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18106 ANDOVER ST.PDFiiiiiiiiiiiiii 10169 18106 ANDOVER ST District City d%dmonds — Water Departift TAP CARD Reading:, 00 No. A 39 -7 Meter {Size 1 11 Mfgrs. No..f;W?-q8?,2 Purchaser:&bed Serv. Add. 181666 Lot No. Add. ' Residential: Other: Date 77-197-59 Tap INo. Size - Style S*MUS V(-_,0itS �'ent�W-% Blk. No. Meter Location 14 S ',PC OP Yxiv C - 147ff &J 0.0 Aqboveoe Service Material: /%I &-Aafz /I - Pressure - lbs. Test % Date of Work 7 - /5'- 9 Foreman Guar. Voucher No. Proj. No: W q 1_502,3 Remarks: ge'C�0411( OUTGOING Index- Reg. -Route Bk.- Stencil- Card INCOMING index— Reg. -Route Bk. - Stencil- Card- I* ROUTING SLIP NEW SERVICE INSTAUATIOO ADDRESS: 113164o Andoycr Sf- DATE: -7 -1 q-qq 12 .130 DIAL A DIG# 11552'304S 1 71 14 P.U.p [71/4 LE TELEPHONE CABLE T.V. GAS FOREMAN STORM SEWER OTHER o^ 02 FUTURE SERVICE INSTL: YES BORE: t LOCK CREW DAU—. INITIAL: . DATE: INITIAL: METER SHOP -00J�20 ACCOUNT NUMAROS3-3-3onn SUPPLIER: ALD. TREATMENT PLANT FOREMAN B L T FOREMAN INITIAL: DATE: UTILITY TAP CARD METER SHEET I APPLICATION/ DISPATCH BILLING 7/76 F EDMONDS, SIDESEWER PERM%. ,It It DEPARTMENT WATER -SEWER PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. Inspection will be provided within 24 hours after requst. NO Sat., Sun',' or holiday inspections.) ADDRESS LOCATION OF CONSTRUCTION ........ 1-al-Q6 --- AnOver ........................ �! ........................................................... . ....................................................... PROPERTY LEGAL DESCRIPTION ....... 59�� --- AT_rAr_w�.o ..................................................................... ..................................................................... ............................................................................................................................................................................................................................................................. ................................................................ O'VIVWER,��NDIOR BUILDER ......... ............... ........................ . ....................................................... CONTRACTOR'S NAME & ADDRESS ............. ................................................................................................... . ....................................................... ;un- 23 Permission is granted.._., ................... n..�n ... A..� ..................... 19..'.." . '.., for repair and/or connection of a side �sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances, ATMTION is CALLED TO THE FOLLOWING: NlWo. I —The owners of the,property may obtain a permit to construct sewer Inside property line. A licensed gidi� &�iAier 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 Invazion of Right-Gf-Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. No. 4—Top of side sewer must have at least 30 inches coverage at pr6perty line and 12 inches inside property line; min'lmunjg�ade of 2%. No bends In grade sharper than 'A will be permitted. No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responstible for failure due to improper work which may develop within one year of completion. em 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 main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED E] Date ............. . ........... APPROVED N/Date ..... e V -. Remarks: ............ . ......................... ...... By ................ Date ---- --- . .................. . By ---------------- Date .................................... 'By ---------------- ............. ............... B . . . ... .. . ....... ..... . ... .. . ..................................................................... ................. .......................... ..... i ................. : .................................................................... .................................................... ................................................................................................................................................. ............................................................................................... ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I .... . . . . . ....... hereby certify that the side sewer installation constructed under this permit -Ir 4�keF4. r �� Wnti Performing Co r on) nc Wo talled in accordance with all governing or i nces of the City of Edmonds. Datedthis ............................ day of ................................................................. 19 ......... V V Check BEFORE you dig for: Water E], . Gas E], Telephone E], Power E], Sewer E], Other E] V I (#Y OF EDMONDS -!a SEWER PERMIT WATER -SEWER D. ENT PERMIT N? 4920 1W Call 775-2525 for side sewer Inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections. CADD�SS LOCATION OF CONSTRucTIoN ........ 1.8.1.0.6 ... An.domer ... Street ................................................ . ....... PROPERTYLEGAL DESCRIPTION ....................................................................................................................................................................................... I .................................................................................................................................................... . .............. . ...................................................................................... ................................................................ 0-.1WER,01_'!M1OR BUILDER ......... W.E.NRELLEANDUE ............................. . ....................................................... TRACTOR'S NAME & ADDRESS ........... OWNER ............................................................................. .............................. . ... ....................................................... PAClon Is granted ............ .. 41@�.AA ......... . ............ 19.74, for rpir and/or connection of a side sewer to the city sanitary sewer system in ac-cordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the property may obtaln 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. No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way PermA obtainable from the City Engineer's offiee. No. 3--Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. No. 4—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 #MEE sharper than 'A will be permitted. NOTE No. 5--Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. 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 maJn sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED Date ... . .................................... By ................ Date ..... APPROVED Date .... .......................................................... By ... . ... Remarks: ................................................ ........................................... ............... By ................ Date ............... . ................... . By ................ ......................................................................................................... ....................................................... . ................................................... 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 qwn r of Contracting Mrm Performing Construction) was .%stalled (in aec]cordance with all governing ordinances of the City of Edmonds. Datedthis ............... . ........... day of ................................................................. 1_9 ......... Check BEFORE you dig for: Water E], Ga-s Ej, Telephone E], Power E], Sewer E], Other 0 -V -V ADDRESS: uo TAX ACCOUNT/PARCEL NUMBER: ZI pq I M10 11) 1 4U) BUILDING PERMIT (NEW STRUCTURE). Acto, 0001K COVENANTS (RECORDED) CRITICAL AREAS:. qq__ q —DETERMINATION: [] Conditional Waiver F] Study Required Waiver DISCRETIONARY PERMIT #'S:V-37f -!Tq WoWm,) PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS(OTHER): 91 DD Ok Al PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DATED SEWER LID FEE $: ., I,_Z_1 Tq, 0 24 ko I cl 5- LID Lq 5 -711 Ll 5-- SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: �QW ko SIDE SEWER PERMIT(S) #: qj�GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: t.6 hq LATEMP\DS'rs\Fomis\Street File Checklist.doc -ILE NO. Critical Areas Checklirst Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 18106 Andover St. Edmonds, Wa. 98026-5427 2. Property Tax Account Number: 1827-041-014-0007 RFC"IVED 3. Approximate Site Size (acres or square feet): 15225 Square f eet — MM 1 2 1994 4. Is this site currently developed? YF.-, yes; no. T COUN� "ER Residential Structure Aprox. 50 Yrs. old If yes; how is site developed?- 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 verti C*al rise of 10-feet over a horizontal distance of 66-feet). XXX Hilly: slopes present on site of more than 15 % and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: NO Approx. Depth: NONE 7. Site contains areas of seasonal standing water: NO Approx. Depth: NONE What season(s) of the year.? NONE 8. Site is in the floodway NO floodplain NO of a water course. 9. Site contains a creek or an area where wa ' ter flows across the grounds surface? Flows are year- round? NO Flows are seasonal? NO (What time of year? NONE 10 Site is primarily: forested NO urban landscaped (lawn,shrubs etc) YES 11. Obvious wetland is present on site: NO -meadow NO 9 ;shrubs NO ;mixed NO R.evOl/04194 8 9 0 . Jqq City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on and submit it to the City. The City will this form is to be filled out by any person reviewthe checklist,. make a precursory' site preparing a Development Permit vis�tl' and make a determination of the . Application for the City of Edmonds prior subsequent steps. necessary to complete a to his/her submittal of a development development permit application. permit to the City. With a signed copy of thisJorm, the The purpose of the Checklist is to enable applicant should also submit a vicinity map City staff to determine whether any or plot plan for.individual lots of the parcel I �_City potential Cri6cal Areas are or may be with e'nou - gh detail that staff can find present on the subject property. The and identify the subject parcel(s). In information needed to complete the addition, the applicant shall include Checklist should be easily available from other pertinent information (e.g. site observations of the site or data available at plan, topography map, etc.) or studies in City Hall (Critical Areas inventories, maps, conjuiietion with this Checklist to assist or soil surveys). staff -in completing'their preliminary assessment of the site. - An applicant, or his/her representative, must fill out the checklist, sign and date it, ROBERT W.& MILLICENT M. HULL I hive completed the attached Critical Area Checklist and attest that the answers provided are factual., to the b e st of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: Robert W. & Millicent Hull Name 18106 Andover St. Street Address Edmonds, Wa. 98026-5427 775-1209 ZIP Phone Date *PLANNING DATA FsTREET FILE SINGLE FAMILY RESIDENTIAL Name: U� A Date:__-7 I c-(// 0 Site Address: /44n,^ �-Of— U :-::I> _ _6�� _ PlanCheck#-. 10-0L(?_b' Project Description: — C9 ot&- An �a v--e� Reduced Site Plan Provided: QP/ NO) Zoning: (0 Map Page: Corner Lot: (YES Flag Lot: NO) Critical Areas Determination ff: 1 ne4- 4 5Z. Study Required aiver SEPA Determination: ffl�fxernpt �� 57(9 Clic El Needed (for over 500 cu yards of grading) 0 Fee 0 Checklist 0 APO List with notarized form 51 - Required Setbacks /0 Side: I/V /0 Side.- 0 r: Actual Setbacks Street: <33 —Tde: Side: El Detached Structures: Rockeries: Fences[Trellises: El Bay Windows/Projecting Modulation: El Stairs/Deck: Height Datum Point: carz- qav-o,�42- Datum Elevation: Maximum Height Allowed: 2s- Actual Height: Other Parking Required: mu) Parking Provided: Lot Area: 115— Maximum Lot Coverage: 35% Proposed: -z 6' Lot Coverage Calculations: NDuQ—, 2,-528 L�) 6io(61(�vn 61 ( 2- 3No 0 ADU Created: (60/ NO) -200 00 Subdivision: — Legal Nonconforming Land Use Determination Issued: (YES COfnfnent5 fit (%[)--I (L" [/�� yq (e let. I- q1 e, All qq.1 41t/-1 D o C- to/ + (-?- -7 - 7 7,S- �kqy- -0 - 109- � Plan Review By: Plannkig Data Focm 04-11-06-doc so P ER M -`T CITY OF EDMONDS LIE loE PERMIT NUMBER 990008 CONSTRUCTION PERMIT APPLICATION OVJNLA HJTVEf.4AUE OF WSlN AMR. 1E L010 5 -10 ADDRESS /0 4ie �,J 0 CII, ZIP EMST-- PECATITEDOEW.AtoTil— Er'. ?0 --OPOSE1 0 01 I—E -E (3 VE IES o t �W.css A05 RE-RT,S CT,,/f C.11 C,HHOHE LIAW 3 AP AJ CV� EA.jD wFW. tJ-. Elf, 1",;j777dVf- IN /TCAT -jv7A STATE LICENSE WU6'q SIGH AP'LA /-,23 SERAFTEIAERI C160WIRATIE , EXXUI,�� ALLOW[ke avoism, ALLOWES, L7 sEt&ACXS 6,41 torCCjDkAGIE PFTORGSEO "LLCU'lo, 77T ?111/ 11-11R, "oo mp" FEAR 7/ PT 71 ./0 In m 1477%�Z IT IT- - YW' -7 0 AGEATION 0 co—f-cAL 0, cw�GJE or use 0 REWNEEL 0-- I z I I * "'DICTE ff� c"i *.0 1 0 TTER— IT 0 [KuousN b o'K G= 0 0 w[TV, op SIG. om"I'mc �o- to TIE NC "to—c q TKISP[RWAVT"ORgZY.SWCY�EWO"M?tD- TIE WIRE ON PRffATE PROPER" OULV- AITT COMSTRULTIOU PWPAX MUM (CU�B&WDEWALMD�AYS."�"�l�m� SEPARATE "`—ss� PIRTUTTAPHL)TCA� I" "S PE-7 UUTT: I YEAR - PRO"IDED 0.. a sAFTEG PRITHIH I. GAn Siu-ccE5CAs M 9E., I, HIS OR HER SFCkTSE HEIRS. ASSITG,� OF 2 47 INT�ll[-;E AGREES To mm,,o � HGAD HARTUL-Css E=M TRASHINGTOTi. ITS OFFICALL WKMEE& Ai,,, �,,.S lRom, AnD A,TlSTHG ol� THEPREc— LOT AREA C.EC.ED T�, 0 PROORM WSPECTKM PER UE- FINAL INSPECTION REOUIRED LVALUATION FEE qc� STATE SURCK—A sm—.-,—A,as E� FISPEC�IEE t A 0 V A,,CLA�rCRGAAAGES(Y—EWA HATUTW- FRov THE ISStjAHCE OF THIS PIEMT. OF AL"'o"' ft-C.EClTDEPOSTT C DEEIAEOTOVOCIFY.WAIVEORPEOLICE NORuW7W&H—TSEC�AIlUIT`TME,1-dO-CE— TOTAL A.0,— o-,E Vag EA0 TTPS APPLICA�. —I ACKNOMEDGE THAT I KHIE RE GIVEN IS RECT. AHO ,,AT I W THE 0,T,,,EF, on `-- OL'L', AUTHO"Im AGENT OF APPLICATION APPROVAL . . . . . . . . . . . . . . THE OZROR IAGqEETO�PLY�C�ANDSTAn�m��CO�T-Ll- TH E VTO A K A U T, 0 TIZED THE RE 8`l. 4 0 P"LL S' EV.ftD",f CALL "' . 't TtON: All[) 00 �-O, OF THE LAITC1 CODE 01 'HE SlIn OF FTEL' WoRi COU,,HSA,,,H WSU"�S A� RCW 14 27. FOR INSPECTION PH OR.. (425) 1 771-0220 T. L IT IS UNLAV/F L �. TO USE OR OCCUPY A BUILDING OR STRUCTURE UN OR A CERTIFI- EUa. -1. VdKCT A FINAL IN CTION HAS BEEN %IADE AND APPROVAL P C E OF OCCUPANCY HAS BEEN GRANTED- UBC SECTION 109 'IT N, A 'R -C-OP. CITY DEC 2 /A. Z AIr C.7 //,J ut-tiuw-:Myt'--) —4t Ito. fol- -7,e "o3, a J Co, r ;.V4 '0 101 Nx N-12 A OS ACCEPTABLE TIGHTLINE MATEFWAL Sch 40 pVC lob SOR 35 (AST-M J�l t"82W97%)-J Au- A- &a TX9 f:tV)fJD--, UX 4ovm- 01) e4& APPNOVED Ito W-1�4 INL 6AIR�, qkAe. 96-21;" , 41A G ARP VED BY PLANN!N MpEf-MS AAEA / JMA*v 8, 0' - " - - t,6(a , I . 71 vw y ,3Y3 slf -22-'V' 10 7' s000 NO. A�p Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site AddresslUcation: 18106 Andover- St. Edmonds, Wa. 98026-5427 RECEIVED 2. Property Tax Account Number: 1827-041-014-0007 3. Approximate Site Size (acres or square fed): 15225 Square f eet MAY 1 2 1994 4. Is this site currently developed? YiF,-, yes; no. PERMIT rV'GU-6,' r,-R If yes; how is site developed? Residential Structure Aprox. 50 Yrs. old 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 10-feet over a horizontal distance of 66-feet). XXX Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical, rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: NO ;Approx. Depth: NONE 7. Site contains areas of seasonal standing water: NO Approx. Depth: NONE What season(s) of the year? NONE 8. Site is in the floodway NO floodplain NO of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? NO Flows are seasonal? NO (What time of year? NONE 10. Site is primarily: forested NO ;meadow NO shrubs NO ;mixed NO urban landscaped (lawnshrubs etc) YES 11. Obvious wedand is present on site: NO For City� Staff Use GWy 1. Site is Zoned? 2. SCS mapped soil type(s)? 3, Wetland inveinik" or C.A., map indicates wedand present on site? 4.- Critical Areas inventeiry Or' C.A. map indicates Critical Area on site? A4, .5. .-.Site within designated earth sibsidencelandslide hazard -area? 6. - Site desi&ated on the Erivirownentally-Seisitive Areas Map? DETERMINATION STUDY REQUIRED CONDMONAL WAIVER - W*AIVER Reviewed by: D;jg RCV 01M4194 40 .. 40. 090 .119" City of Edmon& Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmondsprior 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. Ile 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, ROBERT W.& MILLICENT M. HULL 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: Robert W. & Millicent M. Hull Name 18106 Andover St. Street Addrm Edmonds, Wa. 98026-5427 775-1209 Q tate, ZIP Phone \5� kih'm . Date Name City, State, ZEP Phone S4nahm Date 0 q C NO. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Locatioft: 18106 Andover St. Edmonds, Wa. 98026-5427 2. Property Tax Acco . unt Number: 1827-041-014-0007 Approximate Site Size (acres or square feet): 15225 Square f eet RECEIVED MAY 1 2 1994 1 4. Is this site currently developed? Y-F.-, yes; no. IT OJN! PERM. If yes; how is site developed? Residential Structure Aprox. 50 Yrs. old 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 10-feet over a horizontal distance of 66-feet). XXX Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater tha n 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: NO Approx I Depth: NONE 7. Site contains areas of seasonal standing water: NO Approx. Depth: NONE What season(s) of the year? NONE 8. Site is in the floodway NO floodplam NO of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? NO Flows are seasonal? NO (What time of year? NONE 10. Site is primarily: forested NO ; meadow NO ; shrubs NO ;mixed NO urban landscaped Qawn,shrubs etc) IES 11. Obvious wedand is present on site: NO RcV 01/04194 6,91) -194- City of Edmon& Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmondsprior 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, ROBERT W.& MILLICENT M. RULL 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Robert W. & Millicent M. Hull Name 18106 Andover St. Street Address Edmonds, Wa. 98026-5427 775-1209 ate, ZIP Phone i Date Applicant Representative: Nanid Street Address city, State, ZIP Phone Signatme Date *AGRA Earth & Environmental 4 April 1995 11-10203-00 Mr. Robert Hull 18106 Andover Street Edmonds, Washington 98020 slgf.5 CK-11L.Vury Subject: Limited Geotechnical Engineering Study -Proposed Residence 18106 Andover Street Edmonds, Washington 98020 Dear Mr. Hull: AGRA Earth & Environmental, Inc. 11335 N E 122nd Way Suite 100 Kirkland, Washington U.S.A. 98034-6918 Tel (206) 820-4669 Fax (206) 821-3914 RECEIVED JUN 0 8 1995 PERMrrcouNMR This letter report presents the results of our Subsurface Exploration and Geotechnical Engineering Evaluation for the above -referenced site. The approximate locations of the explorations performed for this study are presented on the Site & Exploration Plan, Figure 1.. Soil logs with interpretive descriptions of the subsurface conditions encountered at the test pit locations are also enclosed. The purpose of this study was to establish general subsurface conditions at the site from which recommendations regarding foundation design and site improvement could be formulated. The scope of our services consisted of a field exploration program, visual assessment of site conditions, geotechnical engineering analyses, and preparation of this report. The geotechnical conclusions and recommendations contained in this report are base.d on the soil conditions encountered in the 3 hand -excavated -test pits advanced on the subject parcel. It should be noted that soil conditions may vary across the site and from those disclosed by our test pits. For this reason, we recommend that we be allowed to observe prepared foundation subgrade conditions and other geotechnically relevant items covered bythis report. SITE AND PROJECT DESCRIPTION The proposed new residence will be constructed at 18106 Andover Street in Edmonds, Washington. The subject parcel is currently occupied by a wood -frame residence which is reportedly approximately 40 years old. The site slopes down to the north and east to a paved driveway. The current structure includes a basement/garage which partially to fully daylights on the north and east sides. An 8-foot embankment slopes rapidly down to. the adjacent lot at the west property line. A 5-foot high rockery wall is situated along the western half of the Engineering & Environmental Services Mr. Robert Hull 4 April 1995 11-10203-00 Page 2 south property line on the adjacent property. From the top of this rockery, an embankment slopes up approximately 5 feet at an estimated angle of 2H: 1 V (Horizontal:Vertical) to the neighboring, fenced yard. From plans provided to us, we understand the new residence will consist of a 2 story, wood frame structure situated at the approximate location of the existing house. The lower story will be a daylighted basement including a garage, storage area, and root cellar. Although finished floor elevations were not printed on the plans provided to us, we estimate that the basement floor elevation will be approximately at elevation 100. Based on this information, we anticipate that temporary cut slopes on the order of 10 to 12 feet high will be required to construct foundation elements along the south edge of the structure. SUBSURFACE EXPLORATION 'The subsurface exploration program performed for this project consisted of excavating 3 test pits by hand methods at the approximate locations shown on the Site & Exploration Plan, Figure 1. The exploration locations were determined by hand taping from existing site features and should be considered accurate only to the degree implied by this method. The explorations extended from 2.5 to 6.0 feet below the existing ground surface and were advanced and logged in the field by a geotechnical engineer from our firm. The exploration logs enclosed with this letter are based on interpretations made in the field. The logs indicate the various types of soils encountered at the exploration locations. The relative densities of the soils indicated on the logs are interpretive descriptions based on the excavation characteristics and evaluation of the excavated soils. The logs also indicate the depth where the strata or characteristics of the strata changed, although the changes indicated may have been gradual. Hand -excavated test pit TP-1 advanced near the northeast corner of the future structure revealed a thin layer of fill material including large amounts of rotten wood and some glass and organic -rich soil extending from the surface to approximately 0.9 feet. From 0.9 to 2.0 feet, our test pit revealed what we interpreted to be native deposits of loose, moist, orange - brown silty fine sand with some gravel. At approximately 2 feet the subsurface material became tan and graded to medium dense with an increased small gravel content. Below 3 feet, the material gradually became denser and wetter. This medium dense, moist to wet, tan silty sand with some gravel extended to the full 4-foot depth explored. Test pit TP-2, excavated near the northwest corner of the future residence, revealed approximately 6 inches of sod and topsoil. From a depth of approximately 0.5 to 4.0 feet, this exploration encountered a medium dense, moist to wet, gray -tan slightly silty medium to coarse, gravelly sand with some randomly occurring cobbles. Below 4 feet, the material appeared to become slightly denser with a slightly decreased silt content. This material extended to the full 6-foot depth explored. A G R A Earth & Environmental Mr. Robert Hull 4 April 1995 11-10203-00 Page 3 Test pit TP-3, excavated on the south side of the future residence, revealed 6 inches of sod underlain by medium dense to dense deposits of moist to wet, gray gravelly silty sand. Based on the conditions encountered in these 3 explorations, it appears that the project site is generally underlain by medium dense to dense deposits of somewhat silty, gravelly sand with occasional cobbles. No groundwater was encountered in any of our test pits. However, it is possible that perched groundwater conditions could develop above zones of siltier soils which would slow the downward percolation of surface water and force lateral migration of this moisture which could daylight in excavations. CONCLUSIONS AND RECOMMENDATIONS In our opinion the proposed development of the site is feasible from a geotechnical standpoint. The soils encountered at the site in our test pit excavations are favorable for support of the proposed structure. It appears that slopes excavated for construction of the south basement/root cellar wall will require temporary shoring to avoid over -steep cuts and provide adequate set backs from the existing rockery. Specific geotechnical recommendations for this project are presented in the following paragraphs. Prior to site grading, any site surface and groundwater should be collected and routed away to a proper drainage. Mitigative measures to collect/divert seepage away from the building pad should be completed as soon as possible to protect exposed subgrades. This could be done by constructing collection ditches at the base of cuts where groundwater seepage occurs. Once surface water runoff and groundwater seepage are controlled, all building and pavement areas should be cleared of trees, stumps, brush, sod, topsoil, and uncontrolled fill materials if encountered. All fill placed in foundation and pavement subgrade areas should be placed as "structural fill". All surfaces to receive structural fill should be stripped of topsoil, loose and soft to medium stiff native materials, and any existing fill material. Based on the subsurface conditions encountered at our explorations, we anticipate that stripping depths on the order of 2 % to 3 feet will be required when native soils are encountered at the surface and deeper in areas of uncontrolled fill deposits. Structural fill should be placed in loose lifts not exceeding 8 inches in thickness. Individual lifts should be compacted such that a density of at least 90 percent of the modified Proctor maximum dry de * nsity (ASTM:D-1 557) is achieved. Where the ground to receive fill slopes more steeply than 5H: 1 V, the base of the fill should be tied to the firm, stable subgrade by appropriate keying and benching. The suitability of soils used for structural fill depends primarily on the gradation and moisture content of the soil when it is placed. Silty soils containing more than about 5 percent fines by weight, such as the site soils, cannot be consistently compacted to a firm and non -yielding condition when the moisture content is more than about 2 percent over optimum. The optimum moisture content is that which will allow the greatest density under a given compactive effort. Site soils consist primarily of silts and, as such, would be difficult� or impossible to compact during wet 0 AG R A Earth & Environmental Mr. Robert Hull 11-10203-00 4 April 1995 Page 4 weather. Even during the summer, delays in grading may occur due to precipitation or the presence of surface or groundwater. In wet weather or wet site conditions, fill placement may require the use of imported, select granular material. Permanent cut slopes should be planned with slopes no steeper than 2H: 1 V. . If slopes are to be made steeper than this, an engineered retaining structure is suggested such as a conventional retaining wall or other pre -manufactured engineered block wall such as a geotextile-reinforced "Keystone" wall. Where possible native vegetation should be maintained on slopes to protect slope soils from erosion. Vegetation should be reestablished on cut slopes or fill embankments as soon as possible and slopes should be protected from runoff until vegetation is thoroughly established. Runoff should be routed away from slope faces as well. The stability of temporary cut slopes is a function of many factors, including the following: the presence and abundance of groundwater, the type and density of the various soil strata, the depth of cut, surcharge loads adjacent to the. excavation, and the length of time the excavation remains open. Consequently, it is exceedingly difficult to pre -establish a safe and "maintenance -free" cut slope angle. This should therefore be the responsibility of the contractor who would continuously be at the job site to observe the nature and condition of the subsurface materials encountered. We recommend that any temporary cut or excavation deeper than 4 feet be adequately sloped or braced to prevent injury to workmen from localized sloughing and spalling. For preliminary estimating purposes, such temporary, unsupported cut slopes within the gravelly sands should not exceed 1 H: 1 V (Horizontal:Vertical). If seepage zones are encountered in the temporary cut slopes, the inclination of the excavation walls may have to be flatter (on the order of 1.5H: 1 V). Temporary slopes should be draped with Visqueen or other means to protect them from the elements and minimize sloughing or erosion. All excavations should be completed in accordance with applicable federal, state, or local safety codes. The, provisions for adequate. sloping or bracing of the excavation should be made the responsibility of the contractor.. The contractor would be present on site on a full-time basis and would therefore be able to provide the most suitable excavation sloping or shoring system, as well as monitoring its performance. From the plans provided.to us, it appears that temporary cut slopes on the order of 10 feet high will be requiredfor construction of the south basement wal,l footing located 10 to 12 feet laterally from the existing rockery to the south. We re -commend that a, minimum horizontal setback.of 5 feet be provided from the toe of the rockery to the top of the cut.slope. It appears that cuts made at the maximum recommended slope angle of 1H:1V would not provide this minimum lateral setback. In addition, gross slope stability could be reduced if the angle extending from the base of the cut to the top of the rockery is steeper than 1 H: 1 V. We anticipate that the cut will therefore require a near -vertical component extending to a height LOF A G R A Earth & Environmental u .. -, 4? 1 Mr. Robert Hull 11-10203-00 4 April 1995 Page 5 at - which the soils can subsequently be cut at a slope of 1 H: 1 V to daylight at the minimum recommended setback distance of 5 feet from the rockery base. The vertical component of the cut must be provided with a suitable shoring system to provide for worker safety and maintain gross slope stability. For temporary slope bracing, one possible system could include stacked concrete ecology blocks placed against the cut surface. The blocks should be embedded at least 1 foot at the toe, be stacked no more than three high and battered at least 1 H:6V. Any space between the blocks and cut surface should be immediately backfilled with pea gravel. Following construction of the basement walls, backfilling of the excavation should be accomplished without removal of the ecology blocks which would continue to provide embankment support during the backfilling procedure. Alternatively, a more elaborate shoring Isystem could be designed or a slope easement obtained from the neighboring property owner. Retaining walls or basement walls backfilled on one side only, which are constructed so as to allow some deflection during backfill placement, may be designed to resist an active pressure equivalent to a fluid weight of 35 pounds per cubic foot (pcf). Backfilled walls that -are restrained structurally from lateral movement or by stiffness, can be designed for an equivalent fluid unit weight of 55 pcf. A minimum width of 2 feet of free -draining, clean, gran * ular backfill should extend from the base of the wall to within 1 foot of the ground surface, to preclude the buildup of hydrostatic pressures. The upper foot of backfill should consist of silty soils intended to cap the wall drainage material and reduce surface water infiltration directly into the backfill zone. To resist sliding, an allowable passive resistance of 275 pcf, expressed as an equivalent fluid pressure, may be assumed for each foot of penetration below the lowest adjacent slab grade or ground surface, neglecting the first foot. An allowable foundation base friction coefficient value of 0.35 is recommended. Surcharges due to sloping ground, adjacent footings, vehicles, construction equipment, etc. must be added to the equivalent fluid unit weight. For a uniformly distributed load behind a backf illed wall, the corresponding, uniformly distributed lateral earth pressure would equal 35 percent of the vertical load for a yielding wall and 55 percent of the vertical load for a non -yielding wall. These surcharge pressures should be added to the equivalent fluid pressures. These values incorporate a factor of safety of at least 1.5. We recommend that we be retained to Ireview these design values if they are applied to walls greater than 12 feet in height. The proposed residence may be supported by conventional spread footings. We recommend that footings founded on the medium dense or denser granular native soils encountered in our test pits, or structural fill which was placed over suitable native deposits and compacted to at least 90 percent of the modified Proctor maximum dry density, be designed for a maximum allowable soil bearing capacity of 2,000pounds per square foot (psf). This bearing capacities may be increased by up to one-third to accommodate transient, dynamic forces such as seismic or wind loadings. The foundation should not be set in or above loose or disturbed soil, uncompacted fill, or any existing uncontrolled fill or topsoil, such as the near -surface soils encountered in test pit exploration TP-1. / All IWAGRA Earth & Environmental Mr. Robert Hull 11-10203-00 4 April 1995 Page 6 The contra ctor should avoid disturbance of the bearing soils and limit traffic across the prepared building pad, foundation areas, or prepared subgrades when the ground is damp or wet. All footings should have a minimum width of 12 inches. We recommend that the base of all exterior spread footings be located at least 1.8 inches below the lowest adjacent grade or floor slab. Interior footings must penetrate at least 12 inches below surrounding grade. We recommend that the condition of all footing excavations be observed by a representative of AGRA prior to concrete placement to confirm that the condition of the bearing soils are consistent with those assumed during design. Garage floor slabs and other slab -on -grade floors should be founded on either undisturbed, native medium dense or denser granular soils encountered in our test pits or on properly placed and compacted structural fill. We recommend that floor slabs be underlain by a minimum 4-inch thickness of "clean", coarse sand and gravel, crushed rock or pea gravel to serve as a capillary break and working surface. The capillary break should contain at least 50 percent (by weight) gravel size particles larger than the U.S. No. 4 Sieve. The fines content of the capillary break should be limited to 3 percent by weight passing the U.S. No. 200 Sieve, based on the minus No. 4 soil fraction. An impervious moisture barrier should also be placed beneath the slab. We recommend that the residence be provided with a perimeter footing drain system to collect any available water. The footing drain system should consist of at least a 4-inch diameter perforated pipe fully enveloped in pea gravel or washed rock. The invert of the drain pipe should be installed at or slightly below the adjacent footing base. The footing drains should discharge by a tightline drain network away from the building via gravity to a storm sewer or other suitable discharge point. Site grades should be planned to slope away from the house, and to avoid surface ponding. Roof and surface runoff should not discharge into the footing drain system. Instead, a separate tightline drain network should be installed. Runoff should not be allowed to flow across the surface of site slopes as this could lead to increased erosion. CLOSURE The conclusions and recommendations presented in this report are based upon the data obtained from the test pit explorations shown on the Site & Exploration Plan. The number, location and depth of the explorations were completed within the site and scope constraints so as to yield the information to formulate our recommendations. If any modifications of the project as discussed in this report are made, we recommend that we be provided the opportunity to review the recommendations and considerations provided herein to determine whether any changes are appropriate. The integrity and performance of foundation systems depend greatly on proper site preparation and construction procedures. We recommend that AGRA Earth & Environmental be retained to provide the geotechnical engineering services during earthwork and foundation construction phases of the project. /Av WAGRA Earth & Environmental Mr. Robert Hull 11-10203-00 4 April 1995 Page 7 We appreciate this opportunity to be of service to you and would be pleased to discuss the contents of this report or other aspects of the project with you at your convenience. Respectfully submitted, AGRA Earth & Environmental, Inc. I Nldatq�M. Rdinders Staff Geotechnical Engineer ID. MEk A& "n ?tL;td-) - Kurt D. Merriman, P.E. I T Associate NAL ?I EXPIRES 11 / 20 Enclosures: Figure 1 - Site & Exploration Plan Test Pit Logs MMR/KDM/lad /A% WAGRA Earth & Environmental PF EXISTING DRI�EWAY TO REMAIN 22 LF 36' CMP S*O"' =Z=7 NOM TIGHnW DOWNSPOUT TO STORM SYSTEM w/s- III LwcmSl0pR 3 s- 0.004 o "a OU 03T U LOCATIONS A 0 PPRO TE ITYPI \ T1 RI TP-2 or 1 E TP— I PROPOSED y RI y if R III y NEW P AV 0 PARKING NOTE - GRADE PARKING Am'� TO ORA. To Cl. 11A MIN. SLOPE 9% MAx. SLOPE. PATIO 1 0 INTP-3 FOO TING oft S SHALL NOT Of CONNECTE TO , t TJ 4�!ENTION SYSIR. E ISTING HOUSE TXO BE DEMOLISHED to -- 1-1 N 88' 43"bq.7 E A?.??* N A LEGEND TP-3 HAND EXCAVATED TEST PIT N.UMBER AND APPROXIMATE LOCATION E al 0 20 SCALE IN FEET DRAWING BASED ON DRAINAGE PLAN PROVIDED BY CLIENT. Al W Sr 47- E 145.00' BROWZ BA Y Sw 17-M 17 PL 7 174TH_ W 7 v9TH Sw t IT- T. (74 "o R )OK - LIsT .2 AL;w PL Im 181rH 85 PL SW PK PL 94 187TH I 187 S Sw PL Sw Ew : Psw 188TH i it Mz SW 31, 190TH.IST SW Mk- ST ;T W 191ST ST mn 192ND ST Sw v pt 2. U.-UN -I 3c PL !Sr ;w i 19 ST Sw ! 77, DR am sm: t9m. if p" w wy 198T ;ST 199T4 �Sw ST TJ �� -9,9 'lly 200TH, ST SW 5'-aU ;-IST �tl SIER 202ND S: 21 ST Sw SIER m 2031 ;�D zt sr. iw 5: PIME z !206TH i jST Sw"r OR 20 ST "' XEA00M2Uf=.' PLAYFIELMZl 8T ST ST 17 ST IZT 176TN PL sw 17 !T IqTH ST 193RD Iw sw m- sm J- is PL SW ISM PL SW FS L P1 I 189TH PL SW,.. 190 r" ST Sw 9k 19M PL Sw I 191ST 91ST 11) PL PL Sw !1-1-92 D�-PL P-L 1*19 �zl 196TH I sw �j PE 197TH ST Sw -El -d4 oil; I 19917H ST SW, mwoo I ST I SW MOTU 'IT rll—'sT -LT 20�ND �T mom -FL Sw Ca"AlTy ST SN COLLEGE 21 19'm 1 3c YOST Z�i!2119ZNLI. 20TIN PL I KPORIAL PAFX 44- 'S 1,_212TH 2120: K4'0 sr 5,61 vt , -- f , I 3 -T LOCATION MAP W.O. 11-10203� 40 Ao' WAGRA DESIGN mmg 5 awth & avironmental DRAWN DMW 11335 NE 122nd Way, Suite 100 DATE MAR Kirkland, Washington, U.S.A. 98034-6918 SCALE NOTED KID .—Af— H 39 31 ilk I M C"' �sw I Sw PARK 213TH 21�, Sw El ZIAN PROPOSED HULL RESIDENCE 18106 ANDOVER STREET EDMONDS, WASHINGTON SITE & EXPLORATION PLAN FIGURE I Depth (feet) Material Description TEST PIT LOGS Test Pit TP-1 Location: Approximate ground surface elevation: 97 feet 0.0-0.9 Loose, moist, organic -rich silty SAND with abundant rotten wood, and some debris (Fill). 0.9-2.0 Loose, moist, orange -brown, silty fine SAND with trace fine gravel. 2.0-3.0 Medium dense, moist, tan, silty fine to medium SAND with some small gravel. 3.0-3.5 Medium dense to dense, moist to wet, tan, silty SAND with some gravel. Test pit terminated at approximately 3.5 feet. No caving observed. No seepage observed. Test Pit TP-2 Location: Approximate ground surface elevation: 104 feet 0.0-0.5 Sod/Topsoil. 0.5-4.0 Medium dense, wet, gray, slightly silty, gravelly, medium to coarse SAND with cobbles. 4.0-6.0 Medium dense to dense, moist to wet, gray, gravelly SAND with gravel and silt. Test pit terminated at approximately 6 feet. No caving observed. No seepage observed. 11-10203-00 11-10203-00 Test Pit Log, Page 2 Depth (feet) Material Descriotion Test Pit TP-3 Location: Approximate ground surface elevation: 109 feet 0.0-0.5 Sod/Topsoil. 0.5-2.5 Medium dense to dense, wet, gray, gravelly SAND with some silt to silty. Test pit terminated at approximately 2.5 feet. No caving observed. No seepage observed. Date excavated: 23 March 1995 Logged by: MMR PLANNING DATA NIMMAIMR.72 SITE ADDRESS:- Iq 101PAndadJr DATE: 17,19-q ZONING:Z. 1?, —PLAN CHK#: CORNERLO (Yes/No) FLAG LOT (Yes/No) -4 SETBACKS: ID /0 Required etbacks: Front-'F< Left Side: Right Side: Rear: Actual Setbacks: j Front: 10 Left Side: /0 Right Side: Rear: ��es7No) Street map checked for additional setback required?_T�- LEGAL NONCONFORMING LAND USE DETERMINATION ISSUEDA) (Y/N) LOT COVERAGE: Maximum Allowed: :Ml/ ------7- 0 —Actual:- Maximum Allowed: Actual Height: J 2,7 'j70 BUILDING HEIGHT: ", � )7,7 Datum Point: Vdt U-0 —Datum Elevation: A.D.U. CREATED?: N SUBDIVISION: CRITICALAREAS#: SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: ckfi1cskperrWt%^p1andad= 40 I 11---VF101n STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET ek—Elyl CALC BY: OWNER PHONE. rSS ADDRr!,SS DATE. .... i-DESIGN DA 7A IA PIPE LG ORIFICE IMPERVIOUS AREA PIPE D .5000 U - - - 71&v —NJ'40 LID C.L) 4. or =C 3m at m" _U To a r-7 DEC 2 2 i—i ourm em"m UPPER CATCH BASIN C13NTPOL CATCF. BASIN SYSTEM CROSS SECT[O� ElIrXV.DEEP. 4-6- SPALL, (P EDL-L rRom mpnm- a rx z-x I. mco. 3/.. crupcz am ZT114 00,21C co -rem aunr Q= RIMIT EW PVC RUNOFF SPREADER -TRENCH F0077NG DRAINS SHALL NOT BE COAWECTED YO DETEN77ON SYSTEM NOM.- 1. CAII Engineering Division Ml-MO) for a tightline and ddw,ti= systern inspection APPROVED BY before backfilling md for fuml inspoctioo� 2, Responsibility for opemti= md maint=31ow OfIlmi"29" "Y"cres; or Pr'vde Property's the -b; tyofLhepr on=. , Wed respo= Ii opetty .flmrial accumu in the stomgc pipe must be flushed basia to allow PfW- OP-6— The Outlet ""nol orifim DATE outand ed front the catch W rem"' must be k mm 2;WK5, CITY OF EDMONDS SIDE SEWER PERMIT ,9 9 0 1 9 PERMIT N2 9035 Address of Construction: 141oen,1,E4 Property Legal Description (Include all easements): A� Owner and/Qr Contractor: 4,) U'i < �_!r 7% State License No. Building Permit No. 5:1 M?�Ingle Family 0 Multi -family, (No. of Units El Commercial 0 Public TREATMENT PLANT; Invasion into City Right-of-Way:O No M-'�es . RW Construction Permit No. Cross other Private Property: 2"No 13 Yes legal description and copy of recorded easement I certify tha;,4�avellreab and shall comply with all city requirements as indicated on the back of the Permit Card. Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY FOR INSPECTION CALL 771-SM, PUBLI &D C?A1?1_57 Permit Fee: Issued By Trunk Charge: Date Issued: — Assessment Fee: Receipt No.:—' ORKS DEPT. * 7- G Lid No.: Partial Inspection: Date -Initial Comments Reason Rejected: — — Final Inspection Approved: Date 6-�L- OF lnitial_JZL� L-.-,,al Date —initial. PERMIT MUSTBE POSTED'ON JOB SITE White Copy:. File' GreenCopy:-Insp6mr Buff Copy: Applic , ant Revised 3.190 Side Sewer Drawing The City of Edmonds EASEMENT NO . ..... -------------------- NEW CONSTRUCTION REPAIRS F I LID NO . ....... ........ ...ASMT. NO. I ................. OWNER ........ ------------------------------------------------------- ........... .................. CONTRACTOR ....... ------------ PERMIT NO. ..................... ..................... JOB ADDRESS ....... ............... I .................. LEGAL DESCRIPTION: LOT NO . ..... — .............................. BLOCK NO . ........................... NAMEOF ADDITION ........ ...... .......................................... ........................................................... Igloo C/o :j 3 $ 8 4 19 1 — q 11 PVC Vr -4- 410- Oeep Sewer mo.(^ AnAoyer Approved: DATE ..................... By PWW.0001-1 1175 (REV. 11178) 0? e . ..................... APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS F� LID NO. ASMT. NO. ---S ----------- 1:32-cD OWNER CONTRACTOR --- \N FJ'� E-) E� L- L - ------- �=t.l A PERMIT NO. --4- -------------------- --------------------------------------------------------------------------- --- - .. ............... . ---------------- JOB ADDRESS --- -------- (f D\/ - E R� RD LC) LEGAL DESCRIPTION: LOT NO. -NTTL�<R �;;� -------- BLOCK NO - ------------------------------------ NAMEOF ADDITION -------------------------------------------------------- ----------- - -------------------------------------------------- A&V ---------- DATE By ...... The City of Edmonds OWNER ... JOB ADDRESS ------ --- ( � --- uj --j "N-ftft L-0 W c/) APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS E] 4 EASEMENT NO - ---------------- ---------- LID NO. --,/ ------- ASMT. NO. -------- CONTRACTOR ------------------------- --------------------- ---------------------------- PERMIT NO. LEGAL DESCRIPTION: LOT NO - ------------ ------------------------- BLOCK NO - ------------ - ...... -- ----------- -------------------------- ------------------------- --------------------------------------------------------------------------------------------------- I ITION --------------- Rer-F-1115D jlj% I � 1�74 Approved: DATE................... ------------------------ By ------------------------------------------------------------ Wendell and Annette Faneuf Property located - 18106 Andover Road Edmonds, Wa. 98020 Legal Description: All that portion of the northwest quarter of the northeast quarter, in Secti:orr 18, Township 27 North, Range 4, E-WM., as fbllows: Beginning at a point on the west line of Andover Street, 225 'feet north of -center line of Belmont Avenue; thence north 90 .feet; thence west parallel to Belmont Avenue, 280 feet; thence south 90 feet; thence, east 280 feet to the point of beginning. Being a portion of vacated Block 7, First Addition to the City of Edmonds, in Snohomish County., According to plat recorded in Volume 2 of Plats, Page 31, records of Snohomish County, Together with.the east one half of vacated Exeter Street2 adjacent theretd and the south one half of vacated Ashland Avenue adjacent thereto and vacated alley in said portion of said Block 7. 31IJ 40 0 C. = 0 City of Edm. RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. 00 — Lssue Date: j�tp I On A. Address or Vicinity of Construction: 15,104 Ambv" S77 B. Type ofWork (be specific):* 54!&&�& '44AWhe e C. Contractor: 4MMAO 4�wo_ o-4 op Contact:" Ir-F VeAlAS Mailing Address: '�t2 /9 /FJ "Al 10/ S%46) Phone: 2C4 49 7 70 �P StateLicense#: 45062A -030JCI Liability insurance: Bond.: $ D. Building Permit# (if applicable): E. El Commercial ElAbdivision E] City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) Multi -Family Single Family n Other INSPECTOR: INSPECTOR: F_ Pavement or Concrete Cut: Yes []No G. Size of Cut: x H. Chargq�_$ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its deparlm�nts or employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TIONAND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Two sets of construction drawings of proposed work required with permit application.. 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. Rekoration 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 trench work shall be patched with asphalt or.City approved. material prior to the end of the working day; - NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy. of the permit will be available on site at all timesfor inspection rposes. Signature: Date: ,9 /(Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY - APPROVED BY: V TIME AUTHORIZED: VOID AFTER CIO DAYS SPECIAL CONDITIONS: RIGHT OF WAY FEE: DISRUP11ON FEF/FU`ND I 11: RESTORATION FEE: T OTAL FEE: RECEIPT NO.: ISSUED BY: ..-r k-41aw JL_ /z4m. V� NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE . Eng. Di� 1997