18628 94TH AVE W.PDFiiiiiiiiiiiiii
15514
18628 94TH AVE W
C I TY OF E-Dt-'1011 DS 11 U 11, 1. 1 C WORKS DE PAR-TMENT - -
R L C E I V E D
STRr-r--r "fffjMW DEVICIL JEST REPORT OCT 3 i 1989
I-1-1 I ILF.
PUBLIC WORKS
1AME OF PREMISES cot) 5tdv)c e
411VICE ADDRESS q4
.00ATION OF DEVICE e( ;;)4
)EVICE: A,—) A 8/f -7
F a- -n-u f a c t u -sr--T I Model Size Serial No.
JNE PRESSURE AT TIME OF TEST LBS'
)RESSURE DROP ACROSS FIRST, PILCI, VALVL
LBS.-
CHECK VALVE NO. I
CHECK VALVE 1.10.
Sr
DIFFERCINTIAL PRE )URE RELIEF VALVE
1111TIAL
1. LE.AYED C1
1. LEAKED
0
1. OPENED AT.___13,._k_ LBS.
TEST
2. CLOSED TIGHT
2 . CLOSED T I rl IT.
P[DUC-E0 PRESSUPC
D 11) "O'f OPEN
CLEANED C3
CLEANED
0
CLEANED
REPLACED:
REPLACED:
REPLACED:
DISC ------------- 0
Disc ----- -------
o
0 1 SC. LIPP .1 -------
p ----------------
R
spp I f"G ----------- ci
SIT I M3 � -----------
0
["rI SC. L E R ----------------------
E
6IJ I DE ------------ CJ
rU I Df - - � ----------
0
SPR I itcl --------------------------
P
PIN P%ETAII.'ER ----- (11
Pill RETAIMLP ------
03
DI'APHRAGI-1, LARG�
AHi!':GE
Pit! --------- n
H I N.-IE . P I N ----------
0
UPPER -------------------------
I
SEAT --------------- 13
SEAT -------------
0
MILR ---------------------------
L.-
R
DIAPHRAGII — -------- 0
DIAIIIIIIAnm --------
0
DIAPHRAGM., SMALL
S
OTHER, DESCRIBE 0
OTHER, DESCRIBE- --0
LIPPER -------------------------
----------------
SPACE R L 01-4 E R
OTHER, DESCRIBE
F I-NAL
OPENED AT
TEST
CLOSED TIGHT ----- 0
CLOSED TIGHT ------
[j
REDUCED PRESSURE
REMARKS:
Ao"'JU
THEMOVE REPORT 15 CERTIF
INITIAL TEST PERFORMED BY
REPAIRED BY
FINAL TEST PERFORMED BY
00
m
DATE/O� -2-2- P7
DATE
DATE
77
I J 7.9
J C I T-Y OF E-01-.1011 US .111.1811.1c WOR.I1%S DEPAR-TMENT....
1� L . J
L Z) I KL ruii u
UlkLU%l -UVI lJL V I LL j L Z
OCT 3 i 1989
ME OF PREMISES c t.-,a h c PUBLIC WORKS
RVICE ADDRESS
CATION OF DEVICE e?f __hauze ft v ock-e
VICE: Vi T 5�'
R--in-u f a c t u r e r F-I 0-ce T Size Serial No.
NE PRESSURE AT TIME OF LBS.
ESSURE DROP ACROSS FIRST CIILCI, VALVL LBS.
.!CIIECK VALVE NO.
I
CIIECK-VALVc 110.
2
DIFFERENTIAL PRESSURE RCLIEF VALVE
ITIAL
I LEAKED
0
1 . LEAKED
0
1 . OPENED
EST
2. CLOSED TIGHT
-2. CLOSED T I r.1 IT.
REDUC-111) PRESSURE
2. 011) NOT OPEN
CLEANED
0
CLEANED
0
CLEANED
C:.
REPLACED:
-REPLACED:
REPLACED.
Disc -------------
0
nIsc -------------
0
DISC.UPPFR ----------------------
E!
R
SPR 111111. -----------
cj
silpt I M,\; ------------
ul
D I SC. L (.,',-'E R -----------------------
L'.'
E
(7-IJ I DE ------------
0
rU I DE -------------
0
SpIlt I UG --------------------------
c.;
P
PI-11 RETAINER -----
(11
P111 RETAINER -----
U,
DI'APHRAGI-1, LARGE
A
fQ1*:GE PIN --------- 0
1411-ME
0
UPPER -------------------------
C
I
SEAT ----------------
Q
SEAT -------------
(3
M.-M! --------------------------
L*
R
DIAPHRAGM --------
0
DIAPHRAGM --------
0
DIAPHRAGM, SMALL
S
OTHER, DESCRIBE
0
OTHER, DESCRIBE-
.
UPPER ------------------- ------
c�
LO'-TR ----------------
SPACE 11, - 1-01-N-11
OTHER,.DESCRIBE
ITIAL
OPENED AT LBS.
EST
CLOSE D TIGIIT -----
__o
0
CLOSED TIGHT ------
0
REDUC_M__PRC5TaR'C
E'ABOVE REPO RT IS CERTIFIED
[TIAL TEST PERFORMED BY
'AIRED V
qAL TEST PERFORMED BY
OF
DATE/�
nATr
DATE
1 J.7.1
EffoFLENDS -- PUBLIC WORKS DEPARTMENT
BACKFLOW DEVICE TEST REPORT
_w
E OF PREMISES
VICE
ATION
ICE:
N
F PRESSURE AT TIME OF TEST LBS.
SSURE DROP ACROSS FIRST CHECK VALVE LBS.
F r
JUL
PUBLIC WORKS
TIAL
S T
CHECK VALVE NO.
9
1. LEAKED
2. CLOSED TIGHT
1
0
CHECK VALVE NO. 2
1. LEAKED 11
.2. CLOSED TIGHT -4
_DIFFERENTIAL PRESSUgE RELIEF VALVE
1. OPENED AT LBS.
- . 6 o
REDUCED PRESSURE
2. DID NOT OPEN
0
CLEANED
0
CLEANED
El
CLEANED
0
REPLACED;
DISC
0
REPLACED:
REPLACED:
-------------
DISC -------------
0
DISC.UPPER ----------------------
0
R
SPRING -----------
0
SPRING -----------
0
DISC.LOWER ---------- -------------
0
E
GUIDE ------------
0
GUIDE ------------
0
SPRING ---- ------------
p
PIN RETAINER -----
Cl
PIN RETAINER
0
DIAPHRAGM, LARGE
A
HINGE PIN --------
0
HINGE PIN --------
0
UPPER -------------------------
[11
I
SEAT ------------ !--
0
SEAT -------------
0
LOWE� -------------------------
Cj
R
DIAPHRAGM --------- [I
DIAPHRAGM - -------
0
DIAPHRAGM, SMALL
S
OTHER, DESCRIBE
0
OTHER, DESCRIBE --
0
UPPER -------------------------
0
LOWER ---------------
0
SPACER, LOWER
OTHER, DESCRIBE
NAL
ST
CLOSED TIGHT -----
CLOSED TIGHT ------
OPENED AT LBS.
REDUCED P-RE-S-S—URE
j
ARKS:
M___ Mw Mlfl��
ABOVE REPORT.Js CERTIFIED TO 8E TRUE:
TIAL TEST PERFORMED BY OF DATEI-%-%%
;A#D BY DATE
EST PERFORMED BY OF DATE
STREET FALEONDS —PUBLIC WORKS DEPARTMENT R EC E IN ED
BACKFLOW DEVICE TEST REPORT D)988
PUBLIC V,'URKS
E OF PREMISES
VICE ADDRESS
ATION OF DEVICE
ICE:
Manufacturer Model
bize Serial No.
E PRESSURE AT TIME OF TEST LBS.
SSURE DROP ACROSS FIRST CHECK VALVE
LBS.
TIAL
CHECK VALVE NO.
9
1. LEAKED
2. CLOSED TIGHT
I
0
)1
CHECK VALVE NO.
1. LEAKED
2. CLOSED TIGHT
2—
11
L
DIFFERENTIAL PRESSURE RELIEF
1. OPENED AT LBS.
REDUCED PRE�SU
2. DID NOT OPEN
w
VALVE
0
CLEANED
0
CLEANED
11
CLEANED
0
REPLACED:
REPLACED:
REPLACED:
-0
DISC -------------
0
DISC -------------
0
DISC.UPPER -------------------
0
R
SPRING -----------
C3
SPRING -----------
0
DISC.LOWER ---------------------------
0
GUIDE ------------
[I
GUIDE ------------
0
'SPRING --- ----------------------
P
PIN RETAINER -----
0
PIN RETAINER -----
0
f
DIAPHRAGM, LARGE
A
HINGE PIN --------
0
HINGE PIN --------
[I
UPPER -------------------------
I
SEAT - ---------- T--
C1
SEAT -------------
0
LOWE� -------------------------
R
DIAPHRAGM ---------
[I
DIAPHRAGM ---------
[I
DIAPHRAGM, SMALL
S
OTHER, DESCRIBE -7
0
OTHER, DESCRIBE --
0
UPPER -------------------------
0
LOWER ---------------
0
SPACER, LOWER
OTHER, DESCRIBE
OPENED AT LBS.
NAL
S T
CLOSED TIG14T -----
0
CLOSED TIGHT -----
[I
R E D Utr _D TRIEMS _UR E
ARKS:
ABOVE REPORT IS CERTIFtED TO 8E TRUE:
T I AL T E S T P E RF 0 RM E D B Y 0 F DATE-]—%—
;AOD BY DATE
EST PERFORMED BY -OF DATE
ILFw ED MOWDS PUF)'l_ I C WORKS DE P A RTIMENT
-STREET f
B A CKFLQW D EV I CIL i EST R I PORI''
NAME- OF PREMISES C.- 6 AIJ
SERVICE ADDRESS / kf- & i*_w I
LOCATION OF DEVICE
D E V I C E:
Illanu f a c tu rer
L.I-NE PRESSURE AT TIME OF TEST
PRESSURE DROP ACROSS FIRST Cl(i_Ql' VALVL
CHECK VALVE NO. 1
INITIAL. I LEAKED 1
TEST
2. CLOSED TIGHT
0
CLEAHED
REPLACED:
Disc -------------
L-)
R
s 1) R 1 Nrl -----------
El
E
CIIJ I DE -------------
FJ
PI-11 RETAINER -----
0
A
'E PM ------
F.]
SEAT -----
0
'R
D I APHRAC.( i --------
Ll
S
OTHER, DESCRIBE
-- ll.�
F I NAL'
TEST
CLOSED TIGHT ----- 0
REMARKS:__jjeA,,)
LBS. ,
Size 5re i a I No
LBS.
DIFM�E�11_1[kL PRF.S'SURE RELIEF VALVE
--CIIECK VALVE 110. 2
L EA KE 1) LJ I - OPENED AT LBS.
J)"DUCED PRESSURE
CLOSED TIG1.1T. &#--I D 11) .40T OPEN
CLEAtIED
REPLACED:
Disc ------------- 0
S P r [ i:*G -------- --- rl
--------------
PIN R[TAINLR ----- Ll.
1-11 N,-i F P I N --------- [--j
S[AT ------------- 11
1) 1 A P [ I RA Ml -------- 0
OTHER, DESCRIBE -- 0
CLEAHD
L�
REPLACED:
D I SC. 1-11'PFP ----------------------
1; 1 S C. L (',,..,'E R - - - - - - - - - - - - - - -
- - - - - - -
s P R I ; I 6i - - - - - - - - - - - - - - - - - - -
- - - - - - - E_ 1
DIAMIPAGtI, LARGE
Ll 1) 1) E R ------- I ---- -------------
L0',-;LR ------------ 7 ------------
DIAPPRAGI-1, SMALL
L) P P U R - - - - - - - - - - - - - - - - - -
- - - - - - -
L 0! 'E, R - - - - - - - - - - - - - - -
0
SPACER, LO'�-IFR
OTHER, OLMIBE
N, [ D AT
CLOSED TIGHT ----- 11 OPL RE DUCLT_ P RICOTWL LBS.
TkE'.ABOVE REPORT IS CERTIFIED
INITIAL TEST PERFORMED BY OF 470 DATE 7;:t.?7
.. w __3
7-1
REPAIRED BY DATE
FINAL TEST PERFORMED BY OF DATE
C)
1 /72
F ED MONDS P UP) I- I C WORKS DE P A Rl''IMENT
STREET.FiLE
B.AC-KFLOl,-J, DE'V I C-I*w ; EST RE PORT
tIAME OF PREMISES ((,'Q5AV4T;, At/
SERVICE ADDRESS
LOCATION OF DEVICE JPM;�
DEVICE:
rer Model Serial'No-
ManuTac
L.INE PRESSURE AT TIME OF..TEST LBS.
PRESSURE DROP ACRO'SS FIRST Cili-C."' 'Vt"kLVL LBS.
CHECK VALVE NO. 1. CHECK VALVE ('10. 2 DIFF[RE11TIAL f'R[--S'_:,URE RELIEF VALVE
INITIAL 1. LEAKED 0 1 L E A K ED LJ OPLNED AT LBS.
TEST REDUCED PRESSURE
2.1 CLOSED111GHT i�o r2 CLOSED TIMIT .-:OT OPEN
L DID
R
p
A
R
s
F I NAL
TEST
CLEAHED
104
REPLACED:
DISC -------------
0�
S FIR I NG -----------
I 1-1
�C,ll I DE ------------
FJ
PIN RETAINER ----- t0
lil,','GE PIN — ------
11
SEAT -------------
Ll
DIAPHRAC.tl ------
D
OTHE'R, DESCRIBE
1:1
CLEANED
El I CLEAWD
REPLACED:
DISC - - - - - 7 --- - - - - -
S P P I ;:(, - - - - - - - - - - - I -J
rlU I UF ------------- 11
Plf-I P[TAIN[F! ----- Lil
HINr',E PIN, --7 - - - - - I _-)
SLAT ------------- li
DJAPHRAM,l --------- Ll
OTHLR, DESCRIBE --0
REPLACED:
0 1 sc. UPPER ----------------------
1; 1 S C. L E R ----------------------
--------------------------
DIAPHIAGH, LARGE
U 1) 1) E r? ------------------------------
--------------------------
DIAPPRAG1,11, SHALL
UPPER ------------ 7 - - - - - - - - - - - -
L- - - - - - - - - - - - - - -
SPAC[R, LO!-IFR
OTHER, DESCRIBE
0 11 E NE 0 A T LBS.
CLOSE'D TIGIIT---'-- 0 CLOSED TIGHT ----- FJ � R E D U C�
R E MA R K S �&SW I OX$V�� o N
THE'ABOVE REPORT IS CERTIFIED To B-
INITIAL TEST PtRFORHED BY OF
REPA'IRED BY
FINAL TEST PERFORHED BY OF
CLiZIf. 0.77� e'c)
DATE3
DATE
DATE
Ej
El
t7-:
E-!,
1.)
0
1 /7.1
STREET FILE
STREET FILE
CITY OF EDMONDS LARRY S. NAUGHTEN
250 5th AVE. N. - EDMONDS. WASHINGTON 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES PETER E. HAHN
DIRECTOR
October 9th, 1986
Constance Cohn
18628 94th Avenue West
Edmonds, Washington 98020
RE: ADDRESS CHANGE
Thank you for your phone call regarding your address change
at 18628 94th Avenue West. In August of 198� we' errored
in listing your address as 18626, we will make all the
necessary changes in City files but it is your responsibility
to notify all other parties.
Your correct address is 18628 94th Avenue West.
Please feel free to call me if you have any questions.
ine L
eannine L. Graf
P rmit Coor
'ermit Coordinatoro
cc: Fire Department
Police Department
Utility Billing
L---Stre�t Files
Building Division
Enclosure
PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING
p
CITY OF EDMONDS
2*N E W
FIADDITION
1:1 RETIREMENI
ASSET INFORMATION SHEET
ASSET NO.
N2 0-5092
ADDITION TOSTREUIRLE-
DESCRIPTION
5. v / cg,
SERIAL NO.
DEPT. NO.
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECTNUMBER z6'o"-1-6001
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 6�& -600 - 014-,3449-- 00- 6,:5
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ODEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
V�
INITIAL
Lug,
REFERENCE
6c
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE
CITY' of EDMONDS
For Inspection Call 771-3202
Address of Construction:
P E R M I T
mtep KR 07419
c� q±�
Property Legal Description (Inclu,de all easements):7�4
�-o4- "a 13uRb ADD 4,f-1 J5 (-,j,.
Owner and/or*Builder: C-0
Contractor & License No: gj.T!�,> (JROJS �,C(f (:zA--B0* I (C� A.
EDMONDS
T=
Single Family Residence t\ T P
ETREATtvIENT PLANT]
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yesi Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.).
(If Yes� easement required,
Cross other Private Property: No Yes
attach legal description and 'County easement number.)
PLEASE RE D HE ITEMS LISTED ON THE BACK
I certif� that I have read,k6d �hall comply Datef
with the items listed on the bapk.
Permit Fee: Issued By -
Trunk Charge: Date Issued:
o..
Assessment Fee: Receipt N
Pa rtial Inspection: &m4
_�PmlCo�' %RMM-C
Comment& Date Initial.
Final Inspection Approved: 2.26,86
Date Initial
co
Rejected:
—N—te —!—nitial
Reason
MUST BE POSTED ON JOB SITE
Wh.ite Copy rile 6reen Copy - Inspector" Buff Copy ',`z�,;Appl i cant'
Th,m r; ftf 1;&4*"o%n,4&- Side Sewer Drawing
my EASEMENT NO . .............................. ------ ......
NEW CONSTRUCTION REPAIRS LID NO. _151 ------- ASMT. NO . ..............
OWNER --- (Z',Z ------- co_Ht-A ........................ CONTRACTOR
JOB ADDRESS ----- _rVA lb-N : ----------------------------------------- PERMIT NO. 74. V) ......
_B708 94 -------------- LEGAL DESCRIPTION: L --------------------------- BLOCK NO . .... ................
- ------------------------------------ OT NO..--. EDm'0_N_DS_-
--------------_--- ... 7��( REAT
------------ --1 - ---- ... T
-Z,- &. _ -MENT
..re, ........ B-)-R
P
NAME OF ADDTTION --------------------------------------- JANT
-------------------------- ------------------------------
b P.
O.W%JE I..—
C-0-CAP
1.5bp
PWW-0001-11/75--- :�tA/VA
Approved:
DATE 215 - 86 ............
--- ------------- ,
INSP B�' M-BURNS
By144 . .... . ....... .......
The Citv of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------- ----------
NEW CONSTRUCTION r-1 RE13AIRS LID NO. -1,51 ------- - ASMT. NO - ------------------
OWNER (Z0+4-5-r^t4Ce �Co
--- -------------------------------- CONTRACTOR ------------- I --------------------- PERMIT NO.
14
JOB ADDRESS <)AT
--------------------- 1- --------- ------- LEGAL DESCRIPTION: LOT NO. -21 ------------------------------- BLOCK NO - ------------------------------------
----------
13'
L%3,
PWW-0001 -11/75 (REV. 11178)
4;0P
4"r-a-vive
12:
....... l3uvt co-
-------- (b fo, If-w --- I-r --C-T-
EDMONDS
NAME OF Ai�DITION
T-1REATMENT.-PLANT
-D/W
1870 8 94r-'
4'j
AM
V
34* 4'DP
4,"c-0-WVC
CAP - SoRfr^CC
4-c-0-WIE
Pv.c.. V. ^.c. cooft.
Approved:
--------------- B y
------------------
NOTICE:
a n ty...
-N'o
The -inform ation'shown on the attached
for use by the City of
map(s) was com * piled
Edmonds/ its Empl.oyees and Consultants.
Th...e City of 'Edrn.onds does ' not * warrant the
accuracy of anything set for.th on t * hese
nt*ty -requesting a
Map(s"). Any person or e- I
copy should conduct an -independent
-o
inquiry regarding the infbrmation shown
I I
tF�e_ -m a P (S) / including, but not hrn'ted to,
c ion of any sew-er stub shown. Suc
the lo' at'
sewer stubs may or may* not e.xist and may
or may not exist at the location shown.
Neit-heir tihe City of Edmoinds nor its
em pl-o-yee-s o-r off rce-rs -shal] be 111 a-b-Ife for iffiE
information given on this map(5), nor for
any one representation provided based
upon . said map(s).
STREET FILE
CITY OF EDMONDS LARRY S. NAUGHTEN '
MAYOR
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
BUILDING DIVISION
August 22nd, 1985
Constance Cohn
18626 94th Avenue West
Edmonds, Washington 98020
RE: Address Change
Per the request of Constance Cohn the previous address
of 18708 94th Avenue West has been changed to 18626 94th
Avenue West.
For further clarification please see attached map. If you
have any questions please call the Building Division at
771-3202.
All interested City Departments will be notified of the
change4
cc: Fire Department
Police Department
Utility Billing
v/S-treet Files
fl
,/�e ceor,
,annmine L. Grze5�-�
t 0.
Permit Coordinator
iiiiiiiii
9161
18628 94TH AVE W
Date:
To:
From:
Subject:
luao 601 '.' ..
M44/11tAt�tJ
MEMORANDUM
September 12, 1997
Jeannine L. Graf, Building Official
Ann Bullis, Plans Examiner *—
Use of ironwood to rebuild deck at 18628 94th Avenue West
The applicant of the subject permit application is requesting approval (per UBC 104.2.8) of Ironwood, an
extremely dense wood from Central America that is naturally resistant to decay. Ironwood is listed in the
UBC species/span tables, therefore, the appicant was requested to submit testing information on the wood
with regards to its structural strength and resistance to decay. The applicant has submitted the attached
information, which clearly shows that Ironwood meets or exceeds the physical properties of Herrifir as
shown below:
Ironwood
Bending 3750
Modulus of Elasticity 3,010,000
Hernfir #2
850
1,300,000
The information submitted also clearly shows that Ironwood is naturally resistant to decay
Based on all information submitted, I recommend approval of Ironwood for deck construction Since span
tables were not available or Ironwood, the applicant understands that lumber sizes must be equivalent for
construction with Hernfir #2 or additional information must be submitted for review.
Alternative Material X Approved
Denied
Comments:
e?hz /9:�—p
Jeannine L. GAL Ruddin2 Official Date
QTY COPY
City of Edmonds ce Planning Division
STREET ADDRESS FILE
CITY OF EDMONDS BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
�C'st. ls()v
April 9, 1996
Constant Cohn
18628 - 94th Ave. W.
Edmonds, WA 98020
Subject: Roots in Lateral.for Sewer Line to Your Property
On April 9, 1996, city crews inspected the sanitary sewer located on your north
property line. This was to identify any possible problems with the driveway
settlement due to possible sanitary sewer problem. .
City crews have not identified any problems under your existing driveway with the
sewer line in this area. The only problem that has been identified is the lateral
pipe that services your home. It has a heavy mass of roots ' growing out of the
pipe and this is your responsibility to repair. It is located approximately 121 feet
west of the manhole (216-4) located on the east edge of driveway access.
Roots are growing into our main line and could cause a backup. Please make the
necessary repairs by May 20, 1996. Make sure you obtain a repair permit to do
this so it can be inspected before it is buried.
Sincerely,
Ron Holland
Water/Sewer Supervisor
cc: Address File
Richard Basetta
18602 - NE 165th St.
Woodinville, WA 98072
Map and photo attached
word ata\sewer\cohn
0 Incorporated August 11, 1890 0
q;cfc>, (-;tioc Tntorn;%flnnAl — HpkinAn JAnAn
Ow 4
R.EIQ
P; A 0
uX
T 0
TV INSPECTION HARDCOPY
REPORT DATE
04/09/96
8:14 AM
REPORT NO.
LT155lVl
MANHOLE NUMBERS 216-4
TO 183-4
UPS ADDRESS
18628 94TH. AVE W.
QUAL
DWN ADDRESS
QUAL
PROJECT
B.O.
LOCATION
D
JOB NUMBER
SURFACE COVER
B
TV DATE
04/09/96
PIPE WIDTH/DIAM
8.00
AREA
SH 04
PIPE TYPE
NCP
OPERATOR
TOM
LENGTH
127
WEATHER
OVERCAST
UPS DEPTH
6.0
VTR FORMAT
VHS
DWN DEPTH
0.0
TAPE NUMBER
17
JOINT LENGTH
4
VTR INDEX
04919 TO
05057 FLOW DEPTH
0.5
SUMMARY:
RECOMMENDAT 10 NS:
FOOTAGE VTR CLOCK
READING
LOC
POS
DESCRIPTION
U 7.0
04919
0
U 113.8
04945
9 LATERAL
FACTORY SERVICE
ROOTS
ROOTS - HEAVY
COMMENTS:
ROOTS
IN LAT.
U 121.6
05016
6 LATERAL
FACTORY SERVICE
COMMENTS: OUTSIDE DROP
U 127.6 05033 0
COMMENTS: END OF RUN
REQUESTED BY TOM
PAGE 1
REVERSE SET UP N
SKETCH N
PIPE DETER N
PRIOR HISTORY N
CONDITION RATINGS:
STRUCTURAL 0
1/1 0
ROOT 7
MAIN LINE 2
PICTURE
NUMBER
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ASSOCIATES. INC.
:IVEYORS,'324 MAIN ST.. EDMONDS, WASH.
cHECKED -- =;DATEH. OCALIE FILE
DRAWN
Vv
77t
ED
" rM
MO.
Ken Alessi
Regional Manager
Residence: 503-531-0901
WATERWORKS BRASS, PIPE PRODUCTS AND UN(��j E
TA
It � OR I — w 1-m
i - V - 2-1(P' - 7LO / 6 �
(� "(-4 (1p VL' " 'A'4- � L-) —!� � L"),c wa-'4 . -
THE FORD METER BOX COMPANY, INC.
P.O. Box 443, Wabash, Indiana 46992-0443
Phone: 219-563-3171 Fax: 800-826-3487
CITY OF EDMONDS BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
t . 1 B 9 %J
April 9, 1996
Constant Cohn
18628 - 94th Ave. W.
Edmonds, WA 98020
Subject: Roots in Lateral for Sewer Line to Your Property
On April 9, 1996, city crews inspected the sanitary sewer located on your north
property line. This was to identify any possible problems with the driveway
settlement due to possible sanitary sewer problem.
City crews have not identified any problems under your existing driveway with the
sewer line in this area. The only problem that has been identified is the lateral
pipe that services your home. It has a heavy mass of roots growing out of the
pipe and this is your responsibility to repair. It is located approximately 121 feet
west of the manhole (216-4) located on the east edge of driveway access.
Roots are growing into our main line and could cause a backup. Please make the
necessary repairs by May 20, 1996. Make sure you obtain a repair permit to do
this so it can be inspected before it is buried.
Sincerely,
�i Qoolland
Water/Sewer Supervisor
cc: Address File
Richard Basetta
18602 - NE 165th St.
Woodinville, WA 98072
Map and photo attached
word ata\sewer\coh n
e Incorporoted August 11, 1890 0
Sister Cities International — Hekinan, Japan
TV INSPECTION HARDCOPY
REPORT DATE
04/09/96
8:14 AM
REPORT NO.
LT155lVl
MANHOLE NUMBERS 216-4
TO 183-4
UPS ADDRESS
18628 94TH. AVE W.
QUAL
DWN ADDRESS
QUAL
PROJECT
B.O.
LOCATION
D
JOB NUMBER
SURFACE COVER
B
TV DATE
04/09/96
PIPE WIDTH/DIAM
8.00
AREA
SH 04
PIPE TYPE
NCP
OPERATOR
TOM
LENGTH
127
WEATHER
OVERCAST
UPS DEPTH
6.0
VTR FORMAT
VHS
DWN DEPTH
0.0
TAPE NUMBER
17
JOINT LENGTH
4
VTR INDEX
04919 TO
05057 FLOW DEPTH
0.5
SUMMARY:
RECOMMENDATIONS:
FOOTAGE VTR CLOCK
READING
LOC
POS
DESCRIPTION
U 7.0
04919
0
U 113.8
04945
9 LATERAL
FACTORY SERVICE
ROOTS
ROOTS - HEAVY
COMMENTS:
ROOTS
IN LAT.
U 121.6
05016
6 LATERAL
FACTORY SERVICE
COMMENTS:
OUTSIDE
DROP
U 127.6
05033
0
COMMENTS:
END OF
RUN
REQUESTED BY TOM
PAGE 1
REVERSE SET UP N
SKETCH N
PIPE DETER N
PRIOR HISTORY N
CONDITION RATINGS:
STRUCTURAL 0
1/1 0
ROOT 7
MAIN LINE 2
PICTURE.
NUMBER
Ez. v v IVI pg. 8
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-'t ------- t
CHECKED DATE M. SCAUE FILE
OKSION DRAWN
I A T E S V.: Le
& A S S'O C C v.*CA*L* SHKI
1 35, WASH
!VEYORS. 324 MAIN ST.. EDMONDS,
M;10Z 0-
E7
CITY OF EDMONDS
Address of Construction
1 4-11-
lgo��.Zlf — 17LI
Property Legal Description (Include all easements):
Owner and/or Contractor: ii,_ 0 -)
State License No
)t/single Family
El Multi -Family (No. of Units.)
El Commercial
Public
eza
;e,-�m
I SIDE SEWER PERMIT
PERMIT N10-
6>1 0/3
87 7 3
WC, 9P, 0 2,
RECEjVFn
JUNG 7 sw
PUBLIC WORKS ncnlw
TREA-1 !.I 1.�* NT
COAP7.
Building Perrrfit No
Invasion into City Right-of-Wa 11 Yes
RW Construction Permit No.
Cross other Private Property 0 Yes
Attach legal description and copy of recorded easement
I cdrtify that I have read 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) BEFOREANY EXCAVATION
..OFFICE USE ONLY
FOR INSPECTION CALL 771-OM PUBLIC WORKS DEPT.
Permit Fee: Issued By
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: ..Date —Initial.
Comments
Reason Rejected: Date —Initial
-4 � -
Final Inspection Approved: CW lnitiaf�__/__
r
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 319 0
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION [:]
............
............
OWNER .......... .................. ................. j .......
JOBADDRESS ... ---------------------------------------------
qq�- Aue- vh(,
T1
EASEMENT NO . ............................................
LID NO . .................. ASMT. NO . ..................
C�-
CONTRACTOR.................................................................................... PERMIT NO. J—J-.�P
LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
REPAIRS
.................................................................................................................................................................
NAMEOF ADDITION .......................... ..... ................................ .........
..........
�4 C) �-k3 -f--
CIO'
T
1,-2 4 c j
0 /0�,c T 1�
Approved:
PWW-0001-11175 (REV.11/78) DATE ................. ay,-�
0
Computer ID # STREET FILE
BACKFLOW PREVENTION ASSEMBLY
TEST REPORT
RECEIVED
DEC 17 199U
RETURN NO LATER THAN
NAME OF PREMISES C 1WNTACT PERSON
SERVICE ADDRESS PC d-
& "f- croe Arw
LOCATION OF ASSEMBLY--f—& 41 Ja
Al
ASSEMBLY. glApr . — .
MANUFACTURER MODEL SIZE SERIAL NO.
LINE PRESSURE AT TIME OF TEST — LBS. TYPE OF ASSEMBLY 6 , P1
Reduced
Pressure Assemblies
Pressure Vacuum
Breaker
Relief
Double Check
Assemblies
Air Inlet
Check Valve
I st Check
2nd Check
Opened at
psid
psid
Valve
Initial
DC -closed tight
Closed tight
Opened at
Did not open Q!
Leaked
Test
RP. /0
Leaked
,6 psid
i OL psid
Leaked
Repairs
and
Materials
Used
Test After
DC -closed tight
Closed tight
Opened at
Opened at
Repair
RP- _ psid
psid
psid
psid
AIR GAP�, 4INPCTION: Requi d minimum air gap separation providjecA.. Yes Q No Cj
I �_ )(0 It
1:2-
REMARKS:
THE ABOVE REPORT IS CERTIFIED T�O B� TRI IP- 4
/ 0-� _/ ti�- - q')
0 E
INITIAL TEST PERFORMED BY CERT. NO. DAT
/V
REPAIRED BY DATE
FINAL TEST PERFORMED BY CERT. NO. DATE
RECEIVED
DEC 17 199U
Computer ID #
PUBLIC WORKS
BACKFLOW PREVENTION ASSEMBLY
TEST REPORT
RETURN NO LATER THAN
NAME OF PREMISES CON52 CONTACT PERSON
SERVICE ADDRESS
LOCATION OF ASSEMB A/0 A0
ASSEMBLY WA 7y—'�5r
MANUFACTURER MODEL SIZE SERIAL NO.
LINE PRESSURE AT TIME OF TEST 50 LBS. TYPE OF ASSEMBLY D, C ,
Reduced Pressure Assemblies
Pressure Vacuum
Breaker
Reliet
Double Check Assemblies
Air Inlet
Check Valve
I st Check
2nd Check
Opened at
ps'Id
psid
Valve
Initial
DC tight
-closed
Closed tight
Opened at
Did not open
Leaked
Test
Leaked
RP- _ psid
psid
Leaked
Repairs
and
Materials
Used
Test After
DC -closed tight
Closed tight
Opened at
Opened at
Repair
RP- _ psid
psid
psid
psid
AIR GAP INSEPCTION: Required minimum
REMARKS: -1-2 - 19 - 90
THE ABOVE REPORT IS CERTIFIED TO BE
INITIAL TEST PERFORMED BY
REPAIRED BY
FINAL TEST PERFORMED BY
separation provided ... Yes Q No U
CERT. NO. "7--oc,16
DATE ICL 12- 2,16
DATE
CERT NO.
DATE
I
'CAT�_ :NS
INT� -OFFICE COMML�
STREOtm-flo FILE DATE Tanuar-y 21, 19 '14
TO Harry Whitcutt FROM Dick Allen
Building Official' Assistant City Engineer
FDRM 41 - LITTL�8
SUBJECT: Drainage ComDlaint at 18711f0lympic View Drive
Mr. Guy Dush at -the subject address called today requesting an
inspection by the Civ, of the drainage coming down the hill behirid
his home. A field inspection of the surrounding area indicates a
natural drainage area running hehind the residence. The course
was hampered bv the construction of the driveway; no provisions
were made to earn, the drainage thru the. paved area. The Edmonds
area k�As experienced heavy rain falls and above normal surface run-
off which has ampliff, - ed problEM areas. Since tbis matter does not
involve an area of jurisdiction for the Engineering Department,
itis requested that you contact Mr. Bush to aid him in resolving
the problem. Mr. Bush' s office phone num�.bcr - 776-1490.
RHA: mj r
0
NOTICE-
"a'r-ra nty...OT u.i.*.d,�,:Y...,.
NO ... w
The information shown on the attached
for use by the City Of
map(s) was cOmPiled
Edmonds/ its Empl.oyees and Consultants.
Th,.e City of 'Edm.onds does - not ' warrant the
accuracy of anything set for.th on these
r entity -requesting a
MaP(*S`). Any person 0 1
COPY.should conduct an Independent
orm, . ation shown'o
inquiry regarding the infi
m(3p(s), includinS, but not limited to,
c ion of any sewer stub shown. SUC
the lo' at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
,�jty of Edmo'nrlqs nor its
Nelt-heir the
empl-o-yee-s o*r office-rs -sh-a-11-1 be I.-ia-b-IFe for thE
information given on tNs map(s), nor for
any one representation provided based
upon . said map(s).
The City of Edmonds
STREET FILE APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E)
OWNER........ ....... �K-77. 1J. /,) ....................................
ADDRESS 4c,-, " L'i
�---.c� .............. 7-9 ............... ............... -- .......
/99 2to 4
0(4
Ae I t,',q 7- 67
APP
MAY
EASEMENT No . ..........................................
CONTRACTOR ................
...... ........... ............... � PERMIT No. 0
LEGAL DESCRIPTION: LOT No . ..............
............ .................. BLOCK No.
NAME OF ADDITION .......... zlJd
................................................
I
A,
INTER -OFFICE CO-MMUN'l-CAT'I'Off'S
DATE 19 70
04%341FREET FILE
TO FROM
FOR LITT E'S
SUBJECT:
- ---------
CITY OF EDMONDS
Calf PRospect 6-1107 when work
CIVIC CENTER— WATER -SEWER DEPARTMENT Is ready for Inspection. (No c-
'nspe N? 37001
SIDE SEWER PERMIT tions Saturday, Sunday or holidays.)
k, -
ADDRESS ................................ 18708 - 94th Avenue West
............................... ........................ ................................. I ..............................................................................
C TER ..... .................... krildrew ... Be-QR.t.o.n. ............................... CONTRACTOR ............. T.u-ck.e-r ... Cppst.-
A .. .... .. .. .. .. ..........................................
Pern-tission is granted .......... K4Y ... 0 ..... ......... for ........................ days to REPAIR or CONNECT a side sewer
with 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 2/8 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 whJch 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.
PLANNING DATA
NAME:-� 0 k/
SITE ADDRESS: DATE:
ZONING: PLAN CHK#: ' C�
PROJECT DESCRIPTION: J2 a-, �- F
CORNER LOT A112 YestNo)
SETBACKS:
Required Setbacks:
Front: 'It5 Left Side: to Right Side: Rear:. 2-C
Actual Setbacks:
Front: Left Side: —Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: -3 6"j
Maximum Allowed: Actual: 6,;s -#,
BUILDING HEIGHT: I/ —
Maximum, Allowed: 215 Actual Height:
Datum Point: r,:— Datum Elevation: '
A.D.U. CREATEW: //z,
SUBDIVISION:
CRITICAL AREAS
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:— :5� 50') -1-0don Grl
cAfi1eApcffnit%^p1andaLdoc
,k),
M,P454
MAXIMUM HEIGHT - 25 FEET. MEASURED
FROM AVERAGE ELEVATION OF UNDISTURBED
SOIL AT CORNERS OF EXTiNDED BUILDING
RECTANGLE. SUBJECT TO FIELD CHECK BY
BUILDING DEPARTMENT.
SEP - 9 1986
INE SVH= ANNOM -
f �&� 6At-t, f W- Rr5m:f�, V- 4-- J
tv-- ArmAcAmr- cAzc)6s� TV 05e
lgavwoor>� 17ic- 5~ -Pmeyslooh_
t.0moor— M05-rwv- 0::�vp A—;, 6*ter>
00ro?kl TWiSC- -PLA� OAILZ�SS AP"raWtL,
111W 1A*UF,—' 1M=rM#T70A V5
-TD T*5-7 -;EW I L" _Tae�fr rm_ -Revvew
Am;, Awva�.
LOCATION OR ADDRESS OF'PROPERTY: 18628 94th West, Edmo-ids, WA
LEGAL DESCRIPTION OF PROPERTY: Tract 66, Edmond's Seaview Tracts, Lot 2, LOT LINE . STAKES MUST
Burd Addition to Edmonds, WA BE IN PLACE.- AT TIME
OF
INSPECTION
N evi 77b
I
pse� -iL7 A2
2S;l
Irl
1 %Inv
No New voont4c_lp Aotc5elz> I vlc;�,
cc- Qwzv�_ L-01V Rv�,F_ -txkln�yj -Pso�vzj
4
'01
y request for modification, variance or other
IV administrative deviation (hereinafter "variance")
must be specifically called out and identified.
9 1TF_ PL-A N Approval of any plat or plan containing
CSV__ - =,20,0 provisions which do not comply with city ..Ode
and -foi which a variance has -not *been
N specifically identified, requested and considered
by tkel'alppropriate city officW in accordance
with the appropriate provision of city code or
state law does not approve any items not to code
specification.
THE ARCHrECTS Proj. No: 9 :z ol�, Date:7,2,50, 9 6-
L