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17109 SEA LAWN DR.PDF11111111111111 12976 17109 SEA LAWN DR TAX ACCOUNT/PARCEL NUMBER: ff-2 BUILDING PERMIT (NEW STRUCTURE):_...Aoc� COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver [j Study Required E] Waiver, DISCRETIONARY PERMIT DRAINAGE PLAN DA PARKING AGREEMENTS DA EASEMENT(S) RECORDED J/"s PERMITS (OTHER):. Iff-1) - 41-)Z 643 k,_I�doaj 1 dy-3 - e9l �5 SCALED PLOT PLAN DATED: SEWER LID FEE LID#: SHORT PLAT FILE: LOT: BLOCK - SIDE SEWER AS BUILT DATED - SIDE SEWER PERMIT(S) #: SOILS REPORT DATED - STREET USE / ENCROACHMENT PERMIT #: FOR_ WATER METER TAP CARD DATED: OTHER: LATFIAMSTsTonm%bret File Checidist.doc Z� �4N; - RN mL 14. . 14- 11A IT evo �iw W7 is, . . . . . . . . . . po q— Cit. Pit. Tix 0 w X fg,- 77 4:11i, SIS lit i I 4W 4, C'W C-ee� Ided \1 -�- �\-, Alh e, — �ye r, -u x m m I:- M r. C= q G-) 0 0 C2 0 C71 r-,j m WOMIL", 9 0 APPLICATION &( VILDING PERMIT CITY OF EDMONDS Building Department L/ 'appl. No ... Pe-aut limit, 6 n6 year. APPLICATION is hereby made for a permit to construct the following work� in accordancl. with the acOOM.-' panying plans and specifications. Two sets are submitted herewith for approval. nevf-"'� alter Off -St. ............................... Parldrig ...................... Work addn repair --------- e_ Occupancy .... Const. type ..................... * ....... Use_zone.:S'.:�L�71 ........ Fire zone ............................ --------------- aed 711, 2 .............. AdPn ..... ........ a&.Lae�__ Address;4ZTr� ... Lotfrontage ----- * ................................... Area -------------------------------------------- Septic tan f'__ -7Z- ...................... ......... rear Bldg. set-baclo front ..... r. side ......... & ............... 1. side . ....... ,I. ....................... .... T, Owner.-., -1. NX .... Address............... .................................... Tel. No ............................. Builder -------------------------------------------------------------------- Plansby ------------------------------------------------------------------ Address ..................................................... 'I'el. No ............................. Thi......... ..................................................................... . Remarks ... 6 ...... s..Peri-lit..r,-o-ver.s---wo-r-k --- t 0 --- be�--dur.�-i ------------- .. ............... n private pro -,rty ONLY. . rL . y4- Ar ......... ............ .... ---y const3"- .................... '-.0' Si d-i- owayo, marquees, ............. r ........................ -------- ------- ---------- ------------ ................................................ T ith all applicable Codes and State laws reg�ulatin :-.this The above is a correct statement, and agree to comply w 9. work. V V .. .. ...... Signed -------- Address .............. Dat PERMIT for the above work is,hereby approved, subject to the above conditions, and to compliance with'the ap proved pLv-,s and specifications, and Building Department notations thereon. 1111V I ........ . .... .. ... .... .. ..... t ........ Valuation ........... 1.2,!5 ------------- Permit fee ...... 3.4 ............. Recd. ....................... .. .. Building Department, By ......................................... ..... et./47 4-r ......... Date ...... .. . :n.& This Permit does not cover Plumbing, Sewer or Electrical installationS. t'X1 STREET FILE 0 LA SIDE /0' REAR 2t- OTHER 1-!rlG:T -- CITY OF EDMONDS BU4DING DEPARTMENT WORK -j�QQ)TADA) ADDRESS 1210 OWNER APPROVEDDATE: 2-177PZ- BLDG.OFFICIAL PERMIT NUMBER STBEET FILE �v Aft(-W-T CAL�S- + 411. YX '25 4- q10 2-T 3 s4, 75, A&V FEB 0 5 1992 PEW COUNR JUN 2 8 -�.CA Le—: A5 5 7- /Ao t 2.2-- 11 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 .... t. 7.1 t ....... Sea Lawn Drive ................................... Lot No ........ 6 ............. Permit No .... 1.7.6 ....... ..................................... Owner_ Stewart Petersen 9521.Edmonds Way Edmonds PR 6-4843 Address . .. ................... Phone ........................ It It is It to it Builder--------- ----------------------- ....... ........... ...... ....... . Address .............. --------- ------- .................. ................ Phone ... .................... 20019 Iiiway§ 99 Lynnwood ........ Phone ... PR ... 8-.310.1 Designer..M.. B. Mey.ring .... Address ----------------- ........... ­ .................... .... .. . ...... .. I ... ...... .... . ... ........... . Installer- - LYARwQ0J .. SeVlic Tank ...... .... Address.026 - 212th__V1J_'�yAWq94 ....... PR 6-71*37 ...... ..... ........................... ----- _ Phone ........................ 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 ................ . ....... . � W7/44_ ............... have been complied with. 7/14/64 Sign a t u re of D e Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted .............. ....... ....... _ ................ ....... .. .... Date.... 7. NotAccepted ..... .... ................... ......... .......... Date .......... ........... . ..... ......... Signatureof 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 (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 quantities will not liarin the action of the* septic tank and disposal field. Z11 210 Lin. Ft. Tile 3 Ft,, Trenoh z- Z- G AS BUILT SEPTIC TANK & DIRAINFIELD lot 6, Sea Lawn Terrace, Division A City of Edmonds Wash. July, 1964 Permit 176 Issued 7/7/64 .Builders Stewart Paterson 95,21 Edmonds Way Edmonds, Wash. Designers M* Bo Mayring Box 32 Lynnwood, Wash. \<� 1> 7 \ z "', SEWAGE DISPOSAL PERMIT No . ..... ......... Septic Tank ............ ----- gals. CITY OF* EDMONDS Department of Public Works Disp. Field ------ ....... sq. ft. Other------------- ---------------------- ---------- - A tall/ is hereby a —or ze ---- ---------------------------------------------------------- Name ------------------- -------- repair sewage disposal -system at 40�r!< -------------------------------------------------------------------------------------------------------- ----- Qj Date issued on ------------- I ------ - --- Permit expires one year from aate of issue cy-mVIR OR SANITARIAN DO NOT COVJ�R'BEFORE APPRI11111 sions of the City d under my supervision and control and complies with all provi I hereby certify this system was installe oi- Edmonds Resolutions. Date----------------------------------- Signature of Installer -------------------------------------------------------------------- .... . .................. ------------------------ By ----------------------------------------------------- Approved F1' Disapproved Date -------------------- ------------------------------- --- ------------------------- --- --------- ------------ ------------------- ..... ....... Remarks: ------ I ------------------------------------------- -------------------- Date------------- : --------------------------------------------- GNER ------------------------------------------------------------ * ------- --------------- SANITARIAN OR DESI ed. lace on e job until inspection has been complet This pe mit ihall be post . ed in� a reasonably consP cu-- V 04, *I* *I* 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:_.$tj4MXVt..PAt8Mfin ...................... For installation at: (street address) ---------- .......... C>�­'::� . .... ............................... Addition or Subdivision ..... .......... Sea lawn.-Mbrilm.­ Xv- -A ----------­---------- ........... Lot ---- 6 ......... Block ................ Type of Building: New ............ Existing. - _ X .. Single family residence ..... X ....... Number of bedrooms ---- 3 .................... Other: (specify type or use) ..................................... .......... ------------------------------------ ___ .................................................... ......... Builder. .... StSEW. ..Peterffen ..................... ....... _ ............. Address ------- 9521 -1khond&-Vw_Zftoud* ....................... Designer.. 11*B .. Ney101n ---- ........................... I ............. ­1 ........ Address._ ­F0- Box--32-- -------------------- ------- -- ----- lqmlw*od Soil Log Hole No. 1 ----- Oto .20,-SmAy. - grgral with traos of olaq ........ 2O.A0­30--sandy --- loan ­---------------- W-to ... 5V'. - ss,314 --- o1v --- I ---------------_- _ ......... 1-1 ............................................ SoilLog Hole No. 2 ... ........ ........... ... Same ------------_--- ___ ___ ................... ------------------------------------------------ ......... I ................................................................................................ ----------- ........... ....................................................................... Elevation of Water Table, if encountered. (Distance from ground surface) ...................... mme ---------------------------------- Corrections to control surface water if needed ............ Z..;' ale ............ /0/ ....................................... ......................................................... .......................................................................................................... I .............. a ...................... Specify if any removing or grading of topsoil in field area.— ---- lw..g-nding ........... ..... .................................................. ............. Aw .. ........................................................................ ........... Percolation: Test Hole No. I —Average Rate ... 20 ..... . (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ... 60 ... tbis --- area ... no.t --- use. d.. (Fall in ininutes/inch-bottom 6" test hole) ..... ......... ......... Test Hole No. 3 —Average Rate ... le ............ ........... ....... ... . ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ......... 2D_ ...... I .............. Date Taken_.6/1/"*64 ...... Septic tank requirements based on present rules and regulations: Septic Tank Size ---- 900 ................. gallons. Amount of Square Feet of Disposal Field ... 630 ......... . ..... 10 Date ................ --------- -------- .. ................. .... . 64 .................. Signati s ner ..... ..................... pre — De ig DO NOT WRITE BELOW THIS LINE (-j(o/e completeVb y ISSUing Agency) Permit issued (date) ............. -.51 .................... Permit Number ......... _/7c/o ..................... Remarks: . . . . . .. ... ... . . ........................ ... . ......... . ........... . . ......................................... ................................... ....................................................................... ....... . ..................................................................................... APPLICATION for T!,�"ity of Edmonds SEDE SEWER PERrMT EASEMENTNo . .......................................... NEW CONSTRUCTION REPAIRS . ......... PWNER .... jR.q..w ... ........... CONTRACTOR ....... ............ # ......... PERMIT No.,Z367-1 ADDRESS ... ........ . —5�e-tl ... zq..t, ....... LEGAL DESCRIPTION: LOT No . ......................... 6 ....... ... ............ BLOCK No . ............................................ NAME OF ADDITION ........ ........ 15S. 72- - Eh;-- tV C) co C, n APPROVED APR 23 1970 Approved: DATE..... .......................... B .... ...................... Zo 7' Za t,..A ii so 4#, . 4, 1.2 r * ire C' 0 A C-AP, 2 z 0 r 00 /a I-S, k7 /:lot &tc '0C* 4k 77 '0' CITY OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER — WATER —SEWER DEPARTMENT is ready for inspection. (No Utspec- N2 3678 tions Satm*day, Sundav or holidays.) SIDE SEWER PERMIT 17109 ......................................................................... ADDRESS ---------------------------------------------- n ... Drimp, .............................................. CONTRACTOR ........ 4Y�L!�� --- ............ OWNER ................................. Folsom 11'.S. .......... 'k K� .pil 23 ...... Ap Perniission is granted . ........................... 19.7Q., for ------------------------ days to REPAIR or CONNECT a side sewer file ;A with City Sewers in accordance with application on and governing ordinances. A 'I 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 nut cover any portion of sewer before 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 least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 20/0. No bends in grade sharper than % will be permitted. NC )o. 4—Trenches 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. 5m—It is unlawful to aiter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur- tenances except to insert the pipe Into the wye. V 0 . . ... ...... L! A0 I . :"T,: . CITY OF EDMONDS CONSTRUCTION , PERMIT APPLICATION OWNER NAME/NAIVIE OF BUS14SS :y -De (&�� V P,�, Z MAILING ADDRESS 3: 0— CITY ZI P TELEPHONENUMBER — &1b. INAME LUu ADDRESS L) cc :1 < CITY ZIP TELEPHONE NUMBER _'F T Fj USE ZONE JOB ADDRESS PERMIT NUMBER DIVISION NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — REOUIRED DEDICATION PROPOSED REMARKS. X �AME * ENGINEERING MEMO DATED ADDRESS 111 0c, 5E.4 4-A(,jAj L)pe. METER SIZE 1BUILDINC ZITY ZIP TELEPHONE NUMBER er). IS6260 1 TY3 7037 REMARKS STATE LICENSE NUMBER su TESCP Approved 0 RW Permit Required 13 Street Use Permit Req'd 13 Inspection Required 0 Sidewalk Required 0 uj Z, U UAEW BY X,* 'PLY SIZE NO. OF FIXTURES T3 DO _5 ]�j ��t% . SIGN AREA SEPA REVIEW Legal Description of Property- include all easements ALLOWED PROPOSED COMPLETE EXEMPT 0� Tiew EXP VARIANCE OR CU PL94NING REVIEW BY !12 1::� L__11 VO X-4 '71 k,-16C 0 116 SETBACKS — FEET FRONT 7_S" SIDE Tax Account Parcel No. 56 too - 000 - 6ao - CW4 ElNEW RESIDENTIAL PLUMBING KOLTER COMMERCIAL MECHANICAL E] REPAIR El APT. BLDG. El SIGN GRADING FENCE DEMOLISH CYOS. I X_ FT) CARPORT swim REMODEL GARAGE POOL WOOD STOVE/ r7 RETAINING WALL/ INSERT I I ROCKERY RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: _qp- k k, 0 '1 Q c. 's VyA CG NUMBER OF STORIES NUMBER OF DWELLING we UNITS_ ___ DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) U; XjG /4 kE.4 ;I- &x5 AIJ &EDe 0 044 N IHEIGHT 12T / Irel DATE U k4elre CHECKED BY . TYPE OF CONS AUCTION CODE HEIGHT I I . I _V — I SF, 2-T SPECIAL INSPECTOR AREA I OCCUPANCY OCCUPANT REOUIRED 13 1 GROUP 1 3 LOAD REMARKS PROGRESSINSPECTIONS PER UBC 305 7?4r,fP"A/_ pex I'M FINAL41NISPECTION REQUIRED ========I VALUATION FEE PLAN CHECK FEE BUILDING R01 - 04) PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewolks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse hei�sj,'assigns and successors I n interest, agrees to lndem�ifyr,�.-,;0repj-and hold harmless the City of Edmond It ,'flts�officials, employees, and agents from any VIS, for damages of ENG. INSPECTION FEE IL06 PLAN CHECK DEPOSIT whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of..this permit shall not be.deemed to modify, waive or�reduqq aq� requirement of any cify�llirdinance nor limit in any'way-the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby kknow(edge 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 +th city and state laws regulating construction; and in doing the work authoriz- ed thereby, no person will be employed in violation of the Labor Code of the Stat� of Washington relating to Workmen's Compensa- THIS PERMIT AUTF40RIZES ONLY THE WORK NOTED T Si D tion Insurance. I NSPECTION DEPARTMENT CITY OF EDMONDS a R AC FATE is I G�N �ED 0 - CALL FOR AttENTI(5N INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 -;3202 0 APPLICATION APPROVAL his application is not a permit until gned by the Building Official or his/her eputy; and fees are paid, and receipt is cknowledged in space provided. TURE DATE 3;� __7 69- �� 2- nL/— / DATE -7 ORIGINAL — File YELLOW — Insoector