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17101 SEA LAWN DR.PDF11111111111111 12975 17101 SEA LAWN DR ADDRESS: :2 55>g�Z TAX ACCOUNT/PARCEL NUMBER- avvBUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver [:] Study Required Ej Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED 11�=WFFVI IA1511111 I SCALED PLOT PLAN DATED: SEWER LID FEE S: - LID SHORTPLAT SIDE SEWER AS BUILT DA' SIDE SEWER PERMIT(S) SOILS REPORT DA STREET USE / ENCROACHMENT PERMIT #: FOR_ WATER METER TAP CARD DATED; OTHER. LOT: BLOCK - LATEMP\DSrs\Fonns\Suvet File Checklistdoc PLAN FILE NUMBER BUILDING Building Permit Application .ipplicant Fill PERMIT NUMBER �e Heavy Lines JOB ADDRESS NAXF (OR NAME OF BUSINESS) 'ROW L W k) 17101 MAILING A.DDRE3S L SIDE YARD SET BACK REAR YA.RD I A�A2WQG NUMBl;R ONE ViACANT SITE MAP NUMBER C) 1 ?-1 NO 13 LOT AREA. VARIANCE NUMBER. z NAME 1 /-7 z W ADDRESS 1-MGHT L BUILDING SETBACKS NOTE: AT'LO EAVE LINES TELEPHONE NU REMARKS NAM �--XD—DR Encroachm ent Permit ST Eff GRADE CIL . ECK I Required YES NO T PHONE NUMB METER SIZE SERVICE SIZE CI.EjdU�WCE C C BY C By z STATE LICE NSE NUMBER C ITY LICENSE NUXXBER. MARKS oil LOT BT;oCx TRACT —7 A LALt) gj. TYPY�CONN�ECTION V.ERME �PER TEST PEPaffTkNUWtBER 7/- FIRE ZONE TYPE OF CONSTRUCTION TRb;NW IM.PROVED. 0 YES No z SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP C3 YES ff<O 1z PLAN CHECKED BY WORK TO 13E. DONE NO. OF BLOGS. 9-6RIBLbIG. rOTAL'F199 BUILDINIZI�5* 14 VALUATION j.%uiLDi,-4G PERMIT FEE NEW- F1 DEMOLISH NUMBER PLUMBING 3 PERMIT FEE 4 HEAT & GAS LINE PERMIT FEE r7,5" F-1 I Ga 'BER OF RFSIDENITTAI NUNI' AT,TER DWELZJNG in 'ITS I El- NON-RESIDENTIAL --5 DEMOLITION PERMIT FEE — I O—SED USE FR TO 6 AMOUNT DUE I hereby Pzknowledge that 1, have read this application; that the in- A=NTION APPLICATION APPROVAI formation given Is correct; and that I &w. the owner, or the duly anthor- Ized agent of the owner. I agree to comply w-th city and stute laws regu- THIS PERMIT This application is not a perrnit unti., lating construction; and In doing the work authGrized thereby, no person AUTHO=ES S igned by -the Director.of Buildiiig Ifibpec- `j* will be employed In vi,)Iaticn of the Labor Code of the State of Washington ONLY THE tion, or his deputy; and fees are paid, and relating to Workmen's Compensation Injurance. WORK NOTED receipt . is acknowledged in space p . rovided. NOTE: PERMIT LIMIT ONE YEAR DIRECTOR*S SIGNATURE INSPECTION ATUR-E (OWNER CIR AGENT) DEPARTMENX A. -d CITY OF --5ArE OVED N EDMONDS J PR 6-1107 IZTT�7, 61 '"W 5.4 � OM IT 7 , RECORD .OF INSPECTION Date Passed-. Foundation,._:": Plumbi'g n (P�rt,01),. (R 6ugh). Fra me.' Furnace P661"Line Final The City of Edmonds APPLICATION for SWE SEVV7A PFJUM" NEW CONSTRUCTION C] REPAIRS ............. -------------- .ADDRESS ..... t7wsl ..... . ..... L,---2.j-'-A— .............. ku� 7 A??ROVE( *671 LM PLW EASEMENT No . .......................................... CONTRACTOR ......................................... .................................. PEP�J�41T No. L11 LEGAL DESCRIMON: LOT No . ............................. 7 ................. BLOM No . ....... .................................... NAME OF ADDITION ...... . ........ ..... .... f .......... Approved - DATE: ... 4 ..4 ... . .. 7C.7 --------- By --- ii� ......... ADDRESS ................ 17110L.S.e-aLawn ... Drive a.......................................................................................................... oWNikp ......... j.�t ... T, ... )�ischoff ........................................... Owner, .......... ----------- CONTRACTOR Pprmission is granted NY 1 1 ............................... ]L9 ..... 70 for ---------------_------ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE� No. I�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 befoie it has been inspected. NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at lea-st 30 Inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%. No bends in grade sharper than 1/fi will be permitted. .�g E No. 4�Tren�hes in street must 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. 5--It is Unlawful to alter or do any other work than I' s provided for In the permit or t I 1;1 wnanees except to insert the pipe into the virye. 0 o any work on the main sewer or Its appur- ej i_' J� iY 00 CITY OF EDMONDS STREET FILE DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY ... 17191 ... $VkLOWA.Drive ......................... I ............. Lot No ....... 7 ------------- Permit No .... 19T ----------- Owner_.UnkP0WP ...................... ..................... . Address -Unknown ......................................... Phone..U-nknown ..... Builder. ..... Western Erection' ........ ...... Address__P_.__0.---Box .511-Lpanwood ----------- PhonepR §012-1 ..... Designer .... R.B...-Meyring... ........ ----------------- Address .... 200jq___H.jw8_y qq__Lynflw90-d-­ ----- Phone.. PH -.8-31.0-1- Installer- Arc.hi e --- 0.1.so.n ..................................... Address-5220.-.!-r ... 1.80th..Ste .. SW_Lynnwood Phone..R..8,4433 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 scwage disposal system permit 'application, dated ................ . ....... . 1/28/65 - - __ .......... have been complied with. ............ �­ ................................. .... ............. -------_------ ............ 5/20/.65 --------_-- Signature ol Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted...... .......................... ..................... .... Date ......... Not Accepted ......................... ............... ......... Date ........... ... .. * .......... Signature of Sa;�� .... ..... ce ... r ...... h, . ................. 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: You . r 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 (2y2-3 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 ove'r the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quant ities will not harin the action of the*septic tank and disposal field. As Built Sketch WEMRN JITTON Ouilder: Western Erection Lot 7 Sea Lawn Terrace Div. A P. 0. !box 511 Lynnwood, -'Vagh. CITY OF EDMGNDS WASH. MAY 1 65 'S Z3. Installer: Archie Olson Permit No. 197 5220 - 180th SW Lynnwood. Wash. Ok V0 Designer: ?10/ M.B. Meyring 20019 Hiway 99 Lynnwood, Wash 1716, SeaLawn D ve fV 0 3d AV /1-y -5 cale AV64- _3/9 Z409 //,�l Meyring Surveyors. Inc. Lynnwood, Wash. PR 8-3101 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North" Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ....... Western Erection ..................................... ....................... For installation at: (street address) ........................ ........ Addition or Subdivision ...... Sea._ La.m.7er.ra-ce- Di.v ..-A ----- --------------------------------------- Lot ..... 7 ........ ...... .... ..... _ ---- -- ___ ..... .... ... Block ................ Type of Building: New ... X ...... Existing ............ Single family residence X Number of* bedrooms 3 ............ Other: (specify type or use) ............. Day"lfte ... Ba.sement -------- ------_------ ------------------------------------------------ I --_---------------- Builder ----- We.st-ep ... E_re.c.ti.on ................................... .......... Address ------- P..-.-Oe--.Box..5l.l..LYAUW.O.od ................. 0 .... .... .... . .. .... . .... .... Designer. -VeRo.. Meyri.ng .............. ___ ------ ........................... Address.. P. 0, B ox 32 Lyanwoo d -------_- ........... .. .. Soil Log Hole No'. I ..... ..,0.4r.�Sa_ndy --- loam -A- 46 sand and- gravel 48 peek clay gravel .............................................................................. ----------------------------------------------- ------------------------------- ........................................ Soil Log Hole No. 2... ..... 0 ... _P3 e-k Sand ............................................. ................................................................................................................................ ......................................................................... Elevation of Water Table, if encountered. (Distance from ground surface) ........ none ..................................................... Corrections to control surface water if needed ...... 110.13e.. .................................. ....................................................................... Specify if any removing or grading of topsoil in field area..:..W--fv.nher..Oro.di.ng..;kl.lgwe.4 ................................. .................... Percolation: Test Hole No. I —Average Rate ............. 25 ............. (Fall in ininutes/inch-bottorn,6" test hole) Test Hole No. 2—Average Rate .............. 27 .................................. ----- (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole I No. 3—Average Rate ............. 30 ............... ... . ........ ------ (Fall in minutes/inch-bottom 6" test hole) Average percola tion rate on which to base drain field design ...... 2T Date Taken ....... Septic tank requirements based on present rules and regulations: Septic Tank Size ...... 9W. ............... gallons. Amount of, Square Feet of Disposal Field ...... 720-_ ... . ... 13 1/6/65 Signature De igner ........ :�_ ............. ------------------- Date ............ ........................ s ------------ ------- --- -------- --------- DO NOT WRITE BELOW THI� LINV(To be completed'by Issuing Agency) Permit issued (date) ........... .............. Permit Number. ......................... Remarks: ....................... . . .... .................................. ------------- ............ .............. ...... ........ ........................ .......... .............. ......................................................................................... ---------------------- ­ . .............. ................................................. : ................ -I,- SEWAGE DISPOSAL PERMIT Septic 'Tank ................. CITY OF EDMONDS No . ....... ......... Disp. Field ----------- ----- sq. ft. Department of Public Works Other------ ----------------------- Name ------- ----------------------- -------- - ---------- ------------------------------------- ----- is hereby authorized to install/ repair sewage disposal system at --------------------- ....................................................... --------------- ------- ------ - Date issued on --------------- Y -------- !: . . .......... ................... 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. Signatureof Installer ---------------------------------------------------------------------------- Date ---------------------------------- Approved E] Disapproved Date ------------------------------------------------------ ----------- By---- --------------------------------- ------------------------------------ Remarks:.: ---- -------- ------------------ ------------------------------------------------------------------------------------------------ SANITARIAN OR DESIGNER. ------------ ------------------------- I --------------------------- ------------------------------ Date ---------------------------------------------------------- This permit shall be posted -"in 'a reasonably conspicu6` 'place on the job until inspection has been completed. Bit i I der: Western Erection P. 0. BOX 511 Lynnwood, Wnsh. 900 gal. S. T. 240 lin. ft. dr-aintile 3 ft.. Trench Trench depth not.to exceed 18" Q; -Re, -c . 7e-z; 7 M - /42/e I =R -95,3 Septic TPnk G DIMOfield Design 1.ot 7 Sea Lpwn T-Prnce Div. A City of Edmonds JAN 1965,` WP sh. Designer: M.h. kleyrinq 20019 hiviny 99 Lynnwood,, Wash. 15, ko 4?'e. -40 0 2 ;100 q- Z'Y �ao 5W-_j' �i Fri R �z 6-5 /640IS79 A/z-e /7/111/ 9 7.46 Z'Ir, _793� 4 ,96V I Meyrinq Sivrveyors, Inc. L ynnwood. Wash. PR 8-3101 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: -------- We-stern,.E.rectioLn. For installation at: (street address) ... ........... ............... ........................ Addition or Subdivision ------ ...Sea Lawn Terrace Div. A ........................................................ _­ .............. ................... .. Lot .... T ......... Block ................ Type of Building: New ---- X ----- Existing ............ Single family residence. .... X ........ Number of bedrooms ------ 3 .................. Other: (specify type or use) .............. ........ ]D-.-, I - - --------- ...................... ......................... ......................................... Builder ..... We.stern..Er_ect_io.n ............................................ Address. P,_O.. -.Bo-X-.5l1_1y-nnwo*d __- .................. DesignerMeDe.11eyri-ng .................................. ................ Address.. - - 20019 - Riway ... . ... Lynriwood ---------- ------- --------- Soil Log Hole No. I ...... .-0-4"..-sand loam 4-48" s9nd and gravel 46" pack clay & gravel ......... X .......... ................................................................................... ---------------------------------- .......... ............................ ...................... ............ Soil Log Hole No. 2 ...... 0-48" sandy loam 46" to..Pack clay..and send, ........................ ................ -----------_ --- --------- ....... .............. I ...................... .......................... Elevation of Water Table, if encountered. (Distance from ground surface) .... none ........................................................ Corrections to control surface water if needed ......... no.ne .......................... ........................................................................... .......................................................................................................................................................................................................... Specify if any removing or grading of topsoil in field area ... - --- No ... hirther..g.71.4A.n ........... _g..AlJ0we.d ............................... .. . ....... . .................... Percolation: Test Hole No. I —Average Rate ....... __ ....... 25_ ........... ... _- .. . (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate .................. 2.7­ .............................. (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate .................. 30 .......... ------- ----- (Fall in minutes/inch-bottoni 6" test hole) Average percolation rate on which to base drain field design ...... .... ....... 27 ............ Date Taken. .... 1/5/65.... Septic tank requirements based on present rules and regulations: Septic Tank Size ------ 9 .............. gallons. Amount of Square Feet of Disposal Field ...... 720 ....... Signature — Designer_ /5 ....... .. .... .. ....... ............ .. .. ... Date 1/6/65 DO NOT WRITE BELOW THIS LINE ((�oe completed �y ISSUing Agency) Permit issued (date) ---------- ...................................................... Permit Number ........... ................................. Remarks: ...... ... . .... ... .. .. .......................... -.1 ............... .................................................... ........... I ............. 900 gal. S. T. 240 lia. ft. draintile XZ 9;r,6 3 ft. Trench Trench depth not to exceed 10" 4& - Pe� . 7e-wY4 a - SP// A61e- WOW#" 90�0 gal -too", 10 40 1416 AREA Neyring Sorwayars. Ike*, L