17522 TALBOT RD.PDF11111111111111
13443
17522 TALBOT RD
PLANNING DATA
SINGLE FAMILY PESIDENTIAL
.Name:,
Date:
U
Site Address:
Tax Parcel:
Project Description:
Plan Check #:
ece-4-; __ -.�_ �.k_ 0/--,-L
)i P
k2)
V
Reduced Site Plan Provided:.Cpl NO)
Zoning:
Map Page:
Corner Lot: (YES T.Flag
I
Lot: (YES
Critical Areas Determination #: c,,q
EF�Study Required
waiver
SEPA Determination:
Exempt
El Needed (for.over 500 cubicyards of grading)
0 Fee 0 Checklist 11 APO List with notarized form
ReL701r6d Setbacks
Street:
Side:--
Side:
Rear:
Actua�Setbqcks-
Street:
de: I v-
Rear: c3,1f
M Detached Structures:
El Rockeries:,
F1 F'ences/Trellises:
El Bay Windows/Project - ing 'Modulation:
El Stairs/Deck:
HL3i t
gh
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
other jJ/A-
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot -Coverage Calculations:
ADU Created: (YES NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES NO) -
'Comments
J_ ^Jc>
J-4
r % -c,� 6, e,
Plan Review By:
Plannihg Data Form 07-14-09
Nib
I%b
LNGINEERING DIVI';ION
E AS NOTED
APPR Date:
424-1:p
IS,
4Qv11hiAjWTRAv1&,, RESPONSIE
A4
FOR LOCATING ALL ON-511- - AiS.
RELOCAWN/REVISIOW TO AW UTILM
MAY REWIRE SEPARATE PERMIT.
Cut and Fill
WA - NO 6ROLND DISTURBANCE.
Height Calculations
A
142
B
64.2
645
AVERA&E
641.415'
MAX RIPeE
414.4-15'
EXISTINS MAIN FM: -M.0'
HISHEST MOSPE (EXIST): 67575'
PP. AT SENER MA IN STREET
SET 0 801.00,
C,011T �,xn
.Tk tko�wk, j,#,,cST\0-
OvTv 00?-
\ \,vAry
Of
00 %,5T\*tA19
Building Footprint (S.F.)
EX15TINC7 HOUSE 251cl
EX15TINC7 DECKS 656
FROP05ED ADDITIONS 210
TOTAL AREA: 5245
PERCENTAC7E CO\IERAA5E: 12.6%
Drainage
AS EX15TIN& - NO NEN &ROUND DISTURBANCE.
Zone Comer Fla& —
Setbacks
Reouired Actual
Front
kiz CL,!-
Sides
10
Rear
Odier
wit
2
APPROVED BY PLA NI
**4b
-�o
I
50
a e)
Impervious Surface Areas
EX15TINQ (EXEMPT - EAJILT 11165)
ROO 5456 50. FT.
DRIVEKAY, PATIO t KALKS �064
DECKS 1.(056
TOTAL EX15TINO 1'-7156 50. FT.
NEN ROOF EXTENSION 11
TOTAL PROPOSED (POST IcM) 1-7 50. FT.
TOTAL AREA -11-0 50. FT.
1?%Y,\ iN
Site Plan
50ALE: I"=20.00'
01 10, 20, 501 40' 50' 60'
Site Address
I-M:22 TALBOT ROAD
EDMONDS, KA 115026
Owner
MATT 4 ANJEANETTE YCLESIAS
1'752:2 TALBOT ROAD
EDMONDS, KA 115026
425-a-M-6116
AssessoesParcel No.
005ci4400005000
Lot Size
25,724 50. FT.
k—,jA
OWNEWCONTRACTOR IS RESPONSWE FOR
EROSION CONTROL AND DRAINAGE
??LZ> 2�O t �; - (5 7`1 -F
A d4tw-n I gzmcd-g I
F � OwAl,
op'low 15-1 ()0
AY4.�A-9�1 ' /
I I OTBI
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rrlft�
I'M
JAN 2 5 2016
BUILDING DEPARTMENT
GM OF EDMONDS
%-,r2 J I A�F� JYLA ol
Critical Areas Checklist
-----------------------------------------------------------
Site Information (soi,ls/topography/hydrology/vegetation)
1. Site Address[Location: 17S' O-Z- 7kf 11.1 1 IOU
jj q q o o -o 0
2. Property Tax Account Number: 0,
3.. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; — no.
If yes; how is site developed9
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical -rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: A� Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain 0 urse.
of a water co '
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? Va— (what time of year?
10. Site is primarily: foreste4 Ale) meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) Ve-,5
11. Obvious wetland is present on site:
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City of Edmonds
Critical Areas Determination
Applicant: I Sam Ewing —1 Determination #: I CA-99-225
Project Name: �ir -A Permit Number: I I
Site Location: 1 17522 Talbot Road Property Tax Acct M 1 5944 000 030 00
Project Description
To repair and replace an existing deck and railings.
Waiver Criteria (all criteria must be found to apply):
X There will be no alteration of the Critical Area or its required buffers;
X The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
X The development proposal meets the minimum standards of the Critical Areas
ordinance;
X The above findings are based on the following conditions of approval:
1. This conditional waiver is only for the work proposed in the attached letter
and sketch.
2. A building permit is required for all work.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development pen -nit is hereby Waived, as authorized by Chapter 20.15B.040
(A)(1) of the Edmonds Community Development Code.
Me,g Gruwell 8/31/1999
Name Signa (ue Date
Request for Critical Areas Conditional Waiver
Sam Ewing
17522 — Talbot R&
Edmonds WA 98026
778-5561
And
Availpro Inc. (Contractor)
P 0 Box 6141
Lynnwood WA 98036
745-3178
City of Edmonds
Community Services Department
Planning Division
Attention Meg Gruwell
121 — 5"' Ave. N.
Edmonds WA 9.8020
Dear Meg,
We have received a Determination regarding Critical Areas Checklist # 99-225 and
would like to request a Critical Ares Conditional Waiver. This project only consists of
repairing or replacing an existing deck and railings. We intend to use the existing
footings and a portion of the existing floor structure that projects out from the house. The
repaired/replaced structure will not extend any further than it currently exists in any
direction. The attached plot plan shows the existing deck and since no changes are
planned, it shows the proposed repaired/replaced deck.
Please respond with determination to our contractor (Availpro Inc.) so that they can
submit plans for the project.
Thank you,
Sam Ewing
77ji
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)"OCIATES, ARCHITECTS formerly
S U I T E E 1 15 4 t h AV E. S 0.
& ASSOCIATESf ARCHITECTS E D M 0 N D S. WAS . H. P R. . 6 -2 9 2 9
DATE ! r- I Q)� �,'
DRAWN BY
VTL-804 LICENSED
--� ARCHITECT
DAN F. ILLER
VTATr nr wamcui . mrTn.
Z
CA FILE No.
Critical Areas Checklist
7 ----------------------------------------------------
Site Information (soil shopo graphy/hydrology/vegetation)
1. S ite Address/Location: 175- O—Z - 7-k
2. Property Tax Account Number: jj q V o
3.. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; no.
If yes; how. is site developed9 /�
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
1 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: ; Approx. Depth:
7. Site contains areas of seasonal standing water: ;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain__P� of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? - //,), Flows are seasonal? (What time of year? "410 -.0
10. Site is primarily: forested -Ale) meadow -shrubs mixed
-------------------
urban landscaped (lawn,shrubs etc) `V-4�_5
11. Obvious wetland is present on site:
AcVhUK MY 10/03/97
RECEIVED
AUG 0 2 1999
City of Edmonds PERMIT COUNTER
1kW CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Pen -nit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are. 'or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City., The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
'54-M --,� ruej'-111 Fctll-vLe,
Name I
/ 7S-2,0 --7- (bo -ed
Street Address
City State Zip
779-- -5-S6
Telephone
Signature
5, — ,
Date
Applicant Representative:
A)A /' , —
Name
Street Address
- 4::: . All�' � '79-6 —3-6
City/ State
Zip
# Z,�� - 7,�(S- - 3�
Telmhone i A f "I/
-5 -"2 ---'7 1
Date
cxeception�ana\caddoc
(over)
41 -tic . 1 S W�l
August 17, 1999
Sam & Evelyn Ewing
17522 Talbot Road
Edmonds, WA 98026
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist # 99-225
BARBARA FAHEY
MAYOR
Dear Applicant:
Enclosed please find a copy of the Cri ' tical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
................................
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS"DETERMINA TION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUD
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific deterTni nation..
Mo. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit.applications.
c: Rocky Gibbs, Availproo, Inc.
Enc: Critical Areas Determination
* Architectural Design Board
C:Reception\Jana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
City of Edmonds
Critical Areas Determination
Applicant: I Sam & Evelyn Ewing Determination #: I CA-99-225
Project Name: I Permit Number: I
Site Location: 17522 Talbot Road Property Tax Acct #: 5944 000 030 00
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.1513 of the Edmonds
Community Development Code (ECDC). To determine if a Steep Slope Hazard Area does exist,
a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard
Areas must be completed. Any slope of 40% or more with at least 20 feet of rise will be
classified as a Steep Slope Hazard Area. A 50-foot buffer is required from both the top and toe
of the slope. A 15-foot building setback is required from the 50-foot buffer.
For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
I For development proposals which will occur within the 50-foot buffer, but no closer than
25 feet from the top or toe of the slope, the 50-foot buffer requirement m*ay be reduced to
10 feet if a study is"completed by a licensed geologist or geotechnical engineer which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area Studies, except those done by a
licensed geotechnical engineer, must be completed under a three party contract where the
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20.15B. 150).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.1513, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. I 70A and 20.15B.040C.
The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion
Potential. All proposed development must have an erosion control plan approved by the City of
Edmonds Engineering Department.
1
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, t . hey may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas or its buffers, a conditional
waiver may be. issued on a project by project basis.
Meg
Name
Date
2
he
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
NAME
cc
0-
U
Z
0
U
STATE
USE
ZONE PERMIT 0
NUMBER 9S Gi9
IKK-
JOB I —
ADDRESS -,-%
-
PUBLIC RIGHT OF WAY PER OFFICIALJSTREET MAP.
EXISTING REQUIRED
TESCP Approved 13
RW Permit Required 0
'ZIP
'TELEPHONE NUMBER
DEDICATION
PROPOSED
Street Use Permit Req'd 0
Inspection Required 0
-9
Sidewalk Required 0
—LINE
METER SIZE
SIZE
NO. OFF ES
ui
PRV REQUIRED
:S 0 NO 13
REMAR S --
7
ZIP
TELEPHONE NUMBER
ZIP I TELEPHONE
NUI�BER A. o#-', EXPIRATION DATE
— � A,i:3 Ile ;:�i � a2v /46a,
ri, nT'Prm*n-Jrf%t --inn-ITifib all W--4--Xniar;fdf
Property
Tax Account
Parcel No. 1'�;
ell-1.
20- IC>-7
OC
NEW
RESIDENTIAL
PLUMBINGIMECH
COMPLIANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
REMODEL
APT. BLDG.
SIGN
GRADING
FENCE
REPAIR
— CYDS.
( X_ F7)
DEMOLISH
WOODSTOVE
INSERT
SWIM POOL
WAIR"I
HOT TUB/SPA
1:1 GARAGE
R E TA I N I N (f
El
CARPORT
ROCKERY
RENEWAL
Z
0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER
'2
NUMBER OF
CRITICAL
W
C-ki
DWELLING
INUMBER
AREAS
to STORIES
0
UNITS
14
-2.L�
DESCRIBE WdRK TO BE DONE (ATTACH PLdT
PLAN)
-
�700�
MEMO DATED REVIEWED
VARIANCE OR CU
Ape #
SHORELINE #
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOW ED
HEIGHT
ALLOWED
EXP-
I . IPROPOSED
I.PRJOPOSED
LOT COVERAGE
ROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT
FRONT LIR SIDE REAR
AJ&
7-
LOT AREA
PLANNING REVIEW BY
DATE
CHECKED BY TYPE OF CONSTRUCTION E OCCL
T—COD R L
.11 2- �2
SPECIAL INSPECTOR AREN occe
REQUIRED 13 YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REOUIRED
0
VALUATION
FEE
PLAN CHECK FEE
IL
FBUILDING
HEAT SOURC46 j
dbizING j
PLUMBING
Plan Check No.
4
MECHANICAL
This Permit covers work to'be done 6n privatd property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 D WS
Permit Limit: 1 Year - Provided"Wdik is Startedylthin 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or. her spouse, hei`rs,-asstgVs and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and -hold -
harmless the City of, Edmonds, Washington, its officials,
m
employees, and'a6ents"4rom any and all claims for damages of
Ix
whatever natuie,:ariiino' directly or indirectly from the issuance
of this permit. I"uange of this p6rmit shall not be deemed to
PLAN CHECK DEPOSIT
/2, U3
modify, waive,,,or,46dudb-shy requirement of any city ordinance
0
I
nor limit in any'w ay the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
-
I hereby acknowledge that I have read this application; that the
information given is correct; and that I �m the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner,. I agree,to comply with city and
state laws'regulating construct ion i.�ncl in "doing,t a wOZp1.h`briz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
-son will be I d
Ed tihereby,,, no!per oye in violat abor
40 1'�=
ONLY THE
signed by the Building Official or his/her
Code of th t& Washingto e g to',WorkmeNc pensa-
Mane
WORK NOTED
Deputy; and fees are paid, and receipt is
tion lns� arYFRCW 18.27. -7
INSPECTION
acknowledged in space provided.
SIGN�AT E�� DATE SIGNED
DEPARTMENT
WEN
CITY OF
OFFICIAL'S SIGNATURE D TE
EDMONDS
C,
(1,7,
(" A
i,
A E -�90�
CALL FOR
I -/
D. TE
INSPECTION
IT IS UN�AW DQ TO USVOR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771
7
�CiIGIN�((-rl`iler YELLOW Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
..0220
SECTION 109
10247
PINK Owner GOLD - Assessor
ATA
NAME:
SiTEADDRESS:__1752,7-- 'T'�-1456L )2A, DATE: 9M,/21)
ZONING: P-6 - 70 PLAN CHK#: 99- 3c,�
PROJECT DESCRIPTION:
ae-
CORNERLOT /Vo —(Yes/No) FLAG LOT Ajo
(Yes/No)
SETBACKS:
Required Setbacks:
Front ?_5' Left Side: 10/34ght Side:- I 0'/35Rear:_?_5
Actual Setbacks: +- Aetr- J
Frontj 9 -7.5 Left Side: 14 ' Right Side: jj' Rear: 54.57,
Street map checked for additional setback required? A43 (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED I - (Y/N)
LOT COVERAGE:
Maximum Allowed:— 35.*1. /V6
Ln:va:�� -
BUILDING HEIGHT:
Maximum Allowed: Actual Height: r10
Datum Point: Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS#:
SEPA DETERMINATION:- 4
LOT AREA:
OTHER:
Plan Review By:
APPLICATION
for
Thei City of Edmonds SEDE SEWER PERMT
NEW CONSTRUCTION REPAIRS C]
&klcub - C W c—
EASEMENT No....
V/ ...... ............. PERMIT
OWNER ....... 5�.. IV.IC ......................................... CONTRACTOR S",9
- ---------------------------
ADDRESS ...... /..7&',2..2 . ......... / ... .......... LEGAL DESCRIPTION: LOT No . ...... 1-3-0 ......................... BLOCK No . .............
NAME OF ADDITION ..........
---- -- - It * ......... .........
, 9
w
APR 14 1970
Approved:
got,
DATE... .............. By ........
................ ! ... ............................
CITY OF EDMONDS
Call FRospeet 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT
Is ready for Inspection. ovo inspec.
tions Saturday, Sunday or holidays.) N2 3656
SIDE SEWER PERMIT
ADDRESS .....................
OWNER .............. Samual Ewi
..................................... ................................. CONTRACTOR Sani-Safe
............................................................................
Permission is granted ..Apri-1.14.. ................... 19,70..., 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:
/'-"),TE 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 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 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition.
failure due to Improper work which may develop within one year of completion. Contractors shall be responsible for
NOTE No. 5--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
tenances except to Insert the pipe into the wye. appur-
if
7
�:/TY 1F 4EDMOMD-A
DIVISION OF SANITATION
APPLICATION FOR A SEWAGE - DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: .......... 3AU .......... oEWNQ ................... ...
For, installation at: (street address) ................. IZ57-��.? ------------- T*11�-T ....... .............................
Addition or Subdivision ......... TA-L.F-10-T- ------------- J A - - ------ ---------- ------ Lot .... Block .... ..........
Type of Building: New..XX.. Existing ............ Single family residence ---- V��_ Number of bedrooms ... 4 ................
Other: (specify type or use) .......... ........ -------------------------------------------- ........................................................................................
Builder ....... :�;Am ...... . � i - Vy/. (/< � ............. ................. Address ---- 560 ------ 4YUANT ............
Designer..._,P\(_)./j ..... tI&A4,e.vt ..... . A-5-0 -------- Address-_73PI ---- . ..... 4-
Soil Log Hole No.
..........
-------- ... 77,?ffT --- q.)1E;1 T_...54d ...............................
-4 -_ /'-
Soil Log Hole No.5 ..... 0-315-. T.j-qKT .... Vqp ---- 3 ..... 4--. a. -
----------------------------------------------------------------------------------------- ............... .......... ------------- ------ ........... ...................................................
Elevation of Water Table, if encountered. (Distance from ground surface) ........ 40."fAV�4_4 ........
Corrections to control surface water if needed ......... 54f��)P_= ... P4-4fi _ ---------- ................................................................
.................................................................................................................... ..................... .........................................................
Specify if any removing or grading of topsoil in field area --------- 51a ...... P4.1
.... W .. . .......................................................
..........................................................................................................................................................................................................
Percolation:
Test Hole No. 1 —Average Rate�.'/ ....... ....... ?q... 30. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Ratd*Z /Z -------------- ---- 42 ---- (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3 —Average RatA.: .... /.70 ------------- (Fall in ininutes/inch-bottoni 6" test hole)
Average percolation rate on which to base drain field des7o - ------------ /)NI111 Date Taken.._.5/X6
Septic tank requirements based on present rules and regulations:
Septic Tank Size_ ..... / !2._ .... gallons.
Amount of Square eFee of Disposal Field. --------- e"7 46
... 4
.. ...... .....
— D igner.. ------------------------- ------- ------------------------ Date ..... :��_—.17-_64 ..........
Signature es Zal V
DO NOT WRITE BELOW THIS LITTE (To be completed by Issuing Agency)
Permit issued (date).. ...... Permit Number ------- 2
61 --------------------- ....... * ..........
Remarks:.� ................................ ................................... .............. .................. ................................ ------- ..................... ......
...................................................................................................... ------------ ............................................ ..................
INOWN
SEWAGE DISPOSAL PERMIT
Septic Tank ......... 1-40.4-0 ..... gals. CITY OF EMMONDS No. ../0/1? ..........
Disp. Field ........... -.sq. ft. Department Aultircill
Other ... -------------------- ----------- ---- -- FILE
Name ........ ----_------------------ -- - - - -- --------------- ).4e_-it_-o14 - ------------------------------------------------------------ is hereby authorized to install/
repair sewage disposal system at
...................................................
Date issued on .......... U .. . ....
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 ---------------- I .................
ApprovedE] Disapproved Date ................................................... ---------- By ----------------------------------------------------------------------------------
Remarks:
SANITARIANOR DESIGNER ---------------------------------------------------- -------------------------------------------- Date ----------------------------------------------------------
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
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3-17-6-4
7301 - 179th S. W"
EDMONDS, WASHINGTON PR 6-5880
r,RWN
PERCOLATION TEST
PLOT PLANS
4PPV,D.
PLAT DEVELOPMENT COORDINATOR
roso-
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CITY OF ED1401ZS
'Iry
LOT APPROVAL �REET
MIA
ME ADDRESS ,X ,
S C
ADD, S OF PROPOSED BUILDING
LEGAL DESCRIPTION: 10T,�3 BLOCK ADDITION
TYPE OF USE &LNO. OF BEDROOMS_,7 SIZE OF LOT
SOURCE OF DRINKING'WATER: Public Sur)-o1v Pri vq+.tq' Wol I
A.* 8URFACE DRAINAGE
Tq -ii-nposal field site well drained?
20;, -draina ditch Pt.-O -
ge
B. T FuURAPHY
I. Any heavy slopes in field area?
2. Nlill present top�ol'l in -field area be� removed 0-F-gr-a7ed before field tiles.
are instal-ledl - Vo
3-0 1WTi21 any fill 39-1- erial be in —the disposal field site?
u
If yes., how Ynuch?
C. SOIL-00111MITIONS
1i Has. a hole at least 4 feet deep been d
u in t disposal field area to
determine the type of soil present? _M, *
2� After hole is dug record t.he soil c-onditions at -t-Fle -Toll owing depths,
(Rec'*ord as sand, gyave clayp packed sand
Y loan, etc.
12 inches A& -me P,;"
ld -inches _�6 ches
24 inches J'=. hes-
3., ArxY ground encouwLmnter orp reachi ng a depth of -47T-e`er,7 A/ 12 Add -
If so at. what, depth?
D. VJATM_TMT
Vij*�U'wa'U-r-� test 1&r4ljsh�ow how well this soil will drain or percolate water,
perform thi6't&AV
1. Dig hole at least J&Liches deep.* Use a shovel or post hole,digger—
size of hole makeq��d difference —only depth.
Fill hq�_e lAth water. Now let
all water run out,of hole. This soaks
ifie ground and will give a more accurate reading.
3* Again pour water in hole to a.height.of 12 inches from the bottom"
Let water run out until there is just 6 inches from bottom let inhole.
4.� Note hQ)gmany minutes it takes for this last 6 inches to seep away.
�recor& t-his time below,
Nuni!4�� of minutr_s. for Inst 6 inchem to meep. away
Divide this time by 6 to obtain t rat! er inch
6, Date. water test was performe'd /,- "g
_7!
I hereby certify the above information to be 'brrect t above tests Were
performed by me as prescribed. Signed
Address Yee�71-4770v,1_70_161
NOTE: A septic tank 'pe mit i s issued Un- the basis of the above information.-_ If
there are any changes or alterations in the above soil conditions it may result
in the'installation being rejected at the time of inspection.
Percolation Rate and Required Absorption Area. For single -Family Dwellings.
Percolation Rate (Time in Lineal feet of 4 inch-ilie—
minutes-for water_-�&_t&il___ using trench with width -of
incQ '-.-two feet
3 Zo minimum
4
5
7
3LQ 250
112 265
15 2-85
30 375
Over 30 soil unsuitab3,e