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1542 10TH PL N.PDF1111111111 560 1542 10TH PL N 6 APPLICATION The City of Edmonds for EASEMENT NO . ............................................ SIDE SEWER PERMIT NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... ASMT. NO. _---_--__-__._-_-. OWNER ......... =---•-------0-fl ------------------ CONTRACTOR .......... 5.AJM� ------------------------------------------------------ PERMIT NO. JOB ADDRESS -15,4� - — ------ -------- ------------------ LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ------------------------------------ NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- PlAk; HbLZ7 Approved: DATE.................................... ------ By ....................................................11/75........ r City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Pq - i (0 :.. / Issue Date: y _ 7-� A. Address or Vicinity of Construction: 1542 10th PI N (107006731) B: Ty of Work Abe specific);Install a 1 1/4" Plastic Pipe Gas main. in. loth Inc. . • -I- 9" Pl 1�; tie into exists a , . N to serve target. C. Contractor: PUGET SOUND ENERGY Contact: DOUG USITALO Mailing Address: 1122 75th St SW Everett 9820@hone• (425) 356-7520 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): , E. ❑ Commercial ❑ Subdivision. ❑; City Project K] ' Utility (PUD, GTE, :VVNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut:' x - H: Charge $_ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application 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 INSPEC- TION 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. Two.sets of construction drawings 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 trench work shal I 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 times for inspection purposes. Signature: A-!� Date: 5/24/99 (Contractor or Age t) EtLM 8 . LAN=—FUGUM CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER VLO DAYS RIGHT OF WAY FEE:70, ©Q DISRUPTION FEE/FUND I 1 L• SPECIAL CONDITIONS: RESTORATION FEE: TOTALFEE: RECEIPT NO.: ISSUED BY NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 i -'J CITY OF EDMONDS - SIDE SEWER PERMIT WATEWSEWER DEPARTMENT PERMIT o• a /Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. \Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections �1'�i'i-l..__..d�L....:.^._..!�,1 ADDRESS LOCATION OF CONSTRUCTION -------- -rzr•.......... ..:................ _....................................................... i a . PROPERTY LEGAL DESCRIPTION .......... ..: '---....__ '..r. - ^ �^ r� +' A A r+.......... .................................................. OWNER AND/OR BUILDER.."' =6".... . --... - ppC! '&ACTOR'S NAME & ADDRESS ----_--------------------- -------------- - - .............................. _... ......._._.__...----.._......_.__. Permission is granted ......... .-:` _-_--._________..._....., 19 `l ,, for repair and/or connection of a side sewer to the city sanitary sewer P • -mi in accordance with City of Edmonds ordinances. \ ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage -at property line and 12 inches inside property line; minimum grade of 2%,. No bends in grade sharper than % will be permitted. NOTE No. 5—Trenches instreetmust be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. &—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. - W zAPPROVED DISAPPROVED ❑ Date .... ................................... By- Date..... %..�_JBy..._.....- Date _.................... By Date ... _.__._.-.Z—.5_: �...._.... By._ •...... ..-....................................................................................... �✓ P � Remarks: U..............................................._.....-•--------...------......--------•---•-----....._....--••-----...------......--•--....._...______...._........----•----__ r _ p C4 BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — y a` z ( I........................................................................................ .... hereby certify that the side sewer installation constructed under this permit p 0,0 A (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. o a W Dated this.......• ----..._.._.._..•••day of--•----....----••--••-----•---••................................. 19......... rn 4 a 0 V -4 Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ I z jl a3w. o 040 SrDate August 1, 1978 MEMO TO: John B. Mitchell, Supt. Water/Sewer Division FROM: Fred F. Herzberg, P.E. City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: Lot 1 Plat of Chittendon Addition. NOTE - PREVIOUSLY PAID 19222 OLYMPIC VIEW DRIVE 8/13/68 Receipt #2297 Commonly known as:1542 loth Place North Owner: Robert A. Johnson Z.F.F. Calculation: ( 0 ) Z.F.F. x ( 0 ( 0 ) Lateral x ( 0 ( 1 ) Unit(s) x ( $25 _ $ 0 Connection Fee _ $ 0 Lateral Charge _ $ 25.00 Trunk Charge $ 10.00 Permit $ 35.00 OTAL APPROVED BY: 01, s Lei. Larson, P.E. Director of Public Works : Owner 6/30/78 jac J 5 DATE: ME�10 TO : Bu' 1,4 S1'�� Communi g D1vi, !w;c� Fi FROr1: Y DevelopmeDepartment �� n t De tme Public Ineering Division par nt SUBJECT; Works Department After 1 eu the foil win of the subject -- 1) Coord comments:J ct building permit a utilit1eslOn of the to ppllcation, we have res scree cation ,2) The °nsibility of Sthe contry 1 nes an Yan an Nr trticture with cOntr actor, rlvei,aY gra res ect to e actor re is O lrt an 1� rl Q91r de to Kee the @s t e v the. 3 n "�i ht-o f-Iya t le cOnstructlon streets clean- gineerin Construe the Publicg Division of tion Permit.. Driven R? ht-of'trblic Ili orks, Ls required fr `ay slo ublic ea r any, i,�o °m the e not to exceed 14o sement• rk i`�ithin IoA , -ram ,. . 0 .. Drawing No. Side Sewer Availability �,p TO EX PUBLIC WORKS, DEPARIT-= CHECKLISO BUILDING PERMIT REVIEW 131611 `r Date Cffih PLU Address Street Right -of -Way Existing f-�) 4-1�j 4- REQD - Access Easements Existing �).� Q�) `� REQD Utility Easement Existing REQD Lot per Subdivision Plat Assessor Map Site Plan Checked for Accuracy l 1 Underground Wiring Reqd. Check Accuracy *of Legal.. -Description -lie Environmentally Sensitive Area Environmental Checklist Regd. K) Flood Hazard Zone �� 0 Shoreline Management Area Slope, Soil, Vegetation �) 0 Stream, .Creek, .Drainage Basin �J " Existing Zoning Per Code2- Amenities Design Board Approval Regd. ADB # Approval Board of Adjustment Ap roval Reqd. Iv Review By: Date: Is PE I Existing Water Main Size g " dX Water Main Reqd. Service Line Reqd. Hydrant Size Existing Hydrant Reqd. Per Fire Code Size` Detector Check Meter.Regd. Cross Connection Inspection AJn Fire Department Comnents Water Meter CharEr Reqd. y� 3S0 Review by: „' Date: beptic ianK uesign Approveci A/A llate: Septic Tank Permit Reqd. --VA Permit No. Sanitary Sewer Availability: piy ion- ems. Am Proj . _ File No. I t Cp 4-ri , fn Sanitary Sewer Connection Fee Reqd. 45 f W 4Y C-4Jf � Review By : Wks Date: K.K.K. OE)en Ditch Existing " Regd. Culvert Reqd. ,lP�- Size ct� Catch Basin Reqd. _ e(/ - Indicate on Site Plan_ 0 Shoulder 'drainage nkzi.ntai_n collection on scaale; open runoff "' '•lu-Lole regd.. Indicate on Site Plan Soil Conditions and Ground Water Field Checked 6''efifAm'! K� Review. 1) Da to Street Paving Reqd. H Curb and Gutter Reqd. A/AiL W Sidewalk Reqd. W Curb Cut for Driveway Regd... &J Right -of -Way Construction Permit Reqd. /t/,r E, Bond Reqd. for Public Improvements Street Name Sign Reqd, V Other Signing Reqd. MAL Q ZJPre Permit Site Inspection made on c=. a 0 a w w BY: SEER L- J%IATER STREET ENGINEERING ; Special Requirements listed in. memo to Community Development Department, Building Division BYDate All items filled in on building Permit Application BY Date Drawings Stanmed and Notations Made BY Date Approved by Public l,lorks Depar. tn-olt Revised: lv 10-1.977 APPLICATION co for The City of Edmon It SIDE SEWER PERMIT EASEMENT NO.---------------------------------- 1:61, NEW CONSTRUCTION N REPAIRS R LID NO- ------------------ ASMT. NO. ------------------ OWNER ... - ------- L -- -------- JOB ADDRESS --- A!:-542-=.!5� ---- . ...................... 1 r � m -,9 j N 21- CONTRACTOR ........ - -------------------------------- ------------ PERMIT NO. LEGAL DESCRIPTION: LOT NO- -------------- --------------------- BLOCK NO.------------------------------------ 0 ................................................................................................................................................................ NAME OF ADDITION ....... <—�.. - N= .......... -------------------- Approved: DATE....... ............ By ... . .................... , 8 9 0 - 1 9 R CITY of EDMoSTREET FILE 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering October 6, 1992 Bob Johnson 1542 Tenth Place North Edmonds, Washington - 98020 SUBJECT: Fire Hydrant Obstruction Dear Resident, LAURA M. HALL MAYOR City crews have determined that the fire hvdrant in front of your address has been obstructed, according to City of Edmonds Development Code (copy attached). It is the purpose of this code to maintain visual areas around hydrants as well as to maintain adequate operating space required by Fire Department personnel and maintenance repair crews. Please review the code and remove existing obstructions within thirty (30) days from the date of this notice. If this is not completed, City crews will be required to remove the obstructions, and the cost of doing so will be charged to the homeowner. if you should have any questions, please feel free to contact me at your convenience between 8:00 am and 5:00 pm, Monday through Friday. Sincerely, J�v / 1 Ron Holland Water/Sewer Supervisor cc: Gary McComas Noel Miller HYDR/LET.3/TXTWATER • Incorporated August 11, 1890 • STREET FILE Date August 1, 1978 MEMO TO: John B. Mitchell, Supt. Water/Sewer Division FROM: Fred F. Herzberg, P.E. City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: Lot 1 Plat of Chittendon Addition. * NOTE — PREVIOUSLY PAID 19222 OLYMPIC VIEW DRIVE 8/13/68 Receipt #2297 Commonly known as:1542 loth Place North. Owner: Robert A. Johnson. Z.F.F. Calculation: ( 0 ) Z.F.F. x ( 0 ( 0 ) Lateral x ( 0 ( 1 ) Unit (s) x ( $25 APPROVED BY: cc: Owner $ 0 _ $ 0 - $ 25.00 $ 10.00 $ 35.00 Leif Larson, P.E. Direc or of Public Works Connection Fee Lateral Charge Trunk: Charge Permit TOTAL - 6/30/78 jac L STREET FILE �,nsrrq s B: J. MECHANICAL CO. " Plumbing Contractor 8026 - 242nd S.W. • EDMONDS, WASHINGTON 98020 • (206) 776-8525 July 6, 1978 City of Edmonds Edmonds Building Department Edmonds, Washington I hereby wish to apply for a two foot variance to reduce side yard setback from 10 feet.to 8 feet at 1542 - 10th Place North, Edmonds. Legal as follows✓; LOT 1, CHITTENDEN'S ADDITION, ACCORDING TO PLAT THEREOF RECORDED IN VOLUME 31 OF PLATS, PAGE ?5, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. if variance is so refused I will not hold the City of Edmonds responsible for any adjustments required to accomodate house. Since✓ ly '1 '� rt A. hnson 1, 'JUL 6 - �5, ,JUL 19?8 IC JERKS DEPARTMENT CHF.CKLI - deb. q Date BUILDING PERMIT REVIE W STREET FILE 154 2-I OTh PJ- K, Address Street Right -of -Way Existing 7j Zi- REQD Access Easements Existing READ 11 �1 Utility Easement Existing READ. Lot per Subdivision Plat Assessor Map '- 1 c� z Site.Plan Checked for Accuracy Underground Wiring Reqd. N (Z x Check Accuracy of Legal Description w EnvironTwntally Sensitive Area cT Environmental Checklist Reqd. �) H Flood Hazard Zone U Shoreline Management Area N z Slope, Soil, Vegetation 0 w Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. KIDLI F-,'_ADB # —--Approval Board of Adjustment Reqd. MAproval Review By: Date: 5 le Existing Water E1ain Size g " d.r Water Main Reqd. Service Line.Regd. 3/fit w Hydrant Size Existing Hydrant Reqd. Per Fire Code 4,4 Size Detector Check Meter Reqd, 1y2� Cross Connection Inspection A_)D Fire Department Commen Water Meter Charge Req Review by: n---I Date: r 9-78 Septic Tank Designr �rovi.d ate Septic Tank Permit Reqd, _Ae,¢ Permit No. Sanitary Sewer Ava li ability VV ivy pLl� Proj . Drawing No. File No. Side Sewer Availability NEED To Sanitary Sewer Connection Fee Reqd. 4,5 r.4e_e_:7 Review By: Date: BUILDING DEPARTMENT. Applicant Fill USE RM ZONE y 5' /•Z N� BIER PERMIT APPLICATION Inside Heavy Lines /r .1DB ADDRESS ,� NAME (OR NAME OF BUSINESS) Lf_,15� 1 SUBDIVISION NO. PLAT NAME ASSESSOR MAP NO. i4 R lJ rVwL W MAILING ADDRESS vZ�- Cv . 0 PUBLIC RIGHT OF WAY PER ORDINANCE NO. EXISTING RIGHT OF WAY O CITY EDMD A' � ' I 1 I vI v `f•J ,v TELEPHONE NUMBER L' (y ^ 6 b ,( PROPOSED RIGHT OF WAY 4-0 NAME f U DEFICIENCY OF RIGHT OF WAY O W F ADDRESS STREET/UTILITY WORK REQUIRED EYES ❑NO N Y � U PERMIT FOR WORK IN PUBLIC R W �VES ❑ NO / 0 3 CITY TELEPHONE NUMBER E a UNDERGROUND WIRING REQUIRED El YES ONO CONNECTION TO SANITARY SEWER EYES ❑NO SEPTIC TANK PERMIT REQUIRED ❑YES 41NO _U m J a NAME _ m Ole SEPT IC TANK PERMIT NO. 0 ADDRESS U a SEE MEMO DATED vJ l 'Z F CITY TELEPHONE NUMBER REMARKS Z 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECK B Legal Description of Property (ShowBelowor Attach Four Copies) METER SIZE 7-7 UILDING SUPPLY SIZE Loa 1 i2 � G �1 . W F' a REMARKS LR a eC 2DE'D SIGN AREA ENV. REVIEW ADB NO. a Nl 1 / u t Q �I A�+�^ /V G.. L. fi / ALLOWED PROPOSED COMPLETE EXEMPT , W 0 I�'� VA Gc ( C`o 6 F REMARKS a 0 W J If VARIANCE ORCU PLANNING REVIEW BY DATE YARDS LOT COVERAGE ® FRONT SIDESREAR NEW RESIDENTIAL ❑GAS LINE FIRE ZONE TYPE OF CONSTRUCTION CODE IN ❑ NON-RESIDENTIAL SIGN HEIGHT ADD EJ El ❑ DEMOLISH ❑ RETAINING SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT ❑WALL ALTER ❑ EXCAVATE FENCE OR FILL ❑ ( X FT ❑ YES ❑ NO GROUP LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES PRE -MOVE SWIM REPAIR 1:1 INSP.❑ POOL TAX SHOULD BE CODED 31.04. NUMBER OF STORIES NUMBER OF ' REMARKS DWELLING F UNITS Z W NATURE OF WORK TO BE DONE F C a a W .. PLAN CHECK FEE VALUATION 'FEE PROPOSED USE Z E5 1 W a PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING a U (A 0 J W 0 PLUMBING yl m W 0 MECHANICAL FENCE i F SIGN Z f RETAINING WALL f 0 - U POOL_ :----- NOTES: CALL 2 DAYS BEFORE YOU DIG: 1-800-424-5555 SCALE: 1"-50' / 1542 i J �0 END MAIN 399' N, WE "-1/4" PE IP MAIN WE q, ti4 4� �9os 'PIE -IN 298'N,11'E Q Ige Op, X. PJ�V� ti4 M� i Ip CITY OF EDMONDS: Maintain a minimum of 5' horizontal and 3' vertical clearance from all city utilities and appurtenances. Cuts in paving are shown as NO _ cuts in paving anticipated. Notify Engineering Division 24 hrs prior to construction - 425-771-0220 PROJECT MANAGER: DOUG USITALO 356-7520 k I DESCRIPTION I DATE I BY IAPP'I REVISIONS AS —BUILT INFORWTION FITTER OR CONTRACTOt COQDINATOI DATE COMPLETED % COIFLETED LEST INSTALlATI01i/tI£Tltt�tti TYPE OF TEST PIESW DATE ON TINE ON WIN SIZE MATERIAL TOTAL FODTACE DATE OFF TINE OFF TYPE OF PIPE PIPE WNFACRFIER TESTED By PUGET ENERGY OP wa 160.062 PLAT MAMA 161.067SOUND _ %,4su 5E-13-27-3 EIE110M SEC M PROPOSED MAIN FOOTAGE MIN Fr MAIN SIX MATERIAL TOTAL FOOTAGE SYSTEM WO' -1/4' PE loo PERMITS EDMONDS 1-1/4" PE IP MAIN EXTENSION TO SERVE : 1542 LOTH PL N. ( CHITTENDEN ADDITION) W%W C. NR�»INa» 1.07006731 1