23708 78TH PL W.PDFlill 11111111
6784
23708 78TH PL W
Side Sewer Drawing
The City of Edmondt EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO - ---------- ....... ASMT. NO - ------------------
OWNER 50--AV:WE
---------------------------------------------- CONTRACTOR
.=F .. i .................. PERMIT NO. &2- 4
JOB ADDRESS -------------------- LEGAL DESCRIPTION: LOT NO.
--- ------- F-- ------- BLOCK NO . ....................................
PWW-0001-1 1/75 (REV. 11178)
TION------------------------
Approved:
DATE------------------------ By --------- ......
CITY OF EDMONDS
PUBLIC WORKS DEPAR NT FOR INSPECTION CALL Permit HIG
775-2525 Ext. 220
.DE SEWER PERMIT Issue Date
S,
PERMIT MUST BE POSTED ON JOB SITE
0
1 Address o nstruc7l7n �1 3 11 'o-- 71- I'L
2. Property Legal Description
,,,(include all, easements)/y '7,,)' L>t 7.
qy T
ri L 8 f- V -7 0 v-� Tw�
1h, _,1 A-- 1 i ---,e 4�7e- -,Al - 60
3. Single Family Residence Multi -Family No. of Units
Commercial
4. -owner and/or Builder Jd,#ILl A'
5. Contractor & License No. 1) L - - F- _Y f r" 4 '7
r- 7
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-53.44) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWT�.NG 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 0 be laid at a minimum grade of 2% (1.15
and maximum grade of 100% (45 ). 0
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
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 sewermust be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required. 4
DATE: 3 AL 17 1
I certify tHat I have read
and shall comply with the above
,-
PERMIT FEE: :=?—
D BY:
DISAPPROVE Date:
0 By: Date:
CONNECTION FEE:
P4 APPROVED By Date: -2 -
rZ4
PERMIT MUST BE POSTED ON JOB SITE
I�CITY OF EDMONDS W— Permit No.'
r ;.4
PUBLIC WORKS DEPARTMNT Issue Date /7 ;P
RIGHT - OF - WAY CONSTRUCTION PEfSTREET
E-
Z
U
::i
04
0.
0
U
W
LU
A. *Address or vicinity of Construction
3 7 6 29 V PJ tA J
Owner:
Name
Mailing Address
1 17 2- - 7 -4�
Cit�� S ta te, Zip Cod
9 Contractor:- !3 Le
Name
Mailing Address
- , )� IZIA Ik 1AJMt1%e4 9'
City� State, Zip Code
9 Permit Issued To:
Type of Work to be Done:
Work in Connection With -
Su
b or Plat S, ngle Family
El Comm]. / Ind. 0 Apt. Condo.
9 Pavement Cut: El Yes 0""No
State License Number
-7 o 2-7,417
Telephone Number
** NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE **
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any 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 it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch, is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspectio n by Engineering. Call
775-2525, extension 220.
I understand that this permit,must be available at the job site for inspection purposes at all times.
Signature:
Owner or Agent
te c)---
**'THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: ._-j7- G—: -
T*me Authorized: Vold after ±?,�n
Speclial Conditions:
Ammendments:
Permit Fee.70//
Secu ri ty.- Deposit:
Receipt No.:
Fund I 11 Fee: --4
Street Cut Dimensions
X - I =
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div.
FIELD INSPECTION NOM
(Fund 111
Route
cony to Street Dept'.)
Comments:
A
Diagram:
Contractor called for inspection.,
v
vkJork Disa.pproved By:
Work Arvoroved Bv:
Inspector:
yps
Date:
Date:
NO
Bv:
Date:
Ena. Div. December 1978
A4
j1p. CITY.OFEDMONDS
rBL:YC WORKS TEPARTMENTo ENGINEERI-NG D I V I�S I -ON
TION FOP, RIGHT-OF-WAY CONSTRUCTION PERMIT
THIS PERMIT MUST BE-AVAI.LABLE AT THE JOB SITE FOR INSPECTION. -PURPOSES
Applicant -to Complete Parts A and B
A. Permit t�o be issued t,o: Snoholm'sh Cou'nty P.U.D. #1
For Work at:(address or vicinity) CD eS
Type of Work to be done:
(attach drawing when applicable)
Time Required -- Start: 1-day Finish:
Owner: L,)nonomisn uounry F.u.u. fri
,Name
21018 'liwy 99
'Mailing Address
Lynnwood, WA �98036
I'lLy
State
Zip
1774 - 211 2_
Telephone Number
Contractor: same as above
:Name State License Number
Mailing.Address
Ci.ty State Zip Telephone Number
B. INDEMNITY: Applicant understands and by his signature -to this application, agrees
to hold the C ' ity of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, thatomay be made against'
the applicant*.�-or 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, cour7t -��osts, and attorney fees by reason�of granting this permit.
Upon -issuance of this permit, the contractor is responsible- for workmanship and
materials for a per * iod of one year following the final inspection and acceptance
of the restorati-on by the Engineering -Division.
Funds held,,from the Security Deposit (estimated restoration fee) will be held until
,the final street patch is completed, at 'which time a debit or credit will be
processed for 'issuance to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A
24-hour notice 1s required for inspection by Engineering. Call 775-2525, ext. '220.
I understand that this permit must -be available at the job site for inspection
purposes at all times.
Signature:,�,� 11. te:
Owner or (A!Lnt 1_J
C, TO BE COMPLETED BY ISSUING AGENCY:
Date I,ssued: 75F. Permit No.:
F e e
Security Bond:
Time Authorized: &1!51 e--e
APPROVED BY::Ze� Date: 'F_
Iji- / I I " r W - " i � - A I
I
1018
Re�. 10177
Location.
,F-,l A S
Reasofi for work
PEFA14,,,,,,REQRED
Pe �0 �W
� i S 01:11 VA ( 0
Date Granted.
Log Posted
Inventorl
Transf.Card Pole Do
Ma Post Circuit M
Date'Work Completed -
Circuit' Number
WlcP -UTILITY DISTRICT No-1 of unty AREA
Snoh sh Co
ate W.O. N
D 0
R Revision Scale
Engineer �A 'J 6'ITKAs -Built
U.G. File No.
-is
Approva'
FOREIGN CONTA61r� EASEMENT ENVIRONMENTAL ANALYSIS
Company
Gra
'ff .
Fee 5 Do
Type
ate
D unZ;jj
Date Released For Construction—
_B
Substation
TO'
=0L.1 DS sq_00L,15
AS
J-A fINC �4�_VA 7-1w_At,�s
st
A ct,-)
T�R_'SN'C- VA
Exempt uncler�.District..SEPA
..Procedures. -Section I I I -A
h :C- Item Via
Paro a h
Date V A-ULH N
Interpretation Referred To:
Date —By
O.H. U.G.4Cond
'Add Ck PH,
ltemv,,,,� Ckt Ft —PH
Net- Ckt-Ft
Sewer
Gas
Backhoe
W.O. No
tz/ -\N
Cffyiolf E�DMONDS
A=
:� 1 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
'All
Department of S17 77"
TWO P,
nEt: I FILE
DATE:
TO:
TRANS�IITTING:-:Ei�iiL!Oly,��-�k�
-1 -IB 3-->. I mu
AS YOU REQUESTED: FOR YOUR FILE:
FOR YOUR INFO:
AS WE DESCUSSED:
FOR YOUR APPROVAL:
REMARKS:
REVIEW & COMMENT -
COMMENT & RETURN:
FOR APPROPRIATE ACTION:
PUBLIC WORKS DEPARTMENT
EMIM1,7fil P-111-7=71-0-72
A R I M E N T Applicant Fill
Inside Heavy Lines
PERMIT APPLICAT100--_1 )oil
IN ESS) P;��
07 C,
ilbivpi PLAT PqAmr ASSESSOR MAP NO.—
W
Z Z
0 z
PUBLIC RIGHT OF WAY PER ORDINANCE NO
F.
U
U
NAME
0
U
CITY
z
0
U
Z
0
U
J
I
LLPHONE NUMBER
EXISTING RIGHT OF WAY
PR OPOSED RIGHT OF WAY
DEFICIENCY OF RIGHT OF WAY
STREET/UTILITY WORK REQUIRED Oyrs
En
�c
El NO
PERMIT FOR WORK IN PUBLIC R/W *YES
EJ NO
0
TELEPHON NUMBER
UNDERGROUND WIRING REQUIRED YES
El NO
U
CONNECTION TO SANITARY SEWER *YES
NO m
SEPTIC TANK PERMIT REQUIRED, DYFS
N 0 (L
SEPTIC TANK PERMIT NO.
SEE MEMO DATED
-------
TELEPHONE NUMBER
REMARKS
ASE
104
S UMBER
CITY LICENSE NUMBER
CHECKED BY
tion of Property (Sho4 Below or Attach Four Copies METER 17.E, Isul IN . G SUPPLY SIZE
%,1ARK9_
_t _e7
ENV RE
, vE
A DB NO..
X/
ALLOWED ROPOSED
P,
COMPLETE
I
AV,
-,42—
E M A
REMARKS
V A R A
VVANCE OR CU
PLANNING REVIEW BY DATE
YARDS
YARD�
,
/FRONT
LOT COVERAGE
— /
T��, SIDE
NEW
WJ
RESIDENTIAL
IEJ
GAS
LINE
, _
EA]
R
FIRE
?
El
NON-RESIDENTIAL
SIGN
Z;NE TYPE
4
I
OF CONSTRUCT ON CODE HEIGHT
�Z
D
ADD
.
k) /?7
E]
DEMOLISH
E]
RETAINING
'P�
ECIAL INSPECTOR
AREA
WALL
REQUIRED
U.,
JOCCUPANCY OCCUPANT
ALTER
EXCAVATE
OR FILL
1:1
FENCE
1—
Y
YES NO
GROUP LOAD
3
REPAIR
1:1
PRE -MOVE
___.
swim
PLAN CHECKED BY
THIS SIT E IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
INSP.
POOL
SHOULD
BE CODED 31.04.
NUMBER
OF STORIE
R OF
RWEMKS
ING
j
_7 It - A_��
J��;L z
NATURE OF WORK TO BE DQ#4.r—
IF W
z
0
PROPOSED USE
PLAN CHECK FEE
IL
PLOT PLAN NDICATE BUILDING S TB,ACKS,
a:
ABUTTING STREETS)
BUILDING
U
0
W
PLUMBING
0
MECHANICAL
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
VALUATION
I 9430A-,,
Date Zr
MEMO TO: Building Division
Community Development.Department
FROM: Engineering 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 driveway grades is the
responsibility of the contractor.
L,)-e7 The contractor is required to keep the abutting streets cleaned
.of dirt and debris caused by the construction.
I)-C7 The "Right -of -Way Construction Permit" is required, from the
7- 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.
/-7 Septic Tank Permit required, submit design..
Fire hydrant required, submit.design.
/X7 Site drainage per code #.J?OLV-. See approved plans
/-7 Curb /-7 Sidewalk 1-7 Paving required.
/-7 Bond required for public improvements. Submit cost estimate.
Underground wiring required.
f7 Approved Engineering Plans required when applicable.
/-7
J
Rev. 7/78
For Fred-F. Herzberg, P.E.
City Engineer
Department of Public Works-
O-MIC 1,70RKS DEPAMM CHECKLIO
BUIWINGTER4IT REVIEW .
Street Right -of -Nay Existing REQD
Access Easements Existing REQD
Utility -Easement Existing REQD
Lot., per Subdivis�top p Plat Assessor Map
Site Plan Checked for Accuracy
Z
-Underground Wiring Reqd.
Check ACCIIrO[Cy' Of"I.Egal- D&scription;
Environmentally 8ensitive-Area
EnvironmentalChecklist Reqd.
Flood*Hazard Zone
Shoreline Management Area
Z Slope, Soil, Vegetation
W Stream, Creek, Drainage Basin
Existing Zoning Per,,Code
�menities.Design Board Approval Reqd.,, 1:30 ADB # Approval
Board of Adjustment Approval Reqd.. Y_
Review By: Date:
Existing Water'Main Size
Water Main Reqd. AIA
Service Line Reqd.--
Hydrant Size Existing ///x/
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd. IYA
Cross Connection Tnspection
Fire -Department Comments
Water Meter Charge Reqd.
Review by:
Date:// -%�Z 7- 7,97
Septic T s ign prove --------- ate:
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability ye- Proi
P4 /
�4 Drawing No. File No.
Side Sewer Availability YC!-- '_� I .
Sanitary Sewer Connection Fee Reqd.
Review By: —'gq;7- 7
Date:
Date
ddress
�q)en Ditch Existing__ --ill
Reqd.
Culvert Reqd.
Size
Catch Basin Reqd.
Indicate on Site Plan
Q
Shoulder draina�,,,e n-nintaiii collection an swaie open runoff _,X&xO
C7
U)
!-Iandiole r'l"
indicate on Site Plan
Soil Conditions and GroundVlater Field
CTiecked
Review i)y
1 611 INJIV
Date L,7��Z_
:!I a m'
Street Paving Reqd.
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
P�
Rigmt-of�-Iqay Construction Pen -nit Reqd.
V
Bond Reqd. for Public Tnprovemnts
1A
Street Nam Sign Reqd.
U)
Other Signing Reqd.
Pre Pelmit Site Inspection mde on
0
BY: SO,,IER
WATER
STREET
ENGINEERING
Special.
Rcquirenr�_-nts listed in mem to
Commmity Devel,-ol Departmnt,
Building
Division
-BY
Date
o
Allitans filled in on Building Permit
Application
BY
Date,
DraiTings
Stamed and Notations �Iade
BY
Date
,jApproved
by Public I
%4orks Dc Tna
-part -it
�evised: Iv 10-1977