23415 100TH AVE W.PDFiiiiiiii iiiiii
15578
23415 1 OOTH AVE W
-ti? '. 1891,
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering,
June 25, 2002
Mr and Mrs Nguyen
23415 1 00th Ave W
Edmonds, WA 98026
Re: Address Change from 23415 100'h Ave W to 9811 235'h PI SW, Edmonds
Dear Mr. and Mrs. Nguyen;
GARY HAAKENSON
MAYOR
This letter is to inform you that due to the recent subdivision mi your area, the City will
need your address changed. Some of the new addresses, including yours, are to be
addressed off of 235th PI SW per the City Engineer. Your new address will be 9811
235thPISW. I will inform all City Divisions including Fire, Police, Utility Billing,
Public Works and Building.
I will also inform the Post Office of this change but please be informed that it is your
responsibility to inform the Post Office, the Phone Company for Enhanced 911
emergency purposes and all other interested parties of this correction. We apologize for
the inconvenience this may cause you and greatly appreciate your cooperation.
Sincerely,
ermit Coordinator
Cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
L\Ternp\]DST's\Master Letters\Address Change
Incorporated August 11, 1890
Sister City - Hekinan, Japan
RV3HT-OF-
A. Address or Vicinity of
City of Edmonds Termit No=
AY CONSTRUCTION PERMIT' Issue Date:
sk�C. Contractor: Contact:
MailingAddress: 1:333(n Phone: (�2c�co-
'��l e-
State License #: ��x Liability Insurance: Bond: $
D. Building Permit # (if applicable): I Side Sewer Permit # (if applicable):
E. n Commercial EJ Subdivision 0 City Project EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
F-] Multi-Farnily Single Family Other
INSPECTOR---
F. PAVEMENT: O-YES F� NO G. SIZE OF CUT X H. Charge; $
CONCRETE CUT: E] YES F-1 NO
IDEMNITY. Applicant understands by Nsllierz.si nature to this application helshe holds the City.'qfEdmonds,harmless from injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be m'�We,�FainsKthe City of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attorneyfees by.reason ofgran�ing t��'
permit.
L
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR'A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND A CCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCH IS
COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Traffic control and public safety shall be in accordance with City regulations as required by the City Engineef 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. be 'atched with asphalt or City -
Restoration is to be in accordance with City codes. All street -cut trench work sh�l\(;D�\"
approved material prior to the end of the workday — NO EXCEPTIONS. . t .
Three sets of construction drawings of proposed work are required with the per it 1111 ion.
I HA VE READ THE ABb VE STA TEMENTS AND UNDERSTAND THE PERMOrtQUIREMENT'v AND A CKNO WLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
A A
Signature:
(Contractor or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNIN.G WORACC
UPONCOMPLETION OF PERMITTED WORK, AN ENG1, N�FERING FINAL7..,
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THETDMON DS'
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WOR K.-
INSPECTOR I SIGNATURE DATE:�111� 10�/
For inspection requirements see Engineering Information Handout.
NO WORK SFIAIA, BEGIN IIRIOR TO PERMIT ISSUANCE
STANDARD EASEMENT PROVISION
-- . 11 "..—
e%k I e% I I e'%k IT e' I I r%t-il IkITV kinTE'C
PINCH & FUSE
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W E S T L A K F'. V A L L E Y
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2 3 5 CC) 2
4"x4" CON - MONUMENT W/ " X " \ 1�1.'
1-5/8"BRA S DISK MARKED 4" CONC. MONUMENT
ISK W/PUNCH MARK
AN EASEMENT IS HEREBY REbLHVLU �Uh ANU %1U111vr ir_u 1. 1 z)INjunuivilo" V.,UUI-41 I
TELEPHONE CO., TELEVISION CABLE CO. AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS
UNDER AND UPON THE PRIVATE STREET(S)- IF ANY, 2.5 FEET ON EITHER SIDE OF PSE FACILITIES L UTILITIES 48 HRS. PRIOR TO CONSTRUCTION AT 1-800-
AND THE EXTERIOR TEN (io) FEET OF ALL LOTS. TRACTS AND SPACES WITHIN THE PLAT LYING 1 ) F11-LD LOCATE AL
PARALLEL WITH AND ADJOINING ALL STREET(S), IN WHICH TO CONSTRUCT, OPERATE- MAINTAIN.
REPAIR. REPLACE AND ENLARGE UNDERGROUND PIPES- CONDUITS. CABLES AND WIRES WITH ALL 424 -555
NECESSARY OR CONVENIENT UNDERGROUND OR GROUND -MOUNT APPURTENANCES THERETO AS- 2 ) I NSTALL ONE POUND ANODE EVERY 1000' OF DETECT I ON W I RE / I NSTALL
FOR THE PURPOSE OF SERVING THIS SUBDIVISION AND OTHER PROPERTY WITH ELECTRIC, G
TOGETHER WITH THE RIGHT TO ENTER UPON THE STREETS. ANODE AND TEST LEAD WIRES PER PSE STANDARDS.
TELEPHONE AND OTHER UTILITY SERVICE. AND MONITORED FOR CHECKING FEEDS.
LOTS. TRACTS AND SPACES AT ALL TIMES FOR THE PURPOSES HEREIN STATED. 3 ) ALL MA I N T I E- I NS SHALL BE GAUGED
4 1 NSTALL VALVES OUT OF TRAFF I C WHERE POSS I BLE
5 ANY C I HANGE IN ROUTE OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED
BY THE PROJECT MANAGER.
6) ALL ACTIVE SERVICES ARE SHOWN AS
7) ALL PROPOSED SERVICES ARE SHOWN AS
8) ALL 3' X 5' PAVING CUTS SHOWN AS M SEDIMENTATION
9) ALL WORK WITHIN THE COUNTY TO COMPLY WITH EROSION &
CONTROL REQUIREMENTS OF CHAPTER 24-30-020 OF THE SNOHOMISH COUNTY
DRAINAGE ORDINANCE, WHICH INCLUDES THE FOLLOWING:
A. PAVED SURFACES TO BE CLEANED OF SEDIMENT AT THE END OF EACH DAY. SED—
B. SOIL STOCKPILES, IF ANY, SHALL BE STABILIZED AND PROTECTED WITH
IMENT RETENTION BMP's WITHIN 24 HRS. EXCAVATED MATERIALS SHALL BE
PLACED ON THE UPHILL SIDE OF TR ENCHES, AS SITE AND SAFETY CONSTRAINTS
ALLOW.
C. DISTURBED AREAS MUST BE STABILIZED WITHIN 2 DAYS. EROSION CONTROL
MATERIALS MUST BE KEPT ON SITE AND IN ADEQUATE QUANITIES AT ALL TIMES.
NO MORE THAN 500 FEET OF CONTINUOUS TRENCH MAY REMAIN OPEN Al UNt
TIME UNLESS CHECK DAMS ARE INSTALLED.
D. STORM SEWER INLETS THAT RECEIVE STORM WATER RUNOFF DURING CON—
STRUCTION SHALL BE PROTECTED WITH FILTER FABRIC OR OTHER MEANS TO
GENERAL NOTES (JOINT TRENCH): MINIMIZE SEDIMENT FROM ENTERING THE INLET.
EXCAVATOR IS To CONTACT THE ONE -CALL 48 HOURS PRIOR TO BREAKING GROUND @ 1-800424-5555. 10) NOTIFY C ITY OF EDMO . NDS, DANIELLE GILBERT A25-771-0220/ 425-771-0236
11) 1 DASHED LINES ( --- ) ARE TO BE USED TO VERIFY/CORRECT INSTALLATION OF MAIN
NOTIFY THE APPROPRIATE PERMITTING AGENCY 48 HOURS PRIOR TO JOB START. ON AS —BUILT. STUB LOCATIONS ARE AT TIE—IN TO MAIN AND LENGTH OF STUB
RECORD ANY CHANGES MADE TOTHE LOCATION OR MATERIAL ON THE PRINT COPY. INSTALLED NOTED. '
12) RETURN ALL AS—BU I LTS TO LAWRENCE H I RSCH, NOB-01
UPON CONYLET10 . N OF THE PROJECT SEND THE PRINT COPY, ALONG WITH THE COMPLETED WORK ORDER, 13) CUSTOMER TO PROVIDE TRENCH AND BACKFILL PER PSE STANDARDS.
rt% 'rf% "117 APPROPTUAIT D IGN GROUP.
j Z4 -r n I 1� L L I LISTING CREW AND ACTUAL MA-
v pp UNLESS OTHERWISE NOTED:
EX. 2" PE IP - 21'N TRENCH CROSS SECTION
tor --p tootootoototooto --------- - ----- w * ALL PIPE INSTALLED IN THE PLAT IS TO BE 2"MPE 1P.
- --- ------- 853-11 ------ -------------------------------- 775� PVC.
25'E --- C/L ------------------------------------------------------------------ * ALL CROSSINGS FOR GAS ARE TO BE 4 OR DEEPER
2+00 IL I to ALL GAS SERVICES ARE 518 "MPE- 4 2 ANY TRENCH OR EXCAVATION 4'
1 +00 E STUB LOCATIONS. E SHORED. SLOPED. OR PROTECTED BY
I -TDENOTES SERVIC (24" IF NO GAS) SHALL B
0 3+00 36" MIN A SHORING BOX. TRENCHES LESS THAN 4' IN
DEPTH SHALL ALSO TO BE PROTECTED WHEN THERE
17 5 435.34' 0
-2 :�r , 111E CUSTOMER IS To TRENCH, EXCAVATE, AND BACK FILL ON PRIVATE PROPERTY OR EASEMENT ONLY AND
18 S --------- ------------------ 48" MAX
RGYSTANDARDS. GAS TELTV POWER ARE INDICATION
MUST CONFORM TO PUGET SOUND ENE S THAT HAZARDOUS GROUND
MOVEMENT IS POSSIBLE.
to
6" COVER
ANY OF THE FOLLOWING CHANGES: 0'.
PLEASE NOTIFY THE PROJECT MANAGER WITH
0 A CHANGE IN THE METER LOCAT10N WHICH RESULT'S IN THE INSTALLATION OF ADDITIONAL MAIN.
ANY CHANGES RESULTING IN THE REDUCTION OF SERVICE LINE PIPE SIZE. 6" COVER 2"SEPARATION 3"SAND
EXCEPTION
ANY CHANGES RESULTING IN THE SUBSTITUTION OF SERVICE FOR MAIN. 3 SAND
BETWEEN UTILITIES
5 6
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60-00484
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PART NO.
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O"ER / DEVELOPER
LINCOLN ESTATES, INC.-
7
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1910 - 120 PL. SE
EVERETT, WA. 98208
(425) 481-0665
Tn 1-41 NJ
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26 NJ N 2017H
25'E--- TO 16'N--- C/L A CALL 1-800-424-5555
2 BUSINESS DAYS BEFORE YOU DIG
16"N--- & 68'E--- C/L
16 7 THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
Q e EASEMENT PERMIT
REAL ESTATE/
ROPE 2" MPE IP F Om 5 CITY OF EDMONDS
A STD. EASEMENT PLAT
GAS MAIN INSTALLATION / UTIUMENT
I R
SIZE
TYPE
PROPOSED
ACTUE
M-N
MKNUFA( "EIPP I
2"—
MP—E--1800'
PROJECT PHASE
NOTIF #
ORDER#
GAS MAIN
X i: :::
C11 243280
1070109�1
SUB-ORDE',6 (RETIREMENTS)
—i�E--RVICENOTIFICATIONS
—
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE;
TESTED BY:
E�ATE ON-
TIME ON:
DATE OFF:
TIME OFF:
DESIGN: PSIG
SYS MAOP:
C Tn I? q I P punmr mn DATE
3 FUNCTION
-4238 07/17/01
-7 PROJECT MGR: L. HIRSCH (206) 418
X h ENGI�EER:
1 +00w I -OOE - - - - - - - Lincoln Estates
REV# DATE BY DESCRIPTION DRAWN BY:— KAY KRISKO (206) 418-4219 07/17/01
81
Natural Gas Crossing Table JOB# 1070109 476-6300
< EOM COUNTY 7MER SEC Work Center CHECKED BY: C.WOOLERY 253
C
North, North, 5 MCNSEG APPROVED BY: L. HIRSCH
North, North,
2 -C a wo 16'N--- & 123'E--- /L 8 SNOHOMISH
236 H PLACE 17 South, South, South, OTHER South, 1/4 SEC OP MAP PLAT MAP
-�i . i East, or East, or
2 21 East, or East or SIZE West NE-36-27-03 164.062 166. 066
FOUR six West
20 TWO West West
0 (side of (side of
-j E 0 M ION Crossing (side of (side of INCH ODE:
S) INCH INCH trench) COST C
Number trench) trench) trench) MAPPING,
Pi
12"S--- & 70'E--- C 1 011-103-2
(1) 60'. North
JOINT FACILITIES ARRANGEMENTS
236th S T to S W (1) 6o' West P.U.D. (ELEC)-
2
N I UTILITIES VERIZON (TEL) AT&T (CABLE
3 (1)6 North CHENEY MARK PEDERSON
io. i CONTACT SHANE HUNTER MIKE
-��'398. 35' 0
9 (e,43 11 W West 425-344-3618
0 4 PHONE# 425-653-7312 206-396-6035
20 19 ---------- 9 RETIREMENT 9
(1) 80' North
5
& 77'E--- C/L DESIGNED BY PILCHUCK
CD 12"S--- 2" MPE IP MAIN EXT.
(1) 40' West
(\j EOM 6 PUGET —LOTS) STD. YRAWING4 AP WORK ORDER #
I — — LINCOLN ESTATES (27
co MPE IP (1) 40' East I— I
--- C/L INSTALL 2 7 SOUND
12'S--- & 62'W rylycDd-v 23415 — 100 AVE W 107010981
@ 50 R k-1) LU Norin — 1 --7-1/1
8 EDMONDS, WA. 98020 —LE: 50
JSCA
uth CONTRACTORS, INC.
9 (1) 40'1 _So
CADD NO: ... \107010981SI. DGN
INSTALL 2" MPE IP
@ 12'S--- C/L