21814 82ND AVE W (2).PDF111111111111
7597
21814 82ND AVE W
CITY OF EDMONDS ASSET INFORMATION -SHEET
F,,-INEW ASSET NO. 0 0 2-
AN. 12 ra
ww- FIADDITION STFIEUEum TO ASSET NO.
11 RETIREMENT
DESCRIPTION
W4 ry f2 v c-, I
SERIAL NO.
LOCATION DEPT. NO.
&2 F -�;- e-3
*PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE -6- -3
COST - --�;-3 '3�
B.A.R.S. ACCOUNT NO. 3 q �7
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SLIBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
VERIFIED BY
PROCESSED
BATCH NO. -
G.L. ENTRY
REFERENCE DATE
till
INITIAL
Mp)
DEPARTMENT FILE
CITY OF EDMONDS
FOR INSPECTION CALL O-Wermit HGO 0 0 Q
P
I U
PUBLIC WORKS DEPAR 775-2525 Ext. 220
,DE SEWER PERMIT ^Mrr%rmrm;s ,,Ipgue Date
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction
2. Property Legal Description (include all, easements)
70_�Au*s puln�6evaseL -
3. Sirigle Family Residence le-"�'Multi-Family No. of Units
Commercial
4. Owner amd/or�,:_Bui�-1-der OA Rote 6§-+
5. Contractor & License No. R
6. Invasion into City Right -of -Way No A,,,,"Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No Easemen ff9CV1,rM,-
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
D i r. �t I-P Uil"e5o
a. Property owners -must obtain a permit to in stall side sewers on
their property. A licensed side sewer contractor must be ernployed to
M construct side sewers in.the public' right-of-way.
0
W b. The side seVer contractor assumes full reponsibility for each,
E-4 installation for one year.
r4
4 C. Commercial establishment requires a minimum ofCAUi48iflWRS)
�14
side sewer line.
d. Side sewers may not be installed closer than RmfixoUDIGO-)
to any structure. I - 100 ;§2
e. Side sewer lines must be laid at a minimum grade oF M76o)
and maximum grade of 100% (450).
f. No turn in side s8wer greater than 450 (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.
i— i A
DATE:
I certify that I have read
an, sha -comply With the above
J
PERMIT FEE: DISAPPROVED BY: Date:
F-4 Ck 7,5, 0 By: Date:
CONNECTION FEt: APPROVED By Date:
PERMIT MUST BE POSTED ON JOB SITE
The City of Edmonds Side Sewer Drawing EASEMENT No - ----------------- --------------------------
NEW CONSTRUCTION REPAIRS LID NO - ---------- ------- - AsMT. NO - ------------------
OWNER ------------ I
---------------------------------------- CONTRACTOR ----- V& ... # ...... ---- PERMIT NO- ZM40440-
JOB ADDRESS --- !Zt-fta.44 ... ......... LEGAL DESCRIPTION: LOT NO - ------------ ----------- --------- BLOCK NO - ------------------------------------
NAhlE OF ADDITION ......... -- - ------ --------------------------
Approved:
PWW-0001-11/75(REV.11178) DATE ............................................ By ..............
Sid6 Sbwer Dr'akW!ng
bf rEdrnonids
4�
..........
EASEMENT NO.
............... ......... .
NEW CONSTRUCTION P
LEPAIRS, LID.NO . ...........
............................... — CONTRACTOR,
PERMIT NO.
--4:AJOB ADDRESS
tW --------------- LEGAL DESCRIPTION: LOT NO . ............
..................... BL13CX NO .. ............
..............
.........................................................................
.................................. -------
NAME OF ADDITION ........
. . ..............
PWW-0001-11/75(REV.11/78)
ic
savv;c-e- '.
L
'4
Ap proved:
DATE .. ... .............. B
-144-2� - - - ---------
0-
4*"� m. - -
as rw
4-IS-80
CROSS -INDEX AND REVI,
INITIATI144m ACTION-V-31-86 DATE S-Z7-AC MsE oF
OWNF-R NAME,', Tqme 5 Pe yl- -e e
ADDRESS: j)_Zq_5-1sr N,C-.
5 eq W-e- , pi.4 6 Ids -
APPLICANT NAM'E:
ADDRESS:
SITE LOCATION OK AODKESS' SIS if a2 �L-D AVE.. W.
7- ONE%., W.4 790,40
LEdAL DE$CftlVTf0J4: �S J-esse�
ATTACHED
TYPE OF
ACTION
1) 1 V.
R E C'D.
DATE
>
V)
to
t-
w
cc
_-Z-As
A
c4-
-4,
7
-
x
14
TaR-
MEETING*
PAT F.,
ItF-suiLrs
1.
FILED
IN
UJ
4c
Z
17"
a
ww
NEXT
MEET1146
DATE
SET
a
'
Z'
L
I
V)
w
a
-1
L
14
-
a
x[o
7 -go
DATE TO
NOTE S
DATi 89yu.
A SSi HBO
DATE To
NOT S
DATE BY
ENGINEERING-
REVIEW5 ........ ... 7
W.
CL
PREVIOUS HISTORY
)�
-2i
�P-o'j
No Flk L
Poo
SITE REVIEW VISIT
.7-8-80
PIP&A-p,
" Oki,-
'e'dw
UT IL I -TIE 5
K,
I I
_8_2�v
Poo
PRAINA4EITOP-0,6RAPHY
X
I -S�C,
IROW
f
srREErs/SIDRWALKS
TRAFFIC/PARKIN6
ATONING CODE
FIRE MARSHAL
FILF
oo e4
jr "o
Q de e- o
C9�
t I N,
a
CITY OF EDMONDS
BOARD OF ADJUSTMENT
APPLICATION FOR VARIANCE
FqV / �- ' -3 /- e) 0 -
DATE S' _07-90-
FEE
RECT
,Q 7 0'7
APO'S
HEARING DATE:
APPLICANT ADDRE S S S1 �� Al- 15,
CITY K ZIP-, PHONE,
INDICATE TYPE OR DEGREE,OF INTEREST IN PROPERTY 0WIt&L"
LOCATION OR ADDRESS OF.PROPERTY �'4,9111 e7hd
LEGAL DESCRIPTION OF PROPERTY 10Z,3_ 112bnglezvs
VARIANCE REQUESTED:
rp 6 U / lely .�e lido
FOR OFFICE USE ONLY
USE ZONE:
ZONING ORDINANCE REQUIREMENT:
1%
�_C/ul DIJS
STATE OF WASHINGTON) ss.
COUNTY OF SNMOOM-I-SH)
frAwt
ignature of Applicant,, Owner, or
Representative
On this date, before me, the undersigned, a Notary Public in and for the State
of Washington, duly commissioned and sworn, personally appeared��in)es loteent
who, being duly sworn, on his/heT oath deposes and'says that (s)he has prepared
and read the aetached statements and'has,acknowledged to me that the recititations
.contained therein are true, and has signed this instrument as his/her free and
voluntary act and deed for the purposes therein ntioned.
Subscribed and sworn to before me this day of �.&Ze
19
Notary Public �n and for the State of Washington,
residing at -7 _,2��REC;;IXZL
S E P 4 19$0'
Dir. Of Public Work��
DECLARATIONS OF APPLICANT
Please answer all questions
What are the physical characteristics, (i.e. topography, shape
of lot, etc.) which create a hardship for you in regard to
development of your property?
zo
whe'q toe, 1)Urtkafe"I
2. How does your property differ from other property in the same
vicinity?
clr,e a 71 7�k
- 3. Will this variance be detrimental to the public or damaging to
0 other property or improvements in the vicinity?
-le llhl�-
fhll,l,,,l liela 1-41 1,�eze,:�fe /X�
Les z�h 11LP Y1II,,,;oy1'74
4. What hardships will result to you if the variance is not granted?
Will these hardships have been caused by your own action?
r/U , /1' �' 4, -c e- lk�
LI
&e�2ZIR4"w
u,.&.r 1%1,.e- a444
5. Can you make reasonable use-of,your property without the variance?
Vls. howe"z-1 d- lelle,4,, 12e 74 Ari�-
I-ed 7%2 &�12e' Z)/ 7��I Ah�o zz
hagse
61,
V-175-19A
cl�*A
114
..... . .. ...........
...........
..........
..........
..............
. ...........
..... .. . . ..........
..... .....
. ........ ..
.......... ....... .... ....
... ... ........
... .......
..............
.............
..............
..............
............ .... ...
.. ......... .
..............
lee e--�
C'-'
... . ....... ......
aria . . . . . . . ... .
(0, FD* o-,
OD-0
51-a lc� Yj
...... .... .. ...
ell
06BLIC WORKS DEPARIT,0qT CHECKLIST
BUILDING PER= REVIEW' STREET
MLE1 Ir
(address (date)
U
Street Right-of-14ay Existing,
REQD]E�i�
Z
Access Easements Existing
REQD
1-4
41�
Utility Easement Existing
_REQD�_
Lot Per Subdivision Plat Assessor �lap
Site Plan Checked for Accuracy
Z
Underground 1�iring Reqd.
U
Check Accuracy of Legal DescripKM' C:::!� I
Z
Review by
Date-
W
Existing Water Main Size in
Water Main Required
Service Line Required
Hydrant Size Existing
P�
Hydrant Reqd Per -Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department ConTivents
1
Water M--ter Charge Reqd.—
Review by
Date
Septic Tank Design Approved
Date
Septic Tank. Permit Reqd
Permit No.
Sanitary Sewer Availabili,
Proj.,
Drawing No.
File No.
Side Sewer Availability 2:-T
Sanitary Sewer- ection Fee Reqd.
�3:
Review Z7 rl_�
Date
Open Ditch Existing 2 2
eqd. -SOP
Culvert Reqd._
Size 4�
1:4
Catch Basin Reqd.-
Indic Ngk Site Plan
-a
0
Shoulder drainage maihta . in� collection on
swale Ipcirluloff
E_
-Z
Manhole reqd.
d
In icaCe on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date C-
7
AM
Revised: lvlO-1.977
DING DIVISION
Applicant Fill
USE . #T
ZON E;6 E R
IT APPLICATION
Inside Heavy Lines
I
pAE. (OR NAME OF BUSINESS)
JOB IV
ADDRESS 4'
I
-7-
DO
y
LEGAL DESCRIPTION
fSUBDIVISION
SHORT SUB.N5?.:
W
MAILING ADDRESS
3.
0 A/L(.
.0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY TELEPHONE NUMBER
7Y3 - �-'-3. ; )-
EXIS TING
-
NAME
PROPOSED
DEFICIENCY OF RIGHT OF WAY
U
W
t
ADDRESS
PUBLIC IMPROVEMENTS REQUIRED
Lq
x
U
DRAINAGE IMPROVEMENTS REQUIRED El
0
Ir
CITY
TELEPHONE NUMBER
DRAINAGE PLAN REQUIRED
UNDERGROUND WIRING REQ UIRED
NAME
CONNECTION TO SANITARY SEWER
le 0 0 %-1 _VV-1, C
SEPTIC TANK PERMIT REQ'D NO.
0
I-
AftRESS
ELEVATION OF PROPERTY CORNERS
u
A)
& FOOTINGS REQ'0
Ir
I-
CITY
TELEPHONE NUMBER
Z
0
:293,33 )- _�
SEE ENGINEERING MEMO DATED
U
r4
STATE LICENWE NUMBER-
CITY LICENSE NUMBER
f===)
CHECKED BY
D C. c�
Legal Description of Property (Show Below or Attach Fou7Copies)
mETER 5hZE BUILDI SUPPLY SIZE
-S? s. Fin C( ;L
. '34
W
REMARKS
I-
4
z
0
Ciry C? 606-
3:
SIGN AREA
ENV. REVIEW
ADB NO,
ALLOWED
PROPOSED
COMPLE
U
III
SHORELINE #
W
.j
REMARKS
W
J
-7
VARIANCE OR CU
NNING REVIEW BY
DATE
YARDS - / I
� 5 FRONT SIDE REAR
ILOT COVERAGE
GAS
El
W
RESIDENTIAL
LINE
11-1
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
HEIGHT
NON-RESIDENTIAL
SIGN
Fy 4,j 11?�4
ADD
DEMOLISH RETAINING
1:1 WALL
-3
SPECIAL INSPECTOR JAREA
REQUIRED
OCCUPANCY
GROUP
1
OCCUPANT
LOAD
F�ALTER EXCAVATE FENCE
YES, K"N
1
OR FILL
1:1 1— --' "
- .
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
El REPAIR PRE -MOVE swim
INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
z
NUMBER OF S�RIES
NUMBER OF
DWELLING
REMARKS
7Z/&KMA //W*()�67 10 PEA
A -
UNITS
A
Z
F-
i
NATURE OF W ORK TO BE DONE
/y,2 ) & /e )r /I J
iW
A
_—j- .,
, . %, C� �� , I -A
__j
W
co
0
PLOT PLAN
PLAN CHECK FEE
VALUATION
FEE
10
z
W
BUILDING
0
j
PLUMBING
W
W
MECHANICAL
FENCE
Z
U)
"Applicant, on behalf of his or her spouse, heirs, assigns and
SIGN
W
successors in interest, agrees to indemnify, de.fend and hold harmless
.j
2
the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
y
0
cr
<
I
agents from any and all claims for damages of whatever natt re,
U
1:
arising directly or indirectly from the issuance of this Permit. lsLI_
SWIMMING POOL
a
ance of this perinit shall wl he doemed I,) imidit'N, waive or reduce
F�PIRKfw