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17122 68TH AVE W.PDFIIIIIIIIIIII 5274 17122 68TH AVE W PLANNING DATA SINGLE FAMILY RESIDENTIAL =FILE I Name: 4 Rnaf==n� Date: Site Address: -�a - GRAL Ave- - W Tax Parcel (DOG yaGC>CC)CC)a0C) Project Description: Re)ioa, Id -and e-w p-Act Plan Check #: OZ70 Reduced Site Plan Provided: (YES Z)A1 -4tzoning: Map Page: Corner Lot: (YES Flag Lot: (YES Critical Areas Determination #: CAkA�DLOX E] Study Required 19 Waiver SEPA Determination: HEE J9 Exempt Fit E 0 Needed (for over 500 cubic yards of grading) 0 Fee 0 Checklist 0 APO List with notarized form Required Setbacks Street: Side: /A Side: Rear: �k's o 62� /I o' (W� as" Otbacks --To TN�-� Street: Side: (N A" Side: Rear: (W) Detached Structures: �S�cxzrN o,--, C1 Rockeries: 0 Fences/Trellises: Alo,-,e- e:illnowr\. El Bay Windows/Projecting Modulation:) Stairs/Deck: Pce5posed cleAr, eAnoan\ I SaiNin Height Datum Point: NIA Datum Elevation: At/.6 I Maximum Height Allowed:- #- Actual Height: 4 A-o as 4,,. a, Other Parking Required: Parking Provided: No C� Lot Area Maximum Lot Coverage: 35% roposed: C? Lot Coverage Calculations: 1/9 a pr-of'�� bee S ed 2, qY 20 2 0, GOO 4fr 1 9 7e, ADU Created: (YES 1(9� Subdivision: Woc:& &I L Legal Nonconforming Land Use Determination Issued: (YES Comments Cp oQ t4 0, !E1 OW'de--a, = D`;Z Plan Review By: Planning Data Form 07-14-09 0 APPLICATION The City of Edmonds for SIDE SEWER PERMIT NEW CONSTRUCTION N REPAIRS E EASEMENT NO - -------------------------------------------- LID NO. ASMT. Wo. ------------- OWNER CONTRACTOR :P�?t.* ...... PERMIT NO. ................................................. I ................................... ....... I ------------------------------- .......................... T" . \,t-4M-cS,.7 *b 2 JOB ADDRESS ---- k—D ----------------------- -------------------- LEGAL DESCRIPTION: LOT NO. ..— ................................. BLOCK NO . .................................... ........................... --------------------------------------------------------------------------------------------------------------------------------- NAME OF ADDITION ..... ................. .............................. Approved : I I . DATE ........ 14 . . ..... ... By ................ --------------- NOTIM NO WARRANTY OF ACCURACY The Information shnwn ri t� --fm use by the City of Edmonds, i' 3 aftzrll-�d m,-,, was cornplibu aw, r; 7- 7--ts. The City of Edimonds does not warram th�- an.v— - r forth oii the map. Any person or entity requc:.. c. an imk, uii Inqui, y regarding the informl1ic'. .'jdlng, bm n(f,� limitod to, the location of an y rawei stu)t� mdy oi may nol e)dst and may or m:j r.�! c:. Li t: �,owa, NcMi�� tho City of Edmonds nor Its cntp!s�! cf '�,a kab',4ft Infuiiaeftlon glv&4- on this map, not tot uy c,-:� PM*" Luj lij:"Ld sdd mp U PD. W 1< 0 U2 1-4 0 0 13 P < M Oi M: P <i i M: CITY OF ED MONDS SIDE SEWER PERMIT WATER -SEWER, DEPARTMENT 7a z(RTMET FLE T ...... 6 C, PERMI 6)) �_j caii 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 .... ................... . ...................... . ....................................................... PROPERTY LEGAL DESCRIPTION ............. ........... ... 95 ....................... . .......................... . ........... .......... . .................................................... . .................. . .............. . ................ ------------------------------- ------------------- ------------- ................................................................ OWNER AND/OR BUILDER--- .............. . ....................................................... CON'TRACrOWS NAME & ADDRESS ..... B & M Contractors ...................................................... ............................ ............................... ... ....................................................... Permission Is granted ........... . .................. Y,%V 2 -9 -------- * -- - --- -------- 191�_, for repair and/or connection of a side sewer to the SYSteM in accordance with City of Edmonds ordinances. city sanitary sewer All­;iNTION 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 not cover arty 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 sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside 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 to improper work which may develop within one year of completion. 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 maln sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVEDDate ... . ......... ...................... By ................ Date ............... . ................... BY ---------------- Date .............. . . ................... By ................ By APPROVED Date.. ........... ................... . .. . .. . .............................. . ....................................................... AR /� Remarks: ....... . ...... . ...................... .... . .. . ....... . ..... ..... .. . . ................................ .... . ...................................................... .................................................... . . .................................. ................................... . ................................................................................ ........ . .................................. .............................................. ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection 0:1 ........... hereby certify that the side sewer installation constructed under this permit . ..... ... .... . . er of Contract -In. Con . str . uctio . n installed in accordance with all governing ordinances of the City of Edmonds. Dated this ........................ .... day of ............................... ............... ....... .......... 19 --------- V NI Check BEFORE you dig for: Water Gas Telephone Power Sewer Other E3 V N/ .. .... . .. .... ... ... .. .. ..... UTA!1 Open trench in shoulder of ROW for approx 75 ft, bore roadway 20 ft, and set carson to extend and bury CATV service drop 60' 9. 16— — CATV Comcast of WA LLC. 1525 75th Street SW Suite 200 Everett, WA 98203 Contact: Kermit Benson 425-263-5362 North Drop Node: EM 05A 17122 68th Ave W. - City of Edmonds 20' =r < E� -L -4 -4 APP NOTED EERIN 24 HR. NOVICE REQ. FOR INSPECTION S E W N NORTH NOT TO SCALE Work Details Open trench in shoulder of ROW for approx 75 feet (m/1) bore roadway apprbx 20 feet and set carson to extend and bury CATV service drop to 17122 68th 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. City of Edmonds Permit No: '01" t RIGHT.-­�OF-WAY CONSTRUCTION PERMIT Issue Date: 9-06� A A. Address or Vicinity of Construction: B. Type of Work (be specific): 06 RQedA .0- 0'0­07 ;,17) "x, A OIL) I -Ir- &( C. Contractor: U-4 L'(— �o, Contact: o—'r E7� Mailing Address: I . — Phone: State License Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. M Commercial El Subdivision Ej '�City Project, (&UC (PUD, VERIZON, PSE, A+&'T, OVWD) 'Other F1' Multi -Family. El Single Family INSPECTOR: F. PAVEMENTCUT: E]YES NO G. SUtE OF CUT x CONCRETE CUT: YES NO INDEMNITY. App . licant understands by hislher signature to this application helshe -holds the City of Edmonds harmless from i . nj . uri . 6, * damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City 1 3 Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason ofgranting this permit. THE CONTRACTOR IS, RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLORING 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 97LL 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) 296-15�-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 HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND A.CKNO WLEDGE THA T I MUST MAKE THE PINK COPY OF THEWERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS Date: Signature: FOR CITY USE ONLY Appyoved by: Kll'�LF-c Right-of-way Fee: Time Authorized,: Void After '0 (41 Disruption Fee/Fund 111: Special Conditions: ,R6gtoFatimrFee': /-00� Totaffee, _57LA L04Z At di;"� ''l, Receipt No: 4 �i '"e A&45" *4 /7' li4e�K' olfal-m Issued by,.--�7z" W4 4& 0 Ad V r _L0 n"i 'rci 'Ai& f- UPON COMPLETION OF PERMITTED WORK,ANENGINEERING FINAL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT C DE (P opp.-4,25-771-'0220, Ext. 1326) 'C ADE (P �ig4 ' FINAL APPROVAL OF PERMITTED WORK. DATEka�__ olr's'rigna S ture Insp tor's For inspection requirement!-se.e. Engineering Inspection Informati,o,n,.,,,,h,a,n,,d,,o,u.t. DAMy Documents\Forms\Engnrng\ROWpermit-.doe cc 0 M. c' a' s' t 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 traff ic 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 plan� 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 traff ic 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. 974- Er6's1'6`ff"_*C,6"'_ 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 100i Ileuo!1dol M Traffic control set-up for lane closure FLAGGER STATION , 01 100, Mce FLAGGER STABON Depth, Cleaning, Containment, Compaction, and Restoration 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 harnmered 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 usedin 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 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 sealedwithin 30 days. • Concrete - saw cut and pored with mastic joints, eight - sack mix, either type II of III cement, within 30 days. 1031 J F ,17 T�-;) 14 LI) SL ��t IN � �-A Zvi vx\l Or QP* im IF-7- r �)- Al �7 ��Aci� 3 7 jq 1711p j 11vt ) 'I PLOT PLAN I" EQUALS 201 �CEL NO.. 00642600000200 ':')AL DESCRIPTION. LOT 2 SHADOW WOOD #5 ZEET ADDRESS. 17122 68TH AVE W. EDMONDS. WA. 51,91 Cornei��Jlag&Q Setbacks .1 r �e Front �u) Sides Rear �w) __ a.5- i Q Ice Other 68TH AVE I I I I [jol MAY 04 2010 ri 1h ,tu(C) -OA-70 e P, Ix wit 7/,,?,2 alac 5(tL f1cm RESUB MAY 04 2010