18024 69TH PL W.PDF111111111111
5341
18024 69TH PL W
177777 1
71 1 FT
RECEIVED
-A,
MAY 2 8 2002
I N E BRU M KENNO; 9615-
City of Edmonds
.,PERMIT. EXPIRES Aol�
SIDE SEWER PERMIT
(o
Address of Construction:
Property Tax Account Parcel No. M coo a
Attach copies of all access and utility
Owner -and/or Contractor:
Verified and Approved b
—7—
W
Contrdctor License U�C�jr!2pco F-=.,QL Building Permit
/Single Family Invasion into City *Right -of Way:
El Te"Is No
F� Multi-Family'(No. of Units
F] Commercial (No. of Units
F] Public
*RW. Construction Permit 011.
Cross other **Private Property: El Yes. 1��No'
"Attach legal description and copy of recorded ea�'ement.
�QneNontractor
aerfif�'�'ave read the Cit'
Y' s u . ....... han-dout entitled
Owner or contractor/gnat)df�4(8 ackribwledgement statement"S' bat6
rl
m
T, i
By signing for this r it� pablic
&de Sewer Specifications, and shall comply with all City rb.quiremehts outlined therein.
9 CALL.DIAL-A-DIG (1-800-42!t�5555) BEFORE ANY EXCAVATION 2
Iff FOR INSPECTION CALL. 425-771-0220 extetision[I.AX;12
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS.
... ... .... . . ......
FOR OFFICE USE ONLY
. ..........
Permit Fee Repair Fee $ Issued By:.
Trunk Charge $ Date, Issued:
Assessment Fee $ Receipt NO:
City Perm! t Surcharge Fee $5.0 0 To tal Fees Paid $_
NOTE: IF. JOB SITE IS NOT READY FOR INSPECTIPP WHEN
INSPECTOR ARRIVES A $45 RE. -INSPECTION FEE WILL, BE CHARGED,
Job Site Ready YES -NO Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: I n i ti a 1: As -built to Street File:
13, PERMIT MUST BEPOSTED ONJOBSITE t�
White Copy: File Green Copy: lri�pector 13A Copy: Applicant
L;ternp;bldg;forms ;ssperrnitjlg4/00
t
N
21
C/o
34'
F_
m
45*
45* C/o
CITY OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS
18024 69TH
PL, W.
PERMIT
NUMBER 9615
HOMEOWNER xxxxxxxxxx
CONTRACTOR WESTAR
DATE
05/29/02
DRAWN
BY ISMAEL ABILA
9615
Lqo.- Lot 3 Olympic View Crest
Addrem / 8,024- 61?rh�Pd) REC'EIVE . D
Anewor's Tax Parcel #:
APR 0-5 2002
DEVELOPMENT SERVICES CTR
01 CIT 0 . MONDS-
1"=2090"
40-77:,
maer: wemr bi4 pment-60F.Ine
16927 80 AM NE
KenmoroWAMS
In
HSOK CALCULAMNS
Original
Proposed
A
357.00
.366.00
8
363.00
360.00
C
.370.00
38&W
D
375-00
360.00
Average Grade
366.25
366.00�
Datum - MH 06
'367.31
out / fill t :
0.00
Height of Structu
.
26;W
25.00
lMwdmum Aflo vm
391.25
391.00
ed Wilding Ped
1480
bf
Proposed Para"
880
proposed Pato & deft
7FPrOPE
120
SF:
proposed Wal"Ys
IS
SIF
12oo
8F
Impervious Surfaoe
3496
SF
Lot Size
.11z's
SF
ILot Coverage
21160
SF
WATER & SEWER
,INSPECTIONS
REQ'D.
AFA
APPRU,JED BY ENGINEERING CALL 425-77.1-0220 EXT. 1326
;JFT FILE
In . I ./, M ..
Ow -rum
so .." C�4. -
LdW &SOL M*Ik�.5
Date:
bit
4100 16 o/5
L/
*07-
a w CoISVL Cwtol v&
NO
Y lkf,-V. %VS1 Sat -r
DE
P
lee
0PAIDING CALCUUMOMS
160 CY
FILL 60 CY
V i3AL*4NCF- 10 CY
-
aim
;007 -mar
K x TOTAL 210
n to� 7C LOT SLOPE 107%771
ACCEPTABLE TIGHTLINE
MATERIAL
SDR 35
40106 .00 aw S H 40
C
OWNER/CONTRACTOR IS RESPONSIBLE TEMPORARYCONSTRUCIION N- 12
FOR EROSION CONTROL AND DAMAGE' ENTRANCE REQUIRED F-81 0 HANCOR
Lega.. Lot 3 olympic View Crest
Addnm / 6094- &Trh�Pu) R E.C-E I V E�-D
Ammer's Tax Parcel 0:
APR 0.5 2002
DEVELOPMENT SERVICES CTR,
CITY OF EDMONDS
!'gig
V
Co. Inc scale: 1"=2010"
16927 80 Ave. M
JCenmonWA'"028 A
—9T 11"N'T'
Proposed WIding Pad
1480
5F
proposed Garage
6W
proposed Patio & decks
i2D
SIF
proposed Walkways
16
SF
Proposed DrIve
120o
SF
Impervious Surfa0e
349e
SF
Lot Size
$0311
SIF
Lot C4vemge 27%
2160
SF
By NING
Ao-ttj Rl- 3%�00
P --Zf
C-14
am dw
lb
A/0 _7 -Nis
DE #.\9
lot
GMADING CALC
L L LILATIONS
KZ71lrZ7-
160 CY
FILL, so CY
'0
U/.; C� BALANCE 0 CY
Q6
TOTAL 210
LOT SLOPE 10%
0/1
go SNOW
MAXIMUM DRNEWAy SLOPE
ALLOWED 14%
HEGHT CALCULATIONS
Original
Proposed
A
357.00
3ee.00
B
383.00
366.00
C
370.00
36G.W
D
375.00
3W.00
Average Grade
366.25
366-W
Datum = MH 05
367.31
cut i fill
O.W
Height of Structu
25.00
25.00
jMwtimurn Allovm
391.25
391.W
ri Zj / I U W U U I r) . 4;j 4 4 j 40 1 CJA. r)
r"Akir- 01
ri Lou — �D 10 +—
NELSON-COUVRETTE & ASSOCIATES, INC.
CONSULTING GEoTEcHNicx ENGINEERS, GEamsTs
ANo ENVIRONMENTAL SCIENTISTS
FaCSimile Transmiftal D
To: LYL#- CK-i-s/'4AP MAR 10 �2000
Company: Ch--� 0P fW-04D5 ENGINEERuvrat
Phone:
Fax: (437;,) 7 21 — 0:1 z I
From:
Company: Nelson-Couvrette &Associates, Inc.
Phone: 425-486-1669
Fax: 425-481-2510 BUILDING
Date:
Pages including Cover Page:.
NCA File #:
cc:
Comments:
MAR 1 6 2000
r Mk2r- U Z.
NELSON- COUVRETTE & ASSOCIATES, INC.
CoNsmrING Georccwvim. ENCINSERS. GEOLOGISM FIELD REPORT
ENVIRONMENTAL SCIEWIM
17311-135th Avenue NE. A-500 Project: ClLqMPIC, -VOLO Q�E5, FileNo- -2�-419q
Woodinville. WA 98072
r 486-1669 - (425) 337-1669 Owner:-AW Wt&?Jr)J)it)T: &)ILXU5 Date: 00
al (425) 481-2510 Location: EVMI�V;, Report No. 9
We ather: T" Page: of
Purpose -
of Visit: MO IT 0 f- -0 e� A) P-
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MAR 1 6 ZU"
WE fWAUMTED FiLA- co LOT-S 10 19,4D Z0, ?'Onfoa's ogs
Y-
Cx "Of-
IWAL U>Af FILL . 7TV- LOT f 11-L COOL-0 ft, PULP> I To 4 4, w/10- A
sax: E. L- Loy 00 i�i� L /Ao lii f-A, A 1A C - if) -fmc-L Wxj;r:r'
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-Ti.S'r.S 0(.4ZL.. -rAY-Ed OW"414, D43% To VfXY DE-0.0Z dM'V& -S-ML '10 ftftfS odins 1.24
Attachments: Signed:
Distribution:
'K?Q-"M10AiW MOW -5J&)Fkr
03/10/200E) 10: 45 42t)4U12blU
NtUDUN—UUUVKtllL
r1mur- ri .1
-d �
17311 -1 351h Avenue NE. A-500
Woodinville, WA 98072
(42S) 466-1669 - (A25) 337-1669
Fax(42S)481-2510 .
NELSON- COUVRETTE & ASSOCIATES, INC.
CONSULTING GEorECHNfCAL ENGINEERS. GEOLOGISTS
No EjwVlRONMCNrAL SpeNrisrs
Project: 01-,?Mf 14�1 Vlw Ct�T-
Owner:
Location:
Weather.
Purpose
of Visit:
FIELD REPORT
FileNo. 2-6�-M
Date: 3/2100
Report No.— I I —
Page: of 2
By: Alp
MklwTY ML6n OF ThF- 150,'T'o SZE 6w CAL OAF- A t)D L-Or Ill-L, Mfer OL
Ear
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:)V�D&Q I -MAT' lwf= C-D.-I -rocppl L� C-OA615ye'.oT ME.'n
yo'c
flL*Mkd-r )1,3 001L OflIJ10A The cofr. 140t- tfob 4zr
qtt&_ TW- fYCtqth,,) OF rl�r- AMAS
JC Cofkl
t)C)T"- n-11 IOT�:- 10 A0b I
Am
oxor\ATED
Attachments:
Distribution:
so*CotmiErrE & Assoct4TEs. INC,
Cowur"awnwomaL
4 mu�l -
IROJECT NAME: 0L%?M?jC Vleu) Cpf,$T-
OCATION: EDMOADS
Qnt"'TnP UPT14nn- ARTm n - sga-gi I
IN -PLACE MOISTURE AND DENSITY TESTS
JOBNUMBER: 264199
T
REPORT NO.: (J3 PAGE OF
ASTM D- 1557-9l'ITESTS CONDUCTED BY: 140P,
GENEM
LOCATION
-!kP P ROX.
FEET70
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DATE RECEIVED
FPERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE do
NUMBE22&&
CONSTRUCTION PERMIT APPLICATION
JOB SUITEIAPT#
ADDRESS
OWNER NAMEMAME OF BUSINESS
K- IVISION NO.
vims"W72-1
LOT NO
3
LID NO.
LID FEE S
a) QML r6 Z. e-
MAILING ADDRESS
2:7 EAE�%: lrz�
PUBLIC RIGHT MAP
't�� PER OFFICIAL STREET
EXISTING - PROPOSED
REQUIRED DEDICATION- FT
TI APProved
RW Permit Required
Street Use Permit ReWO
Impaction Required
Sidewalk Required
unda"we',md
Whing required
CITY ZIP
VVN
TELEPHONE
Al'�-7
Tr) (-Z,757
NAME
METER SIZE
1
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YENJ NO 13
z
U
ADDRESS
A=7 /Y 1") C7
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY ZIP
W00-DrAM Uk, 2tV72-1
JWLEPHONE
17_c�,
(4�L
NAME
Wuara��_
GINEERING REVIEWED/D TE
W60 lo
ADDR
11 16
FIRE REVIEWED BY DATE
MEN
M
CITY,
Rajpn q%ZIP�
TEI PHONE
VARIANCE OR CU
SHORELINE ORAD6111
INSPECTION
REO'D
13Y ES [3 NO
BOND
P OSTED
STATE LICENSE NUMBER EXPIrTION PATE
CHO.
SEPA'REVIEW-'
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOIYED PROP9SED -
N 101�
HEIGHT
. - ALLOWED PROPOSED
ZIS
PROPERTY TAX ACCOUNT
06go &,A L'an
PARCEVAO.
0003
U160W 6��61DE'NTIAC WPLUMBING MECH
C MMERC14L COMPLIANCE OR
ADDITION 0
CHANGE OF USE
REMODEL []-'APARTMENT 0 SIGN
o FENCE
0 REPAIR CYDS I _ _ Fn
LOT COVEJAGE'
ALLOWED Poito�
REQUIRED SETBACKS (Fr.)
FRONT' SIDE REAR
-7 t5
PROPOSED SETBACKS (Fr.)
FRO��,� Lf Pil i E REAR
ZAe A -
z
PAPtAING
RE6,D
PROVIDED
41P
LOTAREA rLA6ilf REVIOE ATE
REMARKS -V VI)
DEMO LISH 13 TANK OTHER
FC
0 AAXR,�GE [3 RETAINING WALL
C I [j RENEWAL
ARPORT ROCKERY
UYPE OF USE. JYSINESS OR ACTIVITY) EXPLAIN:
��71V&Lg) 41
CHECKE D BY
TYPE OF CONSTRU . C TION
1 �7z
OCCUPA
GROUP
NUMBER
OF
STORIES
NUM13ER OF,'
DWELLING;
UNITS
CRITIC EXF f
AREAS
NUMBER
CTOR
REQUIRED [j
A REA,
OCCUPANT f
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS'INSPECTIONS-PER�U13C�.108/FINAL INSPECTION RECrD
lmyy it, pine za) tca
0. JAN
VALLIAT ION V
7 1?0Z
De!cription
-FEE
Description
FEE
Plan Check
E Gf G % LOT J3
0 kOPE % kpuilding-�),,,
IVS
PLAN CHECK NO: VESTED DATE' lumbi"
fP
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1= BE DOME ON PRIVATE PROPERTY ONILX ANY CONSTRUCTION ON THE PUBUC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading Recording Fee
3 / 1? 0
SEPARATE PERMISSION. Engr. Review City Surcharge
PER IT APPILICATION: ISO DAYS .!�n -5
PERMIT LIMM I YEAR - =DED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection State Surcharge Z4 5D
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY: DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND Fire Review Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Total Amount Due 2-L45-7.
0 NOR LIMIT IN ANY WAY THE CnY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
x
Landscapelnsp. Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit Until signed by the
TION; AND & DOING THE WOR ORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and
0
IN VIOLATION OF THE LASO ODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN1S'F,0MF"V)IVSURMCE AND RCW 18.27.
'OF ICIALS SIGNAT DATE
8107 WNE ENT) DAT ?P; (425)
ENfl9h 771-0220 REL ED BY DA*
M 1333 /1V
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL P d
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FM PINK - OWNER GOLD - ASSESSOR
10/01