23307 76TH AVE W.PDFlill 11111111
6413
23307 76TH AVE W
CITY OF EDIAONDS
E14GINEERING DEPkRTMEITT
Insp Dates
Insp...... --- -------- Jemarks ...... ---------------- ------------
'Insp Date--- ........ By ... ........ Remarks -------- ------------- ...........
..................
InspDate ------------ B:' ---------- -- ........ ---------------- ..................... . ..... ...........
Final... .......... ......... ....... --- — ---- ........
a
CITY OF EDMONDS
EE7 FILE ASSET INFORMATION SHEET
12/NEW
El ADDITION
1-1 RETIREMENT
ASSET NO.
ADDITION TO ASSET NO. -
DESCRIPTION
SERIAL NO.
LOCATION DEFT. N 01
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER Zd�z�lo
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 623
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
E/D'EPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
ttnp INITIAL
DATE
21�11�
VERIFIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
11
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . .............................................
NEW CONSTRUCTION N REPAIRS E] LID NO - ------------------ - ASMT. NO - ------------------
.7 -L
OWNER .... .................................... CONTRACTOR ------ -- _k) V.1 .... BIJ.Vd!��Y . .............. ............ PERMIT NO.
rl T 0 BLOCK NO . ........... _451 7 ...............
JOB ADDRESS ... 24 P .............. 9_6 ti .... Avc.....V -
.... ..... . .V.... LEGAL DESCRIPTION: LOT NO..-..( ........ - .....................
NAME OF ADDITION ---- --------- ........................................................
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176'r H A W.
PWW-0001 -11175 (REV-1 1178)
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Approved:
DATE D-0 V I c (9.9.9 By --- bO.9.G ..... 7
.......................... ) .
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-CITY OF EDMONDS
PUBLIC WORKS DEPAR&T FOR INSPECTION CALL Permit
775-2525 Ext. 220 Issue Date
SIDE SEWER PERMIT
* PERMIT MUST BE POSTED ON JOB SITE *
1, Address of Construction j_SZOr7 q k-T K Atie - Vj - r-IK07-0
2. Property Legal Description (include all easements)
t_0 C_1:� 4-
3.
Single Family Residence &"" Multi -Family No. of Units
Commercial - ' 4f:::1
4.
- /-I',--
Gbm ahn ui.]Ajer) JE:�_,a,tj+C4.
�icense
1-6A.Ce- GMA,��L/C�Tm-1
5.
Contractor 8,- No. 1?E
Tohm RI*"t4
6.
Invasion into City Right -of -Way:
No A-,�_�Yes (If Yes RighL_U.L_
way Construction Permit Required -
Call Dial Dig (342-5344) 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
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.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
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
and maximum grade of 100% (450). 0
f. No turn in side sSwer 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. Clea nouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' 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 no:�mal working hours only. Two (2) working
days notice required.
DATE:
I/'dertify that I have read
and shall comply with the above
PERMIT FEE:
CONNECTION FEE:
0
DISAPPROVED BY: Date:
B X : Date:
R: APPROVED By: j,�)�,Cy,��Date:
6- 1 1
RMIT MUST BE POSTED ON JOB SITE
!7
CITY OF EDMONDS
PUBLIC WORKS DEPARWNT FOR INSPECTION CALA Permit N? 6332'
SIDE'SEWER PERMIT 775-2525 Ext. 220 Issue Date
PUQj2jW"vBaN@SffED ON JOB SITE
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1. Address 07WFO
2. Property Legal Description (include all. easements) LOT_#_6
BLOck
3. Single Family Residence Multi -Family No. of Units
Commercial
4. -o""er r Jeeo_afu, 1-6mre_ Akt, (.1TXS-tr,/C,-�,CrM
5. Contra
Tokm &i�cle_
6. Invasion into City Right -of -Way: No_kn�_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_IZEasement required -
attach legal description and county easement number.
READ THE FOLLOWT-NG AND SIGN:
P4
a. Property owners must obtain a permit to install side sewers on
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.
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). 0 .
E-1 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
ithtough other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for ri . ght-of-way failure
due to poor compaction of fill.
k. Side sewermust 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 f 4�4
3/0ertify that I have read
"d shall comply with the above
PERMIT FEE: ZEY-'o
XkCONNECTION FEE: tJ
PERMIT
DISAPPROVED BY: Date:
By: Date:
APPROVED By: Date:
POSTED MT, JOB_ SITE
E
F F 'I' i C4" E"'
NTER-0-
COMMUW ATIONS
SrEET
FILE
OATE FpbriiarY--23 19 79
TO Utility Billing
FROM Building DivisionF[-
3 1979
4
SUBJECT: Change of address
Building permit #780669 issued to John Binder
on December 21, 1978
should have the address
of 23307-76th Avenue
West instead of 23304-76th
Avenue West.
Thanks
Ann
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PUBLIC 14ORKS DEPART= CHECKLIST Date
BUILDING PER[,,aT REVIEW
. ' '? �)' 3 ok— 7�
8=21. ro
Street Right -of -Way Existing REQD
Access Easements Existing REQD
Utility Easement Existing REQD
Lot per Subdivision Plat Assessor Map
Site Plan Checked forAccuracy 7
Underground Wiring Reqd.
Check Accuracy of Legal Description
Envirornmtally Sensitive Area
Environmental Cliecklist Reqd.
Flood Hazard Zone
Shoreline Management Area
Slope, Soil, Vegetation /yA*1
Stream, Creek, Drainage Basin N V--N
Existing Zoning Per Code
Anmities Design Board Approval Reqd. 7'+() ADB # Approval
Board of Adjustment ApProval Reqd. NO
Review By: Date:
X I
Existing Water Main Size
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Detector Check Meter Reqd.
Cross Connection Inspection
0
0
Size
k
Fire Department Comments
Water Meter Char e Reqd.
Review by: Date:
42 - Z Z
eptic Ta sign pp' ve ate:
Septic Tank Permit Reqd.- Permit No.
Sanitary Sewer Availability Proj.
Drawing No. File No.
Side Sewer Availability
Sanitary Sewer ctionkFe Re
61'
Review By: Date:
C=
CL
BUILDING DEPARIME
PERMIT APPLICATIO
NAME JOR NAME OF BUSINESS)
J6 4 All
W MAILING ADDRESS
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NAME
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USE PERMIT
Applicant Fill
ZON Ej? NUMBER
Inside Heavy Lines
JOB
ADDRESS
LEGAL LOT
PL:AT NAME
SUBDIVISION
NO.
YES El No
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
7LEPHONE NUMBER
EXISTING . RIGHT OF WAY
too
PROPOSED R16HT OF WA
DEFICIENCY OF RIGHT OF WAY
STREET/UTILITY WORK REQUIRED
*YES
El NO
PERMIT FOR WORK IN PUBLIC R/W
UNDERGROUND WIRING REQUIRED
MYES
YES
11 NO
4111 NO
,-.LEPHONE NUMBER
CONNECTION TO SANITARY SEWER
SEPTIC T ANK PERMIT REQUIRED
10YES
El YES ,
E) NO
ONO
SEPTIC TANK PERMIT NO.
SEE MEMO DATED
.LEPHONE NUMBER
REMARKS
7 ;7zl—
TY LICENSE NUMBER
CHECKED B
or Attach Four Copie s)
METER SIZE
V.
I BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED . �COMPLETEJ EXEMPT
REMARKS
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
LOT COVERAGE
NEW
RESIDENTIAL
GAS
LINE
AS' FRONT a SIDE /,5##REAR]
'7
FIRE ZONE
TYPE OF CONSTRUCTION
ICODE lHEIG7T
F
NON-RESIDENTIAL
1:1
SIGN
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RADD
SPECIAL INSPECTOR
. E:], RETAINING
0 DEMOLISH
ALTER
El
EXCAVATE
OR FILL
WALL
FENCE
(_ X_FT)
REQUIRED
D YES 0 r-4 o
PLAN CHECKEO'BY
REPAIR
PRE -MOVE
INSP.
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REMARKS
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MBER OF
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DWELLING
UNITS
NATURE OF WORK TO BE DONE
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PLAN CHECK FEE
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0 MECHANICA
FENCE
Lq "Applicant, on behalf of his or her spouse, heirs, assigns and SIGN
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I the City of Ednionds, Washington, its officials, employees, and RETAINING WALL
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4 agents from any and all claims for daniages of whatever nature,
I arising directly or indirectly from the issuance of this permit Issu SWIMMING POOL
p ance of this Permit shall not be deemed to modify, waive or reduce k,
any requirvinum of any city ordinance not limit in �iny wit)
. I . - 1,.$71 414,
Ck OCCUPANCY OCCUPAN'
GROUP LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED r 31.04.
VALUATION I FEE
t�,e4q1-96)l -300,00
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BUILDING DEPARTMETT
Applicant Fill
USE M T -2- -7
ZONE/� WM B'E R
PERMIT APPLICATION
Inside Heavy Lines
I
JOB 001-
ADDRESS-'.-,
NAME (OR NAME OF BUSINESS)
214" Ell
GAL LOT
PLAT NAME
SUBDIVISION NO.
eyaraq
ig
YES ONO
MAILING ADDRESS I
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PUBLIC RIGHT OF WAY PER . ORDINANCE NO
CITY
TELEPHONE NUMBER
EXISTING RIGHT OF WAY
PROPOSED RIGHT OF WAY
NAME
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DEFICIENCY OF RIGHT OF WAY
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ADIbRESS
STREET/UTILITY WORK REQUIRED AYES, NO
PERMIT FOR WORK IN PUBLIC R/W 91 YES ONO
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UNDERGROUND WIRING REQUIRED OYES All NO
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CITY
TELEPHONE NUMBER
CONNECTION TO SANITARY SEWER 111111YES 11 NO
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SEPTIC TANK PERMIT REQUIRED El YES 6 I-j c,
NAME
JR�-.q k.-ru
SEPTIC TANK PERMIT NO.
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SEE MEMO DATED
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TELEPHONE NUMBER
REMARKS
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LICEN
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Description of Propert
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Below or Attach,Four Copies)
rs�=RF_
SUPPLY SIZE
it
SIGN AREA ENV. REVIEW DB NO.
ALLOWED PROPOSED COMPLET] EXEMPT
REMARKS
VARIANCE OR CU PLANNING REVIEW BY DATE
YARDS LOT COVERAGE
IR
NEW' .
ADD
ALTER
aRESIDENTIAL
NON-RESIDENTIALI
DEMOLISH
EXCAVATE
R FILL
GAS
1:1 LINE
SIGN
RETAINING
WALL
F,� FENCE
I- --- -1
'�, 5' T '715 ' SI.E 'REAR
I FRON a
I
FIRE ZONE
ID
TYPE OF CONSTRUCTION
ICODE
HEIGHT
SPECIAL INSPECTOR
REQUIRED
YES 11 NO
AREA 7
OCCUPANCY
GROUP
OCCUPAN7
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN TAE CITY
El
REPAIR
PRE -MOVE
M INSP
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POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
z NUMBER OF STORIES
DWELLING
UNITS
INUMBER OF
NATURE OF WORK TO BE DONE
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0-1 PLAN CHECK FEE VALUATION FEE
'IPROPOSED USE I
i ABUTTING STREETS)
BUILDING
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PLUMBING
MECHANICAL
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RENCE
SIGN
['.
"Applicant, on behalf of his or her spouse, heirs, assigns and
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2 the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
a: agents from any and all claims for damages of whatever nature,
I arising directly or indirectly ftoni the issuance of this permit. Issu-
SWIMMING POOL
al ance of this permit shall not be deemed to modify, waive or reduce
00
_j any requirement of any city ordinance nor limit in any way the
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Building Division
Community Development Department
Engine ering Division
Public Works Department
SUBJECT:
—After review of the subject building permit application, we have the
following'comments:
Coordination of the location of any structure with respect to
utilities, streets, property lines and d
riveway grades is the
responsibility of the contractor.
The contractor 's required to keep the abutting streets cleaned
7 of dirt and debris -caused by the construction.
The "Right -of -Way Construction Permit" is required, from the
'Engineering Division of Public Works, for any work within the.
Public Right -of -Way or public easement.
Driveway slope not -to exceed 14%.
Connection to sanitary sewer required.
Septic -Tank Permit required submit design
Fire hydrant required, submit'design.'
Site drainage per code #
See approved plans
/_7 Curb /_7 Sidewalk LV Paving required.
-7 Bond required for pu c
bli mprovements. Submit cost'estimate.
/_7 Underground wiring required.
/_7 Approved Engineering Plans required-whe'n applicable.
To—r 4Fr '-F. Herzberg, P.E.
City Engineer
Department.of Public Works'
k1 0
IMIC 117ORK'S DEPART= CHECKLIO
BUILDING PER[,,aT REVIEW
/Z-/g -,7 Date
0
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P4
Street Right-of-`Wa� Existing REQD
Access Easements Existing REQD
Utility'Easement Existing / V"2 —= REQD
-Lot per -Subdivision Plat 'Assessor Map
Site Plan Checked for.Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal Description 2- /C/-
Environmentally Sensitiv6- Area
Environmental Checklist Reqd.
Flood Hazard Zone /yA
Shoreline Management Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin N r,--%
Existing Zoning Per.Code-
Amenities Design Board Approval Reqd. No ADB # Approval
Board of Adjustment Approval Reqd. T140
Review By: Date:
aAA1 Jr-1 --T AZ- ICOY
Existing Water Main Size 49 " C, / ,
Water Main Reqd- AV
Service Line Reqd.
Hydrant Size Existing 7;
Hydrant Reqd. Per F . ire Code AA -
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comments
Water Meter Char Reqd.
�;eeLq
Review by: Date:
Size
te:
Permit No.
Sanitary Sewer Availability Proi -
Drawing. No. File No.
Side Sewer Availability
Ave
Sanitary Sewer CQnn-ection Fee"Reqd.
Review By: Date:
Septic 'fank Design Apprc
Septic Tank Permit Reqd.
Address
JK
Open Ditc1i Existin"
Culvert Reqd.
Catch Basin Reqd.
.0 —.Indicate on Site Plan'.-
1-4 Shou-Idex drainage maj-1-ILjin collectiol, 01-1 swale open runoff . . -
-.4- lie
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Reqd
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a I 1_11,e mail
u� Ole r
eqd F/
Ole reqd.
Cond Indicate oii Site Plan
t 10
11s
soil 3 GI ound Water Fi
So" COnditiOls and Gr.
eld Checked ,501'
Rxa�q J)y
Revie,.17 h �-J
, pl_- - ---
y
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titreet Paving Re�d. A615
Curb and Gutter Reqd. i.1
Sidewalk Reqd...
Pur8 Cut for DrIvelra Reqd.
y
0,0
RiOlt-Of-Way Constru
ction Permit Re�
Bond Reqd. for Public InPtoveTw-nts
Street Name Sign
Reqd.
Other Si&"-Iin- Reqd.
1( ZD &,a
n Pre Permit Site Inspection n-ade' on
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BY: SETTER
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V-1MER
-------------
STREET
S\IGINT--ERII\IG
�4.
Special Requirements listed in niew to Con
B I uilding Divj-si(),, TnInity DevelOpMent DeparUnent,
BY
0 All itans filled in on Building PernAt Application - ba te
BY
Date
Drawings SLarmed and Notations Made --------------
BY
<� Ddte
Approved by Public 'Porks DeparLmenL ------------
Revised: iv 10-1977
001,
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