19321 84TH AVE W.PDF111111111111
7861
19321 84TH AVE W
City of Edmonds
8 9 0
C. Contractor:
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. q 6 - /5- y
JUN 2 4 1996 Issue Date: — e�' �__p
of Construction: 1.9321 84th #1 W
&4MEERM &1y GTE to place, operate, and maintain a buried service
9 C) B. lype of wbirk km specific): wi re f rom ... 414039? 1 it tAhl Ry 5 W! ocIted at 19321 ..'
84th Av W then north to the residence at I LiTL to plow IZ57
feet, push one driveway- and peigh nn rrindg- R_n_W_ 79 fpAt
Mary A Bower, Permit Coord.
GTE Northwaqt I neorporated Contact: Qanni s Alexander 771 -'�036 or m,bi 1, 388-135
)21 If. W t, 4 DA
Mailing Address: 05 "o Phone:
Eyepetty WA 98204-11*09 Hapy 296A89_-1Q2A
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. Commercial F] Subdivision El City Project )W Utility (PUD,(GTF1 WNG, CABLE, WATER)
Multi -Family E] Single Family F) Other 2100-9POOlDB. 242310
INSPECTOR: INSPECTOR: t,LA,,1tA
F. Pavement or Concrete Cut 0 Yes SNo G. Size of Cut: H
Please see attached _' s - ketch.
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds 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 ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thi8permit.
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 FOR&ES, AT WHICH TIMEA DEBIT OR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
V
I have read the above statemep_�understand the permit requirements and the pink copy of thepermit will be
available on site,�2mb3'� urposes.
Signature: -Inhn H_ �;tewart Date: June 17, 1996
(Contractor or Agent) Oprns Supv-OSP Engrg.
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
'�FOR.'CITY r:USE ONLY
APPROVED BY: RIGHT OF WAY'DEPOSIT
TIME AUTHORIZEW VOID AFTER DAYS DISRUPTION FEE/FUND 111:
SPECIAL CONDITIONS: RESTORATION FEE:
PERMIT FEE.
TOTAL FEE:
COMMENTS: RECEIPT FEE -
DATE: ISSUED BY: 71L
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE '
Eng. Div. 1994
FIELD INSPECTION NOTES
I Comments:
I Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PE�IVIIT SUBMITTED BY
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME (OR NAME OF BUSINESS)
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LEGAL DESCRIPTION CHECK
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
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CITY TELEPHONE NUMBER
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STREET USE PERMIT REQUIRED 0
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STATE LICENSE NUMBER
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ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
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Legal Description of Property - include all easements
(show below or attach four copies)
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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
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
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successors in interest, agrees to indemnify, defend and hold
.�, -:.., -6 CA ---A, ;.,
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: 1'�F 52 / r1l �K A-C k--./
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for any work on City property.
4) Driveway slope not to exceed 14%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
way. I
8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
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Now
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NOTICE:
c-cura-(..�
No warra
The information *shown on the attached
by the City Of
map(s) was compiled for use
Edmonds, Its Employees and Consultants.
Th,�e City of �Edm.onds does not * warrant the
on these
accuracy of anything set forth
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform ation shown on
tRe -m a p (s) , including, but not limited to,
th'e lociation 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 Edmonds nor its
empto-yee-s o-r office-rs -sh-a-1-1 be 1--ia-b-'Fe for the
on this ma p(s), nor for
information g ven
any one representation provided based
upon said map(s).
'4�-
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTX[ENT Can PROSPeft 6-IL107 when waft
is ready for Inspecaon. (No Inspec-
SIDESEWER PERMIT tions Saftrday, Sunday or hoU"y&) N2 1773
ADDRESS ................... �9321 - 84th Avenue West
..... . ...........................................................................................................................................................................
OWNER .................. Joh-n ... J_.....H.umme.l ....................................... CONTRACTOR .... Russell Johnson
....... .. .. . .. .......... .. ...........................................................................
Permission is granted ..--March 13 67
....... .................................. 19 ......... 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; im
No bends in grade sharper than % will be perm.1tted. min urn grade of 2%.
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 which may develop within one year of completion.
NOTE No. &—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 ap-
purtenances except to Insert the pipe into the wye.
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CITY of EDMONDS MAY 12 1987 SIDE SEWER PERMIT
For Inspection Call 771-3202 PUBLIC INORKATREET FILEE IT NO. 07697
Address of Construction:
Property Legal Description (Include all easements):
7-
Owner and/or Builder:
Contractor & License No:
Single Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
EDMONDS
TREATMFNT D,
Invasion into City Right -of -Way: No �< Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No )5,,, Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
1 certi, fhat I ha�&_read and shall comply /Date
with tke*items listed on the back.
Permit Fee: 30 Issued BY: Z6
-7
Trunk Charge: — 257:00 iDate Issued: 5-1111S 7
Assessment Fee: Receipt No.: A/0
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE
White Copy - File Green Copy --: Inspector
Date Initial
Buff Copy - Applican t _%
Side Sewer Drawing
The City of Edmonds
EASEMENT NO - ------------ -------------------------------
NEW CONSTRUCTION K REPAIRS LID NO. � ----------------- - ASMT. NO - ------------------
OWNER svok-yl-< - --------------------- ---------- ---------------- CONTRACTOR"ZA-a-0 -----
- ------------------------------- I ------------ PERMIT NO. .0769-71
JOB ADDRESS ITNU ------- ---------- ------ ....... I
W ......... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
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------------------------------------------ -- ------------------------------------------------------------------- --------- ---------- -------
NAME OF ADDITION ----- �R.�� 7ti
- ----------- . . .. .......
4 ', ";�j -?#I 5-a-p AW k
4-1- , 1�u c \,�L
Approved:
PWW-0001 -11/75 (REVA 1/78) DATE(e-mi.a.-=13 ............... B3C ......
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1 27 E"77D m F �RL 1 E
PUBLIC WORKS - EWMMERING
ACTION REPORT
SUSPENSE DATE:
Date: Z,�6zz Time: o, File 9
Attachments: =Yes
SUBJECT: =No
REQUESTOR: NAME:
ADDRESS:
PHONE: ;7 X
REQUEST RECEIVED BY: TELEPHONE
CONTACT IN OFFICE r---j
OTHER: =
RECEIVED BY: /yv
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ACTION:
All Concerned Notified
Action Completed/File
APPLICATION
The City of Edmon&swr
"I
for
SEDE SEWER PERMIT
EA-S�EMENT No
—L
01REU
- /I . .....................
..............
NEW CONSTRUCTION E] REPAIRS 0
OWNER ...... j ........ .............................
CONTRACTOR ...... 4)
..... ................... ............. ......... PERMIT No.
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ADDRESS ... . ......... ....... ...... ............................ ...........................
LEGAL DESCRIPTION: LOT No . .............................................
BLOCK No . ................................
NAME OF ADDITION— ...... .........................................
.............................................
4� 5 7
Approved:
DATE............ 1- .......... ............. BY ... N ......
................. ..................
U P p r- P,
C A. rc_ VA
BA.SiN DETENTION PIPE LENGTH
(vr,NT)
1 11 M I W -2' MAX COVRR�-
COVTTP.DL LA-rcH
k3 k N
5LOPE — [I
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OLrrLr'r
cowTRot,.�
70 OUTL-E7
(N P RAP OR
P,UNOFF
SPREADEZ)
N E7vj 1
2' G" , 4t' G - SPA�LLS (.-- CVU^L)
2' 3" OEEP, UZUSWED ROCK
F-KCM
Cc N— ROL.
RIPIRAP OUTLET
MIN 10' LONG.
-rop 4 A* PERF PIPE -M BE L.P-VCL
F;;C?yi
CZ IN 7744 L
4:* ?Z=Z;r PiPS W-, H CAP-s
RUNOFF SPREADER OUTLET
I
rpl
STANDARD DR-AINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
��O r OF FOMOODS
)ation-19SZI jq�ZS —24'12�'�At/6
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Placphone
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DESIGN DATA
System Impenn Pipe Pipe Orifice
Number Area Diam Length Diameter
(Iq3,2)
Iq323
4126
�yl ST
&U-se-3W80
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DOW
-3
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 resoonsibility
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 a-t all
CITY OF EDMONOS
01 1 L rLAN, Oka-'Al-c- ',? �- lU
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
NOTE: DO NOT USE 'RUNOFF SPREADER ON SLOPES
)VER 15 PERCENT (WITHOUT SPECIAL DESIGN ) I PAGE 2 OF 3