21035 SHELL VALLEY WAY.PDF11111111111111
13075
21035 SHELL
VALLEY WAY
0 4- 00
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
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 DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
DETERMINATION: 0 Conditional Waiver F] Study Required E] Waiver
LID #:
LOT: BLOCK:
LATEMPOSTsTonns\Street File Checklist.doc
CITY OF EDMONDS
ASSET INFORMATION SHEET
�r
NEW
ADDITION
FIRETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
44 u cif
SERIAL NO.
LOCATION
DEPT. NO.
3!;- SHf&4- u ALL Ivy Ld
9yo
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE —
*PROJECT NUMBER L'i -� �� 41
PROJECT COMPLETION DATE to f L3 . 18-3
COST S, v
ef -:b;� cb,
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
VERIFIED BY
PROCESSED
BATCH NO. -
DATE
STRE
-c-T FILE
INITIAL
(YP)
DEPARTMENT FILE
PERMIT
WMGER
CITY -:OF EDMONDS.'
N-PEAMIT': APPLICATION
"CONSTRUCTIO Joel
63 Va I te�:' Wfx..
15DAIESS:'�
1f. .0e AL E All T N C CK Sollv�.S-oh NO.
1� MAILiNG'AWRLSS 1-\3
RIGHT OF WAY P A OFFICIAL STREET MAP.
EXISTWO—W-LZ Ill ODEDICATiON
I)
q L
;,�()V. E
PROPOSE
NAME
IOUIRED1,1
FUGHT OF W Y C40NSTRLICTION PERMIT It
J STREET USEAKRUiT AEOIARED,'—
Z ADDRESS..
I'?. DAY L 4&;�
SEE ENGINEERING M�
t; sit IN
NE hUMUER EGA LI I DATIV
C-T
ALM
e. L-e(A:- t4r,1`M-
i ADDRESS.
1,c)
NIVER S.;
U.dEft 3A
c!Y 0
cri-Z�6,
Nit. 8,0 -V-dER
SIGN ARL. 0
54n'i r-1 7-
PROPOSED COlOPLUE]. EX
--OWED
piton orProperty - Include ali easements
114 Ni"
IsVoaw oefoc,rl or attach, O,Jr cop�es)
AkDS v LOT
AWARKS A
It
Lan ,4,
At
ER W(ChANIIAL. 7.
-Cletr�- - . - .. ." I . - .. . ., . 1 .1',1 N
El' G 66okl (q 1--)r,
Of N.
-CAIAI!
19 0.
SKCIA, NSPfCYOA JIIRE�. jOC&qPA.C1 OCCUPANT.
G Aoup.. LOAD
P.11 P F1=19
'&[:1, lE0 WATEA LINE _j
:11: E.IR
f4eMAA AL -jV15kJ%_ PF-11 jileOl "rff CbDe
A,
D'�ELLING
S
01 0., 1 0 6E ;�314.�A' - -L (A
r L
T!L
7 PLUM
fo be done on private properly ONLY.
This Permit COvV(4 *01�
Ar?y construction on,"a publ�c domain icuros, siCaWallis.
I w1ji require separate permission.
driveways, marquees,, etc.
'J Perril.1 Applical -on: 1134 DaYS,
'Year -,Pr AVork is Started Within 180 DAYS
pe�fmjj Limit: I OvtOeO
-A On Denali Of his of Per $Douse. rifilta, assigns. and
:i uce=l, interest agrees 10 Indemnify, lfe�ena and hroll
haitylless. the -City of * Edmond$. Washington, - Its -Offig)XIS,
j employees, and'4ents !rom an, and all clatrn$jor Catnaps of
of inCifettly f om jile issuance
whatever nature. vising 01recth 7
z[o) this-permil. Issuance Of this permit Shall not Do dqrsriti to
11 e any vaquirement of any c.ly ord name
3 Ive of red%ic 1+7_7
ny 01 inanCG'
x n0M1#yni`it*fn any way trio C.Iy�s ab,111� 10 en4orCO & dT* N? DUE.
T .
&CknoWledge.tnal! A&Te'1060 this *qPIiCatION'In`EI in* APPLICATION APPROVAL'-.
n I jiteraby or, or trio duly,� ATTEN70N
I formation given'Is co,rr*Ct; and that I am tneOwn
authorized agent ot'the.awnarz I,jGree to comply with pity gild I.$ T�ls:applicatlonjs not a Permit plItIl
,late IS.S. rigulatin4 construction; and.?6 doing tne ori%authortz, 1UT.OAtZE3 signed by. Ift* oullding Official or his
ed therapy, no poison will bp amqloy6a in viplalion of In* Lawbor Q.LY T.E
%on raiall�g.to workman's COM . pe"ba- twoRA NOTED. Deputy; and f"a are paill. a0d rKelpt is
Codt of *�Biile Of Wishing ovided.
-vn- - ad kriowledgod in space pr
OEPAATUENT
of�r�. 5 SIGNATURE
OF
C',
EDMONDS
THI So-TE- IS LOCATED IN THE C 1111
Sr DATE
dF EDMONDS. LOCAC SALES TAX 775:25?5 4 83
ATTENTION. SHOULD BE CODE04ft
5 LAVVFUL-T USEIOR'OCCUPY.A BUILDIRG OR] STRUCTURE.'
I YN .0 OFIGINAL YELLOW — l6spiecto( U
UNTIL A FINAL.JNSPECT�ON.HAS BEEN MAQEAND OVAL OR Fi.le
OF OCCUPANCY 'HAS BEEN' GRWgO. UBd
A''.CERTIFICATE MA9 8,1983 PINK Ownsi GOLD — )ks"ISCII,
C11APT.
ER 3*
"IT
Side Sewer Drawing
Th'e City of Edmonds
EASEMENT NO . ............... ................ ---------
NEW CONSTRUCTION REPAIRS E]
LTD. NO - ------------------ ASMT. NO - ------ ...........
OWNER .... HomF- L& N-C) .....
VA(amcs .... ------------------------
CONTRACTOR .... MOMT-E:5 -----
DOZ-1-m-G ............... PERMIT NO.
JOB ADDRESS, --- VA"EY --- WAY .....
LEGAL DESCRIPTION: LOT NO - ------
6 ............................ BLOCK NO - ------------------------------------
.................................... - ............ ........... I ...................... 4-- ----------
NAME OF ADDITION',-M-M)LF . ..... CRF—C-K ....................
---------------- -----------------------
EDMONDS
. TREATMEMIRLANT,-
r
Vop
C.O. cp�p
r7
pe 7
Iliz
rM
Z 10 3 5 S H ELL VALLE Y WAY
4.s'
LOT
>
-<
510 P,
Wvt
Wve
4"WRE0.
-9 MIT- PEE:
t e .2s% 06
tONN' ION
P4 E:
.,I %t
/0/-00
11 "- I J, f ,
1983
ZON�--_&�S-
A
rRON-r
SIDE
RE14k.-
O'l-iHIER
H E I G H T
AVIX? P.L L C
Z 0 7-
STREET FILE
S 9L 4
C �20
SITE PLAN, SCALE:
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
F U 0 1 H I SE'-
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
'qW STANDARD DRAINAGE PLAN
CATCH BASIN:
Xrks I, Ism"O(OIL TRENCH LWNGrH
WQUAL)
114
UA"
L)
(0',
4,
L
COVER-1,
............................. . .........
A
rG. L �VV 9'L �TK IZ N C N
r E FPLF PIP9 7 ��n �
CAP
G"TEE W/ (-" LONG LEGS
SYSTEM CROSS-SECTION
-rP,EW_" COVER -
3/40- 0/2" WASWE:D
GRAVEL
6" DIAM F'F$kF PI
21 - C�
L
I -
0 1 Y_
TRENCH CROSS-SECTION
x I
i/V k
INFILTRATION SYSTEM
PAGE I OF 2
for 40
location
.21 hell U60411tval
Plan by qojxt_��>s
phone
date
DESIGN DATA
Trench Perc LF per ImperTn Trench
Number Rate 1000 sq.ft. Area Req.,
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
ip
40
CATCH BA.51X:
An-.$ 0 1530 (OIL TPKNCW LWNGTH
W*UAL)
>
_H COV"'U
-T1kWNCH COV"—
....................... . ..........
r_* -n r- uwr LrVrL 7X NCP
C.
4; r r PF PIPW CAP
G"TFHE W/ (."LONG LEGS
SYSTEM CROSS-SECTION
'rP,F-W—H COVER -
3/4'- 1'/2" WASWED
GRAVEL
6" DIAM FEERF P1
. L_ - 2.1-0 4
TRENCH CROSS-SECTION
Pvt/
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location c
plan by
phon
datp-
DESIGN
Trench Perc
Number Rate
DATA
LF per ImperTn
1000 sq.ft. Area
Trench
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).
CITY OF EDMONOS
0
4
DATE : �1— �'
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT:
zet
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. Backwater valve -required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to_.be separated by 10 foot minimum.
8D 6/82
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