20307 85TH PL W.PDF111111111111
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20307 85TH PL W
CitY OF EDMONDS
ASKIWZALEHEET
ZNEW
ADDITION
RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
1 LOCATION DEPT NO.
1511 6,�-v
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE C->2
*PROJECT NUMBER 4 � �--, --� 0� - </ &
PROJECT COMPLETION DATE /0
COST Ilf
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
�d-DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
INITIAL
tnp
DEPARTMENT FILE
.cd-
00
CD
V_E_1j
-.SEC E I
_CITY of EDMONDS fjUfffff1Sfq LSEWER P E R M I T
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For Inspection Call 771-3202� PUBLIC WORKS PERMIT NOAM0
Address of Construction:
Property Legal Description,(Include all -easements): 4 o(-- <4tocqpLp�-i
Owner and/or Builder:
Contractor & License No: �k q,: �_�e C? 0 1�5 �-A '�,4
Single Family Residence
Multi -Family (No. of Units
Commercial (No.- of fixture Units
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 Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
ijcertiTy triat i nave reaa ana sna
with the items listed on the back.
comp ly
LQ — I —I — (�)5
Date
R_ �-en
Permit Fee: 0 Issued By:
Trunk Charge: Date Issued: 1'e 71g-s
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved: 85 'A
( '� KDD a �t'�e ' initdal
Rejected:
i
ason
** PERMIT MUST BE POSTED ON JOB �JT5E41*1
Date —5—itial
Wh.ite Copy - File
Green Copy - Inspector
Buff Copy - Applicant A
40"
NOTICE:
UT
No Wa *r.r. an -- . a7c
The inform ation'shown on the attached
Map(s) was cc)mpiled for use by the City Of,
Edmonds/ its Employees and Consultants.
The City of 'Edm.onds does not * wa rra nt ti v_-
accuracy of anything set forth on t hese
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
'ation shown on
inquiry regarding the inform
-map(s), including, but not limited to,
t
-er stub shown. Such
the lociation of any sew
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
ernpto-yee-s o-r office-rs -sh-a-11-1 be Viab-'Fe for the
information given o.n this Map(s), nor for
tation provided based
any one represen
upon . said map(s).
The City of Edmonds Side Sewer Drawing EASEMENT NO - ---------------------------------------- I ----
NEW CONSTRUCTION OK REPAIRS E] LID NO. -11(01 -------- - ASMT. NO - ------------------
OWNER ---- ----------------- ------------------------ CONTRACTOR --- EvF—A-a-m
-C ------ PERMIT NO.73-38-
JOB ADDRESS10-3-0-7 -------- a5- 'rH-A.-W, --------------- LEGAL DESCRIPTION: LOT NO. ------------------------- BLOCK NO - ---- ---------- EDMONDS.
TREATMENI PLANTi
--------- ----------------- / - -----------------------------------------------------------------------
NAME OF ADD ION --- - ------------- ------------- [ ------
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S& __z6ppLoved:
PWW-0001-11/75 (REV.11/78)
DATE --------
93
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lot SIOE SEWER
TOP - 422.30 G
INV-40773 F F-A �"EWT"_So �,7�q
120
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TOP - 420.9+
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10, SIDE SEWER
EASeMeMT
<-7, C.O. asrFROM
ToP---42).0t
.I,W V - 412 .00
MOTE
F I 7''ry
RELOCATE F=XIGTINe
WATF-R KAETER TO
EXIG71WG HOU5E
REUOVE qOO 13EW 0
AWD IWSTALL
0" UJ. TEE AN 0
2- 0" KAJ. x MJ. G.V'G
PL W. i-sy4,,m.vo. Hyc)
BLY
+ 2rog'- ;�'-D 'IP'
kAETF--R ell
144-E3t-OW-OFF (TYPICAL) I- x6"y-ro"FL.TEE
SEM 13LY WITH BLOCKI�,JG
I - roll FL. v- O.J. ..V r
MOTE�
RELOCATE EXL(��TIMG WATER
METER To EXISTI�,JG HOUGE z
10
I
0
0
X
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ui
CITY OF EOMONOS
CAW-C "ftliA 9 10640,404, hA4—#GlQN 6*an
SINGLE IFAMILY ItULTIPLE COM(QCIAL
ENGINEERING &
P R.0 JECT
PUBLIC WORKV.
R E V I E W
C�HECK 'LI*S-T
FRDJECI twif Azz,,,:-,e1v CONTACT NX11C TELEPHONE NUMBER
ADDRISS 20307
ACCESS SLOPE AND VEHICLE ACCESS _K117 A
L)MIKAGE PL)JI
STRf[T FILE
'LfL�L DfSCRIPTION VIRIFICATION
QUIT CLAIMIKI)ICAIJONS
EASEMENT - PUOLIC/PRIVAT[ 7'
CALCULATE SEWER CONNECTION If No LID i
41
SIRM PAVING REQUIRED
CURB AND cun[R REquim
SIDEWALK REQUIRED
CUM CUI [OR DRIVE
RIGHI-OF-WAY CONSY
800 RIQUIRID [OR I
SIRM NAME SIGN III
OTHER SICHING REQUI
WAIER PLAIll SIj(_
WAI[R ktAlld REQUIR[p
SfRYIC[ LINE R(QUIPro
Ifyomill SIZE fl]SllliG 15
t (
(ADDITIONAL COMMENTS ON BA(
HYDRAUT REQUIRED PER FIRE CODE SIZE
CROSS C(VINICTION INSPECTION
WATER JIMA C)tARrif RE�UIRIO
REVIEW By 41 X-�
DATE (AWIT-1011AL CO0KX7S ON V
cc 5)-NITART Sflt[R DMIIING FILE NLY16ER
w
SIDE SEWER AVAILABILITY SANITARY SEWER COIIIECTIOII FEE REQUIR.ED
co
>- OPEN D ITCH EX.IS71114 RQUIPfo
cc CULVER I REQUIRED
Z. < W, P, P44AA SIZE
(110i BASIN REQUIRED t L
I.NDICATED 0" SITE PLAN
Sh,OULDIR DRAIUAG( IVINTAIN COLLECTIUI O.N SHALE OPEN RUl*ff
)"lloir R(QoIRfo INDICATID 04 5171 PLAN
ir
0 SOIL CONDITION kno D WATER FIELD CHECKED
Go REVIEW by PAT[ (ADDITIOXAL�COWXNTS EAC
EMMMM=MM-�- USE \,_./PERMIT
CITY OF EDMONDS ZONE Z- NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME (OR NAME O�QUSINESS) ADDRESS
2-os�") -/-Z-
LEGAL DESCRIPTI C ECK BDIVISION NO. LID NO.
fSU
J 1� Ll-
MAILING ADDRESS " / I/ I
U00 (,Q,
PUBLIC RIGH�41` WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSEE
CITY
TELEPHONE NUMBER
Lt go
NA� 4U ( V C
-C-
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 11
STREET USE PERMIT REQUIRED 0
ADDRESS
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED/---Z-
CITY
�m;!L
TELEPHONE NUMBER
Cl
4IL-1 Z4 "Acq1cl
REM
NAME
`)164E '"ELL-F-12- E-1-4
<1 c7
ADDRESS
6 a. H f--
METER SIZE
IBUILDING SUPPLY SIZE I
Cc CITY TELEPHONE NUMBER
Z
0
STATE LICENSE NUMBER CITY LICENSE NUMBER
C7-9�,i In
Legal Description of Property - include all easements
(show below or attach four copies)
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Al 0030
REMARKS
SIGN AREA S , I COMPENV. REVIEW
ALLOWED PROPO E D LETE I EXEMPT
0
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W
LU
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0
Z
Uj
UNITS
Er
W
ADB NO.
I SHORELINE N
VARIANCE OR CU PLANNING REVIEW BY DATE
. I I
YARDS FRONT sibE ' REARI LOT COVERAGE
Rr NEW 7 RESIDENTIAL F] PLUMBING
L --- j
1:1 ADDIALTER E] NON-RESIDENTIAL E] MECHANICAL
REPAIR El RETAINING WALL El SIGN
EXCAVATE FENCE CHEC7777
DEMOLISH 11 OR FILL 1:1 x -FT)
r-7 PRE -MOVE INSP.1 r-1 WIM [.
' 1-1 SIDE SEWER
0 WATER LINE
El
E I
El
11
Y) NUMBER OF STORIES
NUMBEROF
n I
UwtLLINU
I
D
UNI Ii
A
NATURE OF WORK JO BE DO E IFTACH PLOT PLAN)
Ae.
REQUIRED
CI YES I!N
YPE OF CONSTRUCTION CODE HEIGHT
R A OCCUPANCY OCCUPANT
7 IGROUP ILOAD
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
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.
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 an d
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
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
provision."
TOTAL AMOUNT DUE
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-
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washingtoh relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
SIG
,PATYRE (OWNERq DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
PnIAnKin(z
ATTENTION f 1 I-13ZUZ
TION I FEE
3.712, oo
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.
OFFICIAL'S SIGNATURE
DATE
Z
Z
0
Z
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. UBQ!,`
CHAPTER 3. j tJ
102-78
ORIGINAL — File YELLOW — Inspector
Li
PINK — Owner GOLD — Assessor
K111,on Pg - C 9494
mmli�m
1165.7
0
PLOT PLAM
.1(5' 56vv�rz E5A.Sr-,lEFNT-
LOT' Ll 13INE [ZIP - c- G- I- IE-
SNOj-4Qt.AI5%-A
CITY or-- E50MONDI...)
32
ell
CATCH BASIN:
TJkr.NCW LIrNGrH
-n C.14� U W K -.,Or
4 r E ILF F I P9
TEE W/ 4"LONG LEGS
L&-VjrL TX�NC-4
CA-91
SYSTEM CROSS-SECTION
M i PAff I E� 0 X
C.) r� Ll-.,.) Q 1 -4 L- L-Z--i-
To 6�-:: L/---�ED
3/4*- JVI"
COVER
F"FqF P
TRENCH CROSS-SECTION
IN
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for :r Ile
W
- / /';-;.,-z -� 4- -
location
plan by C/-
phone
date-
t
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area _ �eq,
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 floatinq material and
sediment at regular intervals (at least
twice per year).
co
PLOT PL,&,M
Sr-A,LS:I-Zj0--0
LOT H Pl"e- r? 1 Q-15- LNWE-
SNOMOM15%-i C-O., WA.
cl-r-( or-- t5or-jo"D,�-
AP�pl
I
DATE:
M, 'I M 0 T 0 Building Division
Planning Department
FROIM: Engineering Division
Public Works Department
SUBJECT:
After revi ew of the subject :Building Permit application*, vie have the foll6wing
com-ments
1. Connection to City water system required.
2. Connection to City sanitary se,,�ier system, required.
I Q. I- ,
ht-o F-waiy permi t requi red for any work, on Ci ty property.
4. Driveway slope not to exceed 141.
I-
-instairs plumbing is belo,,-i ele"a"On OF
Back,. er valve required� i �: do,.
upstreari, e
6 . water and se�,-ier I ines to be separated by 10 Floot minimum.
ms�
STREET PILE
co
A,A A�
w
W
'Y
.PL(:)-F PL)&,M.
.5 r- A-L E: I"m 10'- 0
LOT'H PINE' r? I PC- G- L- G-
sr,40)-40"Ist-i C-O., WA.
C I T'� o r-- 15 0 M o N ID'�>
STANDARD DRAINAGE PLAN
13
CATCA4 IS^51X:
&M5 a I S-10 (0 T1L9P4CW Lgri,4wrH
WSUAL)
4Att
-ov"
vk
...................... . ...... . ..........
-new UWK C*VMrL TXWN
4FEP.I: PIPS / CAP -o�
-rF-E W/ 4"LONG LEGS
SYSTEM CROSS-SECTION
M I RAff I E-0 0 X
L_[� Q 1 -4 L_ L_;_�_
To f5r-_ LA�(ED f
W4�,,e�L�tfc) Kc�_-K
,T;LE�CR COVER
3/4"- 1'6:* WASWED
G PLXV E I
07.
,1�01AM FE;tF P
TRENCH CROSS-SECTION
INFILTRATION SYSTEM
PAG OF 2
' j
for <116 de
location__j2,;,xr--, A 0(!R e-, 462��_
plan by
phone
date
y'y � — I
DESIGN
Trench Perc
Number Rate
DATA
LF per
1000 sq.ft.
Imperm Trench
Area Req
2050 6
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 floatinq material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
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CITY or-- E5Dr-jONp-=,