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20909 80TH AVE W
P�OJECT REVIEW CHECKLIST
PROJECT NAME:_
PROJECT ADDRESS: Ui M
on
TREVIEW
PLAN.
BLDG.
COMMENTS FIRE �']
PLAN CHECK #AX-0
RECEIPT'DATE:Wjl�q K-
ZT
SetbacksNariance/Setback Adjustment
Conditional Use Permit
7-1
2
ADB Requirements
`3
Other Zonin g Requirements
..4
Underground Wiring Required
..........
5
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
x:,"M
. . . . . . . . . . . . . . . . . . . . . . . . . ....... ...... . . . . . . . . . . . .
8
Plat/Subdivision Requirements
.Legal Description Verification
1-0
Quit Claim/Street Dedications
x: iw!
- - - - - - ------
Easements - Public/Private
71 —fa T
.2*:*
. —4
Engineerin Storm Drain Review Fee
9
Engineering 2.2 Inspection Fee.
Drainage Plan (On -Site)
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line
Open Ditch - Existing
Culvert Required
Culvert Size
20,
Shoulder Drainage/Shale Open Runoff
. . . . . . . . . . .
,p /-.4 r
in
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
Curb & Gutter Required
Curb Cut For Driveway Required
Street Paving Required
Right -Of -Way Construction Permit Required
Street Name Sign Required
Other Signing Required
29
30:-
Bond Required For Public Improvements
FEMA Map Check/Water Table
Side Sewer Availability
A)
Calculate Sewer Connection Fee If No LID #
Create Street File
. .....
.3
Existing Water Main Size
Water Meter Size
Seivice Line Size
Water Meter Charge Required
Hydrant Required
Hydrant Size Existing Mg-41 A
Fire Line Charge Required - Sprinkler
.,.42;..
Street Cut
Miscellaneous
Reviewed By:
FIRE
PLANNING
rENGIN
07
ZrV
I
PUE� G-WORKS',
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JUM 1 5 9 8
PULLi
R E C 0 R D OF C 0 N T A C T S
21
2
22
3
23
4
24
5
25
6--
26
7
27
&
28
RW PERMIT f DATE ISSUED RECEIPT #
29
L
30
31
�- A211'
32
'L4
�5
PAID $ RECEIPT # DATE
PAID $ RECEIPT # DATE
33
34
35
SS PERM IT DATE ISSUED-/2�/cb' _RECEIPT 925-275
e
6
36
�li
37
METER SIZE PAID $ DATE RECEIPT
38
19
39
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40
1�
i a CITY OF EDMONDS 91
,31-cjEET FILE LOT APPROVAL STREET 66A
NAME����'n V) &J4Je_-Y` ADDRESS 9d7n0h.Jf
ADDRESS OF PROPOSED BUILDING
LEGAL DESCRIPTION: LOT. BLOCK AbDITION
TYPE OF USEJ�0,__ 0. OF BEDROOMS SIZE OF LOT 26
SOURCE OF DRINKING WATER: Public Supply__�� Pr-ivate Well
a. SURFACE DRAINAGE
1. Is disposal field site well drained?
2. Any water course (stream, drainage ditefi, etc.7 —through site?
b. TOPOGRAPHY
1.
2.
3.
1.
2.
3.
A
To
Any heavy slopes in field area?hAp ul 44 " )-; at#! 077
Will present topsoil in field ar6a be remo,�ed or graded before field tiles,
are installed? &0
Will any fill material be used in the disposal field site? Ve-
If ytea., how much? rr' 1/ 1 . I
c. SOIL CONDITIONS
Hasla hole at least 4 feet deep been dug in the disposal field area to deter-
mine the type of soil present? V&�
After hole is dug record the soll conditions at the following depths. (Re-
cord as sand, gravel, clav,, packed sand., loam,, etc.)
12 inches Z_,0CJ!y7 0 inches r-
18 inches L_o,)YM 36 inches
24 inches L_,6A2M 48 inches
Any ground water encountered before reaching a depth of 4 feet?J-7-A—_
if so at what depth? 1_��
d. WATER TEST
simple water test will show how well this soil will drain or percolate water.
perform this test:
1. Dig hole at least 36 inches deep. Use a shovel or post hole digger --
size of hole.makes no difference --only depth.
2. Fill hole with water., Now let all water run out of hole. This soaks
the ground and will give a,more accurate reading.
3. Again pour water in hole to a height of 12 inches from the bottom.
Let water run out until there is just 6 inches from bottom left in hole.
4. Note how many minutes it takes for this last 6 inches to seep away.
Record this time below.
Nuraber of minutes for last 6 inches to seep away
_,2= 6
5. Divide this time by 6 to obtain the rate' per inch
6. Date water test was -performed
I hereby certify the above information o bo r ect and the above tests were
performed by me as prescribed.
Signed
Address
NOTE: A septic tank permit is issued on -the basis of the above imf-orynation. If
there are any changes or alterations in the above stated soil conditions it may
result in the installation being rejected at the time of inspection.
... .... ..........
Percolation Rate and Required Absorption Area. For single -Family DweLUngs,
Percolation Rate (Time in Lineal feet of 4 inch tile
minutes for water to fall using trench with width of
one inch) two feet
150 minimum
4 175
5 190
7 225
10 250
12 265
15 285
30 375
Over 30 Soil Unsuitable
NOTICE:
No warranty- of accuracy.
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth o,n these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
..-----fh-e -map(s), including, but not limited to,
the loc'ation of any sewer stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-o-yees o-r officer-,-) --)hall be liabale for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
STREk7 FL.E APPLICATION
for
The City of Edmonds SIDE SEMMR PEFImT
4-12-0 c 2 5 (1) NEW CONSTRTTcTioN [i REPAIRS C)
OV*rNER ......
ADDRESS
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CONTRACTOR", --- X ------ Zoe
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........ .......... ---------- :� PERMIT N�
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N: LOT No . ............................. ........ - ----- BLOCK No - --- - --------
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I dl 4 e 41 A" IS eYe e V S' Zd
NAME OF ADDITION .0,01-46 .....
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Approved:
DATE z 13Y . .....
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-CITY -CIV EOMO - NDS - when'
Call pilespect: G.-11.07 work
. CI IV I I �-C ENTER —WATER-SEWItIt DEPARTMENT
is r lyforinspeetiori IN
tions Sitfurday,,Stmday-or'liolidays.) M
SIDE. SEWER' PERMI
................................................... ...... ...... ...... ......
yp,.n
',ADDRESS ........... ... . ... .0
CTOR RQY 'All
......................................
..........
OWNER.......... ............................ 7 .......................... CONTRA
-6
March 67 ... da�s, -to REPAIR or CONNECT a side sewer
Permission* IS'granted .......................... ........ v, ............. .......... for ..., . ............ .
with I City Sewers . In accordance with application on file and governing ordinances.
ATTENTION. -IS CA,LLED TO THE'FOLLOWING: A lie - ense u
d.Side Sewer Contractor m st
NOTE I No. .1�The owners of the -property may obtsAn a. -permit to construct sewer inside property line;
be employed to construct side sewer in street'aies, Do not cover any portlafi of -sewer. before it has -been, inspected.
rdl . ng Ordinance 11.16.030 and -Regulations goverming -side �sewers when you.get permit.
NOTE No. 2—Obtaln full Information rega hes Inside property line'; minimum grade of. 2%.
at least 30 inches coverage -at property line and 12 Inc
NP;V, NO.'3—Top of side sewer must have
No bbnds in grade sharper than 'A will be permitted.
surface of street restored to original condition. Contractors shall be responsible for
-,F, No. 4—Trenches in street must be water settled and
failure* due to improper work which mzLy develop within one year of completion.
NOTE No. 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 ap-
purtenances except to Insert the pipe Into the wye.