1201 HIGHLAND DR.PDF11111111111111
11514
1201 HIGHLAND DR
M NOTICE
TO PERMITTF.E AND/OR OWNER
❑ PARTIAL APPROVAL
E'VIOLATION
[-CORRECTIONS REQUIRED
PERMIT
NUMBER
JOB ADDRESS'
❑NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN
PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS
AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS AND PERMIT OR REMOVE IT.
❑ STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
�CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN
BE APPROVED.
❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED,
CONTACT INSPECTOR AND � RECALL FOR INSPECTION
RRANGE FOR APPOINTMENT.
�7
9:f� U2,2j)
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN ...../._ ..._..__. INDAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED. SPECTIONS CALL: 775-2525.
❑ BUILDING DIV.
INSPECTOR PUBLIC WORKS
CITY OF
EDMONDS D W ❑FIRE DErT.
s
Coll 716-1107 for side sewer Inspections BEFORE covering any portion of the construction.-i
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspection*.)
12011 Drivc
ADDRESS LOCATION OF CONSTRUCTION ...................... . ..................................
Lot 11, Emerald
PROPERTY LEGAL DESCRIPTION ............................ ..............................................
.... . . . .................._....------------...................OWNER ?A"/Olt BUILDER ...... Lu;s! ... Hbiagim, .. ................................... . .......................................................
Russ J6,111SO 16,
..........
CONTRACTOR'S NAME ADDRESS. ..................................... ; ........... ......... . ...............
PerrAAsdm Is granted ..... MR.., for repair and/or connection of a side sewer to the city sanitary sewer
. I," U e r I __* ..... **' Wdem In accordance ordinances.
ATTENTION IS CALLED TO THE FOLLOVVING:
NOTE No. 1--The owners of the property may obtain a permit to construct sewer Inside property line, A licensed
:a er Contractor must be employed to construct
aide sower in street area. Do not cover any portion of sewer before it has be el Ing t".
r,
pes
NOTE No. 2--All work performed in city right-of-way requires an Invasion of Right -of -Way Permit 1
obtainable from
NOTE No. 3--Obtain full Information regarding Ordinance 11.16,030 and Regulations governing sids'64wern when yc, 1 W 4emit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Moose inside property, li Minimum grade of 2%. No bends in grade
sharper than 'A will be permitted.
NOTE No. 5—Trenches in street must be water settled and surface of street restored o I be responsible for failure due to Improper
d to to
work which may develop within one year of completion,
NOTE No. 6—It to unlawful to alter or do any other work than is provided for In the pe or to do say work on t main sewer or Its appurtenances except to in -
sort the pipe into the wye.
DISAPPROVED Date .... ........ Date ......... i ..... . .................... By.. ...... ----- Date .............. .................... By .......
.
APPROVEDDate .... - z L ......... ......... ................... ............... . ................................................... . ..
._/Z ........... Remarks: "'a ..................................... . ........... ... . ...................................................
............................... . .. . ........................................................................ . .............. . .......... I ........................ . ........................................ ! ..............
pi MUS Signed By Owner of Firm Performing Construction PRIOR To Request Wor Inspection
....... ...................... ....... I ................... .... hereby certify that the side sewer installation constructed under this permit
Contracting Fir erforming Construction)
Wave governing ordinances of the City of Edmonds.
...... .....................................
Check BEFORE you
The city of Edmonds Side Sewer Drawing EASEMENT NO- -------------------------------------------
NEW CONSTRUCTION ❑ REPAIRS LID NO. ------------------ ASMT. NO. ---------------
OWNER . ..... TOC-V\ ....... WA-8-ge-'—K ..................................... CONTRACTOR ------ ------- q-0.kVl-:w --- A - ----------------------- PERMIT NO.
JOB ADDRESS ------- laal- ...... ... ... LEGAL DESCRIPTION: LOT NO. ...... ............................... BLOCK NO - -------------------------
--- --------
-----------
....................... ----------------------------- ............................................................................................................
NAME OF ADDITION ........ HAI.o ....... 4ome.vL ................................................ . ..........
F00",
I I
W%(A SeA4
/ / to,
Z5
ZL u
c
-i�l 7
E xiSt i no 4 ('J
'-A -E; - S - S i3c Sewet
. ... ... ... . ......
C-. 0 - (?-'c I e ep) I I- t 15 +1
+"A •B.S. Side Smwer.
Approved:
PWW-0001-tins (REV.1 1/78) DATE --- (0-./ ZJ-3-T -------- B, --30YG ----- T k-VL;&(2.Vl
CITY OF EDMONDS
FOR INSPECTION CALL: ��� _H
PUBLIC WORKS DEPAR*NT �� Permit ��� a o ����
SLDE SEWER PERMIT 775-2525 Ext. 220 Issue Date G ( 7 l
PERMIT MUST BE POSTED ON JOB SITE *_
1 1.. • Address of Construction 0/lf, i,�1 �,%I.�f!� Ikk
1 2. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4: Owner and/or Builder
5. Contractor^& License
6. Invasion into City Right -of -Way: No L,-rYes (If Yes Right -of -
*__way Construction Permit Required --Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No l,/ Easement required -
attach legal description and county easement number.
READ THE FOL.LOWI.NG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side:sewers in the public right-of-way.
b. The side'sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be,'Iinstalled closer than thirty inches (30")
to.any structure.
`e C�,S.ird"e-Ts.,ew,-erc,;4iries mus/t,,°be laid at a minimum grade, of 2% (1.150
and maximum gradeu,of ,1004Q5�) Y ��
f . No turn in side sewer ree/ t'exr ,than 450 (1/8 , bend) is°allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be, connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
jj.� Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.---
k.. Side sewer must be left uncovered until'\,inspected and approved
by the City. �` '�
1. Inspection during normal working hours on1y.I,Two (2) working
days notice required. , ''�
�' j.
DATE:, /��% �% /'
/ I/ certify ,-that I,,h°ave read
and shall'comply with the above
PERMIT FEE:
CONNECTION FEE:
* PERMIT
DISAPPROVED By: Date:
By: Date:
APPROVED By: t , /2,j jl) j Date:
T BE POSTED ON JOB SITE **
APPLICATION
The Cityof Edmonds for
SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ® REPAIRS ❑
OWNER......................................................"g��- IGG-� ; ...................... CONTRACTOR iT� = .�'' ...........................PERMIT No. .
ADDRESS ....... :i�r.'. - ..... LEGAL DESCRIPTION: LOT No. ............. .�+-!-4, .......................... BLOCK No. ............................................
e ✓ NAME OF ADDITION ......... R — ~ 1 —L-4 .............................................
,... �4�\wf�.L.S�W "�l✓'� rat' `�a.
yy
r
Lu
7.
Approved:
DATE ...19
.... � .. ----=:�........... By...... r --<.c=?.. =- .........
OMLIC WORKS DEPARIN NC CI ECKL* Date -
BUILDING PERraT REVTE4 4 v47-
^_Address
.Street Right -of -Way Existing REQD
Access Easements Existing REQD
Utility Easement Existing REQD
Lot per Subdivision Plat Assessor Map
Site Plan Checked for Accuracy
..Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
E
Environmental Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area
'Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per.Code
Amenities Design Board Approval Reqd. ADB # Approval
Board'of Adjustment Approval Reqd.
.,Review,, -By: Date:
Existing Water plain Size
Water Main Reqd.
°;Service Line Regd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code Size
VfSC 4AR6e OVT[.ET— fKWHIM L-ra?OK TIM-:
• la f3 R 6AP
AV I -FAST 6 �� A6et/6 s'teoa se(r) of Ieecd�PTaQ-
Cross .Connection Inspection R U1(Z&] VAC-VUrn altisgKe." C.
Fire Department Comments +-bsa ai O.S.
Water Meter Charge Reqd.
Review bya—kj& = CGS-7e3 Date: G
Septic lank uesign Approvea
Septic Tank Permit Regd..
Sanitary Sewer Availability
Drawing No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
llate:
Permit No.
Prof •
File No.
Review By: Date:
;M
'
pen Dice Reqd.
Culvert: Rcqd. Size
Indicate on Site Plan
Soil Conditions and Gr4lld I kicer Field
Checked
St:rect Paving,
'Reqd,.
Curb and Cut.u2r
Sidewalk Reqd.
c�
Right C
F+
Bond Reqd. for.Public Inprovc-,T,—.-(Its
'
Street Name i"Reqd.
co
Ouher Sign' - 8eqd'
Pre Permit: Site Inspection madeon
'EN EEPJNG
Division
Da te
13Y Date
Drawims Stamped and Notations 1,L-ide
13Y Date
USE
�W
BUILD N DIVISION Applicant Fill LONE t �_ t2Nun�a
PERM' PPLICATION Inside Heavy Lines
NAME (O N ME OF BUSI,�ESS)
\ ADDRESS i
LEGAL DESCRIPTION SUBDI SION SHORT SUB NO,
� V J 1 rr- W •" t
W MAILING ADDRESS ,fats,
i. 0 Y 3 /-(1:.. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
0 CITY ELEPHONE NUMBER
F�IYY-/Y
EXISTING
PROPOSED
NAME
DEFICIENCY OF RIGHT OF WAY
U N
Y
.W ADDRESS PUBLIC IMPROVEMENTS REQUIRED ❑ E
0
F
=DRAINAGE IMPROVEMENTS REQUIRED !-❑. _1; �.D
,� 3
U
C CjTY TELEPHONE NUMBER DRAINAGE PLAN REQUIRED ❑
S UNDERGROUND WIRING REQUIRED ❑, �•�' ny M
NAME CONNECTION TO SANITARY SEWER 1979
� a
J �C -- REQ'D NO.
SEPTIC TANK PERMIT ❑
-Q ADDRESS j
ELEVATIONOF PROPERTY CORNERS ] & FOOTINGS REQ'D
E C I T TELEPHONE .NUMBER
/%/ SEE ENGINEERING MEMO,DATED
Al
U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY
i G
3 -0 -WF -s r t 'T3,i s
Legal Descriptio o Property {Show Bel w or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE
C
n L W
REMARKS
Z
O
ADB NO.
I- SIGN AREA ENV. REVIEW
6
0: - ALLOWED PROPOSED COMPLETE EXEMPT
U SHORELINE
U
W
0
J REMARKS
Q
W
J
VARIANCE OR CV PLANNING REVIEW By DATE
YARDS -VAAn
2L
J FRONT �. SIDE '� REAR
LOT COVERAGE
❑ NEW RESIDENTIAL ❑ GAS
LINE
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
HEIGHT
aNON-RESIDENTIAL SIGN
❑ ADD ❑ DEMOLISH
RETAINING
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WALL
- ❑ FENCE X_FT)
❑ ALTER ❑ ORFILL
[I YES ElNO
PLAN CHECKED BY THIS SITE IS LOCATED.IN THE CITY
OF EDMONDS. LOCAL SALES TAX
❑ REPAIR El PRE -MOVE .SWIM
POOL
SHOULD BE CODED 31.04.
REMARKS
I-
Z
INSP.
NUMBER OF STORIES
Z
NUMBER OF
O
DWELLING
W
i
-
F
UNITS
a NATURE OF WORK TO BE DONE
�
E
U
Q
N
G
W
W
0
PLAN CHECK FEE
VALUATION
FEE
F
2
m
O
PLOT PLAN
6
BUILDING
C
PLUMBING
4
4
-
MECHANICAL
FENCE
f
�
7
SIGN
'
m "Applicant, on behalf of his or her spouse, heirs, assigns and
W successors in interest, agrees to indemnify, defend and hold harmless
J g p
i the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
�
x agents from any and all claims for damages of whatever nature,
Q
x arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
.__— ,
e ... r ,.. .-.. -.-.., , .r, ., t. .. .Ir .,.,•,1 Ir, .,, r, i if,• .. •�ivn nr irrinr•r
WACK R. WIGGINS
1201 1-11GHLAND DR.
EDMONDS, WA 93020
a
Apr - - Imo'-O" MIS �ZOH
ENGINEERING REJJLIREMENTS FOR BUILDING PER APPLICATION
CITY OP E.)' IONDS
PUBLIC WORKS DEPAR`ff ENT
ETd ,IiJFERIP1r, ]� NISIOI'1 DATE:
SUBJECT:
Subdivision Plat PRD
Multiple
Commercial
G E TERAL REQU IRE // N`I'S
Coordination of the location or any structure with respect to utilities, streets, property.
lines and. driveway Trades is the responsib::lity of the contractor.
The ecnstra,iVor is required to keep the abutting street cleaned of dirt and debris caused
by the construction 7.30.200 Violations - Penalties 7.30.290.
A "Right -Of -Way Construction Permit" is required from the Engineering Division of Public
Works for any work within the Public right-of-way or public easement. 7.30.010 Violations
Penalties 7.30.290.
SPECIFIC REQUIFOIENTS
UNDERGROU11D • POI' ER
[Z Undergrotuid Wiring Req'd ❑ Not Req'd
SANITARY SEINER (F=,IIT REQ' D )
®'`Connection to Sanitary Sewer Req' d Back plater Valve Req' d on Side y$�ewe -cf (,0
42
❑ Septic Tank Permit Read. Design Approval eq d
Approved Dt . Permit Number
STORE! SEI•ER SYS=, 1 ( PER CITY CODE
❑ Drainage Plan Req'd
❑ .Site Drainage to be Contained on Site
ROADWAY E•1PRO S-ETYPS AND DRIVE11AY REQUIRLT-IsFPS
Drive', -:ay Slone Not to Exceed 11
❑ Driveway Fa.vin g Req' d
❑ Vertical Club Req'd
❑ Street' Pavia:; Req' d
❑ Drainage Plan Anproved Dt.
❑ Site Drainage to be Connected to City System
❑ Driveway Culvert Re,q'd Size
❑ Sidewalk Req'd
❑ Approved.DesiV
)i Req'd
❑ Bond Regtd for Public Improvements ❑Submit Cost Estimate
Note
Inspection z-,n',a., Engineering Division
❑ Foundation EiE Side Sewer ❑ Septic Tank
❑! Water Service ❑ Fire Protection ❑ Drainage
❑ Site Improverrents
A 24 - hour notice is required for inspection ;)y Engineering, call 775-2525, extension 220.
FRED F . i ERZBERG , P .. .
City I;:np i r (.10 r,