23721 101ST PL SW.PDFiiiiiiiiii
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23721 101 ST PL SW
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RECEIVED
JUN 161999
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DEVELOPMENT SERVICES CTIi.
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CITY OF EDMONDS
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STIREET FOLE
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER
ADDRESS
WaL.
CALC BY:
PHONE: 3&0
j
DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
r
Z951 1-12 -3/y
L DETENTION PIPE LENGTH LOCKING LID
FINISHED G T (TYPICAL)
F �MINIMUM���
T
UPPER CATCH BASIN
6 N R4NCf0P or
MiAT UR&QM
CONC BOX OR RISER
.5% TO 1% SLOPE
OUTLET
0 OUTLI
UTLET CONTROL
19MIN.
19
.ORIFICE
CONTROL CATCH BASIN / REC D
I OCT 0 6 1999
SYSTEM CROSS SECTION DEVELOPMENT �SERVICES CT
C, __ 0 0 "z P_//
CITY-OFEDMop4j)
2'X2'X6'.DEEP, 4-6'.SPALLS OR EQUAL
FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK EXISTING GRADE
R
FROM CONTROL OUTLET I WASHED ROCK
OUTFLOW TRENCH
Be MIN 10' LdNG.
1.5' -PERr PIPE TO LEVEL
—1 PERF.PIPE
ft W/ END CAPS
TRENCH SHALL BE LINED WITH MIRAFI
,RIPRAP OUTLET PRIOR TO PLACEMENT OF WASHED DRAIN ROCK
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SILIU NOT BE CONNECTED 70 DETENTION SYSTEM
NOTES:
1. call-Fingineering-Division (771-0220) for'a-tightline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
ICA'32y-
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
'nust be kent nnp� t. �u #;--
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PLANNING DATA
NAME:
SITE ADDRESS: eou�DATE:
ZONING: PLAN CHK#:
PROJECT DESCRIPTION:
CORNERLO (Yes/No)
SETBACKS:
FLAG LOT_ A,�_(Yes/No)
Required Setbacks:
Front: !aft Side:- _R4gM Side:
Actual Setbacks:
Front: :7-� Left-ffidw. Right Side: 76P -Re-dr-
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED AVI'
—(Y/N)
LOT COVERAGE:
Maximum Allowed:- Actual:
BUILDING HEIGHT:
Maximum Allowed:- —Actual Height:
Datum Point: /
Datum Elevation: //77)
A.D.U. CREATED?: NO
SUBDIVISION: —
CRITICAL AREAS #:—. Ig - 0� 57
SEPA DETERMINATION: MIX
LOT AREA:
OTHER:
, ow"
FPERMIT
EXPIRES
VV
PERMIT
CITY OF EDMONDS
NUMBER A otj
rj()j!
-
CONSTRUCTION PERMIT' APPLICATION -.
JOB
...........
- I
SUITE/APT#
ADDRESS
I
?I
11)
OWNER NAME/NAME OF BUSINESS
7 ... - A I
(9R,a
LEGAL DESCRIPTION CHECK
'ols
SUBDIVISION NO.
LID NO.
feP l��! ............. I
�SS
k-
A.
uj MAILlIM A� R
z
3.1
IGHT OFWAY PER OFFICIA L STREET MAP
TES.
0
RW " squired
ZIP TELEPHONE
EXISTING REQUIRED DEDICATION
Street Use Permit Re%
CITY
3G0
PROPOSED
Inspection Requited
Sidewalk Required PD.
r4
NAME
METER SIZE IjZjE
0
NO. OF FIXTURES
PRV REQUIRED
0
9
YES S NO
w
D S.
RE A KS V6 tV1A /,v 6
z
Z
L)
I/,, Ar fztp
-7 A
Z
uj
cc
4 ZIP T EPHONE
3
I Y
z� /2_...'.ft 4v� itc-r !2/- -7 -2.q 2
NAM
m AD bb
0
TELEPHONE
t- CITY ZIP
z
0
U rl . I I I A 1'�"
E)W1RATlON
STATE LICENSE rjj��N
LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL
4 _�ROPERTY TAX A CCOUNT PARCEL No
36d?
3-3-09-00
NEW
RESIDENTIAL
PLUMBING / MECH
x
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
APARTMENT
SIGN
REPAIR
GRADING CYDS
FENCE
0 1 _ X FT)
DEMOLISH
TANK
OTHER
0
rARAGE
TAINING WALL
YCKERY
0 RENEWAL
z CARPORT
0 'ACTIVITY) EXPLAIN:
(T�PE OF USE, 13USINESS OR
uj NUMBER
—T-
NUMBER OF
CRITICALLW
a
OF
0
7
DWELLING
D
ARE
TORIES
S STOR, S
S
UNITS
-ONE
NUIV FtW-24
r nFS&RIBE WORK TO
BE,
06 rag, C
HEAT SOURCE ��GLAZ�ING 9%1 LOT SLOPE %
kVESTEDATE
VESTED A E
:;iCK N:O]:o-%
PLA
ENGINEERING MEMO DATED
/ ol,_410
FIRE MEMO DATED
BY
REVIEWED By
VARIANCE OR CU ADB# SHORELINE #
SIGN AREA HEIGHT
SEPA REVIEW
COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
R ,
F
[ALLLOWED PROPOSED FRONT SIDE REAR RONT L/R SIDE REAR
OT PLANNINf?��W BY DATE
LOT AREA.__.
-H�CKED BY TYPE OF,
SPECIAL INSPECTOR
REQUIRED 0 YES
REMARKS
PROGRESS INS,
OCCUPANT
,GROUP
) 5-r I �ZAV
ER UBC 1W_
FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
BUILDING
PLUMBING
FEE
LU
5
LL
I a
z
C
MECHANICAL
PERMIT AUTHORIZES ONLY �HE WORK NOTED. THIS PERMjT 60,VIRS WORK TO
THIS
BE DONE VATE PROPERTY 9N.IY.�,,%NY CONSTRUCTIOA bNk &PUBLIC
P"S
5 T MARQUEES ETC.) WICL'REQUIRE
GRADING./FILL
)zj n
—
I I
IN
IDEWALKS, D
DOMAIN t.UR R�Y.EWAY§)
SEPARATE �F;RIAISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
U) ESORS
0 LF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCC
"APPLICANT, ON BEHA
ENG. INSPECTION FEE
uu
-i IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 NO AGENTS FROM ANY AND
cc EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, A
4 NATURE, ARISING DIRECTLY OR INDIRECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
I
_j
0 DEEMED TO MODIFY.
x 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
THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
GIVEN IS CORRECT, AND
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Otticial or his/her Deputy. and Fees are paid. and
receipt is acknowledged in space provided.
IN VIOLATION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFFICI SIG TURE DATE
XC,
(425)
11ric, WUOW:N/E))0FIA G ENT)/.
D E SIGNED
FAMD BVY AT
-022
771 0,
I \ZL14
ATTENTION ING OR STRUCTURE UNTIL
IT IS UNLAWFUL TO USE OR OCCUPY A BUILD YELLOW -INSPECT
ORIGINAL - FILE
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI �t . 11 (�V`
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
5/98
City ofEdmonds Permit No:
RIGHT-OF-WAY. CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Co ristruction: 2 3 '7 2-
B. Type of Work (be specific): 7-/ 0
C. Contractor: 'Tenna
Mailing Address7 13"
State License #: T-d IV Al A 14 )/0 s
D. Building Permit # (if applicable
Contact: ?6 IX
Phone: '3& d 4/;
Liability Insurance: Bond: $ /p, 0 0 V
Side Sewer Permit # (if applicable):
E. f-1 Commercial [J Subdivision 0 City Project E] EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Family F1 Other
INSPECTOR- VJ /* 1 TZ-1" 77—
F. PAVEMENT: E] YES NO G. SIZE OF CUT x H. Charge:_$
CONCRETE CUT: YES NO Pe" PL14V
APPLICANT TO READ AND SIGN
IDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or description wh�atsoever, foreseen or unforeseen, that may be made against the 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 ofgranting this permit.
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 Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must, have certification verifying completion of the
required tra ' ining 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 — NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
IHAVEREAD THE ABOVE STATEMENTSAND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST -MAKE THE PINK COeY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
(4fontrAtor or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
FORCIT)
A,
pprovedbl.
Time Authorizeil: Voild After /61 ... 'bc3
Specialconditions: Per-�, Pf-A�,v
USE ONLY,.,.,,
Right-Xway Fee: -
Disruption Fee/Fund 111:
Restoration Fee:
Total Fee:— ;7 ID -
Receipt No:
Issued by:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK.
INSPECTOR'S SIGNATURE DATE:
For inspection requirements see Engineering Information Handout.
NO WORK SIIALL 131,',GIN PRIOR TO PERMIT ISSUANCE