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20021 MAPLEWOOD DR.PDFIIIIIIIIIIIIII 12218 20021 MAPLEWOOD DR PUBLIC WORKS DEPARUEOCHECKLIST BUILDING PER1',1IT REVIEW Q%` 11, 1; 7 7 FZ 7, - 17 �, 11 `,77 MIR. 2o02-1 -fi,14 Q)ba (qddrpss7 (d.- e) - ve�' U U U C--. L-� V 1i U Street Right -of -Way Existing Q�-� 0 REQD Z. Access Easements Existing. REQD p4 Utility Easement Existing _ Lot Per Subdivision Plat Assessor Site Plan.Checked for Accuracy. Z Underground 14iring Reqd. t-4 Check Accuracy of Legal Description .Z Review Date N--., Existing Water Main Size d Wa Main Required Service quired PHydrant Hydrant Size Exist S z s t P4 i r Reqd Per Fire Code Size Detector Check Meter Reqd. Cross Connection Inspecti Fire Departumment Co ts Water -tter Charge R.eqd'. e e ew b, view by. Date t c r tic Tank Design Approved e T ank App ov sig n Date T Pe rml Req S ank t Sept Tank Permit Reqd. ep t I d Permit No. I ar Sanitary r Availability t S an e y r Availability - Pro, brawimg No. File No. Side Sewer Availab3 ty_ Sanitary Sewer Connectjo ee Reqd. :3: j Review by Date Open Ditch Existing Reqd. Culvert Reqd. ize 71 P4 Catch Basin Re Indica on Site Plan dica on Site P 0 r Shoulder ge maintain collection an swalFe open runo op. .0 le reqd. l' Indicate an Site Plan Soil Conditions and Ground Water Field Checked ro Review by Date Revised: IvIO-1977 Page 2 ........... S P ,.Reqd. Curb., Reqd. Sidewalk Reqd. Curb Cut f6J Driveway Reqd. V4 Right -of -Way on Permi Constructi Bond Reqd..' -or. Public ovement Street Narre- §i�Zqq_d.� 0 gnin �Reqd. Permit Site ........... 't S de. on' Inspection ma�e or z 0 I BY: S E-4 PH WATE��R H STREET . 1� . ENG=RING . Special' Requirements listed in mem to Commmity Development Department, Building.Di%',ision BY Date c> All items filled.in on Building Permit Application 94 BY fj Date Llem PL4 Drawings St L !!an o tations Made �7 ed' P4 BY Date Approved byl�Public Works Department Revised: lv.10-197�1 � 11 1 APPLICATION for T he City of Edmonds S11DE SEWER PERMT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS Av T. t:hND ..... CONTRACTOR .................................................................................................. PERMIT No.,4995w9zb OWNER ... ......................................... MFL-lspc=� .......................... .......................... ...................... ADDRESS LEGAL DESCRIPTION: LOT No . .............................................. BL()CK No . ............................................ NAME OVADDITION ... P-TP--b6NOFRF2� SD(=)N ...................................................................................................................... ui (c go (3 0 0 ui J L dr RR%*-4ts.-TF— OP-4VF— 21V to c p ;r ut Tf i Approved: 19 B DATE Y - ------ * ------- MY, OPEDMONDS MWER PERMIT WATV&-SVW= DIW"TUMM PERMITNO. 4286 Call 7-76-1107 for side newer Inspections BEFORE covering any portion of the construetion.N Inspection will be PrOV140d within 24 hours4 after request. NO got., Sun., or holiday inspections.) 20021 kaplewood Drive ADDUFMLOCA'HON OF CONSMUMON ..................................................................................... . .................................. ......................... 1"AL DESCRMMON ................. Lot "c" , 0. T. )"Anderson Subdivision ............................................................................. - . .... .................. . .......... . ........... ........................................................................ . .............. . ...... . .......................... . .................................................. ....... . .................. . ................................... O-OV11M A"/ojm Bunm= ........... 0.1 ........ T ......... A ... n.d ... e..r.s-o...n ............................. . .................... 00N=AcT(a,8 NA3= & ADDRESS ....... IN., r. e r ......................................................................................................................................................................... Permhalon in granted ..... ��atwary 30 J3 .... for ..a .... . .. . ........... 1 1 rell"Ir SW*r connection of a side sewer to the city sanitary sewer systeen In accordance with ordbumem ATTENTION IS CALLED TO THE FOLLOWING: No. 1—The owners of the property mav obtain & permit to construct sewer inside property line. A, licensed Side Sewer Contractor must be employed to construct side newer in street area. Do not cover any portion of sewer before it hu.been inspected. Vmr No. 2—All work performed in city right-of-way requires an Invasion of Rlght-of-Wky Permit obtainable from the City Engineer's office. NOTE No, 3--Obtalc. full information regarding Ordinance 11.16,030 and Regulations governing side sewers when you get permit. NOTE No. 4—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 bonds in grade shaxper than % will be permitted. NOTE No. 5--Trenchen In street must be water settled and surface of street restored to original condition. Contractors sball be responsible for fallure due to Improper work which may develop within one year of completion. NOTE No. 6—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 appurtenances except to in- sert the pipe into the wye. DISAPPROVED Date ... ................................... By ............... Date. "PROVED .......... . . ..... By... Ramarks: ....... . .. . .. . ...................... . .. . .. . ........................ .. -/ ...... By ................ .................................. . .................. . .. . ........................................................................ . .............. ............... . ............... ... ................................. I . ................... 130M Permit Copies MUST Be Signed By Owner of Firm Performing Construction JMUoX To Request For Inspeetion ........... . ......................................................................... .... hereby cerWy that the side sewer installatiowe (owner of Contracting Firm Performing construction) onstructed Under this permit was Installed in accordance with all governing ordinances of the City of Lrdmonda, Dated t1dis- Of.." ..... . .................... 44 Che&BFJPOftXY*ud1 t 9',ft Toephone ftwer a Other 0 -4 V The City of Edmonds OWNER --- .. Aly-A.5 .... snv .............. I ........ ADDRESS .. -- - -------------- L) -�f- �2 0 RECEI'V,r-i JAN 3 0 19; 77- APPLICATION for SIDE SEWIM PFMM" EASEMENT No - ------------------------------------------ NEW CONSTRUC71ON C] REPAIRS 0 / 6 CONTRACTOR............. ------------------------------------------------------------------------------------ PERMW LEGAL DESCRIPTION: LOT No - -------------------------- i��, .. ........... BLOCK No - -------- ----------- ....................... Approved: DATE..... ------------------------------------------ 13Y ------------------------------------------ CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY ... 2.0.0.2. 1 - ...Maple.w.o q d .... Or ........................................... Lot No ........ C ............... Permit No ... �03 .... ................. Owner ---- Oscar Anderson . ..... ....... ............................. I ............... Address.?� _Q. Box 535 Edmonds ....................................................... Phone..77.8-.9.018... Builder ... Qs�car_ Anderson Address ... P..._O—Box.535 ... Edmonds .............. Phone..77.8-9.01.8 ... Designer .... C.?. - �R - - ty.o. n ... �n_gin_eerirtg ......... Address ... P_.._.O.__B0X.J87 .. Ly._nnwood.,..k[n._ Phone..77.47.4.159 ... Installer.N.o.r.th --- En.d...Septi.c --- Tan.k --- Co ......... Address ... 7720 ... 210 --- SW ... E.dm.o.nd.s ...... Wn .......... Phone..77.6.-O.55.8... .. .. . .... .... .. .... . .. .. I --- -- .... -- ----- - -_ .... .. .... . .... . ---- .... . .... .... .. I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of grades, fills, Surface drains, etc.) listed by me on P�Y­7 wage disposal system e it application dated.. .............. ................. have been complied wi --------------------- * ....................... *** ......... Signature Desi ner Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted .. , XXX ... .. .. ............... ............... Date... Not Accepted .....Date. . .. .... . Signature of Sanitarian ..... . . . ..A.5qisUM ... City Engineer Remarks: ....... lf­half ­dr.wainf ield ... fai.ls-.-befor-e ... sanitary --- sewers.am ... a-vailable.-by ....................... L.I.D. 161. drainfield will be ex anded to full size. .......................... . ......... ............................ .............. P ................... .............................................................................................. INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest detail and still contain the entire site on one page. ATTENTION HOME OWNER: Your septic tank has limitations! It was designed and installed to care for an average -size family. Over- loading the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2V2-3 years). 2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield. 3. Do not excavate, fill, place a structure, driveway or. patio in, on, or ove'r the drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and disposal field. A 17 13, A ---\ qt�' law 77 y. 54 A-2 Z-7 yoo A99499 6�� / 6;oli� jo 2-0 -V 7 -p- szj - 2 7j 47,, 44,ve�z) Ad -If -Z-;�,7 71-7 IV,o 7--6,4- ed) 776 C.R.'LYON ENGINEERING- LYNNWOOD, WASH. -dr. b Y-. dote:. SEWAGE DISPOSAL PERMIT Septic Tank ........ gals. CITY OF EDMONDS No . ..... -- F .... 4. Disp. Field ...... ....... sq. ft. Department of Public Works Other----- ........................................... Name ...... ................ ................. ................................ ... .. .. .... . ---------------------------- is hereby authorized to install/ repair sewage disposal system at .......... .. ....... ... ............. . . ... ............................ Date issued on ............ . .... // - 149 . . 1; 15;�� ........................ --- -------- - - Permit expires one year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signatureof Installer ............................................................................ Date .................................. ApprovedE] Disapproved Date ---------------------------------------------------------------- By ---------------------------------------------------------------------------------- Remarks: ................................................................... ............................ ................................................................................................................ SANITARIANOR DESIGNER ................................................................................................ Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. f CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ... 080ar To aaderson .............. I ......... ........ --- I ......... ---- -- For installation at: (street address),_ .40kj ""*Plow .4 rj'vo _p 7 . . .............................................................................. Addition or Subdivision --- 11&pjewo0d..,Vj go2i"'of W2661 , .11 � ----------- ­ --------- ......... 9 Lot ---- 34 ...... Block ........ ....... Type of Building: New,,,.;X ..... Existing ----- Single family residence ..... - - ... Number of bedroorns.-... Other: (specify type or use).. .......... ------_------ -------- Builder_.A#q§A! --- -------------- _ Mmads ------ Address ---- �P*0- Box 535 ---- -- --- -- --------- _* ------- ----- ------ Designer- LY-GAI RAW1466'ri L - ---------- -- Address... �P-0-o Soil Log Hole No. 1. DO= test holes were burred to the oemented sand. ........... -------- I ...... ...... ... . the—dektha_-at 't I ... I ...................... .......... .......... _ . ................. Soil Log Hole No. 0 vr_:�"--too xAp�a baa �j .. three lot. AA �IVsragS Of the tests Was Used, ... �p ... on ............ ...................................... ....... ........................... ­1 ........... ­_ .... ------------- ­.1 ...... ................. ............. ............... Elevation of Water Table, if encountered. (Distance from ground surface) .. ........... Corrections to control surface water if needed,. 140ne ........... .............................................................................................. .... .. ............ ................. ........ __ ............................... Specify if any removing or grading of topsoil in field area ....... ................ ....................................................................................................................... ........... ................................. ­­.' ....... Percolation: 45#3 Test Hole No. I — Average Rate ..... 4­T . .......... 1 30re Test Hole No. 2 —Average Rate ..... ......... .......... *45 n) (Fall in ininutes/inch-bottom. 6" test hole) - ­ ......... ..... ..... (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate ------ 8*6 (32") ­ ... ... I ---- ­ ......... ­ ­ ­ � --- ...(Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design . - Date TakenlO/14/67 Septic tank requirements based on present rules and regulations: Septic Tank Size_ i!!/Mk�gallons. Amount of Square Feet of Disppsal Signature — Designer ............... ............ ............. .. Date ------ N.*Pv_!k__6*. X907... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued_(date)_../ _'-ir 7 --------- ...Permit Number. ---------- ........ Remarks:_ -7 --- ......... --------- ..................... --- --- ----- ...... I ................ 2)_10 .... �- - ___* ... 01 A�' .............................................. ............................................................. ...... __­­ ........ ........................................... ..................... .34,yf 77 ez 66, ez, J4 All-1111- I'll __j A011- ,42.o - 271, �,M , Z 0 7 -/ 4 j -: e! 5 - � W 7-- / q 0, I43"q, 3/.C) 4? ey 7L, 22" 4 " 7�14 /Join , '801 ;d e 7;-e j, e,,4 - C R.LYON ENGINEERING .LYN.NW.000, WASH. -7- T 4 -r,4,1 5 9 7 C. R. LYON EWjINTEERING CIVIL AND SANITARY ENGINEER 19?01 SCRIBER 1AKE ROAD LYNNWOOD. 14ASHINGTON DETAIL SPECIFICATIONS SEPTIC TANK ST-MdAGE DISPOSAL SYSTEM Discrepancies between detail specifications and drawing notes shall be governed by drawing notes; 2. Septic Tank shall meet the minimum County Health Dept. specifications for construction and sized as noted on the drawings. 3. Drain Tile: a. 4" dia-meter minimum b. Slope: Min..= 211 per 1001 Max. = 61, per 1001 c Open joints: 3/811 and covered with asphalt paper d: 61, min. of washed gravel under tile and 211 Min of washed gravel over tile. e. Cover: Min. 1211 M-a:x. 24 it f. 61, - Oto min. center to center Spacing. 4. Gravel: a- Size I" to 31t washed. b. No pravel within 241, of Septic tank or distribution box c. Gravel shall be covered with light untreated paper before backfilling 5. Trench: a. Min..width: 241, with flat bottom b. Grade boards, securely staked to trench bottom, for all open joint tile lines. c. Septic tank and distribution box --shall be connected with at least 1 �iece of 411 bell tile. d. Distribution box shall have 1 piece of 411 bell tile following it, for each line of tile. 6. Line from house shall. be kept as high as possible and laid on 2% grade. 7. Paving: Do not place impervious surfacing over any part of sewage disposal system. Plant grass and Small shrubs only. 8. Tank Cleaning: Check Septic tank at least every two years to see if' sludge and scum need removing, if solids overflow into trenches the soil. will become clogged..