Loading...
1312 11TH PL N.PDF1111111111 585 1312 11 TH PL N STREET FILE TD E S 7' 33� SITE GnAyF, L EVEl- - , PERFLME - 4TIViP �C USfIED 80C � AlTn K -SPA LLc C O (i Rh._ 6I34DE LEVEL z m - to li� CITY OF EDMONDS g - Rd9LIC WORKS DEPART I FOR INSFECTION CALL • permit SIDE SEWER PERMIT 7U7651 25?252 E356tt 22,270 Issue Date PERMIT MUST BE POSTED ON JOB SITE * EDMOND_ $ _ ��► 1. Address °f Construction B? 1 ) / r7I pl • _ [TREATMENT PLANT Property 'Legal Description ( include all easements) l.'ti�^ /� 'r 7- 3. Single Family Residence / Multi -Family No. of Units. Commercial 4. Owner and/or Builder —GJ 06A PAr i 46,me-, 5. Contractor & License No. IC;4� 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before, excavation). 7. Cross other private property: Yes No X Easement required - u attach legal description and county easement number. N w READ THE FOLLOWINGAND SIGN: a. Property owners must obtain a permit to install sidesewers on >4 their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each H installation for one year. wC. Commercial establishment requires a minimum of a six inch (6") Z. side sewer line. o d. Side sewers may not be installed closer than thirty inches (30") to any structure. M e. Side sewer lines must be laid at a minimum grade of 2% (1.150) O and maximum grade of 100% (450). O H f. No turn in side sewer greater than 45 (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. j. 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 only. Two (2) working days notice required. DATE: certify that I have read and shall comply With the above PERMIT FEE: U � CONNECTION FEE: O w * 6=J DISAPPROVED BY: Date: By• 41 Date: APPROVED By: WfflAj Dater T BE POSTED ON JOB SITE * /. The City of Edmonds Side Sewer. Drawing EASEMENT NO- --------------------------------- ---------- u A r NEW CONSTRUCTION CK REPAIRS F-1 LID NO - ------------------ ASMT. NO . ....... ....... OWNER ........ WOMCK--;kPF.-r ------ RorAES ---------------------------- CONTRACTOR --F-v-E:RGRF--F-t-L ----- B.VL-LD0Z,-l-t4-G --------- PERMIT NO. 70.1% .... AN-T-14 ----- P L ...... No .............. LEGAL DESCRIPTION: LOT NO. ls�2�Z ................... BLOCK NO. ......... -------------------------- ------------------------------------------------------------------------------------------------------ -------------------- .......... EDMONDS -------- TREATMENT PLANT NAME OF ADDITION -------------- -------- I -----------•--------------------- pokA" 140%-E am Scvr" Ircee 4*rpuc*ET DRWE . Eo. 37' LO-,= - e-L I r). - Of% Ho If- I 0 A 2'DP =ELArI014 CD W-0001-1 1/75 (REVA 1/78) PM 0 - ------ DATE ...... 9-9.783 .............. By 4 is • t CITY OF EDMONDS NE - N MBER CONSTRUCTION PERMIT APPLICATION JOB NAME (OR NAME OF BUSINESS) ADDRESS/:?/,_ LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID N0. ZMAILING ADDRESS Pb J 0 4;7vc. �/ CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING _&) REQUIRED DEDICATION NAME PROPOSED O ^� o.� ✓o,�„�snv Z cc F RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED w ADDRESS STREET USE PERMIT REQUIRED f7 „ Z U ��/�O — ��- �• SEE ENGINEERING MEMO DATED W a CITY TELEPHONE NUMBEERRi SEE PIW DEPT. REVIEW CHECK LIST DATED _ s %% L E !�Y/✓• C�c7`�/ •S�j -' �Zp�� RE/M/A/FjKS NAME rJ/ ¢ ADDRESS / '' / U2�/D(5 — /�%�% �(,%�. - METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS ¢� CITY TELEPHONE NUMBER 2 ��,// 0 G�eA14S /Yi✓ / ���/sue/ REMARKS Q O STATE LICENSE NUMBER CITY LICENSE NUMBER 3 / 0/ek!P0) 1�o aq SIGN AREA ENV. REVIEW ADB NO. Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT (show below or attach four copies) SHORELINE Z O a VARIANCE OR CU PLANNING REVIEW BY DATE/' 0 a c�C_"a, �,ey�N�, YARD LOT COVERAGE ? 7 FRONT SIDE s REAR `) 114R"�L� C REMARKS -i a NEW ESIDENTIAL LJ-PLUMBING �j ADD/ALTER NON-RESIDENTIAL MECHANICAL REPAIR RETAINING WALL El SIGN ❑EXCAVATE FEN �"r DEMOLISH El OR FILL 111�(x FT) CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT aPRE•MOVE INSP./ ❑ SWIM COMPLIANCE INSP. POOL SPECIAL INSPECTOR AREA OCCUPANCY REQUIRED GROUP OCCUPANT SIDE SEWER R----I WATER LINE I i YES NO REMARKS LOAD El 0 cc WNUMBER OF STORIES NUMBER OF o DWELLING / / m UNITS O -" NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) A4 a✓ VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING F— This Permit covers work to be done on private property ONLY. MECHANICAL GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and w. successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of :r 0 P BLIC,W RKS DEPARM124T CHECKLIST BUILDING PERMIT REVIEW • (address) e Street Right -of -Way Existing � REQD Z Access Easements Existing AIZ12 READ ac Utility Easement Existing /ter 's-06' READ w Lot Per Subdivision S- g-9Plat Assessor Map w Site Plan Checked for Accuracy Z Z Underground Wiring Reqd. v Check Accuracy of Le 1 Descrip on Z Review by--,dz Date s'//z11r3 w, 1T� Existing Water Main Size Water Main Required Service Line Required Hydrant Size Existing a Hydrant Reqd Per Fire Code ,�/ q Size w Detector Check Meter Read.__ Cross Connection Inspection --- Fire Department Comments a 3 Water Meter Charge Regd.-:7;�-S� Review by �7� Yu� Date Septic Tank Design Approved Date Septic Tank Permit Regd. Permit No. Sanitary Sewer Availability Proj, Drawing No. File No. at Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. 3 Review by Date w Open Ditch Existing Reqd, ;C Culvert Regd.PEQ 400f,00, 21) D24�- V�ze roc Catch Basin Reqd. t \, -L 4- j , Indicate on Site Plan O Shoulder drainage maintain collection on Swale open runoff H N Manhole regd. )i�cate on Site Plan Soil Conditi d Gr and Water Field Checked Review by Date Revised: 1v10-1977 'V- DATE : ,1-- t2 - MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department 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. Backwater valve required if downstairs plumbing is below elevation of upstream manhole. ----�--- — 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. Q I BD 6/82 s 7-$ el6l ER EASEMENT /07. 79 ................ ----� - _ C8 - N 09i i y G / ( M4 oC. m Nvt l3 S P z,s____ w N69'53.58"W i i CB 3 _ , +. /a9/B "RT. C` E _ ZON .__.... _ � SETBACKS: �; v CITY OF EDMONDS • NEW ❑ ADDITION ❑ RETIREMENT ASSET INFORMATION SHEET STREET FILE ASSET N0. DOV/ �f (�P ADDITION TO ASSET NO. DESCRIPTION V,c, SERIAL NO. LOCATION �� DEPT. NO. 131 L /v. Gvo "PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER 3.i •� q 5� PROJECT COMPLETION DATE 12 --3 - 83 COST ^ 20 F. s 3 B.A.R.S. ACCOUNT N0. Nil -Goo ' 3 `/S - oo - ( 3 • ESTIMATED LIFE 2 -� 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 VERIFIED BY PROCESSED BATCH NO., INITIAL (bnp DEPARTMENT FILE :.. ' . ," b„i i,. ^i r4,;, ,. . ,,: •.�' eS�:r,-,W. n1iiY;o,-r t v+..... �Pub' .. •.�,,,•• � r..�..,. , e � M�., , o -. ,:. � ... -.. - ... - , , � '� ... City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT A. Address or Vicinity of Cons B. Type of Work (be specific):. Permit No: I 'ice Z4 Issue D*ate; r C. Contractor: �I�// a��7J'i �e/�" l�'•Contact: 742 WTD`'W-e S � o do mis -4 &s%7 �/v0 51p�- �7' Mailing-Address:/5/2-3 , rDb�G Si e L Phone: State License #: T/V T�/¢ ���'Y%� �(,� i�l as�W Liability Insurance: - Bond:, $�i D. Building Permit # (if applicable): i1'' Side' Sewer Permit # (if applicable): - E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ EUC (PUD, GTE, PSE, CHAMBERS, OVWD) ❑ Multi -Family Single Family ❑ Other INSPECTOR- F. PAVEMENT: ❑ YES ® NO G. ; SIZE OF CUT /V 'l X H. Charge: $ N A CONCRETE CUT: " ❑ YES, J] NO APPLICANT TO READ AND SIGN IDEMNITY. 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 no; -limited - limited to the defense of any legal proceedings including defense costs and attorneyfees by reason ofgranting 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, W MRATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR `CREDIT WdLL• ,BE PROCESSED FOR ISSUANCE TO THE APPLICANT. . ♦'' Traffic control and public safety shall be in accordance witt,i­,City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296455-305 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. t " ♦ Three sets of construction drawings of proposed work are required with the permit application. 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 A 9 Signature: w. Date: (Contractor or Agent) CALL DIAL -A -DIG (1-8007424-5555) PRIOR TO BEGINNING WORK Approved by(AXIV (Milk Time Authorize' :' Void After Special IDPWfl USE ONLY Right-of-way Fee: ""/ ©. 09 Disruption Fee/Fund 111: Restoration Fee: - Total Fee: Receipt No: 12 1-1 Issued by - -•ebb ..d - UPON COMPLETION OF PERMITTED -WORK, AN ENGINEERING FINAL INSPECTION IS REQUIRED PERK CHAPTER 19.00 OF THE EDMONDS COMMUNITY DEVELOPMENT CODE. FINAL APPROVAL OF. PERMITTED WORK. - INSPECTOR-SSIGNATURE DATE: For inspection requirements•5ee,,Engineering Information Handout. NO WORK SI-IALL BEGIN PRIOR TO PERMIT ISSUANCE