21026 PIONEER WAY.PDF12829
21026 PIONEER
WAY
CITY OF EDMONDS
ASSET INFORMATION SHEET
Eg/NEW
El' ADDITION
El RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
,5-:,?& (o - - 14(--
DESCRIPTION
SERIAL NO.
LOCATION
D�PT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY
DATE
PROJECT NUMBER
PROJECT COMPLETION DATE z2/--
COST
APPROVED BY
"SUBMIT ASSET, INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
M/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE- DATE
INITIAL
ktnp
.INANCE
I
VERIFIED BY
PROCESSED,
BATCH NO.
lqr
00
C)
Ln
C I ' TY of EDMONDS- STREET FIL� IDE SEWER P E R M I T
For Inspection Call 771-3202 PERMIT NO.
Address of Construciion:
P/ n jo
Property Legal Description (Include all easements): is PV 14�v .19
EDNIONDS
Owner and/or'Builder:
.,- - — -- - " -1 � 4
,'Contractor-& License No:
Si ng I e Family Residence -7017/
Multi -Family
(No.
of
Units
Commercial
(No.
'of
fixture Units
Invasion into City Right- of -Way: No Yes _ (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county,easement number.)
E
PLEASE READ,THE ITEMS LISTED ON THE BACK
I certify that I hav6-read af(d shall comply Ddte
with the items listed on the back.
49,;>
MONO.
V oir 111111rd rd
oil;
Oil 05, 299045 F W, 1121 IV, 0=111A
Permit Fee: Z/?. Cc? Issued By:
T�unk Charge: Date Issued: alf 7
Assessment Fee: Receipt No.: 6 OV ;Z/_/
Partial Inspection:
Comments Date Initial
Final Inspection Approved: _51 —1-2—S-7
Date '. Initial
Rejected:
son
** PERMIT MUST BE POSTED ON JOS SITE-**
Date Initial
White Copy - File 'Green Copy - Inspector
Buff Copy - Applicant
0
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - ------------------------------
NEW CONSTRUCTION X REPAIRS E] LID NO - ------------------ ASMT. NO . ..........
OWNER ------------------------------- CONTRACTOR L--tl . ...... C
----------------------------------------- PERMIT NO - --------------------
JOB ADDRESS . ...... — ----- ----- LEGAL DESCRIPTION: LOT NO . ..... 7 --------------------------- BLOCK NO - ------------------------ -----------
c
---------------------------------------------------- ----------------------------------
NAMEOF ADDITION ....................................................................................................
E 3 r I S,
1196 0-42S *11-c, t, or- 4,
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Approved:
PWW-0001-11/75 (REV.11/78) DATE . ....... 7 .............. By ---- ----- -e ...... -------------------------- —
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT:
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) Driveway slope not to exceed 14%.
5) Back water 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/owner responsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
way.
8) Construction hours from 7:00 a.m. to 10:00 p.m.'on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
/0.
,20'
2102(a Flolveel- �4j4y
U P P F- R
C A-rc H
BASIN
�Vr DIZrEIMi0N PIPE LZNCTV4 CO�,CTFLOL LATCH
M1W MAX covr-p,
1 7 SLOPF-
L
SYSTEM CROSS SECTION
SEE PAGE 3 FOR QUTLET CONTROL DETAIL
0LrrLQT
col,rrRoc
To OuTLE-r
NP RAP OR
PIUNOF F
SPREADER,)
A G" oe--, .41- C. " Sp" -Ls �ICVV�0
CZUS�4ED P40CK
F-KCI-I
L a�-,
co Wr IkO L
F-HPIRAP OUTLET
IC' LONG,
4 awpo= P,pe
F �;C -yj
C L:-.- %E260
CZ:
;DIP= -All-�-; CAP5
RUNOFF SPRE�%DER OUTLET
STANDARD DR41NAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for
location
plan by
phone
da te .. . ........ 5,z
DESIGN DATA
System Imperm Pipe Pipe Orifice
'Number Area . Diam Length Diameter
NOTES
I., Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainagesystems on
private property is the resoonsibility
of the property owner(s). Material
accumulated in the storage Pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
I
.open at al 9 mes
CITY OF EIDMONos
w
tf.f ;,4 ff I
1-ea 1"r
a X3
17
Aoop//� Ilez$ 10
/'A 10-1 /1171V-75
12
192 t 46 1
CITY OF EDIVIMIDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION joB
NAME (OR NAME OF BUSINESS) Auw� ... 2 Z 6 Rolveel-
40=04,0 LEGAL DESCRIPTION CHECRT—SUBDIVISION NO. LID No.
MAILING ADDRESS es /6/
eW ZvrO Z I au-mm5.ff4i]
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
�0
m
A
E
T'ON
R
EXISTING - 440 — REQUIRED DEDICATION f9
7- PROPOSEDICE�
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED C9
ADDRESS STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED,/
.23/CITY ITELEPHONE NUMBER y7
NAME ,
ADDRESS
CITY TELEPHONE NUMBER
4F.,A)
STATE LICENSE NUMBER
- A025'_114 -Rel _V �� Z
Legal Description of Property - Include all easements
(show below or attach four copies)
E-5
NEW
IN RESIDENTIAL
Li PLUMBING
ADDIALTER
1:1 COMMERCIAL
E] MECHANICAL
REPAIR
RETAINING WALL
El SIGN
El DEMOLISH
EXCAVATE
EJ OR FILL
FENCE
1:1 ( x _FT)
PRE -MOVE INSPJ
1:1
swim
El
REMODEL
COMPLIANCE INSP.
POOL
WOOD STOVE/
INSERT M APT.BLDG
RENEWAL
NUMBItHrif
NUMBER OF STORIES
DWt:LUNU
UNIIt$
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
10
NG SUPPLY
REMARKS
FIXTURE UNITS
Ir
W
SIGN AREA ENV. REVIEW ADS NO.
ALLOWED I PROPOSED I COMPLETE i EXEMPT I
VARIANCE OR CU PLANNING REVIEW BY DATE
YARDS HEIGHT I LOT COVERAGE
FRONT SIDE REAR I
BY
HEIGHT
0
N SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
IM EQUIR
N R 0 YES EC GROUP L1
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY
GRADING/FiLL
Any construction on the public domain (curbs, sidewalks
driveways, marquees, etc.) will require separate permiss
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors In Interest, agrees to Indemnify, defend and hold
harmless, the City of Edmonds, Washington, Its officials,
employees, and agents from any and all claims for damages of
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
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 city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, 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.Insurpincq...
I NSPECTION
S IG N E (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
��/< CITY OF
I 4b EDMONDS
ATTENTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
VALUATION
I�N
APPLICATION APPROVAL
. This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY: DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
Z
Z
5
PROJECT REVIEW
pRojEcT ADDRESS:
PFaJWT NAME
AppLICATIoN RECEIPT DATE: j';;,:,'i, ad by,:. Mitial/date)
WTR/SWR STREET ENGNRNG
PLANNING
Fu_jlflNG
I'E/CaMMCIAL - (Circle. One)
.,,n=z FAMILY MULTIP
ng
j
plwr
s -fpAcx 2
,rE/S MM:�AACK ADWJ.
CONDrrIajAL USE pOV41T
3
ADB CHECKED
4
Cfn= ZONING REQU Is 5
ERVIM00CAl- FEATURES . 7= 6
I ILI _//
SLOPE & VEHICLE-ACdES 7
D PLAN (on Site) 8
e.vvnwL�P VTTR 9
ON
IpTION VFAIFICATI !4 7
10
QUIT CLAIM �DEDI 11
pUBTIC/PRIVATE 12
CALCULATE SD.M CONNECTION IF NO LID#
13
PLAT/ 7RUCTION PERMIT REM 14
"-ren"_nP_WAV CONS9 15
BOND RBQD FOR PUBLIC IMPRC)VEMMS 11777T777T 16
SOILS CONDITIONS & GROUND
wATER FIELD CROCKED 7FITM77 7TITTT177 17
CURB AND GUlwrER REQUIRED 19
SIDEWALK REQUIRED Lo
CURB CUP FOR DRIVEWAY REM
Ll
NAME -SIGN REQD ...
11111L1111 L2
ollmt SIGNING REOD 7TITfTM 23
`0 ?AfhTTARTLTTY
SIDE
24
EXISTING I WATER MATN SIZE REC 25
WATER VWpTER SIZE 6
Mv/"
. SERVICE LINE 7
28
HyDRANr SIZE EXISTING 29
CONNECTION TNSpWrICN REW,
20
31
32
33
34
REQD 35
CULVERT REQD 36
SIZE 37
CATCH BASIN RBQD 38
DMICATED ON SITE PLAN 39
ER D
SHRLE OPEN RUNOFF 140
KESCs
LIC WORKS �MGR.
MfiEWM BY: ENG —VLZIB
PRE"