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22708 93RD PL W.PDF1111111111 lill 15507 22708 93RD PL W A 4 4�� 4 �e e ft Dennis M. Bruce, RE. M.S.C.E., M.B.A. Geotechnical/ Civil Engineer January 25, 2001 RFECEWED APPROVED BY ENGINEERING JAN 3 1 2001 City of Edmonds DEVELOPMENT SERVICES CTR. c/b Carefree Homes L_X� CITY OF EDMONDS 3924 - 204th Street S.W. Lynnwood, Washington 9803fte: APPLICANT COPY Subject: Geotechnical and Drainage Evaluation New Single Family Residence eea. 51, Ae�� 22708 - 93rd Place W., Edmonds, Washington NWQ.-- This engineering report presents the results of a geotechnical and drainage analysis of the property and new single family home under construction at AC41 U0 - Z701 U r- 1cluc VV ., U_U111U"U'_2" VVC1'__M1"yLU". • Site plan and drainage plan (attached) • Site photographs dated January 18, 2001 by D. Bruce, P.E. This engineer performed an on -site geotechnical and drainage evaluation of the new Carefree Construction home at 22708 - 93rd Place W., Edmonds, Washington on January 18, 2001 (see photos). I This building lot is accessible by means of a pipe stem driveway adjacent to the existing residence on 93rd Place West. The building site is essentially level, with some slight drop-off slope to the rear (westerly). The soil consists of relatively clean coarse sands and gravels. This engineer performed on -site infiltration drainage tests in accordance with King County Surface Water Design Manual, Section 4.4.2, as well as commonly used practices. A series of three (3) test locations (west of the proposed house footprint) were utilized, incorporating the test procedure (holes dug, pipe properly placed, ground saturated, measured amounts of water placed in pipe and saturated timing tests with observations). As anticipated, in the clean coarse sands and gravels, the i"WOEMPTNOMERING almost meaningless. Water flowed essentially in a free -fall state. Dec. SOILS - FOUNDATIONS - SITE DEVELOPMENT - INSPECTION - DRAINAGE - DESIGN &PERMIT - LEGAL P.O. Box 55502 - Shoreline, Washington 98155 - �206) 546-9217 - FAX 546-8442 Carefree Construction Pagetwo The observable and measured infiltration rates were on the order of two to five inches (2" - 5") per minute. However, good practice, conservative engineering, and consistency with the Surface Water Design Manual results in a maximum infiltration rate of twenty inches (20") per hour, or 0.333 inches per minute for design purposes. Utilizing drainage analysis calculations, concludes an infiltration trench of forty- eight foot (48') in length will conservatively handle the impervious surface water from both the new house itself and associated driveway (see attached design and calculations). Based on this engineer's on -site investigation and experience with similar properties, the following are concluded and recommended: The preexisting storm water system utilizing ninety foot (90') of detention pipe LcL not reguired, and is superseded by this infiltration design. The on -site coarse sands and gravels are easily compatible with infiltration trench drainage method. An infiltration trench of forty-eight foot (48') in length will easily /conservatively handle the storm water from the new house and associated impervious driveway and parking areas. On -site inspection by this engineer is required during installation of the infiltration system. If there are any questions, do noi hesitate to call. DMB:vIb M. too( .17405. ISTE AL EXPRES MY L.. �- X4_ i��� Dennis M. Bruce, P.E. Geotechnical /Civil Engineer Dennis M. Bruce, RE. 7—*#j �s-j Roo/ M.S.C.E., M.B.A. Geotechnical/ Civil Engineer WA govTo 113s -r0k1\AWk-rFk- INI=( -T TtON S (�7 'S YsTr K /0-- roof 0 drain PLAN VIEW 41 r1gld or G" flexible NTS perforated pipe ................ .......................... . . .............. ....... 4 ................. infiltration trench. sump w/solld Ud roof dmin PLAN VIEW overflow 46 dgid or 6* flexible splash block perforated pipe ...... ........... ..................... C16 CA. C10 4 A washed rod( Ar4a (34C I I Ir 314o - 1 mirk ........ --------- --------------- fin qsh scree CS sump w/solldlid 01 min A filter fabric compacted backfill M. 44 rigid or fr. flexible 'A pedomted pipe 2 17 a v-41 0,- a 0 1 . i.08 6" a 7 a C3 washedrook 12' 0 CA* o ?-a 1 a 17405 dQ AIL MCTION A Irk) (1�3 1=y �2nb NTS SOILS - FOUNDA TIONS - SITE DEVELOPMENT - INSPECTION - DRAINAGE DESIGN PERMIT - LEGAL P.O. Box 55502 - Shordine, Washington 98155 - (206) *546-9217 FAX 546-8442 I KING COUNTY, WASHINGTON,-� SU I RFACE,WATER DESIGN MANUAL 0 Filter fabric shall be wrapped entirely around trench drain rock prior to backfilling. Method of Analysis/Length of Roof Downspout Infiltration Trenches The length of trench required is based on the assumption of providing a bottom trench area sized to infiltrate at a rate equal to the rainfall intensity for the peak 10-minute time step for the 10-year, 24-hour duration design storm event (Time step 460 to 470 minutes, 5.4% of totaf storm volume Plot see Table 3.5.1 A), and by the maximum infiltration rate (1m) which Is based on the Soil Texture Class by the United States Department of Agriculture (U.S.D.A.) designation system (see Figure 4.5.1 B and Table 4.5.1 A). The length of trench required is determined by dividing the required infiltration Prea (Aj by 4 feet (the two -foot trench widith plus one foot on either side for side wall infiltration). A, is computed using the following equation: AR = (0.054 P,oAp)/10 Im 116, j 0 0 '� _j -D r I -,- Where: o� e 3; ZE7 Plo 1 0-Year, 24-hour design storm total precipitation, inches (from Figure 3.5.1 E) im the maximum infiltration rate from Table 4.5.1 A, min./inch. AR area of the roof tributary to the system, W. (Note: a typical single-family residence has a roof area of approximately 2,000 Therefore, the trench length required is: L (.A,/4 (feet); in feet TABLE 4.5.11A MAXIMUM INFILTRATION RATES FOR ROOF DOWNSPOUT INFILTRATION SYSTEMS Maximum Infiltration Rates (IM) Soil Texture Class (U.S.D.A.) (inches per Hour) (Inches Per Minutes) 1. Coarse sands or Cobbles 20.00 0.333 2. Medium sand 8.27 0.138 3. Fine sand, loamy sand 2.41 0.040 4. Sandyloam, 1.02 0.017 5. Loam 0.52 0.009 "From a study of over 5,000 soll samples under -carefully controlled procedures by the U.S.D.A. (Rawls, Brakensick and Saxton, 1982). V Example: Proposed residence located at Kent East Hill Roof area (AR) = 2,000 square feet; Soil Texture ass = loamy sand; Im = 0.040 inches per minute; P,o = 2.9 inches A, (0.054 P,OAR)/10 Im = ((0.054)(2.9)(2,000))/((10)(0.040)) = 783 fe K A4/4 = (783)/(4) = 196 feet: (Note: could bi�accomplished by two trenchs). 4.5.1-2 1/90 lrp� AtV LIA36 i- p— K /0 1 V12 I/ I v- 'T copy APPLICAN, rlL Lli 01'"el rr all Ff —ti7rol 1� It � fll" NO, 2 12000 PERMIT CO3UNTFR 5e L,;t4 bu NoT (:�Opj'qe�4 64'1 t 0 e-(3 bl) �z �67-ype ll� p N (2� -D-KA1f4Ac,rfE: Tl-AN( J�)4 (E(e-�671.kPFIOVED BY ENGINEERING 00, AFFROVED BY ENCl..LE-EFlN1G Olt 175- 1? 0m: 1�000 Lot I CAREFREE HOMES IND. 3024 9041 S.W. Lyonwo-od. VII 08030 1-)3� A:L:,'e -41yvo-3e) Irod I _VA ELV -5,1-9,S- lZ2 70 J�l lyj P14 d V, ds AdU�j ii Idd CB -Fo PIW't,V _rl-e:10 ck- lcff� IIA36 1 V12- // Roe -IN I. , Dr ,710 rt orn,qrrffllr-f - zme - I N -4 P" Rl�cj�jvj�t) Noll 2 12000 PE13MIT COUNTj:Fj bo NuT e-(3 bf) X 0"1 'r N 0 0 O-k'*PFIOVED BY ENGINEERING 'A 0:, A� 3000,-Zv AHROVED B Y ENCE'.LEERINIG 0 mte: A VO 0-0 Lofbiea-p CAREfREE HOMES INO. 3024. 9041 S.WS Wnwood. Z 08030 L'dmollds .0 70 owl, FLV S- STANDARD DRAINAGE DETENTION SYSTEM WOROH85^r 4ge-�l ADDRESS V'1411 1410 OW, 1414 �W3%9. IMPERVIOUS AREA CALC BY: Pze�k 6,-as,6 v PHONE: 4� DATE. &Aser,�I, 11 *****DESIGN DATA##*** PIPE DIA PIPE LG 4e7t FINISHED G —DETENTION PIPE LENGTH MINIMUM TIG:HTLI E 5y to IV SLOPE UPPER CATCH BASIN ORIFICE AiAT1U6EtEt&NCf1OP or CONC BOX OR RISER nUTLrT OUTLET CONTROL MIN. CdNtRQL CATCH BASIN.�., SYSTEM CROSS ..SECTION-- 2'XZ'X6' DEEP, 4-6- SPALLS 13R EQUAL FROM CONTROL,CB 2'X 2'X 3' DEEP. 3/4' CRUSHED ROCK Q-:�­ FROM CONTROL OUTLE RIPJtAP WrLfr STING GRADE RECEIVED OCT 2 7.2000 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS I I LOW TRENCH, MIN 10' LdNG. PIPE TO BE LEVEL PERF PIPE W/ END CAPS 3155"ThHAbCbEhl"61I U'S"HETWAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT IJE CONNECTED 70 DETENTION SYSTEM NOTES.- 1. Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage bystems on private property is the ' responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. Ile outlet control orifice must he Irant nrL-n ni all tv�& "PROVED BY &,*Ae2W . '. -2z AAw zooz) 110 DATE -F0 P — gi- V 14A) aid Aquojw Aep 6W-, AJV Y I 2- ,4 140IN r I 11 WeLy C 212a COUNTER Orl vp '.b bo'Noi- !"L ',- 41' -' nZ-3,- .�o be-fle-4 07 - C�I't -IV we 0-rype 11 > C-B 1.7 (z) I p 0 EK RA I t4 C-r rz� 4/0 T A F 3 V E D D Y E N'C! �;E- R IN, G Ott Date: f6 tt s Rtve-A na '400, 4-ttrvi A#4�L to-s-o pAi&te A*fn� 4�o�' 4000 CAREFREE HOMES INC. 3994 904th SA Lynnwood. WA 98036 E-L-v /540 44� '6-diviewds DATE RECEIVED to 710 FPERMIT EXPIRES CITY OF EDMONDS E PERMIT NE NUMBE52fV /- JOB SUIT0# ADDRESS ga_� 01I _Na ff. CONSTRUCTION PERMIT APPLICATION OWNER NAIV,�INAME OF BUSINESS Ale, PLAT NAME/SUBDIVISION NO. LOT NO. it LID NO.,9uuvi;0 LID FEE $ M uu z B. MAILING ADDREE SS vn� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 RW R:r u"ed Pleirl' : .0 EXISTING lie Streel P q6tt R.I'd Inspection Required CITY TELEPHONE PROPOSED Sidewalk Required v 41� 7 7e, A�Z_ REQUIRED DEDICATION FT Wlrl.,�requldriicl Unde ou' NAME MET ER SIZE It r LINE SIZE I NO, 01: FIXTURES PRV REQUIRED )Z YES NO 0 9 cc W Uj != x U ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGC z z 0 CITA/ 7t4ffrUAIC 2j:—:77&U hC-71 Ir J5 e�� A[T-EPHONE zz ;�zr) NAME (_ - fi,- ENGINEERING REVIEW /DATE CC 0 07 ADDRESS .0, cc FIRE REVIEWED BY DATE Ui -,z ==HONE --- z M 0 /4 VARIANCE OR CUs, �SHORELINE OR ADB# INSPECTION RE - D BOND POSTED RATION DATE STPft tr'=:. z vj�j �XPI- CHECKED B Y a 1A 0 YES NO SEPA REVIEW AREA HEIGHT PROP==T':' TAX ArCOUNT %PCE.- "'.0 COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED LU OPI. J:j� �ezz is' 1214-.s' EXP LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT,) RESIDENTIAL [�KUMBING MECH PROPOSED FRONT SIDE REAR I , , FRONT UR SIDE REAR " I a AUDITIO,'. COMMEqCCAL COMPLIANCE OR 3!�701 2,2,,%, i , I I I 9,s -7 2,191 - 2 CHANGE OF USE z 4 PARKING REO'D PROVIDED I I AREA I.P N REV EW TE E!. �,O D E A PA R T M EN'T 0 SIGN _3 I ILO� I , 9 -bc GRA 0 1 N G El F C z E PA I L-4 C TD X FT) REMARKS DEMOJS,� T AINK Ej OTHER z D/G�-=�Z,Gz R WALL C RENEWAL RPO=T =F', P (TYPEE 07 USE BUSINEZZS Fi) ACTIVITY) EXPLAIN* CHECKED by , .1 f)�PE�OF CONSTRUCTR 66DE OCCUPA 0. FE U NUM.BE R OF NUMBER OF DWELLING C RITIC Aelq A REAS in uj a M SPECIAL INSPECTOR REQUIRE' AR A7 OIL fPU. C(I IS wo OCCUPANT 0 STORIES UNITS NUMBW,,*45��?_ YES LOAD DESCRIBE WORK TO BE DONE REMARKS;,� PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D D L2 . f7Q`t7 F -n 10 VALUATION FEE PLAN CHECK FEE cx; HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL C/o THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE it W PERMIT APPLICATION: 180 DAYS CL . PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION in "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE U) Uj IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Of- W /+-L, i TAIMYSCArm *7 0 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Ff-C-#,xu cc 4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY I RECEIPT x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.* FIEc7T TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION f APPLICATION AOPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO CO.MPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit unlit s,gna.: _ ;:%e CALL TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: an,' ' C aesa:e :a: a-z IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in si)a-_e r1rc. -_e- WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 0 ICIALS SIGNATURE DITE 0 NEROR41CG­E­NT_)j, DATE SIGNE (425) 1 11t N--.kp 7" 1�r a, -- -T IvAlao 771-0220 � -_ RELEASED BY V f I A ENTION EXT1333 lz5�1 11 IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -PILE YELLOV; .,z CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD CAREFREE HOMES INC. 3924 204th S.W. Lynnwood, WA 98036 lot Xd kl\ Xz cf� L RECEIVED OCT 2 7 2000 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS ,,WL Tf- rs ro CD it 771 -- - ----------- —t T-A X X A -�L-x - -3 -\ - 1 -5z:.4 I , \ \ \ \ \ \ \ \ '\ —, WN. t -5ZAB C -4 7.C. loo. -3 F E7 N�L 12 FZ,-A 1110— g"4 "/Z '-el 1ps-�s CAREFREE HOMES INC. 3924 204th S.W. Lynnwood, WA 98930 FL01- PLA K .......... L J�Ll lo Alepiltelc- i4 = 00 ld- RECEIVED A=: OCT 2 7 2000 7e DEVELOPMENT SERVICES CTR. ell CITY OF EDMONDS A 7 17— Ll 0 .73 ty) pldde- 4/, 0 M14 U-23-00- FROn-: DAUE TOON PHONE NO. : 425 337 7214 Oct. 04 2000 02:30PM PS . . . . . . . . FEB 2 199a C of Edmonds COMMUNITY SERVICr sty CRITICAL AREAS CHECKUST The Critical Areas ChecIdist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. An applicant,- or his/her representative, must fill ouL the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precuxsory site visit, and make a determination of the subsequent steps necessary to complete a develo'pMent permit application. purpose' of -rbk­Chiffck1i9t is-th UiMbtd`-C1tV "Please §Ubiult 'icitiftY -Inap along" with 'ihe -The stATff' v 31 determine whether any potential Critical Areas am, or copy of this fb=- to assist City staff in Riading and may be, present on the subject property. The locating the specific piece of property. 4!,,�qjbea * '* , on information needed to conap;pte die_._C_hccMjst_sboWd - --this form. - -lif —aWifi-6h�--ifie applicant shall inclLidt IDC cazll-j avallable from observations of the site or other pertinent information (e,g., site plan, topography data available at City Hall (Critical Areas inventories, map, etc) or studies in conjunction with this C:hecklist maps, or soil surveys). to 'assist staff in completilig th�iz­ pftliir�na'ry' agsessment of the site I have completed the attached Critical Areas Checktist and attest that the answers provided are fhctua� to the best of my knowledge (fill out the appropriate column below). Owner/ApplJcant: Name Street Address ciiy 91tate zip TdIciplione Signature -.2 /./ q / Date c:mcapdon%jsmn1cs&.dac Applicant Representative: Name Street Address city State zip Tetephone Signature Date (over) cA FnE --5 4- Critical Areas Checklist -- ----- ------------- s.iteinf6kiiati"On'�'.(so"il-s/topogr4phy/hydrologyjvegetation) 1. SitcAddress/Locafi= 2. Property Tax Account Number: SC4* 3 -600— e.) 6 1 — eo 0 -3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? __X yes; _ no. If yes; how is site developed? xnreu/z 5. Describe the general site topography. Check aU that apply. Flat: less than 5-feet elevation cbange over entire site. Rollijig: slopes on site generally less than 15% (a vertical rise of 10-feet over a bprizontal.distance of.66-figt Hilly; slopes present on site of more than 15% and less than 30% (avedical rise, of I 0-feet over a horizontal distance of 33 to 66-fect), Steep: grades of gifeater than 300/a present on site (a vertical rise of I 0-feet over a horizontal distance of tess thwi 33-feet). -7 7" 6. Site contains arm of year-round standing water: —; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx, Depth: What season(s) of the year? S. Site is in the floodway floodplain— of a water course. 9. Site contains a crock or an area where water flows across the grounds surface? Flows arc year- round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mi;xed urban landscaped (lawn,shrubs etc) 11. 05vious wetland is present on site: v� I A "j .0 esi ft�_45k.dac; Ray 10MR7 2d Wd9E:E0 OOOZ 170 -400 PTEL L22 SEP : 'ON 3NOHd NO01 3rlUU : WO8J FROM.�: DAUE TOON PHONE NO. : 425 337 7214 Oct. 04 2000 02'2epmP4 City of Edmonds ".:, -!/ 2 . I r,�4 %low CWTICAL AREAS CHECKLIST The Critical Areas Checklist conWned on this form is to be filled out by any person preparing a Developmeat Permit Application for the City of Edmonds prior to his/her submittal of a development pera�h to the City, The purpose -of -the ChecUst is to'enablei City staff to det6tbine whc-ther ;�ay potintial Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or d&a. aviailable at City Hall (Critical Areas inven�ories, maps, or soil surveys). An applicant, or bs/her representative, must fill out th6 checklist, sign and date it, and submit it to the City. The City will review the checklist, mzke a precursory site visit, and make a determination of the subsequent steps necessary to complete a development perinit application. Please .5ubmit a vicinity 'Map alou-9, wiffi the signed copy of this form to assist City st�ff in fuuUng and locating the specific piece of property described on this :Form. In addition, the applicant shall include other pertinent inforination. (e.g-, siteplan, topography map, etc.) or studies in conjunction with tWs Checklist to assist staff in completing their preHrninary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Applicant Representwtive: Narne Name Streei Address Street Address e- e9 el,9 c, city State Zip city state zip ev, Date 7:2—/ Telephone Signature Date (over) CA FILE NO Critical Areas Checklist --------------------------- I.? ----------------------------------- Site Information (soil s/topography/hyd-rology/vegetation) 1, Site Address/Location. 2. Property Tax Account Number: 92CD!2 C---)- /p"ef 4:2 t--1 3. Approximate Site Size (acres or square feet): Z�--!';' Ir 4. Ts this site currently developed? yes; _ no, If yes -'how is site developed? -4-0''M-p 41 5. Describe the general site topography, Check ail that apply. k" Flat; less than 5-feet elevation change over entire'site. ge a of 1 0-fect over a -ner 11Y.Jess th,an.j5% (a verticai rise horizontal distance of 66-feet), Hilly: slopes present on site of more than IS% and less than 3 0% ( a vertical rise of 10-feet over aborizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-fect over a horizontal distance of less than 33-feet). Other (please describe); 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. 1)epth: What season(s) of the year? S. Site is in the floodway floodpL-a of a water cou'rse. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? _ (What time of ycaT? 10. Site is primarily.- forested X' meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is pre5ent on site: X.;. Al It AM 'A wm IM -pip V T PlaW4-Alc), .2a 22 4� �.ST. S.47 X r, 30 6Z W 3D Sco:e 1* 30' PLAI c * �0-49W r "n -La w, - — — — — — — — — — — — — — — — c� Irr 9110. 11" Sri wt. . - - — — — — — — — — — — — — — — — A SLOW 15 LV to 35. -rsft VSO roe T"VVM -CWACL'n SWY- O"W it Z"L IrrAL 'JHn[f4jVTftb %Taw -w-un-smaw ft *UAW !D'W W&ATS.."Am-W-mccom or I vs ..9"Pa7m V! -V Lir I T31 1,p L, tow_ !MWE aww" / -Ira sr."".va.'st (?go som, -V3)-3"-7Jh- AS .41RE-11.319220". el,7_ W= rEW-1 m OrR2.21- v 35'r-- V.W rei, m T Mile r1j 1 . Ow. w , F 7 nw-t 9-05 V.S. 1Y ft Ulf AA . ji S - 98 - 155 1% -.0 S E I /A Sj 114, SEC. 25i I-P7-N. R-3-E, W01. P9 rn6o iz�-w 1 1% Hr_ =- Or EDMONDS. SKD-(--.1 - '0,.-NY 1,AS-!NG'!3N CATE CER-F-ICATE LZI1 SH-nR-- r-LA- FD:Z dc 0' .. -,-c -r�rs-. -%is MCC �ecqly lii�"Mls c -l", �.ft b, -l' -, C-ftlt-- i, cir-0--o" ftt� m --j EN 0 WE H DA VE TO ON c, �qw & ASSODATE'S. INC.. P. S. 0' t-, S,,�y &cl C., m. Professicncl Ond Sjirveyors JOE NO. ts "05. lei 30 m l"s ft. HIS! i COIKC. P': !CALE S-Ei, Lsj=l or :zz--o-z::s (20t�-542-21RE or. 0.. CITY OF EDMONDS SINGLE FAMILY/DUPLEX COVER SHEET LY (Shaded boxes are lot City Dirac 10116.* Applicants at* to complete the Information In the WHITE BOXES ON single-lomily use only). This cover $host must accompany each building permit application for A new residence. PROJECT ADDRESS A, 7Z7 /r Oe�L PROPERTY TAX ACCOUNT PARCEL 0 DESCRIPTION OF WORK e4gW r2,E�� OWNE PHONE4��-77� C� IJZIVZ�2 '-' CONTA T PERSO PHONE E-MAIL FAX6k.'J5 MAILING ADDRESS, ��2Zt- e�O� O/FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS By SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. 17 IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND 17 16 My RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT suemilITAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT To THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION in ORDER TO MAKE A COMPLETE APPLWAIKIJI�A ,P NO DISCRET!2VY APPROVAL!" REQUIRED. SIGNATURE ZONING INFORMATION ZONE 9- LOT AREA 11 :3 Vg S' EXISTING DEMOLISHED PROPOSED NUMBER -OF OWELLING.VNIT., DISCRETIONARY APPROV . ALS CA 919'57+98-43. Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER City Use Only 2467 LOT COVERAGE INFORMATION -204�-7. EXISTING SF ----7- PROPOSED SF.jq46W- TOTAL SF 241- 4h 5 % HEIGHT CALCULATION INFORMATION DAT AVE SFTBACK INFORMATION FRONT SIDE REAR FRONT SIDE ell SIDE - 1'31 REAR 16ci a Y NO n$ -DEDIC, yEiQi6kt- 0 Ei L-iG LOT 43 i 1306 ST: 0 YES J@ NO'. RECORDING 0' STAFF COMMENT$: 7 -7- ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS 1144 0- ( �M6. EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 _SO.FT FXISTING* IMPERVIOUS AREA INSTALL. ED 1977 OR LATER- __�—SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE Vq 3�-fff-t� City'llso Only SIDEWALK EQUIRE'D E]YES [3N . 0 DRAINAGE PLAN REQUIRED [K]Y'ES []NO UNDERGROUND WIRING REOU . IRED 171YES 11 NO LAAJ STREET DEDICATION FT. LID# STAFF COMMENTS: SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) START OF WORK El EXCAVATION A G RADING E3 SHORING INSTALLATION & MONITORING 1:1 PROOF ROLLING OPLACEMEN I f OF FILL & CO MPACTION SUBSURFACE DRAINA GE VERIFY SOIL BEARING PILE PLACEMENT EROSION CONTROL DGENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD 1-3 GENERAL SITE M ONI TORING BY TH E GEOTECHNICAL ENGINEER OF. RECORD -DURING WET WEATHER CONSTRUCTION 1-3 FINAL GRADING A FIELD REPORT OTHER OPLACEMENT OF REINFORCEMENT OPLACEMENT OF CONCRETE E] BOLTS INSTALLED IN CONCRETE [:]STRUCTURAL MASONRY E] STRUCTURAL STEEL ERECTION HIGH STRENGTH BOLTING WELDING (WASO CERTIFIED ONLY) OTHER PLAN CHECK 0 4�� 4;�O�a DATE RECEIVED IZ�1,15-4:Xe��' BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1991 Us C. UMC, UPC. WSEC. VIAG WITH AMENDMENTS DESIGN CRITERIA AVIND EXPOSURE IS WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load' 1i tj Root Snow/Live Losd_16 Balcony Live Load -a F loo Balcony Dead Load_LC I Dead Load Floof Dead Load /0 NUMBER OF STORIES BASEMENTS — FLOOD ZONE LOT SLOPE % 137zx- SOIL.SREPORTPR IDED OYES ID NO ,VIA_ FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Existing Pcoposed, Living SPSCO Llqq 5 Garage 7n10 - --70(,— Carport Oeck/Covered P It -1-7 Othef2b,22M ENERGY CO DE COMPLIANCE INFORMATION EU"_Un E] GAS. OIL [] ELECTRIC 11 OTHER 13 FORCED AIR []HEAT PUMP. 014YORONIC [:]OTHER ENERGY CODE AW JANCE 0 PRESCRIPTIVE: List Option 10 USE ONLY TARGET UA APPRkA-CX: Provide UA Calcuallons Coiling Insul : stion SYSTEMS ANALYSIS: Provide Computer Analysis Wall Insulation Floor Insulationk& N,,Oi Dooru-value -Vol Window U-Vaius 17-71 ENERGYIVENTILATION WORKSHEETS PROVIDED Skylight U-Value L.1j WINDOW SCHEDULE PROVIDED Elazing WEN I ILATION CODE COMPLIANCE INFOR MATION KITCHEN FAN CFM__W. BATHROOM FAN(S) CFM 90 LAUNDRY FAN CFM_ WHOLF HOUSE VENTILATION SYSTEM EXHAUST OPTION FRESH AIR TO BE PROVIDED TO WINDOW VENTS WALL PORTS EACH NA131TABLE ROOM WITH: EXHAUCT FAN TO BE CONTROLLED WITH 24 HOUR TIMER AND SIZED AS FOLLOWS: 2 BEDROOMS: 50 - 76 CFM 4 BEDROOMS: 100 - 150 CFN1 0 3 SEDR06MS: 80 - 120 CFM 5 BEDROOMS: 120-180 CFM E9 HVAC INTEGRATED OPTION rIDEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) ORIGHT OF WAY CONSTRUCTION PERMIT 0 MECHANICAL PERMIT OENCROACHMENT PERMIT OPLUMBING PERMIT RSTATE ELECTRICAL PERMIT 0 WATER METER 0FEIlCE PERMIT 0 SIDE SEWER PERMIT ORESIDENTIAL FIRE SPRINKLER PERMIT 0 IRRIGATION (SPRINKLER SYSTEM) OOTHER 0 OTHER Any request lot modification, variance go other administrative deviation (h8rinalter *variant@") must be specifically called out and Identified. Approval Of Any PlAt Of Plan Containing Provisions wnich do not Comply With the city code and for which a variance has not been specifically Identili9d, requested and considered by the APP(OPFI&t@ City 0 . IIIcI&I In accordance with the ppropriste provision of city code or state low does not approve any Items not to Code :Pacification. PERMIT ISSUANCE AP S PLA14MING RZVIZW III APPROVAL CONDITIONS OF APPROVAL - Only) DATZ 11-29 -60� EN GINCERING RBVI9W III APPROVAL CONDITIONS OF APPROVAL: DATZ BUILDING REVISW & APPROVAL C014DJTIOXS OF APPROVAL:.,2-.-,44 -n A--ys r-ou r T7 r) Tj of CAREFREE HOMES ING 3924 204th S.W. Lynnwood, WA 98036 73,,�' x x At,) 0,Y6 c 30eD CS FILE 12 40 it If jY Ji. C. Qr ,Or- AAAAAi T-� t 1 11 \ \ \ A\\ \ \ #\\ R\,l /00, oe A N PL , �O�j STANDARD DRAINAGEDETENTION SYSTEM WORKSHEET A, =e's-dl 4;;� CALC BY: - ADDRESS PHONE: DATE: - * ""DESIGN DATA *4 * ** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE -Ale DETENTION PIPE LENGTH OCKING LtD FINISHED G XTYPICAL) MINIMUM IN TIGHTLI E AM UREi rtjtNCfGP or CONC BOX OR RISER .5% To IX SLOPE Z_90UTLET OUTLET CONTROL MIN, UPPER CATCH BASIN ORIFICE CCINTROL CATCH BASIN FILE SYSTEM CROSS SECTION - RECEIVED 2'X8'X6' DEER 4-6' SPALLS OR EGUAL OCT 2 7.2000 FROM CONTROL'CB 2'X 2'X 3' DEEP. 3/4' CRUSH ED RUCK ISTING GRADE DEVELOPMIfNT SERVICES C TR CITY OF EDMONDS FROM CONTROL OUTLET VASHED ROCK 0 OUTrLOW *TRENCK MIN 10' LdNG. UTFLOW T; AIPRAP OUFLEF 1158PT 8HALk C&Ehl"SP MS"HEMAiN ROCK RUNOFF SPREAD ER -TRENCH FOOTING DRMNS ARU NOT BE CONNECTED TO DETENTION SySTEM NOTES: I. Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. APPROVED BY '45, '2, Responsibility for opemtion and maintenance of drainage systems on privaib property is the responsibility -of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. Ile outlet control orifice DATE must be kept open at all times. AP V 1100, 09 40-8" QUARRY SPALS PROVIDE FULL. WIDTH OF INGRESS/ EGRESS AREA FILTER FABRIC iAMERIAL 2w BY 2" BY 14 GA. WIRE FABRIC OR FQ UIV.�-_ PROVIDE 3/40 TO 1.6" -WASHED GRAVEL BACKFILL--­r­ IN TRENCH AND ON BOTH SIDES OF FILTER FENCE FABRIC ON THE SURFACE 0 2' BY 4' WOOD P06T ALT. STEEL FENCE POSTS CITY OF EDMONDS' ,REVISIONS -STANDARD VE FILTER *FABRIC FE STABILIZED CONSTUC 210N 5100 112w X AND ON ENTRANCE ESC minimum Requirement - Stabilization of Exposed Areas All soils exposed —by land disturbi - . ng 6ctiVitles shall stabilized -by suitable applicatIbn of VHft, including but not limited to, sod,, hydroseedin' . . ' gt or other yegetation, plastic covering, o r* mulching, All ' ' . WVe shall be selected, designed, and maintained in accordance with the Manual. The exposed soils shall be stabilized a..ccording to an approved timetable. (Typi ' callyi UP 80*16 shall kemAin ex- posed for more than two (2)-days -from October 1 through ' April 30 and no more tha.n seven (7) days from 14ay i Jhrough September 30). Z_ A Wf� :3ff.2. M�flVE0 bll - DO X__ r7 I NI b4le I)RAINAC-rE 'PI -AN A -I" 2120og PERA41T C0U'VTzR bo cwizec; Sys4e-rx- c-,1,1,t 0 4V q e_� b f -Y we -I � 0-rype- 1IxB 1.7 N�) 54�'c aKj Z;L_n1a4'-b f zf BY ENGPEE.-I,!,'lGe� --dVE 4#m eW-ba 10 I f logo: Le� a 11 3.6, 6P000 CAREFREE HOMES INO. 3994 204(h SA Lynnwood. WA 98036 — I . -0- . - _J 70 )5i,WL, C'LV S- 1 !rl Z — Id 0 CAREFREE HOMES INC. 3924 204th S.W. Lynnwood, WA 98039 -PLA K 1610 -�Kl 7 ......... /0 A Of> 00 - �&— (�!� - fe- I-t'4 RECEIVED A OCT 2 7 2000 78' DEVELOPMENT SERVICES CTR. CITY OF EDMONDS 1cv, -3 y Ile- lk vo FILE // - V -00� clqlf f Ci.t nd� y of Ednio RIGHT—OF—WAY CONSTIZUCTION PERMIT Peimit No: Issue Date'. A. Address'or Vicinity of Construction: -17 0 9 q -3 L W 16 -1c) 10 -r I Z specific): 5 Type of Work (be pe6 _\0 N CkCk'_­� NA _"O� k _4 ljgai� a\\A I,;, Oje­�� 0 U I L c,� `J �5 I.-\ 17 - V4,1 A 'A P't �N\ cv;A 0 1" V�( Acl\ a C. Contractor: �Q\x\ \A� (ye" vwv Contact ic�,\O� 0 _� Lo Mhilifig' Address: M5,�o Phone:,-�6Lo- 4h S , 4,Z3'Y - C) �0 State License #: Liability Insurance:— Bond: Sewer Permit # (if applicable): D. Building Permit # (if applicable): -Si e : .4 -.[] EUC (PUD, GTE, PSE, CHAMBERS, OVWD) E. Commercial Subdivisioli _y Project ngle am �E] Cit Multi -Family Si t' ily TJ b&,rk INSPECTOR- F. PAVEMENT: Q0 YES F] NO G. SIZE OF C UT 3 x 1%J ti. unarge: ii CONCRETE CUT: YES F1 NO IDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmlessftom injuries, damages or claims of any kind or description whatsoever, fpreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including bu`t'�no't'1h*fr'ite'dd_'to the defense of any legal proceedings including defense costs'and attorneyfees by reason ofgranting this permit. THEICONTRACTOR 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-WHICHTIMEA DEBITOR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT. * Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their pos ' session. * Restoration is to be in accordance with City codes. All str6et-cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. * Three sets of construction drawings of proposed work are required with the permit application. IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMITREQUIREMENTS AND ACKNOWLEDGE THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS / 1�, /CJ ( (Contractor or Agent) CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK FOR CITY USE ONLY Ap proved bv:.00&ynsjA_ Right-of-way Fee: -Time Authorized! Void After� 'tO /_,01 Disruption Fee/Fund 111: Special Conditions: Restoration Fee: ft,g Plfijy�g, S' adM QT11 To'taffee: . .. .. ... -..? 37 Receipt No: J_r Issued,by: UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FIN �AL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDM "'16S COMMUNITY DEVELOPMENT CODE. FINAL APPROVAL OF PERMITTED WORK. INSPE&6r§S"IGNATURE DAT :�4.4AA.� For inspection requirements see Engineering Information Handout.� NO WORK SHAI.I. BEGIN PRIOR TO PERMIT ISSUANCE 22700 - 93 PL W Order.# 107010712 Dote:3/02/2000 TRAFFIC CONTROL -PLAN City of Edmonds , * Submitted by: Juliano Nguyen Engineering Planner 425-290-7026 � N T 0 200 11 200 FT 200 FT L4 1w 125 FT TRUCK WITH FLASH I NG ORtWITH BEACON < TABLE A SPEET (MPH) TAPER LENGTH (FT) CONE SPACING ALONG TAPER (FT) OFFSET.WIDTH 101 12' 25 .105 125 25 30 150 180 30 35 205 245 35 40 270 320 40 45 450 1 540 45 NOTE: 1. FLASHING BEACON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT-TIME USE. 2. DISTANCES MAY VARY -AS APPROVED BY THE ENGINEER. 3. FLAGGERS REOUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT, TRAFFIC FLOW. 4. SIGN SIZE PER MUTCD. LEGEND-: WORK AREA 7 1 111 100 F T 111 ffi , D mi 100 FT DISTANCE BETWEEN FLAGGT WORK AREA t 200 FT + T < 200 FT ONE L ROAD + AHEAD 200 FT AM TRUCY I AHEAD M CONE OR CHANNELIZING DEVICE (SEE STD 702) I 6-N M 4 15-W � NOTES: The City of Edmonds I . f I OL4 tOGATO ALA, Uf I L, I f 106) GA14, 21 HOUKO OffOKO 01661NOo 1-800-121-5555 2. 6UKVOY 16 NOf KOOUIK09. 3. MA I Nf A I N A M I N I MUM Of 5' HOR I ZONfAL, ANO 3' VfRf I GAI, Gi,OAKANGO fKOM ALA, GIfY UVWfI06 ANO APFURfONANGOO. 4. GUfS IN PAVIN& AKO OHOWN AO 0 5. 2 WfO IN PAVIN& AWIGIFAfOO. 6. FROJ06f MANAWl OOU& UOIfAIO 125-356-7520 - GA MA-IN-1-NS:�f-ALLATIO[,4---t-IETI-i-vEtAEN-71-- ___I WU ID SIZE TYPE MANUFACTURER -LENGTH 250' Wf� GAS MAIN PRESSURE & TESTING TYPE TEST: PRESSURE; T E S T E Q FY--.:— DATE ON: / / TIME ON: DATE OFF: / / T IME OFF: IDATE ON: / / TIME ON: IDATE OFF: / / TIME OFF: ED—UIGN: PSIGISYS MAOP: PSIGI i CALL 1-800-424-5555 2 BUSINESS DAYS BEFORE YOU DIG TWTC,cZVrTrw mnT Tn Rp RPI TFniipnm FnR FYA(Ti ncATION OF FACILITIES 5 REAL ESTATE/EASEMENT PERMIT iWMON06 4 3 FUNCTION CONTACT PHONE NO DATE 2 PROJECT MGR: Q. U6 I LO 0 25) 3 56 —7 520 0 2/ 27/ 01 1 APPROVED BY: X/A REV# I DITE BY DESCRIPTION ENGR - GAS: COUNTY 6NOHOM16H� EMER SEC Work Center N6NH& DRAWN BY: J. N&UY�,N 025) 290 —7026 02/ 27/ 01 CHECKED BY: 1/4 SEC 6f� — 25 — 27— 3 OP MAP 161. 062 PLAT MAP 165.067 APPROVED BY: FOREMEN #1: U-MAP# (POWER) CIR MAP# CIRCUIT# FOREMAN #2: MAPPING: JOINT FACILITIES ARRANGEMENTS UTILITIES CONTACT PHONE# PUGET �O_UNID ENERGY 2' MPO IF MAIN OXTON610N TO 66KV61 IGAWKOO HOM06 opor L.01, 22700 - 93 PI,, W INCIDENT# DRAWING# SAP SUPERIOR. -ORDER# 107010712 ill SCALE: 50 ' 1 1 / 1. City of Edmonds Permit N . o: 1. J00,;t — OQQ2 RIGHT—OF—WAY CONSTRUCTION' PERMIT issueDate: C. Contractor: �Contact: 4hitrj Mailing Add/rress: t? b hone: ov /Vis - State License Liability Insurance: Bond: $ 'Side Sewer Permit # (if applicable): D. Building Permit # (if applicable): E. Fj Commercial Su�di , vision E] CityProject EUC(PUD, GTE, PSE, CHAMBERS, OVWD) Multi-Fam"lly' SirIgIeFarrifly.' Other. C NSIE,CTOk. F. PAVEMENT: YES NO G. SIZE OF CUT x H. Charge: $ CONCRETE CUT: E YES NO APPLICANT TO READ AND SIGN IDEMNITY.- Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs.and attorneyfees by reason ofgranting this permit: THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND A CCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. _1%, # Traffic control- and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying *completion of the required training in their possession. + Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday ' NO EXCEPTIONS. + Three sets of construction draw ings of proposed work are required with the permit application. I HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQ UIREMENTV AND A CKNO WLEDGE THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS -1: : - (Contractor or Agent) CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK FOR CITY USE ONLY I" ic -10 . Approved , W,�(Moeu kight-of­*way Fee: Time Author,,-zw-V-oid.After f—/ 1 61 af- Disruption Fee/Fund III: Special Conditions: ftWA W 61 f9W CA-W JtDFK - Restoration Fee: -16 19g, -ro LIKC- 69- Total Fee: --*7,5 M�_�99_ (WiNrWhr,. VVP05k. fILL Wk11?0_ /A�l 5,, Receipt No: 4 y (__/ 7 � '' 0 UPON COMPLETION OF, PERMITTED WORK, AN ENGINEERING FINA INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMO COMMUNITY DEVELOPMENT CODE. FINAL APPROVAL OF PERMITTED WORK. INSPECTOR'S SIGNATURE DATE For inspection requirements see Engineering Information Handout. NO WORK SI-IALL BEGIN PRIORTO PERNET ISSUANCE I i -16 Tele-Vue Systems, Inc. aka AT&T Broadband Replace Drop @ 22708 93 rd PL W NODE: EM27 1. Road bore under 93rd PL W, 20 feet with open trench on each side including ditch of 15 feet each, (50 total feet m/1) in the ROW for installation of a new direct buried cable (no hard surface trenching). 2. Install new conduit @ 36". 3. Backfill: Native material, if allowed by jurisdiction and compacts to 95%. If not: Import materials compacted to 95%. 4. All disturbed areas will be restored to existing or better condition. 5. Clean and sweep job site during and after completion of project. Open Trench 15 feet t Road Bore 20 feet X 0 I Not to Scale Existing Pole 10pen Trench 15 feet i AT&T Broadband AT&T Broadband Trenching and Restoration 9 Install conduit at 36-inch minimum depth. Backfill: Native materials if it compacts to the City Standards. If not, use import materials compacted to 95%. Restore all disturbed areas to existing or better conditions. Clean and sweep project areas during and after construction. Erosion Control: Please see attached details if drainage ditches and/or curbs and gutters are in the project areas. il AT&T Broadband Trenching Project PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION: • Timeline — Up to 60-days past the issue date. • Work Hours —The entire project area will be conducted from 7:00 AM to-7:00 PM or as specified by the City Inspector. Traffic Control Plan 1. The standards and guides of the latest version of the MUTCD or as set-up per Code shall be followed at all times. 2. A copy of the Permit and Traffic Control Plan shall be on -site with all contractors during the project. 3. All contractors will avoid parking on sidewalks and shoulders and will take the lane and follow the proper traffic control set-up for the given situation. 4. Pedestrian access shall be maintained through or detoured around all work sites. 5. Please find attached the traffic control plan for the various types of work sites that will be ehcountered d0rifig-ttle ptojebt. 6. Flaggers will be used only when all other methods of traffic control are inadequate to warn and direct drivers. Only licensed flaggers will be used on the project. 7. If situations occur when questions arise about proper traffic control set-up the solution will be determined in the field with the AT&T Construction Rep. and the City Inspector.