17909 73RD AVE W.PDF111111111111
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17909 73RD AVE W
OF EDMONDS
PUBLIC WORKS bEP . AR40MENT FOR INSPECTION CAL Permit
775-2525 Ext. 220 Issue Date
SIDE SEWER PERMIT 4r. k.
PERMIT MUST BE POSTED ON JOB SITE
IAIWA�I�Alw_,�AWAW [MNWOOD LINQ
1. Address of 7-onstruction 1,157c 5, f4l r=nn r�=
2. Property Legal Description '(include all. easement6
3. Single Family Residence V' Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. 77,1 �:4
6. Invasion into City Right-of-way': No 1// Yes (If Yes Right-of-
way'Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E-i 7. Cross other private property: Yes No Easement required
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
P4
a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
M Construct side sewers in the public' right-of-way.
Im
W b. The side sewer contractor assumes full reponsibility for each
E-4 installation for one year.
W
4 C. Commer1cial establishment requires)a minimum of a six inch (6")
P4
z side sewer line.
0 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
0 and maximum grade of 100% (450). 0
E-i f. No turn in side sSwer greater than 45 (1/8,bend) 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 100' along sewer 'line run.
j. 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.
DATE-.
T7c6rtffy that I/have read
and shall compl'y' With the abov&
PERMIT FEE: 611"l-Ai'61, DISAPPROVED BY: Date:
B Date:
CONNECTION FEE:
APPROVED By. D 7-_ �f7-8�
X
INSA Stf 0.SjrrAWQ
PERMIT MUST BE POSTED ON JOB SITE
The City of Mmonds Side Sewer Drawing EASEMENT NO - ------- -------------- -------
NEW CONSTRUCTION REPAIRS E] LID NO - ---------- ------- - ASMT. NO - --------------
OWNER ---- Mcr-0-Y ---------------------------------------------------- CONTRACTOR ..-NjORTMIAKE----CAO-t-AC,.-RF—TE -------------- PERMIT No. 70.a.5
JOB ADDRESS ------ 177909 ------ '73 Rz ----- . ........ LEGAL DESCRIPTION: LOT NO. -.42 ------ ----------- -------- BLOCK NO.
----------- - .......... ------------------------- ---------------------------------------- -------- ---------------------------------------------------------- ftz,
N
'7
PWW-0001-1 1/75 (REV. 11/78)
31.
AME OF'ADDITION .-141LL--VJF—W--
17909 73RD
L-o-r 4 2
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Approved:
DATE ... 7-2--7-83 ----------------- By.,4Z.
IAOSP 81 bAvc sj-rrAomW
3
3
1�
ARA
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE RMIT
ZONE R NUMJ�7,n
joe
ADDRESS
A W.
NAME (OR NAME OF BUSINESS)
UJ
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0
17909
EGAL DESCRIPTION CHECK
SUBDIVISION NO
LID NO,
MAILING ADDRESS
A)
PUBLIC RIGH(T OF WAY PER OFFICIAL STREET MAP.
EXISTING REOUIRED DEDICATION
PROPOSED__�- �12
C I T-Y. —FE—LE—PHONE
NUMBER
.6
NAMEE—VV a S
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED
STREET USE PERMIT REQUIRED 11
Uj
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ADDRESS
0
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
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CITY
EPHONE NUMBER
7 Z-�
REN �AKS
NAME
ADDRESS
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METER SIZE �BUILDING
SUPPLY
tE UNITS
CIE
W
CITY
TELEPHONE NUMBER
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0
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
SHORELINE 0
z
Legal Description of Property - include all easements
(show below or attach four copies)
4. 0 7-
3CL
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LU
VARIANCE OR CU
PLANN /G REV EW BY
D
YARDS
FRONT SIDE 11AR
LOT COVERAGE
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REMARKS
NEW XOVESIDENTIAL PLUMBING
C-40011444 �16;
ElADD/ALTER NON-RESIDENTIAL El MECHANICAL
ElREPAIR RETAINING WALL El SIGN
EXCAVATE FENCE
DEMOLISH OR FILL x _FT)
CHECKED BY
TYPE OF CONSTRUCTION CODE
I I
HEIGHT
z
PRE-MOVECNSPJ P.
COMPLIAN E INS
SPECIAL INSPECTOR _r5iE-7—
REOUIRED
hYES NO
JOCCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER WATER LINE
R MARKS
z
El
CL
(1)
co
0
NUMBER OF STOR 7ES
NUMBEROF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ZO /7 L_15� Z2t4l C
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ON
GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
(Unj
2
rr
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
MEMO TO
FROM:
SUBJECT:
Building Division
Planning Department
Engineering Division
Public Works Department
DATE:
I
After review of the subject Building -Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sevier -system required.
3, . Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater.valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for containing all temporary runoff and erosion
on site and may not impact nei.qhborinq Properties in.any wa.y.
lvpw� BD 6/82
.. . 1 1210 -ji
BUILDING PERMIT REVIEW
q�)-q 7
(address) (date)
Street Right -of -Way Existing.,/o' C9
Z
I
Access Easenents Exist
Utility Easement Existing. REQI��
Lot Per Subdivision �lat 4VY Assessor 14ap.Qj_/Y4
Site Plan Checked for Accuracy, n<
Z.
0-4
Underground Wiring Reqd.
0
Check Accuracy of Legal Des ipt'
Z
Review by . / 1/ -1 - Date
Existing Water Main Size 4"cT
Water Main Required 14
/A
Service 1-ine Required___ :Z]�4
Hydrant Size Existing___A�/4"_
W
Hydrant Reqd Per Fire Code N/A Size
W
Detector Check I-leter Reqd.
Cross Connection Inspection
Fire Departrent ComTients
.4ater 1-teter Char e Reqd. G507 75"�rRF-F-r o�sTo RAn ou
Review by Da t e S-S-83
Septic Tank Design Approved Z/1 Date
Septic Tank Permit Reqd. Itl/// Permit No.
Sanitary Sewer Availability PrOJI.
Drawing No. —File No.
Side Sewer Availability .4;, 0 2-o3
94
Sanitary Sewer Connection Fee Reqd.
Review by Date
ing
Open Ditch Exist _E Reqd.
X
Culvert Reqd. Size K 2
W
Catch Basin Reqd. Indicate on Site Plan
0
Shoulder drainage maintain collectim on swale open runoff
Cn
�tmhole reqd. Indicate m Site Plan
Soil Conditions pnd Ground Water Field Checked
Review Date
Revised: lvlO-1977
UPPLP,
C A-T-C H
BA51N
(VENT)
DETIEWTiOtI P1 LENGTH
—Ir
COV-TTRDL CA-rC"
bk514
I'
MIN , 2' MAX CLVER
OLrr LET
CONTrtoL!
SLOPE-w
IT TW 4-
OUTL-JE'7
YP.
1�4 .0 (N PRAXI OR
PLUNOFF
SYSTEM
CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
2' Z' "-.-rWWjkLLS �W W9,4')
Z'- 2'w 3";?FeP- CRUSIAED POCK
COTLET
C - 0 L C�>
RIPRAP OUTLET
IV" �tE D & V L C)Lrrl�-OW 7FLENCI4, tAiN 10' Lo
' Top' 4' PIVFkF P100E VS: L
TOP'
'0V
I RC NJ
F
ET
C)LMET
R,C)
CON-rRDL
4' PERF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for -f)-1'7.F-1Z*-0
location -7-�,-- AVF-\V
plan by 4;;\IV 1 4 1-4 \Vttt-i S 0
phone 7--L L-'
date a 117s 1!8&
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
-73bl
FROINIT
SIDE
REAR__
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APR 2 7 1983
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4",
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0 �/o
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44
Ale
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77.
MAXIMUM
FROM HEIGHT 25 'FEET MEASURED
AVERAGE ELEVATION & UN IS
SOIL AT CORNERS OF EXTENDED RBE A
RECTANGLE
4 1 ILDING
SU44JECT TO FIELD C IL 0
.6EPOTMENT. BY
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iv
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As. PF-rL. -14
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p
Ljplpr--R 830284
CA7-CH
B45 k N DETENTION PIP UINGTH COWrROL CATCH
(VRNT)
miw, 2' 6AAX COVER
COWTROL!II
SLDPF-- PA 1 4'
S. TO OLML.FT
Y7. (N PRAR OR
RUNOFF
SPREADER)
SYSTEM CROSS SECTION
A SEE PAGE 3 FOR OUTLET CONTROL DETAIL
FROM
OLrrLE7'
—59>p�o L
2'. 2.' DEW?, 4!- 16-
LS �ft wov'%O
rZ'x 2' u r-qusmeD MOCK
( I C�"
L3
RIPRAP OUTLET
'0* TRENCR, MIN 10 1 LO
4" PEP.F PiPE
- L-'r"
'FROM
0U`TLET
CON-rROL
4 PERF PiPE WITH CkPS
RUNOFF SPREADER OUTLET
0
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for -M17 - F:fZ*-O
location- I2")C>c2 -7 6- V
AV et -A o -j 1) S VA
plan by E \/V I A, 1'4 W11-W =iK4C,
phone Q7--L S-� Q'> C--
date Q! j:ZS �03.
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the rescionsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
CITY OF EDIMONDIS
CITY OF EDMONDS
EdNEW
El ADDITION
FIRETIREMENT
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
ICA u I c
SERIAL NO.
LOCATION DEPT. NO.
0 :3 6yo
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE a
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ENDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
ttnp
DEPARTMENT FILE
The City of Edmonds Water Service Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION C] REPAIRS P" LID NO . .................. ASMT. No . ..................
OWNER....................................................... CONTRACTOR... ................................................................................. PERMIT NO. JAM7
710 9-
JOB ADDRESS . ........................ W ............ LEGAL DESCRIPTION- LOT NO . ...................................... BLOCK NO . ....................................
PWW-0001-1 1/75 (REV.1 1/78)
NAME OF ADDITION ..: ................................................................
fl--
Approved:
DATE ..................... By - — ----------
.. ........ ... ...
Af-
'Y ,T�Monds
-OF-WAYCONSTRUCTION,
RIGHT
PERMIT Permit Number- —0 0
Issue Date:
A. Address or Vicinity of Construction: 17909 73 AV W (9701458)
890 9 C) B. Type of Work (be specific): Install 90' of 2"MPE IP from 141' N
to 231' N C/L 180�St SW @ 21'W C/L 73 AV W
C. Contractor: -Waghingtnn Nariirnl rZan
Mailing Address: 1122 75 st gw pyprptt
State License #: 98203
D. Building Permit # (if applicable):
Contact: Marlamme Kingsbury
Phone: 156-2500 X7596
Liability Insurance: Bond:$
SideSewer Permit # (if applicable):
E. E] Commercial El Subdivision F1 City Project E) Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] Single F�mily E] Other
INSPECTOR: I14SPECTOR: &./i
F. Pavement or Concrete Cut [19 Yes 0No G. Size of Cut: x H.�h $
APPLICANT TO- READ AND SId
INDEMNITY: Applicant understands and by his signature to this application, agrees td hold the City ofEdmonda ha�.iiess from ihiuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceeding8 including defense coats, and attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING 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 TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit appiic�tion.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.�
All street cut ditches shall be patched with asphaltor City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available Onsitzt ;ati3mep for inspection purposqs.
Date:'.
Signature- J. Alf
00-ontr�cior' or Aient)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY, USI�tONLY
APPROV ED BY: RIGHT OF WAY
DEPOSIT
TIME AUTHOIUZED: VOID AMR MALLH DAYS
SPECIAL CONDITIONS:
-1 '000ye
COMMENTS:
DISRUPTION FEE/FUND,I.lJ:-'.
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE: n. oo
RECEIPT FEE: A
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO. PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diazram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
El NO
231'ki
PRQPCYR:-e0 Z�'MF�G- I P
(—SITORR
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IL
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0
I BO I S7
NO
DESCRIPTION
REVISIONS
Nota: The City of Edmonds
1) Reld- locate all Utilities.
Call 1-800-424-5555
24 hours before digging.
2) Survey Is not requl"It!
3) Maintain a minimurn of 5'
hodmtal srW 3'vertical
clearance from an city
utuftles arw appurtenarices.
4) Cuts In paving we shown as 13
5) C— cuts In paving andclpaW.
r
10
9
8
7
6
5
4 sc�:,(, 2xD
3
2
1 pe- .,P>1 PIE=
ITEM OUANT. DESCRIPTION STOCK NO.
BILL OF MATERIAL
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TAX CODE:
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PERMITS:
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TAX CODE:
SEQ. NO:
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REVISIONS
SCALE:. APP: