1122 2ND AVE S.PDF1122 2ND AVE S
CITY of EDMONDS
` For Inspection Call 771-3202.
SIDE SEWER PE;RM*,I-T
PERMIT NO. Oo 7
Address of Construction:
Property Legal Description (Include all easements): �, n
Owner and/or Builder: lea JUu� S 114C__
Contractor & License No: Se -a
Singl:e Family Residence
Multi -Family (No. of Units )
EDMONDS
ATMENT PLANT
Commercial (No. of fixture Units )
Invasion into City Right -of -Way: No 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 Yes (If Yes,, easement required,
attach legal description and county easement number.)
PLEASE--REA THE ITEMS LISTED ON THE BACK
J
I cert'fy that I/ e read and shall comply 2 Date
P//
with the items sted on the back. �C WORKS
Permit Fee:C).yC�
Trunk Charge:
Assessment Fee:
Partial Inspection:
Comments
Final Inspection Approved:
Issued By: (w
Date Issued:
Receipt No.:
Date Initial
Date Initial
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy
- File
Green Copy
—Inspector
Copy - Applicant r
L/10
/
C- � IdYL -
CdW l4e�C ��
�Buff
- I" -
iThq City of Edmonds
Side Sewer Drawing
EASEMENT NO- ------------------------------ -------------
,40ft t NEW CONSTRUCTION El REPAIRS E] LID NO - ------------------ - ASMT. NO. — ...............
b OWNER -SCkW-00-0 ------iA 0 t.'VES ------ I-Nc, ......................... CONTRACTOR ... LUT7 . .... — ----------------------------- PERMIT NO. 7-')SG-
JOB ADDRESS ... 112-2 --------- 2-ND ---- .............. LEGAL DESCRIPTION: LOT NO. ----------- 4 ----------------------- BLOCK NO. ------------------------ -----------
POW e-lk
4A.0 L-T
I/
PWW-0001 -11/75 (REV. 11/78)
------------------------------------------------------------------------------------------------- ----------------------------------------------------------------
-- NAME OF ADDITION ............ DEF—Ts . .... Plkk.�< ----- -----------------------------------
-
EDIVIONDS
TREATIVIENT PLANT
Approved:
DATE ....
By------- ... .... .... ----- -
X
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE PERMIT
ZONE~ NUMBER
jOB /f
ADDRESS
ZMAILIhN
Q
'
NAME (OR NAME OF BUSINES
C,
LEGAL DESCRIPTION CHECK(SU�B"D�IVISION(NNOO.v�
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LID NO.
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ADJD�RESS y"'�/��1 ' o,
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING `gEQUIRED DEDICATION
PROPOSED VJ�\�V /1'f(` —
TESCP
APPROVED BY
CI Y
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TELEPHONE NUMBER
I P
,V
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NAME
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED..:
STREET USE PERMIT REQUIRED E . uulz�__
ADDRES(�S, T P-9
— �1) I
SEE ENGINEERING MEMO DATED REVIEW BY
CITY
TELEPHONE NUMBER
�j '��p Z L• ��
REPAR S-
Al jAoA1
x
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cc
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NAME
Sawe �S ci�hve�
ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
W
a
CITY
TELEPHONE NUMBERcr
REMARKS
STATE LICENSE NUMBER
G(>
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
Z
Z
J
a
Z
Q
a
U
W
O
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Legal Description of Property - include all easements
(show below or attach four copies)
SHORELINE N
� �'�' ;�k (`
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS r
FRONT W SIDE REAR'
HEIGHT
��
LOT COVERAGE
REMARKS
Z
o
�
Q
w
m
o
NEW RESIDENTIAL PLUMBING
ADD/ALTER COMMERCIAL MECHANICAL
REPAIR RETAINING WALL El SIGN
EXCAVATE FENCE
DEMOLISH OR FILL (_ x _FT)
PJ swim
REMODEL COMPLIANCESINSP. POOL
CHECKED BY
TYPE OF CONSTRUCTION
V
CODE
D
HEIGHT
z
Z
o
J_
7
m
SPECIAL INSPECTOR
REQUIRED
❑YES C NO
AREA
GROUPANIC"YI
-
�-3
OCCUPANT
LOAD
WOONSERTVE/ � APT. BLDG RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
NUMBEROFSTORIES
t>Ke,
NUMBER OF
UNITS1
NATURE OF WORK TO BE DONE ACH PLOT PLA
h\O, lO r-4-s�v. cep
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Permit Application:180 Days
Permit Limit: 1Year- Provided Work is Started Within 180 Days
ENERGY CODE
W
Qemployees,
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
and agents from any and all claims for damages of
UPPtR
CATCH
i3As1N pETENT1oN PIPE LENGTH COIfrROL CATCH
�VSNT % SAS 1 H
r 1'.MIN, 2' I,AUx VER ,
COHTROe
SLOPE-+ r111A
rAP OR
P UNOFF
SYSTEM :CROSS; SECTION
*SEE P,4GE .3 FOR ,OUTLET, CONTROL OETAIt_ 4.
Y. L
it, SPALIS 1PRtOWI)
''-. CRUSHED itOCK
FROM
-OUTLET
CONTROL.. t r c r
x
RIPRAP.-OUTLE:T r
.WASHED GRAVEL OVTFLAW•TRENCH,M�N 10'',LONG�
TOP' • .4 • ' A' PERF : PIPE ZD >lE YI-EVEL
FROM
OVT'.
r � 7
COt�RDI 4 PERF '-PIP6 1NITH CAPS+, �{
nt ...! ...� S` rr n
RUNOFF, SPREADER.':OUTLET
�IT
t
`NOTES
1. Call Engineeringt:Division (771-3202)
for prebackfill and final .inspections
2 Res ponsibilityyfor operation and
maintenance ofxdrainage systems on
private property is•the resaonsibility
_ of the property-owner(s)..Material
accumulated in the storage•pipe must
be•fIushed out and, removed from catch
basins .to' al low proper operation. -aThe
outlet 'tontrol"'orifice must be kept..
open at all times. t
�/ 6
_ .
DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: 4-12 / &1E
OWNER:
��'�/�l�✓Oo� ,vas ��!�.
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary -sewer system required;.obtain separate
permit.
5) Water and sewer lines to be separated by 10 foot minimum.
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%.
8). Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
9) Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
� pM G� 7'?, L i`
10)' No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
F
Hamm. as - CM Sruz
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-CITY OF EDMONDS
250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202
COMMUNITY SERVICES:
Public Works • Planning • Parks and Recreation • Engineering
890 19y
October 27, 1989
Mr. Edgardo Santos
1122 - 2nd Ave. S.
Edmonds, WA 98020
Dear Mr. Santos:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City of Edmonds and the Town of Woodway have been working towards
the City of Edmonds to do the billing for both water and sewer
services. I do apologize for the inconvenience which you have had. As
soon as the details are complete, the City of Edmonds will reimburse
any refunds or overpayments for sewer services. You will be paying the
same amount as all other residents.
At the present time, I anticipate the billing for December 20, 1989
will be done by the City of Edmonds. Your patience has been much
appreciated and I will keep you informed as to the date expected or any
changes.
Sincerely,
Bobby R. Mills
Public Works Superintendent
BM/lk
cc: Ilene Larson
Utility Billing Clerk
WDWAY/TXTSEWER
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
--sT' r1T j��/j j�jj�
I • � OF EDMOj DS LARRY S. NAUGHTEN .
MAYOR
250 . 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202
COMMUNITY SERVICES: PETER E. HAHN
Public Works • Planning • Parks and Recreation • Engineering DIRECTOR
1890 ,9�0 -
October 27, 1989
Mr: Edgardo Santos
1122 - 2nd Ave. S.
Edmonds, WA 98020
Dear Mr. Santos:
rat �y^yn
1L
The City of Edmonds and the Town'of Woodway have been working towards
the City of Edmonds to do the billing for both water and sewer
services. I do apologize for the inconvenience which you have had. As
soon as the details are complete, the City of Edmonds will reimburse
any refunds or overpayments for sewer services. You will be paying the -
same amount as all other residents.
At the present time, I anticipate the billing for December 20, 1989
will be done by the City of Edmonds. Your patience has been much
appreciated and I will keep you informed as to the date expected or any
changes.
Sincerely,
Bobby R. Mills
Public Works Superintendent
BM/lk
cc: Ilene Larson
Utility Billing Clerk
RECEIVED
890-,9y_
OCT 1-01989
ENGINFFRINr
CITY OF EDMONDS
250-51h AVE N. • EDMONDS. WA 98020 • (206) 771.3202
COMMUNITY SERVICES:
Public Works • Planning • Parks and Recreation • Engineering
October 9, 1989
Doreen Akau
Town of Woodway
23929 - 113th P1. W.
Edmonds, WA 98020
SUBJECT: SEWER ACCOUNT AT 1118, 1120 AND 1122 -2ND AVE. SOUTH
Dear Ms. Akau:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
Al Hendricks and I have agreed to have the City of Edmonds do the
billing of the accounts noted above. We will start this on the next
possible billing date. The City will send you the $7.20 per account
each billing period for the pumping service. As agreed, the City will
reimburse these accounts for over billing by both utilities.
Please call Ilene Larson, Utility Billing Clerk, and let her know the
dates when you will stop billing and the necessary date to start
billing through the City of Edmonds.
Sincerely,
Bobby R. Mills
Public Works Superintendent
cc: Ilene Larson
Peter Hahn
Bob Alberts./
WDWYACTS/TXTWATER
• Incorporated August 11. 1890 •
Sister Cities International — liekinan, Japan
,I!iIl
i
'
I
I
CITY OF EDMONDS
ASSET INFORMATION SHEET
L� NEW
s
❑ ADDITION
❑ RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION '
SERIAL NO.
LOCATION �/
DE,5�NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
2
* PROJECT NUMBER
PROJECT COMPLETION DATE
COST moo- d -7
B.A.R.S. ACCOUNT NO. /-�%OO
ESTIMATED LIFE
INITIATED BY
DATE
APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTRY
REFERENCE DATE
b a INITIAL
DEPARTMENT FILE
kc�
VERIFIED BY
PROCESSED
BATCH NO.-
•o../�zz Zro ,ems •.: :
UPPERecT
CATCH
BASIN DETENTION PIPc LENGTH COWrIkOt CATCH
r I' MIN , 2' MAX COVER �.
j
OVTLGT
CONTROL .
_ z ILL SLOPES Ay. °d1 4,
'TO 0LrTL-E`T
(sip RAP, OR
P UNOFF.
SP READ ER)
SYSTEM CROSS. SECTION
SEE PAGE 3 FOR OUTLET ',.CONTROL: DETAIL "'
.� .•,tat -- -' .. r V1 S •+, o ` � e�"v'"'�T / '
2 :' �. --' . �'i. '�"'.—.�_.tajt-' - �—J+, n .. •_. ._ _ (7 � _ y f •t ,W i '1 i I, t 'L .f •..3 1�� �I:
,
Table 2 - Detention Pipe Lengths
Pipe Diameter `
Impermeable•
Required
Area Sq. Ft.
Vol. Cu. ,Ft.
15" .. '
18"
_
24"
'30" ; ^
2000
50
40-.
28..'
_:; 16
2500
62
50"
35 '.
=: 20..
:,
13 Required ' ':'
3000
75.
60
42
24
; 15
pipe
t7..Iength,
3500 ti
87:
7'0,
49 ..
28,':'
.
t
18
feet
4000
100
80
56,., ..:
'32
21
4500
112
90
63
36
23
00
125
:100.
70.
25
Table 3 -Outlet
Orifice Sizes
;
Impermeable
;Outlet
Orifice. Diameter,-,.
,f
4
Inches'
Sq. :Feet
2000 ' '
5/8
2500
5/8
z
3000
3/4t
3500
3/4
4000
7/8
4500
:7/8 ..
r.,.
000
8
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"• ATE•RECEIVEDCV
s.
PERMIT EXPIRES "
CITY OF EDMONDS
USE PERMIT 2,00080
y� �,��
ZONE /Q NUMBER 2,
(U'
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS /_/y�
I) /� �Ja Nj
SUITE/APT"
OWNER NA E/NAME OF WSINESS 1 -
/�_ �'{(
.
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
J '`
LID FEE $
MAILING ADDRESS
w
3 ��%d %ram,
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TEscP Approved p
RW Parma Required Q
Permit Req'd
(I
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Street Use Q
CITY , ZIP%%%
TEEPPH NE.,,q
EXISTING PROPOSED
InspectionRequited Q
Required p
Sidewalk
(/1 /
I[�'JO (/ 1 1
REQUIRED DEDICATION FT
WhinUnderequired
IY✓/l//t�l
1,/Iu-
Nam/ ,vl
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES NO ❑
M
•``
V ✓"/I
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
W
i
Z
AD TES
�^D /
Cj��"
ZIP
T5CEPHOhQE
ATh
F _
ENGINEERING REVIEWED/DATE
cc Y
ADgMrS, ,
FIRE REVIEWED BY DATE
W
Z(;LTX
IP_
T EPH ��
U.
-
• • "'
VARIANCE OR CU
SHORELINE OR ADBp
INSPECTION
BOND
�•--••--••-- --- PIRATI D%A�TyE\
CHE BY
REO'D
POSTED
_ 9 :`
❑ YES ❑ NO
'•
v SJJC!
SEPA REVIEW
SIGN AREA
HEIGHT
-j
PROY T A OUN ARCEL NO% �]
COMPLETE
EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
XP
NEW
yf
IXI RESIDENTIAL
PLUMBING / MECH
LOT COVERAGE
ALLOWED PROPOSED.
REQUIRED SETBACKS (FT.)
FRON c! SIDE REA
PROPOSED SETBACKS (FT.)
FAIT UR SIDE REAR
❑ AUDITION
COMMERCIAL
❑
COMPLIANCE OR
❑ CHANGE OF USE
�:yl,'�''%
i
REMODEL
❑ APARTMENT
`,ti
❑ SIGN p1 6X"'tt`"
RtFKINO' s'' LOT
REO'D PROVIDED
AREA
'PLANNINGREVIEWEDBY DATE
a
GRADING FENCE
❑ REPAIR ❑ CYDS ❑ ( r X•`, +'' FT
EMA S
❑ DEMOLISH ❑ TANK ❑ OTHERGARAGE
)
❑ CARPORT ❑ RETAINING WALL ❑ RENEWAL
Z
2
(TYPE OF USE, BUqjaSS OR
ROCKERY
�G4F �AQQTIVITY
y
EXP IN:
t �y
CHECKED BY"
T�pF ONSTRUCTION"',
C DE OCCUPANT
i GROUP
^ j
w
C
NUMBER NUMBER
OF DWELLING
OF
ITICAL
..AREAS V •-�j�/�
--SPECIAL INSPECTOR AREA
e! OCCUPANT
LOAD
O
STORIES UNITS
NUM �/
REQUIRED ❑ YES
DESCRIBE WORK TO BE DONE
REMARKS r = Z
PROGRESS INSPECTIONS PER U.¢Cf 108ANAL INSPECTION REO'D
o
_
m
-�-a AAn
.
VALUATION
FEE
2
PLAN CHECK FEE r'
J
SOURCE
HEAT SOURCE
GLAZING %
10TOPE
rVr, -*Ot
%
BUILDING
Q
�
OP
PLA HECK NO:.
VESTED DATE
PLUMBING
!` •i
4
MECHANICAL '
.--"'"''"
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK,TO
" " :�
_ .f
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC .
GRADING/FILL'
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t
SEPARATE PERMISSION.
:-
STATE SURCHAR�iE
4 so
�
PERMIT APPLICATION: 180 DAYS
_
W
a
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN I80'DAYS %.
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
to
(A
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
! ti �.. L
• ^ L.
W
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF -•,
LANDSCAPING
f
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND: s
INSPECTION FEE
=
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY'
OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
RECEIPT
FROM THE ISSUANCE
DEEMEDTOMODIFY, WAIVE ORREDUCEANYREQUIREMENT OFANY CITY ORDINANCE
PLAN CHECK DEPOSIT
j
_
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
RECEIPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid• and
I VIOLATION OF THE LABOR CO DE OF THE STATE OF�WASHINGTON RELATING TO
N O
FOR INSPECTION
O
a provided.
receipt is acknowledged in space
P 9 P P
WORKMEN'S COMPENSATION INSURANCE ANO ACW 18.27!
OFFICI SIG T RE DATE
SIGNATURE�R GENNT)
DATE SIGNED
(425) ,
771 -0220
RELEAS D BY D
ATTENTION ' .-'
EXT 333
i 3 ��u�
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL %%�'�221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL. FILE YELLOW - INSPECTOR
„ LATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER GOLD - ASSESSOR
YW7411-11�
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