20209 84TH PL W.PDFIIIIIIIIIIII
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20209 84TH PL W
I
CITY OF EDMONDS
NEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
c, 64, 0
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST'
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE :2
PROJECT N U M BE R 3 -3
PROJECT COMPLETION DATE
COST 7
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYM ENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
12 DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
71�
INITIAL
tnp
�EPARTIVIENT FILE
:CITY OF EDMONDS
1-CI
FOR
INSPECTION CALL
Ormit ho
Cj Q " 10) 41
.4RUBLIC WORKS. DEPARANO
_PU
-
775-2525 Ext. 62ffftP
SIDE SEWER PERMIT
Issue Date
i
PERMIT MUST BE
POSTED ON JOB SITE
EDMONDS
k
1. Address of Construction
0 �2
TREATMENT PLANT
:LT
14
2. Property Legal Description
(include all, easements),-<,,�7ot
1 n I ..i 1
f �r, t-,,v
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder _/114_�,-72'1- 1�-Ivjc /,/J/ * c A- C
5. Contractor & License No.
6. Invasion into City Right -of -Way: No X Yes (If Yes Right-o f-
way Construction Permit Required - Call Dial Dig (T4�_2,"_'=V37A7!A) before
excavation).
E-4 7. Cross other private property: Yes No V Easement required
attach legal description and county easement number.
READ THE FOLLOWING AND. SIGN:
04
P4
F: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.
W
4 C. Commercial establishment requires a minimum of a six inch (6")
P4
z side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 4�
0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
0 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 not' /*
ice required.
DATE
I,certif�7 that I have read
and shall comply with the above
PERMIT FEE: DISAPPROVED BY: Date:
A Date:
s-,
CONNECTION FEE:
APPROVED By: Date:
_3
PERMIT MUST BE POSTED ON JOB SITE
NOTICE:
-Nb---war-ranty ... 01-
The information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds'? its Employees and Consultants.
ko
Th.e City of �Edm.onds does not. wa rra nt t, ie
accuracy of anything set for.th on t * hese
map(§-). Any person or entity'requesting a
copy should conduct an independent
orm-ation shown on
inquiry regard'nS the inf
-ff�e -map(s), including, but not limited to,
th"e lociation of any sew-er stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
o nor its
Neither the city of Edm 'nds.
empl-o-yee-s o-r office-rs -sh-a-11.1 be 1--lia-b-1--e for the
information given' on this map(s), nor for
'ded based
any one representation provi
Upon'said map(s).
I
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS F� LID NO . ...... ----------- ASMT. NO . .................
OWNER CONTRACTOR ---- MAR ------ C—.W41�R I:-z5 ... ------------ PERMIT NO. -054 ---
JOB ADDRESS -------------------------------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO . ..... 14 ---------------------------- BLOCK NO . .........
E7DT.4GND3---
TREATMENT PLANT
............................................................ I ............................................................... . I ----------------------------------
7
NAME OF ADDITION ..... P-IftE ----- RIDGF . ..... ........................................
co
NoR-rm
t
t
REND
IIEN
15 32
WYE ISOPI
L
i c-
7 C.0-CAP
-437
CD.CAP
%�OP
Vr 1.5' OR
VDP
450SEND
F-2-02-0-9
94-m'?L.
Approved:
PWW-0001 -11175 (REVA 1178)
DATE .. ........... . ...............
2-02-01--d
-77.
70/
SITE PLAN, SCALE: STREET
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
t:lo M?
ZONE k S ---9
S E T S C, S:
[7 7, : A
OTrl-i R
HEIGHT
Iq Ple
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
7�
IV I E'l
FILE BUILDING PERMIT RE Multiple
BUILDING ADDRESS (1� Commercial
_D (-) 9 ;?q �h
BLDG. DEPT. SUSPENSE DATE z / /jo f 192, INITIAL DATE
[I OFFICE ADMIN. — PUBLIC WORKS LOG IN
aCITY ENGINEER (check)
0 Access Slope and Vehicle Access
0 Drainage Plan
13 Street File
ElLegal Description
E]Quit Claim
ElEaseme nt
13 Cal, c ij 1 a t e -Sew6r, Connection
WATER/SEWER DIVISION
eterm n �.Meter Si
z�
.L-� Comple 'B�ilding Permit,Review
STREET -DIVISION
4 P. Buii'd"in*�g R
om lete! er-mi ev'iew
C
[]OFFICE ADMIN;-,�':
LOG OUT -TO BLDG-.-'DEPT.
-------------------------------------------------------------------------
B-UILDING PERMIT APPLICATION (COMPLETE). 2-
112' COPIES OF SITE PLAN �-' al2_
-LJ 2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEIED BY FI RE DEPT.)
Cy�,COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000.SO. FT.
CHECK ZONING*REQUIREMENTS (SETBACKS)
1 COPY OF ENGINEERING CHECK.LIST
I COPY OF PU'O,LIC 14ORKS MEMO
MULTIPLE OR COt4MERCIAL
YES `(ATFACH'COPY OF ADB APPROVAL INCT, ALL DP,*7INGS)
NO .. IS)
'ErSUBDIVI 'JON — YES NAME
DATET
NUMBER_
NO (ATTACH -COPY'OF R M-UI-RT-2-VIUS)
CHECK,SEWER DRAWING AN D ATTACH COPY
IS DEDICATION REQUIRED YESQ (OBTAnq QUIT CTA12-0
CITY CODE
No
DOES CITY HAVE EASEMENT ON PROPERTY
YES (ATTACH COPIES OF DRAWINGS)
NO
CHECK LEGAL ACCESS INGREScff
Y E IS
-P S
z
v IV (11 T T n mn
PLAT NO.
.SUBDIVISIONNQ�
i10 El
IFIMULTIPLE: JNCLUDE NUMBER OF UNITS
F".COMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS
SEWER ASSESSMENT BEEN PAID
UTILITIES171
YESn—
NO- []
I// k2-
I r --
DEC 11982
ZONE I'VS-9
SET B A nV,"N
F R 0,11' T
S 11 C�l E
REAR
OTHIER
HEIGHT
7o/
SITE PLAN, SCALE:
INOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
Iq
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
Nt.
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. .... ......... .... .......
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. . ..... I ... _ .; ............
7�p � __ - � � � L ......... ..........
I DATE: 12-3-82
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: ;e 0,2 0 q 84 r'4 )? w
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. -Backwater valve requ ired if downstairs plumbing is below elevation of
upstream manhole.
6. -Water and sewer lines to'be separated by 10 foot minimum.
BD 6/82
USE
CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION joB
NAME (OR N�ME OF BUSINESS) JADDRESS
�a%j L
FM 0" ()V.S 4?_ LEGAL ISE
Woot)LOAY fallk CCJ
CITY TELEPHONE NUMBER
NAME
- I
A RESS
DO
CITY
L
NAME
W �56
ADDRESS
2aqls-
CITY
STATE LICENSE NUMB5
WS-ST9�,b-Zl(,
TELEPHONE NUMBER
19231- 1175-
Legal Description of Property - include all easements
(show below or attach four copies)
LOT Iq
NEW
RESIDENTIAL
Li
PLUMBING
ADDIALTER
NON-RESIDENTIAL
1:1
MECHANICAL
ElREPAIR
RETAINING WALL
El
SIGN
EXCAVATE
1:1
FENCE
DEMOLISH
OR FILL
( x _ FI)
PRE -MOVE INSP.1
11
swim
1:1 SIDE SEWER El WATER LINE El
1:1 0 1:1
. NUMBER OF STORIE9 INUMBEROF
DWELLING
1UNITS
NATURE OF WORK TO Bj DONE (rACH PLOT PLAN)
NbZ
q'i 7
NUMBER
O.-� 0
q + �) Uct M
rL I D _N0.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING _c�� REQUIRED DEDICATION
.ROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED Ll
STREET USE PERMIT REQUIRED I!
SEE ENGINEERING MEMO DATED -
SEE PIW DEPT. REVIEW CHECK LIST DATED
REMARKS,
METER SIZE
REMARKS
SUPPLY SIZE
XTURE UNITS
LU
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED I COMPLETE I EXEMPT
VARIANCE OR CU
YARDS
;.15r- FRONT 7X_ SIDE
CHECKED BY ITYPE OF CONSTRUCTION
BY
ADB NO.
SHORELINE#
DATE
LOT COVER GE
Z
ffg- Z
HEIGHT
SPECIAL INSPFCTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
1-i YES 1!NO I I I I
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: I Year - Provided Work is Started Within 180 Days
"Applicant, on behalf. of his or her spouse, heirs, assigns and
,n
successors in interest, agrees to Indemnify, defend and hold
2
harmless the City of Edmonds, Washington, its officials,
_j
-E
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
:r
of this permit. Issuance of this permit shall not be deemed to
modity,.waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor limit in any way the City's ability to enforce any ordinance
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
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of W hingt relating to Workmen's Compensa-
7
WORK NOTED
jenc%_
tion Insu 117 1
INSPECTION
SIGN E (0 N GENT) DATE SlCv'4EJ5
lall a
DEPARTMENT
�?_
CITY OF
THIS SITE IS LOCATED IN THE CITY
EDMONDS
OF EDMONDS. LOCAL SALES TAX
ATTENTION SHOULD BE CODED 31.04.
775-2525
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
ZEC 11982
VALUATION I FEE
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt Is,
acknowledged In space provided.
4 4
OFFICIAL'S SIGNATURE
DATE
ORIGINAL — File YELLOW — Inspe r
c t 04,
PINK — Owner GOLD — Assessoi� j
0 0
FLIBLIC WORKS rEPARM= aiEacusr
BUILDING PER -TIT REVIEW
(address) (date)
Street Right -of -Way Existi REQD
Z
'_ r M, ---I FEQD
Access Easements Existing 4-V t)eje4.42;�, //4-,f,4C
tele. A
Od
Utility Easement Exist
W
Lot Per Subdivision Plat 7 Assessor Map
W
Site Plan Checked for Accuracy,
Z
Underground Wiring Reqd- vl_-
04
0
Check Accuracy of Legal Descri�tion
Z
Review b Date
Existing Water Main Size �;"f)j,
Water Main Required
Service Line Required
Hydrant Size Existing
Hydrant Reqd Per Fire Code —Size.
Detector Check Meter Reqd._
Cross Connection Inspection
Fire Department Comments
:3'
Water Meter Char e,Reqd--0
Review b _'2 Date
Septic Tank Design Approved. AJ1A Date
Septic Tank Permit Reqd. Al /I)q Permit No.
Sanitary Seuer Availability__',�"/s Proj-.
Drawing No. A1,6 /a/ tWv 5 71, 0 File No.
Side Sewer Availability �Ee 71
4_ /J
W.
4�7-,v
I—
94
Sanitary Sewer Connection Fee 1�qd.
:3:
Review by 4f—)"t'rA Date
W
Open Ditch Existing_____U_Q Reqd.
Culvert Reqd. AIQ Size
P4
Catch Basin Reqd. /V 6 Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd. Indicate on Site Plan
Soil Conditi. �,Ijand ound Water Field Checked
Raview b lee Da t e
Revised: lvlO-1977
CITY OF EDMONDS AS# INFORMATION SHEET
STREF FILE
0 NEW ASSET NO. CC) a C? 3
ADDITION ADDITION TO ASSET NO.
E] RETIREMENT
DESCRIPTION
AjPL4.-�
SERIAL NO.
LOCATION DEPT. NO.
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
PROJECT N U M BE R 2- 2--
PROJECT COMPLETION DATE --3- - F-'
COST 1G, 2-k
0 1 �;'
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE 2-5'
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
lav
q I IERIFIED BY
PROCESSED —
BATCH NO. -kC--
INITIAL
bl-p)
DEPARTMENT FILE