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21109 77TH PL W.PDF111111111111 6578 21109 77TH PL W 890 . .199- CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning * Parks and Recreation a Engineering March 25, 199 1 3 S TREE T FiLe T & T South Partners 18204 Bothell Way, #2 Bothell, WA 98012 Re: ADDRESS CHANGE TO 26 UNIT ON 212TH STREET SW LAURA M. HALL MAYOR The City is designating the private drive serving your project and the condominiums to the west as 77th Place West. Therefore, the new addresses of your buildings, starting with the building farthest to the north, will be: 21109 77th Place W. (was 7641 212th St. SW) 21113 77th Place W. (was 7643 212th St. SW)Z- 21117 77th Place W. (was 7645 212th St. SW)�/ 21121 77th Place W. (was 7647 212th St. SW) These addresses conform to the Snohomish County grid adopted by the City. The City will place a new street sign designating 77th Place West. You must have building address numbers in place at the time you request your final inspection. Thank you, Sharon Nolan Permit Coordinator cc:, Fire Department Rob Michel Incorpbrated August 11, 1890 Sister Cities International — Hekinan, Japan CITY OF EDMONDS -CONSTRUCTION PERMIT APPLI674TION OWNER NAME/NAME OF BUSINESS :T cr e= 7 0 ol 7 _/7' Peflz w MAILING ADDRESS # Z 0 CITY ZIP TELEPHONE NUMBER 907?14�y_ NAME 70,elw W. 14�,( ADDRESS , ZIP ITELEPHONE NUMBER �WOS c7dJ..4 I -,57,�-,761FY I FILE 7Z"y,) ME pt� M ZON PERMIT NUMBER AUUHtbb 7,�2 411 NO, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved C3 RW Permit Required *5 EXISTING — REQUIRED DEDICATION Street Use Permit Req'd 13 inspection Required PROPOSEO Sidewalk Required 13 IU,c, - k)i vw�i 1*­tr,I-t,rf,I,)f=� A OR, lkl�'J 02.01th') NAME 4011, � 0 ! ,- - .1--in -, � -7_Hk,E-,8- ENGINEERING MEMO DATED R ADDRESS _<:!IEW BY METER SIZE BUILDING SUPPLY SIZE N6 OF FIXTURES CITY ZIP TELEPHONE NUMBER / /I I / fS' 'V 17 2 6' — �?� " / '- / L, REMARKS STATE LICENSE NUMBER ' EXPIRATION DATE I Legal Description of Property - include all easements 7-X,#C7_ lof P e 7AI 4. P44�17 rly _0 Pro erty TZA .. unt 0044, Ole - 0 00,�— Parcel No. 2"NEW 2� RESIDENTIAL PLUMBING 11 E] ADDITION COMMERCIAL MECHANICAL DREMODEL 2—APT. BLDG. SIGN GRADIN9 11 CYOS. FENCE REPAIR L_ x _FT) DEMOLISH WOODSTOVE 0 INSERT SWIM POOL E] HOT TUB/SPA GARAGE RETAINING WALL/ CARPOR T RENEWAL ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) ExYLAIN: P,&o olf //V/ (JAI NUMBER OF STORIES UMBER OF DWELLING IN UNITS DESCRIBE WORK� BE DONE (ATTACH PLOT PLAN) Mew UN,1 7- 60/Y� J* 44// Oefl' SIGN AREA SEPA REVIEW ADS NO. ALLOWED PROPOSED COMPLETE IEXEMPT SHORELINE N EX VARIANCE OR CU PLANNING REVIEW BY DATE MtE4—,n-- 2 1/::� L-0 (-. r— I (?p ­ 45,- C) SETBACKS — FEET 1, HEIGHT LOT COVERAGE FRONT 1 *5 SIDE REAR f �'5 C�_.w LAK?�4/6�'F_ rtlflo� 60HPIMI-1 \\AlLil &,�_ 9'co 11. CHEQKED BY TYP OF CONSTRUC ON CODE E�VNSW 7AREA SPECIAL INSPECTOR OCCUPANCY REQUIRED .. 0 GROUPR REMARKS PROGRESS INSPECTIONS PER UBC 305 vfvu ! Xk&rXJ(;r7LW FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE �,BUILDING HEAT SOURCE: GLAZING 0/0 zC1,Arc- PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidew,-Iks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and TIO ENG. INSPEC I N FEE .1 Successors in interest, agrees to indemnify, defend and hold I harmless the City of Edmonds, Washington, its officials, X011 PW I 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 provision." TOTAL AMOUNT DUE 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- ed thereby, no person will be employed in violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of the State of Washington relating to Workmen's Compensa. I WORK NOTED tion Insurance. INSPECTION DEPARTMENT 3IGNATURE (OWNE 01 DATE SIGNED A4. 'R 11t CITY OF c: mk A r%m r%c /5� x W a Z Z Z ) IHEIGHT �;AV OCCUPANT LOA!� _3 A .E 5-. - APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. ICIAL'S SIGNP14RE DATE CALL FOR`0 ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC CHAPTER 3. 102-87 DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor (ALCUL-ATI C)60—� PREPARED BY EPAGE NO. UUIT APT 3L 19, -S VJ DATE A E4MOOCS j WA - momm MM - - -11, Mmmmmmm MMM M MMMMIMMMMMM MMMM MM mm MMMMMMMMMMM rpm MM M MM MM M MM MM MIEN MOM mmullm OEM MMMM M MM im 1 mm ammmm M M mm 0 0 M mmmm MM M imm m M MM M M MM MMMMMMMIMMM mmmmmmm ME ri, a MM M MM NO M IMMMM MM-- MM I MIMMMMM MMMMONOMM MM M mm MIMMMIMMM ME= M M M MMM MM MA MMMMMMM MMMMMMMMM MMMMMMM MM MM MM MEM ME M MMMMMIN mi M mmmmm m Imm M mmm m M Mm mmm MMM M Im M MMMM M M imm On M 0 IMMM MEM ME mm MMMMmMm mmin, MM MM m Mm M 0 M mm mm m mm mm MM11m MM m WEN mm M MM sm mm mmm Dennis M. Bruce, P.E. =MMM m M"momm M1 m M M M M11m mM.S.C.E., M M M.B.A. Civil Engineer GEOTECHNICAL 0 SITE DEVELOPMENT INSPECTION 9 FOUNDATIONS o DRAINAGE 0 LEGAL 505 N. 169 St. 9 Seattle. WA 98133 * 12falsid"n-n4-�x- m m m mm mmmmm llc�v. T� ............................ PROJECT .................. PROJ. # .' CONTRACTOR .......................................... DATE.14�!�:! .................. WORKERSON SITE ......................................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) Ap?�! ....................................................... Tw -00 Slowoe- btfle, 00 -7-111l'-pL__ ................................................................................. COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW-UP TESTING ....................................................................... ........................................................................................ CITY REPRESENTATIVE *44a ................. DATE/TIME. . PROJLOG/TXTFORMS TA �r. M ................... PROJ. # ............................ PROJECT .. CONTRACTOR .......................................... DATE.4?!-A4.1-.0t ................. WORKERS ON SITE ...................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) % LA-- ............................. 3YL-.) 140j4J OL-04 Cp"Qe-CW W 3Cpw4.k V�S-rehYTLOJ I'll "loo lloo 6*000l 11 COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW-UP TESTING ....................................................................... ....................... ..... ........................................................ PA444v-'_' CITY REPRESENTATIVE ...................... DATE/TIME.�� PROJLOG/TXTFORMS PROJECT ................... PROJ. # ............................ CONTRACTOR .......................................... DATE.24.144P.1%4 .................. WORKERSON SITE ......................................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M.1P.M.) ............................................................. lleiwnAo&- o4srotv_� "4ft tso errfqo_� u rt LA 7x4 vioair., TAPbc ........................................................................................ COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW—UP TESTING ....................................................................... ............................... o ................. o .................................... CITY REPRESENTATIVE ................ DATE/TI ME.:;�,"4_1. ffol PROJLOG/TXTFORMS ................... P R 0 J # �7_-P. 7 .5 ............................. PROJECT 'kT ...... CONTRACTOR .......................................... DATE.�q.�!�'ff+ ................ WORKERS ON SITE ......................................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) ............................................................. LAvwep wa o� leym Mpiaempp mew P ..................................... po &we T1 11.) - eT-W- W*mmob -ro m&eu*j& .............. ........................ o ................... ir"-v'lNZl =J�r'-A -n4wmitim. 7— f!� .......................... o ........................ tt ..... r t - :1. 4)*jf� .................................................................... o .......... COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW—UP TESTING ....................................................................... .............................................. oo ........................................ CITY REPRESENTATIVE .................... DATE/TIME. 20 OW41 .......... ........ ... PROJLOG/TXTFORMS 0 9 PROJECT TAT _lcutti . .............................. PROJ. # ............................ CONTRACTOR .......................................... DATE. !'�kgoAl 14 ................. WORKERSON SITE ......................................................................... EQUIPMENTON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) s.mw-..Jlt"v ............. I ................................... �- .j 94V 4*4 00MI, atOW WA& �V*_.( 04 .o .. 9. 14 f L4A,& p * ........... ........................... o o ......... to 'MA eex U &t C, 4-1 CA I LA 4J (Al� 4f U.At ............ *A" exn4.'l .......................................................... Woo ............ lvi,A . fA4*j ... ....... o . ... o ..................................... o ......................... I Ksa -Mt &trrnow IAi t, pgzrvA Tm� 6a4vd 40-', Ls 0 A*j 4 ir woua ................................. o ....................... o ............ o ................. ?L! rV 469� V"+yl dW �A pmo*p.A_ 3.a . j� �,4s� o '�: * o * I I ... T--000—o"", ........... E"-'b_te,% e4.v- 6& ouje"k"lme V 4 AAA&I&M*110 It- ............................................ o ........................................... COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW-UP TESTING ....................................................................... ....................... . .................................................... CITY REPRESENTATIVE ............................. DATE/TIME.�i.�� q ........... PROJLOG/TXTFORMS PROJECT T-ff ..................... PROJ.,# ............................. CONTRACTOR .......................................... DATEll."... 9 ..................... WORKERSON SITE ......................................................................... EQUIPMENTON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) ............................................................. 5tln�w. Aw om/m, .. �. .......... o . o o COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW—UP TESTING ....................................................................... ................. o ......... ;� * * * * * o o CITY REPRESENTATIVE 4* ....... o ............. DATE/TIME.��.A.t.V .......... PROJLOG/TXTFORMS 0 0 PROJECT .................... PROJ. # ............................. CONTRACTOR .......................................... DATE.?: 4r. ................... WORKERSON SITE ......................................................................... EQUIPMENTON SITE ....................................................................... ........................................................................................ WEATHER ;5�4W.Mj ................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) ............................................................. COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW-UP TESTING ....................................................................... ........................................................................................ I 'T4 CITY REPRESENTATIVE ........... o ..... DATE/TIME..��� - PROJLOG/TXTFORMS PROJECT T ......... PROJ. o ED. 7-3 ............................ CONTRACTOR .......................................... DATE4�?X.?�4 .................. WORKERS ON SITE ......................................................................... EQUIPMENTON SITE ........................................................................ ........................................................................................ WEATHER ................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) xws ...................................................... 7D -D/SCUSS� 5--roz-v 12�47weln- .................. ......... x'e- . �.. m� . V. & ,, A -) 7 7-4r- S - f ............. T COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ........................... o.o .................. FOLLOW—UP TESTING ....................................................................... CITY REPRESENTATIVE .................................. DATE/TIME ....................... PROJLOG/TXTFORMS 9 PROJECT 7..�A� _QAX714 ...................... PROJ. # An - 7 3 .................................... CONTRACTOR .......................................... DATE.?�7.4!OF:ft4 ................. WORKERS ON SITE ......................................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) �4? ....................................................... 44 A 6 0-. � &.4 . t 5 rff- � . 6WA WX r i �xi . ". . ri 9 u w.:?&np t4 . % ................................ COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW-UP TESTING ....................................................................... CITY REPRESENTATIVE .................................. DATE/TIME ....................... PROJLOG/TXTFORMS CITY OF EDMONDS 250 - 5TH AVE. N. EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT C) lz� Public Works * Planning e Parks and Recreation * Engineering LAURA M. HALL MAYOR E-b -73 October 2, 1992 Mailed 10/2/92 Dennis M. Bruce, P.E. 505 N. 169th St. Seattle, WA 98133 SUBJECT: PROPOSED 26 UNIT APARTMENT AT 1 - 7647, 212TH ST SW (ADB-102-91) Mr. Bruce, The Engineering Division has completed the second review of the subject site plan and has the following comments: 1) Show location of nearest fire hydrant. 2) Locate new hydrant, provide detail and paint curb yellow in front. 3) Provide street signs/stop sign as shown. 4) Add notes as shown. When revisions are made, please submit originals for approval with enclosed red -lines. Sincerely, ?ORDO C/ HYDE Alberts Engineering Coordinator GCH/sdt Enclosure c: Sharon Nolan, Permit Coordinator Rob Michel 26UNTAPT.2/TXTST530 Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan SITE DEVELOMENT COST ESTIMATES PERMIT COUNTER SITE LOACTION: 7641-7647 212th sw PLNCH#684 START DATE: 9/15/92 COMPLETION DATE: 6/15/93 CONTRACTOR: THREEFOLD —745-3386 DESCRIFnON: QUATITY UNIT COST TOTAL GRADING (Cu. Yrds.) 2300 $3.00 $6,900.00 CURB,GUTTER (Ln. Ft.) 420 $20.00 $8,820.00 SIDEWALK PAVING (Sq. Yrd) 4230 $6.00 $25,380.00 SEWER (Ln. Ft.) 4' 0 $4.20 $0.00 6- 330 $5.80 $1,914.00 STORM DRAJNAGE 24" ADS 612 $12.00 $7,344.00 8"PVC 380 $5.20 $1,976.00 4'PVC 370 $3.25 $1,202.50 CATCH BASIN TYPEI 4 $450.00 $1,800.00 TYPEII 1 $2,000.00 $2,000.00 DRAIN BOX 12 $54.00 $648.00 CURB INLET 4 $225.00 $900.00 WATER 2"POLY 330 $3.30 $1,089.00 POWER 3"PVC 330 $4.60 $1,518.00 LANDSCAPING: $42,318.00 8" WATER LINE 8" DI 525 $16.22 $8,515.50 FIRE HYDRANT -aeft4097 $2,000.00 TOTAL: Submitted: 10/15/92 By: .�Erw3r 4 -70, 4-9,9 AOZ j:"3, J�Lj, fee-- -41,551 /f 0 -2- ans I - was lay. and satd that with-.ior wit. hout, the pl to I ' see . -the �buil'di6g . --'i n I spe ctor .- i n . 1' 1 0 ., hdt.i H6_-Said '_jjp� on me'a So. " Maps, 1 would. be* better �,Ieadft and' hung. lye �asked for them. t's wh ere it stands now --and I need to know what I can ntly Dick & Eileen Scheuer who hovg..,t�q lowerflat i,.,W..-th'e' sound' U ni n6it �to-'me are.. -also- -unhappy W. had. . tol,d� `�10d'!-Ur "an in thei r d On d Eileen sai d �'that ' - .. :. - ­ if a., and it' certai Oly:'-ts 'd!' 6, -so .':d h6;Uh1;.t-`w.oul: b un,proof. bi- hear_:th,­e.,:stereo- ass notes j - t' ' he said--thty CM.. -1w aic s i 'their 4s, from' My� Ode of the..�bui,j-.dJ-hg�-:c-- �Oor �over n space: luc-h -for: the'.. i nsUl atidh,':.qu'a_ 1�,-ft-i es of d4­ a d a i r'�-� for listening. -ely, ry C. Moo re .17 P- I West, #26 (,known as Arbor Lane.Townhomes) th L ds WV 98Qr2'6 110 7 7 0) P MUM October 10, 1995 B cc, Bldg, Official Janine Graff 25D Fifth Ave. No. Edm . ohd s�, WA 98020 S FiLli Dear Ms. Graff I am writing to you about the lack of sound transmission control in the condominium flat I recently purchased and moved into about a month ago. Inspector Jerry Satterlee told me to put my complaints in writing about the sounds I hear clearly from the flat above me. So here they are: Loud and sometimes pounding bass notes from a stereo turned on above my head in the livingroom. A sort of muffled roar�from voices on his TV (the young man who lives above me) Radio (I' think) noise coming from the master bedroom above me (on once until about 4:30 in the.morning). While brushing my teeth one morning in the master bath one weekend morning I heard someone 'breaking wind" loudly right over my head --and I realized there is little or no insulation anywhere in the space between our flats. I can also hear him walk across the room and hear his chairs sc��.�reech when they're moved ih:and out from the table. I have discussed all this with the contractor, Rod Harlan of Threefold Construction (745-3446) who told me there is 312" of fiberglass batt in the ceiling and about 8" of dead air space. He said the dead air space has more insulating' .:property than anything else that could.be put in there (I find that�hard-to believe); Mr. Satterlee told me to get a copy of the floor plan and section detaiVwith sound�transmission control -of the a ­ ' '' A* 0 pproved.� plaw - P asked Rod HAH an ''for thi's and he said .he woUld�give me the inform*ation-.-�but,'-.16 -far.:none has -in of, :,this - been forthcoming. In fact whenl-'�'I'�'--:'�'-re-iiinde�d''h.i 890 . 1 99 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works *-Planning 9 Parks and Recreation e Engineeiing October 18, 1995 Ms. Maijory C. Moore 21109 77th Place West #26 Edmonds, Washington 98026 RE: Sound Transmission Control LAURA M. HALL MAYOR Thank you for your letter of October 10th, we appreciate citizens bringing dwelling situations to our attention since without such knowledge we could never increase our standards thereby improving the overall construction quality of buildings in our city. Sound transmission control is becoming a significant statewide code issue due mainly to the influx of condominium projects. People expect a certain level of privacy between dwelling units and codes are created to establish parameters for providing this buffer. Similar to most cities in our state, all building construction work in Edmonds is regulated under the Uniform Building Code -a state mandated construction code that * establishes minimum standards to safeguard life, limb, health, property and the public welfare. Within the Uniform Building Code are Sound Transmission Control (STC) provisions but; rather than being a mandatory part of the code the STC chapter is included in the Appendices. Typically, appendices are considered not fully developed enough to constitute mandatory provisions in the body of the code and therefore the jurisdiction may adopt some or none of the appendix provisions. This allows a jurisdiction to test these requirements to determine whether or not they are needed and ultimately enforceable. You will be pleased to know that the Edmonds City Council has chosen to include Appendix Chapter 35 "Sound Transmission Control" within the adopted version of the Uniform Building Code (UBC). However, like all other mandatory provisions of the LJBC this chapter establishes minimum standards for sound transmission and sometimes the minimum standards are just that, the minimum. In response to your inquiry I have reviewed the approved plans for your condominium and the typical common wall between tenants is a double 2x4 stud wall with R1 I batt I insulation and 5/8" Type X gypboard on each side. According to the enclosed Owens Coming Fiberglass sound tests double wood stud walls constructed in this design have a Sound Transmission Control rating of 56 which meets the minimum code rating of 50. 0 Incorporated August 11, 1890 0 Sister Cities - International — Hekinan, Japan Ms. Moore October 18, 1995 Page Two The plans as shown meet the minimum code requirements for STC however, please remember that sound transmission between dwelling units is difficult to control since sound resonates between common stud walls, flooring, electrical, plumbing, mechanical vents etc. Even with planned isolation (airspace) an approved STC assembly can be significantly negated by any penetration and/or any faulty installation practice. Some contractors choose to go beyond the code minimums by installing cast iron plumbing, pouring lightweight concrete flooring, keeping common walls free of plumbing or mechanical equipment etc. Since the contractor appears to have met the minimum code requirements for sound transmission, we cannot impose additional requirements. Given your existing situation it is possible to install acoustical wall and ceiling baffles to further decrease sound transmission to produce the level of privacy that you desire. There are supply companies who can assist you with more specific information. I hope this information has been of help to you. Please feel free -to contact me if I can be of further assistance. Thank you, Jeannine L. Graf Building Official NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liab-le for the information given on this map(s), nor for any one representation provided based upon said map(s). A, r VIA BALLINGER LIFT STATION CITY OF EDMOND IDE SEWER PERMIT 9 0 9 c, PER 'IT -5 9'2'� m Address of Constru ction: lr>�ZZ6 9 Property Legal Description_(Include all'easements): NNORM Ut:t'l Owner and/or Contractor: State License No. v-,e e Buildi ng Permit No. 73 El Single Family Multi -Family (No. of Units El Commercial El Public Invasion into City Right -of -Way: 10"No El Yes RW Const ruction Permi,t No. Cross other Private Property: 0 No 91"Yes Attach legal description and copy of , recorded easement fy that I have '*t I certi . . read and �l C07PI ith all city* requirements as indicated on the back of the P ermit7ar Date *CALL DIAL -A -DIG (1-800-424-5555). BEFORE ANY. EXCAVATION* OFFI CE USE ONL Y FOR INSPECTION CALL W;, 77, Permit Fee: Trunk Charge: (0 0 Assessme nt Fee: — /;u )A Lid No.: /d f 21.9 Partial Inspection: ,-'32 PUBLIC WORKS DEPT. -0220 Issued By Date Issued: Receipt No.: Date Initial Comments Reason Rejected: Date —Initial — Final Inspection Approved: Dat'R;�� Initialff— PERMIT MUST BE POSTED ON JOB SITE White Copy; File Green Copy: Inspector Buff Copy: Applicant Revised 3!90 The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------------------------------------- NEW CONSTRUCTION REPAIRS E] LID NO . .................. . ASMT. NO - ------------------ OWNER------------------------------------------------------------------------------------------------ CONTRACTOR .-SU-N-DOW14 --- CON 51 ----------------------------------- PERMIT NO.S.5-5.3 JOB ADDRESS r7 7-r ".. P L.....W 9 ...................... .... ...... .. e ................. LEGAL DESCRIPTION: LOT NO. -.— ................................. BLOCK NO - -------------------- --------------- -------------------------------------------------- ------------------------------------------------- --------------------------------------------------------------- NAMEOF ADDITION --------------------------------------------------------------------- ------------------------------------------------- 2 11 (0 9 7 7 T" PL.\A/. (6' G" ASS VIA -E-�A;-',-.I�G---ER LIFI- STATI ION 5.51 OP I W StArA.TEF PWW-0001-1 1/75 (REV.1 1/78) 7' 131 4-51DP Approved: I r.-9 DATE ........... co )a ------ By --- ------- The City of Edmonds Water Service Drawing EASEMENT NO . ................. .......................... NEW CONSTRUCTION [jr REPAIRS [I LID NO . .................. . ASMT. NO . .................. OWNER......................................................... ...... ............................... CONTRACTOR ...... * .............................................................................. PERMIT NO . .................... JOB ADDRESS W. ................. I ..................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... ............................................................................................................................................................... NAMEOF ADDITION ...................................... I ................................................................................. A z 0 -4 Approved: .................. . ...... PWW-000 1 - 11/75 (A EV. 11/78) DATE ......... [.0. 94 ........... By J . ................................................... Setbacks/Variance/Setback Adjustment Conditional Use Permit ADB Requirements 3 Other Zoning Requirements <zz Mx� 4 Underground Wiring Required ........ Lot Slope 15% SEPA Environmental Checklist/Hydraulics Permit 7 Tree Cutting Plan 8 Plat/Subdivision Requirements Legal Description Verification Quit Claim/Street Dedications . . . . . . Easements - Public/Private ...... Engineering Storm Drain Review Fee Engineering 2.2 Inspection Fee Drainage Plan (on -site) Setback - Top of Bank, Stream, Water Courses ........... ...... Setback - Storm Drain Line Al Open Ditch - Existing Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required rgig Driveway Slope & Vehicle Access . . . . . . . . Sidewalk Required . . . . . . . . . . 'M Curb & Gutter Required _AJ0 Curb Cut For Driveway Required IV\ Street Paving Re uired 9 Right -Of -Way Constructiori Permit Reguired%e ....... 2T. Street Name Si n Required .28. Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water Table Side Sewer Availability Calculate Sewer Connection Fee If No LID # Create Street File Existing Water Main Size Water Meter Size Service Line Size 38;:* Water Meter Charge Required C& � Hydrant Required Wst po Hydrant Size Existing' Fire Line Charge Required - Sprinkler ............. . . . . . . 4 1 Street Cut Miscellaneous 44 Reviewed By: FIRE PLANNING GINEERING PUBLIC WORKS I , 890 - 19 C) 10 0 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning * Parks and Recreation & Engineering August 24, 1992 Dennis M. Bruce, P.E. 505 N. 169th St.. Seattle, WA 98133 SUBJECT: PROPOSED 26 UNIT APARTMENT AT 7641 - 7647, 212TH ST. SW (ADB-102-91) Mr. Bruce, LAURA M. HALL MAYOR Mailed 8/25/92 The Engineering Division has completed initial review of the subject site plan and has the following comments: 1) Water system to be designed for project. 2) Provide locking lids on all storm sewer catch basins. 3) Solid covers to be provided for catch basins located outside paved areas. 4) Provide utility easements for City lines. 5) Detention pipe to be CPEC AASHTO M294 Type S. 6) Erosion control to be in place before excavation takes place. 7) Recompute storm calculations per red -lined comments. 8) Provide details of temporary construction entrances and drainage swales. 9) Provide dimensions on paving areas. 10) Provide detail of road entrance onto 212th with dimensions. 11) Provide profile of access easement. 12) Show location of mailboxes as approved by postmaster. 0 Incorporoted August 11, 1890 0 Sister Cities International — Hekinan. Jar)an 0 . 0 Dennis M. Bruce August 24, 1992 Page 2 Please submit three (3) copies of the revised drawings for further review, as well as returning the red -lined plans. Sincerely, GORDON C. HYDE ngineering Coordinator GCH/sdt c: Sharon Nolan, Permit Coordinator 26UNTAPT/TXTST530 pEr, Alberts . . . . . . . . . . A�r I Ir U 10 2 - 9 1 ECKLIS I "E# APP eRO TING7FOR rx Q S mers FROM;, INPUT. V, No . :92 ROUTED TO: ENQ NEERING :,�RET RNED FIRP, eel UBLI 4A FT RNE C WbRKS-W2/j9/q2 ky PU FT R ­6 FT -.12 9/ 2,4��.' N PARKS 1 A COMMENTS: Xt; IVY ?nook Owner T & Ti. '00 li,.".Property Address �-�-7705,1212thx�,.5t�-�, Re urn., t WC 12/11/91 ..'6f,Heari Doa, ng �kf, "'V 26,unit qondq�, Type X A P P L I CAT I FEE 7 APO LIST TITLE, REPORT:�,'�`.i.,,,/'.'�:' 7' 7-- VICINITY, MAP...'. 7— ELEVATIONS'Jif�'apOlicable) PETITION (Ofc-.-St. Map) Comments: SITE. PIAN',FOR'ESHOR BDIVI z.: 17 SITE PLAN'(11" LEGALS(Existing�.&,� Pr6posed),�O.-.jk,,­�- ENV.. ASSESSMENT,.,,.(i�,Japoli*cable)'� PROOF OF-3 YEAR", OCCUPANCY,,, (ADU).:! V an DECLARAT X ENV. CHECKLIST.(if�"a-pplicable)"" RECEIVED FINDINGS OF FACT POST & MAIL' Date ROUTED TO: ENGINEERING FIRE PUBLIC WORKS PARKS & REC APPEAL # APPEALED BY: HEARING DATE: STAFF HEARING' HEARING EXAMINER CITY COUNCIL APPEAL UPHELD DENIED_ RECEIVED FINDINGS OF FACT CITY COUNCIL AGENDA MAILED FINDINGS OF FACT 16 ,qppp"- city of edmonds land use application r'X ARCHITECTURAL DESIGN BOARD 5 COMP PLAN CHANGE El CONDITIONAL USE PERMIT 0 FORMAL SUBDIVISION 0 HOME OCCUPATION 0 LOT LINE ADJUSTMENT 11 OFFICIAL STREET MAP AMEND 0 *PLANNED RESIDENTIAL DEVELOP. 0 REZONE 0 SETBACK ADJUSTMENT 11 SHORELINE PERMIT D SHORT SUBDIVISION D STREET VACATION 0 VARIANCE 0 RESUBMITTAL FILE # Applicant FILE#—AbR 102'C(IZONE Pfy) I(A DATE 12'- REC'D BY S5 FEE �' 117 RECEIPT # 19191 HEARING DATE 11rNt's Ir 1 9 Z 0 HE 0 STAFF 0 PB 29 ADB 0 CC ACTION TAKEN: CIAPPROVED 0 DENIED 0APPEALED APPEAL# 7--roa t:-4 1-,6t,v:rJ, I e Phone Address c>QZ016 267'0^" Ave W Property Address or Location 7 2 Qs - Property Owner y Phone Address '7-7 05— 71/5 Agent 711A&cz Phone Address Tax Acc # 6/13 006 - ("VY—o0c) Sec. Twp. Rng.' Legal Description v SIVt)1AM40ty' COjY7>� ZA�,4, I � Details of Project or Proposed Use e 0 The undersigned applicant and his/her/its heirs, and assigns, in consideration of the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or in part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. The undersigned applicant grants his/her/its permission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant to this application. SIGNATURE OF APPLICANT/ OWNER/ AGENT Test Report No: 0008 A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 r - .: Three Fold Development A0 OVS8 524 132nd St S W, #101 ... . ..... Everett, WA 98204 i.-., 112-08-94 94-795 Edmonds Condos 21121 77th Pl. W. Edmonds Arc N/A N/A 19* at N/A N/A 'REMARK Theoretical maximum specific Gravity of -Bituminous Paving -Mixtures (rice -density) ASTM'D 2401, dated 11 -22-94. [" ':..�tWWWED*_j Frank Foster = MAILED: I ') ') THIS REPORT APPLIES ONLY TO THE ITEMS TESTED OR REPORTED, AND MAY BE REPRODUCED IN FULL WITH WRITTEN APPROVAL OF AAR TESTING LABORATORIES, INC. Oilld RD* A.A.R TESTING LABORATORY, INC. P.O. BOX 2523 REDMOND, WA. 98073-2523 (206) 881-5812 (206 881-5441 Fax PROJECT: Edmonds Condos MATERIAL: Class B SAMPLED BY: M. Stinar FILE NO.: 94-795 NO.: 509 DATE: 11-22-94 CLIENT: Threefold S , OURCE: Sterling - Kenmore DATIEtAMPLED: 11-21-94 THEORETICAL MAXIMUM SPECIFIC GRAVITY OF BITUMINOUS PAVING MIXTURES (RICE DENSITY) ASTM D 2041 1. Weight of Jar + water 2. Weight sample in air 3. Weight jar + water w/sample 4. Displacement (1+2)-3 5. Specific Gravity 2/4 6. Density 5 x 62.4 TESTED BY: CALCULATED BY: CHECKED BY: TRIAL 1 TRIAL 2 TRIAL 3 2.48 2.49 2.49 155.3 155.6 155.6 (PCF) AVERAGE 2.49 DENSITY SPECIFIC GRAVITY 155.6 C. McBride C. McBride S. Yaghmaie THIS REPORT APPLIES ONLY TO THE ITEMS TESTED AND REPORTED, AND MAY BE REPRODUCED IN FULL WITH WRITTEN APPROVAL OF AAR TESTING LABORATORIES, INC. M -e;D 2 'g2 Test Report No: 7644 A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 .'CLIERT Three Fold Development ATTN ADDRESS 524 132nd St S W, #101 Everett, WA 98204 .. ASF"ALTASTM D20644.j [." TIMEI MATERIAL; 1 1/4 crushed LAYEWTHIC]KNESS*1 vibra. roller 1 FIW 146.. 94-796 Edmonds Condos 21121 77th Pl. W. Edmonds lEngineer., N/A Ar,cf*wA.- ; N/A C*Wi�tot': N/A ow�ar N/A Pem* N a Dde­- 111-18-941 BUILDING NOV 0 1. 1994 .....-TEST SITE'l TEST LOCATIONS.- 3 TES.T, NO L T 25'S. of 70'S hydrant 75' S of 7 sewerconn. transformer -WET DENSITY (PCF) 142.8 141.0 135.0 MOISTURE; c ONTIE 6.9 7.5 5.8 D -DE wc" RY NsIlTy. 133.6 131.2 127.5: LA8'DENSrrY-:' 141.8 ---------- — ----------- COMPACT1 94 92 90 WCIRCATiONREQUIREME" 90 1%1,COMPACTiON-�. 7_60NIFORMANCEP [NON-CON.FoRmANCE: A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 1CLIENT Three Fold Development �*N ADDRESS 524132ndStSW,#101 Everett. WA 98204 SOIL AGGREdATE As'ru x E. f) 45 %t0HALTA$Tt.R �60 MATERK.L;j Asphalt class-B modified LAYER THICKNESS:1 _ 2 inch lift SOUR E� sterling asphalt -Kenmore TYPE OF COMPACTION1 small drum driv. vibra.roller 00-F 1 —1 Test Report No: 7753 AR. NO - 94-795 Datet Edmonds Condos Addr . ess 21121 77th Pl. W. 404 Edmonds N/A ArcMect-,. N/A Coati4ebu: N/A N/A TEST NO NoN cowokmANCELJ LOCATION1 ' TION4 WET DENSITY JPCF) MoiFf5iii-.tONTE �N"'T' ... 4-c-211 DRY DENSrrY tAs oetrryu I COMPACTION.( .--.--.--.coNFoRmANcELJ PECMATIONREQUIREMEq-� 92 [!�.COMPACTION: ----------- ........ CATUM WmAkkti4pecwi 1325 (F) at 3"20 p.m. - pre load la yer. Laid only ., no tests taken. J` *. TESTED 8Y.'j Mike Stinar CALCULATEDBY.1 Mike Stinar I --- I Test Report No: 7754 Q104SITY RE ORT. ':.',NUCLEAR` METHOD A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 :CLIENT' Three Fold Development 'ATTN ADDIRESS .524 132nd St S W, #101 Everett, WA 98204 SOIL. AGGREGATE ASTM 020 ..:TF-MP(F) 34 ASPHALT ASTM Imlow .............. TW18:30arn 'MAT ERIAL: class B(modified) asphalt LAYER:-THICf(NES9., 2 inch lift . .. SOURCE., sterling - Kenmore TYPE OF C;OMPAC---F all dual drum driv. roller -------- -- -------------- ------------ -------------- - -- - ------- -- --- ------- -------------------------------- All tests taken on roadway & parking areas of 77th PL. W. Asphalt info: 9arn - truck #5 - 325(F) & 10arn - truck #20 - 315 (F). TESTED 8Y.*j Mike Stinar 1--*-.,:;.' CALCULATEDBYtj Mike Stinar I .......CHECKED SY.1 A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 CLIENT Three Fold Development ATTN.' ADDMS 524 132nd St S W, #101 Everett, WA 98204 SOIL-AGGREGATIE ASTIVI 020 X EMP (F) 42 ASMALTAM Miqp JIMEJ 7:15 MATERIAL:1 1 1/4 CRUSHED LAYER� THICKNESS: 2 FEET SOURCE1 TYPE OF COMPACTIONI SINGLE DRUM ROLLER 11-2-94 BkDift IVO tt 14 1994 TEST NO �PNW NF9 R"m AN"cEWLA !iVLEVATIVNI WET-IDENSITY (PCF) MOISTUIM C014TE DRY DENSITY... C0MPACTlq!N--.Jq PECWICATION-REQW]REMENJ 95 ]%COMPACTJ tAbNE01 F "REMWED.1 Frank Foster LiLsp I Px ALL REPORTS ARE CONSIDERED CONFIDENTIAL AND ARE THE PROPERTY OF THE Owner..: CLIENT AND A.A.R. TESTING LABORATORY, INC. REPRODUCTION EXCEPT IN FULL, re WITHOUT THE WRITTEN CONSENT OF A.A.R. TESTING LABORATORY, INC. IS BuildfnqDepA, Otih*e'r STRICTLY FORBIDDEN. H-10 Test Report No: 7732 ite No 94-795 Edmonds Condos ddriss 21121 77th Pl. W. Edmonds fk4t. N/A N/A �ridW N/A er N/A 11 T . i . E I L . D-w-DEN , SIT Y - R E . P . 0 . RT- - NUCLEAR METHOD, A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 CLIENT Three Fold Development A'ffN-:' ADDRESS 524 132nd St S W, #101 Everett, WA 98204 SOIL AGGREGATE ASTM D29 P TEMP IF) 44 !. ASPHALT ASTM 0050 I - TIMEI 2:45 MATERIAL: 1 1/4 CRUSHED L-AYER-THICKNESS: 18 INCHES SOURCE! TYPE OlF COMPACTION1 DUAL DRUM VIB. ROLLER PAGE] 1 1 OFj I NOWCONFORMANCe - U LOCAT16N VVET DENS11TY 4PCF) MOISTURE CONTENT t%) DRYDENStTY.( C OM PACT I CON"�� JA PECIMATION REQUIREMEN 95 IWCOMPACTION- u-15 Fite No 94-795 projod Edmonds Condos Address 21121 77th Pl. W. C4 Edmonds N/A N/A Conftadtar N/A or N/A 11-14-94 1�194 Test Report No: 7745 .... I ... ENSITYRE AT-NUCLEARVETHOD. A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881 - 55"l CLIENT Three Fold Development -P%t ADDRESS 524 132nd St S W, #101 Everett, WA 98204 SOIL AGGREGATE ASTM U2922 46 "rimil 9:66 ASPRALTASTM 0"!!p MATERKj.:j 1 1/4 CRUSHED 1. " - - SOURCE' .1 1 1: TYPEOFOOMPAP-TION1 DUAL DRUMMED. ROLLER I .............. TEST NO F7.-_. ---NFORMANCELJ NON :::::L,o ZLEVAT-10M VVIETBENS11TY (PCF) --46ittwe..d. 0 WMNT DRY DENSITY.(PCF) LAODENSMY-(" COMPACTION RECWMATIONREQUIREME" 95 S'COMPACTION //./:5 Test Report No: 7738 a .... ........... OENSITY LFAR-MET"OD A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 CLIENT Three Fold Development ATT N ADOMSS' 524 132nd St S W. #101 Everett, WA 98204 SOIL AGGR EGATE - ASTIVI I TEkP.-.-jFIj 46 ASPHALT-ASTM-CO60 -TIME1 10:30 MATEFAAL: 1 1/4 CRUSHED LAYER THICKNESS: 12 INCHES SOURCE: TYPE. OF COMPACTION1 DUAL VIB. DRUM ROLLER kdtj 1 1 001 1 1 Fite No 94-795 1-10-941 prol . W... Edmonds Condos Addms . 21121 77th Pl. W. Edmonds NIA N/A ConUactor N/A N/A Penilft No 'TEST SITE fTEST. LOCATI.ONS".. 2 3 Tpst- No 50'N OF at intersection 75'N OF AT GRADE of of WIET DENSI TY (PCF) 143.3 143.5 145.1 MOISTURE CONTENT 5.3 5.4 5.7 DRY VENS11TY. OTF) 136.1 137.2 MY (PC*) 141 8 (cD- 5.8 of PACT12�!N 96 96 ::1 E== ............ TEST NO CONFO"��E < VVIET DENSIITY (PC9 MOISTURE C04TENT [my CENT171( 1.1 'LAS VENSITY-A"- FR6�PNFO" _ COMPACTIONJ �ATIONIRJEQUIREM&� 95 S.CbMPACTION ......... ... TESTS TAKEN - FOR PROPOSED ROAD EXPANSION APPROX. 12 INCHES FROM CURB 8, GUTTER. ALL TESTS LOCATED IN RELATION TO INTERSECTION OF 212TH S.W. & 77TH PLACE. 1 -.1 ... tt� #V-] MIKE STINAR I-*'*'-'- CALCULATEI)SY:1 M. STINAR I _CHECKED iml - --------------------- --- j:***tkVc copies::-Twl mtotwt6:1 Frank Foster J.-YES ALL REPORTS ARE CONSIDERED CONFIDENTIAL AND ARE THE PROPERTY OF THE CLIENT AND A.A.R. TESTING LABORATORY, INC. REPRODUCTION EXCEPT IN FULL, Owner Engiow WITHOUT THE WRITTEN CONSENT OF A.A.R. TESTING LABORATORY, INC. IS R &Aiding Dept. or STRICTLY FORBIDDEN. //-/S Test Report No: 7749 A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (206) 881- 5812 REDMOND, WA 98073 FAX: (206) 881- 5441 CLIENT Three Fold Development .ATTN ADORESS; 524 132nd St S W. #101 Everett, WA 98204 �4 0.20-m 1 1/4 crushed L . AYER N11b](NESS: 18 inches SOURCF—,l TYPE OF COMPACTION1 sinqle drum roller File No:...',' 94 -795 111- 1 5-� T.ro xt Edmonds Condos Addms 21121 77th Pl. W. .City Edmonds Engkieer* N/A Arichitect C*Wactor . N/A N/A 1994 ,.Owner N/A 1 2 3 4 5 east side of roadway along curbline ------------- — at*sub base ----------- ---- MM ------ ------ M ---- 143.5 144.8 144.0 146.0 145.7 7.0 6. 0 6.7 -5.8 6.7 134.1 135.0 .137.8 136.6 141.8 5.8 7—. ----------- - I --------- 96 95 97 LocATiom ILWAT-tc;M WET DENSITY (Fpmkc ............. Molif DRYDENSrTY:(PCF) Zia oewit* COMPACTION iE�6 7_�S MOISTURE/I)ENSM RELATIONSBM3 ASTM D1557 ASTM D698 11 E-71jM^-A, e,*.Aj6rAWV%IL?OA ......... Performed By: cw�-- Project Name: .... ... ........................ Reviewed By: 75L AAR Job Nio: ......... Ty 21 �� ...................................................... Date Tested: ..... /0. . ................................................. IHSClient .. ........ ....... . ............................... Sample ........................ SamnleDate: ...... ................................................. 1 11 , , !t ��p5a.Ld .................................................... j. Sample Location:.� Sample Lab. No: ........ t-i 2-A ............................. Max. Dry Density: ........ ...................... j.; --optimum Moisture . ........................................... . . ........ I, V Natural Moisture: ............................................ 110 et ,-% 105 113 100 80 5 20 25 30 35 40 Moisture COUteUt % �"nrrftml nf AAR 71is report applies only co trie tEernks) Ltniwu, ­­ ,L4LY prOFO= Revisod Scpt. 94 AAR T=--=TING LAE30RATORY, INC. 10 —0� e -" -, 'Is Z3 4F -, -j wr PROJECT .1 ....... PROJ. # CONTRACTOR .......................................... DATE.7Jx4'L.­-T ................... WORKERS ON SITE ......................................................................... EQUIPMENT ON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) .......................................................... 0 I A?. v ---. . W. ..v L4� �- o ............ 0 ..................................... A� IV o jvp4:.4q74.' ........................... o ............. o .............. .. ..................................................................................... 1.0 z fr A— 2. 12 '04— c �rl . -re . ............... o ................................... bl. poor. . tpllst' , p COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ FOLLOW—UP TESTING ....................................................................... ....................... ...... .................................................. o CITY REPRESENTATIVE ............ DATE/TIME . .................... PROJLOG/TXTFORMS 'V eri' PROJECT .7*.*T. I "�� Z .... PROJ. # ............................. CONTRACTOR .......................................... DATEO.c&e.-e.'00� ................ WORKERSON SITE ......................................................................... EQUIPMENTON SITE ....................................................................... WEATHER ........................... TEMPERATURE ........................................ DAILY ACTIVITY (A.M./P.M.) ............................................................. ge, & wt*. v. .. v p . . ...... ................ 409-.11 ...... o "lo.oll, oll, "l000 COMMENTS (CONVERSATIONS, FIELD PROBLEMS) ................................................ ....................................................... FOLLOW-UP TESTING ....................................................................... ........................................................................................ CITY REPRESENTATIVE 19744�� .............. DATE/TIME. PROJLOG/TXTFORMS It. 0000-1*4-,11- ", 8 --AN=— C� C3 9 0 - 1 9 Citv df Edmonds RIGHT-OF-i�,W CONSTRUCTION' --., i� :�- SIV^ . J nrc I" FILEPERMIT Permit Number. z_` b;sue Date: A. Address or Vicinity of Construction: 21109 77 Pl W (9421i761 B. Type of Work (be specific): Install a 2" Plastic IP Main in 77 Pl W f rom 133' to 301N monument line of 212 St SW at 434'W centerline of 76.Av W. C. Contractor: Washington Natural Gas Company Contact: Frank Swan MailingAddress: 815 Mercer St, Seatt&k. WA Phone: 224-2278 State License #: 96111 Liability Insurance: . _ Bond:$ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): b' E. n Commercial E] Subdivision El City Project [N Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family 0 Single Family E] Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : N Yes []No G. Size of Cut: I ( 2 x 4) H. Chargq�_$ **To renew permit that expiced 9-26-94 1(jP x 10) APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hp i e City of Edmonds harmtless�"bi��i�g,,i,'.I�Mages, or claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made agat t the City ofEdmonds, or an�'4 its departments or employees, inel ng or not limited to , the defense of any legal proceedings including defense cosfs, and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS Fqlfi—A)�WD OF ONE YEAR F(rL HE FINAL INS %Mw-, PEC7105N AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD uNTIL THE I ALS ET PA TCH IS COMPLETED BY CITY FORCES, A T WHICH T 211E A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of prop( Zrk-re`oifedj�y�,th -- rmiflap-plibation. q e ngineeri A 24 hour notice is required for inspection; Pleas V a0Vtli ^1 ng DIP$lSibri,-1-7�N220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be available on site at all for inspVction purposes. Signature: MA �- Date: September 28, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: yu C"H RIGHT OF WAY DEPOSIT TIME AUTHORIZED': VOID AFTER WOV 30 DAYS DISRUPTION FEE/FUND Ill: SPECIAL CONDITIONS: -0 ):rAC-T KJQ6L- RESTORATION FEE: -MiL-Lr=iZ. clTy PU13LiL W0410 :WiOEJ-2-� PERMIT FEE': -VJHVFN HOL-IF-5 oPEN FaR- HIS TOTALI,FE9:'— 0, PF-Rst)NAi— COMMENTS: 11!SF- ^try --e-joE TicAFF'1C. RECEIPT FEE: Pi- A i\,/ (W6 W- K F790,11 Cf -A M —3 PA1 0 M Ly- 0( ISSUED BY: Z�A 'e�� DATE: NO WORK SHALL BEGIN,,. PRIOR TO PERMIT I.SSUANCE Eng�g. Div. 1991 FIELD INSPECTION NOTES Comments: I Diagram.: (Fund 111 - Route copy to Street Dept.) fI CONTRACTOR CALLED FOR INSPECTION YES NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: D ate: Ru5nc MANOK CONOO. 7 lim 1.97 M r" EX15TING CONTOUR5 FROF05EI) CONTOUR5 PLOT PLAN ACCE55 EA5EMENT ort.h )0. I P 1-11 I= * I- .,CONSTRUCTION CITY OF EDMONDS PERMIT APPLICATIO M01111111111, PERMIT -h,j g. t/ NUMBER eq JOB SUITE/APT AUUHtSS, ,20,5' OWNER NAME/NAME OF BUSINESS livt 7— e- I! � e5 LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. M uj Z 3: 0 1 MAILING ADDRESS V>0 T 4;� 2- M2 O'� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — REQUIRED DEDICATION PROPOSED TESCP Approved 13 RW Permit Required 0 Street Use Permit Req*d 0 Inspection Required 0 Sidewalk Required 0 I 0 Z CITY ZI P 1?0 Tl��e-- TELEPHONE NUMBER. LU L) W NAME w .... REMIA KS M Uj Z ADDRESS A) Z CITY ZW-7PHONE NUMBER NAMk 0 8 ENGINEERING MEMO DATED REVIEW BY ADDRESS .57:22q— �,3F, "'i'L/o/ METER SIZE ING SUPPLY SIZE NO. 7 OF FIXTURES cc W ZIP IZ '?a TELEPMEUMB -,? �f to REMARKS 3. STATE LICENSE NUMBER EXPIRATION DATE n b u SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT ADS NO. Legal Description of Property - include all easements Z EXP SHORELINE 0 L) W VARIANCE OR CU PLANNING REVIEW BY DATE Lu w-j SETBACKS — FEET FRONT SIDE REAR HEIGHT jL6T COVERAGE Z Z <. Property.- .34xAccount Parcel No. (�O) 6)co ry�y) -5 REMARKS 0. NEW R"RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL 4�41U REMODEL 1:1 APT.BLDG. El SIGN EC D BY TYPE OF CON I STRUCTION J�ODE I f —)Z=� 22 0 'Fa") A & HEIGHT R�PAIR [] GRAOING CY'S. FENCE X_FT) VZDEMOLISH WOODSTOVE SWIM POOL INSERT HOT TLIB/SPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL SPECIAL INSPECTOR REQUIRED CIYES AREA OCCUPAINCV- GROUP OCCUPAN LOAD REMARKS PROGRESS INSPECTIONS PER UBC 305 Z (TYPE OF 1�;E. BUSINESS 0 A IVI Y) to rn NUMBER OF STORIES N E ER OF UM U M UJI co 0 L 7DWE ING W LL, UN IT DESCRIBE WQRK-TQ BE DONE (ATTACH PLOT PLAN) ek*c,0��' ey /-S 7 HO 4-Ae FINAL INSPECTION REQUIRED OC) VALUATION FEE CK FEE HEAT SOURCE: GLAZING PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE 'Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold 2 harmless the City of Edmonds, Washington, its officials, m 0 x 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 modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinan c e provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE xv� 66' �21(0- 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 APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance. I NSPECTION acknowledged in space provided. SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT AA� o/ — CITY OF OFFIGIAJ'S SIGNATURE TE EDMONDS KAI*10�— Al2- 7,42, CALLIFOR !�IELEFA DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC CHAPTER 3. PINK — Owner GOLD — Assessor 102-87 ..'USTREETHLE 131-T-YoF EDMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT # ADDRESS 0WNEa.UAME/NAME OEAUSINESS / il LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. UJ MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0 _4­11 2oY 01 1-) 7­*,5-Z & k�_) y CITY ZIP It TELEPHONE NUMBER EXISTING REQUIRED DEDICATION PROPOSE RW Permit Require, Street Use Permit Req�cl' Inspection Required NAME Sidewalk Required REMARKS a: Lu LU W Z ADDRESS 0 Z W cr < CITY ZlF--7FH—ONE NUMBER NAME ENGINEERING MEMO DATED REVIEW BY ADDRESS . r 612 el�; 2 /fz_c> V— 1,7A 4.0 lin METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES W T ZIP - TELEPHONE NUMBER 2F()�,? 6, REMARKS STA� LICENSE NUMBER. EXPIRATION DATE r) SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT ADS N9.,1 Legal Description of Property - include all easements Z SHORELINE 0 EXP`;.1 VARIANCE OR(CU) P�,ANNING REVIEW BY I E '71- w- SETBACKS —FEPT FRONT SIDE HEIGHT, LbT, V�RAGE/, X, Z Z Z Property REAR REMARKS Tax Account Parcel No. 69�11,3 1:1 1:1 NEW RESIDENTIAL PLUMBING FIADDITION 0 COMMERCIAL MECHANICAL EIREMODEL r'71 APT. BLDG. El Licil SIGN CHECKED BY TYPE OF CgINSTRUCTION CODE 1 ezePA 6/ HEIGHT REPAIR CYOS. FENCE FT) 1— DEMOLISH WOODSTOVE SWIM POOL INSERT HOT TUB/SPA SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD FGARAGE RETAINING WALL/ � C E] RENEWAL ;!!�/ REMARKS PROGRESS INSPECTIONS PER UBC 306 Z 0 ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF STORIES NUMBER OF '500p(bell 714-w�07-01VOW644OV16 1:0 u a DWELLING 1114"y- to UNITS DESCRIBE WORK TO BE PLOT PLAN) DONE I ATTACH FINAL INSPECTION REOUIRED C) VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING PLUMBING Plan Che k No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewolks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. �Permit Application: 180 Days F ermlt Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns an d ENG. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold d 21 harmless the City of Edmonds, Washington, Its officials, s m employees, and agents from any and all claims for damages of 0 Cr < whatever nature, arising directly or indirectly from the issuance C e of this permit. Issuance of this permit shall not be deemed to 1 0 PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance e TOTAL AMOUNT DUE 0 X nor limit in any way the City's ability to enforce any ordinan ce c IS provision." I hereby acknowledge that I have read this application; that the 11 information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL ly authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES T his application is not a permit until . ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance. INSPECTION acknowledged in space provided. 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I .,t. , �, ,�� &A 5 2- & 10 < ACCE55 EASmE���`� UTILITY EAsmr--NT wL_ c� 10 4- .9 ImIx O'CUT OYr:R F113F-R OPTICS VALVE. 2.' tiV Iq, N 7- 2:1 d s T. -2.1 R fOE-W ''T I _.A :v. u st�r, war, I(— ov "A f'14 -P) I P 15"S'Cr P) E, Ip M-'s (c No. J 3-77 1 q 5 1-7 j 3,7 -7 'vS,t D I- WA C) xi Li I 09 2!, SERVICE TEE 4- 3 1-' \,f t -7 G A V W I +' 5 4-1 2! PE CAP FIELO LOCATE PROP 2:' PE IP MA)N FIGLO LOCATra 2-" 1PE CURB VAL F19,LD LOCAT,E" .2:* TRANSITION FI TJ N(r 4- 3 4-' V/ L -7 (o AV I)- ST I NOTES:. EDMONDS. .1.) FIELD LOCATE ALL UTILITIES CALL 1"800-424-5555 48 HOURS BEFORE DIGGING 2. INSTALL LOCATING WIRE OVER ALL PE DIRECT�BURIAL PIPE 3.) INSTALL A ONE POUND ANODE FOR EVERY 10001 OF, LOCATING WIRE- 4.) SURVEY IS NOT REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 31 VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.). CUTS IN PAVINGIARE SHOWNAS.IE�_ 7.) CUTS ANT. ICIPATED 8.) -COMPLETE EXPOSED PIPE CONDITION ..REPORT WNG FORM 0563.13 (D-1) 10 1 2- PE Cl A, ff 52�- (.5-0 -70 ROAP VALVE 3OX 50 T J30,K -7(o-13-7-7 2" VALVE SUPPC-',)F� 1 2-" Pl� CUR13 VALVE 5(o- 2 (a 0 1 TE ST LE A 1:�, BOX (2- VVJ R r= 570- 3 0 -7 LF-AD Wlf�a 30 -NON Bo(?-- J- T8ANSI F1 78 3 1 2:' SERVIC-E TE-F- H /7S-O/ 76-7) 1 I 60C -?�' J+ &Au&-E DETE(ZT Wll�E 85- cl +0: I l(,00_nD__R-11 PE PIPE 70- 2-GO ITEM I OUANT. DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: Fomom)s 1/4SEC: PLAT: OP MAP: AREA: ) 1 -7 W TAX CODE: "ngton r tU I ra SEQ. NO: AWbsI*q D.G.R: RUSH 2-" 5 DR-)) PE-IP MAIN EXT. TO', 2.1log 77 PL RR DWN: D, wusiqF_rq5 IR W+3-3 B 94- J013 9q-2/77(o NO DFSCRIPTION DATE BY APP-D CHKD:�_F, DRAWING A I cli-2- I _� -7 (o nr-.VlqlONR P,(,AIF' 1"- 50" APP.Z,.- Ld 2_` ACCE55 UTILITY EASMENT c� kn Ix lo' CUT OVP_R I-IBER OPTICS 41 A-rl-= R. VA LVfE. Z, V� f, N iql 60, f,:A R AAI t r=, c (�s T\W- I p I vs cr) J - A77 jq5 cr 15 F­T�, to 4- .3 2 Ex,(;'5T\,V I P I5r*'S'(cP) . mto eammmmmomm d - 377 VillE i, �44. P�., 2!1 5ERVICE TF_F_ 4-34-'W f- -7(.'* AV W 5 2-12- 5-r S Z FIE CAP FIELO LOCATE P R 0 R 2:' P E FIELO LOCA v1A) N Z' PE CUP\8 VALVE FIE LD LOCATE'L AN S ITI ON FI, L TIN 4-34-' V/ L, -7(o 'AV W 12- ST SW NO. NOTES:':: EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1;--800-424-5555 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL A ONE POUND ANODE FOR EVERY 1000'.OFLOCATING WIRE 4.) SURVEY IS NOT REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY .UTILITIES AND APPURTENANCES 6.) CUTS IN PAVINGIARE SHOWN AS.-E3- 7.) CUTS ANTICIPATED -COMPLETE EXPOSED PIPE CONDITION. REPORT WNG FORM 0563.13 (D-1) 10 1 2 PE CA I- 5274,5_0 Rc)AID VALVO f3c*>>< 50-3-70 1 2" VALVE 5UF1-C_)FK-r 130�< 7(o-8-7-1 7 1 2" Pff CUR13 VALVE Ro-ZGO 6 1 TE-ST LEAL:;, BOX (ZW1Rr=) 5-0- 3 0 -7 5 /0 TEST LF-AD Wlr-�F_ 3jr- q 50 A- Tf�ANSIT/ON FIT2:L C,- 7B- Boo 3 1 2:' S.ERVIC-E TF-F- H /7S-O/ 76 - ii I 60C ;/t I+ 6-AU(,E L)ETE(ZT WII�E +0: 1600 f'SDP,-I1 PE PIPE 70-2-GO, ITEM I QUANT. DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: EDmoNos 1/4 SEC: S E,:, 19 -2-7-1- PLAT: 1(,3. Gcj OP MAP: I (,o, (oB WashMgWn — - Natural Gas AWtz�bn[nerWGmxvW AREA: ) 1-7 TAX CODE: SEQ, NO: D.G.R: RU 5 H 1-1-91- 2-" 5DR-)) PE-1P MAIN EXT TO: 2.1log -77 PL W DWN: D. WU Es 8F- N s ROA IF I" - jr0 B 94- APP. IR 60+3-.3 RR JOB 9+21 17 7(o DESCRIPTION DATE By APP-D I)RAWING A c1+2_1_7-7G I 1XI nFVIqIONq )j 00 2-" ACCE55 EA5MENT UTILITY EASMENT ilk In c� 13 tn 10 CL 4 ImIX 0' CUT ovER Fi tlf-R OPTI CS -- -------- ---- V= a) 7' W. A yy , qN-a 7- T' d S 0 c� 13 tn 10 CL 4 ImIX 0' CUT ovER Fi tlf-R OPTI CS -- -------- ---- V= a) 7' W. A yy , qN-a 7- T' d S 0 . . . . . . . . . . 2:'. c (�S�Fw- I p )vs (cp) E, 0 tr cr x U, SOIL- 9011. Fx.(;'5T\,V IP I!;'-S'(cP) J 3-77 77- 2:1 SERVICE TEE 4.3 IV' W t -7 G " A V W I q.' 5 IMI 2-1 -L -5-r -S Z" PE CAP FIELD LOCATE 040 1 A411" 5 01> Cc OF c w PROP, 2:' PE IF MAIN F =L0 LOCATe I r 2-" 1PE CURB VALVE FIELD LOCATE TRANSITION FI�TIN& 4- 3 V W L -7 (o * AV ;13' S rLi ST NO. I NOTES:". EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1"800-424-5555 * 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PS DIRECTmBURXAL PIPE 3.) INSTALL A ONE'POUND ANODE FOR .EVERY -10001.OFLOCATING WIRE 4.) SURVEY IS NOT REQUIRED .5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 31 VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) CUTS IN PAVING)ARE SHOWN AS--B- 7.) CUTS ANTICIPATED 8.) -COMPLETE EXPOSED PIPE CONDITION ..R&PORT WNG FORM #563.13 (D-1): 10 1 2- PE cz A 1- (.5-0 I ROAID VALVe 130>< 5Cr-3-70 1 2" VALVE SUPPC.)KT 130�< -7(o- 8 -7 -7 1 2" PZ CURO VALVE Ro-21(60 1 TE sr I-EAL:;, BOX (2- VVIRE -F lo' /0 TES LEAD 1,VIRa q 50 TAANSI-r/ON FI-TTI 6- 76- Boo I c r, P k I Ir r: --r r- 1-7C-/,, I J I -I I 60C ;?'�' I+ 6-AU(,E DETE(ZT WII�L- 815- cl +0: I I(Sool "SDR-11 PE PIPE 70- 2-GO 11TEM I QUANT. I DESCRIPTION I STOCK NO. BILL OF MATERIAL PERMITS: EDmoNos 1/4SEC: PLAT: 1(.3. Gg OP MAP: 1 (00. (OB AREA: ) 1 -7 W TAX CODE: NO: Natural Gas AVvbJ*iq1cnErerWConj3ay RU 5 H 1-1-91$ 2"' SDR -) J PE-1P MAIN EXT. TO: 2.1109 77 PL W DWN: D, Wu 6 8F- N s B 94- IR 60+3-.3 RR -� 0 �,M I,, DESCRIPTION DATE 13Y APP-D CtIK'D: 4;7_ JOB 9+2_177G tt DRAWING oe cl 1-2— 1 ­7 -7 (a nFVIP?-101NR SGAI P APP: