17118 68TH AVE W.PDF111111111111
5273
17118 68TH AVE W
Notth I,_
Garage
linspect &Conn ct �
Ito Existing Outlet Plpej
DS-1
Propetty Address
17118 - 6&h A ve. W
Edmonds. WA 98026
HIGHT-0�-WA;
'T I jN, PERUff
AND N61JEP%or
ilEof''iPEr
5"TREET FILE
Inspect 9
Locate Existing
Outlet
V1_ Option to Connect NE
Downspout to Now
*_P Infiltration/Diffuser System
. 4i
IJ V inspect Existing Outlet
7_1 ���Eg Gravel
Water I
Meter iix-i;t�lng
_7)Ijk/ 4, "XIVP
Install New Type 1 Basin to Existing Culvert. Connect
xisfi g Outi,
ACCEPTAKE MiTME 4Exisfing Outlet Pipe to New Basin
11ATrOtAl
WR 35
3CH 4V LEGEN
N-12 GENERAL NOTES
F8j0.4ApJCW
.�LBACK FILL SOIL AND RETURN SITE TO
EAN PRESENTABLE CONDITION.
B. CLEAN -OUTS WILL BE INSTALLED TO
FACILITATE MAINTENANCE.
`7
<
"h
D #404 YARD EXTERIOR
)f DRAIN SYSTEM (PERFORATED PIPE)
TIGHTLINE DRAIN SYSTEM (SOLID PIPE)
Cr BELOW -GRADE ROOFIDOWNSPOUT
LOCATION EXISTING
CATCH BASIN DRAIN ALSO CALLED
YARD DRAINS (12- X 12- OR S- X V)
STORM DRAIN (EXISTING)
tj
C, 4 � & ,V, "" ;,Pl o'—' rz 16 (
U)ID q 11 4j S 0�,4LC *7 / Z017_5
!i4 HR iOTICE REQ.
- "'T'
OR CTION
FOR =INSPECTION
APPLICATION
The City of Edmonds for EASEIV.ENT NO . ................. ..........................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F 1 LTT) NO ASMT. NO. ..................
T NO.
OWNER, CONTRACTOR ------ " ----------------- ..........................
......... .................................................. .......................... ...... .......... PERMI
JOB ADDRESS ...... \N V-= �- . .... LEGAL DESCRIPTION: LO' NO. - ............ :--:A -------------------- BLOCK NO - --------- ----------------
0
0
t-= c� 'E:
NAME OF ADDITION --- �'NCDP"L . .. ......... .......
Approved:
.... rj
DATE... ....... B y ...............................
NOWAIRSMOFAMM" 7�
Mgv was'complw fm tr-, by
Wsuhnts. The City of Ed.7,0-4
1pl;ng set forth on the map Anyl
I conduclan indeperideii-i ii'VIN I !NVwA
Including, but noi llniiikeO tL L'kiil'61 gm
f'..", 11w wd�'l 01
,�vzhj sr�jar stubs mail 0. r1W r.,
k�Mtikw Shown, Nelthe� th,. City
jjap flu an oral
tg k&ble for the intwaEt fG1 y
b" Pali s2iL
%N"
w
F,
0
0
0 1 tl
0
0
0
60
q
w
: N'1113-
3>
M
0
M
0 V
0 E
�: 1-b n
z
M
N
p
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
ME
PERMIT
0
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
................................................................. . .......................................................
ADDRESS LOCATION OF CONSTRUCTION_177-�ja...—.
jifth J�eSt
PROPERTY LEGAL DESCRIPTION ......... S, Cd Di n
......... , -adowwc visio #5
....................................................................................................................................................
.. ...................... . .................... ..... . ...................... . .................
............. ................................ T;w ...... . .................................................................................
.....................
'OWNER AND/OR BUILDER ............. : . ............. ............... . .......
................................................................
CONTRACTOR'S NAME & ADDRESS .. ....
. ..........
--------------------- 7 ------------------------ I --------- — ---- ......................... . .. . ....................................
...................
Permission Is gTanted ............ ...... 4"
. .. . ............ 1915-1 for repair -and/or --60zffi&t!10" 0'
s_ V11 In accordance, with City of Edmonds ordinances. a side sewer to the city sanitary sewer
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of t 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 s reet area. Do not cover any Portion of sewer before it has been inspected.
NOTE No. 2—All work Performed in city right-of-way requires an Invasion of Right -of -Way, permit
obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side ers when you get permit.
Be
NOTE No. 4—Top, of side sewer must have at least 30 inches coverage at Property line and 12 incheswinside property line; minimum grade of 2%. No bends in grade
sharper than % will be Permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors Shall be responsible for failure due
work which may develop within one year Of completion. to improper
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in -
Bert the pipe -into the wye.
DISAPPROVED Date ... . ......
---- ------------------ By ---------------- Date.- ------- By ---------------- DMA) ................ .................. B
a
y----------------
APPROVED E] Date .... ...... By---
--- — ------ ------------------------------------------
..............................................
R43marks: ....... . ...... . .......................... . .............................................
................. . ...................................... . ...................................................................
..................................................................... ..........................................................................
............... . ................................... .......................................................
BOTH Permit Copies MUST l3e S-
igned By Owner of Firm Performing Construction PRIOR To Request For Inspection
............................ % -------------------------- ---- hereby certify that the side sewer installation constructed under this permit
of Contracting Firm Performing Construction)
was installed in accordance with all -governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19
......... .... .
Check BEFORE you dig for: Water Gas E], Telephone Power Sewer 0, Other C]
Fj i,_; r .I
L!
.... . .....
UP'
6 14:t�ll Zli
STREET FILE
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Applicat i on: 171 ;, 18 68t h'AiYenue West �76;v - ;?o ---
DEPARTMENT
COMMENTS
DATE
W A T E R
S T R E E T
S E W E R
!2 A4
N 0 T E S
BUILDING
DEPARTMENT COMMENTS
01
7:5-
9/l/71
'T
BUILDING DEPARTMENT
PERMIT APPLICATION
1"d
USE PERMIT
Applicant Fill ZONE NUMBER
Inside Hea,Nry Lines JOB
ADDRESS
SIE (Oil NAME OF BUSINESS) L' L) — A-c-
PERMISSIBLZ 'A ACTUAL %
LOT COVERAGE LOT COVERAGE
HUNG ADDR SS PERMISSIBLE TIEIGIIT PROPOSED HEIGHT
CITY
TELEPHONE NUMBER
L. -- v-t 1" -- k
1 11
-) k, — 7
� --; L'
-
NAZME'
ADDRESS
CITY
TELEPHONE NUMBER
N AM E
0:
0
ADDRESS
CITY
TELEPHONE NUMBER
STATE LICENSE NUMBER
CITY LICENSE NUMBER
1,egod Des(-.ription of Property tSbow low or Attach Four Copies)
-2
RESIDLINITIAL
GAS
NEW
LINE
D0 N() N -RrSIDLINTIAL
SIGN
DEMOLISH
RETAINING
WALL
r-1 ALTER EXCAVATE
FENCE
Oil rILL
( Ft.)
ElREPAIR PRr-MOVE
.......... x ..........
swim
E:] I IN, S P.
POOL
NIJ.MBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE Of' WORK�0
BE DONE
PROPOS�D L18U
ndleate Building setbacks, abutting streets)
RECEIVE,5
MAR 2 1 1
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSI-A) YAI;tl,)S
FRONT SIDE 11 P.A R FRONT Sll)1111 REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
n YES 13 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL
STREET R/W
EXISTING STREET R/W ............ FT. DEPICIENCY T1418 PRopi.,wry C
COMP. PLAN ST. R/W ..F-r.
FT.
REMARKS
TYPE CONNECTION VERIFIED BY
PLRC. TEST PERMIT NUMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET 1AIP11OVED
I [-] YES C] NO
SPECIAL, INSPECTOR REQUIRED OCCUPANCY GROUP
0 YES (3 NO I
PLAN CHECKED BY THI—SS-1-T-F IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DMfOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Valuation I Fee I Recell't No.