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23215 77TH PL W.PDF111111111111 6595 23215 77TH PL W T STREET FILE CITY OF EDMONDS SIDE SEWER PERMIT 8 9 0 9 PERMIT 8412 Address of Construction: Z3Z 15: 72 t� �LALL- Property Legal Description (Include all easements): -3 (0 r L_ 0 2— o F- ab ei uO IV) 0 Vb8 3 S q 0 a T- A k)l c) iie f L—L�� VIA BALLINGER LIFT STAI CF.IIVF.D OCT 1 2 1992 PUBLIC WORKS DEPT. O\Ainer and/or Contractor: 0 r/) E StateLicenseNo. E3,uilding Permit No. Single Family Invasion into City Right-of-Way:ANo. 0 Yes Multi -Family (No.ofUnits-) RW Construction Permit No. El Commercial Cross other Private Property: A No 0 Yes El Public Attach legal description and copy of recorded easement Z_ I certify that -I have read and shall complyVwith all city requirements Date/,/ as indicated on the back of the Permit Card. CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY *FOR INSPECTION C'AL PUPLIC WORKS DEPT. Permit Fee: — _30 00 711 ""1 d B Tru n k Charge: Date Issued: Assessment Fee: A) /22 Receipt No.: Lid No.: Partial Inspection: Date —Initial Comments Reason Rejected: Final Inspection Approved: Date//), Initial Date —Initial **. PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Re�ised 3!90 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), in cluding., but not limited to, the location of any se : wer 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 liab-le for the information given on this map(s), nor for any one representation provided based upon said map(s). 11 The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION Y' REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ------------------ OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ----------------------------------------- ------------------------------------------ PERMIT NO. L�t ?--- - ------------ JOB ADDRESS --2-3 .. Z-15 --- - ---- T-7 ?( . . ..... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ -7 -7 r" � (- - ..*- - vAl V�- I ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAME OF ADDITION ------------------------------------------------------------------------------------------------------- ............... 4"Pv.c. C-0. T 31, 341 CIA9 V Approved: b - 13 - PWW-0001-1 1/75 (REV.1 1/78) DATES ......................... ................ Bj� ........ ---------- z� ------- A -- RE ET FILE� Building Permit Applicati.on"...Inf ormation Application% .9.20720BLDG..'-�.:.'*:*:*D'ate.-.-'. -8/12/92"'-. Permit.. -4 P :920720BLDG Sit,6 -Address..-. 23215 .77th'Pl W�- Job fiam6. -1elt.',Homes. Unit Owner -Informa tion. ATA# 8075 `000 003 00 omes 1 "'; i 11�1" �A 9t 'Ve S'.. Name,', ....... Belt H' Address........ 917: t a t City/'St/zip..�. Edmonds.,.fWA 0 A,-_._W6jrk, �ph6fie 778Z02 Home Phone.... -776--�2829 Vp 1;o f fto .;:! a, Name ............ Bel 'xt Address ...... 917 9th�,Ave�:.*-S.� -city/ St/ z ip:.e-. �:Edmondg 0:21 Contact_.�... lior g A 76' 282 .t,BELTTE3480 745-6,569 Name .... Des-!Ori�<ConsUltant Ai'd 9. 50, -0 Addres'sl� . ........ City/ St/Z.ipr.f'. . "98108""' Phone... 745 656-9--"`*:' Contact ....... Engi. '&,rmation 664kRAnf.; Al 4, Name. Address . . . . . . . ... City/St/zip. . . 1pho e... Contact ....... . w Heat... 0 atio New ...... X Add- r XS_1fi_9'Ie11'fFifiq Nature of Work.. :New"'.,' Residend -Vi c6s,tY. SqF,t* ''6S-A2':.1 Building Type' qode'!� Idin4;,Ar, 6a': 2607'. Basement ........ Second Story ..... 1451 Third -Story -Over 3.Stories....- Gariaige; 484 N Decks .......... Sfiell- "p, .Total Uare ootage ....... 4058- .Building Va ua ion ......... 272,000.96 �q Building Pe'rth'it F e e 1,111'.35 -1-5 Plan Review Fee ......... $ Total Fee's ............ $ 4--,-�84+r6-a ///7- Z,5- HEtrPN7— CAICS .3 no - 7 J 7 7, .4 7 Z S 7 7. 9, ha- — leeq - q PLAIIIIIG ILE blRIEE - I - ---- --- - � -Y 7,2-, GAILA 1 -----L 01- sn. 44/ S-k C/Ty 0+ 3 et--r— H 0 m e—s., / ff d,, 7 — f -A h y e-, -SO el--d1n4N&j W1Y 7-74, -,geA� PROJECT REVIEW CHECKLISTSTRF.F—T FILE PROJECT -NAME: vv�EL_-r PLAN CHECK #: PROJECT ADDRESS:__2 32 L-S- - _27 1`94 A) RECEIPT DATE: ...RE IEW7_D8Y:-(lnitiaI/Date) PLAN. WATER FIRE BLDG. SEWER STREEY'. ENg....' SetbacksNariance/Setback Adjustment A Conditional Use Permit ADB Requirements Other Zoning Requirements 4 Underground Wiring Required 5.- Lot Slope IS% SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan Plat/Subdivision Requ rements Legal Description Verification ........ ---------- - Quit Claim/Street Dedications Easements - Public/Private .... .... u., 12 Engineering Storm Drain Review Fee . . . . . . . . . . Engineering 2.2 Inspection Fee . . . Drainage Plan (On -Site) Setback - Top of Bank, Stream, Water Courses ............... . . . . .. . . . . . . . . . . Setback - Storm Drain Une Open Ditch - Existing Culvert Required 9" Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required 221, Driveway Slope & Vehicle Access Sidewalk Required �OA Curb & Gutter Required v 26:� Curb Cut For Driveway Required Street Paving Required Right -Of -Way Construction Permit Required . . . . . . . . . . . . . . . . . . ............. ........... --------- Street Name Sign Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ............ . Other Signing Required M . .... . . . . . . . . . . . . . . . . . . . ... .. ........... Bond Required For Public Improvements 31 FEMA Map Check/Water Table Side Sewer Availability .. ............. . Calculate Sewer Connection Fee If No LID # . . . . . . . . . . . . . . . . . . 4, Create Street File Existing Water Main Size - - - - - - - - - - - - - - - - - - 8" Water Meter Size ........ .. V I . .. .. F Service Line Size Water Meter Charge Required 375. Hydrant Required . . . . . . . . . . . . . . . . . . . . . .. . .... . kv 46" Hydrant Size Existing . Fire Une Charge Required - Sprinkler Street Cut ...... . 43 Miscellaneous 44.. Reviewed By: FIRE PLANNING ENGINEERIKE C E I VFffjGLIC WORKS AUG 1 1992 PUBLIC WORKS DEP� STREET FILE .sc,q /- e / it =.ZO I HEI&M-r cAICS A - 's no - 7 6 J 7 7. J77. S 7 7. ro'r*g/- / ,,r6 9, J, 4 4ol. I 5 & 9-"*, ,-.470 j 7,2, j 7(0 - - .77n P1"4e.._e-1 Ve-,sr 5 1-2'-'-&�RN I-o7-,3, :�?,v 44/ 16-k He h CITY 0+ 70ma N �7 73 S/yo mon I's J+ Coo ff -BELT— Mome's, /ffd-.- - 9'17 -f-n Aye-, -50 g-"dMeN&j '*/y '77eo -,geA� -r ',�' a ,4 v .g 7(; - EIE T F L E Critical Areas Checklist RECEIVED Site Information AUG 1 0 1992 Project Name: -hl-).L Li,!Ll �ee_' 14114A llmd_� Permit Number: PERMIT COUNTER Site Location: 2JA1_61 Y -7 M 11/ Property Tax Account Number: ?,Q 75 -OCV, Approximate Site Size (acres or square1eet): 7,Z 'C- 13 0000 Have you filled out a Critical Areas Checklist for a project on this site before? yto_s General Site Conditions 1. Has the site been cleared or logged? ClepP-ed Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply. -Flat. less than 5 feet elevation change over entire site. Rolling- slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments HydrologyNegetation 4. Site contains areas of year-round standing water: hyd .5. Site contains areas of seasonal standing water: -.Approx. Depth: 6. Site is in the floodway floodplain of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows -round? are year AP —Flows are seasonal? 8. Site is primarily: forested meadow shrubs _; mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 11. Critical Areas inventory or map indicates any Critical Area on site: -------------------------- — -- --For City Use Only STUDY REQUIRED: Critical areas study is required. CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied. ,,.-�WAIVER: Critical areas study is not required. N Determination Number: Reviewer Planner t Daw 'Rey 3/27192 890 .194- City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by anyperson preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. 1lie purpose of the Checklist is to enable City staff to determine whether any potential 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 data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review - the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of thi's form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: 6L.r Name Title 917 el M fi "'S, �56 Street Address '67dav #,C/�5, �rp.5 /Y City, State, ZIP Phone Si�-nature Date Applicant Representative: Narne Title Street Address City, State, ZIP Signature Phone Date STREET FILE CITY OF EDMONDS 9 0 . I c, SIDE SEWER PERMIT PERMIT - N 0- 8412 Address of Construction: 2.3 7 2 �LhLt�- Property Legal Descript ion (Include all easements): P oh,6- L:_:t PJA6 10 IV) 0 V16 2 -S I f" DL--A�l "A 4) P I L-0- M tj Owner and/or Contractor:' State License No. Building Permit No. ,0 Single Family Multi -Family (No. of Units Commercial Public V�) 0 P Invasion into City Right-.011-Way:)a No 0 Yes RW Construction Permit No. Cross other Private Property:)Q No 0 Yes Attach legal description and copy of recorded easement I certify that I have read and shall comply'%ith all city requirements as indicated on the back of the Permit Card. _/ 0 /1 �-_ A Date,/ , * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * 01IFFICE:UISE, ONLY FOR.INSPECTION CAL PUBLIC WORKS DEPT. 7 1-029 1 Permit Fee: Issued By a6 Trunk Charge Date Issued: Assessment Fee: Receipt No.:- '5e?, QMI� Lid No.: Partial Inspection: ..Date -Initial - Comments Reason Rejected: Date -Initial jFinal Inspection Approved: Date -Initial- ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 UZI' lii�'Kqll A Revised 3/90 SIDE SEWER PERMIT REQUIREMENTS Side sewer permits.,.shal,l te posted apd:-64-11able to inspector at time ff-inspectiod. lin�pection &r'1_n`g-_no-_rmal working only. 0#6 ( 1 ) w o r k i ng, d ay *notice required. Side sewers �mu'sf­be '16ft un'coverecr unt'i"I"i'nspected. A water test is required. ;,J 2. Wop;e'ft� own6v-s"'can obtain a permit t6 install Ode i6wert -on -sed side,s.ewqr-:con�.r#ctors Wu,�t be pr -ate prope..rty. -_�Jcen ;J v. M—Plbyed to h o -way. e constr6c"t side sewers in tfie' 6ty rig *'e-'Y " Invasion into City right-of-way requires a separate permit. 3. The side sewer contractor assumes full re.sponsibility for each installation for one (1) year. 4. Trenches within City right-of-way must be restored to original conditions. Streq-�-... re,stor ation fees.s�ha-lil be p�.id-­5' "advance under a right-of-way �e"r�ft. Con��a_'�ib:r*s' shali 6e'responsible for right-of-way failure due to poor compartion 5. No down spouts, footing drains or floor drains can be connected to a side sewer system. k . X\ 6. Pea gra'vel is required for bedding when installing sewer lines through other than granular soil. 7. Cleanouts' , at property line and at house will have risers installed to within 12" of surface grade with removable cap. 8. Commercial establishments require a minimum of six inch (6") side sewer line. $ i s ��Ors may not be installed closer,tha-'--,th�irty"inch4§ _(-36 to structure. 10. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. 11. Side sewer lines must be laid 0 at a minimum grade of 2% (1.15 0) and maximum grade of 100% (45 12. No turn in side sewer gre 0 (1/8 ben'd). is -allowed be Veen cleanout. All 90 turns must be constructed ofa, 45 (1/8 bend) and wye with removable cap for cleanouts. 13. No'cl6anout shall be paved over. If located in pavement, cast iron lids will be installed. 14. All connections will be of gasketed type. No solvent joints unless prior approval is granted.