18514 88TH AVE W.PDF111111111111
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18514 88TH AVE W
City of Edmonds Permit No:C;M6d11_1
RIGIIT�-O&WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction:
C. Contractor7SMbLffii—�\ C00A-4 PJ 0 Contact:
Mailing Address: PC)F�" Ile—? 5S?d,,Phone:
State License #:
City Business License #:
D. Buildifig Permit # (if applicable):
E. F� Commercial
F-1 Multi -Family
INSPECTOR:
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
El Subdivision El City Project EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
El Single Family F Other
I I I- I / .4 /0
F. PAVEMENT CUT: [I YES &NO G. SIZE OF CUT x
G. rC CRETE CUT: EJ YES NO
ail Approved Permit Call for Pickup
APPLICANT TO READ AND SIGN
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, foreseen 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 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 TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required 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 City -
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 REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signaturdy'_NAAAI'�2_L !"14 — n'O"-AA,�4- ( ocyc�' ylc�� Date: t hz) ,,s-
(Contractot or Age it)
L/
REQUIRED INSPECTIONS:
Call 425-771-0220, Ext. 1326for a 24-hour v., e- corded rn request line
FINAL APPROVAL OF PERMITTED WORK:, DATE
1/4) 0 (�_K N'-� OZA 1.,MA J 1,-mi'v -Aspector's Signature
CADocurnents and SettingsTurtisNy Documents\Fonns\Engnrng\ROWpermit_.doc
Revised 10/01/03
ROAD
DNSTRtc7lom
AMCIkD
SEET. TE I
<aNt LAWE
ROAD
AWEAD CW20-4) SEE N13TE I
SEE NOTE I
30'
TABLE A
SPEED
Cmpk)
TAPER LENGTH
cFT)
CONE SPACING
LONG TAPER
A (FT)
-
OFFiET-VIDTH
10, 12-
25
100
120
25
30
150,
ISO
30
35_
200
240,
35
40
270
3p—o
40
45�45�01
540
45
NOTE;
1. DISTANCE BETVEEN SIGNS SMALL
BE Zoo'FOR RESIDENTIAL
STRELIS (25 MPH), AND
poo- FOR ARTERIAL ROADWAYS
2. FLASHING BEACON SHALL BE
INSTALLED AT EACH slam roR
NIGHT-TIME USE.
3. DISTANCES MAY VARY AS APPROVED
By THE ENGINEER.
4. FLAGGERS REOUIRED TO CWROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE,VORK SITE WITH
KATERIALS OR EQUIPMENT.
LECEND:
ig 03NE OR CHANNELIZING DEVICE
CSEE STD 7-14)
101HROVED AS NOTED
BY ENGINEERING
I I 1 -11 J, I
IV
Date:
WORK AREA
—TRUCK vrrH
FLASHING OR WITH
BEACON <
30'
TAPCR LENGTH/m
(T ABLE A)
SEt NOTE 1 0
(9;1�4 A)
SEE NOTE I "\ r*" c::—_
LAAC
AHEAD
+ <
SEE NOTE I
Rm
Aw"
cz TRAFFIC CONTROL PLAN
f--
44 2 LANE ROADWAY: ONE LANE CLOSED WITH
ALTERNATING ONE-VAY TRAFFIC AND FLAGGERS
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 18514 88TH AVE WEST
SOUTH
COUNTY AREA
POLE NO. 2-83 NW 1/4S 18 T 27 R 04
DATE 06/14/04
W.O. NO.
341728
REASON FOR WORK
ENGINEER A. RIFE
TASK
03
REPLACE BO POLE
DRAFTER A. RIFE
U.G. NO.
SCALE -
1"-100'
DATE WORK COMPLETED
APPROVED qv�
&
DATE PRINTED
FOREMAN
FEES REQ'D 0 YES ENO
PRIMARY OVERHEAD
0 RESIDENTIAL
0 COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
METER/CONV.POLE s
PRIMARY UNDERGROUND
0 RESIDENTIAL
0 COMMERCIAL
BASIC FEE S_
LEU NO.
SECONDARY UNDERGROUND
BASIC FEE 3
UNDERGROUND PLAT
BASIC FEE S
q FT.0 =s
STREET LIGHTING
q FT.0 =$
WORK IN RIGHT OF WAY
0 PRIMARY
0 SECONDARY
rt FT.0 .=$
MISCELLANEOUS FEES
VAULT S_
PERMIT $_
s
3
$_
TOTAL DUE S_
DATE PAID
RECEIPT NO.
NEW SVCE APPLICATION
LEGEND:
0 EXISTING POLE
EXISTING POLE —TO
NEW POLE
ENVIRONMENTAL ANALYSIS
0 EXEMPT 0 NOT EXEMPT
PARA. 18= ITEM C_
O.H. U.G. COND. KV
ADD Ci�f. FT. PH
REM CKT.FT. PH
NET CKT.FT.
O.H. U.G. COND. KV
ADD CKT.FT. PH
REM CKT.FT. PH
NET CKT.FT.
PERMITS (DATE GRANTED)
0 TREE TRIM
0 STATE
0 COUNTY
SeCITY 9C%M0AZ_c,
0
EASEMENTS
0 REQUIRED 0 NOT REQUIRED
DATE RELEASED
FOREIGN CON CTS
* VERIZON JPN NO.
* CATV JPN NO.
* JOINT TRENCH VERIZON & CATV
0 JOINT BORE VERIZON & CATV
0
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REQUIRMENTS
0 TREE TRIM 0 PUD LOCATOR
* BACKHOE E FLAGGING
* ONE CALL DATE
No.
READY
PHASING
GIS
W 0 R K I N G PXOFLMER'
DMS
FINISHED
I LINE
JOINT USE
LOCATION MAP PAGE 454J-3
BE REMOVED
DATE %I-EJD
SUBSTATION PRV
CIRCUIT NO. 12-93 PHASE 123
ENGR'S TEL. #
F425-783-85591
ENGR'S PAGER #
1425-438-7450
N
SET 45FT POLE 2FT SOUTH
FRAME POLE PER CS-12F301
HANG XFMR ASSEMBLY PER CS-12F601
TRANSFER PRI& NEUT
TRANSFER SEC SVC'S
TRANSFER SL-2968
RMV XFMR 37-13391 SER*
STRIP TOP & ABANDON POLE TO VERIZON
HANG A 1PH 25KVA XFMR 120/240/7200V
UTC* 25—
SER#
SEC V
FUSE XFMR 0 8 AMPS
L2-85 2-60
18520 > Fili
la524
M06—
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SCHEMATIC
NTS
PL SW
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)1( NEW POLE TO REPLACE EXISTING POLE
T04��. CITY OF EDMONDS
250 - 5th North
—e MONDS, WASHINGTON 98020
STREET FILE
- ------- DEPARTMENT:
SEND PARTS I AND 3 WITH CARBON INTACT, PART 1 IS RETURNED WITH REPLY
APPLICATION
for
The City of Edmond� SIDE SEWER PERMIT
Vive EASEMENT No . ..........................................
NEW CONSTRUCTION j�q REPA-IRS C)
Z /,Z) 57--�
77)
........................ I ----------------------- CONTRACTOR -1� . ........ ................... yl�-� ct �--)
OWNER ......... --------------- .................. . ............ ......... PERMIT No . .......
ADDRESS ..... 7 �E ......... LEGAL DESCRIPTION: LOT No . ................
.............. ............ ......... ..... . ......... BLOCK No .............. . ..........................
NAME OF ADDITION . ............ ......... .......... ...................
...............
I
Approved:
DATE ..........
4�
D
CITY-- OF EDMON _S�"__
Call PRoE "et 6-1107 when work
_61VIC CENTER --WATER-SEWER DEPARTMENT
is ready forinspection. (No Inspee- A10
tions Saturday, Sunday or holidays.) 2916
"SIDE SEWER PERMIT
ADDRESS ......... 88th Avenue West t -
----------- * ........................ _ ............................. ...... * ....... ...........................................................
owNER. ..... :.Di.c.k ... Stubb.:Irl -5 .................................................... CONTRACTOR ..... D & D Construction Co.
...........................................................................
Permission is granted ... 1.9 ...................... 19 ... 6.8, f or ........................ days to REPAIR or CONNECT a side sewer
�vith City Sewers In accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top, of side sewer must have at least 30 Inches coverage at property line and 12 Inches inside property line; minimum grade of 2%.
No bends In grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work wWeh may develop within one year of completion.
NOTE No. 5—It Is unlawful to alter or do any other work than is provided for In the permit, or to do any work on the main sewer or its appur-
tenances except to insert the pipe into the wye.
PLP
,ALli�' WUI�KS DI'i'Aln�1,NT 01 <-LIST
(,rALDING PER4IT REVIE Aft� 96� 1;A (_,A-90,
bTRE I -- I-wwliress) (date) — /
Street Right -of -Way Existing
REQD_LC�_�
Z
Access Easements Existing
REQD
c4
Utility Easenmt Exist'
�j
Lot Per Subdivision
Plat
Assessor.Map
Site Plan Checked for Accura
Z
Underground Wiring Reqd.
IE= s-
F4
0
Check Accuracy o; Lp-gal.Description
Z
Review by_
Date
Existing Water Main Size
Water �bin Required
Service Line Required
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code
L�o
Detector Check Meter Reqd.
0
—Size
Cross Connection Inspection
�jo
Fire Departnient Coninents
,4ater M�ter Reqeir__�
3 045-
Review by tte
— Date _61-1017i
Septic Tank Design Approved
Date
Septic Tank.Permit Reqd.
Permit No.
Sanitary Sewer Availability
oj. L__ o
Drawing No.
File No. I _2 n
Side Sewer Availability____,,:���T.+
Sanitary S Connection Fee
Reqd.
Review b �er D
Date
Open Ditch Existing
Culvert Reqd.
Size
P4
kt
Catch Basin Reqd- &
Indicate on Site Plan
0
%S1
-ioulder drainage niaintain collection on
swale open runoff
��inhole reqd.—
Indicate an Site Plan
Soil Conditions arid Ground Water
Field Checked
Review b
Date
Revised: lvlO-1977
I hereby acknowledge that i have read this application: that tile in -
AL AMOUNT DUE
I PERMIT APPLICATION
F i�
INAME (OFt NAME OF BUSINESS)
z
3:
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4-1� N.c;
b—escription bf Propert
Applicant Fill ZONEKS JOQNqW�
Inside.Heavy Lines JOB . . —1 �_
'k DO R ESS J,2
T:EGAL DESCRIPTION I SUBUIVIbIC'N SHORT SUB
WAV-jFF_0 07"FICIAL STR
NUMBER
I N G
EXISTING
E X I S T
E
PROPOSED
P R 0 P 0 S
D E F I C E N
DEFICIENCY OF RIGHT. OF WAY___k(:M
PUBLIC IMPROVEMENTS REQUIRED
PU L I C I M P R
11
DRAINAGE IMPROVEM ENTS REQUIRED
DRA I N A G I
DRAINAGE PLAN REQUIRED
0
LEPHONE NUMBER
UNDERGROUND WIRING REQUIRED.
CONNECTION TO SANITARY SEWER
SEPTIC TANK -PERMIT REQ-0 11 NO
ELEVATION OF PROPERTY CORNERS
Cl
FOOTINGS REQ'D
SEE ENGINEEFZ114G MEMO DATEO____4(��
---Jff—
rY LICENSE NUMBER
C H E C K E D
or Attach FojLr Cq2ies) METE SIZE - I BUILDING SUPPLY . SIZE
z
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
U
SHORELINE
0
REMARKS
J
W
VARIANCE OR CU
PLANNING REVIEW BY
DATE
J
YARDS IDEDS I REAR]
I FRONT S
�)5_ 10
LOT COVERAGE
VNEW
KRESIDENTIAL
GAS
b LINE
FIRE ZONE
TYPE OF CONSTRUCTION
ICODE IHFI'GHT
E] NON-RESIDENTIAL
1:1
SIGN
DADD
ALTER
1:1
El
DEMOLISH
EXCAVATE
OR FILL
El
El
RETAINING
WALL
FENCE
(_ X—FT)
-1
SPECIAL INSPECTOR
REQUIRED
DYES C1 NO
PLAN CHECKED BY
REPAIR
PRE -MOVE
INSP.
El
swim
POOL
REMARKS
z NUMBER.(
2
'i �ST �R'
E S�
NU MBER OF
DWELLING
UNITS
A 5RK TCS' BA DONA
URE OF W
U
ton:
W.
0
19PLAN CHECK FEE
0
.0
' PLOT PLAN
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
1
1
III "Applicant, 'on behalf of his or her spouse, heirs, assigns and
0
W successors in interest, agrees to indemnify, defend and hold harmless
j
I the City of Edmonds, Washington, its officials, employees, - and
agents from any and all claims for damages of whatever nature,
I arising directly Or indirectly from the issuance of this permit. Issu-
a ance of this'petmit shall not be deemed to modify, waive or reduce
-31 . 1. .. . I 17 .. " ; - - ., .- " . 1".
RETAINING WALL
SWIMMING POOL
AREA
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION FEE
0
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W
3:
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W
L
W
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tL
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PUBLIC WOI;KS DEPARTMENT CHECKLIST
BUILDING PERI= REVIEW
(address) (date)
0
Street Right -of -Way Existing REQD I
Z
Access Easements �J
C4
Utility Easement Existing_______Aj_C� RjEQD 0
W
lot Per Subdivision Plat Assessor
W
Site Plan Checked for Ac
Z
Underground Wiring Reqd.
H
0
Check Accuracy�� Legal Descript'
Z
Review by_ Date -3n
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Existing
Hydrant Reqd Per Fire Code kso Size
Detector Check Meter Reqd. ki 0
Cross Connection Inspection
Fire Department Conuients
A
'dater �tter Reqd. L-.<4 �A J.—zT9Y2-.., '/4-
Review b 4X�� Date �1-17J
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability tC) 145'.1
Drawing No. File No.
Side Sewer Availability
Sanitary S Connection Fee Reqd. -5�;,
Review b Date
Open Ditch Existing, - . ___.Reqd..
Z
Culvert Reqd. &471 Size
c4
Catch Basin Reqd. Indicate on Site Plan
0
;b
Shoulder drainage maintain collection on swale open rLmoff
E-4
6 Z7-44-a
�"ole reqd. Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by Date 17 5F'
Revised: 1vlO-1977
Page 2
street P�viPg Reqd.
Curb and Gutter Reqd.
Sid
I ewalk Reqd.
Curb Cut for Driveway Reqd.
Right -of- --------- ---------
Way-.C6nstruction'Plermit Reqd.
E, Bond Reqd. for Public In1provenents
M Street Narm Sign Reqd..
'Other,Signing Reqd.
Pre Permit Site.Inspection-made on
0
H BY: SEWER
WATER
H
STREET
ENGINEERING
Special'Requirerwnts listed in memo to
< Building Division COMmMity Development Departrezit,
> BY
C.) All item filled in on Building Pern-dt Application te
BY
te
Drawings Stanped and Notations Made
BY
)ate
APproved,by Public Works Department -
Revised: Iv 10-1977
I
12
tTREE*T FILE
- t -1 !)
DATE: A-M — r
14EMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
I ;E-�>-tS 1 1 EEE OML
After review of the subject building permit application, we have
the following comments':
1"F911" TF V=i
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1pe�z SEC- I I - C) 3. 13d) -or- . crry coDF-. 4/7-i/7s J1-6
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I n s �id (e!l)'H e a v . y Lines RS , I _�)61` III I! C
PERMIT APPLICATION
ME (07 NAME OF BUSINESS) INDORESS 1R5 14 J,�2,U -
SHORT SUB NO.
I-EGAL DESCRIPTIUN I SUBDIVISION I
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0 ADDRESS
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Description bf Property
E
or
pjjELjC'0iGHT OF4 WAY
EXISTING.
DEFICIENCY OF RIGHT OF WAY
3N[ NUMBER
PUBLIC IMPROVEMENTS REQUIRED
DRAINAGE IMPROVEMENTS REQUIRED
DRAINAGE PLAN REQUIRED
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ' D El NO
ELEVATION OF PROPERTY CORNERS
FOOTINGS REQ-0
0
0
0
lo,
____ fql—.
ONE NUMBER
SEE ENGINEERING MEMO DATE 15--
0 E NUMBER
CENSE NUMBER -0 CHECKED Jt�
R
BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW
ALLOWED f PROPOSED I COMPLETE1 . EXEMPT
REMARKS
VARIANCE OR CU
YARDS
NEW
RESIDENTIAL
t1E!TT,1NON-R
GAS
FILINE
FRONT
.)S-
FIRE ZONE
ESIDENTI AL
SIGN,
ITY
ADD
ALTER
D
0
DEMOLISH
EXCAVATE
OR FILL
RETAINING
WALL
FENCE FT
F-11- X_
SPECIAL INSPE, 1.
REQUIRED
0 YES NO
PLAN CHECKED BY
El REPAIR
1:1
PRE -MOVE
INSP.
swim
POOL
REMARKS
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194UMBER OF
DWELLING
UNITS
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PLAN CHECK FE9
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BUILDING
PLUMBING
MECHANICAL
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In "Applicant, (in behalf of his Or her spouse, heirs, assigns and SIGN
0
III successors in interest, agrees to indemnify, defend an ' d hold harmless
-1 RETAINING WALL
I the City of Edmonds, Washington, its officials, employees, and
T agents from any and all claims for damages of whatever nature,
< S11- SWIMMING POOL
I arising directly or inditectIN from the issuance of this . permit. I s
he (jeenjed to WJIVC OT rNj1ICV
8 NO.
PLANNING REVIEW BY DATE
SIDEDS REA RILOT COVERAGE
or- CONSTRUCTION CODE HEIGHT
OCCUPANCY OCCUPAN'
GROUP LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
(n
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