23328 ROBIN HOOD DR.PDF12955
23328 ROBIN HOOD
DR
J V
City of Edmopds
RIGHT-OF-WAY CON8TRUCTION
PERMIT
Permit Number.
Lssue Date:
A. Address or Vicinity of Con
c__ B.. Type of Work (be specific):
C. Cont`�actor: OLY04 VIE-141 WOX7? LA57>— a
M k . P1
ailing Address" FFROP40
State License.#: Liability Insurance:
D. Building Permit # (if applicable):
Bond: $
Side Sewer Permit # (if applicable):
E. n Commercial EJ Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, W11
n Multi�Family Single Family E] Other
INSPECTOR:
INSPECTOR:
F. Pavement or Concrete Cut es []No G. Size of Cut: x H. Chargq�_$
gy
APPLICANT TO READ AND SIGN
�NbEMNITK Applicant understands and by his I signature to this application to,hold the City ofEdmonds harmlessftom injuries, damages, or claims ofany
.t
kind or description whatsoever, -foreseen or unforeseen, that may be made against the City of Edmonds, or any 6f its departments or
employees, including or not limited 16 the defense of anylegal proceedings including defense costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTAIA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLEAD
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings of proposed 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 accordarice with C.ity'regulations as required by the City Engineer.
All street cut trench work shall be patched -with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I hav . e read the ab ve statements and understand -the ermit requirements and the pink'copy of the permit will be
p
11 tim
available on site at 11 times r ins ec lo poses.
Signature: Date:'
N-MIG
CA L DIAL -A D PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: YZ "--J RIGHT, O,F,W.A,Y.FEE:- 74 - e 0
TIME AUTHORIZED: VOID AFTER IZ149 DAYS DISRUPTION FEE/FUND I 11:
SPECIAL CONDITIONS: t4lA- RESTORATION. FEE:
T OTAL FEE: o
ISSUED BY:
NO WORK SHALL, BEGIN PRIOR TO PERMIT ISSUANCE. Eng. Div 1997
FIELD INSPECTION NOTES
Comments:
I Diagram
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
NO
-? 6
,�"-33Z
polmelz
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. . . . . ........................... ........ .. .
I �wvw oo,-
7-
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ouyof�c-, vll�v/ W4��
0.7,jut,l qq
409 �7 74- 7��
8 go - 19()_
citY of Edmonds.' -
RIGHT -OF -WAY CONSTRUC.TION
-2
Permit Number.
Issue Date:
A. Address or Vicinity of Construction: 23328 Robinhood Dic (9700042)
B. Type of Work (be specific): Install Service
C. Contractor: VashjLugtont Natural Gas
Mailing Address: 1122 75 St SW Everett
State License #: 98203
D. Building Permit # (if applicable):
Contact: Mariamne Kingsbury
Phone: 356-7500 X7596
Liability "rance: Bond: $
Side Sewer Permit # (if applicable):
E. (J Commercial EJ Subdivision E] City Project R) Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family E] Single Family El Other
INSPECTOR: INSPECTOR: R�J
F. Pavement or Concrete Cut [E Yes ONo G. Size of Cut: x H., C"ar
Ut le
(is
APPLICANT TO READ ANAEDS N
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmondg harmless from injuries, damages, 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 legalproceedings including defense costs, and att�rney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES 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 THEAPPLICANT.
Construction drawing of proposed 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.
Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe
available on site�at �allt imes for inspection purposes.
Signature: Date: 10=16-gfi
..fd/ontracto orAkentil
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT.
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FFE/FUND III -
SPECIAL CONDITIONS: RESTORATION. FEE:
.-PERMIT FEE- 0
TOTAL FEE:
COMMENTS: —4_12"" RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR-30 PERMIT f9SUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PRO F1 M
Wat"w%no
katuraGw��
AWnhngton ErVFW COnVkTN
Va
M
Watermain depth Kjr) jA_)D(C�\TiOAj
Iz-- gas main
Addendum to: City Of Edmonds
Right of Way `
Permit Application
amn Kingsbury
wering Aide
Lngton Natural Gas
-7500 X7596
C) C)
�O
Key
-V- Water
-G- Gas
-SS- Sever
-& Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
. - 010 , ;I �'. 1 1 ,
ISLAAL-
wwamm %w4MV
Gas
AVAffIwX#On Erergy ConxxwN
watermain depth Qr) m)D(C�\T'o/I0
gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
awe Kingsbury
neering Aide
ington Natural Gas
-7500 X7596
Hoo
CA-�- -T-
�-303 9--:�0004'L
-J��'
Key: -W--� Water
-G- Gas
-SS- Sever
-& Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3.331
NattirMGals
AWaIwXj1OnEr*wWCO"TkTV
4
! 11
IYA
watermain depth Qn i&)D(C/\T'o/0
gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
0
O'j "0
'0' 0
2.
tj HCO F*)
fV
Key:
-W- Water
-G- Gas
-SS- Sever
-& Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
. , 00 1 �' ,, � , I
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: V?�*3 VO #1-'0e11Yff-MJ9 PR_. 6WOM95,,664,
2. Property Tax Account Number: 15 715; - co C5, - eac j�:,
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _j��`yes; no.
If yes; -how is site developed? '3elY61,6 11WMi4-)0' ?0V5/V6NCiV*_
5. 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 over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30'/'o present on site (a vertical rise of 10-feet over
a horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: /Yo Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway—_ IYC floodplain NO of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? Wo Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow ;shrubs
urban landscaped (lawn,shrubs etc) Y1515 mixed
11. Obvious wetland is present on site: Ive
^ca_ch1Ldoc, Rev 02/11/97
City of Edmonds
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The 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, andmake a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.y or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (Pill out the appropriate column below).
Owner/Applica'nt:
1UA/~ 0 5CI6� YV-
Name
S --;� 13 74-0 90iO11YR1OO1O P/2 -
Street Address
"t�40105;� A*. 0160 zV
city State
4S5 - 77e5 - 5`343
,Jzkf hone
Date
Applicant Representative:
— 7-114
Name
P-'O - &D)( q -Z 5-
Street Address �
Zip city State
1 9 - 2197 -7 zv;
3 Ca L
Telephone
- Ar.'- - �i
Signature.
-1171% 7
Date
Zip
(over)
c:rcception\jana\cac1. doe
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: V?I?A�3 60011WIM9PRZ. 6WOA495,44, '76OZ6�
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): 01
4. Is this site currently developed? _j��`yes; no.
If yes; how is site developed? '541y6i.,6 t9W/�,)00 ?et'15106NCISF�
5. 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 1 0-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 over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over
a horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: /YV ; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway
--- tO floodplain /VO of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? Wo Flows are seasonal? IVO (What time of year?
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawnshrubs etc) ygg�,5
11. Obvious wetland is present on site: MV
ForCity:Staff Use Onlym—
SiteisZoned?
I SCS mapp�d,s-pil. typ�(s)?. tf- -41
Wetland inven*iory or C-A. map indicates wetland present on site?
4.: Critical Areas miventory. or -C.A. map- indicates Critical. Area. on. site? _A-�O
�.k" Site within designated earth subsidence landslide hazard area? AX-1
Site desiznated on the Environmentally Sensitive Areas Map?
ca - Rev 02/11/97
_chkdoc,
City of Edmonds
"W,W CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Pern-iit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The 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).
BUILDING
AUG 2 11997
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.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
OwnerhApplicant:
R-OAI~ 0 5C.Er A;
,,qy6-
Name
Street Address
"MOM5.. RA. 000 ?'V
City State.
4S5.770. S-345-3
.._"hone A
Date
c:reccption\jana\cac1.doc
Zip
Applicant Representative:
-- 7-114
Name
P.O.&Dx qzs-
Street Address
I--i'me-f4ruve R4. fe?rfllro
City State Zip
460 - ?,,977 - 4Z2-5
Telephone
— A�-
Signature
-7171%7
Date
Copy (over)
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Jamal Mahmoud, Engineering Inspector
Owner:
Plan Check No: (�
After review of the subject permit application, the following requirements must be met:
-zo"7
I. Construction hours are: WEEKDAYS — 7:00 A.M.-I 0: 00 P.M.; WEEKENDSMOLIDAYS -- 10: 00 A. M.-6: 00 P.M.
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d).
5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE
FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING.
(ECDC 18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM I DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap r,
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the perm
(ECDC 18.90)
9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver grantec
—4— %. (ECDC 18-80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A sepa . rate permit is required. (ECDC 18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.3
12. No burning of const ruction refuse without a permit from the Fire Department.
13. Connection to City water sys I tem is required. There is a separate charge for the water meter (ECDC 71.20).
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connection to the City sanitary system is required. A separate permit is required.
LID# - Fees paid: Yes No Charge (ECDC 18.10)
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the tot I al assesse.
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANC
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
PRMTAPP.DOC
Oe/26/11337 15:24 425-774-1952
:-LE KAYE
PAGE 08
10�
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNtR CA�Lc ]BY: 77M S77WS
ADDRESS Z, *�i; 2,6 /u 0INkcM PRONE: '566 -tq?.
C-V M QA051 e5 0 1,4 D,&Tt: or, 7
1 1 WCNTICW PIPC LMTN
rwism" I
N:Nl—
w"70" �7-
ZX To
to
00 m
UPPER CATCH BASIN
x
T r-4
< CO
rcalf~6 ar
come 913X = "ISCR
>
MHLCT CONTREL
MIN.
CONTROL CATCH BASIN
CA) I
m SYSTEM, CROSS SECTION
VXl'W,=i*. 4-6' SPALLS (M.EgUAL
ram CONTROL Cl > C-A 2'1 7 DEEP, 3,14' CRUINED AQCK
n rmw CONTRIX
o
APPR6VED AS IVOTED
LdMQ.
UWWR Rm
Impr" UUTMT
RUNOFF SPREADER. TRENCH
PO&HNG DRAINS SHALL NOT BE CONIVECTEDTO DETENTION SYSTEM'
NOTW:
I- CaUEn8izmrlu9DMsion(771-0= for atio&eauddeontions"tominspGotion
befom baeldillinS and for fisial in��.
2. Raqlmmblhty for opmtim W malaftgarAof d"hwSe qgt� og private pmpftW is the -
fsV*naifitY of the properoy mmer. MaterW mcmmul&W in the storage pip* must be f1twhad
cut and mmoved fma the catch badw to &How pmper opamdom IU 00st cov&ol orifice
rau*t )m wAnt ow%an A* all 14�
APPROVED BY
DATE
#I
0,0/26/193-01 1�:24 425-774-1952
SUE KAVE
PAGE 07
Table I — Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
25M
62
3000
75
3500
87
4000
100
4500
112
5000
125
Note: Allowable Pipe MaterlaJs:
Impermeable
Area So. Ft
are 0
Pipe Diameter
is" 18" 24"
30'_ ED I.
40. 28
FO
10 S EP �4 U,
so 36
13
50 42 24
15 Required pipe
.70 49 28
IS length In feet
so 56 32
21
90 63 36
23
100 70 40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N — 12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Outlet Orifice Demeter (Inches)
618
5/9
314
3/4
718
7/0
7/8
Table 3 — Rectangulw Catch Elasin Requirements
Detention
Max, ske
Catch Basin
IRIP � diameter--
knockout
Type
< Ion
2on
Type 1, CS 15
V to 240
" 4
Typo IL, CB 16
24N to 364
38* to 4r
361,
Typo 11, CS IQ' 19 (48d Basin)
4211
TYP9 H, C8 I Q 19 (64- Basin)
*Source: Assoo. Sand & Gravel Co, Standards
Uvised 3/16/95
5
L.W. 14gr CALCUL4TIONS..
A= + tOO 'Auez%C-XG + too. -IS
Z=+ 101 pelTUAL + MIS STREET FILE
C= + 161 max + las
tD=+Iot
FX ASP
_,Ok74� I... . c
FW
cA ozp-,e r OR4veL
r
t�AW
LAN PSCAPIN
Ul
's, A�F
V, W W10. PCCIC
u
OVER Exisr.
Floor 77veiv. ICCOF OVEA
u New
"pork.
APPI
nox Y/.,
Cl
NEW CONC. PAD
9t .
CL or
4 0 Oplpy
SITE PLAN
�/" -
�<�Yjg- AD-017-YOA1 'Z-'3:F;e-9 �?-013-111VH&OD 97aMc1vt?-;,, ptA.
PERMIT APPLICATION REQUIREMEV§v
To: Applicant copy
From: Jamal Mahmoud, Engineering Inspector
Owner:
.1, -- Plan Check No:
After review of the subject permit application, the following requirements must be met:
I. Construction hours are: WEEKDAYS -- 7:00-A.M.-10:00 P.M.;WEEKENDS/HOLIDAYS -- 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-O&WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck hau I route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d).
5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FRO M ANY CLOSED DRAINAGE
FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING.
(ECDC 18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH . BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) -,,
8. Repair or replace ail defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ri
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the perm
(ECDC 18.90)
9. !�� shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver grantec
(ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-O&WAY. A separate permit is required. (ECDC 18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.3
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter (ECDC 7.20).
14. A back water valve is required if downstair's plumbing is below the'elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connection to the City sanitary system is required. A separate permit is required.
LID# Fees paid: Yes No 'Charge._ (ECDC 18.10)
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assesse.
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANC
OF THE BUILDING OR.STRUCTURE. (ECDC 18.90)
PRMTAPP.DOC
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Jamal Mahmoud, Engineering Inspector
Owner:
Address:
Plan Check No: C? D
Date:_
----------------
After review of the subject permit application, the following requirements must be met:
1. Construction hours are: WEEKDAYS — 7:00 A.M.-10:00 P.M.;WEEKENDSIHOLIDAYS — 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d).
5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE
FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING.
(ECDC 18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit.
(ECDC 18.90)
9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
I%. (ECDe 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter (ECDC 7.20).
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole.' (ECDC 7.20)
15. Water and sewer mainlines should be separated by 10 feet minimum. (ECDC18.10)
16. Connection to the City sanitary system is required. A separate permit is required.
LID# Feespaid: Yes— No Charge (ECDC 18.10)
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
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PRMTAPP.dot
PLANNING DATA
NAME:
SITE ADDRESS: Ro�'- qoM&TE:
ZONING: PLAN CHK#:-
PROJECT DESCRIPTION: 4 d c14,
CORNERLOT A10 (Yes/No) FLAG LOT AID (Yes/No)
SETBACKS: t,,,LV6
Required Setbacks:
Front: IS '/Left Side: -7 Right Side: Rear:
Actual Setbacks: " -1 1/z Right Side: Rear:
Front: 415 Left Side:
Street map checked for additional setback required? -(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED_---- (Y/N)
LOT COVERAGE: -9:5- % 7A/, %
Maximum Allowed: Actua
B UILDING HEIGHT: 7 � 11_' 'Z� "& 1(
Maximum Allowed: Actual Height:
Daturn Point: 968.4 C IAI Alr/d
�jaz&�: Datum Elevation: /o
A.D.U. CREATED?:
SUBDIVISION: �
CRITICAL AREAS #: q 7 - �5��_
SEPA DETERMINATION: C ,-I
LOT AREA: 1q, 5fG
OTHER:
Plan . Review By:_D.,,�soj LLja_-7uLccr7
vTt1e3kpermit%^p1andALdoc
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CITY OF EDMONbs
ON T
CONSTRUCTION PERMIT APPLICATION
ONER !AME'
USE
ZONE A54 PERMIT 970qo+
NUMBER
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Street Use Permit Req'd Cl
Inspection Required
Sidewalk Required 0
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ITY Zip
P HONE NUMBER
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LOT COVERAGE
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3 57�
LOT AREA
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REOUIRED SETBACKS (FT.)
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DATE
NEW I RESIDENTIAL lidH
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REMARKS C/
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HECKED BY
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OG
Z
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_1:3 CAF POR ROCKERY RENEWAL
(TYPE OF USE. BUSINESS OR 'ACTIVITY) EXPLAIN:
C C—Al OF-7
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YES
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LOAD
REMARKS
PROGRESS INSPECTIbNS PER UBC 108
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A
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INSP . ECTI REWIRED
VALUATION
FEE
0LAh CHECK FEE
2
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BUILDING
21—
1_�
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GLAZING
Jd%
PLUMBING
" e2 i
I �
T,- w �, 4
Plan Check No. 07 7
MECHANICAL
1'r.)
This Permit covers work to be done on private property ONY�-,
GRADINGIFILL
Any Construction on the public domain (curLs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SbRCHARGE
4.5o
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his -or her spouse, heirs, assigns and
ENG. INSPECTION FEE
(n
0
successors in interest, agrees to indemnify, defend and hold,
harmless the City of Edmonds, Washington, its officials
employees, ancl� agents from any and all claims for' damage�s Oi,
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 brdinance
nor limit in any way the City's ability to enforce any ordinance
I
provision.'
p r 0 v I s 1 0 n,
PLAN CHECK DEPOSIT
/C
. I I ', �j ��
TOTAL AMID '0;DfJE/
P, ��, . ,
I hereby acknowledge that I have read this application; that the
I h e
information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
m at I or
re by I
in fo
allt h 0 r ized
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 This application is not a permit until
S t ate I aw s r
ed thereby, no person Will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
ed I he ratty,
-Code.of thewState of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
_COde_O It h e
ti n. 'at ce aria R�W 18.27. INSPECTION acknowledged in space provided.
t n I n ' ran
I M4
G;N7A; T I I (OWNER OR GENT) DATE SIGNED DEPARTMENT
T" 'a
OFFICPI DATE
91GNATVRE
CITY OF.
EDMONDS
CALL FOR FML9AfIi.Q BY:, ',DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE . ... ..
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — inspector
A'CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
SECTION 109 0)C j;2_1,V PINK — Owner GOLD — Assessor
z 7,
14
CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
OWNER NAME/NAME OF BUSINESS A0AJ 3ttf
hA k-k q hk EGAL DE
MAILING ADDRESS
CITY ZIP TELEPHONE NUMBER
F— 0 IA Q Pj Pa 7 77
NAME
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ADDRESS
CITY I 41r TELEPHONE NUMBER
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ICENSE NUMBER EXPIRATION D�ATE
01
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NUMBER
17 to 16A�5
SUITE/APT #
<1 SUBDIVISION NO.
I
LID NO,
I
-
- !. -
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCIP Ap—proved-
RW Permit Required
0
EXISTING —REQUIRED DEDICATION
Street Use Permit Req*d
0
Inspection Required
0
PROPOSED
Sidewalk Requir ad
0
X
ME=
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 1:1
REMARKS
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VARIANCE OR CU
ADB It
SHORELINE #
Le6al Description of Property - include all easemdnts
LOT' (o ?�,LOCK S , 5lAr=KW0oQ
NALLA(%P-
SEPA REVIEW
COMPLETE I EXEMPT
EXP
SIGN AREA
ALLOWED PROPO
HEIGHT
ALLOWED 1PROPOSED
, /
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LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
Recokcs OF SWQA0Mi15A�,C-0Q&rrY` WA.
Pfr*perly
To. A .. unt OC.7(1,�7
ALLOWED � PROPOSED
LOT AREA
FRONT SIDE REAR
5-
ELANNING R�VjgW BY
FRONT UR S19E REAR
73
j DZE,
Parcel No.
_7
REMARKS
NEW. M--R-ESIDENTIAL
PLUMBINGIMECH
COMPLIANCE OR
[q-ADDITION D-41
OMMERCIAL
CHANGE OF USE
REMODEL APT_BLbG.
Sl . GN
CHECKED BY
TYPE OF CONSTRUCTION
CODE
OCCUP T
OC
GROUIP
GRADING FENCE
REPAIR M — CYOS, E] — x —FT)
WOODSTOVE
DEMOLISH El INSERT
1 GARAGE RETAININ'G WALL/
:1 CA El ROCKERY
SWIM POOL
El HOT TUB/SPA
RENEWAL
SPECIAL, INSPECTOR AREA-
REQUIRED
13 YES A 72
OCCUPANT'
LOAD
REMARKS
Z
PROGRESS INSPECTION&PER UBC 108
(TYPE OF USE; BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF*
OF I I DWELLING
CRIES UNITS
DESCRIBE WORK TO BE DONE (ATTACH P1
APP17701V 719
19/,44/4/17 q'-1_1
AREAS
NUMBER6f!7-/S-6
PLAN)
490M
FINAL INSPECTION REQUIRED
VALUATION
A41 ex '-s&I Len ve
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GkAs
GLA21NG
1.157 %
PLUMBING
Plan Ch eck No.
MECHAN16AL
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.
STATE SURCHA�GE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE , FEE
L.
—
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to,,, indemnify, defend and hold
harmless the City of Edmonds". Washington,. its officials,
employees, and agents from any And all claims'for damages of
PLAN CHECK DEPOSIT
whatever nature, arising directly or indirectly from the i.ssqan� I a
of this permit. Issuance of this permit.shall not be deembd
modify, waive or reduce any requirement of any ciity ordiha e
nor limit in any way the City's ability to enforce,any ordina;rce
provision." ? j
I
TOT . AL AMOUNT DUE
I herebv acknowledne that I have read this applicatiom that the
3
information given is correct; and thatj am the owner, or the 11
dly
U
ATTENTION
APPLICATION APPROVAL
authorized agent of the ow or.. I agree to comply with city aind
THIS PERMIT
r z.
1z.
state1aws regulating constrTIction; and in doing the work auth 0 1
[Miin
AUTHORIZES
T his application is not a permit until
,
ed thereby, no person will be employed in violation of the La or
bor
ONLY THE
.
signed by the Building Official or his/her
PadexilhaSlate of Washington relating to Workmen's Compe .
nsa-
. WORK NOTED
- Deputy; and fees are paid, and receipt is
Insurance an7d-R6AAU0.27.
� INSPECTION
acknowledged in space provided.
SIGN 01`14��
' DEPARTMENT
JDATE[IGNED
(0 2(,/
I
CITY. OF
OFFICIAL'S SIGNATURE DATE
EDMONDS
ATTENTION
CALL FOR
RELEASED I BY
INSPECTION
V
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL - File YELLOW - inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
, I /, n PINK Owner GOLD - Assessor
0
1024?
/V---'-�
EOP
-----------
7,
City of Ednionds, I Permit No: C./t/
RIGHT-O&WAY CONSTRUCTION PERMIT Issue Date: 1h7ld1wo
A. Address or Vicinity of Construction: 23328 Robin Hood Dr.
B. Type- of'Work (be specific):GTE to place, operate, and maintain a buried service wire from,
e xisting POLE 2754 located at 2332T.Robin Hobd Dr, then West to a residence at
2 . 3328 Robin Hood Dr. GTE to plow 24'Jeet. push 0 driveways, and push I road
26 feet. R.O.W. footagels-50 feet' GTE WO # 2150-9POOlDB 2423.10
C. Contractoi:GTE NORTHWEST INC. Contact: ENGR: Terry Anderson
Mailing Address, 2312C W. Casino Rd. Everett. Phone: 425-771-58683
WA 98204
Liability Insurance:—, Bond:$
State License #:
D. Building Permit # (if applicable): # (if applicaile)i J'
E. F-1 Commercial Subdivision 0 City Project E] EUC (PLJD, PSE, CHAMBERS, OVWD)
Multi -Family Single Family Other
INSPECTOR -
F. PAVEMENT: YES F-1 NO G. SIZE OF CUT 2 x 5 H. Charge: $
CONCRETE CUT: E]YES. F� NO
I
IDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmlessfrom injuries,
damages or claims of�any kind or description whatsoever, foreseen or_unforeseein, that may be made against the City of Edmonds or
any of its departments or employees, including but not I limited '16" the defense of any legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMAIN��HIP-.A ND MATERIALS FOR'A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155,-305 and must have certification verifying completion of the
required training in their possession.
+ Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with. asphalt or City -
approved material prior to the end of the workday 7 NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY YF TH§ PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature: ate: 51/06/2000'
DAVE HAWKINS (Contractor or Agent) S E C. MGR—ACCESS DESIGN
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
-FOR CITY
Approved b
,Time Authorized: VoidAfter
Speci I al Condition�:_)O -Teh V��, :UAMCI
I rfad%ML . (^Aklud , Al 'IMPie \fl'
USE ONLY
Right-of-way Fee: -
Disruption Fee/Fund .111:
Restoration* Fee-
T I
otal Fee:
'Receipt No:'
Issued by:
UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
littou
�IMNTLN'kPPROVAL OFPERMITTED I WORK DOI
Is
1NSflZCT5R SIGNATURE DATE: 15166
For inspection requirements see Engineering Information Handout.
NO
WORK SHAIA.
BEGIN PRIOR
TO
PERMIT ISSUANCE
Inc. - - Isou
city Qf J��Opds
RIGHT-OF-WAY CONSTRUCTION
-TERMIT Permit Number.
Lssue Date:
A. Address or Vicinity of Construction.Q Ro,2)1114VXCI�
B. Type of Work (be specific) -"I Q—CMC\7\ k\%l C,\-k "e, Q 1W Q)OQ�F-
C. Contractor: SN4V\CtAkS�k upiVc Contact: P.0 \A pl\�_Ckem
Mailing Address: 1A0\15 NAW-� 95 Phone: Co-7 (S - -.:S 2 Q
State License #: C A*NMb%&5 - 16G':?_6 Liability Insurance: Bond:
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. n Commercial EJ Subdivision E] City Project E] Utility (PUD, GTE,WNG, CABLE, WATER)
01 .. Multi-Famil.y Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes 0 G. Size of Cut: x H. Charp�_$
/QN /*
APPLICANT TO READ ANO'SIi�N
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany
-kind or description whatsoever; foreseen or unforeseen, that may he made against the. City of Edmonds, or any of 'Its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and allorneyfees hy reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP A ND MA TER/A LS FOR A PERIOD* OF ONE YEA R FOLL' 0 WING THE . FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD *UNTIL THE FINAL STREETPATCHJ§ COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Two sets of construction drawings of proposed 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 tim * es.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut trench work shall be patchedwith asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and.the pink copy of the . permit'Will be
available on site at all times for insnectinn nurnn.6-s
Signature,
APPROVED BY:
Date: 7-2) -9 8
CALL DIAL -A -DIG PRIOR TO BEGINNING.WORK
FOR CITY USE ONLY
TIME AUTHORIZED: VOI`D AFTER 15,.e4 3Ck 4.1% DAYS
SPECIAL CONDITIONS: W A
RIGHT OF WAY FEE: 1.�o ; C?
DISRUPT10N FEE/FUND 1-11:
RESTORATION FEE:
T OTAL FEE:— 0
RECEIPT NO.:
12
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO. PERMIT ISSUANCE Eng. Div 1997
CONTRACTOR CALLED FOR INSPECTION El YES. E-1 NO
Partial Work. Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
- . . a
Public'Utility District No. I of Snohomish County
1476-W Rev. 11.97
Location: 23328 ROBINHOOD DR. EDMONDS 98020
Pole No.: �: 27 N R:- 3 E S: 36
Reason For Work: REPLACE DEPRECIATED POLE AND
INSTALL PED FOR SUE KAY
GAS HEAT
Date Work Completed:
Foreman:
Fee's Req'd: HYes E]No
Primary Overhead
DResidential nCommercial
LEO No.:
I @ f =$ 0.00
Secondary Overhead
Basic Fee $0.00
1@ f =$ 0.00
Meter/Conv. Pole $0.00
Primary Underground
FlResidential ElCommercial
Basic Fee $0.00
LEU No.:
9@ f =$ 0.00
Secondary Underground
Basic Fee $0.00
f =$ 0.00.:
Underground Plat
Basic Fee $0.00
c-ft@ =$ 0.00
Street Lighting
c-ft@ /I =$ 0.00
Work in Right of Way
E]Primary
ElSecondary
c4t@ P =$ 0.00
Miscellaneous Fees
Vault $0.00
Permit $0.00
COST EST $2,018.00
$0.00
Total Due: $2,018.00
Date Paid:
Receipt No.:
New Service Application No:
NW1/4
Environmental Analysis
E]Exempt [:]Not Exempt
Para. jjem
O.H. U.G. Cond. 12 KV
ADD CKT.FT. PH
REM CKT.FT. PH
NET CKT.FT.
O.H. U.G. Cohd. KV
ADD CKT.FT. PH
REM CKT.FT. PH
NET CKT.FT.
Permits (Date Granted)
[:]Tree Trim
[-]State
[:]County
ocity
Easements
E]Required MNot Required
Date Released
Foreign Contacts
NGTNW JPN No.:
NCATV JPN No.:
E]Joint Trench GTNW & CATV
E]Joint Bore GTNW &CATV
1:1
Pole Stenciling
From To
Take Off Pole
Pre-Const. Requirements
E]Tree Trim EIPUD Locator
NBackhoe - DFIagging
00ne Call Date
No.:
—I fidex —Pole Plat
—Logs _U-Map
_XFMR___C-Map,
Location Map Page 474 F2
7/22/98
Engineer AFDEM, RICH
Drafter.
Ap_ v d:
I
Substation: RICHMOND PARK
SO CTY Area
W. 0. No.: 302284
Dwg. No.:
U.G. No.:
Scale: NONE
Date Printed
Circuit No.: 12-232 Phase:123
Engr's Tel. #
I (425)-670-3TO� 2
Engr's Pager#
1 (425)-787-7522
cj.�Vl—
TASK 03
POLE 2-62 SET 45'POLE VWEST OF EXISTING POLE AND FRAME PER ASSEMBLY # 12F302 — UT L ZE
EXISTING DOWN GUY AND ANCHOR
REHANG XFMR P-8532-X ON TO NEW POLE
ABANDON THE OLD POLE TO GTE
TASK05
POLE2-62 INSTALL A 3" SEC RISER AND TRENCH 5'.EAST TO THE EXISTING PEDESTAL
RUN 45'OF 350KCM FROM XFMR TO PED AND REMOVE THE OLD FEED TO THE PED
FROM THE PED RUN 65'OF 4/0 TPX THROUGH THE 3"PVC: WEST PROVIDED BY PACIFIC CABLE
AND SET A PED ON THE WEST SIDE OF ROBINHOOD DR AS STAKED
F 23328
R 0 EBINN H 0 0 D
DR
INSTALL PED
Fil
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0
N
PLC c=;T
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3
R-3242-X
0 2-5003
EXISTING PED
2-G2
3 P-8532-X
IMR-M/0?
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cET FILE
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PLANNING DATA
NAME:
SITE ADDRESS:- 2-3329 Pd6k"d 0,, DATE: 913127
ZONING: �_s _ff PLAN CHK#: 97-26 7
PROJECT DESCRIPTION: AOA,b;�, 4
U V
CORNERLOT —(Yes/No)
SE',
TBACKS:
Required Setbacks:
Front: ?-I;-- Left Side: Riaht Side: -Rear: I';-'
jm,6"M Actual Setbacks:
PW. 4 Front:-45-' LeftSide6i�LRight Side: 49.5-' Rear: (26'
IT-_tback required? aa - 6,1 s"y",t - (Yes/No)
Street map checked for additidWa se
rqn LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /V -(Y/N)
LOT COVERAGE: -'0 _3" Z4 '7.
Maximum Allowed: 3 5 Actual: - Z
.3 99, 0,
BUILDING HEIGHT:
Maximum Allowed: 2, 5' Actu al Height: Z-5-
Datum Point: frtn��� Datum Elevation: loot
9611A,- e NC ?PjUt 6.� U-ti
A.D.U. CREATED?: b-
Ab
SUBDIVISION:
CRITICALAREAS#: 97- /5(f
01- CW_
SEPA DETERMINATION:
LOT AREA: 141� 5-a, 05
OTHER:
Plan Review By:
cAfi le Ape rm i IkAplandat. d oc