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18021 85TH PL W.PDF11111111 lill 8039 18021 85TH PL W 0 E ADDRESS: 201" 5-�� TAX ACCOUNTIPARCEL NUMBER: 0063316060011 400 BUILD ING PERMIT (NEW STRUCTURE): I gi 3 — 6) �3 COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required F1 Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DA SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: 11p STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: 1�i R OTHER: LID #:— 1E / BLOCK: LATEMP\DSTs\Fomis\Street File Checklist.doc NOTICE: -C Ur.. 0.. TC �ar� N'o---w-a rr a n- ty 0 on the a . ttached The information shown map(s) was compiled for use by the City Of Edmonds,) its Employees and Consultants. k n The City of *Edmonds does not * warranttw accuracy of anything set for.th on these rnap(�_). Any person or en.tity -requesting a copy should conduct an independent inquiry regarding the inform . a tion shown on tRi�� -rn a p (s), Including, but not Jim*ted to er stub shown. Such the lociation of any sew sewer stubs may or may not exist and may or may not exist at the location shown. Neitheir the city of Edmonds nor its empl-o-yee-s o-r office.rs sh.al] be Via-b-Ife for the information given' on this ma p(s), nor for tation provided based any one represen upon said map(s). The City of Edmonds OWNER ..... .............................................. ........ .......................................... ADDRESS A.a.4.07_1 ... . ................... ............. . ...... ............... .... ... ... . .... . ..... . ........ . 411 y6emao J t _j (L I F APPLICATION for jol[DE SEWER PERMIT ISTRUCTION E REPAIRS EASEMENT No . .......................................... % I rll*% I =. I z S —c_—� �l CONTRACToRTW0699�� ..... 4nN!:_::;T. Ca. ......................................................... PERMIT No. LEGAL DESCRIPTION: LOT No . ............. 4 ........................... BLOCK No . ............................................ NAME OF ADDITION ... .................................................................. ------------- - Approved* �wz --------- DATE—, .. .. .... By.. ...... ......................... 0 SIDE SEWER. PERMIT CITY OF 'EDMONDS., WATEI"EWER.'DEPARTMENT PERMIT TN .376 A., 4 Call 7.76-1107 for side sewer inspections BEFOIiE covering any portion of the construction. Inspection will be provided within 24 hours -after request. NO Sat., Sun., or holiday inspections.) ADDRESS LOCATION OF CONSTRUCTION ...... 18021 - 85th Place We st- .......... ------------- * ...... *'**** ...... * ......... ­ .......... ------------ *"*'*"'*'* .................................................... Lot 11, Seaview Lane PROPERTY LEGAL DESCRIPTION ................................ 7** ............ ................ ­* ........ * ........ ....... .......................................................................................................................................................................................................... .................................................. A. K. Beckton ................................ ................. ............. OWNER ANDZOR BUILDER ................................................................................................................... ................. Tucker Const. Co., 2102 No. 194th , Seattle, Wash. 98133 CONTRACTOWS NAME & ADDRESS ................................................................................ apne 4 73 Perimission is granted ............ ......................................... 19 ....... .1 for repair andZor connection of a: side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. AT--NTION IS CALLED TO THE*FOLLOWING: N..I�o. I —The owners of tbe 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—All work performed in city right-of-way requires an Invasion of Wght-of-Way Permie:obtainable from the City. Engineer's.of . f ice. I�OTE 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 pr4erty* line;',mirdmum grade of 2%. No bends- in grade sharper than �A will be permitted. NOTE No.. 5—Trenches in street must be water settled and surface of street restored to origina.) condition. .Contractors shall be 'respor;sible for failure due to improper work which may develop within one year of completion. I I .! 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 mainsewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED Date Date .............. :f .................... B& ......... ..... Date .................................... 'BY ................ yeAlz BY 14-0 APPROVED .. D06 ............. .. .. . ....... ......... .. .... .... .. ... ...... ....................................................................... Remarks: ............ <�z:�) . . ...... .. ......... ........ ......... .................................................... ................................. I ....... 1_1.1 ........................................... ................ ...................................................... .................................................................................. BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection .... ................................................................. ... , hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) wp- '-stalled in accordance with all governing ordinances of the City of Edmonds, 6at,d.tlii .......... 4" / ............ day ........ ............................... 1 19 . ... .. Check BEFORE you dig for: Water F], Gas E], Telephone E], Power 0, Sewer E], Other APPLICATION for The City of Edmonds SWE SEWER PER3M NEW CONSTRUCTION REPAIRS E] EASL'MFJ-Vr No - ------- .................................. (;� �,S-7 PERMIT No . ...................... OWNER ...... ........ ------------- ............................. CONTRACTOR .............. ADDRESS ........ 118.6 ... 1--./ ........... 0-51—. r4 ... .... .. ... ... ---- ----- --- --------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION ............... .............. ......................................................... ............. a pl, E C, C-1, v , 14--, �-' JUN 4 1973 5 .&pprovea: DATE................................... ............ By ............ ......................... ........................... 11SE BUILDIKG. DEPART Applicant Mn zONE /2 I Inside Heavy Lines -TO—B — PERMIT APPLICATI ADDRESS E;'"'C'0'V'E"RAG�" 0 NAME KIA NAKE OF BU MAILING KDDRESS TELEPHONE NUMBER AM. W I - ADDREkS TELEPHONE NUMBER NAME S c7fyL TELEPHONE NUMBER L�UEVUE NUWBER _0/ CITY rENS. NU.11.11 �egai DeA"PLlon of I'rojerty (Show Below or Attach Fo le, SIDE RELR C VAR ANC 0 NO PERMIT NJ KISTII'M STREET R/'�—.[p COMP. PLAN ST . R �:.NIARKB Drivewav sl Lg— RESIDENTIAL OAC LINE C4� 2PECL E) YES W NOX-RESIDENTIAL SIGN PLAN ADD DEMOLISH ItETAININc WALL 7WA 2XCAVATE PP A—'Tr,.R on FILL C REPAIR P71-11MOVE: I . ........ SWIM IN8P. POOL INUMEiEft OFICTORIES UNITS 730163 A AL C."JU CIE ox z I �Rorunlsu T rOTAL BLDO. AA3� Ye, PROPOSED YARDS FRO SID� REAR C I ONAL USE .'R ZZAT DEFICIENCY THIS PROPERTY not to �xceed t ose h on gt�ndyrd Nn rffx 1 y SERVICE FIZE CLEARANCE CheQXED BY rioN L) 1-Qx1 �Vml? A Y Alo PERQ NUMBER TYPE OF CONST UCTION S�REET IMPROVEI) 7 1 0 YES :CTOR REQUIRED I OCCUPANCY GROUP 21- 0 By THIS SITE IS LOCATED IN THE CITY OF FDMONDS. LOCAL SALES TAX Valuation Pine Check No ................ . ... z BUILDIN' '-QeUSE0 USE -,37c) PLUMBING PLOT P N �('-dfca�teB,111-16 '--Ka. auutting 't""*) HEAT & GAS LINE PENCE foma' 'e"by aCkneWiedge that I have read thif application: that tLI Jr. tion lilven to corrwt; and that I = the Owner. or the duly allthw- Ued agent of "" o"er' 1 agree to Comply with City and state laws regu. IatlnX zo-true"o"; "" " 'ol'- the �-Ilc thereby. ro person will ., employed in violation of the Labor Code of "". State of ;V­hS1,91on relatinW to Workmen's Compensation Insurarce. NOTE: Permit Limit One Year (Except DMMOIiTIONS which shall be completed in ninety days; I'd J� IN BUMDI.wQs h.!I be p:eted 1:11 lx ...the.) 1-9 1 10 NOTE: Appitrant -Subjeci c- Plan Check Fee 71til Permit covers .-ork to be done on private pW �nyo.Nj.j—. Any constructi-m = the V-11,11c domain (curbr., -le-wslka, driverways. w.-luees, etc. ) will require separa.e,—'J.'�-. SIGN AINING WALL SWIMMING POOL DEMOLITION PFL�7:-IOVE INSPE=(:N EXCAVATION OR FILL TOTILL lk-�?OUNT DUE ATTENTION THIS PERMIT AYJTHO.-UZES ONLY I *--Z WORR NOTED INSPE -TION C DFPARJ� MENT CITY OF EDNIONDS PR 0-1107 Receipt No. Q0. 4 APPLICATION APPROVAL This application L- not a permit until eigned by the Building Official or his Dep- itity; and fees aze paid, and receipt is ac- ;mowledged in space provided. JATU ATE k wet) EFAS LOH ro ALLOVIL IvA " A Lb RnOre F-61 24 HVII. YVIOTICE RP.Q. 11 DEC - 7 2009 OWNER/CONTRACTOR IS RESPONSIBLE DEVELUKj,,'NT SEhViLr.S GIR FOR EROSION CONTROL AND DAMAGE CITY OF EDMONDS OT 4 ApplIcant shall re ' nalr/replace all damage to utilities or fronlytge improvements in City right-of-way pGi- C."lly standards that is caused or occurs during the permitted project. 2-171() t 0 City of Edmonds Permit No:9X3'Q� RIGHT-OF-WAY.WNSTRUCTION PERMIT Issue Date: - A. Address or Viciniiy of Constructi I on: 18021 85th Place.W --Job #190.35 B. Type of Work (be specific): Open trench in shoulder of ROW and bore 2-drivew ways for.approx. 167 feet-m/1',to replace damage cable and place 1.-;flush mount vault. Joeane Sholund C. Contractor: Comcast"of washingtonj LLC Contact: 41 U va-�dey Ave. NW -Sulte-12 Mailing Address.Bldd C-Puyalluo, WA08371 Phone: 206-396-7288 'State License Liability Insurance: Bond: $ D. Building Permit # (if applicable E. . F1 Commercial E]� Multi -Family INS013CTOR: Side Sewer Permit # (if applicable El Subdivision El City Project 91[ EUC (PUD VERIZON, PS`E &AT, OVWD) E] Single Family F] Other NO F. PAVEMENT CUT:. El YES .E- CONCRETE CUT: `,E] YES ILI NO G. SIZE OF CUT X INDEMNITY.- Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, fireseen or unforeseen, that may , be made against the,City of 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 FOLLOHING THE FINA L INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES 97LL 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 THEAPPLICANT. Traffic control and public safeq shall be in accordance with City regulations as requ ired by the City Engineer. Every flagger must be trained as requ"ifed by (WAC) 296-155-305 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 Ciiy- 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 ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENT-SUND CKNOWLEDGE THA TI MUSTMAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMESF R�IN' PECTIONS. Signature.- Date, . 8/15/0 (Contractor or Agent) FORCITY USE ONLY. Right-of-4ay Fed" + V"� Approvedby:. Time Authorized: Void After' 11' V�71',,/_ �ZW3 Disritp,�ion'tFe'e/,Fund,1.11: Special Conditions: LkPr%]JfiJ 0 S� 15C10A&'_ J!FA� Aestoratio0ee:."' v 4�!' L Total �Fe d,112MT Rec6iDtNo_..� WO OA-15 IQ 05t-'19LVJ IN 1W I,,, pe� t X�. Iss. e A& kAn IMLSOWT11*11 S UPON COMPLETION OF PERMITTED WORK; AN ENGINEERING FINAL INSPECTION IS REQUIREDTER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT'CODV, �(Ph ' on ' e 425-771-022'0, Ext. 1326). FINAL APPROVAL OF PERMITTED WORK. DATE: Inspector's Signature I For inspection requirements see Engineering Inspection Information handout. - i NO WORK SIIALI. ffl_�'GIN l"RUMTO 1'171RMIT ISSIJANCE DAMy Documents\Forms\Engmng\ROWpermit_.doc Comcast of Washington, LLC 410 Valley Ave. NW Suite 12 - Bldg C PuycW,up, WA 98371 Contact: Joeane Sholund - 206-396-7288 Node EM06- City of Edmonds Job number 19035-Replace drop Address: 18021 85th Place West Work Details* Open trench in shoulder of ROW and bore 2- driveways for approx. 167-feet rn/I to replace damaged cable and place 1 -flush mount vault. Install 1-2" conduit at 36" in 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 utilites. Contractors must locate all existing utilities impacted by this project. 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 spoils from the work site. Streets and roads will be cleaned and swepth both durina and after installation of work. Proposed trench and bore path -------------- North not to scale street light 40k C1 CD mail box co water U') meter M 26' from center catch basin CL 0 0 ; � 23' bore 18, drive4y bore grass im existing IJIU F—I 18011 power flush mount vault place 1 -flush mount vault on MEN m E:__ r:lilw 18029 power mount vault pedestal Ccomcast 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 City of Edmonds 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 Traff ic 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 plans 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 traffic 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 City of Edmonds Inspector. ff curb and gutters in project area: • Filter bags will be placed in catchbasins downstream of work site, and • Small check dams of pea gave] filled sandbags will placed within the gutter upstream of the catchbasin. Traffic control set-up for minor encroachment A tleuogdo) M Truck Mounted Attenuato (optional) FLAGG Traffic control set-up for lane closure W A*h, 9P R", ER STATION Buffer space B ce uffer spa FLAGGER STATION M d6 *A