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15907 70TH AVE W.PDFIIIIIIIIIIII 5511 15907 70TH AVE W CITY OF EDMONDS ASSET INFORMATION SHEET LJ NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. sleq ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION Q ^ DEPT. NO. * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER W l -5 07 s q PROJECT COMPLETION DATE I 30-�T COST !(0►X7 B.A.R.S. ACCOUNT NO. _ i dO0 ` O�y-- 3YS 'UdCp3 ! ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST `SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY LJ DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 0 G.L. E REFERENCE DATE �YERIFIED BY PROCESSED BATCH NO. b P INITIA CITY of EDMONDS SEWER PERMIT, For Inspection Call 771-3202 STREET FILE s i o E Address of Construction: 1�5 r Property Legal Description (Include all easements): PERMIT NO. 08010 Owner and/or Builder: , hI /4DAVS Ai C . Contractor & License No: /9 Single Family Residence.} Multi -Family (No. of Units ) ELyN WOOD IADIII� Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LIST ON THE BACK rtify that I have read nd shall comply J UN 91989 Date wi h the items listed on the back. PUBLIC WORKS Permit Fee:? Trunk Charge: Z - Assessment Fee: Issued By: :Date Issued:.] Receipt No.. ��'_ `7 Partial Inspection: Comments Date Initial Final Inspection Approved: Date nitia1 00 o Rejected: Reason Date nitia b a, (n** PERMIT MUST BE POSTED ON JOB SITE ** °G White Copy - File Green Copy - Inspector Buff Copy - Applicant The City of Edmonds f Side Sewer Drawing EASEMENT NO. ............................................ NEW CONSTRUCTION REPAIRS ❑ LID NO- ------------------ ASMT. NO - ------------------ OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ...... ...... ---- PERMIT NO. Q-%PJ-0 1� JOB ADDRESS A-S41-D-77 -------- ........ 4-! ------- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO.------------------------------------ CA t) 0— 0, -3 To I ---------------------------------------------------------------------------------------------------------------------------------------------------------------- - NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- LLY N =NW OO D =Ll LINE E Az % Lplpue- 6-10 'RIT),ce-M F N4. SIT NO, alp t+' io'e't o ;L, IL 3 bile- elo 13 Del Approved: IN 1\1 PWW-0001 -11/75 (REVA 1/78) — DATE `�{0..=-C ....... .. ( -------------- By (,-I/! ---------- ....................... .............. 3 V • 4,J .l;i •,�.. o ,P 'B .;Aye � y. f,y Y x u N bl6 I - 3�0 I 375�2 GESCkJI��I R� W CF LOT V7 Mruolraus r ekm i r+e me V4 sw • , � ---- - I I poi -to Tic Ave 4. SA; ibi �- _di �z Wau1r Cau i L\ \ I 0 37si37[c3tz;;7c:1495= 4s 3T3.1S � .L laup;:ri r-7 Aerurr 59B.7s' ! De 7VITAJ A r� vAJ,� 3To' .�i i �o • bv 4i. r .. .'! �, r, � rl 9i,gJ Pi"C cca«w �' irA'_�•1�i6• IlD -lorAavrll. Ill -' ' DETEN 1 Ij PPEI>, CATCH i3TLS I N � r )1 CETENTION Pt N WORKSHEET ' I 1' MIN 2' M4X COvER I LI 1%t SLOPE. SYSTEM CROSS SECTION CON-11l CATCH BASIN 7 OUTI-Il CONTR;51 TO OUTLET �N PRAP OR RUNOFF SPREADER) .. T'll TW cam- P►Pfi. 'l 'ff" . �"c.4 6",l 1 7 T r. 2' a 2' a (D" DE=P. Alt & S;l (oa roue) 7,N 7'• 2' 3" DEEP, '_ CRUS14ED ROCK OL RIPRAP OUTLET WASHED GRAVEL OUTFLOW TRENCH, MIN 10' LONG, TOP 4 4" PERF P' PE Tp BE LEVEL FROM , 'I OUTSET CONTROL 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET STANDARD DRAINAGE PLAN DETENTION SYSTEM for location_ plan by phone. o date DESIGN DATA System Imperm Pipe Pipe Orifice Number Area g Diam Length Diameter /0 0 NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. Page 9 of CITY OF EDMONDS CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS I )8 N (_ �A MAILING ADDRESS 19 22 CITY TELEPHONE NUMBER U USE n ZONE PERMIT NUMBER JOB ADDRESS -1-2 _EGAL DESCRIPT N CHECK SUBDIVISION NO. LID NO. y PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY EXISTING .__ REQUIRED DEDICATION PROPOSED-c-6? _ (�. �♦ (j 6 _ .. Qc.{ / RIGHT OF WAY CONSTRUCTION PERMIT REQUIRE w ADDRESS STREET USE PERMIT REQUIRED, IC1(,0 t 3f �� = SEE ENGINEERING MEMO DATED U a CITY / TELEPHONE NUMBERy �Y6 Z2 0 q REMARIjS NA ,_ A ADDRESS CITY I TELEPHONE NUMBER STATE LICENSE NUMBER Legal Description of Property - include all easements (show below or attach two copies) LtJ 31 mea& CNEW ® RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL REPAIR 11 APT. BLDG. El SIGN / El DEMOLISH REMODEL EXCAVATE OR FILL CARPORT GARAGE FENCE ( x FT) SWIM POOL ❑ WOO STOVE/ INSERT ROCKERY WALL/ RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURES OF WORK TO BE DONE (ATTACH PLOT PLAN) G METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ADB NO. ALLOWED I PROPOSED COMPLETE I EXEMPT SHORELINE p VARIANCE OR CU IPLANNING REVIEW BY I DATE O Z w Z Z w SETBACKS — FEET LHEIGH LOT COVERAGE _z FRONT pS SIDE d r REA m� , Z REMARKS g CHECKED BY TYPE ONST RUCTION CODE HEIGHT � _� lq5 S ' SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES C NO REMARKS PROGRESS INSPECTIONS PER UBC 305 70/YRPZ�� VALUATION 1 FEE Im PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year • Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of iwhatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT omodify, waive or reduce any requirement of any city ordinance TOTAL AMOUNT DUE x nor limit in any way the City's ability to enforce any ordinance provision." I hereby acknowledge that 1 have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz• THIS PERMIT AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code the State of Washington relating to Workmen's Compensa• WORK NOTED tionlrisIlirance. INSPECTION DEPARTMENT IGNATU E (OWNER OR AGENT) DATE SIGNED {hu-1-t. fil V_ /_,/ CITY OF EDMONDS AT ENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102.87 aov. ao ldd93 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor 0 Z s m PRO,= REVIEW CIMMIST S PRQTDCT ADDRESS: Reviewed by: (initial/date) COMMQm PLANNING WTR/SWR ISTREET M- Iw C, FIRE 13UIIDING /%/// ///j/%% 1///////// Sn=Z FAMILY/MULTIPLE/CoMMERCIAL - (Circle One) SETl3AC1CS CROCKED - Planning 11111171 7T/-///777-7 vARLmCE/SFTRACK AW. ///////// //////// ////////// 1 111111177 Cf)NDITIONAL USE. PERMIT ////// ///////// //_////// ////////// --- / // / ADB REQWIREMEWS CHECKED ////// ///////// //////// //////////11 / 1/ / T 7T7/ //l/ OTHER ZONING REQUIROTS ENVIRONM¢MAL FEMURES ////// ///////// ////////` ACCESS SLOPE & VEHICLE ACCESS �5 / /1/1// PBBt C DRAINAGE _GE PLAN (On Site) Yr Y-77TR77TI771111 SILE -�-' STREET F _ ////// ///////// ///////// //////// 8 // _ LJr.AL DF5C7t MON VERIFICATION ////// ///////// ///////// //////// 9 /t // ///// /10 QUIT CLAIM/DEDICATIONS ��1 //// 77 EASEMENT - PUBLIC/PRIVATE ///////// ///////// //////// 11 W- CAMRATE SER CONNECTION IF NO LID# /0 ////// ///////// ///////// //////// 12 FIAT/SUBDIVISION REXIUIREMSEKt'S --'^ ////// ///////// //////// 13 RTGIfT-OF-WAY CONSTRUCTION PERMIT READ ////// ///////// ///////// �G� 14 77777T// / / / / / // M) I< READ mi PUBLIC IMPROVEMENTS � ////// ///////// ///////// //////// 15 :AIIS CONDITTONS & GROUND 111%17/-`%j` / WATER FIEID CHOCiCM ////// ///////// ///////// //////// 16 S'PREEP PAVING REQUIRED ///////// ///////// 17 _////// CURB AND GI1PI'ER RDQUTR® ////// ///////// ///////// /////// // 18 STDE.WALK REX,KJIRED ////// ///////// ///////// 19 o / ��'(1 / CURB CUT M-11 DRIVEWAY READ ////// ///////// ///////// ////////// 20 RIP STREETSIGN REQD ///////// ///////// //////1/// 21 111177111 / / ' MER_T( ING READ // // // ///////// ////////// 22 AR SIDE SEWER AVAIIIL.I'TY ////// 23 TfflffEXISTING _ �� WrER MATN SIZE '// / ///////// //////// /%%%%T%f%%% 24 ' / / / 7777 //// // / WATER METER SIZE f' 1 /7 25 :! 7 rf/7 J%R1 SERVICE LTNE SIZE ////// ///////// //////// ////////// 26 HYDRANT REOUIRID ///////// /////////// //////// ////////// 27 // HYDRANT SIZE EXISTING ////// //////////'T //////// ///////I// 28 1/ -17777 CROSS CONNECTION INSPECTION REQD ////// ///////// //////// ////////// 29 777T/7WATER // METER CHARGE REM ////// ///////// 30 — / / / / FIRE LINE CHAME READ - SPRINKLER 11111141,////////// 31 STREET CVT ////// ///////// t ////////// 32 OPEN DITCH EXISTING 777777 ////// ///////// ///////// 33 111117 / — RD4D l///// ///////// ///////// 34 / /// / ///// _ CULVERT READ ////// ///////// ///////// 35 / // / SIZE ////// ///////// ///////// 36 171111 / / / CATCH BASIN REM////// ///////// ///////// 37 / / INDICATED ON SITE PLAN ////// ///////// ///////// 38 SHOULDER DRAINAGE MAINTAIN / /// -F17:* SHALE OPEN RUNOFF ////// ///////// ///////// 39 77T/-/-/T/77//////// MISC: ///////// 1//////// 40 _ 1989 7INORKS REVIEWED BY: PLANNING MGR. ENGINEERING MGR. PUBLIC RK)RKS MGR. S 1A L.> a iv is loin omen ortion 0 in the NE Lee 37, Meadowdale Beach SWI/4, Sec. 5 (27N-4E) Tax Title__� I Slaughter 370 NOTE: Site is uniformly wooded with approximately 35-40 trees 8" to 24" diameter. —...—Building Setback Li 1L I 390 Scale.: I"=40' Nov. 11, 1988 Thorsteinson I Zone: RS-12 re Hyd 2 228.s Li- I 11—W ',7107.37 43'. 59"1 ci 324 01 SS. '7 C 0-61 �Ss Orl ginai Lot Line L: X fl .iz 11-t! Line I Rn West Line Lot 37 Ca SSM Wittmann %% Mulf ord NE L S. 10— WO 8 6 CD U V4tLAN4Sv SOUND sunvr_YTNO TNC 22727 Highway 99, Suite 110, Edmonds, WA 98020 (206) 778-1556 C3 P ,• f , i7 City of Edmond Permit No• RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: A. Address or Vicinity of Construction: ® � � - �� "�� �- LA-1 Type of Work (be specific):, State License #: " ' - 79 'S - City Business License #: D. Building Permit # (if applicable): Contact: A e/✓"n Phone: YZ5 1 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable E. ❑ Commercial ❑ Subdivision ❑ City Project EUC (PUD, VERIZON, PSE, COMCAST, OVWSD) ❑ Multi -Family ❑ Single F�n;iily P I Other INSPECTOR: F. PAVEMENT CUT: ❑ YES ' ❑ NO G. SIZE OF CUT X CONCRETE CUT: ❑ YES ❑ NO G. V Mail Approved Permit ❑ 'Call for Pickup APPLICANT TO READ AND SIGN INDEMNITY. • Applicant understands by .hislher 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 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. ♦ Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 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. ♦ Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK 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 OR INSPECTIONS Signature: - s Date: 0 15 ontractor or Approved by: f a le Time Authorized , � oid After Conditions: W REQUIRED INSPECTIONS: FOR CITY USE ONLY Right-of-way Fee � jt, ✓ Disruption Fee/Fund 111: Inspection Fee: Total Fee: . (0 „ Receipt No: .— Issued by:. - Call 425-771-0220, Ext. 1326 for a 24- ou vo' c �d+o FINAL APPROVAL OF PERMITTED WOR c c` Inspector's Sig request line. DATE: 5/4� CADocuments and Settings\CunisNy Documents\Forms\Engnmg\ROWpermit_doc Revised 10/01/03 40 w W) 15907 MM 00 RIGHT-OF-WAY CONSTRUCTION PERM AND INSPECTION REQUIRED KW 00 70t" Ave W Comcast of Bellevue, Inc. pole 1525 75th Street SW Suite 200 Everett, WA 98203 Contact: Kermit Benson 425-263-5362 North Drop Node: EM 05A 15907 70TH Ave W - City of Edmonds Open trench in shoulder of ROW of approx 20 ft, bore roadway 24 ft, and set carson to extend and bury CAN service drop A AWT BY ENGINEERING Work Details Open trench in shoulder of ROW for approx 20 feet (m/I) and bore roadway approx 24 feet (m/1) feet and set carson to extend and bury CAN service drop to 15907 70th Ave W. Install cable at 36" depth.: All disturbed areas will be restored to existing or better conditions. Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities impacted by this project. Please see attached plans for restoration, erosion control and traffic control. Erosion control will consist of placing filter fabric fence and/or sandbags along curbs and catch basins where necessary. Keep.drainage system clean and functioning. Remove all debris from the work site. Streets and roads will be cleaned both during and after installation of work. Ccomcast PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION: • Timeline — Up to 30-days past the issue date. • Work Hours —The entire project area will be conducted from 7:00 AM to 7:00 PM or as specified by the Inspector. Traffic Control Plans 1. The standards and guides of the latest version of the MUTCD or as set-up per Code shall be followed at all times. 2. A copy of the Permit and Traffic Control Plan shall be on -site with all contractors during the project. 3. All contractors will avoid parking on sidewalks and shoulders and will take the lane and follow the proper traffic control set-up for the given situation. 4. Pedestrian access shall be maintained through or detoured around all work sites. 5. Please find attached the traffic control plans for the various types of work sites that will be encountered during our project. 6. Flaggers will be used only when all other methods of traffic control are inadequate to warn and direct drivers. Only licensed flaggers will be used on the project. 7. If situations occur when questions arise about proper traffic control set-up the solution will be determined in the field with the Comcast Construction Rep. and the Inspector. Erosion Control:Rules If curb and gutters in project area: • Filter bags will be placed in catchbasins downstream of work site, and • Small check dams of pea gravel filled sandbags will placed within the gutter upstream of the catchbasin. Traffic control set-up for minor encroachment .001 JJeurnlOoJ Traffic control set-up for lane closure ftAGGEa STATION Depth, Cleaning, Containment, Compaction, and Restoration 7 4 1 Depth = ♦ 36-inch minimum ♦ Compatible w/ other utilities ♦ Shoring required at 4-ft + Pavement Cuts = ♦ T-cut 1-ft wider than trench ♦ Neat -line saw -cut or jack hammered edge ♦ All trench backfill shall be mechanically compacted to 95 percent of maximum density using 1-ft loose lifts with whacker or 2-ft loose lift with a hoe pack. ♦ If proper compaction cannot be achieved with the native material, new import material is required at the 95 percent rate. ♦ As an alternative, CDF can be used in a design mixture approved by the Engineer. ccomcast CLEANING: All Streets and roads are required to be cleaned and swept both during and after the installation work. ♦ Mechanical Vacuum is preferred method CONTAINMENT: All un-restored shoulders or material storage areas are required to be contained with reflective barricades. All disturbed areas shall be restored to existing or better conditions ! ! ! t t t t Trench parallel to road: ♦ Shoulder - Match existing surface conditions ♦ Pavement - 6 1/2 inches of crushed surfacing material and asphalt concrete Class B at 2- inches minimum or same thickness if greater.. Trench across road (immediate cold mix patch): ♦ Asphalt - Permanent hot mix patch at same thickness or 2-inches and sealed within 30 days. ♦ Concrete - saw cut and pored with mastic joints, eight - sack mix, either type II of III cement, within 30 days. z V-- tACT, 370 lo I 37 8 - I SF /J.g�� �/�r/�s 1s9o� , o `� 141 MAR 15 P'E%'n PERMIT rOUNTER