15911 70TH AVE W.PDFIIIIIIIIIIII
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15911 70TH AVE W
CITY OF EDMONDS
ASSET INFORMATION SHEET
1 NEW
❑ ADDITION
❑ RETIREMENT
itf-
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION /�
DEPT, NO.
" PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
•
* PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO.
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
LK DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
b P INITIA
CITY OF EDMONDS
ASSET INFORMATION SHEET
LJ NEW
❑ ADDITION
❑ RETIREMENT
ASSET NO..,�j���
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION .— DEPT NO.
' * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
' PROJECT NUMBER l�
PROJECT COMPLETION DATE
COST '
B.A.R.S. ACCOUNT NO. 6,3
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
G.L. ENTRY
REFERENCE
b P INITIAL
DATE
VERIFIED BY
PROCESSED
BATCH NO.
FINANCE
CITY of EDMONDS
For Inspection Call 771-3202
Address of Construction: 1
SIDE SEWER PER -Mlle
z
-06 PERMIT NO. 06009'
Property Legal Description (Include all easements): J /(
Owner and/or Builder: Zb)IW5 AkX?jh 75- - so L�� �Z h tV 0 k
Contractor & License No: 4) S A] / :;i J
Single Family Residence �YNNWOOD LINE
Multi -Family (No. of Units )
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.)
PLEASF',RgAD TH` ITEMS LISTED ON THE BACK RtCI tU
I erti y that I have read and shall comply ` wpRKS Date
with the items listed on the back.
U
Permit Fee: Issued By-
Trunk : Char e' .
9 x C Date Issued: �.r-,O'p�'�d
Assessment Fee: Receipt No.: A,ir`—�
Partial Inspection:
Comments ',�y Date Initial
Final Inspection Approved: (12 _17
oRejected:
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White Copy - File
Date nitia1
son Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Green Copy - Inspector Buff Copy - Applicant
! The City of Edmonds
Side Sewer Drawing
EASEMENT NO---------------------------------------------
i
• NEW CONSTRUCTION ( REPAIRS ❑ LID NO- ------------------ -ASMT. NO. ---....-..--------
OWNER--------------------n------------------------------------------------------------------------- CONTRACTOR. GS -------- ----------- PERMIT NO. 0-QQ.0q.
JOB ADDRESS .1-?_-`- �.--•"•------(--- ---- 4J C'---------- .q! --- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. -------•------------•-----. ........
9bZTA ------------------------------------------------------------------------------------------------------------------------------------------------------------------
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PVe- SAP 13' PL&P
�— Approved:
38'
PWW 0001 11/75 (REV.11/78 i l DATE �-?--------------- BY �`" ' ----------------------------
NOTICE- NO WARRANTY OF ACCURACY The Informeir- shn,r cA snc
attcrlhef; ma, viv compil,;ii far use by the City of Edmc,,: i'
an( CU1i.'_t:':^• 1is . Thu Ciiy of Edmonds doc:i no'A wam, ti?
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DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: _%59/� + 7D' G✓
OWNER:
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary sewer system required; obtain separate
permit.
5) Water and sewer lines to be separated by 10 foot minimum.
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%.
8) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
9) Builder/Owner responsible for containing all temporary runoff and -
erosion control on site. Construction may not impact neighboring
properties in any way.
10) No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin -installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy:
DETENTION WORKSHEET .
UPPER
C AT'CH
BASIN DETENTION PIP! LENGTH CONTROL CATCH
VENT)
DASIN
t— 1' MIN, 2' MAX COVER —�
OUTLCT
CONTROe
i ' "I :L SLOPE+ v MI
` . s WNW
TO OUTLET
(SJ PRAP OR
RUNOFF
SYSTEM CROSS SECTION SP READ ER)
SEE PAGE 3 FOR OUTLET CONTROL DETAIL.
2' s 2' a G" DR=?, 4= 6" SPA„ S (OR cowL)
a 2'a 2' r.3" DEEP, V4*- CRUS"ED ROCK
FROM
OUTLET
CONTROL
RIPRAP OUTLET
WASHED GRAVEL rOUTFLOW TRENCH, MIN 10' LONG,
TOP 4 4" PERF PIPE TO BE LEVEL
I— ARI
F M
DUVET
CONTROL
4' PERF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
for
location- 7V`04'6c/
plan by
phone
date
DESIGN DATA
System Imperm
Pipe
Pipe
Orifice
Number Area
Diam
Length
Diameter
I 1. I
zed
z�
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.
L
li
CITY OF EDMONDS
Page 9 of 9
F,
�--
Ir_�I�il I�,
--ITV OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS'
19H�+4. �/c�mil'
q
TL
NAME
ADDRESS
"'7.3 es�-
CITY
J
NAME
A s r,
TELEPHONE NUMBER
NUMBER
x ADDRESS
U
¢ CITY TELEPHONE NUMBER
O
U STATE LICENSE NUMBER
Legal Description of Property - include all easements
Z (show below or attach two coples)
O
a
1/V VEW
ICI RESIDENTIAL
H PLUMBING
ADD/ALTER
COMMERCIAL
1:1MECHANICAL
REPAIR
1:1APT. BLDG.
LJ SIGN
DEMOLISH
REMODEL
TE
Ej ORCFILL
CARPORT
GARAGE
D FENCE xFT)
SWIM
POOL
❑ W00 INSERT ROCKERY RETAINING WALL/
❑ RENEWAL
mot/✓ * yz
NUMBER OF STORIES
�AjJI
7 /V (f
NUMBER OF
DWELLING
UNITS
�p/L
�{�L
NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
USE " J-�L`-, PERMIT
ZONE S__j -2, NUMBER
JOB
ADDRESS L
_EGAL DESCRIPTION CHECK SUBDIVISION NO. ✓ LID/NO.
xC-eo �l0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
APPROVED BY
EXISTING REQUIRED DEDICATION
PROPOSED_ __
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1
STREET USE PERMIT REQUIRED:
SEE ENGINEERING MEMO DATED / REVIEW BY
METER SIZE 1BUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE
VARIANCE OR CU PLANNING REVIEW BY GATE
' FRONT TRACKS — FEET REAR I HEIGHT I LOT COVERAGE
1 SF j�esi1
CHECKED BY
TYPE OF CONSTRUCTION
CODES
HEIGHT
SPECIAL INSPECTOR
AREA
OCCUPANCY_
OCCUPANT
REQUIRED
GROU 3
LOAD
❑ YES C NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
711E&WL ,rl/st![ 06ej4,a'b IVAi6tM6Y Cbp,E
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
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
w successors in interest, agrees to indemnify, defend and hold
J harmless the City of Edmonds, Washington, its officials,
s employees, and agents from any and all claims for damages of
zwhatever 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
= nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I 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
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
SIG TURE (OWNE OR AG T) DATE SIGNED
�--z3 r - CITY EDMONDS
A E NW 1 O N 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
C y .� S �T74iY kph
VALUATION FEE
Zoo I -17
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
a
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REVIEw cmmaasT
�rraaat,raat�nv avJ Lr.L wsaa.: ci 9!1 v r-
sewed
x''< "
,Rev by: initial date
.,
PLANNING
WTR/SWR STREET ENGbIRNG
FIRE
BUILDING
�IIJGLE FAMILY/MULTIPLE/COMMERCIAL'.- (Circle Orie)
�E'!'BI�CiCS CI�CICED - -: Planning. ; : « ; F:: ,
•'; ` ,,; r,
//
VARIAHC.E/SETRACK ADJ.::r , r' ; .: .. :.:::::.. .'
r.7FIT17
ITI//
///IT7
ONDITIONAL*USE.PERMIT.`;';';° :;' .;;. ;..;<;,.';` .'' .,.
//////
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2
TDB' REQUIRMgIJTS CFiDC;(rU ,-: .::,:,
3
yPHER ZONING RDQUIREIrIENi'S
4
NVIRONMIMAI. FEATURES ,_.____-__
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5
YX'F.SS SLOPE &VEHICLE ACCESS
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6
/
-
)RAINAGE PLAN (On Site)
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7
'I'REET FILE. �—
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8
F.GAL'DrSCRIPTION vF.RIFICATICN
9
C
?UIT CLAIM/DFI)ICATIONS
//////
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10
-ASEMENT - PUBLIC/PRIVATE
..,".
r
:AIMATE SEWER CONNECTION IF NO LID# d•` ' '''``'
//////
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P
%
'LAT/SUBDMSICN LumiREMF3JI'S
777/7777
13
-WAY ONTUCTICN PERMIT
14IGIiP-OF
(c._,•. •... .. .`. ,�. .:- Yid 3l �. .; Y' /..'.
CM REQD'FOR PUBLIC IMPROVr3MEIJTS e )
//////.
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5
:OILS OONDITIONS & GROUND
INTER FIELD CHECKED
/ ////
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16
;PRLFT PAVING RWITRE[)
/77777
//////
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17
TIT%
T%T%177T%
IIRB AND (AI`PER REQUIRED
//////
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18
SIDEWALK REQUIRE ;.
4/,
19
7777/7
11711
URB CUT FOR DRIVEWAY REOD.
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20
TREET HAMS SIGN REQD
// /
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21
MfER SIGNING READ
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22
TIDE SEWER AVAILABILITY
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/�/}///////
23
"'
OCISTING WATER MAIN SIZE
/ //
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U
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24
ATER METER SIZE ,:; ,:: ,.. ; :;,.::....
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25
01VICE LINE SIZE
26
rmRANP Rw-uIRM '-" ,:
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27
/I
IYDRANP SIZE EXISTING
//////
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7
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28
-BOSS CONNECTION INSPECTION REQD
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29
Ov
ATER METER CHARGE REQD
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,
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30
FIRE LINE CHARGE REQD - SPRINKLER
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31
)TREET CUT
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�iro
32
)PEN DITCH EXISTING
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33
READ
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34
VLVERT READ
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35
SIZE
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36
M701 BASIN READ
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37
INDICATED CN SITE PLAN
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38
SHOULDER DRAINAGE MAINPAIN
SHALE OPIN RUNOFF
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39
dISC:
40
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1319891
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