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209 DAYTON ST.PDF11111111111111 10806 209 DAYTON ST CITY OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT 1. 0- Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections. I ADDRESS LOCATION OF CONSTRUCTION ....... 6jel ..... ................ . ................................. PROPERTY LEGAL DESCRIPTION ...... aK J ....................................................................................................... .................................................. . ...................... . ........................................................................ . .............. . ................................... .................................................. OWNER AND/OR BUILDER ......... ........ ......................... S NAME & ADDRESS ....... ---------- ......................... ... . .................................... * --------------- ----------- -2 Perndsslon Is granted ......... ............. 197?5;�"'— or repair and/or connection of a side sewer to the city sanitary sewer system in azoordance with Cit)r'Sf' Ed-monds ordinances. ANTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain 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 bends In grade sharper than % will be permitted. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure 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 E] Date ... ................................... By ................ Date ...... Z- ...... By ................ Date .................................... By ................ ........... APPROVED '.EjL Dab)_ ........... By ... . ...... � ........... .................. ....................................................................................... Remarks: ....... . ....... ................... ....... . ...................................... ............................................................................. .................................................... 6b: --------------------------------------------- : ..... . ..................................... ........................................................................................ . ............................................. ......... _9W BOTH rmit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection M .......................... .... hereby certify that the side sewer installation constructed under this permit �t whn e r 74 t ng Firm Perfcrming Construction) i W I , i n' Onstallin ac4eo�irdaiwithUallmgpoverning ordinances of the City of Edmonds. Datedthis ............................ day of ................................................ I ................. 1.9 ......... V V Check BEFORE you dig for: Water 0, Gas E], Telephone [], Power 0, Sewer E], Other E] -4 -� PAID, B-4 1979 ................... . .. . ... Distnct 'ity of Edmonds --- Water Department TAP CARD 0000. Date ....... ...... . . ..... Nol .80 ..... Tap No ... j-7, ......... . ..................... size ...... ........ I ...... size . .............. . ................... No.2 1.2.... Stvle \A <� . .... . ........ �o ........................................... B--Ik.,No ........ . .......................... ........ . . .................................................................................................................... eLocation ....................................................................... . .... . .......... . ................................... . .................................. . ....... . .... ---- - -- ........... Location Ot.,.d ... DRY.T(aq. . . ....... . C�u..l . ........... 'K.-I . ..... acap . .................................................... . ....... .............. iTap................................................................................................. ....... . xe.............................. lbs. Test .................................... % 3illsto .............................................................. . ................. ................ . ..... ..................................................................................................................... Vork........................................ . .............. . .. Foreman I . ........... R ..... . ............. . ................ .................................... 'Voucher No ........................... . .............. $ ................................... ....... ks: .255��yo ...... ... 9.�_Ar .................................................................................................................... ................... STREET .. �FILE- ----------- - - ---------------- - . ...... j ..... ............................................................. ..................... . . .............. �10/0 107 .......... t<_._w ........................................ ......................... . ..... . ............ . -)ING Index -..-.-.'--Reg ------- Route Bk ...... —StenciL ----- Car&__ [ING Index .... . ... Rig ...... Route Bk ......... StenciL__'__Car&_._... SEIRVICE 1NSTALLATIOiN ADDRESS: DAll', !.'oRF'MAN STREET FILE STORM SEWER OTHER FUTURE SERVICE'INSTL: YES BORE: SURCHARGE: YES (N7 LOCK CREW DATE:,, INITIAL: DATE:' -22 -79 INITIALu METER SHOP ACCOUNT NUMBER: _C) 13S-0 SUPPLIER: .CIVIL ENGR. TREATMENT P7T PERN DRAFTSILAN E B L T7SIDE-SEWER SUPERINTENDENT INITIAL: DATE: //b TAP CARD ME ER SHEET PPLICATI( UTILITY DISPATC1 BTLLlN(; M(—)ial'Chargeable to Installation M s 0 NO. DESCRIPTION RATE A"M UNT ..... .. Meter' ---------------- ------ --------- -- ---------- Meter Box 91 ...... ------ ** ------ le-a-W ........... .............. ........ --------------- ---------- Meter Plate -- - --------------- -------------- - - --------- ---------- -------------- ---------- Check Valve ----- - ---- - ------- * ----- -------------- - - --------- - -------- ------ ........ Pipe, Galv. Screw -------- ... .......... ........... . .... ... 1 .......... -------- --- Nipples ....................... . ........... .............. . .......... . SIZE1 ------- -- V.v... Bushings ............. .................. .............. .. - --------- ---------- .. . ..... Plain Ells .. . .......... --- St. Ells ---- piz. -- - ------------- -------------- --- -------- - - ---- ---------- . ............... ...... z ------- -- - ------ 11 ----- - ----- ----- Tees ... - --------------------- --------------- ---------- -- ----- ............. -------------------- ---- -------------- ---- - ------ --------- ....... ... ..... ----- .............. -------------- ------- ----------------------------- .......... ------------- ------------ ----------- ....... ....................... . ................ ......... .. .............. ------------ ---------- ----------- ... .......... ...................................................... .......... I ----------- ----- . ............................................... ------------ ----------- . ....................... ....................... ------------ L --- ------------------------------------------------------ -------------- ---------- -- ----------- ----------- Ma terial Char eable to Taps Conn 9 ected NO. SIZE DESCRIPTION RATE AMOUNT -71 ---- --- Pipe, Black Screw ------------- ... ............. --------- - Y Pipe, Gaiv. Screw .... - I -------------- ----- --------- ---- --- ----- ------ -- M__.. Lead Connections -, ................ ... Curb Cocks ....... Urp. Cocks ... ...... C. -- - --------------- ............. ------------- --------- ions ------------ -- ---- ---------- Saddles ...... .. .............. ..... ---- — --------- - -------- NibDles ------- -------- Bushi gs; . ....... ---------- - --------- n ........................... .............. ............. ............ ......... ..... .......... Plain Ells .......... ! ..... .......... Street, Ells ........ F-1 Tees -------------- ------------- ---------- ......... I ..... .......... Curb Boxes -------------------- -------- * ...... ----- ' ... * * ----------- ---------- -------- -------------- ............ ---------- .. ........ ----- ---------- S. 0. Extensions .................... .............. Gates ........... — ---- - ---- ---------- ---- ---------- --------------------------- . .............. -- - --------- .......... Plugs ------------ 'e --------------------- --- ------------- ------------ -------------- ---------- -- ---- -------- r Couplings .. .............. I , a - - --------- .... .......... Gate Boxes . ...................... ..... .. ----- 1 -------- . ..... ge*j ff'~ 22A ---------- �: ------ .. ............... -- ----- --------- -- * .......... * ...... * ------ * --------- * ............ V ..... .............. . .. . . .......... ...................................................... ............... - -------- --- :7 ------- ............ 1, I � I ................. ------ I ............... C .... . ..... ......... ------ �� ;9 ..... .. ............ . ........ .......... ..... . .... . ...... ............... --------- --- - --- ....... ---- ....... .......... - -------------- ---------- -------------------------- I ----------------------------- --- - -------- --- -------------- ---------- ---- ------- ------- - --------------------------------------- -------------- ------- - --- - : ........ ---------- ---- - -------- -------------------- I ---------------------------- . .............. ............ ....... ........... I ... Hours Tim Men ........ ........ V e—Day ---- - ------ -------- 45Vurs Tizne�Monthly Men . ............... ------- Hours Time�Auto -------- 'W Ho — - - - -------- -------------- ---- 00 1955 PAID City -of Edmonds --- Water Department TAP CARD Date-.T�9...-1.19�55..PA'D No............................... No .................. . .................... Meter Ta Size............................ Size ................ . ................... . . . Mfgrs. No. ......... tyle .. .......... ; ................... ...... . . .. ............... : .... .. .............. . ....................... . ............... For ...... 1.77 ...... _9 e 47 ./ . .... .. .. ....... . ................. . . . ... . .......... . .. ...... .... .. ............... ............. Y� .......... . .......... . ......................... . .. . .......... .......................... ....................... . ........ ....... . ..... LotNo ................................... *Blk. No .......... ........................................ . Add. ................................ . ................ . ..... .......................................................... ServiceLocation ......................................................................... . .............. ........................ . . . ... . ...... .................................................... . .................................. ...... . ....... . ........... Meter LocationSTREET .... FILE.---'..* . . .. . ............... ................ 7 ............................. . .. . ......................... w ....... . w ...................... 'Make Tap ...................................................... ............... . I ........ ............ .......... .................................................. . ....... . ......................... . ............ . . . ....... . ......... . Pressure ... . ..... Test --------- . .......... % ---------- - ---- SendBills to .......................... . ....... . ......................... ......... . ....... . ............ . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of Work .......... :: ........... Foreman ................................ �2 ... .... t.i* ... . ....... . .... --------- Guar. Voucher No ......... ................. ............... $ .......................................... Remarks: ........ : ............ ....... . ..... . ... . .............. . ............ . ... ......... ........ . ........... . . . ..... ... . ...... ............. . ...... ............. N ----------- . . ............... . ....... . ....... . ... . .. . ... .......... ................ .................................................. . ............. . . . ...... . ....... . ....... . ....... . ...... . .......... .................................................. . ....... . .... . . . ............... . .............. . . ....... . . . .... . .......... ......................... . ......................... . ................... .............. ........................ . . . . . . . .............. ............... . .................. ............... . ...... . ................. . ....... . ....... . .. .... . ...... . . . .. . .............. .......................................... . ....... . ................................... . ....... . . . .... . ....... . ...... ............ . ............................................................. ........................................................................ TAX ACCOUNT/PARCEL NUMBER:2-70-5243QD40990D BUILDING PERMIT (NEW STRUCTURE): 19 COVENANTS (RECORDED) CRITICAL AREAS: DISCRETIONARY PERMIT ff'S: B m P)Fl. sq, DRAINAGE PLAN DATED: ?4) , to PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: (pM GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: DETERMINATION: 0 Conditional Waiver n Study Required E] Waiver LID #: LOT: BLOCK: WATER METER TAP CARD DATED:Z* j'r1q , 2-* 1 9 56 . I OTHER: LATEMP\DS'l7s\Fomis\Street File Checklist.doc UMOT __4"qJD"&J.7 ZON BIJ I LDING DEPARTMENT Applicant Fill '76 6 4- llnside Heavy Lines PERMIT APPLICATION NAME (OR NAME OF BUSINESS) AODRLSS L r2, 0 CITY TTELEPHONE NUMBER NAME ADDiZESS I— m W wl U M ITY NU"IER ITELEPIONE z -I NAME ADDRESS 0 CITY TELEPHUNI, NumuER X Z \Z 0 U `§7TATE —LICENSE NUMBER Q_ Legal Description of Property (Show Below or Attach Four Copies) U Ir A 134. r LSID.-TIAL LINE N.N_R.S..E NT.Al [IS ADD DEMOLISH R 'ETAINING A, - - O.ALT.R.. EXCAVATE Ej FENCE OR FILL PR MOVE $Po RFPAfR 01M. I I � SEP'. NUMBER J BER OF MELLING 4ITS NATURE OF WORK TO B� DOME c- LEGAL LOI AT NA E SUBDIVISION NO. , ES "D PUBLIC RIGHT OF V.AY PER ORDINANCE VO. EXISTING RIGHT OF WAY PROPOSED RIGHT OF WAY DEFICIENCY OF RIGHT OF WAY-- STREET/UTILITY WORK REQUIRED D YES 1-3 NO PERMIT FOR WORK IN PUBLIC R/W DYES NO UNDERGROUND WIRING REQUIRErO D YES No CONNECTION TO SANITARY SEWER 0 , Es D No SEPTIC TANK PENMIT REQUIRED DYES D NO SEPTIC TANK PERMIT NO SEE MEMO DATED REMARKS CHECKED By .ErE� SIZE DING S1JPPLY SIZE RFMARKS S.G*,1 APEA ENV. REVIEW CO EXEMPT Auu Nv- 3�-- 7Y ALUDI�O PROPOSED SHORELINE V REMARKS VARIANCE OR CU 1PLAN.ING REVIEW By —JOATE YAPos` FRONT SIDE �1_0 . T COVERAG I E FIRE ZONE F CONSTRUCTICI �COOX ,FIGHT t IT' SPECIAL INSPECTOR 0—t UPAHT REPUIRED , JAREA JOCCUPArIC-' JOC GROUP LOAD YES ;D NO I— IsLAN CH7D By i"HIS SITE IS LOCATED IN THE CITY OF ELMONOS. LOCAL,SALES TAX a SHOULD BE.CODEO 31.04. REMARKS W 0 U M W j z L L PLAN CHECK FEE: VALUATION FEE PROPOSED S. �z 31 C PLOT PLAN jINDI AT RUIL�ING SETBACKS. BUILDING 4111 L AB U TTIEN G STREETS), 0 IS MCCHAKICAL > FENCE F, z "Applicant, on behal' of his or her spouse, heirs. assigns and SIG N W successors in intereq, agrc'es to indemnVy, defend and hold harmless 'I he �.;ty of Frunords. Washington. its officials. empIcvccs, and RETAINING WALL age is from any and �li claims to,- damages of whatever nature, arising uirectiv or indirectly from the issuance of this permit. Issu- I G 00 SWIMM N P L 0 ance of this permit shall not be deeided to modify, %vaive or reduce &t"&_ ol any requirement of any city ordinance nor limit in any way the t to cnfor(e any ordinance 1):ovision." I hereby ack�.ivCqC that I have read thi� application; that the in. TOTAL AMOUNT DUE forroation given i! and that I am the owner. or the duly author- izid agent of th.- owner. I agree to comnly with city and state lsws regu- -NTION ATTL APPLICATION APPROVAL 13ting construct; on; and in doing the WOT� authorized thereby. no person willbe employed in violation of the Labor Code of the State of Washington THIS PER—T This application is nct a permil* relating to Workmen's Compensation Insurance. AUTHORIZES until signed by the Building Offici2l of NOTE: Pemit Limit -One Yinir(Except DEMOLITIONS and FILL ONLY ", HE his Deputy; and fees are paid, aiA PERMITS without conditional use permit, which shall be completed in 90 WORK NOTED receipt is acknQwledged in space pro - days; NIC-VED-IN. BUILDINGS shall be completed in six months.) INSPECTI ON DEPARTMENT vided. DIRECT .1 SIGN A It SIGNATURE (OWN OR AGENT) SP'E7,. JDATE 7LS CITY OF I ID % EDMONDS ATE This Per&t qI6veinI, be done on private propurty ONLI. 775-2525 Any co,z", -:, n. on tt-- t, - .'Iic cl—ain, (curbs, sid—.;kS,r W, �.,�!',require separate permimision. ATrEkril ORIGINAL Inspector* File YELLOW IT IS UNLA,(, 'UL TC: Z' �CCUPY A BUILDING OR STR'JCTURE IK - Cwne, - Assessor GOLD JNTIL.A lrqsp�, -;-. BEEN MADE AUD .1%PPROVAL OR* �:!'PS A Z ER fi F CATE CF7 0--C .1 --A �.V H 4S BEEN G.R ANVU. LICC 204, ?06. PECEIVE'n S EP 111978 ARM Public Works L)CPL- 'Geotechnical Engineering and Geology 12893 N.E. 1 Sth Place, Bellevue, Washington 98005 / Phone: (�06) 455-2018 August 22, 1978 G. R. S. Development P. 0. Box 683 Redmond, Washington 98052 Attention: Mr. Gary Steinvall Subject: Cast -in -place Pier Inspection Proposed Three -Story Office Building Second and Dayton Edmonds, Washington Gentlemen: E-611-1 In accordance with your request, we have monitored the placement of forty cast -in -place concrete piers at the subject site. An Engineering Geologist from our firm was present during installation on July 20, 1978 to verify suf- ficient penetration into bearing soils and that good construction procedures were utilized. All forty piers were placed in accordance with recommendations presented in this firm's report dated May 22, 1978. We made recommendations;for two sizes of piers - a 16-inch and a 24-inch minimum diameter. For the 16-inch diameter pier, we recommended penetration for five feet or at least seven feet below final grade to provide an axial capacity of 26 kips. For the 24-inch diameter pier, we recommended penetration of 4 feet into glacial till or to at lea.st seven feet below final grade for an axial capacity of 56 kips. The pier locations are shown on the Pier Plan, Plate 1. Table A lists tile pier and the total depth of penetration below final grade. It is ouropinion, based on our visual observations during installation, that: 1) The piers have penetrated -the required depth into natural soils 2) The piers have been placed in satisfactory manner to obtain the design pile capacities. G. R. S. Development E-611-1 August 22, 1978 Page two If you have any questions concerning our observations, please feel free to call. Respectfully submitted, EARTH CONSULTANTS, INC. Chief Engineer RSL: rsm cc: City of Edmonds Building Dept. City of Edmonds Engineering Dept. L. A. Bailey and Associates Jbhn Griffin & Associates Earth Consultants, Inc. 47 19, a 38 37 r634 L?-�3 r �32 Q0 q�qL L4�47 047 APPROX. PIER LOCATION 1010 20.' Is r# 22 L 20 7 7-11 NELSON BUILDING PIER PLAN Earth Consultants Inc. om GEOTECHNICAL ENGINEERING & GEOLOGY Work Order 611-1 PLATE C 0 q6 � 0 4b E-611-1 CAST -IN -PLACE PIER INSTALLATION NELSON BUILDING �EDMONDS, WASHINGTON Total Depth Total Penetration Diameter of Penetration into Glacial Till Pier No. (inches) (below final grade). (below final grade) 1A 24 71 31 3 .16 71 31 4 16 71 3-1,1 5 16 71 41 6 16 71 41 7 16 71 51 8 16 7' 41 12 16 71 4-1,' 13 16 71 31,21 14 16 71 31 15 16 71 21 16 16 71 31, 17 16 71 31 18 24 71 31 19 24 71 41 20 24 71 51 21 24 71 41 22 24 71 41 24 24 71 21 25 24 71 31 26 24 71 41 27 24 71 41 Earth Consultants, Inc. 4b CAST -IN -PLACE PIER INSTALLATION (continued) Total Depth Total Penetration Diameter of Penetration into Glacial Till Pier No. (inches) (below final grade) (below final grade) 28 24 71 41 29 24 81 31 30 24 71 2 1,2 31 24 71 41 32 24 71 33 24 71 41 34 24 71 31 37 16 71 31 38 16 71 41 39 16 71 41 40 16* 71 51 41 16 71 51 42 16 71 31 43 16 71-2 41 44 16 61 51 45 16 6-1,' 51 46 16 61 51 47 16 61 51 Earth Consultants, Inc. GERALD W. LOVELL, P.L.S. "7n JURGEN P. SAUERLAND, P.L.S. LOUIS. F. CAVIEZEL, P.E. Lovell-Sauerland &Associates, Inc. Engineers e Surveyors * Development Consultants 0 Planners November 7, 1980 Pile No.. 80-680 Q_EQ. Storm Drainage Calculations for C_ A k� C-5 Pir. of Public Woft . Jack Jacbbsen's proposed -building Near 4th & Dayton Site Information Total.Area - Site development consists of 0.17 acres V, Average Slope - The property drains to the west -at approximately 1% Site Condition..- The property presently contains an existing house and garage with a gravel parking area in the rear. The yard area contains lawn and random fruit trees. Estimated Runoff Coefficient Gravel parking = 0.028 acres @ C 0.75 D Roof Area = 0.032 acres @ C D 0.90 Lawn Area = 0.11 acres @ C D 0.20 Average C D 0.028 (0-75) + 0.032 (0-9) + 0.20 (0.11) 0.17 - 0.' 42 V1 Offsite Contributing Area - None 0- Using the Yrjanainen and Warren Method for simple retention/detentionbasin 6K design, the following.calculations are to determine the required volume of retention of this development.. Distance to outfall from most distant point - 1201 at average slope of 10/. 0 Y- V .7 Collection time is 10 min. Tc Distance + 10 min. 12.9 min. Velocity (f.p.m. Intensity = i = 1.4 in./hr., 10-year storm frequency (Chart 12) STREET. FILE 23106 - 100TH W. EDMONDS, WASH. 98020 PHONE 775-1593 Storm Drainage Calc. for Jack Jacobsen 2 Q Existing = Qu = Cia =0.42 x 1..4 x .17 .10 cfs Q Allowable = Q Existing V Future C Onsite 0.9 Qo .10 .653 cfs. (.17) x (0.9) Assume oftfice outlet condition.. T -25 + 1762 26.9 min. V/ 00 Vs 2820T - 40 Oot 759 cf./Ac. T + 25 V Total = Vs Ac C = 116 cf. V/ Storage Provided V November 7, 1980 ,>Y- 84 lf. 611 dia. @ 0.196 sf. 16 cf,,* V/ Lot Ponding Vol = 1/3 bh .33 x 900 sf - 4WO.23ft. 69 cf. V1, V", 2.15 lf. 4811.dia. CBMH @ 12�566 sf. 27 cf. 1.5 lfPV- CB #15 @ 3.3 sf. 04- 5 cf. Total Storage 117 cf. Sizi.ng Orifice 0 Max = 0.10 cfs. Cd 0.62 h = 2.15 ft. 2g 64.4 A Q/Cd � -2� sf. �/Q.014 Dia. \F4 A o.132 f t. 1.59 in. Use 1-5/8" dia. orifice Check Q for 1-5/8,, orifice with 2.15 ft. Head. A ^rr D 2 2.07 in.2 0.0144 ft-2 4 Q CdA V--275; .105 cfs. OK Check capacity of 8" C.P. @ 0.50% Inlet Control 3.0 cfs. (Chart 3 or 4) Flow Full 0 45 cfs. (Chart 2) APPLICATION The City of Edmonds for EASEMENT NO . ....................... — .................. SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS E. LID NO . .................. . ASMT. NO . ................... OWNER ..... ------- ---------- CONTRACTOR ................. ..... PERMIT NO. JOB ADDRESS -------- LEGAL DESCRIPTION: LOT.NO . ........... ................. BLOCK NO . .................................... L L E 742 77,4 CO3AlIUA 10 r(:2. (JIV1,4oAM -VIP, 144 4 11V 14 /Y.0 /P// ALL- S-K1S7'1,A1(9 Z�)l M �FNJ /,57,A/ J 14A'O-, L LEO/. q WP RNG. 3E.., W.M. described as follows: Comwmenc�- �All t6at pcition of the S.E. quarter of the S.E. uarter, of section 23, T 27 N.. thence West 229 0 feet the true poi nt of begi nni ng; orner of Third Ave. cmd Dayton St in the City of Edmonds, ..ing at the N.W.. c h paral I I to'Third Ave. I 10.0 feet thence North parallel to'the West line of Third Ave. 10.0 thence West 55.0 feet;. thence.-Sout a int of beginning: to the north line'of Dayton St.; thence Ead*515.0 feet to, thi true po Situated in Snohomish County, Washington. truct ral d B.C. Submit complete shoo'drawin for all structural items, including reinforcing U, "go Is in accordance with the 1973 U .-gs. ftel, GLLJ-Lom beams and CMU wall rainforcingi- Isteel, miscellaneous IR�f Live Load 25 psf office flow LIv's Load 50 psf + 2.0 psf partition ;AI 5Q pil .100 psf 14 psf 10', OcO 90 pcf zndx-�-�' U, b owl `10 06A 20 set Date October 25., 1978 MEMO TO: John B. Mitchell Water/Sewer Superintendent FROM: Richard H. Allen Assistant.City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: All that portion of the S.E. quarter of the S.E.r ' quarter of sbction 23, TWP. 27 N., RNG. 3E., W.M. described as follows: Commencing at the N.W. corner of Third Ave. and Dayton St. in the City of Edmonds, thence West 229.0- feet the true point of beginning; thence North parallel to the West line of Third Ave. 10.0 feet; thence West 55.0 feet; thende south parallel to Third Ave. 110.0 feet to the north line of Dayton St.; thence East 55.0 feet to the true point of beginning: Situated in Snohomish County, Washington. Commonly known as: 209.Dayton Z.F.F. Calculation: Z.F.F. x Lateral x Unit(s) x $25 APPROVED BY: 11M41 122.90 $ 10.00 $ 132.90 Leif I�V.Larson,, P.E. Direcft' of Public Works Owner: Connection Fee Lateral Charge Equivalent Count Trunk Charge Permit TOTAL CC: Owner 5/10/77 Paved 2200 SCALE DAYT N �8 SEWAGE a-1 TREATMENT IPLA 24 '\.ALD 20 Al I U ul - !E� t3 12 .-,-.D k 1� .c� 0\ 00 S T�--- 1�— LEI 3 ED 0 F3 El X— D 4js cl D CE�J 0 /E] VALNLtT,,,, S� El�o 0 CO3 N CAfT Ccli--j FLII UI ;L 4 1 -r- 0 n r E). /=23 a 24 an E L. 8 2.7 0 Q APPLICATION for The City of Edmonds SIDE SEWER PERMT EASEMENT No . .......................................... NEW CONSTRUCTION E) REPAIRS 0 101-01350 OWNER............ 0.1-S-011 --- C ...... W . ...................................................................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ------- 209 ... Dayton ... St ---------------------------------------------------------------- LEGAL DESCRIPTION: LOT No . ......................................... .... BLOCK No . ............................................. Lu I- 1 0 NAMEOF ADDITION.. ....................................................................................................................................... Dye Tested On Sewer, 1972 Approved: DATE................................................ By ...................................................................... S 'ET TRE U CITY OF EDMONDS BARBARA FAHEY MAYOR 7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (26�) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION I',' S t . 1 � o %J June 26,1997 CERTIFIED FINAL NOTICE DR. MARVIN NELSON 209 DAYTON ST. Edmonds, WA 98020 Subject: Backflow Prevention Assembly Testing - Account #1104000 On May 1, 1997, you were notified by letter of your backflow prevention assembly was due for annual testing-. On June 2, 1997, the second notice was sent which stated that you had 15 days to take care of this matter. Failure to comply, according to the City of Edmonds Ordinance Chapter 7.20 and.WAC 246-290-490 water service to your premises will be discontinu ed if test results are not sent to me within 20 days from the date of this letter. Should you have any questions or concerns, please contact me at 771-0235, extension 644. Sincerely, __7 Linda McMurphy Water Quality Control LM/Im wordaWwater\nelson Incorporated Au_qust 11, 1890 Sister Cities International — Hekinan, Japan P - 4 40 CITY OF EDMONDS SOW ADDRESS FILE 7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION "I's t . 18 9 �J April 15, 1996 CERTIFIED MAIL FINAL NOTICE Dr. Marvin Nelson Nelson Building 209 Dayton St., Suite #10 1 Edmonds, WA 98020 Subject: Testing Backflow Prevention Device Dear Dr. Nelson: BARBARA FAHEY MAYOR On March 1, 1996, you were advised by a letter regarding testing of your reduced pressure backflow assembly. You were given 30 days to complete this test and have the results returned to my office within 30 days. It has now been 15 days over due. Failure to comply, according to the City of Edmonds Ordinance, No. 3956 and the State of Washington WAC Code 246-290-490 will result in discontinuance of the water service to your building on April 30, 1996. Should you have any questions or concern, please contact me at 771-0235, extension 644. Sincerely, Linda McMurphy Water Quality Control LM/lk Enclosures word ata\water\ne1son2 0 Incorporated August 11, 1890 e Sister Cities International — Hekinan, Japan o ; j so .00 0006.90000 WSS/are 09/27/93 10/05/93 ORDINANCE NO. 2956 AN ORDINANCE OF THE . CITY OF EDMONDS, WASHINGTON, AMENDING THE PROVISION OF SECTION 7.20.050, ADOPTION OF STATE REGULATIONS REGARDING CROSS -CONNECTION CONTROL DEVICE AND FIXING A TIME WHEN THE SAME SHALL BECOME EFFECTIVE. WHEREAS, Section 7.20.050 of the Edmonds City Code adopts regulations of the State Department of Health concerning public water supplies and cross -connection control devices, and WHEREAS, the Washington Administrative Code provisions adopted in such,section have changed and the ordinance needs to be revised in order to authorize the staff to develop appropriate regulations and mechanisms - to enforce - such requirements, NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF EDMONDS, WASHINGTON, DO ORDAIN AS FOLLOWS: Section 1. The Edmonds City Code Section 7.20.050 ADOPTION OF STATE REGULATIONS is hereby amended to read as follows: 57366.1 7.20.050 ADOPTION OF STATE REGULATIONS. The Community Services Director or his/her designee is hereby authorized to develop rules and regulations based upon and including the requirements of the rules and regulations of the State Board of Health regarding public water supplies and the protection of such supplies from contamination entitled "Cross - Connection Control. Regulations in Washington State", the provisions of Washington Administrative Code Section 246-290-490, and the American Waterworks Association, Pacific -1- Northwest Second Edition of "Accepted Procedure and Practice in cross -Connection Manual." The provisions of the Washington Administrative Code, the rules and regulations of the Department of Health set forth in' the Cross -Connection Control Regulations in Washington State and the previously referenced Accepted Procedure and Practice in Cross - Connection Manual are hereby adopted by this reference as fully as if herein set forth in full. Any additional rules and procedures necessary to implement such regulations shall be developed by the Community Services Director or his/her designee as appropriate. Such rules and regulations shall be kept on file along with copies of the above referenced regulations and manuals in the Office of the City Engineer of the City of Edmonds. Section 2. Effective Date. This ordinance, being an administrative actiont is not subject to referendum and shall take effect five (5) days after publication. APPROVED: ATTEST/AUTHENTICATED: APPROVED AS TO FORM: OFFICE OF THY, CITY ATTORNEY: BY FILED WITH THE CITY RK.: 10/06/93 PASSED BY THE CITY COUNCIL: 10/19/93 PUBLISHED: 10/24/93 EFFECTIVE DATE: 10/29/93 ORDINANCE.NO. 2956 57366.1 -2- 7.16.180 ers not in compliance at the effective date of this section shall be brought into compliance within six months of the effective date of this section. [Ord. 2009 § 1, 1978; Ord. 413 § 15, 1929]. 7.10.180 Unlawful acts. It is unlawful for any person, corporation, or association to break, damage, or injure in any way any pipe, gate, meter or other water Sys- tem appliance, or to interfere in any manner with the proper operation of any part of the water system of the city of Edmonds, or to make connection to or alterations in any pipe whereby water may be drawn from the city mains or to take water from any fire hydrant, bibb, pipe, or fixture of any kind, without first having secured a permit from the water divi- sion or proper city official. [Ord. 821, 1960; Ord. 413 § 16, 1929]. Chapter 7.20 BACKFLOW PREVENTION' Sections: 7.20.010 Definitions. 7.20.020 Cross -connections declared unlawful. 7.20.030 Backflow prevention devices to be installed. 7.20.040 Private water supply systems. 720.050 Adoption of state regulations. 7.20.060 Abatement of unlawful cross - connections and installation of backflow. prevention devices — Procedures. 7.20.070 Penalties. 7.20.010 Definitions. A. "Backflow" means a flow, other than the intended direction of flow, of any foreign liq- ulds, gases, or substances into the distribution system of a public water supply. B. "Backflow prevention device" means a device approved by the state of Washington, Department of Social and Health Services or such other state department as has jurisdiction over the subject matter and by the American Water Works Association, used to counteract back pressure or prevent back siphonage into the distribution system of a public water sup- ply- C. "Cross -connection" means any physical arrangement whereby a public water supply is connected, directly or indirectly, with any other water supply system, sewer, drain, con- duit, pool,. storage reservoir, plumbing fixture or other device which contains or may contain contaminated water, sewage or other wastes or liquids of unknown or unsafe quality, which may be capable of imparting contamination to a public water supply as a result of backflow. [Ord. 1711 § 1, 1974]. 7.20.020 Cross -connections declared unlawful. The installation or maintenance of a cross- 7-8 Edmonds City ", 7.20.040 connection, which, in the opinion of the direc- tor of public works or his designee, will endan- ger the water quality of the potable water supply of the city, of Edmonds, is unlawful [Ord. 1711 § 1, 19741. 7.20.030 Backflow prevention devices to be installed. Backflow prevention devices, when required to be installed in the opinion of the director of public works or his designated rep- resentative, shall be installed and maintained by the service customer on any service connec- tion to the city of Edmonds water supply sys- tem where the backflow prevention devices are necessary for the protection of the city of Edmonds' water supply. [Ord. 1711 § 1, 1974]. 7.20.040 Private water supply systems. Use or operation of a private water supply system, contrary to the provisions of the ordi- nances of the city of Edmonds, or the laws of the state of Washington or the rules and regu- lations of the State Board of Health regarding public water supplies where the private system is served by the city public water supply is unlawful. [Ord. 1711 § 1, 19741. 7.20.050 Adoption of state regulations. The community services director or his/her designee is hereby authorized to develop rules and regulations based upon and including the requirements of the rules and regulations of the State Board of Health regarding public water supplies and the protection of such supplies from contamination entitled "Cross -Connec- tion Control Regulations in Washington State", the provisions of WAC 246-290-490, and the American Waterworks Association, Pacific Northwest Second Edition of "Accept- ed Procedure and Practice in Cross -Connection Manual." The provisions of the Washington Administrative Code, the rules and regulations of the Department of Health set forth in the Cross -Connection Control Regulations in Washington State and the previously refer- enced Accepted Procedure and Practice in Cross -Connection Manual are hereby adopted by this reference as fully as if herein set forth in full. Any additional rules and procedures necessary to implement such regulations shall be developed by the community services direc- tor or his/her designee as appropriate. Such rules and regulations shall be kept on file along with copies of the above referenced regulations and manuals in the office of the city engineer of the city of Edmonds. [Ord. 2956 § 1, 1993; Ord. 1711 § 1, 19741. 7.20.060 Abatement of unlawful cross - connections and installation of backflow prevention devices — Procedures. Cross -connections declared in this chapter to be unlawful whether presently existing or hereinafter installed and/or services requiring backflow prevention devices and/or unlawful use or operation of a private water supply sys- tem.served by the city public -water supply are public nuisances and, in addition to any other provisions of this code or the ordinances of the city of Edmonds on abatement of public nui- sances, shall be subject to abatement in accor- dance with the following procedure: A. In the event that the director of public works or his designee deten-nines that a nui- sance as herein provided does exist, written notice shall be sent to the person in whose name the water service is established under the records of the city of Edmonds water division, or alternatively, a copy of such written notice shall be posted on the premises served. I B. The notice shall provide that the nui- sance described herein shall be corrected within 30 days of the date the notice is mailed or posted on the premises. C. In the event the nuisance is not abated within the prescribed time, water service to the premises shall be discontinued. D. In the event that the nuisance, in the opinion of the director of public works or his 7-9 7.10.070 ft-- designated representative, presents an immedi- ate danger of contamination to the public water supply, service from the city water supply sys- tem to the premises may be terminated without prior notice; provided, however, notice will be posted on the premises in the manner hereto- fore provided at the time the service is termi- nated. [Ord. 1711 § 11" 1974]. 7.20.070 Penalties. In addition to the remedies set forth herein, any person found guilty of violating any of the provisions of this chapter shall be subject to the 'Penalties as set forth in ECC 5.50.020. [Ord. 1711 § 1, 1974]. Chapter 7.30 WATER RATES AND SEWER CHARGES Sections: 7.30.010 Definitions. 7.30.020 Separate single-family residence meters. 7.30.030 Water rates — Meter installation charges. 7.30.040 Utility charges. 7.30.050 Unauthorized use of water. 7.30.060 Severability. 7.30.070 Water and seWer rate reductions for low income citizens. 7.30.080 Reserved. 7.30.090 Penalties. 7.30.010 Definitions. A. "Dwelling unit" rneans a building or portion thereof providing complete house- keeping facilities for one family. B. "Single-farmly residence" means a detached building containing one dwelling unit only. C. "Duplex7'means a building, occupying, a lot, containing two dwelling units. D. "Apartment houses" and other "multiple units" (except hotels, tourist courts, trailer parks, and motels) means a building or build- ings used for and containing three or more dwelling units occupied on a weekly or monthly basis. Units rented on a weekly or monthly basis shall not be deemed to be tourist courts or motels. E. "Hotels" means any place with individ- ual rooms rented on a daily or weekly basis. F. "Tourist courts" and "motels" means detached multiple units, occupied and paid for on a daily basis. G. "Office buildings" includes all types of professional, and business offices, including but not limited to architects, engineers, law- yers, doctors, dentists, real estate offices, etc. H. "Commercial" and "retail buildings" mean all types of retail and commercial busi- 7-10 CROSS CONNECTION CONTROL REGULATION IN WASHINGTON STATE STATE BOARD OF E[EALTH DRINKING WATER REGULATIONS WAC 246-290-490 (1) General. (a) Purveyors have the responsibility to protect public water systems from contamination due to cross -connections. Cross -connections which can be eliminated shall be elin-driated. The purveyor shall work cooperatively with local authorities to eliminate or control potential cross -connections. The purveyor shall develop and , lenient a imp cross -connection control program acceptable to the department. The scope and comple)dty of the program shall be directly related to the size of the system and the potential public health risk. A department guideline titled 'Planning Handbook' is available to assist the utility in developing this program. The most -recently published edition of the manual titled 'Accepted Procedure and Practice in Cross Connection Control - Pacific Northwest Section - American Waterworks Association' shall be used as a resource to establish: (i) Minimum cross-co.nnection control operating policies; (ii) Backflow, prevention assembly installation practices; (iii) Backflow prevention assembly testing procedures; and (iv) Enforcement authority. Purveyors and local authorities shall have the option of establishing . more stringent requirements. (c) The purpose of a. cross -connection control program is to protect the health of water consumers and the potability of the public water system by assuring: (i) The inspection and regulation of plumbing in existing and proposed piping networks; and (ii) The proper installation and surveillance of backflow prevention assemblies whenactual or potential cross -connections exist and cannot be eliminated. (d) The cross -connection control program shall be included in the water system's plan under WAC 246-290-100 or small water system management Program as. outlined under WAC 246-290-410, whichever is appropriate. (e) When an existing cross -connection -poses a potential health or system hazard, the- purveyor shall shut off water service to the premises until the cross -connection has been eliminated or controlled by the installation of a proper backflow prevention assembly. The cross - connection control program manager for the department shall be notified when a service has been shut off. (2) Backflow prevention. assembly installation and testing. (a) If a cross -connection cannot be eliminated, then: (i) An air -gap separation, reduced pressure principle backflow prevention assembly (RPBA) or a reduced pressure principle detector backflow prevention assembly (RPDA) shall be installed if the cross - connection creates an actual or potential health or system hazard. Vl-' Of (ii) An air -gap separation, PLPBA, RPDA, double- check valve backflow prevention assembly (DCVA), or double-check detector backflow prevention assembly (DCDA) shall be installed if the , cross -connection is objectionable, but does not pose an unreasonable risk to health. (iii),A pressure vacuum breaker assembly (PVBA) or an atmospheric vacuum may be installed where the substance which could backflow is objectionable but does not pose an unreasonable risk to health and where there is no possibility of backpressure in the downstream piping. (iv) Backflow prevention assemblies, appropriate -for the degree of hazard or air gaps and in some cases both, shall be installed at the service connection or within the following facilities, unless in the judgment of the water purveyor and the department, no hazard exists: Hospitals, mortuaries, clinics, laboratories, piers and docks, sewage treatment plants, food and beverage processing plants, chen-dcal plants using water process, metal plating industries, petroleum processing or storage plants, radioactive material processing plants or nuclear reactors, car washes, facilities having a nonpotable auxiliary water supply, and others specified by the department. (b) All installed RPBA!s, RPDA!s, DCVA!s, DCDA!s and PVBA!s shall be models included on the current iist of backflow assemblies, approved for installation in Washington state, and maintained and published by the department. Bdckflow prevention assemblies in service, but not listed, shall remain in service provided the backflow prevention assemblies: (i) Are listed on the current Washington state - approved cross -connection control assembly Est at the time of installation; (ii) Are properly maintained; (iii) Axe of a type appropriate for the degree of hazard; and Gv) Are tested and successfully pass the test annually. When unlisted assemblies are moved or require more than minimum maintenance, the unlisted assemblies shall be replaced by an assembly listed on the current approved model list. (c) All air gaps and backflow prevention assemblies shall be installed in accordance with the cross - connection control manual referenced under WAC 246-290-490(i)(b) of this section. (d) The purveyor may permit the substitution of �, properly installed air gap in lieu 6T an approved backflow prevention assembly. All such air gap substitutions shall be inspected annually by I a Washington state certified backflow asseniblv tester. (e) A Washington state certified backflow aSsemL,1%, tester shall inspect and test all: (i) RPBA's (ii) RPDA's (iii) DCVA's (1v) DCDA's (v) New PVBA installations, and (vi) Existing PVBA's discovered through routine inspections. (f) Tests and/or inspections shall be conducted: (i) At the time of initial installation; (ii) Annually after initial installation, or more frequently if tests indicate repeated failures; and (iii) After the assembly is repaired. (g) The assemblies shall be repaired, overhauled, or replaced whenever found to be defective. The purveyor shall require that improperly installed or altered air gaps be replumbed or replaced by an approved RPBA at - their discretion. Inspections, tests, and repairs shall be made under the purveyor's supervision and records thereof kept as required by the purveyor. (h) The purveyor shaU deny or discontinue water service to any customer failing to cooperate in the installation, maintenance, testing, or irispection of backflow prevention assemblies required by the regulations of this chapter. (3) Washington state certified backflow assembly testers. (a) A backflow assembly tester. shall become certified and maintain certification per department backflow assembly tester certification program guidelines: (b) The department shall maintain a list of persons certified to test backflow prevention assemblies. CITY OF EDMONDS STREff ADDRES$A&E AHEY MAYOR 7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 189 �3 March 1, 1996 Dr. Nelson Nelson Building 209 Dayton Street, Suite #101 Edmonds, WA 98020 Subject: Isolation of Premises On February 29, 1996, you advised by a letter regarding testing of your newly installed backflow assembly. Accordingly, you are required to have the device tested by a state certified backflow assembly tester. Attached is a test result form with a list of active certified testers in the local area. Please have the test completed and the results returned to me within 30 days. Failure to comply according to the City of Edmonds Ordinance No. 2956 and State WAC Code 246-290-490 Will result in discontinuance of water service to your building. Should you have any questions or concerns, please contact me at 771-0235, extension 644. Sincerely, Linda McMurphy Water Quality Technician word aWwateftelso n 3 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan STREJ-WRESS FILE CITY OF EDMONDS LAURA M. HALL 7110 - 210TH ST. SW - EDMONDS, WA 98026 - (206) 771-0235 FAX (206) 744-6047 MAYOR COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 9 C5 November 16, 1995 SECOND NOTICE Dr. Marvin Nelson Nelson Building #104000 209 Dayton St., Suite #101 Edmonds, WA 98020 SUBJECT: Isolation of Premises On October 27, 1995, you were advised by letter regarding premise isolation. It is necessary for you to take certain steps to correct the danger of contamination of the public drinking water supply. You are required to install an approved Reduced Pressure Backflow Assembly(RPBA) on the main service line within 90 days of the first notice which was on October 27, 1995. Failure to comply according to the City of Edmonds Ordinance No. 2956 will result in discontinuance of water service to your building on January 27,1 996. For further information or concerns, please contact me at 771-0235, extension 644. Sincerely, Linda McMurphy Water Quality Control Enclosures LM/lk cc: Street Address File word Mwate Anelson Incorporoted AUgLlSt 11, 1890 Sister Cities International — Hekinan, Japan UN 0006.90000 WSS/are 09/27/93 10/05/93 - ORDINANCE 140. 2956 AN ORDINANCE OF THE CITY OF EDMONDS, WASHINGTON, AMENDING THE PROVISION OF SECTION 7.20.050 ADOPTION . F STATE REGULATIONS REGARDING CROSS -CONNECTION CONTROL DEVICE AND FIXING A TIME WHEN THE SAME SHALL BECOME EFFECTIVE. WHEREAS, Section 7.20.050 of the Edmonds City Code adopts regulations of the State Department of Health concerning public water supplies and crops -connection control devices, and WHEREAS, the Washington Administrative Code provisions adopted in such section have changed and the ordinance needs to be revised in order to authorize the staff to develop appropriate regulations and mechanisms to enforce such requirements', NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF EDMONDS, WASHINGTON, DO ORDAIN AS FOLLOWS: Section 1. The Edmonds City Code Section 7.20.050 ADOPTION OF STATE REGULATIONS is hereby amended to read as follows: 7.20.050 ADOPTION OF STATE REGULATIONS. The Community Services Director or his/her designee is hereby authorized to develop rules and regulations based upon and including. the requirements of the rules and regulations of the State Board of Health regarding public water supplies and the protection of such supplies from contamination entitled "Cross - Connection Control Regulations in Washington State", the. provisions of Washington Administrative Code Section 246-290-490, and the American Waterworks Association, Pacific 57366. 1 -1- Northwest Second Edition of "Accepted Procedure and� Practice in cross -Connection Manual." The provisions of the Washington Administrative Code, the rules and regulations of the Department of Health set forth ih the Cross -Connection Control Regulations in Washington State and the previously referenced Accepted Procedure and Practice in Cross - Connection Manual are hereby adopted by this reference as fully as if herein set forth in full. . Any additional rules and procedures necessary to implement such regulations shall be developed by the Community services Director or his/her designee as appropriate. Such rules and regulations shall be kept on file along with copies of the above referenced regulations and manuals in the office of the City Engineer of the City of Edmonds. ,Section 2. Effective Date. This ordinance, being an administrative action, is not subject to referendum and shall take effect five (5) days after publication. ATTEST/AUTHENTICATED: I V. . I I!, W. -, iwli��___� M , _J. MARCH APPROVED AS TO FORM: OFFICE OF ITY ATTORNEY: BY (7- FILED WITH THE CITY &6: 10/06/93 PASSED BY THE CITY COUNCIL: 10/19/93 PUBLISHED: EFFECTIVE ORDINANCE DATE: NO. 2956 10/24/93 10/29/93 57366.1 -2- io Chapter 7.20 Backflow Prevention Sections.: 7.20 7.20.010 Definitions 7.20.020 Cross -connections declared unlawful 7.20.030 Backflow prevention devices to be installed 7.20.040 Reputation of private water supplies 7.20.050 Adoption of state regulations 7.20.060 Abatement of unlawful cross -connections and installation of backflow prevention devices - Procedures 7.20.070 Penalties 7.20.010 DEFINITIONS A. "Backflow" means a flow, other than the intended direction of flow, of any foreign liquids, gases, or subst'ances into the distribution system of a public water supply. B. "Backflow prevention device" means a device approved by the State of Washington, Department of Social and Health Services or such other state department as has jurisdiction over the subject matter and by the American Water Works Association, used to counteract back pressure or prevent back siphonage into the distribution system of a public water supply. C. 11 Cross -connection" means any physical arrangement whereby a public water supply is connected, directly or indirectly, with any other water supply system, sewer, drain, conduitf pool, storage reservoir, plumbing fixture or other device which contains or may contain contaminated water, sewage or other wastes or liquids of unknown or unsafe quality, which may be capable of imparting contamination to a public water supply as a result of backflow. [Ord. 1711 §1 (part), 1974]. 7.20.020 CROSS -CONNECTIONS DECLARED UNLAWFUL The installation or maintenance of a cross-connectio*n, which, in the opinion of the director of public works or his designee, will endanger the water quality of the potable water supply of the city of Edmonds, is unlawful. (Ord. 1711 §1 (part), 1974]. 7.20.030 BACKFLOW PREVENTION DEV.' ICES TO BE INSTALLED Backflow prevention devices, when required to be installed in the opinion of the director of public works or his designated (10/31/93) 341 4* 7.20.040 representative, shall be installed and maintained by the service customer on any service connection to the city of Edmonds water supply system where the backflow prevention devices are necessary for the protection of the city of Edmonds' water supply. (Ord. 1711 §1 (part), 1974]. 7.20.040 REPUTATION'OF PRIVATE WATER SUPPLIES Use or operation of a private water supply system, contrary to the provisions of the ordinances of the city of Edmonds, or the laws of the State of Washington or the rules and regulations of the State Board of Health regarding public water supplies where the private system is served by the city public water supply is unlawful. [Ord. 1711 §1 (part), 1974]. 7.20.050 ADOPTION OF STATE REGULATIONS The Community Services Director or his/her designee is hereby authorized . to develop rules and regulations based upon and including the requirements of the rules and regulations of the State Board of Health regarding public water supplies and the protection of such supplies from contamination entitled "Cross - Connection Control Regulations in Washington State", the provisions of Washington Administrative Code Section 246-290-490, and the American Waterworks Association, Pacific Northwest Second Edition of "Accepted Procedure and Practice in Cross -Connection Manual." The provisions of the Washington Administrative code, the rules and regulations of the Department of Health set forth in the Cross - Connection Control Regulations in Washington State and the previously referenced Accepted Procedure and Practice* in Cross - Connection Manual are hereby adopted by this reference as fully as if herein set forth in full. Any additional rules and procedures necessary to implement such regulations shall be developed by the Community Service* Director or his/her designee as appropriate. Such rules and regulations shall be kept on file along with copies of the above referenced regulations and manuals in the Office of the City Engineer of the City of Edmonds. [Ord. 2956 §1-, 1993; Ord. 1711 §1 (part), 1974]. 7.20.060 ABATEMENT OF UNLAWFUL CROSS -CONNECTIONS AND INSTALLATION OF BACKFLOW PREVENT DEVICES - PROCEDURES Cross -connections declared in this chapter to be unlawful whether presently existing or hereinafter installed and/or services requiring backflow prevention devices and/or unlawful use or operation of a private water ' supply system served by the city public water supply are public nuisances, and, in addition to any other provisions of this code or the ordinances of the city of Edmonds on abatement of public nuisances, shall be subject to abatement in accordance with the following procedure: 342 (10/31/93) 7.20.070 A. In the event that the director of public works or his designee determines that a nuisance as herein provided does exist, written notice shall be sent to the person in whose name the water service is established under the records of the city of Edmonds water division, or alternatively, a COPY of such written notice shall be posted on the premises served. B. The notice shall provide that the nuisance described herein shall be corrected within thirty days of the date the notice is mailed or posted on the premises. C. In the event the nuisance is not abated within the prescribed time, water service to the premises shall be discontinued. D. In the event that the nuisance, in the opinion of the director of public works, or his designated representative, presents an immediate danger of contamination to the public water supply, service from the city water supply system to the premises may be terminated without prior notice, provided, however notice will be posted on the premises in the manner heretofore provided at the time the service is terminated. (Ord. 1711 §1 (part), 1974]. 7.20.070 PENALTIES In addition to the remedies set f orth herein, any . person found guilty of violating any of the provisions of this chapter shall be subject to the penalties as set forth in Section 5.50.020 of this code. FOrd. 1711 §1 (part), 1974]. (10/31/93) 343 I CROSS COftEC 'M*N ON C . TROL REGULATION IN WASHINGTON STATE STAM BOARD OF HEALTH DRE"41UNG WATER REGUIATIONS WAC 246-290-490 (1) General. (a) Purveyors have the responsibility to protect public water syste m s from contamination due to cross -connections. Cross -connections which can be eliminated shall be eliminated. The purve . yor shall work cooperatively with local authorities to eliminate or control potential cross -connections. The purveyor shall develop and implement a cross -connection control program acceptable to the department. The scope and complexity -of the program shall be directly related to -the size of the system and the potential public -health -risk. A department guideline 'tided 'Planning Handboole is -available to �assist -the � utility. in developing this program. 'Me most recently published edition of the manual -tided 'Accepted Procedure and Practice in Cross, Connection Control - Pacific Northwest Section - American Waterworks Association! shall be- used as "a -resource to establish: (i) Minimum cross -connection . control operating policies; (ii) Backflow prevention assembly installation practices; (iii) Backflow- prevention assembly' testing procedures; and (iv) Enforcement authority. Purveyors and local authorities shall have the option of establishing more stringent requirements. (c) The purpose of a. cross -connection control program is to protect the health of water consumers and the potability of the public water Vl*' syst�m by assuring: G) The inspection and regulation of plumbing in existing and proposed pi i .ping networks; and (ii) The proper installation and surveillance of backflow prevention assemblies when actual or potential cross -connections, exist and cannot be eliminated. (d) The cross -connection control program shall be included in the water systerres plan under WAC 246-290-100 or small water system management program as outlined under, WAC .246-290-410, whicheverisappropriate., (e) When an existing., cross -connection poses a potential health or system hazard, the purveyor shall shut off water service. to the p i ' 'I remises unti the cross -connection has;been eliminated or .controlled by the installation of a . proper .backflow prevention assembly. The cross - connection control program manager for the. department shall be notified when a service has b,cen shut 'Off. (2) Backfio'w prevention'. . assembly installation and testing (a) If -a cross -connection cannot be -eliminated, then: (i) An air -gap separation, reduced pressure principle backflow prevention assembly (R.PBA) or a reduced pressure principle detector backflow prevention assembly (RPDA) shall be installed if the cross - connection creates an actual or potential health or system hazard: (ii) An air -gap separation, RPBA, RPDA, double- connection control manual referenced under check valve backflow prevention assembly WAC 246-290-490(i)(b) of d-ds section. (DCVA), or double-check detector backflow prevention assembly (DCDA) shall be (d) The purveyor may permit the substitution of z, installed if the cross -connection is properly installed air gap in lieu oT an approved objectionable, but does not pose an backflow prevention assembly. Ali such air gap unreasonable risk to health. substitutions shall be inspected annually by a (iii) A pressure vacuum breaker assembly Washington state certified backflow assembly (PVBA) or an atmospheric vacuum may be tester. installed where the substance which could backflow is objectionable but does not pose (e) A Washington state certified backflow assemblv an unreasonable risk to health and where tester shall inspect and test all: there is no possibility of backpressure in the (i) RPBA!s downstream piping. (ii) RPDA!s (iv) Backflow prevention assemblies, appropriate OR) DCVA!s for the degree of hazard or air gaps and in Gv) DCDA!s some cases both, shall be installed at the (v) New PVBA installations, and service connection or ' within the following (vi) Existing PVBA`s discovered through rounne. facilities, 1�111ess in the judgment of the inspections. water purveyor and the department, no hazard exists: -Hospitals, mortuaries, chnics, (f) Tests and/or inspections shall be conducted: laboratories, - piers and . docks,. sewage (i) At the time of initial installat ' ion; treatment plants, food and beverage (ii). Annually after initial installation, or more processing plants; chemical plants using frequently ff tests indicate repeated failures; water process, metal pladng industries, and petroleurn processing or storage plants, (iii) After the assembly is repaired. radioactive material processing plants or nucle'ar' reactors, .car washes, facilities (g) The assemblies shall be repaired, overhauled, or having a nonporable auxiliary water supply, i replaced whenever found to be defective. The and others specified by the department. purveyor shall require that improperly installed or altered air gaps be replumbed or replaced by (b) All installed RPBA!s; RPDA!s, DCVA!s, DCDA!s an , approved RPBA at -their , discretion. and PVBA!s -shall be models included on the Inspections, tests, and repairs, shall be made current list of backflow assemblies, approved for under the purveyors supervision and records installation in Washington state, and maintained thereof kept as required by the purveyor. and published by the department. Backflow prevention assemblies *in service, but not listed, (h) *The purveyor shall deny or -discontinue water shall remain in service p . rovided the backflow service to any customer failing to- cooperate in - prevention assemblies: the installation,- maintenance, - testing, or (i) Are listed on the current Washington state- inspection of backflow prevention assemblies approved cross -connection control assembly required by the regulations of this chapter. list at the time of installation; (ii) Are properly maintained; (3) Washington state certified (iii) Are of a type appropriate for the degree of hazard; and backflow assembly testers. Gv) Are tested and successfully pass the test annually. (a) A backflow assembly tester shall become - When unlisted assemblies are moved or require certified and maintain certification per more than minimurn maintenance, the unlisted department backflow assembly tester assemblies shall be replaced by an assembly certification program guidelines.' listed on the current approved model list. (b) The department shall maintain a list of persons (c) All air gaps and back -flow prevention assemblies certified to test backflow prevention assemblies. shall be installed in accordance with the cross- Marvin R. Nelson, D.D.S. 209 Dayton St., Suite 101 Edmonds, WA 98020 �r 10 (206) 775-7325 SEP ENGINEEBING September 20, 199S Mr. Gordie Hyde C/O City of Edmonds 250 Sth Avenue North Edmonds, WA. 98020 Dear Gordie, Thank you for facilitating the repainting of the yellow zone on the south side of Dayton Street, between 2nd and 3rd. Dr. Mary Nelson -CITY OF EDMONDS REVISION TO. Perrin i). �2 L7 COMMUNI TY SERVICES DEPARTMENT PERMIT #,92-150 RIGHT. -OF -WAY CONSTRUCTION'PER . MIT is sue Date A. 9 Owner: STE NORTHWEST INCORPORATED B. 0 Contractor: :Name Name 2312—OC'WEST CASINO ROAD STREET Mailing Address FILEMailing Address EVERETT, WA. , 98204 City State Zip City State Zip ATTR; BARBARA TOLLEFSON, PERMIT COORDINATOR BARB 356-4124 W.O.# 2100-3PO01HS 244120 State License Number Telephone Number C. 6 Address or Vicinity of Consfffictioffl.: - 2 6§ - DAYTON AVE. Type of Work to be Done: GTE TO REPLACE R;64DHOLE WITH LARGER HANDHOLE, ON DAYTON AVE. N_0.RTHOF::-2ND AVE. JOB TO START 9-10-92. D. 0 Work in Connection With: _'Vi�Rlat 0 Single Family 0 City Projects El Commercial E] Multifamily 29 utility E. 0 Pavement Cut: El Y [91 N F. 0 Size of Cut: X APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to thig;.ap�plliication, agrees,to hold the City of 'Edmonds harmless from any injuries, damages, or claims of any kind or O!S�4�pifptloii Whatsoever,,. for§e'F�- or-ui$f drseen 'that may b6,m�de'against the City of Edmonds, or any of its departments or. employees, including'or not linlited to the* defense. of any.legal proceedings including defense costs, court costs, and-,att6Tn�ey fees. by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR,,A,PERIOD-OF ONE .1 1 YEAR FOLLOWINQ THE FINAL INSPECTION AND ACCE PTANCE OF THE WORK.� ? L Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. 6 A 24 hour notice is required for inspection; Please call Engineering: 771-3202 0 Work is to be inspected during progress and at completion. 0 Restoration to be in accordance with City Code. o Street to be kept clean at all times. 9 Traffic Control to be in accordance with City regulations. .o All street -cut. ditches must be patched with asphalt or City approved material prior to end of working day; NO. EXCEPTIONS. I understand the above an t i ef av able at the job site for inspection purposes at all times. K BOB E. KNIG Signature: `Date: 8-28-92 Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: WhIltwil Z Time Authorized:'Void after, A 1(-, days,. 0 W Special Conditions: U RELEASED BY: ate PERMIT FEE: Resto ration Fee,2%� Receipt No.: Fund I I I Fee: Street Cut Dimensions: x INSPECTED BY Date V NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE, Eng. Div. March-1989 IWOTES FIELD INSPECT (Fund I I I Route copy to Street Dept.) Comments: I Diagram: Eng. Div. July 1985 CITY OF EDMONDS LARRY S. NAUGHTEN DEPARTMENT OF PUBLIC WORKS (206) 771-3202 MAYOR Edmonds, Washington 98020 Administration — 250 - 5th Avenue North Maintenance & Operations — 200 Dayton Street STREET FILEune 4, 1985 Nelson Building 209 Dayton Edmonds, WA 98020 Dear Resident: This is to inform you that shrubbery extends over your water meter which interferes with accurate readi-ng and maintenance of the meter. Please prune or remove these shrubs to permit free access to the entire meter cover, which is in accordance with the City Ordinance quoted below: 7.10.050 Access to curb cocks and meter covers. The Water Division shall have free access to curb cocks and water meter covers. All persons are prohibited from piling rubbish, building, or other materials thereon. (Ord. 413, Par. 20; February 51 1929.) We will again inspect your meter in sixty (60) days. if, at that time, the meter is still obstructed, we will be required to have this work done by City personnel and the costs billed to you. Thank you in advance for your cooperation. Sincerely, ARCHIE BRENA Water/Sewer Division Supervisor AB/ml &-.� - tqg�n- -6 - 3�- 6/-,7 WILLEIK8EN DT MILLS MARCH DT N. HARVE H. HARRISON C ITY OF EDMI".3NDS MAYOR 200DAYTON ST -EDMONDS. WASHINGTON 98M20- (206) 775-2525 7�. DEPARTMENT OF PUBLIC WORKS August 8, 1979 Pioneer First Federal Savings. and Loan Association Third and Main Edmonds, Washington 9800-0 Gentlemen: SUBJECT: SAVINGS ACCOUNT NO..02046669 N-E-L-7S6N-�IBU--I-L--DI--NGT209 DAYTON STREEm In connection with the subject savings account, the Citv of Edmonds hereby authorizes your institution to release all funds bein held. According to our records the amount in savings is h,700.00. If.you have any questions, please contact Jerry g4 -2525, extension Saterlie o" the En,-neering Division, 775 220. jak Encl. - Bond Sater-1-3e dt.'� inl qt i I Yours very truly, � �11 1� JP2TE S E . ADA14S , P . E City Engineer STREET FILE May 23, 1979* MEMO TO: Art Housler, Director Finance Department FROM: Leif R. Larson Director of Public Works SUBJECT: BILLING FOR A DDITIONAL,EXPENSE' STREET CUT SECURITY DEPOSIT - ORDINA14CE #1935 R1W CONSTR. PERMIT NO.: 8 -_216 4 DATE ISSUED: 10-23-7F— LOCATION OF WORK: �_2nd and Dayton Stit-0-pl- 7 SECURITY.DEPOSIT AMOUNT: 0 RECEIPT NO. & DATE:— Rq 4288 10-25-78 COMPLETION DT. OF REPAIR: 4/30/79 Please bill the below mentioned company for $_31.00 to cover additional expenses incurred by the Str-eet Di-,�ision when acco,mp- lishing the subject work: . .1 Russ Johnson 16009 N. Meadowdale Rd. Edmonds, TWA 98020 The total of the Security Deposit including this billing, will be $ 207.00 to be deposited to Street Division Revenue Fund 111-0-00-000-389.1.0,*under the above mentioned R11q Permit. 1V rz� / "I sup t. D't Amin Dt. ITY OF EDMONDS PUBL.IC WORkKSPARTMENT, ENGINEERING DIVISION APPLICATION FOR RIGHT-OF-11AY CONSTRUCTION PERMIT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INS'PECTION PURTOSES Applicant to Complete Parts A and B V Permit to be issued to: For Work at :(address or vicinityl c Type of Work to be done:. (attach drawing when applicablp) Time Required Start: Owner: Name z 00 67 60 MaTiling Address City State Zip Contractor: Nalne Mailing Address City ..State Zip Finish: Telephone Number State.License Number Tel�phone Number NO 14ORK TO BEGIN PRIOR -TO PERMIT ISSUANCE ** B. INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or'unforeseen, that may be made against the applicant or.the City of Edmonds, or any of its departments or e'mployees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and* .materials for a'period of one year following the final inspection and acceptance of tile restoration by the Engineering Division. Funds held from the Securi . ty Deposit (esti ' mated restoration fee) will be held until ,the final ' street patch is completed, at.which time a debit or credit will be processed for issuance to.the applicant. Work is subject to inspection and r ation in accordance with City Code. A 24 hour notice is required or ins cti. n by Engineering.. Call 775-2525, ext. 220. I understand that thispe i' mu be av ilable at the job site for in ect ion .purposes at all times. 71 Signature Date:-/,,- g,4ner oi�/��ent TO BE COMPLETED BY I��UING,�XGENCY: Date Issued:/ 0 f Permit N Fee C; e Security Bond: A Time*Authorized: 'ZO PPROVED B'�.,<"' -77."-- Da t e :A:, 7-71 7Z� ( . If 27 `0 Aa CITY OF EDMONDS 200 DAYTON ST. -EDMONDS. WASHINGTON 98020-(206) 775-2525 DEPARTMENT OF PUBLIC WORKS HARVE H. HARRISON MAYOR April 18, 1979 GRS Development Post Office Box 683 Redmond, Washington Gentlemen: P SUBJECT: 'i STREET USE' PERMIT --A PLICATION Enclosed please find your Application for Street Use Permit which has been approved for the placement of a dumpster container.. If you have any questions regarding this permit, please feel free to contact this office.. Yours very truly, LEIF R. LARSON, P.E. Director of Public Works j ak Enclosure :..19 79 CITY OF EDMONDS, PUBLIC WORKS DEPARTMENT I 200 DAYTON STREET EDMONDS ' 14A 98020 Works 775-2525 APPLICATION FOR STREET USE PERMIT ..Name of Applicant: Mailing Address:.__ 111�21 ell 13�-X Telephone Number:. Date: Description of Public Place or Portion thereof desired to be used: (exhibit may be attached) 7— Type of Use desired to be made of Publi I c Place: If applicable, attach plans and specifications for any utility or structure to be erected and/or maintained on the Public Place: TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by �PPITC t to Fe wholly of a temporary nature, that it vests no permanent right whatsoever. If the permitted use becomes dangerou's or such structure shall become i,nsecure or unsafe, .or shall.not be constructed, maintained or used in accordance with the provisions of this title, the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this application is for a specified period -of time, the terms of said application is:, INDEMNITY: Applicant understands and by hi s signature to this application, agrees to hold .the City of Edmonds harmless from any injuries, damages or claims of any kind or descrip- tion whatsoever, foreseen or unforeseen, that may be . made against the applicant or the City of Edmonds, or any of'its departments or em.ployees, inClUding but not limited to the defense of any legal proceedings including defense costs, court costs -,-and attorney fees by reason of granting this permit. In addition, applicant understands that the City shall be provided ,a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damago, naming the City of Edmonds as an also insured. ,".,�:..APPLICATION OF CHAPTER 6.40 OF THE EDMONDS - -CITY-CODE: Applicant warrants that he has read, 'It � or ha�_U�e_ _opporC6_n_ity to rea , 2, er 6.40 (�f tTTEdmonds City Code, attached herewith, and understands that all terms of that Ordinance are tricorporated herein as if set forth in full and this application,and Permi t therefore are subject to the terms of that Chapter of the Edmonds City Code. _71-Tppr- i ca n t !,11� ":11 1'' g n a t u r e :---3Z2 _9' /7- Del rev. -City of Edmonds , Public Works' Dept. APPLICATION FOR STREET -USE.PERMIT,-- Pa2e 2 Approval (and Agreement, if applicable) of Abutting Property Own&s: Signature Printed Name. Address Date DO NOT WRITE BELOW THIS LINE (To.be completed'by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee: -Annual Fee: due January 1, 19 Amenities Design -Board Approval (if applicable) Attach Minute Entry: Building Official Approval (if applicable): -Signature Date Provision for Indemni,ty: Terms and Provision of Performance Bond, if applicable: (Refere . nce 6.40.050 of applicable Ordinance) PERMIT AUTHORIZATION By P.W. DIRECTOR: /7f S1 'ure Date PERMIT NO. .j DATE Remarks: 11/7/74 rev. FA I fc/I IV f 0 WMOF EDMONDS PUBLIC��JPZN#E ENTj�ENGINEERI 10 S 10 APELICATION FOR BIGHT-OF-1181 CONSTRUCIION EERMIJ THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B A. Permit to be issued. to:- General Telephone Company of the Northwest 1QTQ1=T C11 For Work at :(address or vicinity) �209, Daytonj Type of Work to be d6ne:Open cut Dayton Avenue east of 2nd Avenue (attach drawing when applicable) (see attached drawing). Time Required Start: 'March 12, 1979 Finish: March 29, 1979 W.O. #210-280719 Owner: General Telaphont- rompany of the Northwest 'ILL Name C_ A (C 3831-204th Street S.W. -7 Mailing Address Alderwood,M6hor; Washington 98036 774-3704 City State Zip Telephone Number Contractor: Name State License Number Mailing Address City State Zip Telephone Number B. INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims -of any kind or de scription whatsoever, foreseen or unforeseen, that may be made against the applicant or the City.of Edmonds, or any of its departments or employees, , including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is r7quir4edr inspection by Engineering.. Call 775-2525, ext. 220. I understand that this ,perm t ust be available at the job site for inspection purposes at all times. Signature: Date: t1Z Owner oi� Agent TO BE COMPLETED BY ISSUING AGENCY: Date Issued: Permit No. —Fee: Security Bond': Time Authorized: APPROVED BY 10-771v (Revised) D a t e : _� -110/-- 00-40, .01 m A lit ITY tFUMIONDS-0 N r �PUBD S ARTMENTj:ENGJNEERI 3 IV I ON APPLICATION FOR`�RIGHT-OF-WAY CONSTRUCTION PERMIT THIS RERMIT MUST BE AVAILABLE AT THE JOB SITE -FOR INSPECTION PURPOSES Applicant to Complete Parts A and B A. Permit -to be issu'ed to: Snohomish Cou'nty P.U.P. ftl For Work at :(address'or vicinity 0, D 1� V &fz_� 10 CV C-1-1) P m o-�-J-r Type of Work to be.done: 1�j (�� (attach drawing when applicable)� Time Required -- Start: 1-day FiPst M t E :Owner: Snohomish County P.U.D. #1," Name _. 21018 Hwy 99 .Mailing Address Lynnwood, IVA 98036 774-2112 City State Zip Telephone Number Contractor: same as abovp' Name S, tate License Number Mailing Address City State Zip Telephone Number B. INDEMNITY: Applicant understands and by his signature, to -.this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or -unforeseen', that may be made against the applicant or the City of Edmonds, ior any of its departments. or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney.fees by.reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials -for a period of one year following the final inspection and -acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit .(estimated restoration fee) will be held until the -final street patch 'is completed, I at which.time a debit or credit will be processed for issuance to the applicant. 'Work is�subject toinspection and re storation in.accordance�with,City Code. A 24-hour notice is required.for.inspection -by Engineering. Call .775-2525,-ext,. 220. I understand that this permit - must be availab( =tthe job -site for inspection purposes at all times. �Signature: Date:' Owner(or Agent 77 C. TO BE CWIRLETED BY ISSUING AGENCY: Date Issued: -2 - 9 79 Permit No.: '�Z Fee: ,,,,....Security Bo'nd:— Time Authorized: t 96 In/ APPROVED BY �_/ , Date �.A.i Ole r w C -T 'Itsibso" for viork \ %,a I SAM rwVVww 1 moil Transf.Cam- Ip !a= POSM C %Awfork Cooril Circuit Number N DISTRICTINO. I of SAM i'Wunmok5�-0. "0 w-A lr'� X -w- CA'L 6 Dat*-.-4. W.0 me- .'Reviden Stalo k 0 0 +-A A C- E"ine*r ----:As Bu, UAI. File No. I < 3!A Approvah W.O. No.- fee* TY OF EDMONDSO PUBLIC WGRKS DEPARTMENT, ENGINEER.ING.DIV 013EETF ST . ILE APPLICATION FOR RIGHT—OF—WAY CONSTRUCTION PERMIT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and'B A, Permit to be issued to For Work at :(address or vi Type.of Work to be done: (attac� drawing whe . n applicab Time Required -- Start: Owner: 912Y 60#571 Name � ( oo C-- (A-) Ma-1-fing Address 0 .City State Zip Telephone Number Contractor. X�/ 14aine State License Number INlirig Address �9il 195 a A - C�7 City State Zip Telephone Number -k* NO WORK TO BEGIN PRIOR TO PER111T ISSUANCE ** Be INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injur'iesi damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not * limit6d to the defense of any legal,proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.' Upon issuance of this permit., the contractor is responsible for workmanship and materials for a period of one year following the final. inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or'credit will be processed for issuance to the applicant. Work is subject to inspectio nd r ation in accordance with City Code. A s r uir 24-hour notice is required -o ins cti n by Engineering. Call 775-2525, ext. 220. I understand that this pe i mu e av ilable at the job site for 7in ec.tion purposes at'all times. 'Signatur Date: &mjr or/T2—ent TO BECOMPLETED BY IMUING �AGENCY: Date Issued:/'0-1W2 Permit No.: Fee: OQ 0 Security Bond: Time Authorized: 0 PPROVED Date MEMO TO: FROM: SUBJECT STREET FILE . September 5, 1978 John LaTourelle, Director . CommunitV Development Department Fred F. Herzberg City Engineer ADB 38-78,,'NELS ON BUILDING Although,FS-e--cond Avenue is not designated as an arterial and back-out-p�drking would'normally be permitted, we recommend against approval of the plans as shown. Whatever is approved will be with us for many years to come. The traffic on Second Avenue is increasing and will continue to increase in the foreseeable future. Backing out will cause safety problems, if not today then certainly within the near future. We, therefore, recommend that the parking be redesigned to accomodate four (4) stalls with access off Second Avenue. other two required stalls can be provided throuah in -lieu fund or a variance should be FFH: j ac requested. P.W. Dir. Dt. The parking RECowir) JUL 2 ? 1978 STREET FILE Public worlis L'epl. July 26, 1978 MEMO TO: Leif Larson, Director Public Works Department FROM: John LaTourelle, Director Community Development Department SUBJECT: OFFICE BUILDING, NORTHEAST CORNER O%-2ND "Qj&N,j�RA2. ATON.6i ADB-65-78, RON SURAN It Is the determination of the Planning staff that having cars backing out across the sidewalk onto.2nd Avenue would be a hazard to�--the public health, safety and welfare. NEL/mt A04 DATE: HEARING DATE: CITY OF EMONDS PLANNING DEPARD'ENr CIVIC CENTER ANNEX,, EDMONDS, WASHINGTON 98020 APPLICATION FOR APPROVAL BY AMENITIES DESIGN BOARD .I, 0%1e) the undersigned, hereby make application to the City of Edmonds for Amenities. Desigri Board approval. 4mrivenrlocAii cation. of a previous approval) of, the' accompanying . plans .for (nature of use): which plans are attached hereto and Eade .... a -part hereof. The following are pertinent facts with respect to the proposed development. 1. Name and address of applicant(s): Ron Suran 428 3rd North Edmonds, WasFilngfton 51C�)'020 PHONE: 11 3Z8 2. Applicant's interest in property: owner agent for owner architect leasee other 3. Name and address of oWner(s) above PHONE: 4., Location of property:. Street Number: corner of 2nd Ave South and Dayton.Str,!�!t 6 or Conmion. Address: Edmonds Washington S. This property is presently zoned: BC 6. Use for which approval is requested is specifically described as follows: Business offices 7. Ex*sting u 'it of property: vacant 8. If approved, work on project will begin about: September 1,.1.978 9. 'Estimated time for completion of work: 16 rronths 10. Attachments Nuiiber I O�e) hereby cortify to the best of my (our) Juiowledge, that the statements and informatic .contained herein are in all respects Me and Oct, v 'o -0"Cs CID C; 1 C S7 * so * 10 0 RECEIVED PZ 1 p"v! FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION STREET FILE EDMONDS OFFICE - Third and Main - Edmonds, Washington 98020 a Telephone (206) 776-2137 City of Edmonds Civic Center 250 Fifth Avenue North Edmonds, WA 98020 Gentlemen: July 26, 1978 JUL 2G '1918 Pub;ic works WE. RE: Edmonds File Developer Lloyd K. and Wylma I. Nelson Savings Account No. 02046669 With reference to that above identified matter, this will certify that this institution has a savings account for the above referenced developer for the plat so identified. In consideration of the permitted development of the property, and in-liety of a performance bond, this in ' stitution hereby agrees that itwill freeze the following sum of money for the required improvements pending written authorization by the City of Edmonds. Improvements required per city codes and requirements established by the City Engineer-, City Planner, Planning Commission and City Council. TOTAL �62700.00 The total sum just indicated will be withheld by this.institution from any disbursements of any kind until written authorization has been received by the institution from the City of Edmonds to release the sum of money indicated by the written authorization from the City. The design, location, materials and other specifications for the indicated improvements are those required by the City of -Edmonds as appear in the above referenced Edmonds file. In the event the developer fails to complete the indicated improvements within_1_2— months'. the City of Edmonds may demand that the improvements be -installed or completed immedi I ately to City standards and the balance of the frozen funds be utilized for said installation or completion of improvements. It is expressly agreed that any funds maintained in this account shall be released to the City of Edmonds upon demand being made by said City. Agreed to and Approved: Yours very truly PIONEER FIRST FEDERAL Li li fnAjer, Loarn!� oser Arlington - BulleVLW a Edmonds - Evowit - F,d,!,al Vby. - Fw.*md - - R-In-... I - -Snoll-1)101 - Sowl, Ev�,loti JAMES H. REIU LFPOY F_. MIDDLETON C. WAYNE JONES LLOYD H. NELSON Rea, W44Ma4a &.4"oa4&4, 17", ENGINEERS SURVEYORS PLANNERS 324 Main Street 9 Edmonds, Washington 98020 0 (206) 7 7 5 -3 4 34 July 21, 1978 STREET FILE File No. 7094A .-ESTIMATED CONSTRUCTION COSTS FOR PUBLIC IMPROVEMENTS FOR 'PROPOSED NELSON OFFICE BUILDING Water, sanitary and storm sewers $ 4,500-00 Restoration curb gutter asphalt and Establishment of concrete driveway 740.00 5' wide concrete sidewalk 220.00 Landscaping of parking strip 75-00 Subtotal 10% Contingqncy. 554.00 Subtotal '6,089.00 Sales tAx 0.054 328.80. Total 6,417IOQ Estimated Engineerin* 280.00 g Survey Grand total $ 6,697.80 Pond $ .6,700 00— M JAMES H. REII) LFj9OY F. MIDDLETON P. WAYNE JONES LLOYD H. NELSON Rea, NZWCZ" & A406k&df INC, ENGINEERS SURVEYORS PLANNERS 324 Main Street * Edmonds, Washington 98020 9 (206) 775-3434 July 21, 1978 File No. 7094A ESTIMATED CONSTRUCTION COSTS FOR PUBLIC IMPROVEMENTS FOR PROPOSED NELSON OFFICE BUILDING Water, sanitary and storm sewers 4,500-00 Restoration curb & gutter asphalt and Establishment of concrete driveway 740.00 51 wide concrete sidewalk 220.00 Landscaping of parking strip 75 .00 Subtotal 5,535.00* 10% Contingency 554.00 Subtotal 6,089.00 Sales tax 0.054 328*.80 Total 6,417.80 Estimated Engineering Survey� 280.60 Grand total $ 6,07-80 Bond $ 6 -M 700 MUNICIPAL ENGINEERING * WATER SUPPLY 9 WASTE TREAT I MENT 9 SURVEYS CADASTRAL ENGINEER I NG AIRPORT PLANNING DESIGN MARINAS 0 PORT INDUSTRIAL DEVELOP' 'ITY ME N -T FEASIBIL STUDIES JAMES H. REID LEROY F. MIDUCION C. WAYNE JONES LLOYD H. NELSON Reao, XZ041*49 A404e�f 179C, ENGINEERS SURVEYORS PLANNERS 324 Main Street 0 Edmonds, Washington 98020 9 (206) 775-3434 July 21, 1978 File No. 7094A' ESTIMATED CONSTRUCTION COSTS FOR PUBLIC IMPROVEMENTS FOR PROPOSED NELSON OFFICE BUILDING Water, sanitary and storm sewers $ 4,500-00 Restoration curb & gutter asphalt and .Establishment of concrete driveway 740.00 5" wide concrete sidewalk 220.00 Landscaping of parking strip 75-00 Subtotal' 5,535-00 10% Contingency 554.60, Subtotal $ 6,089.00 Sales tax 0.054 328.80, Total 6,417.80 Estimated Engineering Survey 280.00 Grand total 6,697.80 Bond $ 6,76o.00.- MUNICIPAL ENGINEERING* WATER SUPPLY WASTE -TREATMENT SURVE YS & CADASTRAL I ENGINEERI . N G AIRPORT PLANNING & DESIGN * MARINAS PORT & INDUSTR . IAL DEVELOPME-NT. :FEASIBILITY- STUDIES' El Resubmit —copies for approval • Submit copies for distribution • Return —corrected prints 0 PRINTS RETURNED AFTER LOAN TO US &Reid Middleton & Assoftes 0 WEIVED Engineers 0 Surveyors 0 Planners EDMONDS, WASHINGTON 98020 JUL 2 11978 (206) 775-3434 VUUI,c WorKs uep,- TO GENTLEMEN: WE ARE SENDING YOU 0 Shop drawings El Copy of letter DATE ATTENTION RE: St L�)� 56�L )—Z KAttached 0 Under separate cover via 0 Prints 0 Plans 0 Change order 0 0 Samples the following items: El Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: XFr approval 0 Approved as submitted 0 0 For your use 0 Approved as noted. [:1 As requested El Returned for corrections El For review and comment 0 0 FOR BIDS DUE _19— REMARKS COPY TO SIGNED: FORM 240-2 - Available from �� Townsend, Mass. 01469 It enclosures are not as noted, kindly notify us at once. "WRKS DEPAR=4T CHECKLIS"' 7-1. L1012e, D.I. BunDiNG PERMIT REVIEW 2ife Address Street Right -of -Way Existing 11� REQD Access Easements Existing REQD Utility Easement Existing REQD Lot per Subdivision Plat Assessqr Mdi�;, �,51 Site Plan Checked for Accuracy -7 / i e) Underground Wiring Reqd. Y)ff5 Check Accuracy of Legal Description -7 1 to I r?%;� Environmentally Sensitive Area Y t: 3— Environmental Checklist Reqd. Flood Hazard Zone Shoreline Management Area Slope, Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. ADB 19 L&prova1.?g:S Board of Adjustment Approval Reqd. Existing Water Main Size Water Main Reqd. *J19 Service Line Reqd. Hydrant Size Existing 0 Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. AJO Cross Connection Inspection 'Fire Department Comments Water Meter Ch.-Tge Req;--4�-Y �90 Review bv: Date: -7 A Septic Tank Design Approved Date: Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availabili Proj.. Drawing No. File No. Z A!9 Side Sewer Availability Sanitary Sewer Connection Fee Reqd.. -7Z11179 Review By: Date: Adik J-*1640RKS DEPAJnN, Eff ISO* '�p 1151'0� Date -E�IMING PERM�T REVIEW U Z Z Z C4 Street Right -of -Way -Existing REQD Access Easements Existing REQD REQD Utility Easement -Existing Lot �er.Subdivision Plat Assepor Nap Site Plan Checked for Accuracy Underground Wiring Reqd. theck Accuracy-of'Legal Description Environmentally Sensitive Area 'Environmental Checklist Reqd. Flood Hazard Zone Shoreline Management Area Slope, Soil, Vegetation Stream, Creek, Drainage Basin "ing Zoning Pet Cod&.. Amenities Design Board Approval Reqd.:. ADB Board of Adjustment Approval Reqd._ Review By: f5- lql4k�� Date: Existing Water Main Size Olt CZ_ - Water Main Reqd. Service Line Reqd.' Hydrant Size Existing Hydrant Reqd. PerFire Code Size Detector Check Meter Reqd. Cross.Connection Inspectior, Fire Department Comments Water Meter CWe Reqd. Review by: K�K,K. Date: - .z.- - - - - - - - . I - - - ----- - - - - - - - - - - a M 164 Ok' ... A pproval beptic 'I:ank I)esign Approvect 4'1'00� I)ate: Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. Drawing No.. File No. �Sr- z-(Z- Side Sewer Availability Sanitary Sewer Connection Fee Reqd. Review By: 'WIS Date: !SS V ;AA?V Vs —A 'Open Ditch Existinp Reqd. Culvert Reqd. Size 0� Catch Basin Reqd. Indicate on Site Plan 0 0 Shoulder drainage mkiintain collection on swale open runof f '0 C -C -le L 0 V C U E-4 U) !-lu-�-iole rcqd. -Indicate on Site Plan Ate Soil Conditions and Ground Water Field Checked ..,e - J-1jr.- IOAI,, Re-,,ic,.,.,7 by S'�reet Paving Reqd. &hme—r Curb and Gutter Reqd. Sidewalk Reqd. Curb Cut for Drivew-ay Reqd. ce. Right -of -Way Construction Pe4�t Reqd. Bond Reqd. for Public Improvements A Street Nam, Sign Reqd. 10ther Signii-ic, Re d. _41 0 ff . q Pre Permit Site Inspection made on 001 L L 0 BY: S B-7ER U WATER S= -T E\IGII\T--TPTNG Special Requireii-ents listed in mew to Com=ity� Developuent Departirent, Building Division > BY -Da te- // A 0 All iterm filled in on Building Permit Application BY Date brawin g§ Stah-ped and Notations �Iqde BY Da'te -partmel-it lApproved by Public 1,7orks Dc Revised: 1.v 10-1977 JAMES H -. REID LEROY F. MIDDLETON C. WAYNE JONES LLOYD H. NELSON ET FILE Rea, ?ft4ffe&a & .4d4eeww, lac. ENGINEERS e SURVEYORS 9 PLANNERS 324 Majn Street e Edmonds, Washington 98020 e (206) 775-3434 June 7, 1978 File No. 7094 Page I of 3 rCIRM DRAINAGE DETENTION CALCULATIONS FdR PROPOSED DENTAL CLINIC AT.2ND AVE. & DAYTON STREET EDMONDS, WASHINGTON Existing Site Information Area = 0.14 Ac. Slope = 2.5% t Northwesterly RECEIVED JUN 7 1978 Public Works Vept, Site Condition - Existing residential lot with house and lawn areas. Estimated Runoff Coefficient = 0.40 Utilizing the*Yrjanainen and Warren Method for simple retention/detention basin design, . the following calculations are to determine the required volume of retention for this development. Time to Concentration = Tc = 123/0.2) (60) + 10 min. = 11.7 min. Intensity = I = 1.48 in/hr. @ 10-year storm frequency (Seattle Curve) Q existing Qu CiA = (o.4)(1.48)(0.14) = 0.08 c.f.s. Q allowable 0.08 c.f.s. Future C = 0.90 Qo Q allowable 0.08 Ac x Future C (0.14)(0.97 Assume orifice outlet conditions exist CITY OF EDMONDS 0.63 P:�V.Sb�-*. ENGINEERING DIV. EXAMINE tj BY jSjLDATEjW11b REMARKS N MUNICIPAL ENGINEERING e WATER SUPPLY @WASTE TREATMENT* SURVEYS CADASTRAL ENGINEERING AIRPOR.T PLANNING & DESIGN.,* MARINAS PORT & INDUSTRIAL DEVELOPMENT 0 FEASIBILITY STUDIES June 7, 1978 File No. 7094 Page 2 of 3- T = -25 + Afl762/Qo = -25 + ^11762/0-63 27.88 min. Vs 2820T -40 QoT T + 25 — (2820)(27.88) (40) (0.63) (27. 88) 27. W-+ 25 1486-79 - 702-576 784.22 ft3/Ac C V total = Vs x Ac x Future C = (784.22)(0.14)(0.9) = 98.81 ft3 Sizing Orifice Q all.owable = 0.08 c.f.s. Q = C d A 4'2- 'gh Assume h =3 Solving for A: A Q 0 0.08 - 0.00928 ft2 1.3" orifi.ce Cd42gh 0.624(64.4)(3) Use 14" orilice 0.6085 ft2 therefore, h will change (_Q 0.08 h dA (0.62)(0.0085) 3.581 /2 cg /614.4 Overflow elevation = 3.58' abov e flow line Sizing Retention System Required storage 98.81 ft3 Using volume only Catch Basin Manhole No. 1 44.99 ft3 Catch Basin No. 2 = 19-93 ft3 June 7, 1978 File No. 7094 Page 3.of 3 26 I.f. 18" 14 ga. Helical Aluminum Storm Sewer 45�94 ft3 Total Volume Retention System = 110.86 ft3 > 98.81 ft3 ok Note all downspouts shall be connected to CB No. 2 or CBMH No. 1. See attached plan for details. DRAWN CHECKED, DATE� JFJE�LDEDO FILE NU. - AL S'� -AS S HOWN. 7094 26,Ma 78. y OF, SHEET