23208 76TH AVE W.PDFlill 11111111
6403
23208 76TH AVE W
CITY OF EDMONDS.
P FOR INSPECTION CALL
-7d7Z--,2,5'25 Ext, 242--'Q Issue Date A) 1Y
IDE SEWER PERMIT 7 7 j - TMo
:S U� —
P
PUBLIC WORKS DEPARTMENT ermit
PERMIT MUST BEPOSTED ON JOB
.1. Address of 7onstruction
2. Property Legal Description (include all. easemeWHEETFRIt"o
LIFT. STATION
3. Single Family Residence L--""Multi-Family No. of Utn—it-s—
Commercial
4. Owner and/or Builder eo "'p- e, tv- Z000,
5. Contractor & License No.' PQ Ujiso?C 9 q S k-
6. Invasion into City Right -of -Way: No L--Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (%4,,21'-,1!7�,4,4/) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
>1 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
�4 C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (450).
E-1 f. No turn in side s8wer greater than 450 (1/8�bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (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
thtou , gh other than granular soil.
1. 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.
DATE: a A f /0 <z
I certify that I have read
and shall comply with the above
PERMIT FEE: _29 0
CONNkTION FEE:
P4 �:)
PERMIT
DISAPPROVED BY: Date:
B Date:
APPROVED By �-Date:/,6 IZ-84
T BE POSTED ON JOB �ITE
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------------- ------
NEW CONSTRUCTION CK REPAIRS E] LID NO. ADS ------- ASMT. NO. - -----------------
OWNER Amepu-cam --- TAP, ------- CONTRACTOR ----- G-A-j-lBRP,
.-i --- M ------- ------------------ PERMIT NO. G-5-75
JOB ADDRESS --------- 7(0 - --------- LEGAL DESCRIPTION: LOT NO - -------- I --------------------------- BLOCK NO - ------------------------------------
---------------------------- ------------------------------------------------------------------------------------- ------ - ------------- --
VIA 13�16NGER
z NoT To ScFiuE NAME OF ADDITION
. --uFT-STATI-ON -----
0 --------------------
2BZ20 No"
232-14c 76" 2321Z 76r"
2-5,0P - "Aft a,
I r5 # 1 12'..- rr
L
2'Dp
2XVP
W-C-6.
32t %
27'
47'
e;,C,O. -
Ta SURFACE
PWW-0001 -11/75 (REV. 11/78)
23209 7E;r4
2.!�DP
0ca.
etap
45 39'—s-T.W.— -217, 1 — 12, —
4!DP PR I vATE: D Rx\j s
4' r-eq
41 ,
7,0ft
VOA
6;-d
Approved:
DATE S.V�JZ f:
4-09 -------- By 14OW- -------------------
,�WI1115�IP5-
tj�
'10
5,10
X
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
STREET
bit% VE wh) ..,q 141. 0
F -7
-rorn L Pr LoT AsA6E �SA7,750'
BE Removtj�)
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PLgm
lo
qt
T
DRivELVA
'75
-AM PAC i F)e_
SCALE
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ao gon
ML
rq
. . t
NORTH
6 �_.e rj
" 804 Wl 5k
91
U)
Z37_08— 7 4.. )hv E. v", 3
USE PERMIT . ..... �
17*1 C% ZONE NUMBER
1� I I V.%JF F_1J1V1%JIN K_'--, - n � A I ir,
CONSTRUCTION PERMIT APPLICATION J-0-8-
NAME (OR NAME OF BUSINESS) -7 La
7q-Mjfei2x1r E -1-1-1,K SLBDIVISION NO. cimWINVI:ttyl
MAILING ADDRESS
CITY TELEPHONENUMBER PUBLIC RIGHT�F WAY PER OFFICIAL STREET MAP.
_ ':2
EXISTING k L REQUIRED DEDICATION K2
PROPOSEO—Z _zl
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED IT
ADDRESS STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED 7
CITY TELEPHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST DAT
REM KS
[NAME
ADDRESS
METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER
AR49 41 P8 1'75
Legal Description of Property - include all easements
(show below or attach four copies)
a-17-5,
1-1/1
Pi NEW
I V9 RESIDENTIAL
Li PLUMBING
ADDIALTER
-
10
NON-RESIDENTIAL
—
MECHANICAL
F] REPAIR
El
RETAINING WALL
SIGN
1:1
EXCAVATE
FENCE
DEMOLISH
OR FILL
x _FT)
r_1 PRE -MOVE INSP.1 r_1 swim
F�
SIDE SEWER
WATER LINE
0
LO NUMBER OF STOWIES
NUMBEROF
UwtLLINU
UN115
0
1 K TO BE DONE (ATTACH PLOT PLAN)
0
REMARKS
SIGN AREA ENV. REVIEW I . ADB NO.
ALLOWED i PROPOSED I COMPLETE i EXEMPT
VARIANCE OR CU
_Z_
FRONT A�ZE
FA
IG REVIEW BY AT
REARIL".CQYERA4E
. 05—Z
S 0 Z_ _5�
BY I TYPE OF CONSTRUCTION
SPECIAL INSPECTOR
REQUIRED
0 YES D NO
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
'US harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
cr
< whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
0
nor I.imit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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
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
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
SIGN TURE (OWNER OR AGENT)
DATE SIGNED
5
CITY OF
EDMONDS
771-3202
F.1111111111IM11010-
OCCUPANCY
GROUP
VALUATION I FEE
HEIGHT
OCCUPANT
LOAD
717
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL'S SIGNATURE
DATE
cc IW
co
0
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78
4�
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: :37-cw- AlY
- lu
After review of the subject Building Permit application, vie have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary*sew,er system required.
3. Right-of-way permi t required for any work on City property.
4. Driveway slope not to exceed 14%-
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhol e .
6. Water-and--Se'wer 1-1n'es'fo- be separated by 10 foot minimum.
00 6/82
CITY OF EDMONDS
cavc c4filin 0 Owof4os. WASM04RA 10M
S-INGLE FA14ILY RULTIPLE COMMERCIAL
PROJECT NAME A.054��
ADDRESS Z,.3za4s�-
it-414�1
ki
ENGINEERING & PUBLIC WOR"J""'
K
PROJECT REVIEW
CHECK LIST
,�CONTACT NAME & TELEPHONE NUMBER
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DEDICATIONS
a
EASEMENT - PUBLIC/PRIVATE
z
CALCULATE SEWER CONNECTION IF NO LID i
w
STREET PAVING REQUIRED
CURB AND GUTTER REQUIRED
w
SIDEWALK REQUIRED
CURB CUT FOR DRIVEWAY.REQUIRED
7
RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIRED
aal
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
x
uj
-It
OTHER SIGNING REQUIRED
(ADDITIONAL COf9iENTS ON SAC;
EXISTINf- WATER MAIN SIZE
WATER KAIN REQUIREP 411A
SERVICE LINE REQUIRED
HYDRAUT SIZE EXISTING Af
HYDRANT RE�UIREO PER FIRE CODE A11A SIZE
CROSS CONNECTION INSPECTION
WATER tlF7ER CHA MGEEQUIRE6#4160' 4�cp -t
REVIEW BY DATE (ADDITIOUAL COMMENTS ON Ilk
SANITARY SEWER MING IlUVBER FILE W48ER
SIDE SEWER AVAILABILITY SANITARY SEWER COMECTION FEE REQUIRED
uj
OPEN DITCH EXISTIW,'-A_ REQUIRED
M CULVERT REQUIRED =SIZE
L
CATCH BASIN REQUIRED INDICATED ON SITE PLAN
SHOULDER DRAINAGE IVINTAIN COLLECTI011 ON SHALE OPEN RUHOF F
MANHOLE REQUIRED L, X L INDICATED 04 SITE PLAN
Ir
0 $OIL COND171 D WATE"IELD CHECKED
"D MATE
co REVIEW BY DATE IM ( q (&�--(ADDITIOKAL COMMENTS ON Ilk