19409 89TH PL W (2).PDFiiiiiiiiiiii
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19409 89TH PL W
CITY OF EDMONDS
RINEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO. !�70,39-30
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
6 c-( 0
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER Lo 3
PROJECT COMPLETION DATE 3c.- — S -3
COST
B.A.R.S. ACCOUNT NO. cocp 1cor— 3wwL�--oe - 63
ESTIMATED LIFE 2-
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
INITIAL
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DEPARTMENT FILE
CITY OF EDMONDS
16i
PUBLIC WORKS DEPART A T
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SIDE SEWER PERMIT
FOR INSPECTION CALL 0 Permit
775-2525 Ext. (9-210 ;2,57 Issue Date
PERMIT MUST BE POSTED ON JOB SITE
ku Address 0 f Cnnstru tion 14
2,j, Property Legal Description (include all easements)
2,
ljl�.__j ? .1,
#am, Single Fami-ly,�Residence Multi -Family No. of Units
LH
Commercial
Owner and/or Builder /_ .., — ., (�, -) ',,4 j (- I , I,, k
Contractor & License No. Rk-
Invasion into City Right -of -Way:
way Construction Permit Required
excavation) .
,,� 9�.)\ 1-jZ I TREATMENT_!= .
No 7, Yes (If Yes Right -of-
- Call Dial Dig (041t2�9VXTA�) before
7. Cross other private property: Yes No '�' Easement required -
attach legal description and county easement number.
READ THE -FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
. i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice/required. C
DATE:
TcerE'Ify that I have read
and shall comply With the above
PERMIT FEE: —0()
CONNECTION Fgf.-'
PERMIT MI
DISAPPROVED BY: Date:
By: Date:
APPROVED By: Date:
POSTED ON JOB SITE
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO . ..................
OWNER ....... b 4rdo.P!9�1�� ......... CONTRACTOR --- ........................................... PERMIT NO.
JOB ADDRESS .... pt n ... .................... LEGAL DESCRIPTION: LOT NO . ....... -S .......................... BLOCK NO . .....................................
0
I
or
PWW-0001-1 1/75 (REV. 11/78)
..................................................................................................................................................................
*t-
NAME OF ADDITION ...... ........... 44 .............................................
f
Approved:
DATE ... I / 11V .................. B ;;.� ..... ...... ......... .... ...
�Y� ------------ ----- ----- - 0
NOTICE:
-ra n
n-r--a----c-c-u-- r-1_- a,�� - - - - - - - - , *- -, - , , * " *,
formation -shown on the attached
The in
map(s) was cOm.piled for use by the City of
Edmonds- its Empl,oyees and Consultants.
Th,..e City ofEdrn.onds does. not. warrant the
t n these
accuracy of anything set for. h 0 - -
M a p (�). A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e info'rm'ation shown or
-rnap(s), including, but not limited to,
t 'c ion of any sew-er stub shown. Sud
the lo' at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
tornpl-o-yee-s o-r office-rs -shal] be 1-Jabl.-e for t'he
information giVen on this map(5), nor for
any one representation provided based
upon'said map(s).
STANDARD DRAINAGE PLAN
P- CATCm 5^3ix:
&M 0 IS30(0*' TRFLNCW L.WP4GrH
COVIM3
............................. . ..........
-nc&. UWK LCIVWL TRCNCJ4
41� pawr I PF ",/ CAP
rp"Taz VV/ 16" LONG LEGS
SYSTEM CROSS—SECTION
IrIkENC" COVER —
3/40 WASWED
Cp PLAN U L
(b" PIAM PERF P1
L- 21.e
TRENCH CROSS—SECTION
ict Z?o
� L(0
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone '7 'rl 'fj
date— /00� 8 5
1 1
DESIGN DATA
Trench Perc LF per Imperm Trench
.1-- n— It%rin — -C+ A— 0—
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 responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
Ll / &-
CITY OF EDMONDS
I S 5. 0 c�
-5UILDVNG SZT CK Ll W E-
C:3 4, c' .;'
--------- --
ZONE
F RON: I T
I)- T 14 P L 1\
0
0 T H E R
HEIGHT
THIS OFFICE ASSUMES NO RESPONSIBILITY AS TO PHYSICAL CHARACTERISTICS OF THE SOIL, NOR
DOES IT�
VERIFY ACCURACY
OF ENGINEERING DATA SUPPLIED BY OTHERS.
USE OF PLOT ACKNOWLEDGES ACCEPTANCE.-
JOHN ANDERSON
AND ASSOCIATES- PS. INC.
LOT
BLK
Pitics No. 2
PLAN NO.
F(Imonds, Washington
8261
10620 N.F. Blh Bellevue. Washington 98004 12061454-3096
D A T E
11-8-82
Bjorn ThLJOSC[l 111C.
SCALE I' '=201
BUILDING ADDRESS
BUILDING PERMI T REIVI
WIVIOM
Multiple
Commercial.
0,
BLDG. DEPT. SUSPENSE DATE L) INITIAL
OFFICE ADMIN. — PUBLIC WORKS LOG IN
L�JCITY ENGINEER (check)
W C3 Access Slope and Vehicle Access
gDrainage Plan
0 Street File
Chegal Description
Uj DQuit Claim
0 Easement
E]CalcUlate -Sewer. Connection
W..
.�A�ER/SEWER DIVISION
De t e- im' ne'-Meter.'Size"',
Cp:m'P::*l'e t� --'BiA 1 ding .-Permit".. Review
--v.,,TREET'DIVISION
d ng Permit',Re'v'iew
_t$Comp 1 e t'e Bu 11 "' ii�
[]OFFICE ADMIN.', LOG OUT-Tb BLDG.'
12>1V
DEPT. '
F BUILDING PERMIT APPLICATION (COMPLETE).
E -T-COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLYR.EVIEWED BY FIRE DEPT.)
COPIES OF DRAINAGE PLAN WITH CALCULATIONS _C+L,
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE El
LESS THAN 2,000 So. FT.
I CHECK ZONING'REQUIREMETITS (SETBACKS) /_3C1D
.,Eyl _ COPY OF ENGINEERING CHECK LIST
11-1 COPY OF PU,`,LIC 14ORKS MEMO
MULTIPLE OR CO101ERCIAL
YEIS [] `(ATIACH:COPY OF ADB, APPROVAL TNCL. ALL DR TTINCS)
A!,TINCS)
NO
SUBDIVISION YESO
DATED RECORDED
NUMBER Z)
NO (ATTACH -Copy 'OF -REOUIREt�'DMS)
CaCK SEWER DRAWING AND ATTACH COPY -x—, i
_0__,�S DE . DICATION REQUIRED YESQ (OBT)CQUIT CLAITO
No -Ej�(_ CITY CODE
,01DOES CITY HAVE EASEMENT ON PROPERTY
YESD ATTACH COPIES OF DRAWINGS)
D`CNO
HECK LEGAL ACCESS* ING��&D"' UTILITIER0
YE�,U YESM'
N6 '[I NIT
HAS SEWER ASSESSMENT BEEN PAID�
YES L.I.D. NO.
PLAT NO. - px-7-17177
SUBDIVISION NQ
7j.
NO
CTIF:MULTIPLE: INCLUDE NUMBER OF UNITS'"
I"i" C,O.MMER,CIAL: INCLUDE NUMBER OF FIXTURE UNITS ...
DATE
4 ?A
. it 1142
Pllrlm
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0
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MEMO TO:
FROM:
SUBJECT:
Building Division
Planning Department
Engineering Division
Public Works Departrpent
DATE : // - / z - i ?_
After review of the subject Building Permit application, we have the foll owing
comments:
1. -Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. -Right-of-way permit requir ed for any work on City property.
4. -Driveway slope not to exceed 14%
5. -Backwater.valve required if downstairs plumbing is below elevation of
upstream manhole.
6. -Water and sewer lines to beseparated bY 10 foot minimum.
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Ale
7
0
0
PUBLIC WOWS rEPARTMENT CHEC1a.IST
BUILDING PERMIT REVIEW eeli 4K,
(address) (date)
Street Right -of -Way Existl REQD
Z
Access Easements Existing__.Z �4
g
Utility Easement Existing REOD
W
Lot Per Subdivision lat 7-7 Assessor map 71? 47
Site Plan Checked for Accuracy, 19
Z
Underground Wiring Reqd.
0
Check Accuracy of Legal Descri�tion &/
Z
Review by '/Date '/
Existing Water Main Size
Water Main Required 'VIA
Service Line Required
Hydrant Size Existing,
0�
Hydrant Reqd Per Fire Code &,4 --Size
Detector Check Yeter Reqd.
Cross Connection Inspection
Fire Department Commients
:3
lela t er Me t er Charge 1,"� X
Review by Date
Septic Tank Design Approved Date
Septic Tank Perm:i t Reqd. Permit No.
1Z
Sanitary Sewer Availability 4Y I _Z. '7 Proj.
Drawing No. File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd/
:x
Review by Date
Open Ditch Existing Y,, e— Reqd.
Culvert Reqd. h � Size.
Cd
Catch Basin Reqd. 4Z Indicate an Site Plan '
0
Shoulder drainage maintain collection on swale open runoff 1--A 4, _10,/
E-4
5-*' P & -7-
Manhole reqd. Indicate on' Site Plan
Soil Conditions and Ground Water Field Checked C)
Review Date
Revised: lvlO-1977
a
U USE PERMIT
S E
CITY OF EbmONDS ZONE K NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) AUUHL5Z5
L S
1- 09 -15?q
-TLEGAL DE;SCRIPTION CHECK SUBDIVISION NO.
MAILING ADDRESS r
Z re-
3. PR0 -7
10 Na;.� Q-r.
__ ��&fiiA_Z J& I I r?
i7AME
zd� AN&k ts
TD—DRESS
CITY TELEPHONE NUMBER
0
/to
NAME
L��'Ql , , , - . - "'L
a: RESS
0
a: CITY TELEPHONE NUMBER
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STATE LICENSE NUMBER CITY LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach four copies)
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0
r-
IL
Fr
R LO Z0 r
NEW
5;�
RESIDENTIAL
PLUMBING
ADDIALTER
NON-RESIDENTIAL
E] MECHANICAL
F1REPAIR
E]
RETAINING WALL
SIGN
E]
EXCAVATE
E]
FENCE
DEMOLISH
OR FILL
(—x—FT)
PRE -MOVE INSP.1
swim
COMPLIANCE INSP.
POOL
SIDE SEWER
WATER LINE
El
NUMBER OF STOR 7ES
NUMBEROF
DWELLING
UNITS
�ATURE OF WORK TO
ka-,J.
BE DONE (ATTACH PLOT PLAN)
CZ -4.)b �,, h �
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING -Al2 REQUIRED DEDICATION
S�
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 1-1
SEE ENGINEERING MEMO DATED // - -- 4 -,M
SEE PIW DEPT. REVIEW CHECK LIST DATED
REMARKS
METER SIZE IBUILDING SUPPLY
REMARKS
, _%� . I -/\—I -
NO.
0
Z
cc
W
W
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(D
Z
W
UNITS
fr
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3:
SIGN AREA ENV- REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE I EXEMPT SHORELINE N
VARIANCE OR CU PLA�NN 7 REVI BY DATE
I
Z,
YARDS
LOT COVERAGE
FRONT SIDE REA / —
BY I TYPE OF CONSTRUCTION
HEIGHT
SPECIAL INSPFCTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
1-1 YES I'NO I I I I
VALUATION
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
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 of
E whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
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given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
I
THIS PERMIT
AUTHORIZES
This application Is not a permit until
Iinformation
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance.
INSPECTION
acknowledged in space provided.
SIGI,0URE (0 ER OVSfNT) DATE GNE
-1
DEPARTMENT
I /d ?/r)
CITY OF
OFFICIAL'S SIGNATURE
THIS SITE IS LOCATED IN THE CITY
EDMONDS
OF EDMONDS. LOCAL SALES TAX
ATTENTION
775-2525
DATE
SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. uBcNOV
16 1982
CHAPTER 3.
PINK — Owner GOLD — Assessor
`102-78