21117 SHELL VALLEY RD.PDFiiiiii iiiiiiii
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21117 SHELL
VALLEY RD
0 0
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: lo
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORTPLAT
SIDE SEWER AS BUILT DATED: of
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DA:
OTHER:
LID
LOT: BLOCK:
LATEMPOSTsTomiAStrect File Checklist.doc
CITY of EDMfNDS Se)E SEWER PERMIT
STREET ILE- P
For Inspection Call 77'1-320 F ERMIT NO. 07682
Address of Construction: e_ N)00\t11
Property Legal Description (Include all�easemenits): LOT 6, Bloek S-
Vo�vrne 7'
,ql Xle WE � o b /A 6 noy-
Owner and/or Builder:
5 EDMON
Contractor & License No: _� ,, ow /0,7- ITDCArhAr-&E� 7
Single Family Residence
Mul ti - Family (No. of Units
Commercial (No. of fixture Units PUBLIC JWVRfz
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.)
PLEASE READ THE ITEMS LISTED ON THE BACK
41- ZZ - 0
I c4rtify that I-hav&-r-ead and shall comply Date
with the items listed on the back.
Permit Fee: W.00
Issued By:
Trunk . Charge: 2,5_-00
Date Issued:
Assessment Fee:
Receipt No.:
Partiai" Inspection:
Comments
Date Initial
Final Inspection Approved: 4-2-i-s
7
R,
Date -Initial
co
Rejected:
CD
Reason
Date Initial
PERMIT MUST
BE POSTED ON JOB SITE
White Copy File Green
Copy -,Inspector
Buff,Copy Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - -----------------------------------------
NEW CONSTRUCTION REPAIRS 0 LID NO - ------------------ - ASMT. NO . ..................
OWNER .... ------------------------------------------------------------------------- ....... --------- CONTRACTOR GAS ----- C�Q-N!ZM ----- ------------------------------------- PERMIT NO.
JOB ADDRESS 211-177 ..... S-RIP-LL-VAd-Le-n ------ P-m— LEGAL DESCRIPTION: LOT NO - ------- (0 ......................... BLOCK NO. -.5- ----------------------------
-------------------------------------------------------------------------------------------------
NAMEOF ADDITION .................................................................................. ----------
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MEMO TO: Build-ing 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.
Is
STANDARD DRAINAGE PLAN
C ATC�4 5 A,5 I M:
xrM 0 1 S,30 (0 k
"UAL)
7
J4"",L
4! -n&�&u WE: -
4PEF'r PIPW 0'
-rr=E: 'W/ 4'LONG LEGS
TXrP4CW LWNGTH
. ..........
LrVrL T)MNC_N
CAP
SYSTEM CROSS-SECTION
MIP,Affl soox
/-,c7 r=k- i—r
TO 15FF_� LAYED �
"TP,Et-C" COVER
3/4'- 0/2." WAS14ED
GPAVEI
,4!DIAM FrE;ZF P
LS I _e __j
TRENCH CROSS-SECTION
IN
rg .
iDC'T 2 3 W
INFILTRATION SYSTEM
PAGE I OF 2
for S-4-S
locationAll') S9011 VO&W lb
plan by J'Oh"W%
phone )7T-080�
date- /a -;t3 - 8&
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).
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CITY OF EDMONDS
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0 ADDITION
El RETIREMENT
STREL"T FILE
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
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PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO. Zzt/,
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ESTIMATED LIFE C--�
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DATE
PROJECT NUMBER ItAz�,:�24�z
PROJECT COMPLETION DATE
COST
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
0 XDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
INITIAL
VERIFIED BY
PROCESSED
BATCH NO. -
PROM= REVIEW CHECKLIE
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4.1 1
DATE: 'D - '2- 1 - 7 ')
MFIMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT: 7-111:3 — :!�,
After review of the subject building permit application, we have
the following comments:
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PUBLIC WORKS DEPARI�EXCKLIST
BUILDRU PERmIT REvT-Ew 9,M:3 d&L4 a
(address) I (date) 31
Street Right -of -Way Existin���...�REQD
Z
H
I
Access Easements Exist*
-
pd
Utility Easement Existi
Lot Per Subdivision J��-��Plat
Assessor
Site Plan Checked for Accuracy
Z
Underground 14irixig Reqd.
70
Check Accuracy of Legal DesCrIption
Z
Review by
IF e -ff
Existing Water Main Size 7L
Water Main Required A11A
Service Line Required 3A
Hydrant Size Exist*
U'19—. — 6-
sn4
Hydrant Reqd Per Fire Code
Size
Detector Check �leter Reqd. A11A
Cross Connection Inspection
Fire Department Conrnents
Water Yeter Charge Reqd. L
-A P- ��,
Review by
Date F- lel- 7
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
Proj AC2
Drm,-ing No. I= 7ce
File No.
Side Sewer Availability
A& -
Sanitary Sewer Connection Fee Reqd. Ag)
:3:
Review by_
Date 4V-
Open Ditch Existing
Reqd.
Culvert Reqd. - Qa&"-
— Size-
c4
Catch Basin Reqd. 4.1
Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd. A—/,ft,4
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by.
op" W.-UMCM4
Datd�por
Revised: 1vl0-1977
Page 2
Street Paving Reqd. Aft -
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Req
cd Right -of -Way Construction Permit Reqd.
-
Bond Reqd. for Public Improvements kv7,j,.-
Street Name Sign Reqd. &&
Other Signing Reqd. _ Al Ay
P, Pre Permit Site Inspection made an
z
0
" BY: SEER
WATER
H z STREET
H
ENGINEERING
Special Requirements listed in mem to Commmity Development Department,
Building Division
BY Date
o All iten-s'filled in on Building Permit Application
BY Date
Drawings Stamped and Notations Made
BY Date
Approved by Public Works Department
Favised: lv 10-1977