl�t: dn.r-,`r. '•Fy ` i •�JR - The Critical 'CIi •� .r.: .. _._...-... . - Areas ecldist contained on -.and submit it to the City: The City will this form is to be filled out by any Person f : revim.the.Checklist ,:,make a precursory site preparing a Development Perant _ visit, acid make a determination of the Application for the City of Edmonds prior subsequent steps necessary to complete a to his/her submittal of a development development permit application_ ` permit to the City. - ..:. .. . With a signed copy of this form the_--- _ The purpose of the Checklist is to enable - applicant should also submit a vicinity map City staff to determine whether any or plot•plan for individual lots of the parcel ' potential Critical Areas are or maybe .: � . - . with enough detail that City staff can find present on the subject property. `The and identify the subject parcei(s). In information needed to complete the addrtion, the applica- nt shall iocliide Checklist should be easily available from'=.,, other•.petiinent information (eg: site' observations of the site or data available at plan, toPograPhY map, etc.) • or studies in - City Ball (Critical Areas inventories, maps, cogjunction with this Checklist to assist or soil surveys). staff in completing their preliminary - assessment of the site_ An applicant, or his/her representative, must fill out the checklist, sign and date it, tF I have completed the attached Critical Area Checklist and attest that the answers provided are- factual, to the best of my knowledge (fill out the appropriate column below). Owner I Applicant: Applicant Representative: Vr&111V /(a Name Name Street Address Street Address .5/6AFL.,e45 9� sss,7 City, State, ZIP ». Phone City, State, ZIP - Phone i ture Date. Signature Date "EET FILE DATE: 14EMO TO: Building Division Community Development Department FROM; Engineering Division Public Works Departm SUBJECT: I I ► 67 ) rT 44 V. ISOM 23UM17 COW CIOM the following comments: Nn , we nave �� .lit�i ' ` _ %1��L� ��' J 11 4• 31 lot, 1. 49niasa' CARD No. ........... .......................... EASEMENT No. APP, )ATION for The City of Edmonds r. 9 rkL-T FILE SIDE SEWER PERMIT OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ 1WNER��I l..........��(7- i..�. .-1........................................................... . ! 4 i! I f ' i . e , 1 i V Date Approved: BACKFILL WORK ORDER ISSUED ........................................... DEPOSIT, $ ..... ,................................................ f % �! _ .,,,n . R ISSUED ^� /��... _� ' �--. .... .... J ....:, cwz.- �_....,F DATE).BY�..''L �_....................... ��' f-� - . - - .. ' ,, _ _ - - 1 . fi t� It *' !' . P.U. D. Trans.. 'i h 4 a . 13Ped. �!F�� - i L.t -i HeljcoY l4Ga: AIum.Storm Sewer of 0 50 �o ,E .�", c , I s 6 - _'` I . y Ca is C 1a �� _ i - Ot i1 i T 'PAvta1�T :.` tpa I.S.6 *jtiffipHA1. ,4 t See tJety ilk .: 2 2 ° " Corxst 135E , 6 Sid ' S vrer of 1.5 a - 1 Z� " LRlte.l! . N j iN tf ft1 . # ie� ''- To EL t) uJ¢ne1..r�. b F C ��,j Rdom - I i, I'llf t - a ° c Inv. p . ��. - '�/3 - . . I . � 11 I I � . ��. - "; �— ... I" 1. I I . � � V�. .. �., - . � �of I � I 1a 1 1 � at = _ . I �1, . I � 1, t I I � . I J, . . I ". ;- . . I I 0,,�1. . I I I -11 I I � " . I I - . 1, . w. r .��11 . , , - 11`� . 1. Bf Q y ail o . PROPOSE© . al � " U . �, _ . .. . ., L v� F 4. M " M f. may. o x b d, 1 . =0 a M .. - C ' In . m G °o ,.i� . 1 1 �,. O - ti v a c Alum. ✓ 4Gct. C B. N 5 ! licdl i ons' B o. 01.t: H�. : 5 .. 4• 00 k . I T 0 P 16 . ..' !""'' . �, rn, M d3 "Co'n0t:C.R N#4 Inv. 161.50.. E a CV i 63;-60�.: t t ..>"x. ., rsT p SI •.. �, ao Q C � ' o0 -Inv' 158.'!S ' -; . �� A it�,PHA�L T PAVE t,N�T u: ' .. i `i` C4fst.2tCJt,lir8"t} 1 meter lItrte;:. -j1 a ,; ,, �„ L.-.% �/'� ». cs .,.I t, '1, � ,; 11 ` JrI— O `moo Const.76 L.F. 12 `�Iteiical 16Gn. Alum.,Pert. Storm Sewer at 0.50 °fo _ • - ,I .. _ .., �N { inn'. �.. 1 1 " ,, 6 el 71,1I ,.._. — _ — �..._.. :. iNV, i59.00 ,.. se-M—S-` Level Woshed Grab Bed" (See Oetait) ...._ - Mod.OR-12 or Equal- ,; - f ,. � Maintenance o 1 /i 1 ♦ Ladder ✓ "o' /j /r < C.B. . ,.:. 6 Grate v ,A t, . 12 C.M. . r. {. ♦ Above .• .7 .I,I - _ I_ ;�� ,, I��I "Ii t. .,�iII% ♦ i - � - ""' Inv. t58.86 , _� , t �I11/ L. % j ♦ . `i , A i .,<:. « t .:. 1 a, -, 12-P�" , 8 .,, Oti Restrtcfo 1 .1L I . . 3 Orifice a j 12"Helical ' c `. . 7 Alum. . �� - �48 _ rr l �// / ,�i ,, SECT{tN, . L .. . . CATCH . 8_ASiC CI'E IOt vulOR1FI DETAILS SCALE 1" 2� . ., . I .I m . ! .. 1. . z CONDOKAINIU• - l 0- 1 > ! + CQ •- �:� -c ' . . , . . a. ° Ir , . .,-I, a M N d 1 O _ - 2,' i . . .1. �':' i "' . 0 o ,. . SiArm Sewer at, 5 .5 /o L.FB Helical 14Go.Aium I nst. a:1, Co C TbP 172.25 ,. In'v.`169�.75 . - Coast. 150 . ". .. . . ' 3P�HALT-r PAVtWE T _ N 1 1 1 . . . SITE - PLAN SCALD t I/16 "= II- 0`o BackfI11 . /� � o . • 0 1 v , ,h dGr Svci - �6 J Be'd 4Mil Vis4. ueen Sorrier around , Y •�r 12" ' o Gravel Bed °"b ` Pert. . � - G e 4 � > Pipe r . \. ' I . . . C►. W.. m . C uiII top.�lr"' � tt �ar'r,� .. .. _ '. .. NI f - '-�E'i ,S'�! I G WUOEI14 IkOtJND•i F'AC i:, 1 i I, '+;F 1 1"4 Yiw"w l EEN -. '* .., 7. -7'� S liltd ' I t T111 bR�SW `F6L TN 1' #AP A$S a C , THE .TiA£1R IN Lr?Y'1 li�1t�AtA1� 15� �;i II - . FIELD. "' 1 E ; ONT# ACTOR. ti U REST " tai �0 a , j Ck, C 1l1w ,i;CTUAL L',O At:idOS ,14T[l EL AM0,`X E M #G ,,_ II . i, : _ I T Af �':` Ot R'f AT A+ NC 1 �S ,1HAT 44A I � 16 Nei ., , . ' � C1 .'�l tE'c� IT -,a iHlwy�P ,oJEC , G�13�1!'F ;`'�� Ti� ::6�#J�� GTtl t L, ' - t �I._ ;RiNi1 1i:_1ii- RSILTIN` f f1{%��t1S ;PiA1C1N-= I. :-': .. /i Variable ,, Compacted 6 a t:kfI II . fit.., r,%- -- ,;-- iii i i f / r E� �I�I, THE. T ,f% ., m' s o d, - �, d .: a "©6 ' y.- ' o. u. 1' , , e b o , b`'.' ,3/4.`�t�!`�in Waahe•d1L&C!�rei '� e ", ,,Cl 4 0- i�11 ,N1tjI ENG NCw ING'I {'�'r;. ' _ o •" � 3 X 3 Bed' 4'; 3Q . �yamin--d b _ M p, Q..�- . . ' •. ,. u' : , �. . o .J . b G -, J d , 6 4 . . . . - . 4.� D _ m ,.. li i r '16 a:Atum tor� 12 He ca I?e t. G S o th - ° ,,: . ..:<. - ,,... - Remark's' - t Sewer t t7 5d . a / ,� . , .. �, : �, , f r m 0 ro c Vorioble 0 �; :� -i/ i� A` rig � /� Level - .. . `'� . SECTION . TYPICAL ---,/, ,�— 11 11 1-oO ® CXt �It�iCa `jW!-i CN C A,� QET. 0 v. OF (�2P. ` - 076,L—) PC), a l_,_-I C,T' 127-0.2 `. LQ hN, 9-77 . PUBLIC UTILITY DISTRICT No. 1 af.Snoh©mish County •� AREA'. • t!! `'yA OF `.-. � a►4stC�t-.fit r� 1 LOCATION KJ ` DATE D ` L- cy Cam.+ 1 7 W.O. No. - .: . - - .. . _. _ .. ;.' .. '. ,. •. REVISION SCALE i 1 REASON FOR WORK I}r,rL �«Ji�C:�-�%LSiC? ENGINEER E F-_��..._ AS BUILT. c�i �,c-RtiP.� �� ION�•-� "�TT`/�C� DRAFTSMAN U.G. FILE No. _ APPROVALS ENVIRONMENTAL ANALYSIS EXEMPT UNDER DISTRICT SEPA ' PROCEDURES,. SECTION;VII,'� ] i PARA_ �9QQ ITEM DATE Q BY F E. INTERPRETATION REFERRED TO:. -. DATE BY U.G. CONp 17 4 KV ADD "_CKT FT-' pH REMV -- CKT.FT pH NET :!()`CKT FT. PERMIT TYPE Cry-e or Ei MOt�iC� DATE GRANTED PERMIT TYPE •"'✓ „.D'1{-TE GRANTED FOREIGN CONTA COMPANY FOREIGN COMPANY EASEMENT GRANTOR DATE GRANTED EASEMENT GRAN TE GRANTED WATER SEWER' W.A.R. FORM DATE REC. `T r FUSING COORDINATED BY LOG POSTED INVENTORY' MAP POSTED POLE DEPT. TRANSF. CARD DATE RELEASED ' FOR CONSTRUCTION W .O. NO. `t 1 icy 1-7 1 J VVUHK UUMF _ETED BY cOREMAN 7. ReCEIVEU 1978 TR1 FILE SE Dir. Ot public Works �_ A E Pui�.L OF (�) 2 n,L. �K3C. r�Eu, 7D. E., PRl,' �:. -ro-r,�aL� DUCT M tN I t\A i1 h,l `t ' P. \/. C. Ems`( r E)EV E-LC�P��; . ENVIRONMENTAL ANALYSIS EXEMPT UNDER DISTRICT'SEPA- PROCEDURES, SECTION V11,1C70 PARA_M C .. DATE 4'- tZ�Ij':BY E. INTERPRETATION. REFERRED .TO; DATE BY U.G. COND IZ• V ADDCKT FT PH REMVCKT FT- pH �- NET'�CKT FT PERMIT TYPE- I-{ O E�'MQ>`_IT DATE GRANTED PERMIT TYPE TE GRANTED FOREIGN CONTAQTS--"""`"� COMPANY FOREIGN CONTACTS — COMPANY .w EASEMENT GRANTOR DATE GRANTED EASEMENT GRAN" TE GRANTED WATER SEWER'_."��' W.A.R. FORM DATE REC..."I -- L Z- -1 irk FUSING COORDINATED BY LOG POSTED INVENTORY MAP POSTED POLE DEPT. TRANSF. CARD r , , :t rti.pT . rns f , /, r 81.Pe. d• o N 89 38 09 E 2 9 7.701 ,,,,; „ ti . -Alum.- 1 .. Canst 22, t_.ti 12 We ca 4Go: S orm Se er.o o 0 % ,. � l _ tr, I , P , • ! C.O. e . lilt: ,a � }.. - e � �` Inv. )4 /2 n I. 4 t,x . ..,. ,... :. ` O / anst:135fi.:Sld wer at 1.5 ct, . I OR �y�4' `! - Y" E x`: Mi ..} cz. 01 LL r8 or First. Flo E-lev. 172.75 <.: o c. - >r -: PROPOSED CONDOMtNiU F � •� ' . ,: �� ,. � m Basement Floor Elev. 164.0 _ � p u o' d C to O Q1 :. iP ll r o O 1 m a ac L1 I tl r GO f N N I J a - M' ti 1 #' 3 . 1tt a _ t , 0 C M1, 1 C .5 O � 5 - •e ra t 1 t A rein Se wer w S T 7 1 c3 a 2_�5• Y u •: A m• t'i 4 0. 1 G c.+ 1 _ H e is a , oust. 5 t w 1 Con ♦, �(. �i {� �y# 4��ycr AfuCsn. _ Y Canst �Lr:•W, ,..,.}"l ,i�b�tli T..,:. .. ;�.,.. '. - - • � , .. ,: Con B No. �. ,. „ r st.0 N as Top 164...00 ..- �CTasnP s t.0A,4 C. Inv. 161.50 a3.6F . oNN Y. „ . ..t , ., ASPHALT, PAVEMENT' t /r • i ao `- Serbrce, nv i 58 �8:r c <fatY•Me 1 er ,fli . . .. f A 8 p NA t. T T . :. 4 z � Insto I I 5jjHydrant Coln 0 t F 8 p. is Wo r: M' n 1 Assemblywj l .4 j Pumper Port _ 4 p 2 Por .,. , ., .. :. Ns � ,:,t . kin .. .. ., �,I. �' j t8 . W/COnC. BrOC Q 1, ' _ C P ,.. .. ,,, ., .. o ec a '!1• ,. , < "" .. A R. L A PA;Rttl N5 cg A• R E a o # Secs. r .• � P , erf. tar Sewer at 0.50 Const•76 L.F. 2 H ii F t60 • Alum. P S m Install > r e ca o /o Insta C.O.0 0. Ted, : ,+ , /1n 3 X3 I:exei Woshed Grv1.TBed (See Details :ate r- ww_w :w m �_..,_. 8"X8 X INY.159.00--c" .` �' tNV:ib9.S8 M.J 'Tee ' • - i. �',� `- �t , N89°3809.. E 297.89 'B t�.�;Gottr , # ve I ; 1 F _ l E- i P L AN , : r ' Y ! g 1 K SCALE :T11 E11,11,0'�II�'��'.,��: , T �+ -�• rr�� n `l t �y! .. :: _ - , " ", y. �..+, � _ '-�' �•{}��y}yy �jy� r♦ {�e,� �14..R � "'W. %I� V ,. , �yy.,�p��xw' y}}fµ yr y��M, �,y�y�. ��,rF �[{� ' , . _ 'Y. i'YMa'Si��h3 .M1:,:�.., .�� •IM :'.1 Y•!!`�(',: �M/�::..3MI T'"�� - , :.' AC1!r...T ivl#l7. Cr�CTi Top'16`3.50 cfALL EOLEtY - GRCt�r�d 1 IwSUt;�`l�NG `:FFifl HIS ET l - 1 .%- . • Y k f ► 11 l/ Variable ,. �- ,:- F� r Q. /�..�.✓i.� �-i`.'r i � Sac .. /' Com a c t ed� � : B a c k t i 11, �----" `, olntenance STREETAL • ' ,:' !.odder. 81Chain , Coscude 011Resirictor i . , 3/y1 Mon Was htrd et 09 .. Mod.OR t2.or.E uol �` ", Y•,.„„ , Mtin� J q /= Maintenonce ©.. " CITY: F ED• D a ,-� a, +� a (. , 0 MON S ENGINEERING DEPTK.� r 'W Gr I° c d 1 i 3 X 3. Bed . : - _.} ♦ � ";!.odder � o 0 -� ✓ a f 1 B d C. B. ♦ q a ,o CS- - 4 rl 1 M Vs u n / Q ee a a t- E i ti 11 0 xarn ed b Y ,. Grate ♦ t , • .... s r ,, -. ♦ Bowler around 2 � i i 6 ♦ boys Gravel Bed Pert. 12 Welicol Bert.l6Go.Alum, Starrit .,. :. ; 2 C.M Date o a G }.. ..:. .. .". a -. ..: P o to e P Sewer. 5 at 4 R marks . , _ `. -. •�,.� .0 to f ram 0• .., ,.. , ` ♦ M1 `VariQb , i t 3 0 1 ResN for SECTION PROFILE'. 3 , r i i 0 f ce f 12 HelicalL1 T Y P LA' N TYPICAL YP CR • AVEL B ED D E TA 1 ,- Alum. FO 4 8. 1 R , , u • SCAL E I - 2 : - • 4 dP. ' P` .:z f L• N , SE T1 C N i , ��CA CR t E ©ET A iiSw0 a�i�► � Irf+V A , , • e ' EN IN ER55 ; ` �SURV-EY`C5R t� �,•• 1�♦1 , •.r y,� F�.�+ �M1 �j�•y{� ��/A �R (,�(.yp��.�,y /I��j . ,... :. ... ., . ' :. , :. •: :... .. ... :... - : � '..: .• ''; '., - ... `" EIcTt".:L" �M '�l'•.4✓.7/ 1, it ArY—er i'1{f�t'J�\✓}Z , I � tlaAttll STR , ,.,. ,. ,, .., _, .. � .. .. r. ':. -:,.- .• DRAWN' "`: : CHECK4D :"; L'lAiE,� F"1.lri.D BOOK: ?SC+R%•Cs--.FIL>r", NG9 s - r ,' , s A :A.R: M: - ,; -A.LS. �. tt'� otr 977 4tf . P A: > St•! , N, i +� B9 S a 11r N `V _ , �oxls'x�ex�sdn� signs sha�lbe removes. ea 3� in he'g� a s backs. Sign shall 11011 0 reAu� located w SHAMROCK CONDOMINIUM MONUMENT SIGN DESIGN DRAWINGS �� MOONsmall b® Nothing in this p , as atliow n oit r rmitting the interpreted currently exist�$'Regal' maintenance of any nonm conforming or un er'tted building, or site condition * Cation, regardless of hetherr suchDe=e scope of e I t app wilding, structure orsu� building, structure or site plan or drawing. condition may be the subject of a,separate enforcement action." OL City of Edmonds Building Department APIt VE PLAN CITY 0 F C0 NC-3 BUILDING DEPARTMENT WO Arm s2a� z WON ER, AF?RO1 FFI LATE AWO /y BLDG OFF!ClAL /.%. PERMIT wNUMBER DEVE11OP SENT SERVICES CITY OF EDNIOND" F O R M A 114 4th Ave N. Edmonds, WA. 98020 Project: Shamrock Main ID Sign Location: 1113 5th Ave. So. Edmonds WA. 9802, Designer Clayton Moss Cmoss(BMFonnaSeattle.con Direct Line: 425. 775.2442 Fax Une: 425. 775.2817 Drawing/Date Design Development 9.20.12 A N r 3 0 N d Q Proposed Sign (set back from sidewalk -placed within landscaped area) 6 Gcl{-e 'e�X (b`k) 6.6f wi s y5-Ft 40 EIrIGIN ERp AS NOTE N Date: OWNERICONTRACTOR RO IO COR E CONTROL AND DRAINAGE Pin, iSt et s jPark �� D -Fir St , PII Neigs- o iy i W `. ` oogle Map data 02012-, . Location: 1113 5th Ave. So. Edmonds WA. 98020 MONUMENT SIGN LOCATION PLAN RECEWIE NOV 19 2012 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS F O R M A 114 4th Ave N. Edmonds, WA. 98020 Project: Shamrock Main ID Sign Location: 1113 5th Ave. So. Edmonds WA. 9802, Designer Clayton Moss Cmoss FormaSeattle.cor Direct Line: 425. 775.2442 Fax Line: 425. 775.2817 Drawing/Date Design Development 9.20.12 Sidewalk Setback per City Requirements nok eXc�el d c o a oCM Trim boards: w Horiz.1-1/2 x 1 M o Vert. 314 x1 Horiz. Stringer: 2x6 notched (or 2x4 butt joint with 1x2 trim over) Sign Area: T-V x V-8" (<max. allowable area of 10 sq. ft.) Graphics: A. Logo image computer cut vinyl film applied. Note: large seagull 3d CNC routed 1/8" thick composite. B. Lettering 1/2 dimensional CNC routed composite Painted satin white. Applied w/VHB engineered adhesive. 2x4 - All connection ((--------._-----��_�- _-- hardware shall be galy. non corrosive. 'Enclose open space between post with cedar boards- stain natural coda -4x6 posts —I -standard direct burial, -set in concrete - Min.12" dia. x 2%0" depth 1 1 I Front View (double sided -same both sides) i End View .Center panel.125 alum painted w/ curved trim caps 1/2" composite applied (both sides) 20 Ends 48"(2) �Y appears _ 2x6 primary support 26"above posts) d1 NOV 19 2012 DEVELOPMENTSERVICES C 1 A. CITY OF EDMONDS F O R M A 114 4th Ave N. Edmonds, WA. 98020 Project: Shamrock Main ID Sign Location: 1113 5th Ave. So. Edmonds WA. 9802 Designer Clayton Moss Cmoss ormaSeattle.cor Direct Line: 425. 775. 2442 Fax Line: 425. 775.2817 Drawing/Date Design Development 9.20.12 Sheet 01