17215 77TH AVE W.PDF6501
17215 77TH AVE W
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), in cluding, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for th-e
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Side Sewer Drawing
The City of Edmon�
NEW CONSTRUCTION
EASEMENT NO . ................................ ...........
REPAIRS 0 LID NO. - ................ ASMT. NO . ........ .........
OWNER .—POL� . ....... M.(Z.-k - ------------------------------------------ CONTRACTOR -�qKYI-W-Oqd ... �:Cp PERMIT NO. 62-69
....................
r, 2_ 15 - 9 9-rH _6 \)e . \(%j.
JOB ADDRESS ..... I ................................................ . . ......................... LEGAL DESCRIPTION: LOT NO - -------- 6 .......................... BLOCK NO . ....................................
10
PWW-0001-11/75 (REV.11/78)
............................................... .............................................................................. ................................. -
NAME OF ADDITION .... .. 7.1 --- 6-0 ...... ........................................................
SFWER
PVC- (61ve)
Approved:
V
DATE —.5.11.1-19 ........... By
Side Sewer Drawing
The City of Edmondi--,�'
NEW CONSTRUCTION REPAIRS F-�
OWNER -MA-C.-k - - - ------ 4-0-1144,c -------- ------------
JOB ADDRESS ------ 112-15) - rm-r".-Ave--w.
- --------------------------------------------- -----------------------------
0
0
PWW-0001-11/75 (REV.11/78)
EASEMENT NO . ........... - ------------------------------
LID NO. - ---------------- AsmT. NO - ------------------
CONTRACTOR ------ 0 WVV�r) ................... PERMIT NO. (02L8
. ........ ....................
LEGAL DESCRIPTION: LOT NO - ------ to ---------------------------- BLOCK NO - -----------------------------------
-------------- S!gK--) ----- Plat..of- ---------------------------------------------------------------
NAMEOF ADDITION ................................................... -------------------------------------------------------------------
k 'r to
- I 0-C-0-+ , , V% 0 ;� W 0ACV Se- rV C- C M
.B.S. Wmter Service Lihe
Rs.r. -(4-'C V. pipe)
Approved:
.......... By
CITY OF EDMONDS.
FOR INSP&CTION CALL
ftBLIC WORKS DEPAR*-T
Permit
SIDE SEWER PERMIT 775-2525 Ext.. 2-.2.0:., Issue Date
PERMIT MUST
BE POSTED ON JOB SITE
1. Address of'Construction
171, - J, __c 91 1 T K11 Ar, I Q
VA 0 iA6S
2. Property Legal Description
(include all, easements)
ra � 01' IN
3. Single Family Residence
Multi -Family No. of
Units
Commercial
4. Owner and/or Builder
si-n-�t'r._72i"K_
Cu
5. Contractor & License No.
oe -0Aj—Ld_(--r.3_T w_s
6. Invasion into City Right -of -Way: No &-"�'Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
.excavation) vo_ie P[XQ
7. Cross other private property: Yes No P4' Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right -of -*way. '�-
b. The side sewer contractor assumes full reponsibility for each
installation for one year *
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/81bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer line run.
A. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right -of -.way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
3 -7 (5
DATE:
I-dertify that I have read
and shall comply With the above
PERMIT FEE:
CONNECTION FEE: k) ww.,-q Q"c
U
PERMIT Mu
)DISAPPROVE
D BY: Date:
By 4, Date:
APPROVED By: -Date:
I Ll
'ST BE POSTED ON JOB SITE *
4"
USE
ZONE'
NUMBER U: I I-ILE
BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant Fill
Inside Heavy Lines
j B
.
ADDR
r7 4/�� Oaa�(-
NAME (OR NAME OF BUSIN . ESS)
PLjNT NAME
SUBDIVISION NO.
W
�x C, ;14 e <
YES NO
1�17AILING ADDRESS
z
0
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
EXISTING RIGHT OF WAY r)
CrTy
ELEPHONE NUMBER
14
PROPOSED RIGHT OF WAY 0
NAME
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TU
6
DEFICIENCY OF RIGHT OF WAY- r_>
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ADDRESS
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STREET/UTILITY WORK REQUIRED MYES ONO
PERMIT FOR WORK IN PUBLIC R/W MYES ONO'
(t
UNDERGROUND WIRING REQUIRED 99YES ONO
CONNECTION TO SANITARY SEWER Y ES NO
SEPTIC TANK PERMIT REQUIRED DYES INN 0
U
IL
CITY
C,
TELEPHONE NUMBER-
NAME
0
U
SEPTIC TANK PERM IT N 0.
ADDRESS
SEE MEMO DATED
-C
Ir
CITY
MBER
EPHONE NUMBER
RE MARKS
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0
U
E LICENSE NUMBER CITY LICENSE NU
C H E C K E D el.��
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A A'- 14 1 1 OC b s)
Legal Description of Property (Show Below Or Attach Fo . ur Copie
T T", 1A Z
00PIF—
METER IZE BUILDING SUPPLY. SIZE
m
W
REMARKS
de
0
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB+NO+
U
W
SHORELINE #
REMARKS
W
0 0
VARIANCE, OR CU
PLANNING REVIEW BY
DAT
YARDS ILOT
FRONT /0 SIDE REAR
COVERAGE
DENTIAL GAS
2—. EW RE�Sl F LINE
FIRE ZONE
OF CONSTRUCTION
COD
HEIGHT
NON-RESIDENTIAL SIGN
ADD
RETAINING
F] DEMOLISH WALL
F1ALTER EXCAVATE FENCE
OR FILL X FT)
ITYPE
I
SPECIAL INSPECTOR
REQUIRED .
El YES 0 NO
AREA
I -
OCCUPANCY
GROUP
I
OCCUPANT
LOAD
PLAN CHECKED BY' THIS SITE IS LOCATED IN THE CITY
0 REPAIR PRE -MOVE swim
INSP. E] POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
z
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NUMBER OF STORIES
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NUMBER OF
DWELLING
UNITS
I
- —
KATURE OF WORK TO BE DONE
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0
CL
W
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PLAN CHECK FEE
VALUATION
FEE
PROPOSED USE
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In
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PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
PLUMBING
0
MECHANICAL
FENCE
z
SIGN
tA
"Applicant, oil behalf of his or her spouse, heirs, assigns aid
RETAINING WALL
W
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2
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successors in interest, agrees to indemnify, defend and hold harmless
tile City of Edmunds, Washington, its officials, employees, and
from any and all clainis for damages of whatever nature,
0
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agents
arISHIL directiv or indirectly frolli the issuance of this I)ernlit. Isssu-
SWIMMING POOL
111(dify. wAvo ml lcdm
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PLOT KJ --
L 0 T- 7-/\ L 13 0 T , G- IL E, fll�
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JAN 7 1 log
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MEMO TO:
FROM:
SUBJECT:
Date Z —Z ir- 72
Building Division
Community Development Department
Engineering Division
PublicWorks Department
After review of.the subject building permit application, we have the
following comments:
b67 Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor...
IfT The contractor'is required to.keep the abutting streets cleaned
of dirt and debris caused by the construction.
The "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within the
Public Right -of -Way or public easement.
Driveway slope not to exceed 14%.
Connection to sanitary sewer required.
-T-
L -7 'Septic Tank Permit required, submit.design.
Fire hydrant required, submit de -sign.
Site drainage.per code # See approved plans
/-7 Curb. /-7 Sidewalk Paving required.
/-7- Bond required for public improvements. Submit cost estimate.
1\7. Underground -wiring required.
L-7 Approved Engineering Plans required when applicable.
W ZVI
-t-frWAM,
---For re rT-FL'.16IHerzberg, P.E.
City Engineer
Department of'Public Works
Rev. 7/78,
k
KMIC 1,,70RKS DEPAR7, =- CHE ST
.Bt�=NG PLTmT REVIEW * .
ZZ Date
172/7 - 7-71�4
W W.Address
Street Right-of-Wa�.`,L-dsting REQD
!!!!9
Access Easements Existing, REQD
Utility,Easement Existing
REQD
Lot', p��r,,. Subdivi:s ion Plat -r" 15("Assessor Yap
Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of',Lega,1Descriptian
Environmntalry".'Sen"si'L'tive Area
Environmental.Checklist Reqd.
Flood Hazard Zone:
Shoreline Management Area
Slope, Soil,�Vegetation�
Stream, Creek, Drainage Basin
Existing Z"'Por-Code 17-
AiTmities Design Board Approval ADB # Approval
Board of Adjustment.Approval Reqd.
R_evi:ew,:,B Oaee: 7
_Exist_J_ng 1% T ater MAin Size Oft,
.Water Main Reqd.
-Service Line;Reqd.
Hydrant Size Existing
Hydrant.Reqd.. Per Fire Code 41,4 Size
Detector Check Meter Reqd. IVA
Cross Connection Inspection AM -
Fire Department Coments.
Water Meter Charge.Reqd. 2,�"�2
Revieivby: Date::
tic
,Septic Tank Permit Reqd. Pen -nit. No.
Sanitary Sewer Availability _-�5 Proj.
Drawing 1\16. File -No.
Side Sewer Availability
Sanitary So,7er Connection Fee Reqd.
Reviai By: Date: I:R -77
0�)en Ditci Existina qd.
Re
Culvert Reqd. Size
Catch Basin Rcqd.-. Indicate -on Site Plan
°.
0 Shoulder drainage mailitain collectiOL'i on swale.open runoff.
'e- 'line I
11V�U-�Iole rcqd. Indicate oii Site Plan
Soil Conditims and Groupd WaLer Field Cliecked.
Txlt(!
Str:eet Paving Reqd.
M
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut' for' Driveway Reqd.
Ri�ht-of-Vlay Construction.PermitU Reqd.'
14
Bond Reqd. for Public In-proveirm-i-its
Street NaiTe Sigi Reqd._._
Other Sig -I
ni -I- Reod
Pre Permi t Site Inspection made on
0
"I� BY: S n-,,' E R
I WATER
EN-ERE
IGINJ NG
in 1!
4-FiliN2 WVX�i _4,11-7
km.�, .-ii M,-, 'r ; �- I:, -W if-
Special Requiru�:-k-nLs listo in maiT6, to'L
d Co . _4 be opmnt,Depart
fl]-FL n I. t:y Vel am I n - t,
Buildiiig DiV-1--sion.
BY Date
C) All item filled hi on Building Permit Application
13 y Date
P-4
DrmQir-4,;s St,-m-:)ed and Notationa Ili
PA
W. Da te
Nj
K,
le; Approved by TVAic 'Poi-ks Deparn-�)cnL
11�2viSed: 1v 10-1,977