23028 102ND PL W.PDFiiiiiiiiii
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23028 102ND PL W
PROJECT REVIEW CHECKLIST
PROJECT NAM
4n
PROJECT ADDRESS :
PLAN CHECK #-qR 7r)
RECEIPT DATE:a FA-1C1K
t - ---
REVIEWED BY' (Initial/Date)
PLAN. WATER
COMMENTS
FIRE......131-13G....
SEWER,
STREET
.... EN.G.......:
SetbacksNariance/Setback Adjustment
. . . . . . . . . . . . . .
Conditional Use Permit
............. . . . .
ADB Requirements
. . .... ........ .......
3
Other Zoning Requirements
. . . . . . . . . . . .
4':
Underground Wiring Required
...... ......
... .. .. .
.... ... ..
5
Lot Slope 15%
..........
SEPA Environmental Checklist/Hydraulics Permit
.. xxx'
Tree Cutting Plan
..........
X-1
__7 .....
8
Plat/Subdivision Requirements
Legal Description Verification
10
Quit Claim/Street Dedications
Easements - Public/Private
-X AX
... . ... ..
1-2-:
Engineering Storm Drain Review Fee
. . . . . . . . . . . . . . . . . . . . . .
13
Engineerin 2.2 Inspection Fee
9
.....
..
.....
...... ..... ..
.... .. .. I.-*
Drainage Plan (On -Site)
. ... .
....... ...........
. x ...... ... 1;.----....:::::`.
Setback - Top of Bank, Stream, Water Courses
. ......
..........
. .....
. ....
:A.
'6 d
Setback - Storm Drain Line
Open Ditch - Existing
........ .......
Culvert Required
Culvert Size
............................
--n X...'
. .
..... .
20.1.
Shoulder Drainage/Shale Open Runoff
....
21
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
0
:'X241
Curb & Gutter Required
0
Curb Cut For Driveway Required
tj
26
Street Paving Required
... ... .......
Right -Of -Way Construction Permit Required
Street Name Sign Required
X: . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .
Pjj1+
29
Other Signing Required
30
Bond Required For Public Improvements
....
. ..... .........
. . ....... ....
.
. . . . . . .......
FEMA Map Check/Water Table
xx..........
. .........
. . .......
Side Sewer Availability
. .... . . .... .
33
Calculate Sewer Connection Fee If No LID #
. ........ .
3 4-:.
Create Street File
35
Existing Water Main Size
....
..
36
Water Meter Size
.... ... .. x
......... ...... .
37
Service Line Size
. .1 .
. . . . . . . . . . .
.:;
..........
88
Water Meter Charge Required
. . . . . . . . . . . . . . . .
39
Hydrant Required
46
Hydrant Size Existing
..
... .... ,
Fire Line Charge Required - Sprinkler
42
Street Cut
1_43
Miscellaneous
1,
7�1
Reviewed By:
FIRE
PLANNING
lyhr
EF-G—INEERING L F * U 6 1 1- 10-� )WORI <7 � FT
x3v a � "Llm
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
11
31
32
13
PAID RECEIPT # DATE
33
SS PERMIT # DATE ISSUED RECEIPT #
14
PAID $ RECEIPT # DATE
34
_15
35
16
36
17
37
METER SIZE PAID $ DATE RECEIPT #
18
38
19
39
20
40
1 "14
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER CALC BY:
1A)
ADDRESS PHONE:
PL
�Ift')�s \f4N OU10 DATE: . ojuj
I -
"'DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA
PIPE LG ORIFICE
;%A �)Xkk
\V
DETENTION PIPE LENGTH I..
FINISHED 0 MINIMUM 7
TIGHTLI
X TO IX SLOPE
UPPER CATCH BASIN
'AcA1vNRfh'fflV%P or
CONC BOX OR RISER
==Lge'L5 T
OUTLET CONTROL
MIN.
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'XZ'X6' DEEP, 4-6- SPALLS OR EQUAL
0
FR13M CONTROL CD 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK
FROM CONTROL'
NPRAP OUTUr
I
LdM
.O.EWUrAIN ROCK
RUNOFF SPREADER. TRENCH
FOOTING DRMNS SHALL NOT BE CONNECTED 70 DE7ENTION SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a tightline, and detention system inspection
before backfilling and for final inspections. APPROVED BY
2. Responsibility fbr operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the -storage pipe must be flushed Mt
out and removed from the catch basins to allow proper operation. Ile outlet control orifice DATE
A
N
59
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30 NLCE��
ACCEPTABLE TIGHTLINE MATERIAL
N-12 ADS
Sch 40 PVC ra vo;l t-�-
-SQR 35-L4STM D3034)
CITY (:O_p)(
MINOR 0A �A' '%t,\to
APPR�VED As KTJ!'-aj
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NOTICE"
-N'o ... w,-a rr a n �cy ... c--) t U-1-0 k--Y1
The infor matiof� *shown on the attached
Hed for use by the City 0
map(s) was com ' pi
Edmonds, its Empl-oyeeS and Consultants.
Th,..e City of'Edm.onds does. not . warrant the
accuracy of anything set forth on these
r entity'requesting a
Map(s). Any person o I
copy should conduct an.independent
i on shown-c
Mquiry regarding the 'nf' rm'ati
-t-Fe -m a p (S) / including, but not hm'ted to
th-e 'c ion of any sevver stub shown, Su(
o' at'
sewer stubs may or may' not e.xist and ma\
he location shown,
or may not exist at t
�jty of Edmo*nr-q.-q, nor its
Neit-heir t1he 11-�l h
emp-,-O-yee-s o-r office-rs
I n on this MaP(S), nor for
infc)rmation g ve
'ded based
any one representation provi
upon said. m a p (s'
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SDR 35 (ASTM D3034) N1 \OZ4
4-';�?OS/VAJ CO
�Jwi\stu-�� 04 �&
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NOV - 3 1998 '%N�k4\4 ykr %�*A tw\ 11
APPROVED A�, NOTED
94A - ?/f r
W lw KX KAN �o r t NbU--* ut)li� V\om� t�L
q'In b Nl-" $I.
�-�F\00� WN C\%b2b
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't 2 -2-M
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER iA&IdOg�
I
ADDFMS
4,4 \r4N OU10
CALC BY:
PHONE:
DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA
FINISHED MTENT113N PIPE LENGTH
M MINIMUM
IN,
TIGHTLI E
r
M TO IX SLOPE
F---- L
UPPER CATCH BASIN
PIPE LG ORIFICE
;\SPA O\Nk
HCATUNREWItg% Or
CONC Box OR RISER
OUTLET
OUTLET CONTROL
MIN.
Wrier
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
Z'X2'X6'.DEEP, 4-6- SPALLS OR EOUAL
0
FROM CONTROL C9 21 2'X 3' DEEP, 3/4' CRUSHED ROCK
I I J I/
FROM CONTROL'
NPRAP OUFLZF
I
L"
WS"Nd WAIN ROM
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSMM
NOTES: #
1. Call Engineering Division MI-0220) for a tightline, and detention system inspection
before backfilling and for final inspections. APPROVED BY
2. Responsibility for operation and maintenance of drainage systems 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 &How proper operation. Ile outlet control orifice DATE
must be kept opm at all times. I I
F;
A
N
26
59
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PLANNING DATA
NAME:' i&a
SITE A!1i WAd J2. DATE:
ZONING: PLAN CHK#:T1--370
PROJECT DESCRIPTION: WVqX -
CORNER LOT k (Yes/No)
SETBACKS:
FLAG LOT_ _(Yes/No)
Required Setbacks:
Front: Left Side:7.5- Right Side: -7 5 Rear:
Actual SetbggliE i,,)
_)� Front:,�2fl 4, Left Side: Right Side: Rear:
Stre t map checked for additional setback require��Wjj-&pe—s/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED kP) -(Y/N)
LOT COVERAGE: S'b 16
Maximum Allowed: —Actual: Zt/. q
BUILDING HEIGHT:
Maximum Allowed:— —Actual Height:
Datum Polnt:55 tm Datum Elevation:
SUBDIVISION:
CRITICAL AREAS
SEPA DETERMINATION: IV.I-'f
USE PERMIT
CITY OF EDMONDS ZONE NUMBER 09 6M 7
CONSTRUCTION PERMIT APPLICATION o,3 Pj , A — E/APT It
OWNER NAME/NAME OF 13USINESS ADDRESS"2 C,�, ) o ;, f
QUIT
LE7LZRESCRIP ION CHECK S413�.I��I§ION N9. LID NO,
�v't
ui MAILING ADDRESS
Z _�7
0 TESCP ApprovedP/_�i t I
PUBLIC RIGHT OF WAY PER,OFFICIAL STREET MAP.
CITY ZIP I TELEPHONE NUMBER RW Permit Required /Vo 0
EXISTING REQUIRED DEDICATION Street Use Permit Req'd/V-,O
(�A
Inspection Required �4
NAME Sidewalk Required 1�v 0
W
METER SIZE LINE SIZE NO. OF FIXTURES IRV REQUIRED F_
PI 34
X NO 0 6
YES
u, ADDRESS
REMARKS 4
c w
C
TELEPHONE NUMBER
Z
CIT ZIP �Q) fC' A./ W
eI Z
NAME I AJ
cr ADD�E SS ENGINEERIN�MEMO DATED REVIEWEDBY
0
ONE NUMBER
a CITY 1 !IP IT4LEPH
FIRE MEMO DATED REVIEWED BY W
Z
0
STATE LICENSE NUMBER EXPIRATION DATE
f- kua v\1 ov\ VARIANCE OR CU �JJIDAII 7S, /R
7E#
Legal Description of Property - include all easement� J*
SEPA REVIEW SION AREA HEIGHT
Z COMPLETE J��MP ALLOWED POPOSED AULOVV�Eq ROPOSED
P: jp�
(1- EXP 2-
cc
LOT COVERAGE REQUIRED 8ETBACKS (Fr.) PRQPOSED§�TBACKS (Fr.)
W
ALLOWED, 1, PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0
Z
Property :116
Tax Account LOTAEII��
q REVIEW B
P I No. Ce. 0 -1 IT Zar, Y Ilk, a
arce
R
7,
NEW IE RESIDENTIAL PLUMBINGIMECH ui.(` f
COMPLIANCE OR
ADDITION ED COMMERCIAL CHANGE OF USE 1,& 14.,
REMODEL APT. BLDG SIGN
HECKED BY TYPE OF CONSTRUCTION CODE� OCCUP�64T,
GA FENCE G110
CYDS. I— x _FT)
REPAIR El x _ I
WOODSTOVE SWIM POOL SPECIAL INSPECTOR AW, OCCUPANT
' I- �,
ED DEMOLISH 0 INSERT HOT TUB/SPA REQUIRED 0 YES LOAD
FIGARAGE RETAINING WALL/ W :I
CARPORT ROCKERY RENEWAL REMARKS 0
Z
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 108
Fr 10
8 NUMBER NUMBER OF CRITICAL
W I , I - I
0 OF DWELLING AREAS
co STORIES UNITS INUMBER
0 DESCRIBE WORK TO BE DONE (ITTACI PLOT P A
J\0 Q ft FINAL INSPECTION' REQUIRE.
VALUATION FEE
PLAN CHECK FEE
HECT SOURCE: GLAZING 0/0 BUILDING �7
PLUMBING
')CA�
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONL GRADINGIFILL
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days STORM DRAINAGE FEE 30
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
'W harmless the City of Edmonds, Washington, its officials,
i employees, and agents from any and all claims for damages of
a:
whatever nature, arising directly or indirectly from the issuance Cl l-,K I -
of this permit. issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT /Z(
waive or reduce any requirement of any city ordinance
0 TOTAL AMOUNT DUE
nor imit in any way the City's ability to enforce any ordinance
provision."
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 PE RMIT This application is not a permit until
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
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
n Insurance ario RCW 18.27. INSPECTION acknowledged in space provided.
11 A,> R E (0 W N/E. R AGENT) DATE SIGNED DEPARTMENT ' ' ' RE DATf
CITY OF OFFJC�,�IAV,." "SIG
EDMONDS
CALL FOR RELEA! [�ATE
ATTI�NTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector L_j
A' CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. U8C Assessor
SECTION 109 PINK — Owner GOLD