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1228 8TH AVE S.PDF1111111111118686 1228 8TH AVE S RECEIVECCITY Copy MAY - 2 1997 PERMIT COUNTER 7Y"� i ce 16 A m /Y "y'r Cn'r ksp,,:rL) flt°P IT •s/Q0 I )o / FR OP C a �;7 Q 2 2,6 , i-y so KY:, �t� '� 1 - APPROVFD cfi fPop Line fi PLA[Vfvjp4G ACCEPfA41 I�G`HTIIfVE MATERIAL.. ' W-12 ADS Sdr40 -PVC -- = - - SDR 35 (ASTM D3034) APPRqYED AS NOTED pp Ar ,�,. /'r1 f�C'• 1=iC lit f,•�. f%r.,•c•C�.�M.e.,'- (;Gt'r % %�'SCR7E , `_ �, rl ` (n Law BUILDING. �oSG' tl AY Wjt� SERRE Np Sc�qL-e, cck-p )a0, so lob �hS lop 4� , ®70 s ® 5-6V®A er ®p i a qo � fis C_ � tp o\ Yv Yq7y s p2os k6 G v t ^�e$vili "62, cv f SSG oc+(e4- o C h AA,04A 2 tq, STANDARD DRAINAGE DETENTION SYSTEM ' • h WORKSHEET 4 OWNER CALL BY ADDRESS fox v y PHONE: 7 7 l DATE: — / E -- LZ *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ;, f ORIFICE DETENTION PIPE LENGTH WASHED GRAVEL �OUTFLOW TRENCH, MEN 10' LONG TOP AND 4"PERF POPE TO BE LEVEL RIM ELEV CMIN COVER irmitt SPACE Z'MAX COVER RNA ELEV FROM CONTROL 4L 4 OUTLET 14 aYa M �aV Ire T '7yPe- �L MIN` 4'PERF RPE W/CAPS . .�..•.y P Ey .S :_pA SLOPE 4' 0 PIPE MIN. �t�[isl s' ;- sa r ORIFICE RUNOFF SPREADER OUTLET INV ELEV INV ELEV ("ER CA7CN BASIN CONTROL CArCH BASIN x2.x6"DEEP, 4'-6"OUARRY SPALLS SYSTEM CROSS SECTION I12'13" DEEP, sia"CRUSHED ROCK FROM CONTROL OUTLET „o. e... RIPRAP OUTLET FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES. 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems on private property is the dO� responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. ...... - 0^^ Page 6 of 6 PLANNING DATA NAME: -� o DATE: 9 o Z SITE ADDRESS: A vF c,� . PLAN C K#; - -7 PROJECT DESCRIPTION: �a o ,. a.e � C� o r9.na � Ol�z_o tz_ t ,7/ ca�o , nIn REDUCED SITE PLAN PROVIDED?: Ms / No MAP PAGE: I Oc'5 CORNER LOT: Yes / No FLAG LOT: Yes / No ZONING: IZ-b - Cv CRITICAL AREAS DETERMINATION M 44 - �-2- ❑ Study Required: 3 Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) 0 Exempt SETBACKS: Required Setbacks: Street:2 ® Left Side: Right Side: Rear: Actual Setbacks: Street: Left Side: '�5 Right Side: L ear: r� Street map chockedfor additional setback required? \j ..tea CA-, ❑ DETACHED STRUCTURES: ❑ ROCKERIES: ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: TAIRS / DECKS: PARKING: Required• -41- tua - LOT AREA: -7, I U C� . LOT CO E Calculations: ��� T-k T i 00 } BUILDING HEIGHT: few 1��c te- Ri �,D5q Datum Point: caer� Datum Elevation: Maximum Allowed: i s �� Actual Height: A.D.U. CREATED?: No / Yes 5� C � h --'� � Olt - SUBDIVISION: IG- � gO LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es / No %-k(n5 <.SY�'Zo-�C STREET FILE CA FILE NO. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) / 1. Site Address/Location: 4 XK 4 f�W -SA Fdr� 6� 6 s 2. Property Tax Account Number: 1,5V — 053 -004 3. Approximate Site Size (acres or square feet): -7 % f f) .SA 4. Is this site currently developed7 yes; no. If yes; how is site developed? �'�1.���e d— ()n ew� • l S� do v �� 5. Describe the general site topography. Check all that apply. �e~nN�, „� .5fr2, f Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a . horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less 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): 6. Site contains areas of year-round standing water: A2 © ; Approx. Depth: 7. Site contains areas of seasonal standing water: _IU L12 __; Approx. Depth: What season(s) of the year? 8. Site is in the floodway" — floodplain AM of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? _ (What time of year? o). 10. Site is primarily: forested ; meadow ;shrubs ;mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: Al 0 - Rev 09/29/93 ag0.i94- City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, F.E B 17 1994 el"Tco and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. 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 / Applicant: S'q m� Name Street Address City, State, ZIP Phone Signature Applicant Representative: P_o . adic s'yv4 Street Address 5?90 - 7�G8o� City, State, ZIP Pho Date Signature Date PLANNING DATA SITE ADDRESS: /;U? - 54" AWS 5 . DATE: .�?//A�z ZONING: 45 " ( PERMIT#: aft- "(J PROJECT DESCRIPTION: :S!�a SETBACKS: Required Setbacks: Front: 20 Left Side:Right Side: Actual Setbacks: Front: Left Side: Right Side:_ FLOOR AREA: fj�; Rear: Rear: LOT COVERAGE: Maximum Allowed: Oa Actual:�2� �oT BUILDING HEIGHT: Maximum Allowed: ctual Height: SUBDIVISION: J A0 - (7 CRITICAL AREAS #: ll (-22, SEPA DETERMINATION: LOT OTHER: FILE CA FILE NO. q q r �� Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) is 2 e / 1. Site Address/Location: �ZXK $'F 4U SA �c>sim�6a6s�v,� 1��0�0 2. Property Tax Account Number: Z6Z7 — 0!3 -On4 — o,.'` 3. Approximate Site Size (acres or square feet): `7 % V 61 SO _ �-f- 4. Is this site currently developed? yes; no. If yes; how is site developed? 5��. d— (vl 5. Describe the general site topography. Check all that apply. s�t~,�N�,�y sfi2P Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a . horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less 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): 6. Site contains areas of year-round standing water: A2 © ; Approx. Depth: 7. Site contains areas of seasonal standing water: IL) 0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain _ AM of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? _ (What time of year? _V6 ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) K . V 11. Obvious wetland is present on site: T0.._ . For City Staff Use Only--__��_�_�__ 1. Site is Zoned? 2::.. SCS.mapped soil type(s)? 3:::: ` Wefland.inventory or C.A. map indicates wetland present on site? 4:. Critical Areas inventory or C.A. map indicates Critical Area on site? L'C' 5 ' Site within-A.esignated earth subsidence landslide hazard area. Site designatzd on the Environmentally Sensitive Areas Map? %1, .DETERMINATION Rev WPM 1�' '� F B 1 7 E994 a90"194- City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. 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 / Applicant: .Sff /ne Name Street Address City, State, ZIP Phone Signature Date Applicant Representative: Wn pyrtioll PO , So)g:� rV 119' Street Address go-,76 f 0`e City, State, ZIP Ph o Signature Date o W w I I r LL— h G': II•f - ce d7 /4dO�Of P 'r JH %d SK ts, T 27N., R d� �r,�%\ % `NMl,NEIS�'s �✓ 07''C /10.Gb.... 3'H ti 37 A ex. 2-5,-a 7, woad b fRAMf Fe I //O!/. .9 I 1 I. Ilea. &V Nd9'.s!'o7'E Iv 0 7/QO 154. FT. h 11 a 1� 1 �h N I I✓�. '.'j.9 �07 "� /,W Cb jt 1 s�\� aPNec i\� \ \ t o.e/vEw.4 y �. c�eess suuxe.waw OWNER: o � w .- "Ly=wood. YA 980HEo z o 776 F,07 4. W 0 Sju annuvg o lu6 - 8th Ave SouAw a x v =� c a 4�D1 ZOtMC: RS6 ? . V E`� �a✓b_ lr LAND SURM James Borde Am. I,.. j� 6141 H.E. B& Seattle, WA 485-9711 .LV Rosemary 110 Subdivision 22727 BiShw 1 Edaoods. HA 778-us6 T.Q.N. .wowl"Aff I MONA=GV (A 99. CD Z Z LL O G�2 U W }" W ti. p It ,9ci0>. m a �`���ET FILE f r_'�JLV Tyf� 17. /6 ;, c Ave, ki4e - ��' fog e��A�/� �...�X�� n9} •��'d Line ACCEPTABLE 7GHTUNE MATERIAL stop N-12 ADS -.._- 8& 4*-PVC-— SDR 35 (ASTM D3034) ; A i f i Fi LJA LK 1 r, F �rLrJ� it S�„c s � yPe a2 r� ia- ► I ii, /Di'r hf f l O C SC, 7 E CITY CCPj SThEET FILE I AA +/. t x C$ r q sti�� fi�ss f too 4M R�,r;FIVED MAR 2 5 1994 ENGINEERING BUILDINl, NAR 2 8 1994 PPO G Yds +100 .u,AcK �r 3 / — -776•V076 -)A♦ PERMIT APPLICATION REQUIREMENTS To: Applicant T[EET FILE From: Lyle Chrisman, Engineering Inspector Owner. '�i�'i� Plan Check No: A Address: % Z vy 40-74— Date: ! lit After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M.40:00 P.M.WEEKENDS/HOLIDAYS —10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.�OG) 6. ' FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuanc$'of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 1410/a. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter, - (ECDC 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 1&10) 16. Connection to the City sanitary system is required. A separate permit is required LID# Fees paid: Yes No Charge , �_ (ECDC 18.10) Je 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL; ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE (ECDC 18.90) PRMIREQRDM `" FIL ?,,% e,- D 1'.4trP . -C i-re e 5� RFrFiVED MAR 2 5 J994 ENGINEERING MAR 2 8 1994 �y� Sf�oS �SvS e �JccAva'%ioh s' +-h M� p� STREET Fly', �0 76 �.c+ 6.!rA E7 de K4V x �G Zo 7 N . City of. Edmonds *. RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: 59 �`r l B. T of Work spec ific 1 / ( v' �,!✓ A 4 Contractor: - Contact: 14./7 -HK Mailing Address: Phone: %—/ 4 7 State License #: Liability Insurance: — Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut J�tes �y❑�• No G. Size of Cut: G, x H. Charge APPLICANT TO READ)ND SIGN L INDEMNITY: Applicant understands and by his signature to this application, agrees to hold 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 or 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the statements and understand thepermit requirements and thepink copyof thepermit will be available on si�6�qve at all t', es fqr i S c purposes. i (l Signature: ! ��t Date: ���� �'%�� ( ontractor or Age aa lAIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: w=fir RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER API'l- t 20 DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: :yA RESTORATION FEE: PERMIT FEE: TOTAL FEE: ! L� COMMENTS: RECEIPT FEE: ---- DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ❑ NO pit N?o ?1&0,00 • N.���n+21�sNl�r�r� -:3fN0HJ 3 mod Qb�NLI�3no v dS �s ✓s „ �� � � b -Lla-L-Vt48Gif Feelel ;� pi 0 •-_ <Q I! yl ►v/v►�--Vu 1 !.:�7 _ I I II I' II II �I I� w II C. City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: 1228 8th AV S GTE to place, operate, acd maintain a buried services 8 9 - B. Type of Work (be specific): wire from existing pedestal # A473 located at 12200 9 0 1 9 8th AV S then north to a residence at 1228 8th Nv S. GTE to plovv 60 feet and pushing no roads. Approx- R.W.W. 60 feet. Diary A Bower, Permit Coord. Contractor: GTE Northwest Incorporated Contact: Dennis Alexander 771-9036 or mobile 368-1358 MailingAddress: 22l l d 20th AV SE, Suite 130 Phone: tIary 29G a99-a82+9 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project )] Utility (PUD GTE) WNG, CABLE, WATER) ❑ Multi -Family ® Single Family ❑ Other 2100-9PO01I13 242310 INSPECTOR: r III ECTOR: uvAJuvH F. Pavement or Concrete Cut: ❑ Yes f ®No Size of Cut: ; ? x H. Charge $ Please see attached sketch. AP IC T TO READ SIGN i INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City o%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 or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting thispermit. 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 FARCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I haue read the above s tement derstand the permit requirements and the pink copy of the permit will be available on site at ti es to oses. VL Signature: e^t- 0#—,*rt John H. Stewart Date: ifarch 7, 1996 (Contractor or Agent) Oprns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: t-" RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER ( `1 �A�L-- DAYS SPECIAL CONDITIONS: COMMENTS: DATE: DISRUPTION FEE/FUND Ill: RESTORATION FEE: PERMIT FEE: TOTAL FEE: RECEIPT FEE - ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE F.nl,•rK. Div. 1991 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ❑ NO (sl 0 i i:[3Y7'1�Tl1 u� 0 z m m � 1 3� o (� _ 0 PERMIT SUBMITTED BY f GTE r) -----------.�-----------------,-----------,--------------------------- EQP ETN PVE ' �ZZa PEDS POLES O ROAD BORES OVERHEAD LINES I.Q. UTILITY POTHOLE O 1UG TRENCHING -iJGT /V CUTS, 890 _ 19'1- City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT permit Number. Issue Date: A. Address or Vicinity of Construction: 1228 8 Ave S ( 9423070 ) B. Type of Work (be specific): Install New Service C. Contractor: Washington Natural Gas Company Mailing Address: 815 Mercer Street,Seattle State License #: WA 98111 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Feimit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Ot er INSPECTOR F. Pavement or Concrete Cut: ® Yes ❑Nd�,-' G. Size of Cut: 2 x 4 H. Charge $ APPLICANT TO READ AND,S,IGN INDEMNITY: Applicant understands and by liis signature to this application, agrees to h9 6di)e City of Edmonds harmlesg9k"Wi tY�`� Images, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any o its departments or employees, including or 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 FOLL&ING TIIF. 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 - Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all t' for inspection purposes. Signature: * c 44&-Date: July 13 , 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER 20 DAYS SPECIAL CONDITIONS: 1\ i♦ COMMENTS: DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: 3e), 00 TOTAL FEE: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: &WWCOTWW , Addendum to -CItx of Edmonds Right ofWay • Permit Application Submitted by: MITCHELL S . • LANKFORD . Engineering.Aide ._. . • (22� Washington Natural Gas AV-521=5246 8 S } TIF- -• t ING to window ain depth _ urilcnown gas* main Key: -w- water -g- gas -ss- sewer $ water hydrant C) . watt- valve 315',Icrca St. (1 '), 1•;,,, 18h9), Scutt-, WA S 1111 %1206) 6'2_.'767 Xi •Adaendum to City of Edmonds • - -Right or Way �, ir; ,}-r •» Permit jtPP1 Cation �Ltb3D�tted by:: MIXCHELL S.-LANKFORD Engineering 'Aide- • Washington Natural Gas AV - - V •521=5246 • S Ocsc'e• 3,71 r.1 • Y • O I?NG to window ain depth _ unknown -1--" gas • main Key: —w— water —g— gas —ss— sewer $ watex hydrant O.. watc-, valve e?15 "'lcrccx St. (1 fl, L x 18ti9), Stahl-, WA S 4111 (206) 622- .767 I 77,liddendum to cit or Edmonds Rlght o!. Wa ' Permit Application �BLibmitted by:: MITCHELL S. • UNKFORD _ -- • ... _ -- Engineering -Aide 1: . • ��2� Washington Natural Gas U 521 '5246 S I.NG to window ain depth _ unknown •" gas, main --w- water -g- gas -ss- sewer $ water hydrant O . watt- valve BIS Maccr St. (1 n. 2.' , 1Sh9), SCAW WA S U 11 (206) 622- .76i ,• V t Addendum to a -City of Edmonds _.. _ • .RIght o Wayy'. Permit !Application ' �! 2??,2�� Q_,_._ •:;t Submitted by: : jt TCHELLI. S. •LANKFORD .:• _ __ .... _-Eng'ineeririg-:Aide i • Washington Natural Gas •521=5246 AV `n ain depth Key' urilcnown -w- water -g- gas gas ' nain -ss- sewer -6- water hydrant O . watc:_ valve 315 ;dcrccx St. (i '?. 1 ti 18ti9), Sunk, `•YA S 4111 (206) 62' 2-'767 City of Edmonds RIGHT-OF-WAY -CONSTRUCTION PERMIT Permit Number - Is -sue Date: (� A. Address or Vicinity of Construction: 1228 8 AV S ( 9423070 ) 1890 19 ( B. Type of Work (be specific): Reissue Install New Service - C. Contractor: Washington Natural Gas Contact: Frank Swan Mailing Address: 1122 75 St SIT Everett Phone: 447--3284 State License #: 98203 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project Q Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: W L't c� F. Pavement or Concrete Cut : ® Yes []No G. Size of Cut: 2 x 4 H. Charge $_ 1 APPLICANT TO READ AR�;IGN c-/„ INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that myy be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costa, and attorney fees by reason of granting thi 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at 'fo'' ,' oses. Signature: pp Date: 4-6-95 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: k-J%LAt.A RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER _aIV t+ 2-DAYS SPECIAL CONDITIONS: 141 A' COMMENTS: DATE: DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: TOTAL FEE: ' o o RECEIPT FEE: ISSUED BY: _ NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram Y ~* (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: A,, - si 72 197-4 vt9 0 04 0) ,; ti. w 1 14 h e r, fit I �j 72C 034 LXI O /4 49roN • 1 �o, /Y g� �9 i ^I 7-4 (V !ego 3 �'` '� 1979 JI i9 a e 2.. g 14W -,42c c� N RCA=1E1"; c;v -ISYV a .. 14e 6 1 D'W - 445�5 ROP=-O v rs'w Q-AC 3/7"v � a/S%V-21'W R 60�a" P- r' Q ,3�• ri 3 Imo' 25►'N Ql N .j J Iz /97'N > O ,�q�N 1990 i nl /973 3 Q 0 ( 2'•174N , ,,.N . .9pe - 1 b cr d ":) 72 ' ? 6'4 r• �. I . J I N c ,VOA .� �' 19 R o, L9p IL , � 72C 014 Lk P 6t � R .�► �N �n � Iti� � 2Z•s S�. � ` \ry � ; �` •titi�3 r OSL'�yl,^ lD ry ab. 6 a 0► � R09"Is �A >> zs- /979 -1019 INS '7979 S/8. /98/ 4W /4:W-42E'c� �� 5/9ft1 yQ9 RCPEv 'iv o J 14s b %• 993 8F > 10•W - 4455 w /9 98, ti 7968 9� r R 5rg" 2rv7^ ori 4- S ice' 25�'N Ql N )993 Uj N 1-973 � 1990 r tt ELM 4A ' v IA F �� ,gyp e4 • 771 1 14 % r0 f 034411 p`� w OSLU , f s�% rY s No� 6 cj R5 110 A � s v •C �tiA4� 1� R � � /g•' /30 Al /-B7cS'N )J 5 �< M /q79 JI g48. -s w iaw-42< S �-' 5/8"Pssoq N CE�2:G'iv-IS'W o 14Cb 99.3 8F RP.: I D'W - 445'S tn CIO Lq Lk ' � �- s Imo' 25►'N Ql 5,8.• 181'N /97'N - i j /.973 3 - Q ( t!?t'N , : 1990 1=200' G�60 .• ' BIRCH 23 -i a ?4 7 0 otp ELM V/E AD D V o 1� O to / 2 3 4 5 t /7 J4 ELM 3 ELM /EW 4 W 3 .5-- /Z /3 5 — /5 /2 Q /6 V ELM PL: 6.:i ..... . . . . . . . . •_ -�'- —' is •: F.S�j,"��''_if—• •�.: :.��... � _ CO ST /0 RAPA "' %O U BIRCH PL'� �60 21 " ... = 4: /r /00 18 �v 3�. =_.3-03>d • j::3- O'.!9 ' v 2 13� W S. 22 2/ 1 20 /9 27 ' 2B 29 13th WAY ' B/ H2 B w4. p 9 � ADD. 0. / �,� " 3-O'i2/ — /RL .•ice :. a 32 /2 // /0 �� 3 2 Cc RO i ,_. 33 /4 Lu �N dv:.O •. ,: :i •. 13 th. WAY S.W. fqon1 q _ l �-� ,.la 34 --'1 / 4 5 3_p401 a� 1 B 7 I ,,; / ►, I O 35 / �0 1� "� 4/ 40 39 38 37 L-Y ��� 13-072 •/tj 3 / Q�p �^\3-ov9♦* bV 3 10 3-073 O� i ♦ ,Ove \ / /2 to 9 B 7 14th WAY S.W. /7 43-05 �-053 /7 / 2 /s S-15-' Z .� 313-0SS ' 3-0S� _ i 3 %4 se i„ - 200, �3yati ^ " ELM V/E AD D V 9 /B ° �'' °� 2 (6 96) 3 4 5 6 /7 ELM 3 /4 ELM /EW 4 W 3 /3 p, Li F514 �— ELM ,f ELM PL /2 /3 5 - 9 V // /5 ADO 4 TW/ BO 2 5 .= 4 J t /s V ( 22i� ELM PL: low 17 /8-Aga CO ST /0 4 9 ►t �, v /o BIRCH PL frloo 3 /6 /7 /B �Y - f. r BIRCH > - ST. 23 6Jr OJ 3�2y0 22 2/ 20 /9 '3 3S _ J 24 B3IL H 2 ADD 25 3/ a /RL �� 223rd "" `` ST ' S.W� D 30 32 /2 // /0 3 2 / 1 %n ' . C RO1.0 /4 V. ' 1 v �:.. ..2 •. Z7 28 29 33 y 13 th WAY S.W. 1 1 �,144 1 13th WAY ' 34 a3 A :.n .4 I. c►r i 3-0 — 4 . 1 N 8 7 10 35 �O 19 "' 4/ 1 40 39 38 37 36 3-0811 13-07t ��i 3.0� p�O 1^♦3-ov9�l. bb O i ♦ ��0 i a2 / 2 B L A/ E 5 /O 9 8 7 /7 4 3-0Z : i3-053 /7 / 2 /2 S-15-' 14th WAY S.W. /s 3 2 /6 - _ -� 3'0 13-0SS i 3 k4 Sr 1" = 200, Q�dpl �35a1: 1 v,Q v O 41 3-OBI ♦� 3-07 Z 2� 3-073 ^ " ELM JVIEWAIDL D V 9 '0 1 00 / 2 (6 96) 2 3 4 5 6 /7 /4 ELM 3 ELM /EW 4 W 3 F5 /3 / ELM P /2 /3 5 - - g K! // i5 A 41 TW/ O :2 V ( 22J ELM 6:App y TZ :. y■ 3 ti /B. CO ST /o 9 f 1hCL o /o BIRCH PL two /00 is S .03� 6 =3-03s =r �3: 3 `''` �.' _ J. 'Y^,;�"O/ BIRCH ST_ 'S :�:y: 3-039•- v '1 . o 23 f 65 3�' 2y 22 2/ 20 /9 S 3 " 1 S 2* B3 H 2go- 6 O 9 25 ,�, a /RL -off 223rd ST. S w 30 32 /2 /i a y� 3 2. / to ' C RO 2s v 33 /4 -V. p l 0 1 0 1 0 / 2 •. 27 28 29 13 th. WAY S.W. — l � J ZL1 13th WAY 34 N3 AA 4 ,. T w 3-o' 4 a- I-* B 7 140139 13B 137 1 36\ 35 0I%/I \ \ 301i/^\3-Ob9�1. bb DO / / B L A/ E /7 43-OSZ /2 14th WAY . - _ 310513-OSS i '� k4 st L ► `l^'� , >'r :MLA PARK L PARK X;y(` p4 +hr-i i Y i Inr. it ;� n�(t;5'� '�/7�i�j�•�.�� L a 1• t � I •r• �`: .t Kr`A• r� CITY OF EDMONDS OFFICIAL TRUCK ROUTES a �� ' .o.+• ¢ rNr. it / 111• _ =••o • lan raw • ' ' 11w Rw 1. uJ►� I. MCADOWCALK / t Iry I ON -no r . [L41 SCHOOL CrN Na .war _ '.4♦j IYTN ATto L.rN �r.•rwrrrr AM . 7 . � / / � �. � •t. N I[) LAttOWOAL[ /rltaTDy�LC 4�Y Jq /RHI �N,* ) WHAT. At R.rLJ BROWNS I 'r Iw MEADOWDALE uJ BAY ' atA piw +.AA p In.o° � � � 1•► u7to n 1. //gyp, / rrt PN n u.rN u u �tr O O •ol/ •tP ! utot•K• ^ HIf i 'r"%/''a7•.Y:�:J• I,,J.�r�',J. iiJ, '{..::•. �. • �� Irtr.w )• t JKyil'..<�],�±.IT..r'•�,Yy'... ..1.;'; �?it`:%.i,� touw� .• w :t : + �1 QJ3 COUNTY ,;•PARK%:�:d y.•. -, �.:. ^..Jr'r J: .nw 1 of 1 /r+ rt.r/rw n 1 • 1 i a:• ai.{::. . J'i•� ..:!�'J j �;,�•• •� �,,:'•' � i t E F1 V .ti �•f.�...`... fir.: +. j.. 1 `<1 a cc III:'7•,} .v'tt a Ht.'•'•::.r:'..� • 1 i4 t / IARH Ir' 40 Sr / 13 18 , . %a wr. n I• ` 11fli 4 Ill/rnw 0'8 owf» I � Iat• • E •Ir n. t i J. ,— - = Y T1 tY et t )ev ItAlw I % . {. . •wl u n �rW,,r / t INrwnfr Itrr.nN II/I. 1 Iw = [ rtrtrtrlt.fY.L vfr bovis" r = , JrJ •. .. 1 . It .^ ��♦' r A t or" •, '• T) +�o•a_i6« eouNTv _j•1J L Y N N W 0 0 D Q / +,• �,, c J[ i : t , = a �: • = LYNNWOOOY LIM CITITS �p% t•a $41K Ism. s, t. t ($EAvtEW' ♦ =r P = HEIGHTS ELEM S INr. a iw t 4 j♦,rir atn• n Hot"r 1 .b 4 lart. r: f = :Iul all. + Iy1CRM tt •* • f �i PARK - tgfr Ir // t♦1 ; 2. 1 :T/No L' s• rNwO to t t a 4 . r anon �oA [ INto n it 1/pt r•a .� wall',♦et n l. ED t Mrs,e• 11 tVol.R,uf». `H/•eI.N 'ANR//w , 17 / 20 rwr N«oora.` .uon roan OLYMPIC a t 24SCH r. L19 4 ill tarty ; Hr`e ' t town TO LYNNW000 I...,i w'wpt• w •,«r,Awo� - •rrt♦n••0 APLEWOO brf a'. a Pw,1K. � +.v' IInNw . aL t [ [ x •, _" ! I 2 ItR" T oA C - ^---- TIC- 12 • S ___.�, 1 Ir a iw 7: j S H N 1r t. Rw I- �-._ .__ ___ __ "_'__ �'. iM1••c 1 = vqu w• ,. ,Rl. wr ..t •• = IRI /. tun, .eYNtu" c.IGDt roll a , = MA i = ! , :Nn {T tr [DYOrtO, Ct1rWtTY MILL ELEM SCN = COLL[tl[ ) •to.• w µON• itn.o P tw )01.o Ir t -Am 11 IoU /a!ryM LRACK[co HOL Y w Da Uf u• i . S^Q)•A,, _ - .. / LANDNG jotROSARY ,••t = r, : 1"0 toroHos eua r wu.. it it 'ell. = tr 1 IiIAr . /r 1 i ra11D t1 Iw Notw•Artt + �• t !tyre .17 7N r. at NND rA)K r ♦ l A 11 t0� fall 1!{» fw n a r.rtw ,. _ ♦p+ O•,{• On[• t •r )e.tN =r . lo•f. rt t. uN : , = M•••-L•� t ton. ;Iw ( loll. i O[LOL O[ PLACE qt• : • ruo wmu tn•out- Ir rl• y .. I /, a ♦ , ri;;„7.( NYr•I. rr' lNrNn C PINE nAw = a. • torowa If ID o.D1 • Ir (orONe i =••t ,w t t •RIDUE to /- V• " ,I.w , : - d E r PARK A .... �.. clI �• N t •111 .r i �j n« a Irlruo T= O J'.j,. •aACN 1 • •rr wr a = \\\ „1t lot'.;rN rlorr.r �..•. �'l� f ry i t COLL[O[PLACE aR HIGH ~ 1 p • _ : row : fr : 9irS0 ; �. tr S =" fr 1r iil!ri+.r 7 • t WNOOL to. pO 9f T _ i O • �; .. f , oar n: •i b NCICM BCM t.I•.^•l .'l. ^'�:'L:r .''1T.Qfn _ ,��[lk/a = 7on.it = .YITT - YAt/MA 'fu••Y.. /' - Tmuw m • : wnt " fT rU ..r w ,. is . C,* _ mt. : • 1 O i t rl Iw : 101 tt Iw e t L .) I, nfw C)PAKK f1•t ru• j - - t ^5!' . a =`•rr = t E i T /r ; �ONOMILHI C YAAlNA.0A '• . ._rr• 19 full.. rin. tr • C[e•A 1I tN l -,rr•• t t 1 � a / .o. ,l4 .£•>`. •orgf,� t r 3 • •+r f i _ lDMON D6 • 9 CITY rqr♦ .0 [ smucl ; r•ut[ {r " ; ( • .� t ,�ni t.....nfw so HIGH i wr t• 0 { f. 0SCHOC) EACH a CITY C. Ntr AA `n waloc. / c • •" PARK «rr.'n Iw • . 1. • ur. ON 011 l oAQ It•re.�l l.W tt ..^«... i V• 1w ` L , _• Cu•. r` OCt Y Irlr. _ in1. Ir HIw f t / : t d t�r.nf. Gt /tS E6WARDS: r h.l AT :ur. i • • a POINT WOOOWAV CITY LIMITS r + ' lur.nt - Ir . = A tw- _ ! lle. f'. f- * nu. n •l���C.Gtt ' ! IDAfrT. yr' " " 1 t ; tln. n fr • 7ritw {I i ( A ( CHA$E. : r s STEVENS a ,. : Y •, i i r T : ' 1 t KC ' MEMORIAL iirtr :t LLEM _ = MO$PITAL SCN tw t tY Z w IlY n ) U as C • % L orJ a rufr r r� I L Y ; n1u,r F LIL [ R.u,w i t was It n. IT - � r • t eTaAr - , - rH7 )IAC. ,� + i • i4 i1 ,Ho AT nf. /t wAAT 4121 ` E t a t ► 5 Iwo L t 1 tt i 4re fw rw If t'N h H r iS • A Rl �.t € Y i ��[ rN fr R.TH IT iw ► i • 714M ATAT.%•T. I 10` 1.T11 I r•r iw41� f L [ L •y r/alr ,M a r11TM nw t t IIIIw L Irn L +1�N T M 0 U N T L A K E W00DWAY IT SRN R got i a "Jv TERRACE t A � •� + f Rwn Aw = " 1NTr • E t•j i t MNn qKq ? I , ,MNrlw 26 : -IlN n w Rw rw v t /wr ► T� 5 0 iii:: I a1•J d ,aM nw a 36 u,M t 31 • rtrH ITS �1 •r trtrAlv�i1 wE TA : : ftorr A.31 6. Allow le 9 L nr »ur n fw • L r = Y r' f _ 1= ( • 1))rw Al w •a• i n i RlRtrw ''' 7I .oaw • s 321.D n v a FI ItrAa ty I : ) i 1N1. Ir allt p )LOAD n w t )I 13 aw 1NTN r fw iFF U 1 i IAat n .• C• F t t i lNrr n' aw Y i = IMF AotatA•t roar. _ - _ • • • S • 1 1 = I 0. v=owAY L lMw n tw ,� tM j r LL[M local = i ,Arta raw t . J •a E, Y e it / [ t f LOrlrnw tMRIOOM 77 )., ITrr.� i LAKE Dla 7talr tr w E LC:rtOOL M of Iw E a� � •, rl 7 R. t t • Ar it O I Y C 71Rw ar A loll«INLOAMrr 1 " K ' t I or•u1w/Y • lr.rt LLLM rw i ii [ Y a + F `°f •L [ n Ar I.RH n aw ` t a+� t+� • u 71mH n w cm 2101. ns A. =1OfM n =r a 1 BALLINCdR 1 ) t Itt• �w � L HrN •' i�`Nnt»/ tr/ � IS t tQ 7.a ;IIR law = Lst• 1= / t r'+♦O U� H.=r.0 ? l.0 = tt tNHe n tw +IsO r'frr♦ Iw t , . ( a r ; A •♦ rM 1r n{iDALE t _= rt tr ,NTH AI ,Utp L 1 4y t a t SNONOMIBH COUNTY T27N 36 •.rr Ir w r L ,N ^ _C Mtv { tr t TO INTERSTATE 1 AND ' -KING �OUNTY - T26N - -2 w t H Alf Aarwr � •N'M �'t • Ir IG LAKE FOREST PARK r � i t a 3' t3 0 STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER Mike 6da;,-- CALCBY• 0C'-�L e-&6- ADDRESS RF% CA 2 PHONE: 7 7 r F ('• 7 DATE: * * * * *•DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG : ORIFICE /o be- e, h✓..�i �.S Sit�«y Lsc.<-; OETENTKNi PIPE LENGTH IV WASHED UT GRAVEL • 5• ~ OUTFLOW AND TRENCH, PIPMIN E BE LEVEL RIM ELEV 1'MIN COVER G'MIN SPICE FROM 2-MAX COVER RIM ELEV CONTROL Y < L OUTLET I+ AYtC Y �<V 4' 0 MIN T.1 `PZ ` 4-PERF PIPE W/CAPS s : _ r. SLOPE 4� 0 PIPE MIN. ea =a r. ORIFKX RUNOFF SPREADER OUTLET INV ELEV try ELEV IfP£R C�ITCN (pA?ROL CATCHBASIN BASIN �2'SG-DEEP, 4--G-QUARRY SPALLS SYSTEM CROSS SECTION 1 •2'Y3 DEEP, 1/4-CRUSHED ROCK FROM CONTROL _ OUTLET RIPRAP OUTLET STREET FILL FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES. 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. cvS 2, Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed r DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. Page 6 of 6 '1'' �l^�Y `!'��Yri,`r.`�f' 'j!F `f^�8*Bn\» vrvrYl'+ft' py'�Crp t.✓'°.ti�Ya: „}-_ '--• 1�(.�^i,h4".kr 't.F+ tw °l,'��,.Y,: T`.'i.".Y•31-j,t '•`� . �',, .i� F ,�'... ` __ ,4 . City of Edmonds RIGHT-OF-WAY_ CONSTRUCTION �.. = PERMIT Permit Number: �33 A. Address or Vicinity of Construction: Issue Date: 1228 8th Av S. 18 9 o� � B. Type of Work (be specific): GTE placingtelephone service drop from 0 1 TM # A473 to stub out at 122b bth Av S. Approx: t r.o.w. Mary A. Bower, Permit Coord. C. Contractor: GTE Northwest Incorporated Contact: Bill Jira 206/823-6683 or 669-5716 Mailing Address: 22118 20th Av SE, Ste 130 Phone: Mary 206/488-1628 State License #: Bothell, WA 98021 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project (21 Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other 2100-9POOIDB 242310 INSPECTOR: INSPECTOR: wh', 4 c. vN F. Pavement or Concrete Cut: ❑ Yes Flo G. Size of Cut: � x H. Charge $ APPLICANT TO READ AND - INDEMNITY: Applicant understands and by his signature to this application, agrees to hol t y of Edmonds harmless from'injurie� ages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against he City of Edmonds, or any of its departments or employees, including or 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.P_ERIOD OF ONE YEAR FOLL•(�WI*67T_HE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES /WIIYhE�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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. t I haverread the above statements and understand thepermit requirements and the pink copy of thepermit will be available on site at all timeZ�a�Jo oses. Signature: =t» n Stewart Date: 02/07/95 (CortgfdVaAgent) Oprns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: (N� RIGHT OF WAY DEPOSIT_ TIME AUTHORIZED: VOID AFTER ( f � DAYS DISRUPTION FEE/FUND II , ' SPECIAL CONDITIONS: RESTORATION FEE:. PERMIT FEE: TOTAL, FEE: COMMENTS: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 4. FIELD INSPECTION NOTES 01.(Fund 111 - Route copy to Street Dept.) Comments Diagram; CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES Date: Date: ,• fJ ! 1 F I I I I PEFUT SUERATTED BY ' GTE � � I L 1 I r I 1 1 1 A 4*13 ! 1 r r r r r 1 I 1 N t � r ----------------------------- ' PEDS POLES 0 ROAD BORES uG TRDKmG --1GT a - ---------------------------------------------- ZL'r--c-A----sT ----- m m THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LNES.EOP OR FACE OF CURB, EXISTING SMWALK, POLES, ROAD CUTS ANO THE UTILITY UNDER ROAD Cl ABOVE GROW FACLITIES,Oe:I PEDS,BOXES,CABINETS, ETC..UNDERGROUND TRENCHING AND OVERHEAD LINES_ w FOOTAGE OF WORK IN R.O.W. PERAAT SUBMTTED BY GTE s 1 1 I I I � PPO�L�E�S0 _ ROAD BMS OVERHEAD LINES UG TRENCHNG ---WT r ---------------------------- ------------------------------------------------ z L' r--c- h - - - - �zs-T ----- mN R.O.W. 1T EOP m m N THE FOLLOWING INFO TO BE PROVIDED RI;iT OF WAY LINES.EOP OR FACE OF CURB. EXISTING SIDEWALK. PULES, ROAD CUTS AND THE UTILITY UNDER ROAD Cl ABOVE GROUND FACILITIES-VeO PEDS,BOXES.CABINETS, ETC..UNDERGROUND TRENCHING AND OVERHEAD LINES. w FOOTAGE OF WORK IN R.O.W. •r.w PERMT SUBOTTED BY GTE I - - - - - - - - - - - - - - - - - - - - - - -.- Pros 8 POLES 0 RIDAD BORES OVERHM LIES M UTILITY POTHOLE a UG TRE1r MG --4XT - - - - =ST- THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LWES.EOP OR FACE OF CURB, EXISTING SIDEWALK. POLES, ROAD CUTS AND THE UTILITY UNDER ROAD Cl ABOVE GROUND FACILITIES.iIeJ- PEDS.BOXES.CABINETS, ETC..UNDERGROUND TRENCHING AND OVERHEAD LINES. w FOOTAGE OF WORK IN R.O.W. M.0m ON V" CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME:NAME OF BUSINESS ZMAILING ADDRESS o Po s s CITY n NAME w ADDRESS U cr CITY NAME 776 NUMBER N CITY ZIP TELEPHONE NUMBER V STATE LICENSE NUMBER EXPIRATION DATE Legal Description of Property - include all easements o' S/ye�e A h e d 7-3 W. 0 U e ,;l t: O •. "J. Property Tax Account Parcel No. �J NEW RESIDENTIAL ;200PLUMBING ADDITION COMMERCIAL MECHANICAL REMODEL APT. BLDG. LJ SIGN FENCE REPAIR � CrDS. ( x_FT) POOL DEMOLISH ❑ INSERTWOODSTOVE HOT TUB SPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL 0— (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: a vez,) 66n.SAR UGAi0 W NUMBER NUMBER OF CRITICAL c OF DWELLING AREAS �� co STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 1 USE - • PERMIT ZONEPr - NUMBER 34 Q24 JOB SUITE: APT a ADDRESS 1 7 . A, t i Gai 2 1-6-3-90 1 6-y- /6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET Itp. C"vr Approvea RW Permit Required EX STING REQUIRED DILATION Street Use Permit Req'd PROPOSED Inspection Required Sidewalk Required METER,,$IZE/ LIN FIZE NO. OF FIXTURES PRV REOUIRED' ��I YESXNO REMARKS 47� W f 4 4- -Z�slf ENGINEERING MEMO DATED / /q EVI ED BY SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT SHORELINI e � IANCE 9R'QU P 1 IEW BY OA E 7/4 SETBAC �Jamj,� FEET FRONT. �` n SIDE � , ^ REAR HEIGHT LOT OVER REMARK .' 'HECKED BY TYPE OF CONSTRUFTION CODE SPECIAL INSPECTOR AREA REQUIRED ❑ �� YES REMARKS PRWESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED VALUATION I h �s X V �� O v PLAN CHECK FEE BUILDING HEAT SOURCE: / GLAZING �lOw�., ACf<✓�L O/O PLUMBING Plan Check No. 94 — Z MECHANICAL GRADING/FILL 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. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and m successors in interest, agrees to indemnify, defend and hold W .harmless the City of Edmonds, Washington, its officials, aemployees! and agents from any and all claims for damages of i whatever nature, arising directly or indirectly from the issuance 0 of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance = nor limit in any way the City's ability to enforce any ordinance provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE b knowled a that I have read this application• that the FEE unY}�t- rj OCCUPANT LOAD ere y ac to information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz• AUTHORIZES THE signed by the Building Official or his/her ed thereby, no person will be employed in violation of the Labor ONLY WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa• acknowledged in space provided.;( tion Insurance and RCW 18.27. INSPECTION SIGNATURE (OWNER OR AG NTI DATE SIGNED r- DEPARTMENT CITY OF "� NATURE DA E EDMONDS — CALL FOR ELEA DATE ATTENTION INSPECTION 7` ` IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE HAS BEEN MADE AND APPROVAL OR 77"1 oALLAo ORIGINAL — File YELLOW — Inspects: UNTIL A FINAL INSPECTION A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC CHAPTER 3. x PINK — Owner GOLD — Assessor