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1126 2ND AVE S.PDF1111111111 4839 1126 2ND AVE S j .; 1ITY of EDMONDS For Inspection Call 771-3202 �U Address of Construction: j SIDE' SEWER PERMIT NO S. Property Legal Description (Include all easements): 4 Dt T\x-&- PERMIT 07744 Owner and/or Builder: Contractor & License No: e" 9.4 Single Family Residence —Z OND PUBLIC WORKS Multi -Family (No. of Units ) 7' RAEN7'PLAN r. Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No I Z_;es (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.) PL THE ITEMS LISTED ON THE BACK sted on the back. Permit Fee: Trunk Charge: Assessment Fee: Partial Inspection: Pit t Issued By: Date Issued: Rec.eipt No.: Comments Final Inspection Approved: Date Initial Rejected: Reason ** PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy. -'Inspector Date Date Initial Date Initial Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO_ ____________________________________________ NEW CONSTRUCTION REPAIRS ❑ LID NO . .................. ASMT. NO. .............. ''11 • OWNER-1 5____- ..:................ CONTRACTOR�i�_w_i9��.___.,.._. Y''\_S__._.._,? _._.__.. PERMIT NO. �.�.7.- pp�-- - - JOB ADDRESS AA-��P........ -_----V-a-------5®-'-.._..... LEGAL DESCRIPTION: LOT NO. ---.. - -------------------------- BLOCK NO. ----------------_-..---..---------_. Rs R-kk (o Ohs Lo t e aF �,r� �, NAMEOF ADDITION...----•---------------•------....._..------•---•-----••----•------•---•-•----------------------------•--- 2 7 y�q,e. qg oa-, 4 (t. l Approved: h.-. DnIQNDS Pt -A It �O `p� v �. DATE �.�-- ......••-- YC� 2 t�V- PWW 0001 11/75 (REV.11/78) tom}{U - CITY OF EDMONDS ASSET INFORMATION SHEET M NEW i ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION - ° L` �c��� L' SERIAZ NO. LOCATION „ / DEPTA0�. / * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER io o a PROJECT COMPLETION DATES �O COST X& 4// B.A.R.S. ACCOUNT NO. %�/ ( -SOD lc���_D�•�-� 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 G.L. ENTRY REFERENCE DATE b a INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO. 26o CATCH 6AS11(: �_30 � AC�j '*I T70(oti TKGNCN LWNCTH nsuw� 1'�S►+CN COVCA 4-! -n G U N C L:Y rL 77C C N ` g Frylr PIPG CAP TEE w/ 4"LONG LEGS SYSTEM CROSS-SECTION Fitt MIRAQQFI SooX f5�uLAYE 7 Ep w TFIENCH COVER WAS $4E0 GRAVEI 4+DIAa.1 F ERF P '-04 TRENCH.CROSS-SECTION oo . STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 (or (:5PI location_ C)OP—e ceu plan by •a phone date - DESIGN DATA Trench' Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Rea. NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). r CITY OF EDMONos Slap SITE PLAN. SCALE: NOTE: 00 NOT USE INFILTRATION SYSTEM ON SLOPES OVE,F 15 PERCENT (15 FOOT RISE PE,q 100 FEET HORIZONTAL ) STRE- 1 FILE O.S. STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE 2 OF 2 Zip 4t /lz6 4 ?/ ra 4w-,s. u 20_CP CATC14 d!`51N: � A.CM "IT30�Oti 30 "UAL)YP,[:NCw LarNGTH f ,rK W NC H Cov" ............. I .......... O 4�irRf vlrc i TEE w/ 4"LONG LIrGS LCYKL 77t NCH CAP SYSTEM CROSS—SECTION MIRArI soox OP, 1%1/ELF=r-r TO B LAYED c W,\-n�4I::D FO=K TRENCH COVER WAS14ED GPAY EI 4romm MRF P TRENCH CROSS—SECTION r STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 for �P ix -A location_ V—)O t C R,5 rs k, plan by phone date DESIGN DATA Trench* Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Rea. NOTES 1. Call Engineering Division (111-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at lest twice per year). ✓� . 2 23 $ 7 r CITY OF EOMONOS * 'Zo 30 At SITE PLAN, SCALE: NOTE: DO NOT USE INFILTRATION SYSTEM ON SLOPES OVER 15 PERCENT (15 FOOT RISE PER 100 FEET HORIZONTAL) J s- o.s. STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE 2 OF 2 M MEMO TO: Building Division FROM: Engineering Division SUBJECT: After review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work.on City property. 4) Driveway slope not to exceed 14%. 5) Back water valve required if edownstairs plumbing is below elevation of upstream 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff and erosion on site and may not impact neighboring properties in any way. g) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. /a . s"d' 59• A is Agwk4-. �4+ &C,+�O+� g5•Z5 Mo AUUM. go��u 5I A4T, i - — --- 5. - 'Iz-co o L rs�e CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NASe'dopa E (OR NAME OFESS) Ovh�S Ir�C, MAI❑ ADD ESS _�> O O �� SS CITY TELEPHONE NUMBER NAME ADDRESS CITY TELEPHONE NUMBER -yfa Lj O � Q- ADDRESS O CITY I � �-j � TELEPHONE NUMBER STATE LICENSE NUMBER SeaLob I �5 C-c> Legal Description of Property - include all easements (show below or attach four copies) --tlp.4 1")p"e C2>`�l� NEW RESIDENTIAL PLUMBING /❑ ADD/ALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOLISH1:1 REMODEL ORCFILLTE PRE -MOVE INSP./ COMPLIANCE INSP. II NCE x-FT) ❑ SWIM POOL WOOD INSERT 1D APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) USE 'ROW PERMIT ZONE NUMBER JOB ADDRESS _EGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. LoT 70t4 1 P- 3 - 86 �:54 - 14-5 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING 6O REQUIRED DEDICATION PROPOSE Q RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED REMARKS 4 T G1h0/r�r��/hil /W/04107 YP� METER SIZE IBUILDING SUPPLY SIZE/ ' IFIXTURE UNITS REMARKS SIGN AREA I ENV. REVIEW I ADB NO. ALLOWED I PROPOSED COMPLETE I EXEMPT VARIANCE OR CU IPLANNING REVIEW BY I DATE YARDS I SIDE �1 REAR HEIGHT ILOT COVERAGE FRONT i 1 LL- - v CHECKED BY TYPE OF CONSTRUCTION' L_GODE HEIGHT -tJ z51 SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES ❑ NO- - REMARKS -w-,c , 7ht:"AL ig86 S-F bitYj� c VA vt_ PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL >� Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENERGY CODE "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, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of, this permit shall not be deemed to PLAN CHECK DEPOSIT modify,.waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of-th tate of Washington relating to WOr en's Compensa- WORK NOTED ti n Insur nC . INSPECTION SGNATURE (O ER R AGT) DATE SIGNED DEPARTMENT I / /✓ TY OF EDIMCNDQ LUATION FEE APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE O z cr w' Z 0 w w Q 3 0 Z Z Z d ATTENTION/ n132o2 RELEASED BY: DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ____U UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102.78 PROJECT REVIEW FIST !. r1cd PRWE)CT NAMES ;p PRCa7ECT ADDRESS: I12,�.a v't A ITS i APPLICATION RECEIPT DATE: I { Reviewed by: (initial/date), CLAPS PLANNING WPR/SWR STREET ENGNRNG FIRE BUILDING SINGLE? FAMILY/MULTIPLE/DIAL - (Circle One) SETBACKS CHECKED - Planning /// / II VARIANCE/SETBACK ADJ. tw, CONDITIONAL USE. PERMIT --- ////// ///// //////// ////////// 2 /. II III/ III/ // II//I//II/ ADB REQUIRII4E M CHECKED ////// ///////// //////// ////////// 3 OTHER ZONING REQUIREMENTS ////// ///////// //////// ////////// 4 ENVIRCNMENTAL, FEATURES 5 ACCESS SIDPF & VEHICLE ACCESS G ///////// ///////// 77777777 //////// 1 6 DRAINAGE PLAN (On Site) ////// ///////// ///////// //////// 7 STREET FILE �- ////// ///////// ///////// //////// 8 T AL DESCRIPTION VFRIFICATION 3' ////// ///////// ///////// //////// 1 9 QUIT CLAIM/DFDICATIONS ////// ///////// ///////// //////// 10 EASEMENT - PUBLIC/PRIVATE ///////// ///////// CALCULATE SEWER CONNECTION IF NO LIDS - ////// ///////// ///////// //////// 12 / / / / PIAT/SUBDMSION REQUIREMENTS -�'" ////// ///////// /////p// 13 RIGHT-OF-WAY CONSTRUCTION PERMIT REND ////// ///////// ///////// Z a / 14 7TIT11 777777777 MR1117T 7T77777 BOND READ FOR PUBLIC IMPROVETIEMS ////// ///////// ///////// //////// 15 SOILS OONDITIMIS & GROUND 777TTf / WATER FIELD CHDC.KED ////// ///////// ///////// ////// / '16 7/7 / STREET PAVING REQUIRED ////// ///////// ///////// 17 CURB AND GOITER REQUIRED ////// ///////// ///////// ////////// 18 SIDEWA X REQUIRID ////// ///////// ///////// 19 / 7 / 7 -17TITIT17/ CURB CUT FOR DRIVEWAY REQD 20 STREET NAME SIGN REQD ///////// ///////// ////////// 21 0711ER SIGNING REQD ////// ///////// ///////// ////////// 22 SIDE SEWER AVAIIABILITY ////// ///////// 23 //e //// EXISTING WATER MAIN SIZE /// // ///////// 11 //////// ////////1/ 24 777777 II �� 111111777111717 WATER METER SIZE ////// ///////// //////// ////////// 25 SERVICE LINE SIZE ////// ///////// //////// //%/////// 26 HYDRANT REQUIRED ///////// ///////// //////// ////////// 27 HYDRANT SIZE EXISTING ////// ///////// � (/ //////// ////////// 28 a / CROSS CONNECTION INSPECTION READ ////// ///////// //////// ////////// 29 // I/ ��--- 3�cJ�� I/ /// // r EATER METER CHARGE RD(p ////// ///////// //////// ////////// 30 FIRE LINE CHARGE REQD - SPRINKLER ///////// ////// ////////// 31 STREET CUT ////// ///////// ////////// 32 OPEN DITCH EXISTING ////// ///////// ///////// 33 RECp ////// ///////// ///////// 34 /// / //I/I CULVERT READ ////// ///////// /////////AP, 35 TT17777V— SIZE ////// ///////// ///////// 36 CATCH BASIN REX_7p ////// ///////// ///////// - 37 INDICATED ON SITE PLAN ////// ////////i ITITRTITkyj ///////// 38 SHOULDER DRAINAGE MAINTAIN TITF17TTIFIWITIT SHALE OPEN RUNOFF ////// ///////// ///////// 39 — II 140 MISC: ///////// ///////// r NEVIEWED BY: PLANNING MGR. PUB141C-WORKS MGR.