21023 SHELL VALLEY WAY.PDF11111111111111
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21023 SHELL
VALLEY WAY
� 7-A
ADDRESS:
TAX ACCOUNT/PARCEL NUMB
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
DETERMINATION: F] Conditional Waiver El Study Required F] Waiver
PERMITS (OTHER):
05
PLANNING DATA CHECKLIST DA
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 #:
FOR
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEMP\DST's\Fomis\Street File Checklist.doc
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(�rry OF EQMONDS
-RERMIT-APPLICA
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NAME 1004 NAME OF LIUS1 N
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NAME
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SEE ENGINEERING MEMO. DATED
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-LLO.EO PROPMED 0MPLEMI EXEMP I
Legal Description of Property - incjwCe all easements
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S"ORELINES
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Permit kim,t .1 Year.. P� VtOedWOfKtS Started 80 Ora) S
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VI Of his Of -her spouse,
SZIccessors el inlateSt. agree5'to incem y--,
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hammless the City �ol 'Ed.,honcis. 'WaS hinglOn. " its officials'.
i 'e'ITIployees, an-c agenlis from any and &:] claims for camlices of
Aateve, nil�r�, ar,5mg Oirecl:y cf,inC,fsCI:y from tMh
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I 'hereby ac�no.iadgls in&*, I M#vO (040 this appJiC&jIpn;,)h&1 the -
Information` given is ccrrect.�,ar%d that 4 &m'!M@ oanej�or.j ATTE.NTION !APPLICATION APPROVAL -
he duty
.4 iftliAorizea aQent ot the QvVnef. I agree to comply- *ah -city I ..'s .(.m" ' , This 'permit
state la.3 'eg.lalfh, cor%st,,,c,on; and Ina0mg in# OrX'&UtnOrtz-application i&.nOl a until
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ad Inerit;y', -ITS h I In itclat.'n .1,1. 1., signed pt, the Building Official of his.
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T" I TE-IS L'OC#TED JN THE,CITj_ EDIACNOS 'J
01 ESE;AAONDS, LOCAL SAILES-AX OA11
§�OUCD BE`dODEO J".0A.
JS_VNL�YVE_Q� 0 �VSE OR OCCUPY A 6UkDING OR S'
IT fhUCTORE
UNTIL A FINAL'INSPEC-TION -HAS QEEN MACE AND APPROVAL OWMAY I 8"19&3.6RlGIN-1L_A�frff. -YELLOW—M.Pectot.
X CERTIFICI;E OF- 01 CUt4.-4CY -1.tjkS BEEN: GRANTED. OQC
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STREEI'FILE
MAy 1. 8.198,0+
ILd 7 v
77;11-,"
ITY'OF EDMONDS
PUBLIC WORKS DEPART FOR INSPECTION CALL ermit 6992
Issue Date
SIDE SEWER PERMIT
PEP -MIT MUST BE POSTED ON JOB SITE EDMONDS
-2 1=77= 7%,_,�)rREATMENT PLAtO
1. Address of 7onstruction,12 10 T
2. PropertyLegal Description (include all easemdAts)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder t_'A' toj'
5. Contractor & License No.
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - C-all—Dial Dig (342-5344) before
excavation) .
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6"),
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade, of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
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"-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 sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
%YKAEET FILE I certify that I'have re�ad
and shall comply With the above
PERMIT FEE DISAPPROVED BY: Date:
B Date:
CONNECTION FEE:
04 APPROVED By: Date:
0
44 PERMIT MUST BE POSTED ON JOB S TE
The City of Edmonds Side Sewer Drawing EASEMENT NO. - ---------
NEW CONSTRUCTION [8 REPAIRS E] LID NO. --- --------- .- ASMX. NO - -----
OWNER --- HamEi.#,mo ..... �6mes ----------- ------------------------- CONTRACTOR ---rA0-N--rlL,5 .... D-07-114-G -------------------------- PERMIT NO. 6,992-
JOB ADDRESS .2-10.9-3.-----SiAF-LL-'VALL.E�,f --- W -- - ------ LEGAL DESCRIPTION: LOT NO - -------- 9 -------- ----------------- BLOCK NO - ------------------------------------
--------------------------------------------- I ------------------------------------------------------------------ -------- ---------- EDMONDS- ----------
TREATMENT PLANT
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NAME OF ADDITION APPI.L—CRS�
9.5,bp
C.-O.VVVE
c OXJA�p
IS, DO.
,S"SLL VALLE'-J- WAN
PWW-000 1 - 11/75 (R EV. 11/78)
37
Approved:
DATE --- G-.-2-0--!83 -------- By ... ... .... zj;i ------
CITY OF EDMONDS
NEW
E] ADDITION
F1 RETIREMENT
ASSET INFORMATION SHEET
ASSET NO. 00
ADDITION TO ASSET NO.
DESCRIPTION
-5fy(g u, c,i 16- f-AZ It
SERIAL NO.
LOCATION DEPT. NO.
10 2-3 X) Al t- c e cy, k44 y �' el .9
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 40t - 000 00 6,3
ESTIMATEDLIFE
STREET Fit r---
INITIATED BY DATE APPROVED AY LZ
"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
t(p)
DEPARTMENT FILE
N
sr;!r OR
M.. �ST
---Ta-cWess) (date)
Street Right -of -Way Exist
Z
Access Easements Existing---,Z—/�,
�e� ,-
Utility Easerent Existing— /I/
_REQD
Lot Per Subdivision Flat Assessor
Site Plan Checked for Accuracy
Z
Underground Wiring Reqd.
Check Accuracy of Legal Description-_/)��,
Z
Review by Date
Existing Water Main Size g," D 1,
Water Main Required A 11A
Service Line Required
Hydrant Size Existing
P�
Hydrant Reqd Per Fire Code AIA Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Depart:ment Comnents
Water Meter Charge ReqdO�-q
Review by Date
Septic Tank Design Approved /I Date
Septic Tank Permit Reqd. Al Permit No.
Sanitary Sewer Availability, Proi.
Drawing No. File No.
Side Sewer Avail'abili6�1
— 11�
Sanitary Sewer Connection Fee R/eqd.
Review by Date
W
Open Ditch Existing. Reqd.
2:
Culvert Reqd. Size
W
Catch Basin Reqd. Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open nmoff
E-4
LO
Manhole reqd. ZL2�-'f I-IL117— Indicate on' Site Plan
Soil Conditions and Ground Water Field Checked
Review by. 4�� Date
Revised: lvlO-1977
V,
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT:
After review of the subject Building Permit application, vie have the following
comments:
1. Connection to City viater system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for --any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Own-e-r responsible for containing all temporary runoff and erosion
9
on si.te and may not impact neighboring properti.es in any,-way.
A,
_AL
BD 6/82
77:
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C ATC-14 5 AS I X:
I S-�o (0 OL TltritNCW LorNGTH
............................. . ..........
(a cr UWE L1rVJrL
N! __." ...... i,-0
TR=NC.N
r E ILT P P9 CAP
ro"TEE w/ (." Low., LEGS
SYSTEM CROSS—SECTION
Tp,EW_vA COVER —
3/4 WASV ED
GPLAVEL
,�;' omm FfFRF P1
co
--b
LO
FS
1. .11 . 0. - I
TRENCH CROSS—SECTION
STANDARD DRAINAGZ
! DTARD DORANAGl
INFILTRATION SYSTE
for PAGE I 05F 2
location -4=
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Tre
Number Rate 1000 sq.ft. Area Req
NOTES
1. Call Engineering Division (771-3202
for prebackfill and final inspectio
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibil
of the property owner(s). Preventi
maintenance consists of preventing
soil and other materials from enter
trench during construction as well
after construction. Catch basins s�
be cleaned of floating material anc
sediment at regular intervals (at I
twice per year).
�,s li_-1104_
CITY OF EDMONE
-- - W- -T � - -T T-
r CATCH BASIN:
=*IS--&0(ok TRr&NCW L@rNGrH
L)
L41
............................. . ..........
I
66 -n C. U W Ir L4rVWL TPkWNC.H
41� FEILF P1 CAP
ro"-rr=F- w/ (.11 LoNG LEGS
SYSTEM CROSS-SECTION
Tp.EW—R COVER -
3/4 WA S W r- D
GRAVEL
6" DIAM FERF PI
TRENCH CROSS-SECTION
01 AN D*ARD DRAINAGE PLAN
INFILTRATION SYSTEM
, PAGE I OF 2
for
1 ocati on
plan by
p h o n e
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).