23607 76TH PL SW.PDFlill 11111111
6485
23607 76TH PL SW
CITY OF EDMONDS STREETADDRESSr Y
41LE�AAH E
YOR
7110 - 210TH ST. S.W. - EDMONDS, WA 98026 - (425) 771-0235 - FAX (425) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
IP '. 1 BC)13
November 4, 1997
Brian O'Hey
23607 - 76th Pl. W.
Edmonds, WA 99026
S ubject: Water Leak Credit (3506175)
4
Dear Mr. O'Hey:
I have reviewed your account and will allow a credit for the billing period between
July 29, 1997 through October 1, 1997 in accordance with our City policy. The policy
states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three
year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241. ,
Sincerely,
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\credit97\#506175
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CUSTOMER-S ORDER NO
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4308
dba SKEA PLUMBING
7717 236th St. S.W.
Edmonds, WA 9=6-"W
77"615 SVXAP**222=
DEPT. DATE
i
9iw::1
NAME
K EP THIS SLIP
E
5L320 FOR REFERENCE
CITY OF EDMONDS
PWBLIC WORKS DEPARWNT
06 0 F11 C,
0
-SIDE SEWER PERMIT
LU 1.
.j 2.
"Now
U.
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4
5.
Cl) 6.
FOR INS.PECTION CALL Permit Ho.-
49
7 7 5 - 2 5 2 5 Ex t. QUID �, . �oeo, Issue Date
* PEP -MIT MUST BE POSTED ON JOB SITE 1�_I_
FVIA BALLINGER
LIT Tj
Address of Construction S
LIFT STATION
Property Legal Description (include all easements)
7_7 Q/
Single Family Residence ',"" Multi -Family No. of Units
Commercial
Owner and/or Builder
Contractor & License No. A 6 IZ- CD -A* c-9 190 A)Q_
Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig 0(?4�06124V,) before
excavation)
E-4 7. Cross other private property: Yes No Easement required
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a4
a. Property owners must obtain a permit to install side sewers on
>q 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")
P4
z tide 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
f. No turn in side s8wer greater than 45 (1/8,bend) i's 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 requir,!pd 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. /111
DATE: /83 � �LdLw
71 1certifythat I have read
rand shall comply With the above
-0
PERMIT FEE:,,',,,�, DISAPPROVED BY: Date:
0C,
UW " /4-, -, S-. � BY: Date:
P4 2 6ONNEC"T'I 614 'i�E APPROVED By: Date:
0
PERMIT MUST BE POSTED ON JOB SITE
The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------------------------------------- I . I -
NEW CONSTRUCTION [9 REPAIRS 7, LID NO - ------------ ----- ASMT. NO . . ...............
-RQ-C--V-A.0 ................ CONTRACTOR-14^.Rb-lt4GZx--15.PC-I<-".O.F . ......
OWNER .... Ace - ------ Cot�k--5-r ---------- PERMIT NO. (09.2.6
JOB ADDRESS --- 9—*
3.6.0 r r L
. .... 7 ---------- Mo T ---------
. ............. I ....... !� LEGAL DESCRIPTION: LOT NO. -A ............................. BLOCK NO. --Vf A .. E4-ALH+dl3E-R
-IFT S-TAI
0 --------------------------------------------------------------------------------------------------------------------- .., -.-:LLI- �j
NAME OF ADDITION PLAT ..... OF ..... la.e -A!9�-KT . ............... ...................................
A
Nor%-r"
PWW-0001-11/75 (REV.11/78)
31 45',
WV YSBEI40
1.!5.op
C.C.CAP
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or
A
......................
-ro 177-rti
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 ofEdmonds 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 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 shal-I be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Pl �u
111''J''It'' jjllj� 1111%
STREET FILE
7 2, Z.50
.672,
71
*Assume-ci Elev.
A 9. E A
z s oc:)
Drlve-waL3
LF
C-'r
Is
4'
.70d
f 1C
LA
WC1
57
C>F
HF-Kt
R4
Slj 727N
ALE
PLO-r FPLAW Fop
Acs cows-M-UCMO�j PL4k,
C>r- t
CATCH BASIN:
Am 01s,30(ock.
NQUAL.)
TR9f,4CW L@rNG'rH
raWNCH CDVCR:k
.............................
16' -n GWr U W IE " LlrvrL T1kVNCN
4,� rLrilLF Pipe,/ CAP
G"TEE W/ (." LONG LEGS
SYSTEM CROSS—SECTION
'r1kF_NC" COVER —
3/4'- 0/2" WAS"ED
GRAVEL
6" DIAM FERF PI
TRENCH CROSS—SECTION
FFT,
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
1 ocati on
-
plan
pho;e
date 2/1-5V81_
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floatinq material and
sediment at regular intervals (at least
twice per year).
CITY OF EOMC31MOS
�00
AREA AFPRP>(,
Drive—waL3
�-6 LF
3
LA
PLAT OF
S.EC 3 Ij 7 27 N R4 E.W.
F E
SCALE zo
PLO7
QOWZS-rRUC-no�j p,
I Goo orm
CITY OF EDMONDS
9 NEW
EIADDITION
1:1 RETIREMENT
v
STREET FILE
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
IQ
SERIAL NO.
LOCATION DEPT. NO.
2:36-:s2 (� q c,
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
PROJECT N U M BE R ?
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
Rl DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
INITIAL
(tnp
DEPARTMENT FILE
0 0
PUBLIC WORKS DEPAR7= CHECKLIST
BUUDING PMaT REVIEW �3 -7 2 ldv�5_
(address) (datd) __
Street Right -of -Way Exist='& A14 -71, r74-py REQD
Z
I
Access Easements Existing____ZZ//g
H
cd
Utility Easement Existing_Af,�, t '! � 7 /,-, t - REQD
W
Lot Per Subdivision 16at' Assessor
W
Site Plan Checked for Accuracy, 6 Af-
Z
Underground Wiring Reqd.
0
Check Accuracy.7of �E�al pescriptiotV
Z
Review by Date
94,
1
Existing Water Main Size /7/
Water Main Required A11A
Service Line Required
Hydrant Size Existing _
9
Hydrant Reqd Per Fire Code- Size
W
Detector Check Meter Reqd.
Cross Connection Inspection -
Fire Departamt Connients
'dater Meter a-Lar Req d. lef f
Review by --Date Z g
Septic Tank Design Approved Date
Septic Tank Permit Reqd. 4�- Permit No.
Sanitary Sewer Availability, Z Xd Proj*-
Dra:wing No. 4-pr, 016 T File No.
Side Sewer Availability I
Sanitary Sewer e tiW-Fee Reqd.
Review by. Date
(n
Open Ditch Existing___ALA., Reqd.
X
Culvert Reqd. Size
cd
Catch Basin Reqd. TlaQ, /_i vr Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole req d. 'PER., - 10 Indicate m* Site Plan
Soil Conditions and Ground Water Field Checked -
Review te -,L/-ZA2
Revised: lvlO-1977
Page 2
0
W iStreet Paving Reqd. PaQ P(16-rl
0-mb and Cutter Reqd.
Sidewalk Reqd.
W Curb Cut for Driveway Reqd. i,-
ad Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Inpravements
Street Nam Sign Reqd. Omt 'PLar
Other Signing Reqd. d.-I
Pre Permit Site Inspection mde an
0
BY: Sam
WATER
M
z
1-4- ST=
ENGINEERING
*4 Special Requirements listed in mew to Comninity Development Department,
4 Building Division
BY Date
o All item filled in on Building Permit Application
Ad BY Date
Drawings Stanped and Notations Made
By Date
Approved by Public Works Department
Mvised: 1v 10-1977
0
*A55urne8 Elev.
ICC�CD'Abovc-
Seq Le-,je-1
N07tt
-JMPF-��MEASL-e
AREA Al-�-RPX,
Drl\/P-wat3
k-6 LF pvc. (I-- as
lt4LC--T
4'
D4A ki S C Tv P)
54, Ul
ell
C�iF R5 st-i
3jj 7 27 N P, 4 E.W. M.
FEB 15 1983
SCALE I
PLO7 pi_At.4 FOR
ACIE COWS7RUC--now
PLANJ IGOO
CATC�H BASIN:
&M5 *IS-30(01L
WOUAL)
6' -n&�&UWK
P F 1kF I
TRr&NCW L.WNaTH
2
All
-rFkWhCW
7)............................. . .......... tl!
� rLTtW*N",-*. '****"*"
, rips LCVWL TIMNC."
CAP
4a TEE VV/ (6 LONG LF-GS
SYSTEM CROSS—SECTION
T PE �r- VA -c-OV E R —
3/4'— 0/1" WASWED
GRAVEL
6" DiAM PERF P1
L ?-- - e - I
TRENCH CROSS—SECTION
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGL I OF 2
for Arc&
location:j�—��
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
U ppp_ P, FEB 41983
DETENTION PIPff LENGTH COWrROL CATCH
(vr.NT) — - - 1
) r— I' L41W 2'VMAX COVE&
—OLrTLr.T
T
CONT;tOe
SL
SLOPE-
4-
'TO OUTL-5*7
(N P RAIP OR
RUNOFF
SYSTEM CROSS SECTION -SPREADER)
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
2' . 2' . (o" 02:R?, 4L & " SPAL-� �% wou.%L.)
I's 2' w: V' DEEP, LRUS�AED ROCK
FROM
0 �TL
LITLET
CON-rROL
RIPRAP OUTLET
VVA3KZD &k,4.YffL DVTrL0WTIkeNC.VA, MIN 10' LONG,
'TOP 4 4' PURF PIPE -M BE L-MVIEL
0 LrrL E-T
CONTROL
4�' FERF PIPE WITH CAP.S
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for
location
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
CITY OF EDMONDS
ZONE- 91198,3
k'k F N
CC,
D 7-
F)
Ri E
OTViER *Assumecl Flev.
HEIGHT ICC�co'Abovc
-C� Leve-t
:2
0 N07t,
2
�j LF 4" PVC- (L e-5
lt4LC-T
7 SO
1
(NT,
tb
CL
4'. e0o
'S+o r rv\ De -A i Q.S CTY P)
c,(-ry Of=
-PUTL-eT -U, C�OQTCOL)
BEHEK.1
31., 7 2-7 N ') R, 4 E.W.
SCALE I"= Zol
PLOT PL
-AN FoR
CDWS7RUC-now pL4jj AGOO c>r-
J5UjLj).LjNU rig i e
n A Adak Commercial
BUILDING ADDRESS
BLDG. DEPT. SUSPEN, S I E DATE 2 7
INITIAL
DATE
OFFICE.ADMIN. — PUBLIC WOR'KS LOG IN
CITY ENGINEER (check)
C3 Access Slope and Vehicle Access
Uj
0 Drainage Plan
0Street File
Chegal Descripti6fi
DQuit Claim
ElEasement
,cr
13,Cald;ulate -Set46r. Connection
SEWER DIVISION
"16
*13 U De t e rm nWMeter' Siz�*��!,:j�'.;�;t.i/
p�lete,,B6ilding' jPermit-,� Review
�6
4;'
-DIVISI
[R�TREET OW
.
i , 6", P i
Bui 1 ding View
*onap* e e erm,t�,Re
cp, (1745'.
------ -
3OFFICE ADMIN..: LOG OUT -TO BLDG-.-',DEPT.
--------------------------------------------------------------------
BUILDING PERMIT APPLICATION'(COMPLETE).
2 COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
r ax, V L U U a 1, 1 L%.L. V L F, ri r, ij I r I Ar, urr I
P3 COPIES OF DRAINAGE PLAN 141TH CALCULATIONS ,2
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE [I
LESS THAN 2,000 SO. FT.
/M CHECK ZONING'REQUIREMENTS (SETBACKS)
��,COPY OF ENGINEERING CHECK LIST
I ..COPY OF PU"LIC. WORKS MaIO'
b_MULTIPLE OR CO14MERCIAL
YES [] '-�AT-E �CH:COPY OF ADB APPROVAL INCL. ALL D.M�,TINGS)
NO
"_�SSUBDIVISION
YES NAME.. Az
DATED-RY=ED-
NUMBER
SEWER
NO (ATrAcH wpyw .1puim"gNm)
DRAWING
,10"CHECK
AND ATTACH COPY
1 S DEDICATION
REQUIRED YESQ (OBTAIN QUIT CLAI10
CITY OODI
NO
TJI'C
DOES CITY I�AVE EASEMENT ON PROPERTY
YEflj
(ATTACH COPI RAWINGS)
No.
CHECK LEGAL
ACCESS INGRESS[] UTILITIESE]
YESEJ YES
NO NO
0
HAS SEWER ASSESSMENT
BEEN PAID
YES
L.I.D. NO.
PLAT NO.
.--_.S.UBDIVI.SION3E_
JF MULTIPLE:
INCLUDE NUMBER OF UNITS"'
. _11):��:60MME]RCIAL,:' INCLUDE NUMBER OF FIXTURE UNITS
!o
0
/0
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: 3k 1 ,21 �AJ
-77
After review of the subject Building Permit application, we have the following�'-',"f',
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. DrivewaZ slope not to exceed 14%
5. Backwater valve requ ired if do-wnstairs plumbing is below elevation of
upstream manhoTe—.
6. Water and sewer lines to be separated by 10 foot minimum.
BD 6/82
AML Adik
CITY OF EbMOND�w
PERM
ZONE ""SEW
CONSTRUCTION PERMIT APPLICATION
joe
J
,-3 ? I - -7tof
NAME (OR NAME OF BUSINESS)
Ac,c,
LEGAL DESCRIPTION CH r, K
SUBDIVISION NO,
fs-U) I
cr
LU MAILING ADDRESS
Z
0 ' 11-74-1 a" Atm NE*
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION -00
PROPOSED
CITY
TELEPHONE NUMBER
NAME
rn e_, CA 4 0-�DO V C,
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 1:1
W ADDRESS
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
U
CITY
]TELEPHONE NUMBER
NAME
5C�Mlr, 42.0r4 C4�16 0 VIC_,
ADDRESS
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER 684
AC- FC, - () * - * 24o#j- 501
Legal Description of Property - Include all easements
(show below or attach four copies)
METER SIZE BUILDING SUPPLY SIZE
REMARKS
SIGN AREA I COMPENV. REVIEW
ALLOWED I PROPOSED LETE I EXEMPT
q
j:10_+
sec, 51
VARIANCE OR CU
1
27
R4
Eaa+ W A
YARDS
e7g-�
1-2 FRONT
WNEW RESIDENTIAL PLUMBING
F] ADDIALTER NOWRESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH OR FILL I— x FI)
PRE -MOVE INSPJ swim
COMPLIANCE INSP. El POOL
CHECKED BY
[REMARKS
TYPE OF
I
SPECIAL INSPECTOR
REQUIRED
a
1_J YES I;NO
&I SIDE SEWER �Z_WATER LINE
M
NUMBER OF STORIES
2.
NUMBEROF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
Ale. VJ P e- 9 i deAoi e- e—
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
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.
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
w 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
a:
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 ordinance
0 nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given Is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed In violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
S ATUREJOWN R ENT) DAT� SIC44ED
SIDE
NO. e-
a
Z
UNITS
ADB NO.
SHOR ELINEN
DATE
2-16
LOT COVERAGE
REAR . ��154 "";4j
CODE HEIGHT
OCCUPANCY OCCUPANT
GROUP " - LOAD
VALUATION
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is,
acknowledged In space provided.,,
OFFICIAL'S SIGNATURE
THIS SITE IS LOCATED IN THE. CITY
OF EDMONDS. LOCAL SALES TAX 775-2525 DATE
ATTENTION SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
n
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — I'speclor'�
A CERTIFICATE OF OCCUPANCY HAS BEEN 'GRANTED. UBC'
CHAPTER 3.
FEB 4 1988 PINK - Owner GOLD - Assessor.
102-78
it
Z
Z
5
IL