19318 84TH AVE W.PDF111111111111
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19318 84TH AVE W
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CITY OF EDMONDS .
8yp.1y "
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Contractor:
State License No.
Single Farriily
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
SIDE SEWER PERMIT
PERMIT i�-Q 8890
Building Permit No. � 7
.LYNNWooD L NI E`
�,04 -z zb
Invasion into City Right -of -Way: No ❑ .Yes
RW Construction Permit No.
Cross other Private Property No ❑ Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply,with all city requirements
as indicated on the back of the Permit Card.
-1(9 7 —
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE 'USE ONLY
'FOR INSPECTION. CALL-H -3"2, PUBLIC WORKS DEPT. *
D oo Oy
Permit Fee: L
Trunk Charge:,A�� «/ Date Issued: In
-7
Assessment Fee: Receipt No.: lah2'3
Lid No.: / 3 9
Partial Inspection: Date Initial
Comments
Reason Rejected: Date—Initial-
4
Z-�/-
Final Inspection Approved: Date* Initial t—
*.* PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File 'Green Copy: Inspector Bull Copy: Applicant
Revised 3'90
Side Sewer Drawing
The City of Edmonds EASEMENT NO . .............................................
NEW CONSTRUCTION U REPAIRS ❑ LID NO ................... ASMT. NO. ................
OWNER................................................................................................ CONTRACTOR ............................................. ...................................... PERMIT NO. .8-.-.`-.0
JOB ADDRESS .. �..--.4. ..�..-(:.B.. ................... I .!'" .....` ..... LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .-..................................
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
4(P v, c. e.o .
Approved:
a
PWW-0001-11175 (REV.11/78)
DATE .r Z' �' -5� B ...... �` -t�2_
Y---- ....
Mi EIMER - a-, ok
i -ARWR
CAW's
��-;fqka,ujo
Qa
�-Wkl
Appmemilm BY of ANIKilkin
CITY CC
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ME,
. . ... ........ ..
NV Dr- T
C;(17— U pe-
... - Y.S. .x.�. ,4yrv-J'T'yL• --c . .__
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. - 553
Issue Date:— 2 r// 0- F
y A. Address or Vicinity of Construction: 19318 84th Avenue W.
GTE to lace opperate and maintain a buried service
f 0 B. Type of Work (be specific): wire from existing pedestal/flower of located at
D C. 1.$ 9 19320 84th Avenue W. then north tdt:,a residence at 19318 114th Avenue W. Lilt to
plow 40', push 1 driveway thru existing Pipe, and push no road. R.O.W. Footage 601.
GTE Northwest Incorporated
C. Contractor: Marilyn Holmgren, Permit CoordinatorContact: Jerry Scott 425/774-5921 or Chuck Roberts 771-9036
Mailing Address: Everett, WA 98204-1440 Phone: ?4>-4 VIJ
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ❑x Utility (PUD, GTE WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
GTE W.O. # 2100-9P001D8 242310 ,
INSPECTOR: INSPECTOR: p
F. Pavement or Concrete Cut: ❑ Yes EgNo G. Size of Cut: ' x H. &arge $/
Please see attached sketch. ,*
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold 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 or not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of grunting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION 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 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.
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 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 abov ate ent
available on site at I for
Signature:
r�
CALL D
APPROVED BY: iz.0 �1
—T
TIME AUTHORIZED: NO1D AFTER
SPECIAL CONDITIONS:
the permit requirements and the pink copy of the permit will be
?S.
Date: 12/02/97
or Agent) Sec. Mgr. -Access uesign
A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
RIGHT OF WAY FEE:
Z O DAYS DISRUPTION FEEIFUND I 1 I:
RESTORATION FEE:
T OTAL FEE:
RECEIPT NO.:
ISSUED.BI':
NO WORK SHALL.BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES
Comments •
IDiagram;
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PERMIT SUBMITTED BY
GTE . Z
Ig318.
1t3aa
Flower EiNS Flout*
Poi � X1— � �q
LEGEND
PEDS ® 4
POLES O
ROAD BORES
OvERHEAO LINIES---
I.Q. UTILITY POTHOLE C3
UC TRENCWNC —UCT I
P.O.'N.
Walt
„��1't11 ---- ------ EOP
-- ---- ------ -- - - -- ... .V-----��Y--Y,. ---------�•-
F�-Avw ----------------- --------------------------------
CUTS
PROJECT REVIEW CHECKLIST
PROJECT
PROJECT ADDRESS:
e
PLAN CHECK #:?-
.p 2-
RECEIPT DATE:—W�o/ 10—
REVIEWED
BY: Initial/Da
PLAN.
WATER
COMMENTS
FIRE
BLDG...
SEWER
STREET..
ENG.
Setbacks/Variance/Setback Adjustment
... ...
Conditional Use Permit
- 2-*
ADB Requirements
. . . . . .
Other Zoning Requirements
4
Underground Wiring Required
5
Lot Slope 15%
6
SEPA Environmental Checklist/Hydraulics Permit
7
Tree Cutting Plan
8-
Plat/Subdivision Requirements
......................
9
Legal Description Verification
10
Quit Claim/Street Dedications
11 1
Easements - Public/Private
12-
Engineering Storm Drain Review Fee
.
Engineering 2.2 Inspection Fee
¢I�y'i`y ` :i?u°^?4' Ws
14
Drainage Plan (On -Site)
15
Setback - To of Bank, Stream, Water Courses
16
Setback - Storm Drain Line
3& f 7
Al
Open Ditch - Existing
18
Culvert Required
19
Culvert Size
Shoulder Drainage/Shale Open Runoff
21
Catch Basin Required
Driveway Slope & Vehicle Access
23..
Sidewalk Required
Curb & Gutter Required
Curb Cut For Driveway Required
... 26
Street Paving Required
............................
Right -Of -Way Construction Permit Required
Street Name Sign Required
•vim
Other Signing Required
. . . . . . . . . . . . . . . . . . .
Bond Required For Public Improvements
FEMA Map Check/Water Tabte
Side Slower Availability
Calculate Sewer Connection Fee If No LID #
.
M
Create Street File
•_37-
Existing Water Main Size
Water Meter Size
----------- -----
Service Line Size
. . . . . . . . . . . . . . . .
- ---
-38
Water Meter Charge Required
HydrantRequired
........................ . . . . . . . . . . . . . . . . . . . . . . . . ...................... .....
40
Hydrant Size Existing
'4 F 5% F
..........
41
Fire Line Charge Required - Sprinkler
m/A IJ'--
42
Street Cut
.60
1�60
1:43
Miscellaneous
I A4]
Reviewed By:
FIRE
PLANNING
ENGINEERING
P U B Ll c� W- '9 IS
L� Q9
APR Z 9 1997
IBM WORKS DER,
RECORD OF CONTACTS
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT /% DATE ISSUED RECEIPT
9
29
10
30
11
31
12
32
13
PAID RECEIPT # DATE
33
SS PERMIT # DATE ISSUED 1�� 97
14
PAID $ RECEIPT # DATE
34
15
35
16
36
17
37
METER SIZE / `� PAID $/, j 9 DATE /, - P -%% RECEIPT
18
38
19
39
20
40
!n. C.
City -of Edmonds
RIGHT=OF-WAY CONSTRUCTION.
PERMIT Permit: Numbed - 040 .
issue Date: / -6"'- ?X
A. Address or Vicinity of Construction:Z1319 - kz/'dy e, Id,
B. Type of Work (be specific)./6 hA u a�;A1 e 1, erJ/
C. Contractor: Contact: u►^
Mailing Address: �y S ��3 s� .SXaaR��� Phone: cR 66 �F, y 9
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family Single F mily ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : ❑ Yes ftNo G. Size of Cut: x H. Charge $
u �
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold 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 or not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTII. THE FINAL STREET PATCH IS 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.
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 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 times for inspection purposes.
Signature.
Date: /- r-
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: CJtZ.
TIME AUTHORIZED: VOID AFTER M. DAYS
RIGHT OF WAY FEE: (�
DISRUPTION FEE/FUND I 1 l:
SPECIAL CONDITIONS: toe0yloC RESTORATION FEE:
19�e ea 41d a _42 le Q t/cA al A'12 T OTAL FEE: d
J
Q • _RECEIPT NO.:��,
/ I �� ISSUED BY:lot
NO WORK.SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. 1997
FIELD INSPECTION' NOTES (Fund 111 '-'Route copy to Street Dept.)
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
1 3(
gy�
BLS S--e � Le a/lffqb�J CVJ4�
...... . ...... .. .. ...... .
/ so
Parcel B
The south 252.00 feet of the east half of the northeast quarter of the
southeast quarter.of the southwest quarter of section 18, T. 27 N.,
R. 4 E•. , W.M. ;
EXCEPT the north 82.00 feet thereof;
and EXCEPT the south 80.00 feet thereof;
and EXCEPT the north 80.00 feet of the south 160.00 feet of the east
180.00 feet -'thereof; I
and EXCEPT the east 30.00 feet thereof reserved for road purposes;
Situated in Snohomish County, Washington.
r wr :� .,�p'.�" ��1 . -- .r: i -a ,'M ry'-'t. '?^,�-.a .�,�: ..^-�s .'r7 '.yq.A,*z, Z,p+�q+x+enr a �s+�►n 'r-r'.^^,%'4'�"+.'t`iv,,. t� .��.:�('�i �T »i4
, r ...h �€ '4 .. �'Srr:1=4�1-•5�-e'e+., yew
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.City. of . Edmonds
RIGHT-OF-WAY CONSTRUCTION
tea; .�.
PERMIT Permit Number -
Issue Date: — A. Address or Vicinity of Construction:
n189
0 " B. Type of Work (be specific):
C. Contractor: Contact:
Mailing Address: Phone:
State License #: \ Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
6
E. ❑ Commercial ❑ Subdivision City Project Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ , Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: ❑ Yes []No G. Size of Cut: x H. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature 10 this application to hold 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 or not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION 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 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.
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 asrequired b th City-Engipeer.�.
All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
1 have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on site at all times for inspection purposes.
Signature:
Date:
(Contractor or 1 Agent)
'
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID FTER _2 % DAYS
RIGHT OF WAY FEE: —60 . 0 0 r
DISRUPTION FEE/FUND 111:
SPECIAL CONDITIONS: RESTORATION FEE:
T,O.TAL..1
RECEIPT
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO TERN fIT ISSUANCE Eng. Div 1997
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
.Partial Work Inspectiorii by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PLANNING DATA
NAME: Aqi)5-�(
SITE ADDRESS:-' 0/3r 2Py~ A4"-UDATE: :5A3/q'f
ZONING:_ S ' Z' PLAN CHK#: 9-7 / 2 7
PROJECT DESCRIPTION:_ /Uaw ap(?-
CORNER LOT V 0 (Yes/No)
SETBACKS:
Required Setbacks:
Front:�Z!�E Left Side: / 0 Right Side/o Rear: Z5-
Actual Setbacks:
Front: Z6_ Left Side: 40 Right Side: /0 Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: 6 D
Maximum Allowed: 3' —Actual:----
BUILDING HEIGHT: / . YV
Maximum Allowed: Z L- � Actual Height: 2y. 7Z - et,
Datum Point: S /4 // Rl - 8Y~nw 4—)Datum Elevation: 41zq Sa
A.D.U. CREATED?: N o
SUBDIVISION: 5 - A,- 7 3 -
CRITICAL AREAS #: `I 71) !,� �-
SEPA DETERMINATION:
LOT AREA: I &�
OTHER:
Plan Review By:
I �
I
CITY OF EDMONDS
FING.
CTION PERMIT APPLICATION
I E OF BUSINESS
N,15
ZIP TELEPHONE NUMBER
4, -Z". &,. 7jjf�a
ADDR�ESS. ( 1 C
CITY ZIP TELEPHONE NUMBER
NAME /
1# tit•.. 'l j' �-)1N)
ADDRESS
CITY L r ZIP TELEPHONE NUMBER
STATE LICENSE NUMBEREXPIRATION DATE
Legal Description of Property -include all easements
e ^'1' h ;j •...rl - :iG ft."„ I e. I.a
Property
Tax Account f 00+'1
Parcel No. (, �k'•j Y•i t
®,NEW IJ RESIDENTIAL ®;PLUMBINGMECH
f'
COMPLIANCEOR
El
ADDITION COMMERCIAL CHANGE OF USE
REMODEL APT. SLOG. SIGN
O REPGR.A&1-13 FENCE
AIR !P CYOS. I_K_FT)
DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
RETAININGGARAGE WALL/
CARPORT ROCKERY ❑ RENEWAL
NUMBER NUMBER OF CRITICAL,
OF d DWELLING AREAS i
STORIES or;- n NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) _
Z84 PERMIT
NUMBER 9 % 0 f3
E
ADDRESS dt 1• . ' z i..' Y f
to VC. k
AGAL DESCRIPTION CRICK
SUBDIVISION
LID NO. •,,,t ,
/NO.
•• tj1 �j
1 M
[ ..^^
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
e yr�
TESCP Approved ❑
RW Permit Required ❑
, f
EXISTING REQUIRED DEDICATION -
Street Permit Req'd ❑
PROPOSED ' =f
Use
Inspection Required �Q
Sidewalk Required ,O
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES ❑ NO ❑
REMARKS
l
I
-�t j � i W'r'i'T:.r•N-^t•I•.c�•-.� r �rir i'i lJv� �?L% � �=
ENGIN ERING MEMO DATED
REVIEWED BY
SIGN AREA SEPAREVIEW ADS NO.
ALLOWED PROPOSED COMPLETE EXEMPT
�•-^"`"'�• _ fl-. SHORELINE.
EXP
VARIANCE OR CU ..PLANNING REVIEW BY ',4 ATE
SETBACKS —FEET ` HEIGHT LOT COVERAGE'
FRONT f'.`' SIDE ?: 7 REAR ••r:i,"'" '�'* w .a
REMARKS
BY
SPECIAL INSPECTOR A�R.�E,tA� } l �rj OCCUPANT
REQUIRED P'-Cs'7 11•�Q(J.L-%'(j LOAD
❑ YES ,,.. .7 -T
REMARKS 4-•6 i'bL" "" Te f
PROGRESS INSPECTIONS PER UBC 108
■ FINAL INSPECTION REQUIRED ' I I
VALUATION
I
PUN CHECK FEE
r//i7'✓
f
�T)T
BUILDING
� y7i'/)
''rf,�CI.G(✓
SOU�'
HEAT SOURCE: n
GLAZING
7 %
-
PLUMBING
f •;�•1}
•f •/
I
Plan Check No. < I 2 f
MECHANICAL
�
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
40
Any construction on the public domain (curCs, sidewelks,
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
ENO. INSPECTION FEE
30
a successors in interest, agrees to indemnify, defend and hold
v, harmless the City of Edmonds, Washington, Its officials,
li
employees, and agents from any and all claims for damages of
i whatever nature, arising directly or indirectly from the Issuance
i
of this permit. Issuance of this permit shall not.be deemed to
PLAN CHECK DEPOSIT
f✓M1
D
modify, waive or reduce any requirement of any city ordinance
'
i nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
c
provision."
.
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
APPLICATION APPROVAL
I
authorized agent of the owner. I agree to comply with city and
THIS PERMIT'
state laws regulating construction; and In "doing the work authoriz-
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt Is
lion Insurance,,and RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNER OR,%G NTI r GATE SIGNED
j ! r
DEPARTMENT
CITY OF
DATE
OF DATE
f /
EDMONDS
i
(�
ATTENTION
CALL FOR
RELEASED;BY: DATE
1VL;,i
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
A FINAL NOFECTION HAS OR
ABEENDE N
771 - 0220APPROVL
ORIGINAL —fY ile YELLOW — Inspector
YEEN HAS
ANTIL CERTIFICATE OCCUPANCGRANTEDA UBC
SECTION 109
PINK — Owner GOLD — Assessor
Ilnar
PLANNING DATA
NAME: Nn b s,5 ,
SITE ADDRESS: 1_9 31- e'f' 13,Q DATE: 5-1/2-l9
ZONING: (IS--i2_ PLAN CHK#: %7- 1Z 7
PROJECT DESCRIPTION: Na.i�`„
U
CORNER LOT NO (Yes/No)
SETBACKS:
Required Setbacks:
Front: ZV Left Side: 16 ' Right Side: 10 ' Rear: 2 S'
Actual Setbacks:
-------� Front: 25' Left Side: ZL�lv' Right Side: 7%' Rear: (aO'
Street map checked for additional setback required?_ V. - (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N (Y/N)
LOT COVERAGE: ZyGZd
Maximum Allowed: 75 S Actual: 1 3e56. 6
BUILDING HEIGHT:
Maximum Allowed: 2s Actual Height:. 25-'
Datum Point:nh, Datum Elevation: 424.3 '
A.D.U. CREATED?: t+' 0-(1 com A1%
Ae62.
SUBDIVISION: 5- 94- 73 — P/, ,
V CRITICAL AREAS #: N-16 _ wc#'Wr
SEPA DETERMINATION: G�c � ,, (rb_ — 5t-(." t fie)
LOT AREA: 13 850 m
OTHER:
Plan Review By:
Water Service Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS ❑ LID NO . .................. . ASMT. NO...................
OWNER..............................��.................................................................. CONTRACTOR......................................................................----.......... PERMIT NO. .9..?.o.y2-8'
JOB ADDRESS .l.93.�.P.... ...P..'l_...... G....1it/................. LEGAL DESCRIPTION: LOT•.NO....................................... BLOCK NO. ....................................
N.
v..................................................................................................................................................................
NAME OF ADDITION ..:.........................................:
�I
Approved: FItJAL $�
PWW0001.11175 (REV.11178) DATE :........................................... By ...... ....... .......... /. ..............................
NOTICE:
f�:o warran
I
The .information shown on the attached
map(s) was compiled for use by the City of
Edmonds; its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s�. Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
tie map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the city of Edmo-nds nor its
.1. o.. e e's o 'r office -r s - h- 1. l h e l..i a. b.-IFe. for h e
e�p y .
information gi
ven iven can this map(s), nor for
any one representation provided based
upon - said maps).
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
`�''�
OWNER
CALC BY:'��`'
I N ` Z
ADDRESS
PHONE: / 1
DATE:
STR'"DESIGN DATA*****
SET FILE
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
Q
a:
DETENTION PIPE LENGTH LOCKING LID
(TYPICAL)
FINISHED
G
U
MINIMUM _
�
�
MMtt ��LL AA EE
TIGHTL MEASUREDEFROMCTOP OF ..�
W C
U ®
® .57. TO IY SLOPE CONC 80X OR RISER
0 0_ ET
z
..A
un rn
�- < a-
OUTLET CONTROL
MIN.
C\1
T L
2 0 tfs
Cn
< UPPER CATCH BASIN ORIFICE
m (/)cc
Wa CONTROL CATCH BASIN
FP
N
ECE'"
CL
°' SYSTEM CROSS SECTION APR 2 9 1 =
U
PERMIT C0 UR&�
Q
2'X2'X6'.DEEP, 4-6' SPALLS OR EQUAL
FROM CONTROL CB
2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK ® C=
EXISTING GRADE
CAZ
P. Cn
FROM CONTROL OUTLET R11!IEDROICK
OW TRENCH, MIN 10' LUNG.
PIPE TO BE LEVEL
PIPE W/ END CAPS
CH SHALL BE LINED KITH HIRAFI
PRIOR TO PLACEMENT OF WASHED DRAIN ROCK
R/PR9P OUTCRY
RUNOFF SPREADER. TRENCH
FOOTING
DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM -
NOTES:
1. Call Engineering Division (771-0220) for a tightline and detention system inspection
APPROVED BY
before backfilling and for final inspections.
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
DATE
out and removed from the catch basins to allow proper operation. The outlet control orifice
must be ke t open
at all times.
b ,
Table 1 — Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
-4000
- A-
4500
112
5000
125
Note: Allowable Pipe Materials:
Pipe Diameter
15" 18" 24"
30" "
40 28 16
10
50 35 20
13
60 42 24 .
151 Required pipe
�; of
70 49 ` "�18v length in,feet
80�6----z^,1--
90 63 36
23
100 70 40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N-12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Impermeable
Area Sq. Ft.
Outlet Orifice Diameter (Inches)
2000 ,
5/8
5/8
3000
3/4
3500, i
3
4000
4500
7/8
5000
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type"
< 18"
20"
Type I, CB 15
18" to 24"
26"
Type IL, CB 16
24" to 36"
36"
Type II, CB 19 19 (48" Basin)
36" to 42"
42"
Type II, CB 19 19 (54" Basin)
/ *Source: Assoc. Sand & Gravel Co. Standards
5
Revised 3/16/95
C
Table 1 — Detention Pipe Sizes
Impermeable Required
Area Sq. Ft. Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
-4000..
1,00
4500
112
5000
125
Note:'Allowable Pipe Materials:
Pipe Diameter
15" 18" 24" 30"
40
28
16
10
50
35
20
13
60
42
24
15 Required pipe
70
49
l.,
�
18 length in feet
90
63
36
23
100
70
40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N-12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Impermeable
Area Sq. Ft.
Outlet Orifice Diameter (Inches)
2000 .
5/8
2500 :., .
5/8
3000
3/4
3500
4000—dfio
3.
4500
7/8
5000
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type
< 18"
20"
Type I, CB 15
18" to 24"
26"
Type IL, CB 16
24" to 36"
36"
Type II, CB 19 19 (48" Basin)
36" to 42"
42"
Type II, CB 19 19 (54" Basin)
*Source: Assoc. Sand'& Gravel Co. Standards
0
Revised 3/16/95
W
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER 44sop C&M BY: p4tc �t !��
ADDRESS I N . 2Q� ry S� PHONE:
7`S - q 2�
�--UO;: . I W A' DATE:
* � 'DESIGN DATA*****
IMPERVIOUS AREA IPE DIA PIPE LG ORI
R DETENTION PIPE LENGTH LOCKING LID
Q_ - FINISHED G (TYPICAL)
L ^ MINIMUM
Q 171 M �L q E
C'1 TIGHTL MEASUREDC ROM TOP QF
4 :.% CONC BOX OR RISER
LV SX TO I•r. SLOPE
OUTLET
q_ OUTLET CONTROL ...��
MIN. .
=< UPPER CATCH BASIN PRIFICE
Z t' tr, M •
W tr cf� U.w rr CONTROL CATCH BASIN
a O a. o
H
SYSTEM CROSS SECTION APR 2 9 1
W <Cv �r
J pmff
.� _.
Q 2'X2'X6' _DEEP, 4-6' SPALLS OR EOUAL
FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK EXISTING GRADE
ti= CAM
FROM CONTROL OUTLET VASHED ROCK
~ OUTFLOW TRENCI� MIN 10' LONG.
PERF PIPE TO BE LEVEL
PERF PIPE W/ END CAPS
TRENCH SHALL BE L NED WITH HIRAFI
R/PRAP OUTLET PRIOR TO PLACEHEN� OF WASHED DRAIN ROCK
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2. Responsibility for operation and maintenance of drainage systems on private property is the '
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control orifice I DATE
I
83'
19318
Open trench in
shoulder of ROW
for approx 119',
bore 2 d/w for 21'
and 80', set carson
Comcast of Washington, LLC
1525 75t' Street SW
Suite 200
Everett, WA 98203
Contact: Gary Clawson 425-263-5412
North Drop
Node: EM09
19318 84th Ave W - City of Edmond
Asphalt Driveway
11
E-
N
W E
S
NORTH NOT TO
SCALE
Work Details
Open trench in shoulder of ROW for approx 119 feet, bore two driveways for approx 21 feet and 80 feet m/I and set carson to
extend and bury CAN service drop to 19318 84t' Ave W.
Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight
corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project.
Please see attached plans for restoration, erosion control and traffic control. Erosion control will consist of placing filter fabric
fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system clean and functioning. Remove
all debris from the work site. Streets and roads will be cleaned both during and after installation of work.
- 40%
comcast,
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
® Timeline - Up to 30-days past the issue date.
® Work Hours -The entire project area will be conducted from 7:00 AM to 7:00 PM or
as specified by the Inspector.
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up per
Code shall be followed at all times.
2. A copy of the Permit and Traffic Control Plan shall be on -site with all
contractors during the project.
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traffic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traffic control are
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when questions arise about proper traffic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
Erosion Control,Rules - #1
If curb and gutters in project area:
• Filter bags will be placed in catchbasins downstream of work site, and
• Small check dams of pea gravel filled sandbags will placed within the
gutter upstream of the catchbasin.
Traffic control set-up for minor encroachment
100i
Truck Mounted
Attenuator
{optional)
Traffic control set-up for lane closure
su,
100,
race
FIAGGER STATION
•rt,•,�tFn°i c k ri j f
!"v[ t f tk x�afale Fr!' �aY �k�tr` R ' M j? irz y�{yQk12i��� i FC
r �.r+�SlOrrR+ }rnvs}�'�#y'ryrLR�agt`n t'`�iia 'yI
..1+', a•:' .?.....� ...rr .,;wy..,? ..uee�t �JA� ..:1�i.t:.+9.,. ...Ji'n'Y�'.4:i�' rit 9is� ,`�.%: ,. `. :<:Y
Depth, Cleaning, Containment,
Compaction, and Restoration
i
Trenchiri,
tcJ.... , t .�.., :.idur; .:�h,gpa. 6��a».... . r �' ..q�.-.:C� ..:✓;.
Depth =
♦
36-inch minimum
�►
Compatible w/
other utilities
�►
Shoring required
at 4-ft +
Pavement Cuts =
♦
T-cut 1-ft wider
than trench
♦
Neat -line saw -cut
or jack hammered
edge
.. Compactiori�'gtdc
♦ All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using 1-ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
• If proper compaction cannot be achieved with the
native material, new import material is required at
the 95 percent rate.
• As an alternative, CDF can be used in a design
mixture approved by the Engineer.
Ccomcast
ky ���tileanngX:i ionta><rirn'ent;
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
-- - ♦ Mechanical Vacuum is preferred method -
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades.
All disturbed areas shall be restored to
existing or better conditions ! ! ! ! ! ! !
Trench parallel to road:
♦ Shoulder - Match existing surface conditions
♦ Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greater..
Trench across road (immediate cold mix patch) :
♦ Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
♦ Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type II of III cement, within 30 days.
City of Edmonds
Permit No: —Ve
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction: %�%S� �5 y vL
B. Type of Work (be specific):1aaA Y2200-6 1l1 -c (u Q% C.0!1� &f-3 Ac GX00n1x
C. Contractorf knyn& 4 L LC. Contact:
Mailing Address: f 525 �.5'` ��>f- _IA)If2.LYy Phone: 4N2.q 2.103 - . 412
State License #: Liability Insurance: Bond: $
,• 1
City Business License #:
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): f
E. ❑ Commercial ❑ Subdivision ❑ City Project EUC (P. UD,,,YERIZOIV : PSE, COMCAST, OVWSD)
❑ Multi -Family ❑ Single Farnfy '"~❑,Other
INSPECTOR: to �Ifw n
F. PAVEMENT CUT: ❑ YES G. SIZE OF CUT X
CONCRETE CUT: El YES CON
G. rg Mail Approved Permit ❑ Call for Pickup
INDEMNITY. Applicant understands by his/her signature to this application he/she 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 attorney fees by reason of granting 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 THE APPLICANT.
♦ 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 HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
Signature: Date:5 /y�!
(Contractor ent)
REQUIRED INSPECTIONS: �1 A
Call 425-771-0220, Ext. 1326 for a 24-hour voice- ecorded inspection request line.
FINAL APPROVAL OF PERMITTED WORK: U - DATE:
Ins ector's Signature
M.
1 WORK SHALL BEGIN PRIOR1 PERMIT
C:\Documents and Settings\Curtis\My Documents\Forms\Engnrng\ROWpermit_ doc Revised 10/01/03
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