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20909 HILLCREST
PL
C.), 6 T F
CITY OF EDMONDS
IE
ZONE PERMIT
LIMB
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CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
JOB ITE/APT
ADDRESS 0�(-)
0
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LEGAL DESCRIPTION CHECK
USDIVISION NO.
LID NI)
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET Map.
TESCP Approved 0
CITY 7 IF
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TELEPHONE NUM B ER
7
EXISTING —REQUIRED DEDICATION
RW Permit Required 0
Street Use Permit Rectid 0
Cb
'OPOSED
Inspection Required 0
Sidewalk Required 0
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NAME
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REMARKS
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ADDRESS
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ITELEPHONE NUMBER
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NAME
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NGINEERING MEMO DATE Aj a,
ADDRESS
METTEZE
BUILDING SU ;PLY SIZE
ES
77
CITY ZIP
TELEPHONE NUMBER
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STATE LICENSE NUMBER
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SIGN AREA
SEPA REVIEW
ADS NO,
Legal Description of Property - include all easements
ALLOWED
PROPOSED
COMPLETE
------
1EXEMPT
X
SHORELINE 0
EXP
.9: I -or 5-12,91
VARIANCE OR Cu
PLANNING REVIEW BY
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SETBACKS — FEET EIGHT LOT COVERAGE
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RESIDENTIAL
PLUMBING
1:1 D..LTER
El COMMERCIAL
MECHANICAL
S'r &,V-A JW/l ; 7 Y.:2
Olfg /ZfE- Iv'I'lIq i6vsl
ElREPAIR
APT. BLDG.
-;
SIGN
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FENCE
IR *�W—,
CHECKED BY
TYPE OF CONSTRUCTION C.DE
HEIGH
EIGH
DEMOLISH X
1 FT)
CA FOR T swim
REMODEL GARAGE POOL
SPECIAL INSPECTOR
OCCUPANCY
OCCUPANT
ILOAD
JAR
REOUIRED
GROUP
I
2
El WOOD STOVE/ r7 RETAINING WALL/
RENEWAL
EMARKS
INSERT " ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 305
.8 NUMBER OF STORIES ----T—NUMSER OF
IVAIC-117,91 W151--c-
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION
REQUIRED
VALUATION
FEE
X(
PLAN CHECK FEE
BUILDING
1.29
161,124-0 17%
PLUMBING
Plan Check No.
MECHANICAL
21
This Permit covers work to be7done on private property ONLY.
GRADINGIFILL
-7
Any construction on the public domain (curt s, sidewolks,
driveways, marquees, e1c.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year. Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
in suc ceSSOrS in interest, agrees to indemnify, defend and hold
2 harmless the City of Edmonds, Washingtolio its officials,
agents from any and all claims r damages of
a ev arising directly or indirectly from the issuance
x of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
nor limi I I In any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
.
Provision ..
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
s tate laws regulating construction; and in doing the Work authoriz.
AUTHORIZE S
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen
WORK NOTED
Deputy: and fees are paid, and receipt is
tion Insurance.
INSPECTION
acknowledged in space provided.
DjIGNED
DEPARTMENT
CITY OF
EDMONDS
AgATURE E
ATTENTION
CALL FOR
FELEASED(6. DATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — Inspector
A r.FRTIFICATE OF -OCCLIPANCY HAS BEEN GRANTED. UBC
ADDRESS:
TAX ACCOUNT/PARCEL #: 00-3�--73b 00 1500 �0 13
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS.#: 9/0 — 0174DETERMI NATION:. []Conditional Waiver E]StudyRequired xWaiver
CRITICAL AREAS #: DETERMINATION: [-I Conditional Waiver F] Study Required El Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
14
11 t) Erb r Nprht 4A k4-
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED: -7/7110
SCALED PLOT PLAN DATED---7V-1
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:,
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
�.-7EMP\DST's\Forrns\Jana's Street File Checklist 5-14-08.doc
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JUL 12 N,751-,
BUILDING DEPA�-,-MENT SITE PLAN
CjTy OF EDMONDS
SCALE 1 20 FT
CA4 I ki Lj 0 K—
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ONTRACTORISRESPONS1131-ml --- k"
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ant shall repair/replace 11 damage to �0-5
u ilitie; or frontage improvern nts in
rig ht-&-way per C.4y standarij, that is aused
r occurs during the permittec project. I
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TELEPHONE: 206-605-6041
A55E55OR'5 -PARCEL No. 37560050061305
LE&AL DE5G: LOT 1. BLOCK 5, ALVERUNOOD MANOR *1
ZONIN6: . R5-5 I
COUNTY: SNOHOMISH -URISDICTION: CITY OF EDMONDS
CONSTRUCTION 7'rPE: v - B OCCUPANCY: R3 / U (&ARA(SE/CARPORT)
PROJECT DESCRIPTION: ADD NEY4 BEDROOM 5ATH, AND CLOSET ON FIRST FLOOR,
UP67R.AVE FURNACE Y41TH A.C. ENLAR6E EXISTINC-7.2nd FLOOR BEDROOM.
FRC�JECT AREA SO FT
LIVIN6 SPACE NE�N EXISTIN6 TOTAL
FIR-45T FL 521 1:246 1076-72
6
SECOND FL 144 1 :2:
LIV. 5P. 70TAL 665 .21.24
6ARA6E
COV FORCH
M151--. TOTAL qql
qql
LOT COVERAC-7E
so F=T
LOT AREA
16,575
MAX PERCENT COVERA6E
55%
MAX COVERA(5E AREA
51q06
�'ROF`05ED COVERA6E
2,755
:'ROP05ED FERCENTA6E
16-5401n
-07 CALC N5N
' 4OU5E 5.21
0 ��E F5,21
�,ARA6E
POF - H
�OV FOR(C-H
EX15TIN6
1:246
596
VK�
HEIGHT LIMIT CALCULATION
REF. DATUM LOCATION:
MANHOLE CO\/ER, IN HILLCRE5T PLACE TO NORTH
REF. DATUM BASE ELEVATION 100.00
A\/ERA6E &RADE (SEE CAI-c�,-) 100.4q
MAXIMUM HE16HT LIMIT IN FT :25.00
----------
MAXIMUM HE16HT ELE\/A-nON 1.25.4q
EX15TIN6 H16HE5T ELE\/ATION 1.25.04
NE = 100.ro3, 5E 100.5, NkN = 100..2, 5�N 100.63
TOTAL = 401.4J6 4 = 100.4q A\/E.--' A6E 6RADE
IMPERVIOUS SURFACES
ALL POST 1977 IMPERVIOUS CONSTRUCTION
AREA SQ FT
1TO PUBUC RIGHT OF WA 7 STORM DRAINS
1. PORTION OF EX DRIVEWAY 173'1
TO EXISTING 20 FT SPREADER TRENCHATNORTH
2. REMAINING PORTION OF EXISTING DRIVEWAY 1942
3. EXISTING FRONT WALKS TO NORTH 262
TOTAL
TO EX RETENTION TANK W1 20 FT SPREADER TRENCH
6-7
4- EXISTING HOUSE
5. EXISTING TWO PORCHES
1008
95.
5(76
6. EXISTING GARAGE
7. EXISTING EAVES
8. NEW ADDITION
1131,
243 -
521
95 17.
NEW ADDITION EAVES
.721-
TOTAL AREA TO RETENTION TANK
3070 -
EX PATIO TO ADJ YARD
510
118.
9. NEW PATIO AREA TO ADJ YARD
231
RIESUE3
JUL 12 2010
BUILDING DF-PARiVENT
CITY OF EDMONDS
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PLANNING DATA Street File
SINGLE FAMILY RESIDENTIAL
Name: DAVIP W"I'TNC-Y
Review Date: 0-1. C) *7, 2, 0 1 C)
Site Address: 1,,05009 HIL.L.(,FLES-r FLACE
Permit Number: 0 A 0
Project Description: A P
Zoning: 12-S a
Comp Plan: 6 P — V P- 15A W I
Corner Lot: (YES
19
Flag Lot: (YES
Small Site Plan: NO)
09V
D U Created: (YES fNO�)+
LLA:
CUP:
Variance:
Shoreline:
Subdivision/ Legal/Record ing Number: 12,
Legal Nonconforming Land Use Determination Issued: (YES /0
Critical Areas Determination #: CF-A 19 9 & 0 1-7
El Study Required
N waiver
SEPA Determination: E-A&MP-T —ND CTF-A-r>iNGr
Req ired Setbacks
Street:
W & 5T
Side: 7. E5
INOWTH
Side:
1 el-710 V TH
Rear:
FIA 5T
Actual Setbacks
Street:
Side:
I Side:
Rear:
Betac-hed Str-uettire RoGkories�RetaiRing-V6WIs * PeTrcrSJ+reHi9e9J4kFb,&rs
-I AT: J - . .- I n--
Fvjcr�-tillr dulatian e >-SO"ttatrs 9 Ceyer-ed Deek� h
I Niv
Y/Fir-eplase 9 Uncovered Unenclosed < 30" Deck/Porch(ED
Parking Required: 2 --FParking
Provided: t4l C,
Coverage Required: 35% 1
Coverage Provided:
Lot Area:
1009 — 9f ft�
Lot Coverage I 1 '6 1 - t3 a ra 9 e- 2--7109'
Calculations: 50 — P orch
15 711 — a CA 44 i tf 0 vi)
B ildinq Height
Datum Point: M 14 C. 0 V F, F,
Datum Elevation:
Maximum Height: 25' 17-5.+g
Actual Height:
00 L�o D CO). ur c�
41
A \J F P
VULAClE
100.1- J [_�f2.Ape J M A Y,.--
Plan Review By: Gina Coccia, Associate Planner
Chapman
Legal Descriptio*n
30 July 91
LOT i
The West IS5.00 feet of the South 13S.00 feet of the North
435.00 feet of Lot 6, Block 5, Alderwood Manor No. 9,
according to the plat thereof recorded in Volume 10 of
Plats, page 6, Snohomish county, Washington.
EXCEPT the West 30.00 feet of the North 350.00 feet of said
Lot 6.
Subject to an 6asement for ingress, egress and utilities
over, under and across the North 15.00 feet thereof.,
Also subject to an easement for ingress, egress and
utilities over, under and.across a strip of land 10 feet iri
width lying .5 feet on each side of the centerline of the
electrical facilities situated within the West 35 feet of
the South 224 feet of the North S74.09 feet of said Lot 6.
Subject to and together with an easement for ingress, egress
and utilities over under and across the West 30 feet of the
South 224.09 feet of the North 574.09 feet of said Lot 6.
Also subject to and together with all easements, covenants,
conditions, reservations and restrictions of record.
Situate in Snohomish County, State of Washington.
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8855L.DOC
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Chapman
Legal Description
30 July 91
Lot 2
The South 274.09 feet of the North 574.09 feet of Lot 6,
Block 5 of Alderwood Manor No. 9, according to the plat
thereof recorded in Volume 10 of Plats, page 6, Snohomish
County, Washington.
EXCEPT the North 135.00 feet of the West 1S5.01 feet
thereof.
Together with the West 50.00 feet of the North 144.50 feet
of the South 212.00 feet of the North 637.47 feet of Lot 5,
Block S of said plat.
Also together with an easement for ingress, egress and
utilities over, -under and across the North 15.00 feet of the
West 155.01 feet of the South 135.00 feet of the North
435.00 feet of said Lot 6.
Subject to an easement for ingress, egress and utilities
over , under and across a strip of land 10 feet in width
lying S feet on each side of the centerline of the
electrical facilities situated within the West 3S feet of
the South 224 feet of the North 574.09 feet of said Lot 6.
Subject to and together with an easement for ingress, egress
and utilities over, under'and across the West 30 feet of the
South 224.09 feet of said Lot 6.
Also subject to And together with all easements, covenants,
conditions, reservations and restrictions of record.
Situate in Snohomish County, State of Washington.
88S5L.DOC
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STREET FILE
APPROVED By PLANNIN11,50
FROJ�EC—TEIATA
-- DAVID I GRETCHEN MIT14EY
ADDRESS. 20qoq H"CREST PLA40 EDMONDS. INA q15026
PHONE: 714-0432
S(M. SAME
A55eSGORS 1_0. *: 5 7X _ 006*_Oor
LE6AL DESCRIPTION: ' ZONIN(5: RS-0
I-ofl, BcA,. a4&,,�� #, ?
C.OMTY.. SNOHOMISH CIO. JURP50rTION: Cffy OF aMOHM
C4NSTRV-TK)N TYPE: VN OCZUPANCY.
PRO-IECT DE5MPnoN: R 9 45AR.&SE
4EY4 NON-HFATEO 6ARA&E AND 5TORASe ROOM..
A155REVATkM
PROJEC., —
ELECT I maC44MC&
LWIH6 SPACE ND4
$0. FT.
HEJ6HT LIMIT CALCULATION
chom
CAMCT 4 AMV,_e
FIRST FL
EXIST
TOTAL
ftF.PATUM LOCATION: MANHOLE IN ST.
rv"
5EWND FL
1004
1004
REP.DATVM ELEVATION 100.00
P'm
aw
clb�
BASEMENT
6'16
MAX HZI6HT LIMIT IN FEET
m &La�
�-T—
TOTAL
25,00
MAX Hr:16HT ELEVATION
M�T
0� CPA�
'662
125.2q
- AVERAGE GRAr)E
OMT
&ARAGE 115a
100-?q
DECK
11"
PROPOSED (FAST) H*HE5T ELeV
MAO
cw�w
125.20
NN EL 100.20
z
C-Ov PORCH 45
HE FL qq.62
r4P DECK
50
qS
5"' FL 100.63 SE FL loo.-12&
TOTAL
TOTAL 401.1-76 / 4 . 100.2R4
LOT COVeRA6E
ENEROY COpE K5.Ef- lqq5 ZONE I
LOT AREA
50 FT
METHOD N/A
MAX PERCENT C47VERAOE
I f. 515
HEAT SYSTEM: GAS FORCED AIR
KAX C/WERA6E AREA
35%
TABLE
PROPOSED Cl0VERA4E
5qob
CH 6 PRE5C-IPTIVE REQUIREMENT-9
D PERZEN rAGE
2237
13.26%
M MIN U: MAX %
LOT CALC NEY1
POOR MIN u: MIN AFUE,,
HOIlSE
EXIST
TOTAL
CELJN6
VAULT
GARAGE
1004
1004
MALL BELOY'l (SR.
1135
1156
FLOOR
MCK
54 AB E06E
COV PORCH
TER
CHAP GLAZINS C.ALr,
fr.
45
so
95
HEATED FLOOR AREA
TOTALS (PRC-Osco calrp.Aoc)
Not,
MOP05ED GLAZED AREA N/A
2231.00
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STREET FILE
Ff'i0-_JF4TPATA
DAVID 4 GRET"FN MITNEy
ADVRE55: 20" HILLCREST PLAC4! EDMONDS, IIA q6026
PHONE: 714-04$2
SITE: SAME
ZONING: RS - E,
LEGAL DESCRIPTION: J-07�/, 8L<S,
GOUNTY: SNOHOMISH Co.
C-ONSTRUCTION TYPE: -URWr-'nON: C4Y OF EPMOK05
PPOJECT 12ES'-RIPTION: VN (X-CUPANCY: R 3 / U I GARAGE
NE^ NON -HEATED GARAGE AND STORAGE ROOM.
PRO-er,T AREA
50. FT.
LIVING SPACE NEA
DUST
TOTAL
FIRST FL.
1004
1004
SEC40NO FL
678
BASEMENT
TOTAL
6ARA,GE 1156
1662
1156
OEr,K
0OV PORCA 45
so
qS
W DECK
L
LOT C-OVERA6E
50 FT
LOT AREA
MAX PER,--T covERAGe
35%
MAX COVERAGE AREA
sqob
PROPOSED Cl-WERAGE
2231
PROPOSED PERr-ENTArE
13.26%
LOT CALC Nert
EX15T
TOTAL
HOUSE
1004
1004
GARAGE 113b
DEcK
CIC;I/ PORr_H 45
50
q5
TOTALS (PROPO"ED r-O'/ER�Or) 2231.00
HEIGHT LIMIT CALC.ULATiON
REFDATUM LOCATION: MANHOLE IN ST.
REFDATUM ELEVATION 100.00
MAX HEIGH; LIMIT IN FEET 25.00
MAX HEIGHT ELEVATION M.2q
AVERAGE GRAM 1002q
PROPOSED (EXIST) HIGHEST FLEV 125.20
" FL 100-20 HE FL qcl.&2
5`4 FL 100 (13 5E EL loo. 72f,
TOTAL �01-1_16 / 4 .100.2q4
ENERGY CODE V4.5,E.C, Iqc5 ZONE I
METHOD N/A
HEAT 5y5TFM: GAS FORCED AIR
TABLE
CH 6 PRESCRIPTIVE REOUIREMFNT5
ININ MIN U: MAX %
POOR mrN u.: MIN APUE ,
CZiLING VAULT
riALL BELO�4 GR.
FLOOR SLAB E06F
CHAPTER 6 GLAZING CALr,
HEATED FLOOR AREA NONE
PROPOSED GLAZED AREA N/A
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ABBREVIATIONS
GENERAL A G0NSTRRt-1_noN
ELECT A MEC4ANICAL
MNOOV4 4 D�
CABINET t APPLIANCE
—T
—1 —T
:A
M
IT I—T
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11"I 1-T
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F_ PROJECT 1;)ATA
OYNER: DAVID 4 GRETCHEN riHITNFY
ADDRE55: 20-10q HILLCRE57" PLACE EDMONDS, NA qBO2(,
PHONE: 74-04�2
SITE: SAME
A55E55ORSI.D.': 5-7-V,-005-00C�-1303 ZONING: Rs - a
LEGAL DESCRIPTION: J_07/� gt--, s,
COUNTY: SNOHOMISH Co. _11JR15DICTION: CITY OF EDMONDS
CONSTRUCTION TY'FE: VN OCCUPANCY: R 3 / U 1 GARAGE
PROJECT DESCRIPTION: NEN NON -HEATED GARAGE AND STORAGE ROOM.
PROJECT AR.FA
50. FT.
HEIGHT LIMfT CALCULATION
LIVING SPACE NEN
E�J57"
T OTAL
REF.VATUM LOCATION: MANHOLE IN ST.
FIRST FL
1004
1004
REFDATUM ELEVATION 100.00
SECOND FL
ell&
5-15
MAX HEIGHT LIMfT IN FEET 25.00
EASEMENT
MAX HEIGHT ELFVAnON 125.2q
TOTAL
1552
AVERAGE GRADE ioo.2q
GARAGE 1135
1135
PROPOSED (EXIST) HIGHEST FLEV 125.20
DECK
NN EL 100�20 NE FL 9q.62
C-47V PORCH 45
50
q5
SN EL 100.63 SE EL 100.'72C,
w DEC
TOTAL 401.17b / 4 = 100.294
1253
ENERGY CODE yi.s.E.C. jqq5 ZONE I
LOT COVERAGE
50 FT
METHOD N/A
LOT AREA
WbT5
HEAT SYSTEM: GAS FORCED AIR
MAX PERCENT COVERAGE
35%
TABLE
MAX COVERAGE AREA
5qo&
CH 6 PRESCRIPTIVE REQUIREMENT$
PROPOSED C�WERAGE
2257
YNIN MIN U: MAX %
PROPOSED PERCENTAGE
13.26%
DOOR MIN V: MIN AFVE
LOT CALC NEN
Ex 15T
TOTAL
CEILING VAULT
HOUSE
1004
1004
NALL BELOY4 OR.
GARAGE 1135
1138
FLOOR SLAB EDGE
[)ECK
CHAPTER 6 &LAZIN6 CALC
00�/ PORCH 45
50
`15
HEATED FLOOR AREA NONE
PROP05ED OLAZED AREA N/A
TOTALO (PROPO5E1? CO /EP
E)
2231.00
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Z 0
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0
0 0 U
0
6,12 - �('
REVISIONS
08/12/1996 12:59 2067767373 AC SOFTWARE/DE IGN PAGE 02/02
CA FIL13 NO.
Critical Areas Checklist
Site Informadon (SOIU/t*POgMphy/hydrelogy/vagdation)
1. Sit&AddreU&=d= P—C"701 HjLL(:KE,5-r PLA-4�6
2. PMpftWTa3tAgwuntNumbcr.
.3. Aomxhnft Site Sbm (um or square'fea): ( o, SO 7.� —sq Pr
4. Is Ws, site anito,
� Y developen —Y-1 yes; — no.
If yes: how h,sludeveloped?
S. DescrIM the Senerg Site topogriphy. Check all dw apply_
- Z pqai� I= thau 5-,fM devadon change over entirp citp.,
'lt*ld*. Ava an she seftenHy IMS dMa Is%
I vatical r1sc of 10-feer over a
UrIMM21 Agwas Of 66teft).
HMY1- on sb of more than IS% Md len than 30% (a v"w r6e
Of 10-M Ova a haritontal dismor of 33.to 6&fadt).
SUV-" 91441% Of IsraM Dian 30% pre= on Sfte (a vertical f ise Of I 0-feet over a
WWAW diftWe of less than 33-feet).
Odw (VION4 dualbe):
6. Ske contains via of
You -sound standing watw- okJo Approx. vepth:
7- Sit* cor;Wrm �W—
MUf MW MMIRS Wale
nd N 0 Approx. Depth:
Wbat seasono of the Yee
S. sital is In ft ffb6dway f-fz) floodplain )Q o of 3 water course.
P. Site aonftin$,G,�� Or 64 am wh= vA= flows 2CM the grounds surface? Flows am year.
round? tj 61 Mows an senonal?
(What tiMe Of year.
10. Site is pd=ur. lbreaw meadow shrub-S mixed
urbRn 12ACISUPW (lawn,shrubs ate) — L--0,
11. Obvious wetland is present -on site: _Ato
42 For City Sta Use Only—.
L Wto is zodem tnp--,
2. jCS MWW SMI jype(op V4Z- 5#r4 �4 D e4
3. Wedand lavenwry or CA. nV indicates watland prcm t on skdq _ 0 - —
4.1. -,01100d Amu iAytatoty or C.A. wop indicateg Ciritiegi Amon site? a
S. - 'Sit a withii "Sddtd CROA CuWdenoo landslide homed orcg?
QC)
'site deiignaw oA dw Envimeawtany SenritWe Amu M.0 ;P
RETEJ&�MA
-44ruoy R20urRED CONDMONAL WAiVER
WAIVER
Revie wed hy:_6.
DOAA10CIV
platuter Doe
k"MM
08/12/1996 12:59 2067767373 AC SOFTWARE/DESIGN PAGE 01/02
City of
Criti
TIM CKid=1 A
this form is t6
to hisAw subm"
PUMIt tioftc*
reas Checklist
cwtdned on
Y MW P8r3M
prior
TU puqx*g Of t*,�_ ht is to amble
City staff to d '*11ather any
potential
Present an me
The
infbnnation m =1(,..: CCq*ft die
ChecUst stould b"
lable from
y awai
dbsw4ations oft# ' W �09 deft avgWlc at
a ty Hall (Cdt1CVj-*M �10V*Hories' nMM'
or $oil surveys).
An applicant, ar�
must fil Out ft i 016�'Agn and date It,
and submit it to the city. rao City, will
mviftw the thed4ist# make a prtcursory site
li* and make it determination of the
suomquw stel" necessary to complete a
devdapinm pcMit aMication.
'ArIth I A;Med copy of this farm, the
NrUCMU 3twuld 9W submit a vicinity
or plot PwTor indMdual lots of the parcel
with aMA dM& diat CitY Sftff can find
. dw subject pacel(s). In
addkjoI4 60 &PPOcant. shaU Include
Other palftent afformation (e.z. site
PM4 t0P02rA%Y IMP, etc.) or studies In
COBJunctim with this Checklist to a"W
1-41W IN CMMPUAb% their preliminary
All 116 leut or the site.
I have comp&*
4WV, I Cnitical Ama ChecYjlst &ad AUM dat the answers p
faCtwd, to Ift beit"50, In'' knowledge (fill out ft approp;dM column o rovided are
. y bel W).
Ownw / APPIlcant:
DAVe wm in/Ey
PL.
stma AAfw$ 7 79 -0 q 34'
E;VMv4C>S-,t WA 9j%2_&
City, awtv, ZIP
Phone
sivature
Oat&
Applicant RePremntative:
- Atei�er
3 3p pwy-m pq S7.
sij.oa.
'7710 - 7.3 73
city., state, Zip Phan*
PROJECT REVIKff�N �,T
-T r, I rlp-,E FEB 4 1992
PROJECT NAME:11) jqLP
PLAN CHECKAL!a6d DEPT.
PROJECT ADDRESS:,Z!,9,ep�;,O!�f RECEIPT DATE:
nitial/Da
P N. WATER
-COMMENTS
FIRE
BLDG. SEWER
STREET7ENGJ
Setbacks/Variance/Setback Adjustment
Conditional Use Permit
RMOMIX.MN
IN
ADB Requirements
. . .
. . .
.
.......... .....
........ ........
................ I .....
....... . ... .
......... . .....
............
.................
................
...... .......
. ..... 1
.
3
Other Zoning Requirements
WIN -
- - - - - - - - - -
' M
7-1/3/,f It
4
.5
Underground Wiring Required
Lot Slope 15%
it
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
. . . . . . . . . . . . .........
-7
-.8
Plat/Subdivision Requirements
X
Legal Description Verification
Quit Cldirn/Street Dedications
........ ..... . . . . . . . . . . . . . . . . . . . . . .
Easements - Public/Private
Engineering Storm Drain Review Fee
. . . . . . . . . . . . . . . . . . . . ..........
Engineering 2.2 Inspection Fee
....... . . . . . .
....... .......
.141
Drainage Plan (On -Site) 4JJWP
.,::: ..............
Setback - Top of Bank, Stream, Water Courses
- - - - - - - - - - - - - - ----------
Setback - Storm Drain Line
HIM - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - -
7
Open Ditch - Existing
- - - - - - - - - - - - - - - - - - - - - -
18
Culvert Required
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . . . . . . . . . I..
Culvert Size
............
Shoulder Drainage/Shale Open Runoff
I..,
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
-21
Catch Basin Required
. . . . . . . . . . . . . . . *
22
Driveway Slope & Vehicle Access
2 3_
Sidewalk Required
Curb & Gutter Required
. . . . . . . . . . . . . . . . . . .
25
Curb Cut For Driveway Required
. . . . . . . . . . . . . . . .
::-.26
Street Paving Required
- - - - - - - - - - - - - - - - . . . . . . . . . .
27
Right -Of -Way Construction Permit Required
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
28
Street Name Sign Required
Other Signing Required
30
Bond Required For Public Improvements
31
FEMA Map Check/Water Table
Side Sewer Availability
Calculate Sewer Connection Fee If No LID #
34
Create Street File
36
Existing Water Main Size
...
... .. .... ...
X..
.
36
Water Meter Size
37:
38
Service Line Size
Water Meter Charge Required
Hydrant Required
4 0
Hydrant Size Existing
41
Fire Line Charge Required - Sprinkler
Street Cut
. .......
........... ... ...
.... ..
Miscellaneous
........ . .....
.. .... ... ..
.....
. . . . . . . . . . . . . .
.44
Reviewed By:
FIRE
PLANNING
ENGINEERING
PUBLIC WORKS
rX f,, M f-- L� I oO, 0
H.& � H.0 Le COVCK- S av��r-
LE ""y'
AAJ�P46
49P'Vt C-44-
EL ja':;'a
e
.>a
\'V
L'
alai,
6e
1004,9
'4a 1 "06/4 -
Ave
5
1 ca, v7
Nil
( 'raic'
-A N 1, 4-7 0
Od
.9q.73,
9S.
r,;rm 0 44\ 1 -"l � "/ I
72,0'vA-rr, HOO'�C
1>55 *qFT- 4
SIT
14 ot-r3s�
� HAV"
11644,F,(
"L
I p4kf-
;#EET FILE,
r" L PA1-u m , i o, o
HAJ q Ae wvty- I j
H I V,"'Vr P LA'r- e
PERAUT APPLICATION REQUIREMENTS
TO:, Permit Coordinator, Building Division
FROM; Lyle Chrisman, Engineering Inspector
OWNER: PLAN CK #
ADDRESS: A,44eexiar Pe- DATE:- /6 �W6
After review of the subject permit application, the following requirements mustbe met.
1. Construction hours ar e: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/Owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d)
S. NO WORK SHALL BE DONE WMN 15 FEET OF STREAMS OR 10 FEET FROMANY CLOSED DRAINAGE FACIL-
17T. BUILDERIOWNER IS REPSONSIBLE FOR IDEN77FYING COND17IONS ON THE DRAWNG. (ECDC18.30.50G)
6. FILTER FABRIC. FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEM, TIGHTLINES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace al I defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14
Waiver granted to (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
.11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC IS. 10)
16. Connec SP the City samtary system is required. A separate permit is required.
Fees paid: Yes No Charge (ECDC 18.10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50 % of the total
assessed value of the structure. (ECDC 18.05.010)
18. A FINAL ENGINEERING INSPEC77ON IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU-
PANCYOF THE BUILDING OR STRUCTURE. (ECDC18.90)
19. 4"rw-4pa�
20.
/11
0 City of Edmome
RIGHT-OF-WAY CONSTRUCTION
14
PEPMIT Permit Number: �& - /,F 7
Issue Date:4 -,? t-1, - -9-,2
A. Address or Vicinity of Construction: '20riOCI �4 1 L I,. (- P-L-S-T L
B. Type of W�rk (be snecific)*JS-r -,tJ C-VLI-ST'
9 0 . 1 9 9 -
POL,(-, -Te�&04C-R Noa-Th ro P200 CCW_"-6:x , wST P&D&S.-r-AL- A . r C0ZNE4Z_
e_(_ST00_f_-
C. Contractor: P ul) Contact: 14URT M A 97 1 rQ
�r�
MailingAddress: Phone: 0-7o - -3 -z o-7
State License #: 4- t) MOW 0 5 --WAN qY602 A:? Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Sewer Permit # (if applicable):
Cornmercial 0 Subdivision
E. El City Project [] Utility (PUD-,QTE, 1,NWG, CABLE, WATER)
F-1 Multi -Family L[�r Single Family [-] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes E]No G. Size of Cut- x H. Charge$
APPLICANT TO READ IGN
C
INDEMNITY. Applicant understands and by his signature to this application, agrii�_to fold the City of Edmonds har7ndes fi�qm injuries, 6m�jes, or
claims ofany kind ordescription whatsoever, foreseen or unforeen, that may be mad� jd'air�i the City ofEdmonds, or any o' it's depdlnm�ents or 'employ -
If
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit.
7HE CONTRACTOR IS RESPONSIBLE FOR WORKAIANSHIPAAD MATERIALS FOR A -PERIOD OF ONE YEAR FOLLO�VING F[�V
AL INSPEC77ON
AND ACCEPTANCE OF TRE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL S7REETAA`TCH &COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Construction drawin of proposed work required with permit application.
,9
A 24 hour notice is re `q`uired for inspection; Please d1l the Engineering Department- 771-3262.
Work is to be'inspected during progress and at compfetion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City, regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approvkkm'naterial prior to the end,4(ih_�,,�orking day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor in spection purposes. n
6.7 61 Z�
Signature: Date: —
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
................. ......... . .............. ..........
... . ........... .....
. ..... ........... . . ... ... FOR: CITY USE ONLY:
...........
.............. . . ....
....... ... .
.......... . ... . ... PO
11014T.WWAYME S
PPROVED BY
.... .. ..............
. ......... .. ........ .........
. . ..... .................
............
..:TIME.AU.THORIZED.::Y..OID::AFF�
DAYs: DISRUPTION FEE/FUND: 1:1
........... ..
RK
'ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTIP (Funip, I I - Route copy to Street Dept")=
Comments:
Diagram:
j If
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
rng. uiv. juiy j
0 31
0
9
lm:[=
F��o Lj =
1476
TI a M1,1110 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
REV. 7/87
LOCATION -zc>qog
IrA C ?— (-- c.'7 p �_
S 0 C C> AREA
POLE NO.
1/4 S I -A T 2 -7 R
DATE -cl
W. 0. NO. -3 -a
REASON FOR WORK u
S \j ��o Q_
ENGINEER MAP-Tirj
DWG. NO. 0 9 -7
e_ -v_-rc Ilk �_ 0
k,-J Irk IT W C-i
DRAFTER
U. G. NO.
SCALE I
DATE WORK COMPLETED
APPROVED
DATE PRINTED
FOREMAN I
IFEES REQ'D it YES 0 NO 1
PRIMARY OVERHEAD
• RESIDENTIAL
• COMMERCIAL
LEO#
@
SECONDARY OVERHEAD
BASIC FEE S
$
METER/CONV. PCLE S
PRIMARY UNDERGR )UND
0 RESIDENTIAL
0 COMMERCIAL
BASIC FEE $
LEU#
/ $ I /=s
SECONDARY UNDERGROUND
BASIC FEE $ 4-SQ'
/o$ /=s � cl o
UNDERGROUND P-AT
BASIC FEE $
tFT.O$_ /=$
STREET LIGHTING
FT. 0$ s
WORK IN RIGHT OF WAY
* PRIMARY
* SECONADARY
7�>S t FT. 0 $ _24-S
MISCELLANEOUS FEES
VAULT
'-_bMc)"Z5 PERMIT S SQ
mg ;:�.c '200A. $ a\
TOTAL DUE ZZcl
DATE PAID (,5> - I S -ci 2
RECEIPT# Aiz.,za40- � -
NEW SVCE APPLICATION#
p-NI \/I
....RONMENTAL ANALYSIS
0 EXEMPT
0 NOT EXEMPT
PARA. 18
1 TEM C
O.H. U.G. COND.
KV
ADD
CKT. FT. PH
REM
CKT. FT. PH
NET
CKT. FT.
O.H. U.G. COND.
KV
ADD
CKT. FT. PH
REM
CKT. FT. PH
NET
CKT. FT.
PERMITS
(DATE GRANTED�
• TREE TRIM
• STATE
• COUNTY
• CITY 'ri_o mo tj U5
0
EASEMENTS
0 REOUIRED
I0 NOT REOUIRED
DATE RELEASED I
FOREIGN CONTACTS
0 GTNW JPN#
0 CATV JPN#
Z JOINT TRENCH GTNW & CATV
0 JOINT BORE GTNW & CATV
0
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONSTR. REQUIREMENTS
0 TREE TRIM 0 PUD LOCATOR
N BACKHOE 0
IR ONE CALL DATE
INDEX I POLES I IPLAT
LOGS U-MAP
XFM IC—MAPI I
LOCATION MAP PAGE +S+
SUBSTATION M Pt P �_& vx'>� ID
CIRCUIT NO. %2-_S4jc,
t_j
PHASE # �
0
0
W-0-
;k
__E)'�_>
w ls_r --El, to
c) ki ts-r o
-T QL I'A
I w 70 P 9- 0 9 C 0 9,
OF ISO V-4,rA
'Dowo P_ I s 0 1 T(_4 _T_ C>
P., A Q_
E- C
P(-:- OfE S
-T-C-N 0
N �_- c T
To
I s
(o 4-7 S
9- C6
LC--- \JC
L,-;, 14, C, r4
;,A
MAIO ---)-7
93334-�-
-Z oc� o 9
W - -2 01c; 6 0 -)k
0
08/i2/ I 1 1 996 12:59 206j6373 AC SOFTWARE/DjjGN
PAGE 01/02
City of
CrIti
no Qiruw & 1. , -
ftt
this tom ft
to his/her sub
permit
ea� Checklist
czhed On
&W person
WIftw4a prior
-& " ent
. -Vaupm
TIS PUMM Of d4PWJCh1ft is to amble
CitY Staff to ditkfte'*%ther any
I-
potentw critica"400 am or may be
FrMn1 on the SU4 =.Ot- 7be
informtion 140*' '0
de dw
C heckUst SMuld N` A40
.o-m 'a -
. s
cbsei-4atkms ' ' 0.. , Y lable from
Of th"he".0f d0a availableit
city Hall (CadcRiAreaslaveotoft, maps,
or son surveys),
An applicant
must fill ou 6.4 sign and date It,
z 1 i rlt�
wW nbmit it to the City- The city will
review dw dmidistj fulm a precursory site
vi* OW UMkie a determination of the
my3MRNM 5�%" mx"SarY to Complete a
&WqmmM XmIt applicaticm.
MrIth a sigried *My of this form, the
!EP� d=ld alSO submita' 'Cinfly Mal)
VI
Or PIO-VOW for MdMdW1,ots or Un parcel
W'th OMMh deftH diat CitY 3ftff cm find
3 " subject parod(s). in
ad"OU, *0 aWk2ft ShaU Indude
*tIMW WON= kdannation (e.t. site
Pb"N tOPOSIN*Y fflUP, etc.) or studies in
COWURctbn Wkh this Checklid to &MIA
.9ba in 4004"nS their preliminary
imom* or the site.
haya comph"i
iiWAO"11' Critical Area Checklist &ad attM #W the answers provided are'
factual, to d= beij'4, rfi� knowledge (rill Out ft VprOoriate column below).
OWnW / Applicant:
DAVE LA/JJIVPJFr��
Amino
t.-�Tol Hiuxmes
SOW Add-nm 7 ?'V -0 Y 3�L
F-DMO�S-., WA 91bs,&
city. st-te, zjv- Phone
Appliant Represent&tiyei
A Laaer
3 3p pA-y-lv xj
'77to - 7.3 73
WA ?,Aox 0
Phan*
Date
08/12/1996 12:59 2067767373 AC SOFTWARE/DESIGN PAGE 02/02
0
CA P11.13 NO.-.
Critical Arew Checklist
Site Infortnation (Solk/topography/hydroloalvcgeMton)
L. Sit&Addre$jj�n: -tc)101 HjLLC4ZE5-r PLAZ.,C
2. PrQpMyjUAcWu0tNurnbcr-.
3. Appmx1rift Site SEM (tem 160 00
4. is this alto' :' or Square fog).
=toy doydoped? —L,-' Y.;
If yes; how h.s6 davaio*t__9f'S i 0i_--At6C
Descdb6 the temal 31te topogri�hy. Check al I dwVply-
Flaj:. lea than 5-fact devalon chuse over eatire. site.
AlWeS cm site SwenHy [as than IS% (a ycWwaj r1= gf 10.fea over a
�Urlwnw distamw of 66toct).
HMk. d�es prwgg on sh Of mOre than 15% and less than-30% (a v"W rise
of 10-fed over a horizontal disuni, of 33 to
'SCOOP; OWN of grew Olan 3()% Prcstnt 03 51te (2 vertical rise of I 0-fed over a
WhOAUI diStAnCe of less ftn 33-feet).
Odw (Plesie descrlb�):
6. Ske contains &tie 0(year-tound SwWing waw- AJO Approx. Depth:
7. sito coriwns iw�,Qf mwnal gmMing water: No Approx. Depth:
What stuon(s) of the yeal
S. Site iS in ft ffk�dway t-tO flOOCIP12in of a Water CoUrse.
9. Site oonuins *41,�� or so trea whem waa flows acrms the grounds Surface? Flows are ycar-
round? nows am seasonal? (Mat time of year?
10. Site is primari1r. ibrested I m0wiow shTubs mixed
urban landscapad (lawn,shrubi ate)
11. Obvious wetland is present -on site: -go
ev For City slaT Use only,-,,---
L $40 is Zoned?
2. jC3 MXpW SMI type(g)? Pt% 1-4 W �4 J>
3. Wedand Inventory CW CA. mp indicates watknd pmvmt on sitdo
-',CdtIC4 AnU iAV*A0ry*rC.A. trap indicates Critical Amonsite?
5. - iitew,ithii dWSuatad CZA cub-sidence landslide h=,,d arm?
6- 'Sitb deil�pated OR the EftVIMQMcaWIY Sen8itive Amu Map?
.4ruDy MUMZD
CONDMONAL WAIVER
WAIVER
Revie . wedby:,'
D a
an 01AYM
0
PLANNING DATA
NAME:-Dw-d- Y_61Wk,, W6.hn!�4
SITEADDRESS: ?-09o9 DATE:
ZONING: PLAN CHK#: 94-191.
PROJECT DESCRIPTION: ALA 51�2� p,�,
V elmr� -
CORNERLOT tvo Yes/No)
SETBACKS:
Required Setbacks:
Front: ZS' Left Side: 7 (1,A, ' Right Side: -7 ��z- ' Rear:
Actual Setbacks: 4, r.,a4,o;-m
Front: A064' Left Side: 19' Right Side: Rear: 31-331
Street map checked for additional setback required? N6,,ejh.,,j _"e No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED t1i (Y/N)
LOT COVERAGE: 7
Maximum Allowed: -Actual: - 1311z
BUILDING HEIGHT:
Maximum Allowed: Actual Height: Z_ 5,
A
Datum Point: 64,71"�- flDatum Elevation: /cc,'
SUBDIVISION: 6 `12, - �1 -
't �61
_M�s M err...- Wzo..J< rvi- ".t,4 *V� &calf,#
44-A
CRITICAL AREAS W,�Lvcr
SEPA DETERMINATION: Alo- !2%wW
LOT AREA:
OTHER:, L4Ak&%4eA — A41- M,-ty:A t. &-- - /,- A-0U.
V
Plan Review By:
qERM][T APPLICATION REQUIREMENTO
To: Applicant
From: Jamal Mahmoud, Engineering Inspector STREET F11-1
Owner G)OWA 1E 6 re-L,�e-o -lit e-
_5 Plan Check No:
Address:- ?,!!p a f�) 4) H -Lh r - t,,r- -� 4- P L - Date: 011 /
After review of the subject permit application, the following requirements must be met:
1. Construction hours are: WEEKDAYS - 7:00 A-AL-10:00 P.M.;WEE1KENDS/HOLIDAYS - 10:00 A.AL-6:00 P.1VL
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d).
5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE
FACILITY. BUILDERJOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING.
(ECDC 18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit.
(ECDC 18.90)
9. Drive�w, ay slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
0!!�a %. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C)
I
I I - INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter (ECDC 7.20).
14. A back water valve is required if downstaiis plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connection to the City sanitary system is required. A separate permit is required.
LID# Fees paid: Yes— No. Charge 3 0 (ECDC 18.10)
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
PPbffA"J)OC
(Y 9 0 - 1 9 4 -
City of Edmond§ EET
RIGHT-OF-WAY CONSTRUCTIM R1 E
PERMIT Permit Number: -Z o? -3
Issue Date:
A. Address or Vicinity of Constructiori: 20909 Hillcrest'Place
B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Compan Contact: Frank Swan
MailingAddress: 815 Mercer Street, Phone: 224-2278
State License #: Seattle, WA 98111 Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):.
E. n Commercial E] Subdivision El City Project XJ Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family n Single Family Other
INSPECT
OR/
INSPECTOR: 10�le
F. Pavement or Concrete Cut El Yes 91No G. Size �f �ut: 1* Charge$
No Cuts
'SIG,�
APPLICANT TO READAN4 -
JZ�__
INDEMNITY. - 'Applicant understands and by his signature to this application, agreev4s4e City of Edmonds harnde4.`m1�,L,47.n(ag,.4or
claims of anykind or description whatsoe-�er, foreseen or unforeen, that may be made against the City of Edmonds, or any ?f its departments or employ-
i it
ees, including or not limited to the. defense of any legal proceedings including defense cosi� and attomeyfees by reason of granting this perm':
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWNG THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLE7ED BY
C[7Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City ieg�lations as required by the City,Engineefq
All street cut ditcheS shall be patched with asphalt or City approved material prior to the end of the Lw'orking day,",,
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the pennit will be available
on site at all timesfor inspection purposes.
Signature:
AMMA4441 Date:. April 17, 1992
(Contr;ctor or Agent)
CALL DIAIA-DIG PRIOR TO'BEGINNING WORK
PERMIT. FEE:
............... ........ -
......... .. ............................ ..... ...... .. ...... .............
::COMMENTS: ... .... . - - . ........ - RECEIPT.NO:,.
.... .. DATE:. . ........ -ISSUED BY: 12
ft
MkIl AZIMMM
Engrg. Div. 1991
FIELD INSPECTION
Comments:
Diagram:
I I I - Route copy to Street Dept.)
v ., ��j
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By:. Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1%
40
Wa
N ='112
a
A vvz�� Ei e Carcery
Addendum to
,Submitted by:
-2,09 09 P,_.
P�-WNG to window
N�Water main depth
unknown
Uk
111 gas main,
City of Edmonds
Right of Way
Permit Application
Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager
� d (D cf, UT '-: > -
drant
815 Mercer St. (P.O. Box 1869), Seartle, WA 98111 (206) 622-6767
0 9 0 - 199 -
City of Edmon(p
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number:
Issue Date: 2—
A. Address or Vicinity of Construction:
B. Type of Work (be specific): 5'J—P
C. Contractor: V
L0615e'vo(c Tpf(.
MailingAddress: I<gq):Z
State License #: 101pe-
D. Building Permit # (if applicable): 612,01"
Contact: y
0M ; Ir 1 0 )p at
Phone: 651 - -7 4
Liability Insurance: Bond:$
Side Sewer Permit # (if appli cable):
E. F1 Commercial F] Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, WATER)
Multi-Fatnily Single Farluly F! Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut C3 Yes Wo G. Size of Cut: x L1. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees r6"hold the City of Edmonds harmlessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be ma,de against the City of Edmonds, or �ny of il� depS�pnerus or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason bf g�6(ing tVs pei7nit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A�ffl?�OD OF ONE YEAR FOLLO WING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK. ES77MATED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 14 hour notice is requirea46'r"inspection; Please call the Engineering Departmom
Work is to be inspected duringj�progress and at completion.
Restoration is to be in accordance -with City Codes. 771-0220
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the.end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
o si' 11 1 es p inspect purposes.
n te at a t fi
Signature'. Al A A rl. 1� J Date: 7/
" f1fV-4WwvvFfi
(Contra' C-tor or 1(gent)
CALL DIAI-,A-DIG PRIOR TO BEGINNING WORK
........... .
...... ...... ........................... ......... ...........
......... ......... ........ ......... ..... ............. .......
FOR CITY USE.ONLY.� ........ - . ........... ...... ............ - ............... - ... ..................
....... ...
:A . ........ ..... ... .... ....
:XXXX
...... .... ... .......... .
......... .................. ....... ........... ...... ......
...............
TIME,.AUTHORIZED:::Y.OID:AFrER::::::::
......... ..... .. .
�:DAYS, DISRUPTION FEE/F.U.ND 111:,
.,SPECIAL.LCONDUIONS:L
RESTORATION LFEE:
.. ..........
............ ... ...... L ............
...........
—.11 11 PERMITL FLEE:
..............
.... - - - -
. .............. ......... L . ...........................
.......... . ......
TOTAL.FEE;: ....... ............ ..........
............ ... .......
COMMENTS: .............
......
... RECEIPT.NO., ....... ...... —
-DATE: :..:-:.ISSUEDLBy:.�.�
-0
NO WORK SHALLBEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
Eng. Div. July 1985
41-
FILE
CITY -OF EDMONDS SIDE SEWER PERAIT
9 PERMIT
19c,
Address of Construction:
Property Legal Description (Include all easements):
LTIIIATME�j_�LANT I
J,
Owner and/or Contractor: Dayi kA I- 1-Y, -eki "-'wbe 71' C.
State License No. Building Permit �o.
4Single Family Invasion into City Right -of -Way: El No R Yes
0 Multi -Family (No. of Units-) RW Construction Permit No.
11 Commercial RECEIV"ssother Private Property:X No E] Yes
C1 Public J U L 1 4 1992 Attach legal description and copy of recorded easement
PUBLIC WORKS DEPT.
71141
22
I certify that I have read and sh0l comply with all city requirements Date
as indicated on the back of the Permit Card..
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE.,bNLY..:
FOR INSPECTION CAL PUBLIC WORKS DEPT.
11-0220
Permit Fee: oo Issued By 9e
Trunk Charge: cq's- Date Issued:
Assessment, Fee:, Receipt No.:
,. X) /4--
Lid No.': --
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: Date Initial e �_&
1, ** PERMIT MUST BE POSTED ON JOB SITE **
White Copy; File Green Copy; Inspector Buff Copy: Applicant
Revised 3M
The City of Edmonds
Side Sewer Drawing
V
EASEMENT NO - --------------------------------------------
�r NEW CONSTRUCTION n REPAIRS n LID NO . .................. ASMT. NO. - ---------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------ ----------------- PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
NAME OF ADDITION -
--4 � -<
�A lk. �\ �, t:e 51 T -
PWW-0001 -11175 (REVA 1/78)
--------------- ----------------------------------------------------------- i7 -------------- : ---- - ------------
0
30
iLVI 0 . tz
q4? 7o e-9
%.V3 15,D)L.
Approved:
9'- 12- -
DATE............................................ By ............................................................
4
I ')
d I
F 0
It- 1 - 5, 0 f)%A!Rlr
15 REZjF-()[V fLE
AUG 2 4 25 16
38'trench ED.R. EROSION CONTROL AND DAMASE
Additional BUILDING DEPARTMENT Fo�
2 r CITY OF EDMONDS
15' exist.
Infiltration Trench -T I otj�
-/11 /N1 I"I 1�1 N ue�
6" 00 120 200 400
4.
r!5-Zl d3 Scale of Feet
r a 0 FW
-72- qJ LEGEND -
Exploration hole number and
app x. IOCaLlon.
4 4
77, 1,26
0
52
6AVE oev/ WHITNEY SITE RESIDENCE
20909 Hillcrest Place
/Z Edmonds, Washington
6)( f7AJ 10 5� 10
ff-ETL k—� -7 50 1 SITE AND EXPLORATION PLAN FIG. I
"X -7 Lrg'
GeoSource
-r,F-A zi' e 66eA-61 T' 7-7 e- 0 r
ENGINEERING, INC.
Everett & Mount Vernon, WA 425-870-8189
PROJECT NO. DATE FILE NO.
C100701 7/19/2010 C100701 Site Plan.vsd
I ri r r- V I Lt-
0 0
GeoSource
ENGINEERING, INC.
ke-!��EFRINC-
GEOTECHNICAL ENGINEERING
August 18, 2010
Project No. C100701 (revised)
Dave Whitney
20909 Hillcrest Place
Edmonds, WA 98026
Subject: Existing Infiltration Trench Assessment
20909 Hillcrest Place
Edmonds, Washington
Dear Dave:
STR"EET FILE
REVISION
/Ulu
AUG 2 4 "' "
BUILDING DEPARTMENT
CITY OF EDMONDS
GeoSource Engineering, Inc. made a visit to the abovementioned site to examine the existing
infiltration trench, evaluate subsurface exploration holes and take soil samples for infiltration rate
determination. The purpose of our visit was to determine infiltration rates along the existing trench
and assess numerically the acceptability of the trench which was reportedly installed many years ago
with only verbal recommendations from the City. The locations of the exploration holes are shown on
the attached Site and Exploration Plan — Fig. 1.
0 SUBSURFACE CONDITIONS
Soil Survey Classification Series (SCS Series Description)
The Natural Resources Conservation Service (NRCS, formerly SCS) maps classify the surface soils
as the Everett series (EvB) [Recessional Outwash deposits] underlain by Alderwood soils (AgB)
at depths greater than our test holes. County and City storm water management offices use the
SCS/NRCS designation for determining design requirements relating to surface water quality and
quantity. The SCS/NRCS descriptions are agricultural in nature, based mainly on air photo
identification of vegetation types growing in the soils. Because of their general nature, geotechnical
field evaluation and/or verification of site soils is necessary.
Observed Onsite Soils
State law stipulates that "acquiring, evaluation and analysis of geologic data by a Licensed
Professional (Geotechnical) Engineer is a necessary component of a geotechnical study and is
permitted without the Professional Engineer being licensed as a Geologist" (RCW 18.220.190). The
licensed Professional Engineer who prepared and signed this report also holds a Bachelor of Science
degree in Geology (cum Laude) from Washington State University. In light of this fact, the
4917 Evergreen Way, Suite 105 - Everett, WA 98203 42 5-870-8189
17320 Red Hawk Ct - Mount Vernon, WA 98274 360-5 88-4819
C1 . 00701 Whitney Residence *tion Trench Letter, 8/18/2010, Page 2 of 4 is
subsurface conditions at the project site were inferred from the field explorations accomplished for
this study, visual reconnaissance of the site, and past experience in the area. The observed or
anticipated soils consisted of the following (from top to bottom):
Exploration Pit 1 (West test pit) ' - The top 2 feet consisted of clean, medium sand and
gravel. Underlying the sand was clean, gravelly, coarse sand (more gravel than sand) to
over 4 feet in depth. This soil horizon is consistent with the SCS/NRCS designation
Evereft (EvB) [ Outwash gravel & sand ] and is described as well drained. An infiltration
trench installed along the north side of the driveway will function adequately for infiltration
of runoff in this area.
Exploration Pit 2 (East test pit) - The top 1 foot consisted of clean, coarse sand and
gravel. Underlying the sand was dry, tan, gravelly, coarse sand (more gravel than sand)
to over 4 feet in depth. This soil horizon is consistent with the SCS/NRCS designation
Everett (EvB) [ Outwash gravel & sand ] and is described as well drained. An infiltration
trench installed along the north side of the driveway will function adequately for infiltration
of runoff in this area.
EXISTING INFILTRATION TRENCH CONSTRUCTION
The existing, 15-feet long infiltration trench was constructed by placing a filter fabric covered
perforated PVC pipe at 24 inches in depth atop a minimum 24 inch -wide drain gravel infiltration layer.
The gravel layer appeared to be a minimum of 12 inches in thick and at least 24 inches wide.
HIGHEST GROUND WATER LEVEL
We do not anticipate the development of any high ground water table due to the sloping nature of the
Till in this area. The sloping Till will naturally drain infiltrated water to the west. Also, not mottling of
the soils was observed.
INFILTRATION TRENCH LENGTH DETERMINATION
One acceptable method for determining infiltration rates on small sites in the City is the USDA
Textural Classification method utilizing the grain -size distribution (ASTM:D421) in conjunction with the
proportional length as determined from Section 3. 1. 1 Downspout Infiltration Systems of the 2005
Ecology Storm water Management Manual for Western Washington. The soils grain size distribution
(see attached Grain Size Distribution Analysis) was used to plot the soil on the attached USDA Soil
Textural Classification diagram.
The calculations for determining the required length of the infiltration trench are partially based on the
Rational Method. This method is well -suited to determine storm water volume from impervious
surfaces. The attached Storm Water Runoff And Dispersion Trench Calculations page indicates the
volume -rate of storm water runoff in cubic feet per second (cfs) for the 100-year, 24-hour design
storm. The trench sizing is based on the material size gradation shown on the attached Grain Size
Distribution Analysis (sieve analysis) and the USDA Soil Textural Classification triangle at the end of
this report.
C1 . 00701 Whitney Residence IOnration Trench Letter, 8/18/2010, Page 3 of 4 is
Based on the site impervious area of 1942 Sq. Ft. for the 1 00-year storm volume -rate in proportion to
the minimum lengths for the soils types given in the 2005 Ecology Manual, the minimum length
required for the infiltration trench is 39 feet. A cross-section drawing for construction of the infiltration
trench is also attached. If more than one trench is required or desired because of limited space, they
must be separated by at least 6 feet.
We appreciate this opportunity to be of service. If you should have any questions, please do not
hesitate to call.
Sincerely,
GeoSource Engineering, Inc.
U
WA$
07!5&
L
Gary T. Lobdell, P.E., B.S.G.
Professional Engineer, B. S. Geology
Principal
C1 . 00701 Whitney Residence 19ration Trench Letter, 8/18/2010, Page 4 of 4 is
STORM WATER RUNOFF AND DISPERSION TRENCH CALCULATIONS
Date: 8/18/2010
Project No. C100701
Project:
Dave Whitney Residence
20909 Hillcrest PI
Edmonds, WA
VOLUME -RATE OF RUNOFF-
1) Existing driveway impervious area: IA = 1942 sq. ft.
Total collection impervious area = 1942 sq. ft.
Using Rational Method: Q = CIA, where
C = runoff coef. = 0.9
I = rainfall rate from NOAA 1 00-year 24-hour Isopluval chart = 3.5 in/hr.
A = collection area in acres: 1942 sq. ft./43560 sq. ft./acre = 0.04 acre
Q = (0.9)(3.5 in/hr)(0.04 acre) = 0. 13 cfs volume from 1 0.0-year , 24-hour storm
TRENCH SIZING —
1) For the 24 inch -wide trench shown on the attached drawing:
for coarse sand and cobbles the MI-1000 = 20 L.F.
2) Infiltration trench length = 20 lineal feet/1000 sq. ft. impervious area
3) Thus the design minimum trench total length (in one or more trenches):
TL=IA/1000 x MIL1000 = 1942 ft2/1 000 x 20 = 39 feet Ion
38'trench
Additional
2
15'exist.
Infiltration Trench
0
�7 N ue�
4i C" oKw 00 120 200 400
Qj
Scale of Feet
U I d3
r-a7r��Ai A5 0 6��-X!57
LEGEND -
qj
Exploration hole number and
approx. location.
�4 1-2
ON
r
WHITNEY SITE RESIDENCE
L' lo 20909 Hillcrest Place
Edmonds, Washington
1'0
0
-7 50' SITE AND EXPLORATION PLAN FIG. I
-7 9 T
ijrl
17F—�64 GeoSource
E 60'PA61'rr 7-7 L) r r
I H P 60\- E-7-
ENGINEERING, INC.
Everett & Mount Vemon, WA 425-870-8189
ED PROJECT NO DATE FILE NO.
C100701 7/19/2010 C100701 Site Plan.vsd
GRAIN SIZE DISTRIBUTION
Dave Whitney redidence C100701
Job,No.—.
Location of Project Edmonds Boring No. __ Sample No. TH-1, TH-2
Description of Soil Depth of Sample 18"
Tested By. GTL Date of Testing 7/12/2010 .
(x
ac
0 6(
4(
2C
C
70 q
0 0
Grain diameter, mm
Visual s oil description —Well-graded gravelly qrse� sand
Soil classification: SCS/NRCS = Everett gravelly sand (EvB)
SW System - ASTM:D 421
Notes: No evidence of seasonable or permanent grour
WHITNEY SOILS ANALYSIS
20909 Hillcrest Place
Edmonds, Washington
C?
water table.
D10 0. 1 01TIM
GRAIN SIZE DISTRIBUTION ANALYSIS
GeoSource
ENGINEERING, INC.
Everett & Mount Vernon, WA 425-870-8189
PROJECT NO. DATE FILE NO.
C100, 7/19/2010 C1 00701 Whitney Grain
I I Size Dist.vsd
4" PVC rigid perforated pipe
embedded in washed drain rock
Plan View (set holes down at 4pm & 8pm positions)
-------- ---------------------------------------
U H
Infiltration trench
---------- -------------------------------------
Catch Basin
w/ solid lid
ISide View I
From catch
basin inlets
with grates
from
roof
down
spout
6"
,b7
6"
level ::�j
Washed rock 4 5' min.
12" —a4-� 0 r,
1 '/2"- 13 /4 v
--------- ----------------------
Fine mesh screen Catch Basin
39 feet 10' min. w/ solid lid
filter fabric
compacted
backfill
6"
4" PVC rigid perforated pipe
embedded in washed drain rock
24" min.
(set holes down at 4pm & 8pm positions)
7
12" 7 v
0" washed rock
0 co 0 0
1/_13
2" /4
24'.
Cross -Section WHITNEY RESIDENCE
View I ( j
INFILTMATION TRENCH
DETAILS
NO
SCALE
GeoSource
ENGINEERING, INC.
PROJECT NO. DATE FILE NO.
C100701 Infiltration
C� 8/18/2010 Trench.vsd
City of Edmcels
-OF-WAY CONSTRUCTION
RIGHT
PERMIT
Permit Number:
Issue Date: -7
A. Address or Vicinity of Constr,uction: -1 Ar Qk ZE L ST
%0
B. Type of Work (be specific): I Q&-T 114M, rnkL�%L%-T-ILC� 0r-J i;* IST
9 0 1 9 G09-4-- V00WL S_"U:L_T o" Ig V_1W ep-op 609-W
C. Contractor: Pul) Contact:
Mailing Address: Z10ib VA%AN q41 fD M C*JD5 Phone:
State License #: jW-0—Z7G;- Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. - E] Commercial E] Subdivision F1 City Project [-] Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi-Fairiily &?"ringle Family F] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : El Yes 0No G. Size of Cut: x H. Charge $
ROND Goa-e.- %F
APPLICANT TO READ A.. D SIGN
INDEMNITY. Applicant understands and by his signature to this application, agreejhold the City of Edmonds hamile,—,�f.--4j,-,'je,9d5nages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made 6�aifist the City of Edmonds, or any of irs'depd)1nehis or employ -
Sr,
ees, including or not limited to the defense of any legal proceedings including defense cp�its,-and attomeyfees by reason of grantinilks Pe—..d.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF OAE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
I
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be * inspected during ''progress and at completion.
Restoration is to be in accordance wi ' th City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City. regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved n)aterial prior to the end of the,working day;
NO EXCEPTIONS. 4 ?, ��j � _-,
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfior i spectio,n purposes.
P2 j�— M;&:.— Date:
Signature:
(Contractor or Agent)
CAM, DTAT,A-DTG PRIOR TO BEC.INNING WORK
pokk
NO, WORK SHALL BEGIN, PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work.Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
, . 1 0,
City of Edmonds PEI' 11: 1711
SIDE SEWER PERMIT PERMIT EXPIRES
Address of Construction:
,,�—Property Tax Account Parcel No. -LA
Attach copies of all access and utility
Owner and/or Contractor:
--�Contractor License #:
I
>rSo"ingle Family
F] Multi -Family (No. of Units
F] Commercial (No. of Units
F� Public
I
ilding Permit #: A
Invasion into City *Right -of Way: El Yes
*RW Construction Permit #
10 - In
Cross other "Private Property: ^12"Y"'es D No
"Attach legal description and copy of recorded easem&dr"
Z C6AI-57-Ri�Lr-7-10AI Owner ontractor
Owner or contractor signature and acknowledgeD4n
Ks)htement:
By signing for this permit I certify that I have read t�r6 City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
4— Z/— 0-3
Date -
2 CALL DIAL -A -DIG (1-8004�C+_5555) BEFORE ANY EXCAVATION'R
I - - ALI
FOR INSPECTION CALL 425-77,1-0220 extensionja�LW
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS
NOTE: IF JOB SIT . E IS NOT READY FOR INSPECTION- WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: -k(t,51 03 Initial: Asi-built to Street File:
t� PERMIT MUST BE POSTED ON JOB SITE I -
White Copy: File Green Copy: Inspector Buff Copy: Applicant .. .
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ry
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LAMPHOLE
Ep* CITY OF EDMONDS SIDE SEWER AS- BUILT
10
ADDRESS, SCALE
20909 HILLCREST PL. NTS
HOMEOWNERi CONTRACTORi
113DZ DEVELOPERS
DATEi DRAWN PERMIT
4/2/91 1 Byl I. ABILA INO, 9735
C7
0
CITY OF E
USE
ZONE PERMIT
5010145
NUMBER
CONSTRUCTION PERMIT APPLICATION
#
SUITE/ P
u 1
OWNER NAMEttNAME OF B ISIJESS
ADDRESS
a2c� 2L
[)q yl
LEGAL DESCRIPTION CHECKI SUBDIVISION NO, LID NO.
cr
w MAILING ADDRESS
Z
0
PUBLIC RIGHT OF WAY PER OFFICQLAST EET YAP, TESCP Approved 13
CITY ZIP TELEPHONE NUMBER
774-64,31
RW Permit Required 0
EXISTING — REQUIRED DEDICATION "Street Use Permit Req'd 0
PROPOSEO'- Inspection Required 0
NAME
Sidewalk Required 0
REMARK
cc
ADDRESS
CITY ZIP TELEFHONE NUM13ER
Z
W
7 7K, 7 3
NAME
All"IVet ,-,o ilew,
JAI Y)&Y'
Et4GINEERING . MEMO DATED. P�VIEVV BY
01 ADDRESS,.
0
METER SIZE BUILDING SUPPLY SIZE NO. OFIFIXTURES
cr CITY ZIP TELEPHONE NUMBER
I I
cr
uj
Z
0
REMARKS
STATE LICENSE NUMBER
SIGN AREA SEPA 7=EVIEWillaiiiiiiii ADB NO.
Legal Description of Property - include all easements
ALLOWED PROPOSED COMPLETE EXEMPT
Z
SHORELINE#
EXP
cr
VARIANCE OR CU PLANNING REVIEW 13Y DATE
SETBACKS — FEET HEIGHT LOT COVERAGE
z
FRONT SIDE REAR
—5
Z
Z
Tax Account Parcel N
REMARKS
CL
PLUMBING'
NEW RESIDENTIAL
&MO &vd W41 ved
0 El MECHANICAL
ADD/ALTER COMMERCIAL
1:1 APT. BLDG. El
AW 11.4t a/
REPAIR
.�NSIGN
PRAD FENCE
CHECKED BY ITYPE OF CONSTRUCTION HEIGHT
DEMOLISH CYDS. x _FT)
ICODE
CARPORT swim
REMODEL GARAGE POOL
SPECIAL INSPECTOR AR`EA_ OCCUPANCY OCCUPANT
REQUIRED YES qROUP/q_,�-T) LOAD
WOOD STOVE I RETAINING WALL/
INSERT RENEWAL
REMARKS
ROCKERY
Z
2 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 305
__7NUMBER OF
0 NUMBER OF STORIES
W
It, j
D DWELLING
141L
N
U UNITS
DESCRIBE WORK TO BE DOPQATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
90MMMOM VALUATION
PLAN CHECK FEE
V
BUILDING
PLUMBING
Plan Check No.
This Permit covers work to be done on private property ONLY.
MECHANICAL
GRADINGIFILL
Any construction on the public domain (curbs, sldewelks ,
driveways, marquees, etc.) will require separate permission..
STATE SURCHARGE
Permit ApplicatIon:480-Days
Permit Limit: I Year I -"Provided Work -Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
STORM DRAINAGE FEE
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
'Uni
harmless the City of Edmonds, Washington, its officials,
5
employees, and agents from any and all claims for damages of
cc
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT..
modify, waive or reduce any requirement of any city ordinance
0
I
nor limit in any - way the City's ability to enforce any ordinance ,
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or. the duly
ATTENTION
authorized agent of the owner. I agree to comply with'icity and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
edthereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
E W ER GE I DATEISIGNPD
DEPARTMENT
CITY OF
EDMONDS
ATTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS Br:F:!' MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANC�' BEEN GRANTED, UBC
CHAPTER 3.
0
r
APPLICATION APPROVAL
This application is not a permi t until
signed b the B ilding 07icial o� his/her
MERM feelulare,
,e, aV
&k. 1pdge;dinsp&gp oNdAd.
r
CIAL*,%.efG'NATURE DAJE
E L E AteD 13 YL - - -
/& /5� -7-
f
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ORIGINAL --File YELLOW — inspecto
PINK -7- Owner GOLD — Assessor
_47 4
FW,
S
Fig L
C'
CITY OF EDMONDS
�USE PERMIT
ZONE
--'P"'—_MUMBER .44
CONSTRUCTION PERMIT APPLICATION
'JOB
ADDRESS SUITE/APT
OWNER NAME/NAME OF BUSINESS
p id 91'6y-c�6) V,6 i4
--/7/,/44 CA?,ES7-
LEGAL DESCRIPTION C HECKI
SUBDIVISION
0 r 11
NO.
LID NO.
Z
MAILING ADDRESS
3
0
20 9 1)e- re 54-
CITY ZIP
TELEPHONE NUMB
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 0
RW Permit Required 11
E'd M 6 Yld5
74 -0 432
EXISTING —,REQUIRED DEDICATION
Street Use Permit Req'd 0
NAME
PROPOSED
inspection Required 0
Sidewalk Required 0
REMARKS
ft4_ Ir k
WL)
ADDRESS
W_
L)
e,
Z
-71/,411 TL4 W a
M, I At" r-7.,0 Lu
CITY
TELEPHONE NUMBER
aw!4�_ doom"' 4zMalmil;
lqzip 26
C2,W 7 7K, - -73 77-3
NAME
Ow n er
ENGINEERING MEMO DATED REVIEW BY
a:
ADDRESS
0
MEV
'"rILDING S7,PLY SIZE NO.
OF FIXTURES
CC
CITY ZIP
TELEPHONE'NUMBER
M
Uj
Z
0
REMPg V
STATE LICENSE NUMBER
SIGN AREA
SEPA REVIEW
ADB NO.
Legal Description of Property - include all easements,....,,-
ALLOWED
PROPOSED
COMPLETE
EXEMPT
Z
SHORELINE #
2
EXP
iE
VARIANCE OR CU
PLANNING REVIEW BY
LLI
L
SETBACKS — FEET
HEIGHT
I
LOT COVERAGE
RON SIDE% R
Z
Z
Tax Account Parcel No
�j 7,36 - QZ021
EMARKS
No (M �e i
NEW
M RESIDENTIAL..
K71
hC6J PLUMBING
F] ADD/ALTER
COMMERCIAL,
MECHANICAL
S i
P, / 7 YJ
I
-lee
/Y7�4:44
r_1 REPAIR'
El APT. BLDG.
El SIGN
6W, �_
FENCE
E] K '77., Ei
CHECKED BY,
ITYPE OF CONSTRUCTION CODE
HEIGHT
DEMOLISH I x _F'n
CARPORT. swim
REMODEL 1:1 GARAGE El POOL
ECIAL INSPECTOR
ARI�� "I
OCCUPANCY
OCCUPANT
REQUIRED
13 YES
9776
19RO ., UP: 7,
LOAD
WOOD STOVE/ RETAINING WALL/
INSERT RENEWAL
ROCKERY
�REMARKS
Z
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS,'PER UBC 305
(r
W
NUMBER OF STORIES NUMBER OF
_j
4. W-Sec-
DWELLING
DESCRIBE WORK TO
UNITS
PLOT PLAN)
Amor A*
BE DONE (ATTACH -
FINAL INSPECTION REQUIRED
115�41114?1 9t sldlowa
VALUATION
FEE
YZ8
PLAN CHECK FEE
�BUILDING
124 77/
r= "AS Ile, 4 7 -1614zwo /7'
7o
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL-.
Any construction on the public domain (curbs, sidewEilks
driveways, marquees,,etc.) will require separate permlssio�.
i STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
Z0
"Applicant, on behalf of his or her spouse, heirs, assigns and
INSPECTION FEE
15c>
successors in interest, agrees to indemnity, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
CC
<
whatever nature, arising directly or indirectly from the issuance
DEPOSIT
:E
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK
0
0 �j
modify, waive or reduce any requirement of any city ordinance
:r
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
Information given is correct; an6�that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
-tion Insurance.
I NSPECTION
acknowledged in space provided.
SIG TUR If E WNER OR G T)
DATE/IGNED
DEPARTMENT
CITY OF
ATURE TE
EDMONDS
"A
ATTENTION
CALL FOR (,�E(ISECEA
INSPECTION
UAlt
_ �7 —
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — ()wnor C'MID — A.%sansnr
MAW STREET
e AU-K" M-1
K&P�A% S
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JOB NO.: 8655 JDATE: 4/2/91 KA\,,,l
Engineers Surveyors
S W 'A -S E c- \ 9 T 2-77 , W R 4 e W m�
?aD po SSI
SHORT PLAT
CASCADE
FOR SURVEYING AND
MAYBELLE CHAPMAN,,.. ENGINEERING, Int.
PD. BDX .32-6
A R L I NGTON WA.
4,35-5551 9 8 7-73
l/q 7
MAlt� STREET
d
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(9c)-, A"is. W.)
IS' PRoposEo Acr-5ss EAsr-matT
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JOB NO.: 8265 JDATE: 4/2/91 ID\WN. BY: kAVI
S W V4 _S E c- � 5 , T 2:7 t\l , R 4 F--:
Mapaset)
SHORT PLAT
FO
MAYBELLE CHAPMAK.,
W
S
stwiTAM Se\&Y�P,
pp
p
W Nk.-
KAr.-TILP,
J
Engineers Surveyors
435-5551
CASCADE /
SURVEYING AN-D
ENGINEERING, - Int.
PD. BDX 32.G
A R Ll NGTON, WA.
98113
ax,oxeo 1644 1A 7
USE PERMIT
CITY OF EDMONDS ZONE NUMBER 9Go le,
CONSTRUCTION PERMIT APPLICATION OB b1f 3
OWNER NA E NAME OF BUSINESS ADDRESS S #
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO�
W MAILING ADDRESS
Z
3.
0 (reJ- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0
CITY ZIP TELEPHONE NUMBER RW Permit Required 0
EXISTING' REQUIRED DEDICATION Street Use Permit Recfd 0
qm2_4 11147-�,f -043 -4 0ROPOSFD inspection Required 45-
NA� Sidewalk Required 13 cc
METER SIZE LINE SIZE NO, OF FIXTURES W
PRV REQUIRED
Ow ADDRESS YES 0 NO 0
336 REMARKS
cc
fir TELEPHONE NUMBER W
"FITY r7l fer F-at 4 yi*e, W
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.-M-0214) 1 Z
NAME 'A vt
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�ffic OP 5a TV'"- Ago" t114;
cc ADDRESS AMAP1,64#4
0 ENGINEERING MEMO DATED
REVIEWED
Cc CITY ZIP FE�E NUMBER —9/3/
Z FIRE MEMO DATED REVIEWED By
0 uj
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA SEPA REVIEW ADS NO.
Legal Description of Property - incjude all eapements ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINIEN
Z
EXP
2:
cr VARIANCE OR CU PLANNING REVIEW BY DATE
w
SETBACKS —FEET
V HEIG14TILOT COVERAGE
_j Pro erly FRONTZ51 sl REAR 2s, 2r— %r Z
REMARKS 5
Parcel No. )303 (L
Lu [T..PA .. unt
P
NEW RESIDENTIAL EJ PLUMBINGI`MECH
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
E] REMODEL APT. BLDG. R SIGN
GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE �OCCUPANT
E] REPAIR CYDS. x _FT) Ay 9(-/ G
0
DEMOLISH WOODSTOVE SWIM PO L PECIAL INSPECTOR
INSERT HOTTUB OCCUPANT
GARAGE RETAINING WALL/ E] /SPA REOUIRED 13 YES LOAD
C E] ROCKERY RENEWAL EMARKS
0 PROGRESS INSPECTIONS PER UBC 108 Z
(TYPE OF USE. BLISINE R CTIVITY) EXPLAIN:
j
cc Re -e ii
f L'b NUMBER co
u NU ! 13ER OF CRITICAL
0 OF 'WELLING AREAS
W STORIES UNITS IN
DESCR71
JORK TO BE DONE (ATTACH PLOT PLAN)
&ayoQe� 'J4cyD�C1704, (P-r'cb FINAL INSPECTION REOUIRED
VALUATION FEE
PLAN CHECK FEE
HEAT SOURCE. ING BUILDING
t000,
1317Z %
4)1(— a PLUMBING
Plan Check No. 96 — MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require se parate permission. STATESURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold 30
harmless the City of Edmonds, Washington, its officials,
2 employees, and agents from any and all claims for damages of
a:
< whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any'city ordinance
x nor limit in any way the City's ability -to enforce any ordinance TOTAL AMOUNT DUE
provision." 1-041QP 7,
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION- APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa.* WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance and RCW.18.27. INSPECTION acknowledged in space provided.
IOWNER OR AG T) DATE SIGNED DEPARTMENT
/j CITY OF F I I , SIG RE DATE
1Z 1 <0316) T& EDMONDS Z4 . . I /A44
CALL FOR AELE� BY. f7
A
ATTENTION INSPECTIO14 j
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 0 Wi�nt 2 7
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 771 0220
SECTION 1109
PINK — Owner GOLD — Assessor
L\
VAlt- - F .
A* f q h<
W 14 0 EVE)L I"
pizi loxoe' —
L604& HAyEXTr1Jl>
lv F, L� I ,
I Pi ripl-I
r'jiza'�. DitT-1
" 1 4 it>
12, wx 5al w o 4
x 511 t? err wl
J
0r4 00
w C'oQe-
A-0"WER?o 50
T" V-N - e"'UAf
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-i� raw ioLv-.,- �OOF-�e 60 (a 6 i�� rr,
0> 16P
0
4 r:T,
pre/ 0-1 Z 3: L
q
DETENTION IPIPE LENGTH
RIM ELEV
I'MIN COVER
6"MIN. SPACE
2'IMAX COVER RIM ELEV
4'Q MIN
T-
5/- SLOK PIPE MIN..
7%
FROM
CONTROL
ORIFICE
-OUTLET
INV ELE
I W ELEV.
UPPEJ? CA rCH
BASIN
COATROL
BASIN
SYSTEM CROSS SECTION
Table I - Detention Pipe Size
2able Required Pipe Diameter
:1. Ft. Vol.Cu Ft 15" 18 " 24" .30"
------ ---------- ----------------------
100 75 60 42 24 15
Required pipe
length in feet
tangular Catch Basin Requirements*
Max. size Catch Basin
knockout Type
---------- ----------
20" Type I, CB 15
26-1 Type IL, CB 16
Tiele
\W
2
W
III TIN
—3
C-Ar M 7- - ��V
RUO—off
2.
-7
ACCEPTABLE TIGHTLINE MATERIAL
N-12 ADS
Sch 40 PVC
SDR 35 (ASTM 03M)
W
3: qa
WASHED GRAVEL 15
/OUTFLOW TRENCH MINAW LONG
r4 D 4"PER� PIPE TO BE LEVEL
, 1
OP4
I+
4"PERF PIPE W/CAPS
RUNOFF SPREADER
OUTLET
Outlet Orifice Diameter (Inches)
--------------------------------
OVED
NOTES:
1. Call Engineering Division (771-0220) for �Vdet tiofflmE-ispection
T LLJ
before backfilling and for final inspections.,
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control orifice
must be kent onen at all times.
ALBERT H. COHEN
DESIGN COMPANY Ps
330 DAYTON STREET
SUITE 6 n EDMONDS,
WASHINGTON SS02b
[206) 776-7373,Z�%�
ALBERT HILTOL4 COHEN
Registered Architect
ALL RIGHTS RESERVE
0 AT E I , L 1, 47 2- ci
REVISIONS
7- c7 2-
PAG E OF
F= 1476
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/37
LOCATION c
(ZF-- (,- IbT !s>o cl 0 AREA
POLE NO. NLj 1/4 S 2S T 2-7 R DATE W. 0. NO. 3 Z
REASON FOR WORK ![-:,E C t-A(w, !& \i (- ll;=(D e ENGINEER MPt�-TIO DWG. NO. O'q '7 -1 z -7 t
70 t,) Wt -\ Q lz )p A% DRAFTER U. G. N 0.
i
C, At. c� SCA E C>o
DATE WORK COMPLETED APPROVED DATE PRINTED
r-1'4 VIMUNMr-IN I tAL MIWAL 1 313
0 EXEMPT 0 NOT EXEMPT
FEES REQ'D YES
0 Q NO
PARA. 18 ITEM C
PRIMARY OVERHEAD
O.H. U.G. COND.
KV
0 RESIDENTIAL
ADD
CKT. FT. PH
0 COMMERCIAL
REM
CKT. FT. PH
LEO#
NET
CKT. FT.
O.H. U.G. COND.
KV
SECONDARY OVERHEAD
BASIC
FEE $
ADD
CKT. FT. PH
@
s
REM
NET
CKT. FT. PH
CKT. FT.
METER/CONV. PCLE
S
PERMITS (DATE GRANTED)
PRIMARY UNDERGR
)UND
0 TREE TRIM
Cl RESIDENTIAL
0 STATE
0 COMMERCIAL
0 COUNTY
B
$
LEU #
IE=E
M CITY
$
0
EASEMENTS
SECONDARY UNDERGROUND_
BASIC FEE $ +GO
0 REOUIRED
:1 NOT REOUIRED
a$ /=$ I CIO
UNDERGROUND P-AT
DATE RELEASED
BASIC
FEE $
FOREIGN CONTACTS
_
/=$_
kFT.0$_
0 GTNW JPN#
STREET LIGHTING
0 CATV JPN#
t FT. @S
IN JOINT TRENCH GTNW & CATV
IM JOINT BORE GTNW & CATV
WORK IN RIGHT OF WAY
0 PRIMARY
0
POLE STENCIL
NG
M SECONADARY
25 CFT.@$ 7�0 \-15
FROM
TAKE OFF POLE
TO
MISCELLANEOUS FEES
VAULT S_
PRE-CONSTR. REQUIREMENTS
9DmcwjjDS PERMIT $ '10
0 TREE TRIM 0 PUD LOCATOR"
(ZoAo 6or...� 10" $_
0 BACKHOE 0
-s -I-
M ONE CALL DATE
—jPOLES
I
I PLAT
TOTAL DUE
U-MAP
DATE PAID
RECEIPT#
LOCATION MAP PAGE 4rS+
NEW SVCE APPLICATION#
SUBSTATION LAJEST& ATC-
CIRCUIT NO. e4-QG PHASE
C4
to o ie ?-/w
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EXISTIN67 STORM
5**(STEM AS -BUILT
2,"
FOOTING DMNS NOT
TO BE WRT
N SYSTEM
DETENTIO
>
NJ
PIA4 A 5 0 eww:
fw
FILTER FABRIC
SECURED TO 2- X 2'
14 GA. WIRE FA13RIC
EQUAL
2' X 2' WOOD OR C D
EQUIVALENT I
OLI
Jill 11 IF
...' j_::4 I I I Ittl 15
- 12'
80
/_ I
PLACE 3/4'-1.5' WASHED GRAVEL IN
THE TRENCH AND ON BOTH SIDES OF
FILTER FA13RIC FENCE ON THE SURFACE,
C)
SILT FrENCoE PETAIL -
VERIFY Y41TH SITE INSPECTOR
THAT FENCE IS NEEDED AT �10
EAST OF CONSTRUCTION
PRIOR TO INSTALLATION CU
IMPERVIOUS SURFACES
ALL POST 1977 IMPERVIOUS CONSTRUCTION
AREA SQ FT
TO PUBLIC RIGHT OF WAY STORM DRAINS
1. PORTION OF EX DRIVEWAY 1731
TO EXISTING 20 FT SPREADER TRENCH AT NORTH
2. REMAINING PORTION OF EXISTING DRIVEWAY 1942
3. EXISTING FRONT WALKS TO NORTH 262
TO EX RETENTION TANK W1 20 FT SPREADER TRENCH
4. EXISTING HOUSE
1008
5. EXISTING TWO PORCHES
95
6. EXISTING GARAGE
1131
7. EXISTING EAVES
243
8. NEW ADDITION
521
7. NEW ADDITION EAVES
- 72
TOTAL AREA TO RETENTION TANK
3070
41
.1 11 18. EX PATIO TO ADJ YARD 23
4: 1 19. NEW PATIO AREA TO ADJ YARD 1101
F_ ��
r17 E 0 LJ4;7
5-o 6,00
C-1 xi"I eu t 7ev, 61
0
L' 10 IE7_1> 2,5
-V Fe6JJQ
F'All 0 5� 10
OW611/130NI RACTOR S F ESPONSIBLE
I id ri LT17- -
6-,2� f T I H F, 66\EKAg� 1�:
FL IS5"q
NORTH
PRAINA(SPE PLAN
BC -ALE 1" = 20 FT
Applicant t4hall repair/replace all damage to
utilities or frontage improvements in City STREPE12 H,
right-of-way per C�ty standards that is caused
p ?'i
or occurs during the permitted project. -'j " 4.��
JUL 12
BUILDING, MENT
CITY Or:
FILTER FABRIC MATERIAL IN
CONTINOUS ROLLS, USE STAPLES
OR WIRE RINGS TO ATTACH
FABRiC TO WIRE.
WIRE MESH SUPPORT FENCE
TO SUPPORT FILTER FAMIC.
I �iw
LI r 7=4
P:-
-4-4 - - - - -- - - - - - - - - - - - - - - - - - - ---
(�BURY BOTTOM OF FILTER
MATERIAL 8- TO 12-
6' MAX.
2' X 2' WOOD POSTS OR
EQUIVALENT
CITY INSPECTION REQUIRED ON ALL
EROSION CONTROL METHODS BEFORE
OTHER WORK CAN BEGIN,
GUITTERS/ElOWNSPOUTS
TO CONNEG"TOEXIST SyST
ACCE1P'0,k5,LE '11GHTLINE
hilAff-RiAL
kgo y W)
S C H 4t")
1?6m� 4 TA-ij r-
N 12
F810 HANCOR
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REVISIONS
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