22410 95TH PL W.PDFiiiiii iiiiii
9347
22410 95TH PL W
PROJECT REVIEW CHECKLIST
PROJECT NAME: -R VV� 0 q�c-
-- SEE PLAN CHECK #:
PROJECT ADDRESS: RECEIPTDATE:
U L
REVIEWED
BY. (lbitidl/Date
PLAN.
WATER
-COMMENTS
FIRE
BLDG.
SEWER
STREET 'ENG.....
SetbacksNariance/Setback Adjustment
... .....
Conditional Use Permit
ADB Requirements
Other Zoning Requirements
3
.
4
--
Underground Wiring Required
......
5
Lot Slope 15%
- -
SEPA Environmental Checklist/Hydraulics Permit
- - - - - - - -
iv
7
Tree Cutting Plan
Al
8
Plat/Subdivision Requirements
9
Legal Description Verification
lo:
Quit Claim/Street Dedications
. . .
. . . . . . . . . . .
Easements - Public/Private
Engineering Storm Drain Review Fee
30
Engineering 2.2 Inspection Fee
..............
Drainage Plan (on -Site)
--x . . . . . . . . . . . . . . .
Setback - Top of Bank, Stream, Water Courses
a4lz-
1:6V
Setback - Storm Drain Line
I - 7
Open Ditch - Existing
18
Culvert Required
. ......
j
Culvert Size
J
2
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
21._:
%/&�5
2 . 2
Driveway Slope & Vehicle Access
...........
:23..
Sidewalk Required
Curb & Gutter Required
Curb Cut For Driveway Required
............
. . . . . . .
G..
Street Paving Required
Vel
-,t,
2
Right -Of -Way Construction Permit Required
.
2 8.:::l
Street Name Sign Required
Other Signing Required
Bond Required For Public Improvements
Clieck/Water Table
.FEMA:Map
Side Sewet Availability
ME
Calculate Sewer Connection Fee If No LID #
..... ...
Create Street File
Existing Water Main Size
Water Meter Size
Service Line Size
Water Meter Charge Required
. . . . . . . . . .
. . . . . . o&lws-0
9�,
Hydrant Required
'46.
Hydrant Size Existina
41
Fire Line Charge Required - Sprinkler
PVW
42.
Street Cut
43 1
Miscellaneous
Reviewed By:
FIRE
PLANNING
7/
,�V'
ENGINEERING
//--� (A-,
PUBUC WORKS
R E C 0 R D OF C 0 N T A C T S
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT # DATE ISSUED RECEIPT #
9
29
10
30
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT # DATE ISSUED RECEIPT #
14-
PAID $ RECEIPT # DATE
34
15
35
1�
36
37
METER SIZE PAID $ DATE RECEIPT #
n
38
19.
39
20
40
01-05-1998 14:50 206-338-9522 KVERNMO CONSTRUCTION P.04
ST
ANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
0WNER_K)E:jP-&M0_ C-08"Eklk' _-
ADDRESS
CA L C R Y: - —
P110NE:(4Z,5) Zz(o-S7SO
MIT,:
**DESIGN DAM
IMPFRVIOUS AREA PIPE DIA
4, (, to 15E
r INITWC 0
PIPE LG ORIFICE
DETENTION PIPE LCM01"
LOCKIPfG i.111
[
IAL MINI"
I
Tj �E
GITL
'M'E 8"MoC"Fop Dr
AS Q
up
COW, nx OR RISER
L InWP r.
Ou"r
CUP11ROL
jQ111W
UPPER CATCH BASIN
CONTRni. CATCH RASIIJ
SYSTFM CR0,3.3 SECTION JAN 6 1993
?'XZ'W1;'.rEEP. 4-6- SrALLS OR EDUAL
rRnm enNypot. cB 2*x 2,x 3' DEEP, 1/4' rRLISMED ROCK
rRam CONTROL OVTLE
An"RAP ovrLEr
:StING GRAVE
'ourr.Tv 'fRENC LONG.
11 MIN 10'
ERF 0 9 ICVtL
Eqr P [PC V/ EN ft t. APS
11 P - N'R
P1S('1VT-r'3"AP1kC6EV%F b%0jtA'&WCP DJUN ROCK
RUNOFF SPRFAI).FR. TUNCH
FOOTING DRAINS SMALL NOTBE CONNECTED 70 DETENTION SYSTEM
NOIF.S.-
1. CRII Engineer;ng Division (771-0220) for A tighdine and detention system InT.ection
before backfilling and for final inspections.
2, Re.,zponsibility for opeirIttion Arid friRintenance of dininage systeffLq on private property is die
responsibility of the property owner. MateriRl itecumulated in the storage pipe must, he flushed
out and removed front the catch baxins to allow proper operation. Tbe outlet control ofirle.r.
must be kept open at all tien&q.
APPROVED BY
/.J/L.f r,
CITY COPY
01-05-1998 14:49 206-338-9522 KVERNMO CONSTRUCTION P.03
F__
Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
100
4500
112
5000
125
Note: Allowable Pipe Materials:
Impermeable
2000
2500
3000
3500
4000
4500
5000
Pipe Diameter
16. 181, 24" SO"
40
28
16
10
50
35
20
13
60
42
24
15 Required pipe
70
49
28
18 length in feet
80
56
32
21
90
.63
36
23
100
70
40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N— 12 ADS (Not permitted on roads)
Table2__:� —Outlei-0--rif-ice Sizes
Outlet Orifice Diameter (inches)
5/8
5/8
3/4
3/4
7/6
7/8
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipt_diameter.—
—.knockout
Type
< 18n
20"
Type 1, CB 15
18" to 24"
26"
Type IL, CS 16
24" to 36"
36"
Type 11, CB 19 19 (48" Basin)
36" to 42"
42"
Type 11, C13 19 19 (54" Basin)
*Source: Assoc. Sand & Gravel Co. Standards
I
n
JAN 6 1998
-7
5 CITY COPY
APPR Vr- AS N; I tL)
NOTE: SEE CITY PROVIDED
STANDARD DETENTION WORK
SHEET FOR ADDITIONAL
CONSTRUCTION INFORMATION
FLOOR DRAIN AT AND. REQUIREMENTS TYP.
PATIO SLAB
M.99,99.29N flv'C9 3:
r-
c"I
4" PERFORATED /SILT
FOOTING DRAINS 0 FENCE
AT ALL UPHILL 7.5'
SIDE-) ur i,,4r-vv TYP
FOUNDATION IN
WASHED ROCK 13 ep
TRENCH NTH
FILTRATION ly
FABRIC ABOVE 0
z
TYP. 40'-6"
jr�
00
ul
04
LIMITS OF— L T 11 C4 z
BUILDING
ENVELOPE
L7.5' — — — — — — — ALM rl I N of
ROUTE ALL DOWNSPOUTS & 201.64' N88*58'4.8"W
SURFACE DRAINS INTO CATCH TYPE 1, CB15 CATCH TYP. THICKENED
BASIN THROUGH 4' TIGHLINE BASIN W/ RIM -EL.=377.5 ASPHALT EDGE
TYP. wl SILT W/ SOLID LID SECTION
FENCE
z
408.0 TYPE 1, CB15 CATCH
BASIN W/ RIM EL.=379.E
co uj N 0
00 Cl-
00 00 00
to 0 n n n
CL
388 - - - - - - - - - - -
384
380
376
TYPE 1, C81 TCH 382.50
37.7.5
SCALE
DRAINAGE CALCULATIONS
SITE PLAN
0 10 20 40 60
1"= 20' -
PAVEMENT 24"
WIDTH 0.02
FT/FT
4"
2"
DRIVE r-nGE 7
THICKENED ASPHALT,�/,AlADb/-770AJ 70
15" DIAM., 90 LIN. FT. DETENTION PIPE,
1/2%-17. SLOPE, 12" MIN. BLW FIN. GRADE. EXISTING DRIVE &
TYPE 1, CB15 CATCH CULVERT REMOVED
BASIN W/ RIM EL.=379.5
LOT
OT
20'
5.00' N88*58'48"W MIN.
�:W
95'xl 2' ASPHALT DRIVE c� :',<—NEW DRIVE W1
to It 12" DIAM. CULVERT
CATCH BASIN 7
RIM=379.5' 4" TIGHTLINE TYPE 1, CB15 CATCH
TOP PIPE=378.1' (1/2% SLOPE) BASIN W/ RIM EL.=378'
INVERT=376.85' 12' WIDTH ASPHALT
DRIVEWAY TYP.
TOP OF PIPE
EL.=378.1 -7
00 00 co
ORIGINAL GRADE
FINISH GRADE
FILE \15" DIAM., 90 LIN. FT. DETENTION PIPE,
1/2%—l% SLOPE, 12- MIN. BLW FIN. GRADE.
TYPE 1, CB15 CATCH
BASIN W/ RIM EL.=378'
DITCH AT STREET
4" TIGHTLINE TO DITCH
(DETENTION OUTFLOW)
0 :�
LI) 0
4 u�
00 1"-
PI) 0
F r ---
1 --
00 rn
SILT -
FENCE
N
o "I
0
Z
13,
z
C14
'4d 00
LIMITS OF
per:!!�P- 97- 5-0 BUILUINU
U
U)
co r,
00 *
(o
M + z
z
409.8125 (+128.0') 1 -J MAX HT.
>- ALLOWED
00 uj
0-
0
lCxk:
CL
388-
384-
380
376-
A
— I <
FENCE
(A)
384.50 (+104.50)
(B)
386.75 (+106.75)
(D)
383.50 (+103.50)
(C)
384.50 (+104.50)
AVG.
GRADE = 104,8125
ALLOWABLE
HT = +25'
ALLOWABLE HT. = 129.8125
ACTUAL HT. = 408.0 (+128.0)
12-7/8" BLW MAX ALLOWABLE HEIGHT
-408.0 (+128.0')
I - -
ab W 00 ORIGINAL GRADE
FINISH GRADE
-- --- ------
----------
;382.50
GRADE PROFILE AT DRIVEWAY ACCESS
SCALE: 1"=ZO'--T .
HEIGHT CALCULATIONS
SITE PLAN
SCALE: 1*=20'—T
0 10 20 40 60
1"= 20'
EXISTING DRIVE &
CULVERT REMOVED
I I
::<--NEW DRIVE W/
11 12" DIAM. CULVERT
00 00 00
r- rl- r-
rl) re) to
. 1:
12' WIDTH ASPHALT
DRIVEWAY TYP.
DITCH AT STREET
FEB - 2) iss-8
tlr'j;�
INN
ME1A
SE 1/4., SE 114., SEC.25.0 T.27.9 R.3E., W.M.
LEGAL DESCRIPTION
LOT 80, PINECREST ACCORDING TO. ME PLAT T14EREOF RECORDED IN
VOLUME 13 OF PLA7S. PAGE 55, RECORVS OF SNOHOMISH COUNTY.
WASHINGTON,
SUBJECT TO COVENANTS RECORDED UNDER A.F. NO'S. 1049134 AND
1136341.
/,k TBMEX. SSWI 25'(N) . 81(f) OF
N%f��'NE CORNER. LOT 2. BLK. Z
u PINE ACRES, VtX. 13, PG.63
WA "CAL DAnAW AS -BUILT FLEV PER CITY
OF EDMONDS.
IE = 364.95
TOP - J7101
LEGEND
0
SET 5/8" x 24" REBAR/CAP W'jI 16916
13
SET 2' x 2' STAKE IN LINE
SET CONCRETE NAJL WTH
nA91ER W-7 16916
I-V-N
MONUMENr/CASf: NOT FOUND
OR SET MONICASE W9 16916
MONUMENT NOT FOUND
vR sET monummi wsi 16916
VK><:]
SEC17ON 114 CORNER NOT FOUND
+
s[cnoN CORNER nor FOUND
0
FOUND REOARICAP OR I.P. (IRON PIPE)
WFOUND
MONUMENTICASE
VyV
FOUND UONU14EN T
bp-W-04
FOUND SEC17ON 114 CORNER
+
FOUND SECTION CORNER
(C)
CALCULATED
(P)
PLA r
(M)
MEASURED
PROPERTY LIKE
�X F-FPCE' LINE
SE*FR LINE
IV WA TER LINE
BS8L BUILDING SETBACK LINE
MEETS OR EXCEEDS
SURVEY STANDARD AS PER.
PAC J32-1-30-090, PART (1)(8)
NAC JJ2-130-090. PART (2)(8)
WAC JJ2-130-100 (1)
INSTRUMENT USED.- WILD TC-1010
SURVEY PERFORUEO BY
FIELD TRAVERSE
NOTES
1. TOTAL AREA OF LAND TO BE
DIVIDED IS 16,561 SF
TOTAL ACREAGE IS 0.38 ACRE&
Z ZONING: R-8
I CONSTRUCTION Or SNCLE ON-9lr
TURN-AROUNO FOR LOT I AND
LOT 2 REQUIRED FOR GIALDING
PERMI T
4. CONSTRUCTION OF STORM WATER
DEIEN77ON SYSWJW FOR ALL ALEW
IMPERWOUS SURFACES REQUIRED
FOR BUILDING PERMIT.
APPROVALS
SURVEY DATA. SIREET LAYOUT, UTILITY
,DESIGN. ADEQUACY Of SEWAGE DISPOSAL
AND WA " SUPPLY HA Wr BEEN EXAMINED
AND APPROVED. RECOMUENDED APPROVAL
THIS _ DAY OF .1997.
CITY LENCINEER, CITY Or EDMONDS
EXAMINED AND FOUND TO BE IN CONFORMANCE
l"TH THE APPROVED PRELILONARY SHORT PLAT
AND IT'S CONDITIONS OF APPROVAL
RECOMMENDED APPROVAL 7HIS - DAY
or . 1997.
JATl' 6 1998 CITY PLANNER, CfTY OF EDMONDS
A. F. NO.
350-2700
w
09
V—es:tern
Suz-v:eyors
u�;
742-5500
I c�
nc-.-
L
ciTy or mmows
SHORT PLAT MR:
16916
PHYLLIS WARNER
LAW
DvvN. f3y. DA IF P... .
F.B. NO. SCALE
S-97-50 11RES:
DxR - 6125197 T.L. QUALL Y 209-A 1, = J0,
RE V. B Y: OWG. NO.
J013 NO. SH f NO.
i3m i4wr 99 soui4 s Wk,9� ID414?��-2708
RLL 8/18/9, 7 1 96090SPI.Oliv 1
96-090-A 1 -9 of 2
n
r)
C
It
01�
SE 1/41 SE 1/4,9 SEC.25V T.27N, RM... W.M.
I I GRIMSBY
JULIUS FRY 5443-000-108-0104
544J-000-106-0007 544.1-000-107-0006 SCRIBED WIN CONCREIr
NffC '(W) OF FENCE
L I ff. FOR POST 0.08
FNO. 314- I.P. N 00-06'37" W �F
83,00(c
82-39 C)
83. 62(P)
ip)
0-A
01
t
A
LOT 2 rfl—j +.
P AREA - 8,541 97 CR S)
( 05
8.003 SF (n4T) NOTES
1-4�0 NOTE: NET AREA CON TAWS POR TION 1. SEfflACKS SHOW4
OF PANHANDLE WlICH IS NOT FOR REFERENCE ONLY
-,Z' AND VEST NO RIDIT.
ENCUMBERED P.Y- �M�S�. &
URNES EASEMENT. .
A
2. WA TER AND SEKfR
0.3'(N) NO*35'27'W AVAILABLE BUT NOT
CONC -'13LOCie NO. -1;�[* 17. INSTALLED.
35.(N) or -
A Z
Z ECKLUNDIBUDNICK
ff NCE f,"jtic�
-382 .. - , - -i� -4 X 544J-000-079-0208
- I -,
, &
rN0. REBAR-1
ViwrpylP 4 -,,,NO CAP. A r
,-�Aqo V',P B O.X(N) OF PL.
NO 27'W 380/--,
k-f -25.37::n
cp
PQ tq
01, in
40 <1-0 -, - -
r to
01
AIL ;1.5'BS8L
YOO P3 LAGERSTROM
544J-OW-079-0109
0
5443-000-081-00 —0.7-
Ir
S.F.R.
22408
15' ACCESS &
unuaEs Esm'r
To siNEn T 9-0
to d% ' yp
90' 1— —0.5'
LOTS I & 2 LOT I
AREA 8.0.38 Sr
T V. - r- '& SCALE: 1" .30'
cp. V-)
MOVIfICA TION
(LOT WDM)
0 15 30 ig 0
Ir BASS OF BEARING.
SE CORNER PLAT OF PINE ACRES
In
LOT 80 910
4 -till 142'k
)67. 0
82.41(C)
TOP 01 TCH(TVP)
S-
tx
12 CP Of Tat
N 00'35'i�a-W
CALCULA MP affiMNLR&-
7YA-114[b-CO-4 TERLINE ROAD
95TH PL W
1.1: Rff,
12 R, zi
14yo.
Ail "r re Ex
F. NO, �l lQq
a!v 02! �—
U 1L.
.
—
356-2700
of W
eatern
OR
Surveyors
742-6500
OF EDMONDS
CSHTORT
FY PLAT FOR:
PHYLLIS WARNER
0 IVN. 0 Y.- OATE PAI,
F.B. NO. SCALE
S-97-50 EIPPES-
DKR 711 LL. QUALL Y" 2109-A I' = 30,
I
RE V. 0 Y. 101W. NO.
109-NO. Rif. NO.
IJOW HbY 99 SOURI. WA., WM TAX
ff
mit al'iH1911 g6ogosm.0c
96-090-A I of
y
city. o Edmonds -
.
RIGHT -OF -WAY CONSTRUCTION
PERMIT Permit Nmb,,.
Issue Date:
A. Address or Vicinity of Construction: 22410 95, PL W (9811806)
o
B. Type of Work (be specific): InStalL 2- MPE IP Main in 95 PL W from 65'W
V
c/1 gcdng 2 to 1751S c/lcf 224 ST-SW PAD9811806
C. Contractor: T S
Contact: DOUG USITALO
I
Mailing Address,-
L] Phone: (425) 356-75M
State License #:
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer.Permit # (if applicable):
E. E] Commercial i [J
Uk,
Subdivision EJ City Project 29 (PUDI GtE, WNP,,C
n Multi -Family 0
Single Family F1 Other ,,,,,,4WWATER)
INSPECTOR:
INSPECTOR: 41-JeA
F. Pavement or Concrete Cut: 0 Yes E]No G. Size of Cut: x H.'Chargq�
APPLI CANT TO READ AND SIGN
INDEMNITY.- Applicant understands and by his signature to this application to hold the City, of Edmonds harmlessfrom injuries, damages: or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made -against the City of. Edmonds, or any of its, departments or
employees, including or not limited to the defense of any legal proceedings it'icluding defense costs and anorn . eyfiees by reason of granting this permit.
'THE -CONTRA CTOR IS`RESPONS1BLE`FOk WORKMA N&HIP AND MA TERIA LS FOR A PERIOD'OF 6NE� YEA R'F&LO WJNG THE 14NAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMA TED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE'APPLICANT
Two sets of construction drawings of proposed work re4uired with permit application.
A.24 hour notice,isrequired for inspection. Please call the Engineering Division, 771-0220.
.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 Eng ineer.
All street cut trench work shall be patched with asphalt or City approved material prior to the end o . f the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on. site at all timesfor inspection purposes.
Signature: FELM A H. LOPEZ—FUGUIAO Date: 3/26/98
(Contractor or Agent).
C�LL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
lt�
APPROVED BY: 12" ,�ofy
I �- I -
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: A:
RIGHT OF WAY FEE:
DISRUPTION FEE/FUND I 11:
RESTORATION FEE:
T OTAL FEE:- go.
RECEIPT NO.:
a
ISSUED":
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Di� 1997
FIELD INSPECTION NOTES (Fund 111'- Route copy to Street Dept.)
Comments: ---
CONTRACTOR CALLED FOR INSPECTION El YES E.1 NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
17501
3
-2
Tlt5-: 10's��w
V Mrs— Ir
I I - wq-,
t—= 1,4 r-> MA i N , —
1-75'.s # I I'v4,&
C=x . /
K,n>M NA,41 �J
CITY OF EDMONDS:
• Maintain a minimum of 5'horizontal
and 3' vertical clearance from all
city utilities and appurtenances.
• Cuts in paving are shown as M
4�� cuts in paving anticipated.
Notify Engineering Division 24 hrs
prior to construction - 425-771-0220
------------------------------ NOTES --------------------------------
1. CALL 2 DAYS BEFORE. YOU DIG 17800-424-5555
2. PROJECT MANAGER: DOUG USITALP.- 425-356-7520
No.
DESCRIPTION
DATE
BY
APP'D
REVISIONS
AS BUILT INFORMATION
FITTER OR CONTRACTOR-
COORDINATOR-
F
DATE COMPLETED
PERCENT COMPLETED:
E
L
TEST
INSTALLATIONIRETIREMENT
SUMMARY
TYPE OF TEST
PRESSURE
IIR
FMAIN SIZE
MATERIAL
TOTAL FOOTAGE
DATE ON:
-
TIME ON:
DATE OFF:
TIME OFF:
TYPE OF PIPE.
PIPE MANUFACTURER.
TESTED BY:
PUG ET
SOUND
ENERGY
OF MAP:
PLAT MAP -
SECi 'Se Z-- Z-7 -3
WORK AREA. �5�
PROPOSED MAIN FOOTAGE
EMERGENCY SEC.
MAIN SIZE
MATERIAL
TOTAL FOOTAGE
DESIGN PRESSURE: PS19
D
Z/,
1701
SYSTEM MAOP psigi
psig
E
PERMITS
S
G,
N
MI"E M,41AJ
co
DRAWN. F:LAZA,,J
JOB DGR:
CHECKED.;;L- /Ci-d
DRAWING 9
-- -;:5w
.APPROVED
City. of..Edm.onds
RIGHT -.OF -WAY CONSTRUCTION
-PERMIT,
Permit Number. 0/
Lssue Date:
A. Address or Vicinity of Construction:,P 4/0 —''t J
/n C. B. Type of Work (be specific): 1� el V A-1 E_ P v-1A P'e 1)
C. Contractor: J/,F_7P_AJ Mn Contact: J 0f9 kka.&I "0
Mailing Address:
S-r. MwVj:�Z7 Phon( 2 Z%;) A-R5. 4-0
State License #: �4 J1X_,tAJC T,0 -9 � P_ Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Pennit.# (if appli�able):
E. Commercial Subdivision F-1 City Project Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family ,,�Single Family Other.
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: - [I.Yes 'ORO G. Size of Cut: - x — H. Chargq�_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of �ny legal proceedings including defense costs and attorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings of proposed work required with permit application.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
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 trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be,
available on sitelpt all timqsJor inspection purposes.
Signature:
e'
Date:
or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
.
APPROVED BY: 6.4'tebw RIGHT OF WAY FEE: 130
TIME AUTHORIZEM/. VOID AFTER DAYS DISRUPTION FEE/FU`ND I 11: A11A
SPECIAL CONDITIONS: A�� AA1 RESTORATION EE: L/ /,4
1 — 1 111. .7 '-) ev
RECEIPT NO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diagram,:
CONTRACTOR CALLED FOR INSPECTION El YES E-1 NO
Partial.Work Inspection by P.W.:'
Work Disapproved By: Date:
FINAL APPROVAL'BY: Date:
city Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT,. Permit Number. L 13
Issue Date: z2_ �29
A. Address or Vicinity of Construction:
eltir-Al :4r /'A-,f%?) h A,-7,,' 21,
JLYIM 0 spec c):
C. Contractor: �� 8L Contact:
/'�ailing Address: EDM9413 Phone: -774- ZA&
State License #:
Liability Insurance: Bond: $
D. Building Permit # (if, applicable): Side Sewer Permit # (if applicable):
7__
T
E. C] Commer'c.ial 0 Subdivision El City Project Utility (PUD, GTE, WNG, CABLE,FATE—R
�( I ! J ' 'd, ! (—. 7)
F1 Multi -Family [:] Single Family E] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete &,t 0 Yes )4NO G. Size of Cut: H. C!h'a'r'gq-'J$
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may he made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
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 CityEngineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIQ.I�S.
Ihave read thelab6ve statement an e' d the permit requirements and the pink copy of thepermit will be
available on sik t all es /o in e urposes.
Signature: Date:
ttro7cto� orment) A
UG
0
Uo'��A -A6 GOIRNR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: &IJ
TIME AUTHORIZED: VOID AFW�
DAYS
SPEC IAL CONDITIONS: �J A
COMMENTS:
RIGHT OF, WAY DEPOSIT
DISRUPTION FEE/FUND III:
RESTORATION FEE:
'2
PERMIT,FEE'-
TOTAL, FEE: &Z2. 0
RECEIPTFEE:
DATE:
ISSUED BY; �
NO'WORK SHALL BEGIN PRIOR,TaPERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
F-1 NO
",r
WN
6 it vv#M�R Molm
A�%IVD 11
r��O�lw-ry FUL-e
OF
AWT
o F
pAr
. 6r;
IM�ljme
... ..... ... ----- ---- - ----
---- - ----------- RIGINAL GRADE
i,' Kk EXP06M
Tnp 0 GAR. FLR.— ------ ---384
382.50
ncyp
E" ALE
co
FINISH GRADE-----'
North Side Elevation
---382
---380
----378
---376
ORIGINAL GRADE
------------ 7-
386---
384---
382---
380---
378---
376---
C-
22-
W
, re,
CIO
FINISH GRADE--`
South Side Elevation
-408
OF GAR. FLR.
382.50
I
Ln
0
tr) 0
4
Lq
Ki Lq
00
00 t)
SILT -
FENCE
M.99,29.22N
J-V'29 3:
r-
F
u)
r
0
lo 7.5'
z
V,
4f
z
C14
00
LIMITS OF
BUILDING
7.5'
U-)
00
o
cn + SILT
FENCE
z
409.8125 (+128.0') -J MAX HT.
>- ALLOWED
C'�
ui
00 iL
00
0
or_
388-
384-
380-
376-
(A)
384.50 (+104.50)
(B)
386.75 (+106.75)
(D)
383.50 (+103.50)
(C)
384.50 (+104.50)
AVG. GRADE = 104.8125
ALLOWABLE HT = +25'
ALLOWABLE HT. = 129.8125
ACTUAL HT. = 408.0 (+128.0)
40'— 6
24'
U-)
L _oT
OT
16Z
2
AA
ECEIVED ,
FED - 2 1998
HEIGHT CALCULATIONS PERMITcouNTER
SITE PLAN
SCALE: 1*=20'-T
0 10 20 40 60 APP" BY.P"IN
1 ')= 20'
PROPERTY CORNER POINT (380.0) /Ilk
ELEVATION DATUM (+100) REFERENCE'qL-/
NOTE: SURVEYED CORNER MARKER TO REMAIN
UNDISTURBED AS ELEVATION BENCHMARK FOR
HEIGHT CALCULATION AT EXISTING GRADE.
LOT
I
105.00' N88*58'48"W
201.64' N88*5848"W
Lo
4 U-)
00 q:
0
12-7/8" BLW MAX ALLOWABLE HEIGHT
408.0 (+128.0')
10- N 0
00 00 00 ORIGINAL GRADE
FINISH GRADE
--- - -----------------
382'.50—//
GRADE PROFILE AT DRIVEWAY ACCESS
SCALE: 1"=20'-O*
20'
MIN.
376
EXISTING DRIVE &
CULVERT REMOVED
C� ::<--NEW DRIVE W/
u') 11 12" DIAM. CULVERT
u
00 00 00
r- r- r-
r4) rl) rn
12' WIDTH ASPHALT
DRIVEWAY TYP.
DITCH AT STREET
rn
rn
vi�
FEB 2
PERMI-f CUUAj
<� LT�-- PL--.,P"j
01-05-1998 14:50 206-338-9322 KVERNMO CONSTRUCTION
P. 04
,STANDARD DRAINAGE DETENTION SY.3TEM
WORKSHEET
OWNER - CALC
(4Z,5) ZZ(o-,G7S0
ADDRESS PHONE:
DATE': —
"'DESIGN DAM
IMPERVIOUS ATIEA PIPE DIA PIPE LG
- 4, (, to i!4-.
M it 4C) 1 1
ORIFICE
DETENTION PIPE LIN101" LOCKPIG LfIl
I . (TYPICAL)
MINI" (TYP L
8710"".1op er
It C4TjL E MEASUA
CONC anx OR RISER
111 11 IL1191 --M OUTLET
Dt' TLET CONIROL
UPPER CATCH BASIN .0WICE
CONTRM. CATCH BASIIJ
EYSTFM CRO,3S SECTION
r.
?'YZ'xf;' rEEP. A-6- SrALLS OR EDUAL
rROM CnNTROI. CD 2'x 2'x 3' DEEP, 1/4' CRUSHED ROCK
rRom CONTROL OUTLE
A1)'RAP OVrLET
JAN 6 1998
YISTING CRAVE
7
Ow TRENCI MIN 10' LONG.
ERF PIPE TO 4 1,CVtL
ERr P I PC v/ C '4 n tAPS
�1111 a AtkAr IF WITH M1
PPIN
nJ4 I P VAIWED R01UN ROCK
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SMALL N07'BE CONNECTED 70 DETENTION SYSTEM
N01:6-5:
1. OtIl Engineering Division (771-0220) for a tightline and detention system iwzpectinn
before backfilling and for final inspections.
APPROVE]
2, R&cponsibility for operplion and rnRin(enfince of drainage sysfeffuq on privato property is die
responsibility of the property owner. Material ftectimulated it) the storage pipt rux'st be (I"shed
out and removed front the catch bnxins to allow proper omration. Ile outlet control crifi". 1i DATE
must be kept 9.pe
a at all tiene.-.
n'EET F1
01-05-1998 14:40 286-338-9522 KVERNMO CONSTRUCTION
P. 03
Detention Pipe Sizes
Impermeable
Required
Pipe'Diameter
__Lrq�a Sq. Ft.
Val Cu Ft
151.
18" 2.4."
-SO"
2000
50
40
28 16
10
2500
62
50
35 20
13
3000
75
60
42 24
15 Required pipe
3500
87
70
49 28
18 length in feet
4000
100
80
56 32
21
4500
112
90
63 36
23
5000
125
100
70 40
25
Note: Allowable Pipe Materials:
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N — 12 ADS (Not permitted on roads)
I
Table 2 — Outlet Orifice Sizes
Impermeable
Ar,�ALq Ft..
Outlet Orifice Diameter (inches)
2000
5/8
2500
5/8
3000
3/4 JAN 6 1998
3500
3/4
4000
7/8
4500
7/8
5000
7/8
T�b—le3 — Ae'ctangular Catch Basin Requ . irements
Detention
Max. size Catch Basin
pipe diameter
knockout Type
<
20" Type 1, CB 15
18" to 24"
26" Type IL, CB 16
24" to 36"
36" Type 11, CB 19 19 (48" Basin)
36" to 42"
42" Type 11, CB, 19 19 (54" Basin)
*Source: Assoc.
Sand & Gravel Co. Standards
AppaVIZED
FLOOR DRAIN AT
PATIO SLAB
4" PERFORATED
FOOTING DRAINS
AT ALL UPHILL
SIDES OF NEW
FOUNDATION IN
7.5'
TY-.
WASHED ROCK
TRENCH WITH
FILTRATION
FABRIC ABOVE b
z
TYP.
c�
00
LIMITS OF
BUILDING
ENVELOPE
NOTE: SEE CITY PROVIDED
STANDARD DETENTION WORK
SHEET FOR ADDITIONAL
CONSTRUCTION INFORMATION
AND REQUIREMENTS TYP.
M.99,29.22N -V-V'29
ROUTE ALL DOWNSPOUTS & '
SURFACE DRAINS INTO CATCH
BASIN THROUGH 4" TIGHLINE
TYP. I
ui I
z
co IL
co
0
Q�
CL
IRA
11'
LL.
7.5"
_f_/
SILT
FENCE
HOY-Kill
0 04
01 SILT
U
.0 FENCE
t
40'--6-
24'
LOT
9
TOTAL BUILDING AREA = 2,490 SF
OTHER IMPERVIOUS
SURFACE AREAS = 1,950 SF
TOTAL IMPERVIOUS = 4,440 SF
REQ'D VOL. CU. FT. = 112 CF
PIPE DIAMETER - 15" = 90 LF
SUMMARY: 90 LIN. FT. OF 15" DIAM.
LOCATE PER SITE PLAN
r-
C4
L0
04 z
--------------
201.64' N88'58'48"W
TYPE 1, C131 5 CATCH TYP. THICKENED
BASIN W/ RIM EL.=377.5 ASPHALT EDGE
W1 SOLID LID SECTION
DRAINAGE CALCULATIONS
15" DIAM 90 LIN FT DETENTION PIPE, u
1/2%-l% SLOPE, 12- MIN. BLW FIN. GRADE.
-TYPE 1, CB15 CATCH
BASIN W/ RIM EL.=379.5
TYPE 1, C815 CATCH
BASIN W/ RIM EL.=379.5
C14 0
00 00 00
po n ro
_L - L - - - - - - 4 _='
384— L
380-
376 382. 0-/
TYPE 1, C131 5 CATCH
BASIN glVW EL,.:w377.5GRADE PROFILE
girl z ela— SCALE- 1"=20'-6*
LOT
105.00' N88*58'48"W-
95'x12' ASPHALT DRIVE
CATCH BASIN
RIM=379.5' 4" TIGHTLINE
TOP PIPE=,378.1' (1/2% SLOPE)
INVERT=376.85'
TOP OF PIPE
EL.=378.1 7
ORIGINAL GRADE
FINISH GRADE
15" DIAM., 90 LIN. FT. DETENTION PIPEp
1/2%-l% SLOPE, 12" MIN. BLW FIN. GRADE.
—EXISTING DRIVE &
CULVERT REMOVED
,,<—NEW DRIVE W/
ui 11 12" DIAM. CULVERT
00
TYPE 1, C131 5 CATCH
BASIN W/ RIM EL.=378'
12' WIDTH ASPHALT
DRIVEWAY TYP.
00 00
F'.,r- TYPE 1, CB15 CATCH
V) BASIN W1 RIM EL.=378'
/-DITCH AT STREET
T, C'
I - - t I
4" TIGHTLINE TO DITCH
(DETENTION OUTFLOW)
I
AECEIVED
FEB - 2 1998
PERMIT COUNTEn
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE
ZONE PERMIT
NUMBER 9's
joB _t"
ADDRESS
C1 I C)
)L 0 SUITE/APT #
cc
Lu
Z
ER NAME/NAME OF BUSIN
)7vF R N 11*10 �,_T R Uc I C IN
ISION NO.
LID NO.
V
MAILING ADDRESS
>
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION C>
PROPOSED
TESCP Approved Er
RW Permit Required YF-'
Street Use Permit Req'd ^'0
Inspection Required,/Z_c,0
Sidewalk Required V 0
cc
Ily. ZIP
E PH)NENUMBE . R
w
5
Cc
NAME
METERSIZE.
LINE SIZE
NO. OF FIXTU�ES
1.0
ul
PRV REQUIRED
Y�< NO
ADDRESS
r
q,
AJ �,,f 61 11
REM ARKS Z
V47
Z
C" ZI
P.
die- � oz
E NUMBER
_2
2 4 /S2
4
NAME
cc
AD ESS
0
cc
Z
0
ENGIIJIEER11,IG MEMO DATgD j RE��ItEWED BY,
CITY. ZIP , ITELE12,110,
N BFR
FIRE MEMO DATED REVIEWED BY
W
LL
STATE LICENSE NUMBER P*IDN D6TE
i<VE.KNCJ Mq 177q��, 1\,�
VARIANCE OR CU
ADBO
SHORELINE #
Z
0.
Lu
_5
'Legal Description of PF6perty - include all easenienfs >C'.)
77
_�j
SEPA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED PROPOSED
Property
Tax Account
Parcel No.
LOT COVERAGE
ALLOWED PROPOSED
Y.
LOT ��EA --
4, no,
REQUIRED SETBACKS (Fr.)
FRONT SIDE REPR
---- . PLANNING REy.JE)V11Y
PROPOSED SETBACKS (Fr.)
FRONT UR SIDE REAR
Z
Z
/v
NEW RESIDENTIAL PLUMBING1MECH
RE7 S
COMPLIANCE OR
ADDITION COMMERCIAL E CHANGE OF USE
jO4O4, t'va�,"440-
FIREMODEL APT. BLDG. SIGN
Z.
0
E.
FENCE.
E] REPAIR CYDS. (_ x _FT)
DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
M� GARAGE. ... 17-1 RETAINING -WALL[ - : ,
L.Mj,CARPORT L_J ROCKERY REtEWAL
CHECKED BY
TYPE OF PONSTRUCTION
rj-q
occ
GRO
SPECIAL INSPECTOR
REQUIRED
0YF_11
A V 4) _!M
�� / 417
44-- 70,
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108'_-1,-,,, Z
.. . 9
(TYPF-OF USE� BUSINESS OR ACTIVITY) EXPLAIN:
, ; - , ...
.
5
Lai �'dlrkth� e��
FE
Wa
a
to
I
_� 1;' K .
NUMBER NWUMIILER OF CRITICAL
OF D EL NG AREAS
STORIES UNITS NUMBER
DESCRIBE W41RK TQ�B[ DONE (ATTAC PLOT PLAN)
FINAL INSPECTION REOUIRED
PO
VALUATION
FEE
PLAWCHEC�'FEE'
8 ILDIN G
HEAZURCE:
GLAZING
10
PLUMBING
Plan Check No. G
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL'
Any construction on the public domain (curbs, sidewelks,
STATESURCHARGE
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
30
"Applicant, on behai , f of his o:r her spousb,' . heirs, a�6i§ns and
ENG. INSPECTION FE9
30—
Luu)
successors in interest, agrees to indemnify, defend and hold
ss
harmle the City of Edmonds, Washlngton� its officials,
M
<
M
0
Z
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 dee med! to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any.ordinance
provision."
PLAN CHECK DEPOSIT
C L)
TOTAL AMOUNT DUE
�90 I I o i
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or thjD 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 9f the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Idsurance aria RCW 18.27. acknowledg�d in spacb provided.
INSPECTION
(OWNER -OR AGENT) DATE SIGNED DEPARTMENT
CITY OF OFFICIALZ-.'91GN DATE
� rT�,�
EDMONDS
Rb_1EAsED BY: DAfE -
CALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE I ' ;11110
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 'O'RIGINAL — File YELLOW — inspector
A'CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 771-0220
SECTION 109
elf.- 16-& . PINK — Owner GOLD — Assessor
PLANNING DATA
NAME:- 9��fim
SITE ADDRESS: 22a� PJDATE:
ZONING: .126 PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT_—A&�—(Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front: 7L��- Left Side: '7 25- Right Side: 7- Rear:--Z. ---5'
Actual Setbacks: I li
Front:.z Left Side: Right Side: Rear: 4:2,
Ij V -
Street map checked for additional setback r e*quired? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /1,/' -(Y/N)
LOT COVERAGE:
Maximum Allowed: -2-72 4 Actual: li,
BUILDING HEIGHT:
Maximum Allowed: c ?Eej . 11'
ug
Datum Point: 1!,O'MPr 0,K(04 Datum Eleva I
to
A.D.U. CREATED?: 0
SUBDIVISION: Aku�L - &�� 4,2
CRITICAL AREAS #: �Z& - zl��
SEPA DETERMINATION:
LOT AREA: U-�
OTHER:
Plan Review By:
cArtlesXpermiPplandatdoc
PLANNING DATA
i
SITE ADDRESS: DATEm
ZONING: -PLAN CHK#:—
PROJECT DESCRIPTION: Ll&) 66�
CORNER LOT_J\� (Yes/No) FLAG LOT .(Yes/No)
SETBACKS:
Required Setbacks:
Front: -7,6- Left Side: '� i:�'_ RiQht Side: '7,25— Rear:
Actual Setbacks:
Front: Left Side: —Right Side: Rear:
Street map checked for additional setback required? Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual:
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION: M_ �_'- O.AaA41- e,�Ft_ q2- 6D
CRITICAL AREAS #: IV WX
SEPA DETERMINATION:
LOT AREA: e
OTHER:
Plan Review By:
cAfileApermiA�p1andaLdoc
NOTIC�-
'0W'a r n
ty ... 0 T -a- U Y.
formation'shown on the attached
The in
piled for use by the City 01
MaP(S) was COM '
Edmonds/ its Empl.oyees and Consultants.
Th,.e City ofEdm.onds does . not . warrant the
accuracy of a,nything set for.th on t. * hese
map(s'). An . y person or entity -requesting a
copy should conduct an independent
orm'ation shown-c
inquiry regarding the infi
tfi M a p but not I'mited to,
er stub shown, Su(
the lotation ofanysew
not exist and ma�,
sewer stubs may or may
t the location shown.
or,may not exist a
,,-'ty of EdmO*n(J4s/ nor its
Neitheir the U I f or th..
emp`o-yee-s O-r Officers -shal-1 be l.-ja.b-'..e
information given on this map(5), nor for
an y one representation provided based
upon said map(s'.