18916 88TH AVE W.PDF111111 lill 11
8373
18916 88TH AVE W
STREET FILE
'SIDE SEWER PERMIT
CITY OF EDMONDS
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. _19o, PERMIT i-,,,2 8386
Address of Construction: / 8 8 s 4,
Property Legal Description (Include all easements):
7-A )e 4� —000 — 005- — '000!�_
Owner and/or Contractor: Aev&
State License No. M6 115t 8010& Z—_ Building Permit No
0,150ingle Family
El Multi -Family (No. of Units—)
11 Commercial
Invasion into City Right -of -Way. El Yes
X No
RW Construction Permit No.
Cross other Private Property -A No 13 Yes
El Public Attach legal description and copy of recorded easement
1 certify th'at I have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
MSE, DNLT_
* FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. *
Permit Fee: 30—
Trunk Charge -
Assessment Fee:
Lid No.: /5J_
Partial Inspection:
Comments
Issued By iz-0
Date Issued: q- 1721-
Receipt'No.:
Date —Initial
Reason Rejected: 7 Date —Initial
Final Inspection Approved: Date�_-Iq- �� Initialg!!_0
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
11
Side Sewer Drawing X
The City of Edmonds EASEMENT NO - --------------------------------------- .... IF.
NEW` CONSTRUCTION 62--' REPAIRS F� LID NO . .................. . ASMT. NO. .- ..............
9k 2
OWNER--------------------------------------------------------------------------- -------------------- CONTRACTOR --------------------------------------------------------- -------------------------- PERMIT NO.
JOB ADDRESS --- vs..9 --- I - 2u- -,F-- - - -A - --------- W ------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
39 -% �A Aj ia N�q -
NAMEOF ADDITION ----------------------------------------------------------- -----------------------------------------------------------
eom 0 FoAl
PWW-0001 -11/75 (REV. 11/78)
2-
DATE . .......................................... By . ..................
........................
NOTICE:
w -y
N'o- I -a-r-rant - OT
tion shown on the attached
The informa
map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
rrant the
Th,.e City of:Edmonds does not. wa
et forth on these
accuracy of anything s entity'requ . esting a
rnap(�-). Any person or
copy should conduct an independent
inquiry regarding th*e inform-ation shown on
t-Fe -map(s), including, but not limited to, -h
th . e lociation of any sew-er stub shown. Suc
sewer stubs may or may, not exist. and may
hown.
or may not exist at the location s
r-ity of Edmonds nor its
Nei-ther the k-..
emp'-o-yee-s o*r offi-ce-rs -sh-a-11*1 be Via-b-'Fe forthe
information given' on this rnap(s), nor for
P- representation provided based
any on
upon'said map(s),
it
6 9 0 . 199 -
City -of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 13
Issue Date:
STREET FILE �L
A. Address or Vicinity of Constructiow. 18916 88 Avenue West
B. Type of Work (be specific): Install New Service
C. Contractor: Washiugton Natural Gas Company
Mailing Address: 815 Mercer Street,
State License #: Seattle, VA 98111
Contact: Frailk Swan
Phone: 224-2278
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit.# (if applicable):
E. 'R- Commercial E] Subdivision F] City Project U U. D, GTE, WNG, CABLE, WATER)
F] Multi -Family. El Single Family E] Other PU
INSPECTOR: INSPECTO�--���V�1/
F Pqvp.mp.nt nr Cnncrete Cut, 9 1 Y, �s FlNo(2) G. Size o`�- �x� 4 lid. Char2*e
APPLICANTU a "'N
INDEMNITY. Applicant *understands and by his signature to th is application, agrees r the City of Edmonds harrnless iqi,5e�, ;r
s '
claims any kind or description whatsoever, foreseen or unforeen, that may be made a * t t e City of Edmonds, or any of1deparrmenuqVenrp,'1oy-
ees, including or not limited to the defense ofany legal proceedings including defense costs, and attorneyfees by reason ofgranting this pet7nit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK. ES77MA 7ED RESTORA 77ON FEES. WILL BE HEID- UN77L THE FINAL STREET PATCH IS COMPLETED BY
C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO �HE APPLICANT. Z_
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is. to be inspected during progress and at completion.
Restoration 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 ditches 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 purposes.
Signature: Date: April 30, 1992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
MERU911 W",
DATE: .. �� ...._.:JSSUED BY:
RTO PERMIT ISSUAN
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES
Date:
Date:
(Fund I I I - Route copy to Street Deqt.),
�* I
0 NO
Eng. Div. July 198
Washington
Natural Gas'
A -W-IgM &-W C-=rly
Addendum to :
Submitted by:
5'E�> \Aj
WNG
Water main depth
unknown
�- 11 gas main
City of Edmonds
Right of Way
Permit Application
Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager IIL-q- J�aej,,;�
-w- water
-g- gas
-ss- sewer
water hydrant
815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
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PFMUT APPLICAT
TO; Parinit Coordimtor, Building Division
FROM: Lyle Chrisman. Enginearinj Tupector
0`1 At,�
OWNgp
FACs FV—
ADDRESS:
777
After review of the sublect permit application, the following requi
'P,
1. Construction hours art: WEEKDAYS, ......... 7:00 A.M.-10:00
o4
2. A separate RTGHT-OF-WAY- Construction Permit is required for*1j''
3. Truck haul route plan must be submitted and approved prior to
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4. Builder/Owner is responsible for containing all temporary ruaoff 804
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5. NO WORK SHALL, BE DONE WITHIN 15 FEET OF STREAM$
r
ITY. BVILDERIOMER IS REPSONSIBLE FOR JDENT;Fh_
6- FILTER FABRIC FENCE SHAU BE INSTALLED AND
(6 CDC 18.30)
'A
WY
7. TNSPr, CTIONS ARE Im, QUIRED ON sToRm Diwmcm-,
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUMI' XNJ
a
8. Repair or replace all defective existing curb, gutter, and aid
AEI�
handicap ramp may be required. Contractor shall meetAith
I I. Viluerground wiring is re"red on all new construction, and for'#ddi
assessed value of the structure. (ECDC mmolo)
18. A FINAL ENGINERRINGINSPECTIONM RE.QuIREwD
PANCY OF THE BUILDING OR,STRUCTURB. (ECDC 18.90)
1 20.
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PROJECT NAM
PROJECT ADDRESS:
PROJECT REVIEW C
5FX- 6�MI9101 A,
lt?916 eff Ave J1v
Kr.4.0=1V r.Lj
PT
4`1992
PLAN CHECK #:
r I IS DEPT
RECEIPT DATE:
E ME
BY: Initial/Date).
P-LAN.,
r;LI5GL.:SEWER
WATER
COMMENTS
STREE-r. -r=NO'-
1WFL;771, , I -�
Setbacks/Variande/Setback Adjustment
Conditional Use Permit
2-
ADB Requirements
3
Other Zoning Requirements
4
Underground Wiring Required
Lot Slope 15%
6
SEPA Environmental Checklist/Hydraulics Permit
. . . . . . . . . . --- -
1
.7
Tree Cutting Plan
-----------
-----
Nil' 1
8.
Plat/Subdivision Requirements
Legal Description Verification
Quit Claim/Street Dedications
Easements - Public/Private
.. . ...
Engineering Storm Drain Review Fee
loom
i3
Engineering 2.2 Inspection Fee
2-1 13ITZ
Drainage Plan (On -Site)
.1*6'
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line
X
17.
Open Ditch - Existing
.8.
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
21
Catch Basin Required
Z1/3t5L
22
Driveway Slope & Vehicle Access
Sidewalk Required
. . . . . . . . . . . . . . . . . . . .
A
Curb & Gutter Required
:.:.:25::
Curb Cut For Driveway Required
�26
Street Paving Required
2T.:
Right -Of -Way Construction Permit Required 1467-')
f....................................................
.2
Street Name Sign Required
, "ON'.0-0
Other Signing Required
30.
Bond Required For Public Improvements
.......... ..... . . . . . . . . .
31
FEMA Map Check/Water Table
. . . . . .
iv,
Side Sewer Availability
.33'
Calculate Sewer Connection Fee If No LID # 151
Create Street File
34"
35
Existing Water Main Size
Water Meter Size
Service Line Size
1 1*
00 g--
Water Meter Charge Required
(95600
Hydrant Required
.4
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
Street Cut
-7Z,
4-1
Miscellaneous
ETReviewed By:
FIRE PLANNING ENGINEERING PUBLIC WORIKS
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N-12 ADS
Sch 40 PVC
SOR 35 (ASTM D3034)
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-DETENTION WORKSHEET
U PPV-- R
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3A.5%N DETENTION PIPE LE04GTH covrrROL CATC"
vF_NT) BA's I N
2' MAx COVER
% SLOPE:-.w
SYSTEM CROSS SECTION
CowTROL�
4'
1.4 -- -,/
441" 'TO II.IRL: T
(si
Ku"Or IF
SPREADER)
2' - 2' - G" Mel', At- 16" SPALLS 6 IrOUAL-)
2Vx 2' x'V'' DEEP, V4*- CRUSMED POCK
W 100!
FPOM
OLMLET
CON-1-ROL
RIPRAP OUTLET
WA3HED &RAVEL-) rOUTFLOW TPENrR, MIN 10' LONG,
70P 4 4- PE-PLF PIPE -M BE L-P-VEL
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FROM
0 Lrr. Er
CONTROL
4!' PSRF PIPS WITH CAMS
RUNOFF SPREADER OUTLET
FOOTING DRAINS SHALL NOT BE
Page 9,gQ CONNECTED TO THE DRAINAGE SYSTEM
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
location/-O-J� rift
plan by S4 evi
phone '-7 -? I—
date- f2�/_z IZ7 z
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area— Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
. , - It
CITY OF EDMONDS
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Exist. F. H.
8_0
3
0
0i
5'
Note- Saw cut Sewer Trench 8k Palchper
CO
A.P.W. A. Spec.
/4
00
L,4
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Existing Blow -off Assembly PerRecord
Field Vorify
Const. 166LF 8"PV.0 Son. Sewer at 14-10 %
J. t*i N o; I
40
7- Y�.-A 5—EMEA1 7'
Co nst. IM No. 2
42.17
34.n
Sta- +85---
Top 360.00
I. E. 354. 50
Const. Side sewerStub
ConS � C I
WS W. I.E. 344.55
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NER NAME/NAME OF BUSINESS
cr �KE9�tjj
uj MAILING ADDRESS
Z
3: ClVL6 o�3w(L, VI" M
0
ZIP TELEPHONENUMBER
U_L_0 I 'I I 13 05
NAME
ADDRESS
pi 0, C> --�>o LP
CITY ZIP ELEPHONE NUMBER
_74L'__ -7 LK US L-09
�A"_kV.A�, 0 91`44
ADDRESS
qZIP TELEPHONE NUMUR
it:j�o I' -n ?3
STATE LICENSE NUMBER
'PA CA —%— P, \-k 0
Legal Description of Property - include all easements
Tax Account Parcel No.—TZ�&—=—W15-0005.
17-7
;4-J NEW
RESIDENTIAL
LZU PLUMBING
1Z
ADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
F� APT. BLDG.
El SIGN
F�
FENCE
F�
DEMOLISH
L_ x _FT)
[2
swim
REMODEL
GARAGE
POOL
WOOD STOVEI r7 RETAINING WALL/
RENEWAL
INSERT
L_J ROCKERY
(TY BUSINESS OR ACTIVITY) EXPLAIN:
3�t
NUMBER OF STORIES
NUMBEROF
DWELLING
UNITS
' )r
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
USE ,-6""
Z 0 N E PERMIT 145Z5
NUMBER
JOB
ADDRESS 00 XA7
1691(0
,,SUITE/APT#
A1,10
_
�EGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
/1-10
TESCP Approved
RW Permit Required
0
Aq
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd
0
Inspection Required
Sidewalk Required
IR
0 C)
Z
PROPOSED t11.0
REMARKS
J%6
cr
uj
Z
A)11210!:� lee*)
ENGIhEERING MEMO DATED REVIEW BY
z/zs-/f 7- Al- -
1BUiLDING SUPPLY SIZE I NO� OF FIXTUR
Cc
REMARKS
'PA V
1111110
SIGN AREA SEPA REVIEW AOB NO,
ALLOWED I PROPOSED I COMPI ETE IEXEMPT I ------
::::::= I EXP I A
ARIANCE OR CU PIL NING REVIE& BY DATE
HEIGHT]COT CO�ERA& Z
SETBACKS — FEET I
FRONT 1121�_ I SIDE REARgT "1 0? �" 1 3,(� 20 Z<
REMARKS - f _1
Q.
1'7-,He 111AXE_LiFVAkTJbA) 6hFaC77.,1
I :V:- /1/
1
0 0
12.5 1
SPECIAL INSPECTOR
AREAli
REQUIRED 13 YE S
JOCCUPANCY
GROUP R3
JOCCUPANT
LOAD
REMARKS
INSPECTIONS PER UBC 305
Z
.PROGRESS
R"InAL pe4 iim i
wsFe,-
FINAL INSPECTION REQUIRED
T=
VALUATION
1.
67IMPAI(Z 2 77A63 CXV
PLAN CHECK FEE
BUILDING
671471"V17
PLUMBING
Plan Check, No. 15-6-5 "*
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit. Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages f,
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
npr limit in any way the City's ability to enforce any ordinance
prb.vision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly'
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz.
ed thereby, no person will be employed in violation of1the Labor
Code of the State of Washington relating to Workmen'SIbompensa-
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
tion Insurance.
INSPECTION
SIGNATURE OVI-KN OR AG�NT) SIGNED
DEPARTMENT
T_.____1
ILE
CITY OF
`EDMONDS
ATTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
L3
5,_
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL*S SIGNATURE DATE
'RELEASED TE
3A 174 Z__
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
9
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247