21022 SHELL VALLEY WAY.PDF11111111111111
13071
21022 SHELL
VALLEY WAY
ADDRESS:
TAX ACCC
BUILDING
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver 0 Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: V---4;-2c)
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORTPLAT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEMP\DSTs\Fonns\Street File Checklist.doc
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EXCAV4.TE FEN�E
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I TYPE OF C 6jwStAUCTiON.
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PRE -MOVE ISSPI SWIv
CoMPLfAN CC INSP P<30L
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crive-arCr*rQueps. etc.) will* feQuiie sevarati'oolmisa;(YA. -
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Permit Applicition 1W Days
�tarjed viltr"J" SQ
e�j:-pjaii,Ceb �-Vo,k`is DAY
Permit LiiT?t:.'. X .
-OtjhIs 0 ;i.
ApphC r fie hGKjr;iWgns And
ant : On penal I E SpQu
successors in, into pas to inCeMn.ty. Qeflpp� and hole
'
1.
:2 harmiess the city o! �Eamonips, �VasrirlgtOn. It$ Official$.-
5 -a,�ployjes. and agent3.frorn apy and &I! claims lgfdarnabe Of
0
—7--=
of this vermit Issuance Of.1niS Eb!mlt 3hall".n0l be. dOeMOO'10
'reduce . any �equire . merit 0! &ny Cily.0(0(nAnce
�kcrt�ljmij ip.an� way,the City's a0illt� 't9.1enlotCe any Ordinance
[-P,00SIOM."..
TOTAL AMOLtdt DUE
I heye4y 0 k�dwledgqs�ha I,hav`8 telid Inis application: that the
.
I
'A TT E 'TIL%
-APPLICATION-APPRO . VAL
_;n formal jdh GIVGD is correc!�Iimo that I AT Me 6%66f, or the O�ni
autrforized,vgq� I of tf�ie OwnS!.'IGgrQi 10 cornply..*Ith city and
I IinQ-Consthiction,and
14tala lavis regu a I! dolp; the work authoru.
.,s
lut"
Thr*avplicalloin I$ not** permit o9til
the Buniding 01 his
so Thereby, no petsorr will -be ampt9y d iq*vjol1II6n of the Labot
Cod otithiliStateof YV airjr'kg�On 1`618111hQ-10V !"Kmeh's C
k
.0. _,kgTEo
signed by Official
Deputy; and fees'arji�p&id, and receipt is
Ifine
Acknow teagoo iffspacs Eirb%ided..
10 F�
S(G.4.
P,
I�Dl 6ND9-%
7 THIS SIT%I9hk6PTEC0N THE C Y' -, . I
-OF NQS.'COCAL SAlLfS TAX.
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?ATJ t
WM
-ATTENTION SHOYL,D �E-QOPED 31 014,
IT IS �NLA�' FUL TO.bSE OF.1dCCUf!Y*,A.B:U1L G O� STRUCTURE - - I :.... 1. _ RIGIN4 L
-,UNTIL A FINAL INSPEC A� tjZWND APPRO.VAL'O.9 0.. I t "'
A 'OF CY- kAS'.BE�N..GFIANTED. U a, 7.
,;LO�PH
PMX Owner GOtb eq 4;
CHAPTER 3....
--jA
'99-16
4"
'FOR INSPECTION CA
'Wo PAr"�T it N?
I C RKS PIE
775-2525 Ext. Ift Issue Date
_q4 01J
AWWWANW,
IT, 14
UST,BE ZOS"b'' ON,aos S17i EDMCi4C)S,
TMTM�qc P A
Address of, Const
2�. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
__V-5c,
5. Contractor & License No.
6. Invasion into City Right -of -Way: NoK Yes (if Yes Right-of-
way Construction Permit Required Call Dial Dig
before
excavation).
E-4 7. Cross other private property: Yes No Easement required
U attach legal description and county easement number.
-0 READ THE FOLLOWING AND SIGN:
04
a. Property owners must obtain a permit to install side sewers,on
>4 their property. A licensed side sewer contractor must be employed to
c
onstruct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation foi one year.
0. Commercial establishment requires a minimum of a six inch (61')
side sewer line.
d. Side sewers may not be installed closer than thirty inches (3011)
to any structure.
0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0
0 and maximum grade of 100% (45
E-4 f. No turn in side s8wer greater than 45 0 (1/8 bend) is allowed
0
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30'1-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer'line run.
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 sewermust be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hou,," working
days notice required.
DATE: Ape"kt-.-�
r/jr, t I have read
airs-1 7,�/�mp 1 y With the above
As aulcr
fdr
The City of Edmonds EASEMENT NO. ........
SIDE SEWER PERMT, ........... .
NFW CONSTRUCTION Ig REPAIRS E] LID NO . ........ . ........ . ASMT. NO'.''.-, . ........... T
OWNER _.H0t4ElAt4,0...A_ . . . .......
............ CONTRACTOR 5 .... jD0_.z4VG ---------- -------- PERMIT'NO. 6%.k0'_.
EDMONDS
JOB ADDRESS ... 2_102_?_,._SMEU_NlA_L%._E_Y .. WAY ............... LEGAL DESCRIPTION: LOT NO. ._a ........... ............. BLOCK NO ... ....... ........ . ------
TREATMENT PLANT
............................................. ........... - ------------ --------------------------------------------------------------- ----- - ----------
_1�4AME OF ADDITION ....... M.&PVE ...... C_RZAE7-X ......................... .....................................
14.1E. PROP tORNtlk
j IRON PIN
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-21022 StAULVALLEVVY
LOT
Approved:
... . . ........ By .... . ...
11/75-
CITY OF EDMONDS
io R-NEW
EIADDITION
El RETIREMENT
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
STREET FILE
DESCRIPTION
S,jEdu,r-,r
SERIAL NO.
LOCATION DEPT. NO.
2 �K v 0
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER co -3 S:5- .9� 6?
PROJECT COMPLETION DATE /e, - 3 f -
COST !�-6 . Y -7
B.A.R.S. ACCOUNT NO. I - 3
ESTIMATEDLIFE —2-5
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
13 DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
(tnp DEPARTMENT FILE
4
W
STANDARD DRAINAGE PLAN
CATCH BASIN:
&M5 *IS-30(ok L.IWNGTH
WGUAL)
2
............................. . ..........
-n C. U W IKE WrVjrL TF;tZZZ-47—/��
40� PEP.F P I PW /
CAP
ra"TEE W/ 46"LONG LEGS
SYSTEM CROSS-SECTION
-rP,E�C" COVER —
3/4 WAS W E D
GP,AVEL
6" DIAM F'E$kF PI
21- x
L - 0
TRENCH CROSS-SECTION
4PR 2 1983
INFILTRATION SYSTEM
PAGE I OF 2
location
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
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
OCA"ITY OF EDMONDS 1
1
SITE PLAN, SCALE: 0%=-z&
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
04; N�4
t4�D6
/ A/Ij,
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
0
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
PUbI ic Works Department
SUBJECT: AaL__1 -V
After review of the subject Building Permit application, we have the following
comments:
1. —Connection to City water system required.
2. -C-onnection to City sanitary sower system required.
3. Right-of-way permit required for any work on City pro -perty.
4. Driveway slope not to exceed
5. Backwater valve required if downstairs plumbing is below ele-va - tion of
upstream manho e.
6. Water and sewer lines -to be separated by 10 foot minimum.
BD 6/82
1, . - __3F_ - -
r I
in
(address) /(date)
Street Right -of -Way Existing REQD
Z
Access Easerents Existing ct, REQD
4-4
ad
Utility Easenent Existing REQD
w
Lot Per Subdivision Plat Assessor Yop
14
Site Plan Checked for Accura d V(1
Z
Underground Wiring Reqd._
0
Check Ac--,=acy o Legal Description
z
Review b Date zdz �
Existing Water Main Size —
Water Main Required
Service Line Required
Hydrant Size Existing
o�
Hydrant Reqd Per Fire Code —Size
Detector Check �kter Reqd.
Cross Connection Inspection
Fire Departaimt Comnents
3
Water Meter Charze Reqd. C-51
Review by, Date_4��/ �X'
Septic Tank Design Approved Date
Septic Tank PernAt Reqd. Pemit No.
Sanitary Sewr Availab .7ty Proj
Drawing File No.
-
Side Sewer Availability
r4
94
Sanitary Sewer Connection Fee Red�.z�ll
:r
Review by Date
W
Open Ditch Existing. _Reqd.
Culvert Reqd._ 'pcf-V,11 Size
ce
Catch Basin Reqd. i �" .1 � Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
- -11
Manhole reqd. Indicate an Site Plan
C
Soil Conditions an d Water Field Checked
L0
RL-Aew by. Date-
MO-1977
AA. %
93-60
ID/
10
oil
10
ZONE
S E T R A C!
clk
"ONT
2z
4?
'l— 1A
HEIGHT nX
SITE PLAN, SCALE:
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
Q3
-2 0
o 01) It/
M,4) 7")
L 0 7- -3
ED Z-10/V'D -s- I/v/q.
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2