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15809 70TH AVE W.PDF15809 70TH AVE W CITY OF-EDMONDSr' ' _ �T0 �`' �^ �UBLIC WORKS, DEPARTMENT FOR INSPECTION CALL Permit . . •�^:�: ! SIDF SEWER. 'PERMIT Ext. M* - 2, Issue Date a i *-.,PE P-MIT MUST BE POSTED ON JOB SITE * LYNNWOOD LINE } 1 Address of Construction' " 2. Property'";Legal Description ( include all, easements ) l) / `j i 3. Single Family Residence Multi -Family No. of.Units Commercial 4. Owner and/or Builder 5. Contractor & License L of 6. Invasion into City R1 h/t-of-Way: No Yes% (If Yes Right-of- way Construction Permit Required - Call Dial Dig (AA121-IPAA/4 ) before 1-800-454-5555 excavation). 7. Cross other private property: Yes No_Z_ Easement required - attach"legal description and county easement number. READ THE FOLLOWING 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 installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade. of 2% (1.150) and maximum grade of 100% (450). f. No turn in side sewer greater than 450 (1/8 bend) is0allowed 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 : I certify that I have read and shall comply.with the above PERMIT FEE: U W CONNECTION FEE: o * PERMIT DISAPPROVED By: Date: Z�&� ate: APPROVED By ate: INSP. 8ts R. NoLLAw��,CQ�,� BE POSTED ON JOB SITE The r 9 cAmsf%nAe Side Sewer Drawing say %V InCFkD. COMM- EASEMENT NO- ------------------- --------------- NEW CONSTRUCTION Ej REPAIRS 0 LID NO. -2-.10 ----- - ASMT. NO. -----•----------- OWNER ---- ----------------------------------------------- CONTRACTOR (6-54- --------- ------------------------------- PERMIT NO. 4 JOB 1 _IDDRESS -56.09 ------- �70-'"---W --------------------------------- LEGAL DESCRIPTION: LOT NO. ---------------------------- BLOCK NO. --%.I ------------------------ I ------------------------ ----------------------------------------------------------------------------------------------------------LYNNWOOD LINE - 0 m PWW-0001-11175 (REV.11178) NAME OF ADDITION ------------------------ — Approved: DATE4d,; 2-5 � ----------- 1 ....... BY ------- 164sp. 1816 LL-Nm YL.^/ •STREET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY ... ....15809.........7�tt1..AVenug...We.......................... Lot No....................... Permit No.....33............. Owner----- _John_I.,.Williams........ __........... I Address..15809__---70th--Avenue-.W•........... phone....743-2206 Builder. .._........... ------- --------- ... -- _............. --- Address...... .... -- . -- . ---------- ....------ ...... Phone ................ ..--..... Designer.. -..Owner ... Address .. ................................... Phone .......... .............. Installer ------ Richmond Concrete Prod. Address...1711.9_.Highway 99 Phone....743-3223 I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of grades, fills, surface drains, etc.) listed by me on my sewage disposal system permit application dated ................ ...... _.....4/! 69...................have been complied with. ............................................................................................................................... Signature of Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted...... ..... ..X............................................... Date. ---April... 7t...1969 NotAccepted .................... ...... ......................... Date................................................................... Signature of Sanitarian ................ Remarks:............................................................. ...............•-- ................... ....................................... INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest detail and still contain the entire site on one page. ATTENTION HOME OWNER: Your septic tank has limitations! It was designed and installed to care for an average -size family. Over- loading the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2%2-3 years). 2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield. 3. Do not excavate, fill, place a structure, driveway or. patio in, on, or over the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field. d SEWAGE DISPOSAL PERMIT Septic Tank ........ 117,5-------gals. "N � Disp. Field ------- 4;;�....... sq. ft. CITY Department O F of D M ONNrD S No..��-:�'�--- II ks Other--------- Name--------------7�7= '� ------------------------------------------- is hereby authorized to install/ repair sewage disposal system at ----------- - .-----------------------------------•-••---------_...._ Date issued on... ,/ __ Permit expires one year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signature of Installer ---------------------------------------------------------------------------- Date ................ ......... Approved JK Disapproved Date ---------------------------------------- ----- ----------------- By ............................ ..---•--•-------•----------------------- • Remarks- -------------- ------------•--------- -----•----- ------------------------------------------------------------- .--------••----•--•-----••---------------•--------- SANITARIAN OR DESIGNER -------------- Date This permit shall be posted in a re sonably s p conspicuous on a job until inspection has been completed. L� CITY OF EDMONDS -7 6�� 6- t la--e- ENGINEERING DEPARTMENT 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to:...j m 144) -J,..... W.I C.L I"V! Z 1 _ S For installation at: (street address)...�..�5..�.Q-.........7P�....GCS.................. .!..rn....N�S _. C/'SoL O Addition or Subdivision..XdeTlt/----20 S_-- F�: �7F (.l��S-T' 2- 3 � . 5.............. .. Lot_ ............. Block ................ 7-,? -C i 3 7, y/EWDOty d, 4 G,t AtI ,,V eh Type of Building: New............ Existing....,.-.. Single family residence ...... X...... Number of bedrooms...... a-- ............. Other: (specify type or use) ---------- --------------------------------------------- -- ---------------------------------------- --••- ----.........------ Builder.'!.'.�t//? Ozw �D�C2�✓� APO GJ ----------------------------------------------------------- ---------Address. /�lii.9.. /1...--�1- -f1 Designer. V6!qo.. _ �.!. G�//5��-��5-----...... Address / SO Soil Log Hole No. 1....... --,-----.......... ©c/� -° `. �� 7 �.. ....------••---•.... .... ... .................................................................. .. Soil Log Hole No. 2 LffO U2S�.......�5'f'�' CI-------- ... C/............................................................. Elevation of Water Table, if encountered. (Distance from ground surface) ........�///.................................................... Corrections to control surface water if needed......® E........................................ .......-•---•---------------------------•----.............--••----------•-•-------------------.........----------------- ............ ............. ....................................................... Specify if any removing or grading of topsoil in field area --- .....,UO,vE................... ------------------------------------------------•------------------------------.... Percolation: ----------...------------...... -- - •--- /� ��✓ -----............................................................................ \ Test Hole No. 1 — Average Rate...................................� .. (Fall in tnim�tes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate.....�. ld /� ... (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate....!.%5...1�'�/��.- �.-.. (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ..3 ��-lA0. A? ✓` Date Taken Septic tank requirements based on present rules and regulations: Septic Tank Size...... 7.55P...........gallons. Amount of Square�Feet of Dispposal/Fieelld.,... .3 .................. /�/'.....G l/i�/��2/... Date Signature — Designers-------------- -..._-----------------.... ...� . . DO NOT WRITE BELOW THI LINE (To be completed by Issuing Agency) Permit issued (date) ......... �i� ..�- .....................................Permit Number.- -----�-..----............ Remarks:..-• . .. - ........�.--d. ... %7.6 =��� ..Q ..S ----- ........•-•••................•---•-•••-••-•••••-----••-•-------••---------•--•----••--•---------••--- ---- .......------......---------............................................................ ......... I.............. CITY OF EDMONDS ENGINEERING DEPARTMENT 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: _.............. ......! .... ................... For installation at: (street �address) ... !1) O-Tel ......W . �" ` W ' r ®� C) ----------- �.--•..................I..........------•--.(.. .00 Addition or Subdivision.a`t- ! .v.!......... � ..&Z...-. `_+!..�............... Lot.. .......... .... Block ................ Type of Building: New ............ Existing. .___%.. Single family residence k Number of bedrooms . '— Other: (specify type or use) ....................................... --•----------- -- --------..-------------------•-------------...._.............-------------- ........ Builder.--- N&L•--------•---•-- - �"- --- ----�--------�-�-----••�--.Address...l.�i.�. �..� ---��/ ..�..��........�+A.V�I.--'--�-b`•=-- Designer-.... ©...-� Address ._(.�+?S..Q �--l.t.-- . W.C1.. Soil Log Hole No. 1.. C........ 11r"®' . ....................... . ............... ( ........... .................................................. ..................... ........ ........................... I ........ I ............................ ........ SoilLog Hole No. 2..--ea...... S....'�•....--.9........................................... �.1 ----•- ----- .......----•----------------------••---•---•---•-••---------------------•--•-----------------••-----•--------------•-------------------------- ........---------.._......................-----------• Elevation of Water Table, if encountered. (Distance from ground surface)......)....�i...!................................................. Corrections to control surface water if needed .......... A.............................................................................................. ------•--------------------------•---•--•----•---------•--•----..............---•---•--••-----•••-•--.....------------------•----•- ................-•---..............................................-- Specify if any removing or grading of topsoil in field area.......&(N—�................. ..................................... ..................... ---•-••-•--•-•----•-------•-•-----••-----••-•----•-•----•-----•----• Percolation : Test Hole No. 1 ...................•---•--•----..........................-----•----................................................................--- o I —Average Rate.!". - ...`'...`0`°`�`''•� ...... .. . (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2 — Average Rate-,L("VU...... (Fall in minutes/inch-bottom 6" test hole) a ` Test Hole No. 3 —Average Rate';��7i-.-'...l�.Y^^^!.'....- Average percolation rate on which to base drain field design ...... (Fall i minutes/inch-bottom 6" test hole) Date Taken.44.-1� ..... Septic tank requirements based on present rules and regulations: Septic Tank Size ......9.. ...®....gallons. Amount'of Square eet of Di s osal Field ...r�..®................. Signature —Designer .... �I... ... - . Date .............._..... ...... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date)................................................................Permit Number ......... .................................... Remarks-----------------------------------------------------------------------------------------------------------------------....... ......................................... ............------ r 0 ��-L- i:;- 1 r? Lt -�. " ---4- - c-, (-*. - 0