20206 84TH PL W.PDFIIIIIIIIIIII
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20206 84TH PL W
CITY OF EDMONDS STREET FILE ART INFORMATION SHEET
/NEW
ADDITION
RETIREMENT
ASSET NO. s;3 z
ADDITION TO ASSET NO.
F�rqperty. ot
11ITY OF EDMONDS
1-0 3 -19:1
IDESCRIPTION
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LOCATION (e /�
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
*PROJECTNUMBER
PROJECT COMPLETION DATE
COST
SERIAL NO.
DEPT 0
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INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
r-
RECIATE
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
PUBLIC WORKS DEPART T
.SIDE SEWER PERMIT
sum 2
FOR INSPECTION CALL
775-2525 Ext. 220
I I I (_ " -j
Permit j\0
D
Issue Date
U PERMIT MUST BE�fPOSTED ON JOB SITE
7 'I�lamwlamwldmwlamwl�,.W,.W,.W-"�A�'"WI� =4
Address of 7onstruction
�_ V,
Property Legal Description '(include all easements)
/ , _� - !Z_,� , , r--- W . � X = 1:7-4702- 2�_
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3. Single Family Residence MU'lti-Family No. of Units
I L ul Commercial
4. Owner and/or Builder I A1,117 /n A- C
5. Contractor -&--License No.11'k
6. Invasion into City Right -of -Way: No�,Y Yes (If Yes Right-of-
way Construction Permit Required Call Dial Dig (342-5344) before
excavation).
E-4
7. Cross other private property: Yes No/�_ Easement required
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
44
a4
4 a. Property owners must obtain a permit to install side sewers on
>4 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
E-4 installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
44 side sewer line.
2:
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade. of'2% (1.150)
0 and maximum grade of 100% (450). 0
E-4 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 re ired.
DATE:
I certify that I have read
and shall comply With the above
NPERMIT FEE:
CONNECTION FEE:
PERMIT MI
DISAPPROVED BY: Date:
B Date:
APPROVED By Date:
T BE POSTED ON JOB SITE
i
NOTICE:
... waa rr a n
/—or
I
The information *shown on the attached
Map(s) was compiled for use by the City of
Edmonds� its Employees and Consultants.
Th.e City of �Edm.onds does not ' wa rra nt t, re
accuracy of anything set for.th on these
m . ap(�-). Any person or en.tity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
-m a p (s) . i n c I u I ding, but not limited to,
th-e lociation of any sew-e r stub shown. Suc
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmbnds nor its
empl-o-yee-s o-r office-rs -sh-a-11 be 11a-b-11--e for the
i n on this ma p(s), nor for
information g ve
any one representation provided based
upon . said map(s),
I*
0
TD110NDS
Side Sewer Drawing &JENT P
The City of Edmonds LRELA LAPJ�TASEMENT NO . ................... ........................
NEW CONSTRUCTION �0� REPAIRS LID NO. AS)vff. NO . ..................
OWNER............................... CONTRACTOR .,.P> ... I.A. ............................................................ PERMIT NO.
JOB ADDRESS ... . ... ... LEGAL DESCRIPTION: LOT NO . ....... ...................... BLOCK NO. ............................
..................................................................................................................................................................
NAME OF ADDITION ...... E%±iA;7n ....
................................. -.7 .....................................
PWW-OWl-11175 (REV.11/78)
4L-
d
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,�� - F L
Approved:
171i
DATE'. ... ... ...... B . .. ...................
y
USE PERMI'VW
CITY OF EDMC&S ZONE,) NWR
K REET FILE
BILill-DING PERMIT AMLICATION JOB
NAME (OR NAME OF BUSINESS) J�DDRESS
'90. F C—C),
LEGAL DESCRi4PTIOON I SUBDIVISION SHORT SUB NO.
&�Ime
t
W
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—
MAILING ADDRESS
9,?0 g PUBLIC RIGHT OF WAY
0
PER OFFICIAL STREET MAP
CITY ITELEPHONE NUMBER EXISTING
-1 -7
PROPOSED
NAME
W
I-
DEFICIENCY OF RIGHT OF WAY
W
E
U
W
I..
C.ECKE7
ADDRESS
SEE ENGINEERING MEMO DATED
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CITY TELEPHONE NUMB ER REMARKS
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NAME
54 /" e-
0:
B
METER SIZE UILDING SUPPLY SIZE F1 XTURE UNITS
0
ADDRESS
M
U
W
It
CITY TELEPHONE NUMBER REMARKS
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0
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STATE LICENSE NUMBER CITY LICENSE NUMBER SIGN AREA ENV. REVIEW ADS NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE
Legal Description of Property (Show Below or Attach Four Copies)
o7-4 I pl*-gf- A dc, e- VARIANCE OR CU 'PLANNING REVIEW BY DATE
z
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FS YARDS LOT COVERAGE
FRONT SIDE REAR
Z
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REMARKS
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IL
W
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NEW RESIDENTIAL PLUMBING CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
NON-RESIDENTIAL MECHANICAL
ADD
SPECIAL INSPECTOR OCCUPANCY OCCUPANT
F� DEMOLISH SIGN REQUIRED GROUP LOAD
JAREA.
At -TER EXCAVATE FENCE 0 YES NO
R OR FILL El
(3
REMARKS
REPAIR PRE-MOVECINSP.j P. swim
COMPLIAN E INS POOL
J
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NUMBER OF STORIES NUMBER OF
3
M
0
DWELLING
I
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
u
Ire
hz)117 PLAN CHECK FEE
0
VALUATION FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways. FENCE
marquees, etc.) will require separate permission.
- SIGN
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 120 Days RETAINING WALL
"Applicant, on behalf of his or her spouse, heirs, assigns and G POOL
SWIMMIN
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successors in interest, agrees to indernnify, defend and hold harmless
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the City of Edmonds, Washington, its officials, employees, and
0:
agents from any and all clainis for damages of whatever nature,
PUBLIC WORKS DEPARTMENT
0 —C,-�Single Family
BUILDING PERMIT REVIEW Multiple
Commercial
BUILDING ADDRESS ,
,�0;0
BLDG. DEPT. SUSPENSE DATE ,3 1 /7 IS,?,-'
ITE: [-]OFFICE ADMIN. — PUBLIC 'WORK'S LOG IN
CITY ENGINEER (check)
Access Slope and Vehicle Access
13Drainage Plan
0 Street File
13Legal Description
OQuit Claim
OEasement
0 Calculate Sewer Connection
13 WATER/SEWER DIVISION
13Determine Meter Size
E3 Complete Building Permit Review
0 STREET DIVISION
OComplete Building Permit Review
F]OFFICE ADMIN. — LOG OUT TO BLDG. DEPT.
- INITIAL DATE
BUILDING PERMIT APPLICATION (COMPLETE) CtA�
2 COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEIED BY FIRE DEPT.)
3 CO PIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFACE [3
LESS THAN 2,000 SO. FT. []
CHECK ZONING REQUIREMENTS (SETBACKS)
0 1 COPY OF ENGINEERING CHECK LIST
0 1 COPY OF PUBLIC'WORKS MEMO
MULTIPLE OR COI-DIERCIAL
YES (ATTACH COPY OF ADB APPRIDVAL INCL. ALL DRAWINGS)
NO
0 SUBDIVISION — YES El NAME
DATED RECORDED
NUMBER
NO 0 (Armoi copy OF mQuIREmENTs)
CHECK SEWER DRAWING AND ATTACH COPY
0 IS DEDICATION REQUIRED — YES[] (OBTAI N QUIT CLAR 1)
( CITY CODE
NO 11
El DOES.CITY HAVE EASEMENT ON PROPERTY
YES11 (ATTACH COPIES OF DRAWINGS)
0 6
-*
0
BUILDING PERMIT REVIEW
(address) (date-T—
Street Right -of -Way Exist'
REQD
Z
Access Easements Existing
REQD
HI
Utility Easement Existing
REQD
Lot Per Subdivision Plat
Assessor p
Site Plan Checked for Accuracy,
Z
Underground Wliring Reqd. Z1,
Check Accuracy of Legal Desceiption , _ I ,
Z
Review by
./
Date '
Ili
Existing Water Main Size
Water Main Required
Service Line Required 2AK
Hydrant Size Existing -3- A21
04
Hydrant Reqd Per Fire Code 4�lj
—Size.
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comments —
.4ater Yeter Charg d. 4-
e Req
Review
V_
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
PrOj
Drm,,-ing No.j,,,�,
File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
:9
Review by
Date
Open Ditch Existing_,,L.�,OA/e
Reqd. A�OAIC-
Z
Culvert Rp-qd. Z9
,f-:Ie
Size
9
Catch Basin Reqd. (
Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd.
Indicate on Site Plan
Soil Cond�tio�s and Ground Water Field Checked 6CIAL-11
Review by W(
Date 3
Revised: lvlO-1977
DATE:
KEMO TO: Building Division
Corununity DevelonmcnL DepartmenC
FROM: Engineering Division
Public Works Depart.ment
SUBJECT:
After review of the subject Building Permit applicacion,!.we-ha
the following comments:
1. Connection to City water system required.
2. t ion to City sanitary sewer system -required.
3. RDP—M-of-wav Permit renuired for any work on City pr22Arc,
4, Driveway slope not to exceed 14%.
5. Rackwacer valve required if dot,,nscairf; plumbing is below_
elevation of upst�eam manliole.
6. Water and sewer lines to be separated by 10 foot minimum.
. . .... Signacure
0
S:
SID
REAR
vttT --� 7
HEIGH�
7-� PIA
- re
14 01,V,6-
,5
47
Z-,g 7-,9 Tes
/ OlTy z7d4pli
MAR 10 1982
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tot
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CATCA4 SA31H:
&M *I S-30 (OIL
WMU&L) TREMCW LWNG'rw
............................. . ..........
16' mc. uwiffr LCVWL TRKNC.N
6� P or Kir PP I PW CAP
6 TEE W/ (-"LONG LEGS
SYSTEM CROSS—SECTION
'rP.EW—H COVER —
3/4'— 0/2" WASWED
G PLAV E L
6" 01AM FFRF P11
?,-00 -1
TRENCH CROSS—SECTION
—STANDARD DRAINAGE PLAN
INIFILTRATIO N SYSTEM
PAGE I OF 2
for Ll "r 3
location P., A-j
plan by __,, 7- - C L---T
phone 77.sk � 3�!t 7
date 3PIU: 1
DESIGN DATA
Trench Perc. LF per Imperm Trench
Number Rate 1000 sq.ft. Area Reg.
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).
17
CITY OF EDMONDS