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23211 76TH AVE W
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City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
STREET MLEMIT
Permit Number- 95--04-7
Issue Date:
A. Address or Vicinity of Construction: - 123211 76th Av W
13. Type of Work (be specific): GTE placing telephone service drop from pole
to stub out - 26 feet r.o.w. - under sidewalk.
Mary Bower, Permit Coordinator
C. Contractor: GTE NOrthwest Incorporated
22118 20th Av Sfi, Suite 130
Mailing Address: Both@!!, WA 98021
State License #:
D. Building Permit # (if applicable):
Contact: Mary 206/488-1628
, neer. BTTT-JTr-a--
one: 206/823-6681 or 669-9716
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. [I Commercial El Subdivision El City Project Vg Utility (PUD, e)WNG, CABLE, WATER)
Fl. Multi -Family El Single Family n Other 21OO-9POO1DB 242310
INSPECTOR: INSPECTOR: UIQ C. JA
F. Pavement or Concrete Cut,: D Yes BNo G. Size of Cut: x H. Chargq�,$
APPLICANT TO'READ AND S
INDEMNITY. Applicant understands and by his signature to . this application, agrees to hold thetRty. Edmonds harmlx4:�;OAR'Czmages, 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 or not limited to the defense ofany legal proceedings including defense costs, and attorney fees by reason ofgrantifig thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORIAIA�RIOD� OF ONE YEAR FOLL(ilf[N E FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIONFEFS 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.
Construction drawing of prcl3osed 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO -EXCEPTIONS.
Iha ve read the above statements aoLuaderstand the perm it requirements and the pink copy of th epermit will be
available on site at all t r-Icke f, r oses.
0
March 16 1995
oignature: AIL i Date:
(Contrad#1Yb#R#A'T)
JOHN H. STEWART, OPRNS SUPV-OPS ENGRG
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK -
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED VOID AFrER IF A YL- DAYS
SPECIAL CONDITIONS: Nx
COMMENTS:
DATE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. I)iv. 1991
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
k
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PERMIT SUBMITTED 13Y
GTE
4�3
FS
!PEDS a
POLES 0
RM SORIES
OVERWAD LINES
ULUTILITY POTHME M
UG TREWAW ---iXT—
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THE FOLLOWING INFO TO BE PROVIDED
RIGHT OF WAY LICS.EOP OR FACE OF CURIL EXISTING SIDEWALK, POLES. ROAD CUTS AND THE UTILITY . UNDER ROAD- CUT'
ABOVE GROUND FACILITIES.Geo PEDS"XES.CABINETS. ETC --UNDERGROUND TRENCHING AND OVERHEAD LINES. 7
FOOTAGE OF WORK IN R.O.W. (4
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PERMIT SUBMITTEI) f3y
GTE
- - - - - - - - - - - - - - - - - - - -
PEDS a
POLES 0
ROW BORES
OVERWAD LWES
ULUTuTy POTHOLE C:3
Ur. TREWAW
R.o.w
EOP
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THE FOLLOWING IWO TO BE PROVIDED
RIGHT OF WAY L#4ES.EOP` OR FACE OF CURIL EXISTING SIDEWALK, POLES. ROAD CUTS AND THE UTILITY . UNDER ROAD- CUT!
ABOVE GROUND FACILITIES.(Ie-.) PEDS,8QXESCA8RdETS. ETC --UNDERGROUND TRENCHING. AND OVERHEAD LINES.
FOOTAGE OF WORK IN R.O.W. C4
PERMIT SUBMITTEID BY
GTE
------------------------
0111 1� V�
- -,< I 's 14)
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POLES 0
ROW BORES
OVERWEM LNES
UL UTRJTY POTH()LE M
UC- TRBCHM ---WT—
R.O.w
EOP
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THE FOLLOWING IWO TO BE PROVIDED
RIGHT OF WAY L*IES,.EOlP OR FACE OF CUM EXISTING SIOEWALK, POLES. ROAD CUTS AND THE UTILITY UNDER ROAD- CUT!
ABOVE GROUND FACILITIES.Ile..) PEDSBOXESCABINETS. ETC-AWERGROUND TRENCmING, AND OVERHEAD LINES.
FOOTAGE OF WORK IN R.O.W. (A
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 Consult -ants.
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).
CITY OF EDMONDS
FOR INSPECTION CATL
--�RUBLIC WORKS DEPARAT Permit
SIDE SEWER PERMIT 775-2525 Ext.. 220 Issue Date
PEP -MIT MUST BE POSTED ON J26a;%T�.*.
Address o7w7ons`truction
� � // 14 FILE,,�o_
2. Property Legal Description'(include all, easements) VIA BALLINGER
3 �2 LWI. bIAITUN
�00 a �QOj) A' W?
3. Single Fa I milyJResidence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No.' A: 9 6 k)
6. Invasion into City Right-o f-Way No.Z Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation)
E-1 7. Cross other private property: Yes No Easement required -
U attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a4
a4
1< a. Property owners must obtain a permit to install side sewers on
>4 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'�'-,
E-1 installation for one year.
W
�4 C. Commercial establishment requires a minimum of a six inch (6")
a4
side sewer line.
0 d. Side sewers may not be -installed closer than thirty inches (30")
to any structure.
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e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade,,�of 100% (450).
0 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All.90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required,for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City�right-of-way must be*restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer.must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
,-Y-- 9 / -
DATE:
I"cert:ify'.hat I have/read
and s'Wal . comply wit� the above
PERMIT FEE -4, '75 0. o DISAPPROVED BY: Date:
�J ; i to ym- 0 0 B Date:
P4 CONNECTION FEE,:----- AP P ROVE D By - 7 iff 4 di tf J, tn t e
rZ4 PERMIT MUST BE PO , STED ON JOB SITE
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LEGAL DESCRIPTION: LOT NO..:% ......... W-- .................... BLOCK'NO.'
JOB ADDRESS
TATION
LlFr S
................................ ............................. ....................................................... . ..... ....................
...........
NAME OF ADDIIJON ....... ......... .................
--------------- -------------- ..........................................
STWT
.23206 7
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PLASi �c-
'23-205 7(b
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4-c-60" IE
460�.
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DP.
Side Sewer Drawing.
The City of Edmond
EASEMENT NO. ......
--------------------------
NEW, CONSTRUCTION REPAIRS LID NO . ........ ------ -- ASMT. NO . .........
. ..... ........ W— ........ ... CONTRACTOR
OWNER ... ................................ .... PERMIT NO.
51*
VftPcaPj4ER
IRON PIN
-'VP
23207 7r.-r"
D P.
V OP
LOG WOUSC
Approved:
....... ....... .............. ....
39'
B3..... . ..... ......................... .
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USE PERMIT
ZONE NUMBER
CITY OF EDMONDS
6#bji+wr
CONSTRUCTION PERMIT APPLICATION run rw
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Joe
NAME (OR NAME OF_BUkINESS) ADDYssl "" I F m
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LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO..
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MAILING AUff1tZQ
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CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING 2 REQUIRED DEDICATIC&)
7;7/ C!?
PROPOSED_
NAME
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-A4T.,,A_f" RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
RE
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STREET USE PERMIT REQUIRED E.]
ADDRESS
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SEE ENGINEERING MEMO DATED
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TELEPHONE NUMBER IS
CITY SEE PIW DEPT. REVIEW CHECK L , T DATED
REMARKS
NAME
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ADDRESS
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METER SIZE BUILDING SUPPLY SIZE _1XTLJRE UNITS
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CITY TELEPHONE NUMBER
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REMARKS
STATE LICENSE NUMBER CITY LICENSE NUMBER
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
Legal Description of Property - include all easements
(show below or attach four copies) SHORELINE #
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VARIANCE OR CU PL ING R IEW BY DATk
3-
YARDS _RjLCi COVERrGE
;2_5_1RONT SIDE REA
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REMARKS
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NEW RESIDENTIAL PLUMBING
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'DOIALTER NON-RESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
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DEMOLISH OR FILL — x FT) I
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PRE -MOVE INSP.1 swim SPECIAL INSPECTOR AREA OCCU PANCY OCCUPANT
COMPLIANCE INSP. POO REQUIRED GROUP LOAD
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F! YES I NO
12—�ATER REMARKS
SIDE SEWER LINE
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NUMBER OF STORIES NUMBEROF
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W1
DWELLING
UNITS
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NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ALUA I N
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PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
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
20
harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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PUBLIC WOWS IEPARI�M CHEacusr
BUILDING PERaT REVIEW
(address) (date)
Street Rigtit-of-Way Existing YTQD
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Access Easements Existing ____IREQD
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Utility Easement Existing REQD
W
Lot Per Subdivision Plat _57-3--9-3 Assessor
Site Plan Checked for Accuracy,
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Underground Wiring Reqd.
Check Accuracy ofrAl D -.4ion 06
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Review by_ Z Date.
Existing Water �bin Size z D,
Water Main Required X11A
Service Line Required
Hydrant Size Existing
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Hydrant Reqd Per Fire Code il -14 Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Conments
Water Meter _5
M_e'�Ieqd.
Review by Date
_a
Septic Tank Design Approved /1,///? Date
Septic Tank Permit Reqd. Al Perndt No.
Sanitary Sewer Availability, WL ---?roj
Drawing No. 1-e5A File No.
Side Sewer Availability ae,
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Sanitary Sewer tionf9e Re�d.
Review by_ _Pa te
Open Ditch Existing. Reqd.
..........
Culvert Reqd. L t 0 —Size
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Catch Basin Reqd. tk ( k Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd._P(��Fp. 7::_:� S L t Indicate an Site Plan
Soil Conditions tO Ground Water Field Checked
Re -view by 2f?_ Date
e d:
MO-4977
DATE
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: �32-1 AVY- g/
After review of the subject Building Permit application, we have the following
comments-
1. Connection to —City water system required.
2. Connection to City sanitary sewer system required.
3 . Right-of-way permit 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 manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Bui I de - r/Owner responsible for containing all temporary runoff and.erosion
V 'I.
BD 6/82
NINA M. AL508ROOI<
POBERT C. 1). CUPNUTT
PAYNE
50' 3 . 0*
/06-50
G7 S.W.
8789
1-:P
POGER C. —
BUEING Z3
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PWIL-IP E.
�iAqMON
I I L. P BIERA44 IV
GARY RACAPACH
E G ON
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06? 03!
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30
//10081*
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16., C4
NITA BELLAM Y
ZO' 2-0,
Sc
SUBDN
zo, Z-0 -330 EGON F.
NWI/4 OF SECTI
EDM DS.
R084EPT
L L vell-gaue:
into$ taffr"MOLIN.
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767-" Ave. W
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SIDE. ......
P. EA..R� -- ----- -.--
Lor *4
Blueprin t Noma
City of Edmonds
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GERALD W. LOVELL, PIS:
JURGEN P. SAUEALAND, P.L.S.
LOUIS F. CAVIEZEL, FOE.-
Lovell-Sauerland & Associates, Inic.
Englacers e Surveyors 0 Development Consultants * Planners
April 22, 1983
LSA File No. 83-980
STORM DRAINAGE CALCULATIONS
FOR
BLUEPRINT HOMES, INC.
LOT 1
Impervious Surface: Roofs and Paving 2455 sf.
Percolation Rate:.. 6.7 Minutes per inch @ 2411 - 27"
Design Rate: 8 Minutes per inch
Lineal Feet of Trench Required per King Co. Chart Attached:
78 Lineal feet (156 sf. bottom area)
Install 1 -,36 wide lateral,,52 ft. in length.
LOT 2
Impervious Surface: Roofs and Paving - 2730 sf.
Percilation Rate: 1.5 Minutes per inch @ 2411 - 2611
Design Rate: 5 Minutes per inch
Lineal Feet of Trench Required per King Co. Chart Attached:
64 Lineal feet (128 sf. bottom area)
Install 1 -,36" wide lateral, 0 feet in length.
Impervious Surface: Roofs and Paving - 2660 sf.
Percolation Rate: 1.3 Minutes per inch @ 2011 - 2611
Design Rate: 5 Minutes per inch
Lineal Feet of Trench Required for King Co. Chart Attached:
62 Lineal feet (124 sf. bottom area)
Install wide lateral feet in length.
1, 97'
Notes: 1. Maintenance of the system to be by the property
owner.
2. All work subject to inspection by the engineer.
3. Call for pre-backfill inspection.
4. Location of trench(es) to be approved by the
engineer.
23106. 100TH W. EDMONDS, WASH. 98020 PHONE 775-1593