21019 SHELL VALLEY WAY.PDF11111111111111
13070
21019 SHELL
VALLEY WAY
ADDRESS:
TAX ACCC
BUILDING PERMIT (NEW STRUCTURE): 7n
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required r] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
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)
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEMP\DSTs\Fonns\Street File Cheeklist.doe
07-WEDMONDS*
'-�,'."'.A,:t6f48*AUCTIOU--,,PERMIT,',APPLIC
ION
AV7T'iNj�
RANIN VOR KAME QF 0 SINES
JOB
ADD.ft L4
�j
I IRMA M J
EGAL DEbrRIPTIOR CHET�K
Golvi No.
�Ip NO -
MAILIM13 AQDRES9
cj�
EP !QNfNWL4BER.
PUBI i�l..T:�l'�'All'i.'Ofji*ALiiAEEIr-ilAP.
ITEL
EXISV" REOViAfDOfD16T!ON
PROPOSED —
NAME
FKriii of, WAY 6�NS'MIJCTION PERMIT REOUIRIED �j
ADO""S
r,4 'ST
J0
STREET USE P"Illy of OWFIED L!
z
6 E ENGINEkRINO�AENIO DAYEQ
E,
C17V
T.EELEPHONE t4hATIER
Off PIW DEBT. REV IEV� CtiqCK,LIST OATfD
Mmavv
kAWE
A
AODRESS
MINA 1p.ZE, TURE
1BUILD!rM
TELEPH ONE N..."
REM!%RKS.
T T LICE 6E WO A
AREA
PROPOSED
1COMPLE1
i.:A
Legal Desotiptiori of Propprij ir(clude all easerpenlS.
ALLOWED
......
(!how bell. orpt I aph,IqG( CopleS)
SNOREUNE#
A,
11A...10E.. Co.
IN �View.ey. 4
OAT
YARDS
LOT'Cov
Z
7— SIDE
7Y17it
REA.
,
RPMAR�S.
Zo;
PLUMBINO
.;D,
4
IALTEk.
U 1RE94.1NG �KLL LJ Sir.,
7.
REPAIR
r77 EXCAVATE
E] FENCE,
Q.'DE�OLIS� -- �_J .. . . . ',I— . — . —'—FT)
CHECKED By
IT", OF CohSTRuCyIcTN
ir
HEIGHT,
.; . . AE. 1,
01"IN5 - sw1m
Poi;M-LI11icE
SPECIAL INSPliCIPA.
--770—cCuPA.0W
OCCUPANT
2 INSP -4a
],AREA
REOUIREQ
I.GAOUP
LOAP
0'64-�SEWEW- WATER
.YES NO
REMARKS
e -Mlt� ' (Miz-
,
muiiap�R OF STORIES
DWELLINd
ONITS
NA OF WOR4 TO OE DONE 14"�Cm
PLQT PLANT V
V.LUAII.N FEE
N j1HECX FEE
a
zos;BYILDING
PLUMBtNq M)
MECHANIC�L
.;.4
44
Perinki crovers wo k to be dOhe On private'proper y
4fLAQJ�qlfil.L
orn ain aw
VnY cOn3QuqjiOn 45nithq 6011C"d' jcur�s. Sid
.,driv8Wfiy.s, MWI�Uee!l. etc.).will regulte sepatate poyinissiop.
ftrmit,AfrpliCatwn� 180 Days
-i`,�Providiid iVQrk a d 80
Permitlirnit: 1Y a is St Ile �iinin) i Days'
e
"AppliCant; on behilt of.Ws.or her spouse, heirs, assigns and
iva6Gs36rS In irrveieSl, -agr*GS- to in�,emnily. delprip Land holq-
h.irmlabs -.1he - Edrfono S,-: JashinoOn, *s o!1i ials,
.:City of
)Tom' any And,$11. ClaiM3.10i (tartigc
jimployises. a�O age013 asol.
7
-.whatever naUoe, &jj5iAq aireCily of inCireCtly,troryl The 153UWJFI�
of hIs permit. ls5uanC0 Of`IhIj birmil shill) not be Deemed to
v
motfify, waive or reoute any *Ujrement ot'any city ordinanc
nor limit IT) any,w4N.Ihe City's 4orlity la inforCe any ordinanc:
OTA
T J*AMO NT DUE
U
1b
provi5loA.",1
J
-) hereby saknoaliage that I ra�erTISTJJNS appliCation! that the
ATTENTION.
APPOCATIN APPRO,
VAL
is alorreCt: and that I am iris qwnar. dr Jr*G duty
'11%forrhation given I I
. I . ,
. - _.
aut Kor�izedlaqpnt o Iheiwher: I alg�es lo.qqiT(ply *ith City 4iAd
% THIS P(RAAIT
plats tAw* 1990WIng Conpliquclion:'and In doing Ibe worli authoriz.
llit
AUrMOAU15
TNe
This appfiC&tlOh Is not arstv! ijn�l`.
SUgnod by tha Bu Iding Offelal im his
pars N will De ampl9t, Violation ol.the Labor
:eg therSb�. no to !ed
solt"Sto OOV nglon relating toitiorknIgn's'Compeniul.,
WORK WO%%D
I
09p6trIand files we, pald, And,*cVQs
WENT
a;kn0 witi, Ogeo In space piqVdod.
ox
PFFIOAL's $41-J!URE
N
EOMO 'OS
'.THIS.SITE'I$ LOCATED IN TH ITY
P
S. LOCAL SAL
OF.4DIVIONDS. LOCAL SAL A
ATT� N 1b.'N 4-*�'.'SHOULb BE:COOP 31,04,
X 7 7 5
5,-252
DATE
J3,
IfIS UNLAW FU4 TO.y SE OR OCCU P A�B UiLOING OR STRUCTURE
IC71ON HAS BEEN MADE AND APPROVAL
:UNTIL A F:NAL NSPL
OR. ORJOINAL�— File Y'ELCOW — inspector
CEATIF CATE.' OF 'OCCUPANCY' HAS EEFNi GRANTED. UBk-.'
'PINK
.,CHAP - TER- 3.
MA —Owiler GOLD Assisambir
L
IDN'S
T, ISSUe Date
IC W( OR,
T F CAZL
Permit, I
EWER `7 Ext. aft
* I I---- �
(include all,'easements)
between.cleanout. All 900 tur� 0
s must be constructed of a 45 (1/8
bend) and wye with removable cap.
g.�i, No down spouts, footing drains or floor drains c)%n be connected
to sid6 sewer system.
h,' Pea gravel is required for bedding when installing sewer lines
other than granular soil. S
Cleanouts are required at 30'1-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer'line run. A
j. Trenches within City right-of-way must'be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
byL the City.
1. Inspection during normal working hours 2) OrL'
ing
days notice required.
DATE:
ifIr aVI �Ave read
f '6
h h with the above
ia 1 co, pl-14,1"i
RMI -FEE: %,�O, 00 BY:L
Date:
T ION B Date:
942, L N APPROVED W : - —
Date:-WHIS
Q
, �STEU� I
T- MUSI
V BE P
TZ
APPLICATION
The City of Edmonds for EASEMENT NO - -------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. -- --------- ---- ASMT. NO. -------------
OWNER --.VAOrAQ:l -5.
AND ---- VAOfnl�s ----- ----------------------------------------- CONTRACTOR --- 1Y6j4:rF--' ---------------------------- PERMIT NO. (0) ------
JOB ADDRESS -2-1-0-19 ---- 5AF -- -1 -------------- LEGAL DESCRIPTION: LOT NO - ----- 10 ------------------------ BLOCK NO - ------------------------------------
.-LL--VA!nL9-J.--WA
'--------- ---------------------------------------------------------------------------------------------------------------- I ---------- EDMNP5� ---------
\NAME OF ADDITION ---- INWIX ---- C-RCE-K ------------------------------------- TREATMENT PLANT
------------------------------------ -
Vop.
C4.CAP
Ld
Ld
WYE
2.5,Dp 39'
4"wYE
4"WRED.
STORM 1DPAIN
21019
LOT 0 10
I 1 .5'
23
2 5'
LJ�--
I 5'0P
'*" �ccncap
15.5
W^Irr-lt
METEA Approved:
DATE -4:227-5 .... 3 .......
a
...... ByY,� --- ---- --------
11/75
CITY OF EDMONDS
ASSET INFORMATION SHEET
2 NEW
E] ADDITION
E] RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
4- L d 1)
6,10
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER L...) 3 �J',S' 0 -7 2-
PROJECT COMPLETION DATE 31 - 8-3
COST q y
B.A.R.S. ACCOUNT NO. Y c� C�c. - 0 / C/ - 3
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
INITIAL
AN
DEPARTMENT FILE
DATE : �1— t�—k�
ME140 TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: ... .2 ID Lq_, F,"� "4 iVaq- 141e -e / a
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. --Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. k-7- Driveway slope not to exceed 14% , ;
5. Backwater valve required if downstairs plumbing is below elevation of
u p s t r e a m —ma—n —h o-Fe —.—'
6. Water and sewer 1 ines to be separated by 10 foot minimum.
BD 6/82
ft
PUBLIC UOWS tEPARI�= CRECKLIST
a
(address) Et- e)
Street Rig�t-of-Way Exist
Z
1
Access Easements Existing_,�2� TEQD
#-4
Cd
Utility Easement Existing_,r-:26- REQD__
94
Lot Per Subdivision, / Plat- A,#,plg Assessor Map -r,:4c,
W
Site Plan Checked for Accuracy L41
Z
Underground Wiring Reqd.
0
Check Accuracy of Legal Descrj�t ion
Z
Review by_ —Da te— 4- 3 - J---3
Existing Water Main Size 9/; D, J,
Water Main Required
Service Line Required
Hydrant Size Existin;
cr-'
Hydrant Reqd Per Fire Code IVIA Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Conments— —
Water Meter a -large Reqd-, �'3 7-65
Review by Date
X
Septic Tank Design Approved Date 4
Septic Tank Permit Reqd. 1A -Permit No.
Sanitary Seuver Availability a�zAe:�� Proj,.
Drawing No. File No.
Side Sewer Availability
Sanitary Sewer fl=ection Fee Reqd.
:3:
Review by Date
94
Open Ditch Existing. _Reqd.
Culvert Reqd. PF Pc-h,.I�,�, Size
n�
Catch Basin Reqd. It Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd. i I jIndicate an Site Plan
Soil Conditions,,and Ground Water Field Checked
Raview by.__,n� Z::�� Date
Revised: lvlO-1977
'"77ANDARD DRAINAGE PLAN
CATCH 5ASIM:
AD5 olm(ok
WIDUAL )
1"4 L. I
TPtrKNCW L11rNG"rH
r7kKNCH COVER-*
..............................
-n Cqt U W Ic --I LWvWL TKcNr_N
V r r P.T P I Pq ."/ CAP
ra.-TEE W/ (." LONG LEGS
SYSTEM CROSS—SECTION
Ce
W
0
%D U
-TP,FW—VA COVER
3/4' WASWED
G RAV E L
8
6" DIAM FFRF PIPE
TRENCH CROSS—SECTION
INFILTRATION SYSTEM
PAGE I OF 2
for
location --�c— \0
tua
plan by
phone ao
date 56 -1 2-
DESIGN
Trench Perc
Number Rate
DATA
LF per Imperm Trench
1000 sq.ft. Area Req.
/,3:-o cp-�b 0 1-_1
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
.All
CITY OF EDMONDS
Q
u
V)
AI
"I
"N'
11
4L
WIC"o 1-N,
— Cl
MAR 2
Z01"IE
_,.::�,2S .........
C., 7�
KS, -
SITE PLAN, SCALE:
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
' IQ
P�9 -5
��--'�D DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
I.
Z7 27- oo/
01
Zr
C.
SITE PLAN, SCALE:
MAY 1 811083.
VOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
Z)
N,
I
�j
N4
cp
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2