23727 104TH AVE W (2).PDF23727 104TH AVE W
P(ROJECT RE W CHECKLIST
PROJECT NAME:' PLAN CHECK
RECEIPT DATE: Vil
PROJECT ADDRESS:
REVIEWED BY: (Initial/Date
-PLAN. WATER
:N,G,
COMMENTS
FIRE
BLDG. SEWER
STREET E
Setbacks/Variance/Setback Adjustment
Conditional Use Permit
ADB Requirements
Other Zoning Requirements
Underground Wiring Required
5
Lot Slope 15%
6-
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..... ..
8
Plat/Subdivision Requirements
9
Legal Description Verification
10
Quit Claim/Street Dedications
I, . . . . . . . ...
Easements - Public/Private
... .. . "I'll . . . . . . . . . . . . . .
12
Engineering Storm Drain Review Fee
no
13:
Engineerin 2.2 Inspection Fee
9
Drainage Plan (On -Site)
.15
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line
Open Ditch - Existing
Culvert Required
..... .... ..
.19:
Culvert Size
20
Shoulder Drainage/Shale Open Runoff
21
Catch Basin Required
A10
Driveway Slope & Vehicle Access
Sidewalk Required
Curb & Gutter Required
.. .....
JVO
Curb Cut For Driveway Required
. 2 6:,..
Street Paving Required
Right-Olf-Way Construction Permit Required
..
...
OVJWD
IV o
Street Name Sign Required
w,29...,
Other Signing Required
Al D
Bond Required For Public Improvements
FEMA Map Check/Water Table
Side Sewer Availability
Calculate Sewer Connectioii Fee If No LID #
Create Street File
..... . . . . . . . . . . . .
.
Existing Water Main Size
...........
. .......
37
Water Meter Size
Service Line Size
. . . . . . .
.08
Water Meter Charge Required
Hydrant Required
Hydrant Size Existing
. . . . . . . . . . . .....
V
41—
Fire Line Charge Required - Sprinkler
9
..........
Street Cut
Miscellaneous
............
Reviewed By:
FIRE
PLANNING
a��o
�NGINEERING
,1/
PU9LIC WORKS
RECEIV71 ,
0 C T 2 7 1997
13
R E C 0 R D OF C 0 N T A C T S
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT # DATE ISSUED RECEIPT I
9
29
10
30
11
31
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT DATE ISSUED RECEIPT #
14-
PAID $ RECEIPT # DATE
34
15
35
16
36
17
37
METER SIZE PAID $ DATE RECEIPT #
18
38
19
39
20
40
x
CAREFREE 3924 204th Street S.W. Lytinwood, Wash i it g ton 98 03 6
H-0-M-E- - S JNQ (206) 776-1442 FAX (206.) 7i'2 —8843 LIC. 0 CARrlFH1122CP
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PERMIT COUNTER
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CITY COPY
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46 -9� IVS-1.144 APPRO BYILANNING
(::! -- /0 <- W-7 '�Tlr ) J- ,
J5 z—, " 3
05-21-1998 10:31AM FROM CAREFHOMES-INC. TO 7710221 P.03
City of Edmonds
SITE INSPECTION RECORD FOR
PYRi%IIT NO. ISSUED: IZ,4197 -EXPIRES.: _14Z2Z_y6
T�ds card must be posted on site and visible ftorn the street.
setbacks for -Zone.
Owner� �)a Front:
�A_
�id_:� Height:
Site Address: File Ns:
Project: t_L_-Q
7"
Inspections Appro Notes
#1 Site/Demolition Pre-Dernolition
Sewer Cap
Cleaned Site
Final
-92 Foundations Setbacks
Footings -7—AW—W q1,,Z 2 7
Foundation Walf1p, e
ir
Piers
Retaining Wall
Slab Insulation
43 Plumbing Ground Work -A
Femit # Roush Jn
other
=M =41HVAC Gas Test/Pipe
Perrnit Equipmcrit
#5 Framim Exterior Sheathing
Shear Nailing
FramIng
Ing
Hei&bt ChRk
#6 Insulation and Caulking
97 Sheetrock Nailing
t; Se
#8 Public Works Side Sewer
771-0235 Water Service
09 Engineerins R/W Construction L-J
771-0220 Drainap
Tightline
SiI&ImprovernenU
410 Fire Hydrant
771-0215 Fire Protection Systern
Extinguisher3
Addressing Visibility
#11 Final Approval
Engineering XU
Plainoing
Fire
�P'
Exte.9ded Paqe 3.
This Building Not I To Be Occupied Per UBC 109, Until All De'Partments Have Granted A Final Approval.
Call 771-0220-..,��:�3For Inspections,
TOTAL P.03
OLYM011C VIEW WATER DISTRICT
SIDE SEWER PERMIT
M Date, Permit No. N2 3642
a- Side Sewer Address 23fft-*�,;S W El&vt &Ad
(V Lot No. Block
N . Plat Name
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The undersigned hereby agrees to construc:1 the side sewer as above applied for, including, Uutnot limited to, the following stipulabons:
1. That all regulations and requirements set forth by Resolution No. 138, of thG Olympic View Water District be compiled with fully and completely. Resolution No. 138 is,
by this referencD, inckided In fts entirely as a part of this side sewer permit application and by the issuance of this parrTit and acceptance by the owner, op his agent, agree to
tie bound by its terms and stipulations in their entirety. (Copy available for review.)
2- TheownDr hereby agrees tD maintain the side sewer constructed underthispermit In accordancewith rulesand tegulationsof the Olympic View Water District, and further
will permit access with entry by authorized repre�seniatfvea of ifie Otympic: View Water District on the property -desorl bed in this permit at arty reasonable time for the purpose
of inspbcGon fcr'oorrqpllan4:e with all district r4gulations.
3. The owner is hereby notif led that the 0 lympic View Water District sewerage system Is for sa nitary ef f I u e nt on Py and he agrees that he will not at any 11 m e con nect storm
water drainage from any source to the District's syf>tern. this Includes, but 13 not limited to the fo-lowing: [a) roof downspouts, (b),building footing drains, (c�springqor under
ground -water from any property, (d) any outside ground -water drains.
4. The owner and his contractor herebyagree to accept full responsibility, and to hold Olyinpic View Water District harmleisjor any liability, damage and/or costs of any
nature whatsoever which may accrue from prosecution of side sewer work under this permit.
5. The owner andfor his contractor �emby agree.11D safeguard the work done under this permit in such a rmanner as to -prevent injurV and for damage to the public. Such
piecaulions shall include the employmmit of all*necssaary ditch safeguards such as lanterns, barricades and safe access or e6reas, through the working area,
6. Unless work 13 to be perlorrned by owner, the owner andlor his agent agree to employ a side sewer contractor, licensed by the State of Washington and covered with
adequate and Satisfactory liability insurance, for all work to be prosecuted on public roads, rights at way and private pFopertv;
7. The owner and his contractor agraa to obtain at no cost or liability to the District all necessary parmills for construction' work to be accomplished under this permit.
Owner's Name Ownef s Signature
(PLEASE PRINT)
Owner's Address and Phone
Side Sewer Contractor Contractor's Signature
JPLEASE PRINT)
Contractor's Address and Phone
It
(FOR USE OF WATER DISTRICT ONLY)
Type of Bulliding and Use
Monthly Service Bills To
,'Permil Fee andpeneral Facility Fee, R- LQ 12-1 :�e� —Pabl -�36761 .00
tsw,4ed By
IOLrMFIC VIEW WATER DISTOCTI
R
Mae,
RECEIVED
I
J U L 1 7 2002
BUILDINGFPR�7a-ei owr4vo;
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20. 1
VTY OF EDMONDS
FKALDING DEPARTMENT
I'Alop't
OWNER
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0010,
move
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APPROVEIJ. A NOTED
BY ENGINEERING
Date:
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C,AltEFREE 3924 204th Street S.W. 0 Lynnwood, Wash in gton 9803 6
H-0-M-E-S INC- (206) 776-1442 FAX (206) 712 —8843 LIC. # CAREFHI I 22CP
New Ham.
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IS
ENTRA NCE—
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CITY COPY
,e Slrtkl 46-aC-
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ACCEPTABLE TIGHTLINE
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C&C-5
N-12
Sch 40 PVC
SDR 35 (ASTM D3034)
1)
17-3(
603
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13 0
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
CA-RrrRE-�5 140MCS A cros&A,
OWNER CALC BY: x
- (�(Z5) I/ �74 - 1�49L
011L� PHONE:
ADDRESS
L11n4W11)0d-' kk14 10 1,2-P- c7 -7
DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFIC.E
Po �j P (91/X qZ X-3
DeTENTION PIPE LENGTH LOCKING LID
ATY ICAL)
FINISHED G
G
MINI MUM
�ED
N
TIGHTLI E 'MiAT UR EJEPPtMNCfOP OF
CONC BOX OR RISER
.5Z TO 1% SLOPE
OUTLET
OUTLET CONTROL
19 MIN,
\
UPPER CATCH BASIN ' ORIFICE
it CONTROL CATCH BASIN
Griass Swd,(,,f—
SYSTEM CROSS SECTION
2'X2'X6'.DEEP, 4-6- SPALLS OR EOUAL
FROM CONTROL CB 2'X 2'X 3' DEEPe 3/4' CRUSHED ROCK ISTING GRADE
S
FROM CONTROL 0 UTLET VASHED ROCK I
OUTFLOW TRENCH, MIN 10' LdNG.
PERF PIPE TO BE LEVEL
n
PERF PIPE W/ END CAPS
TR
PRJNCH SHALL BE LINED WITH MIRAFI
OR TO PLACEMEN OF WASHED DRAIN ROCK
AIPRAP OUTLET
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SHALL NOT BE CONNECTED 70 DETENTION SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a tightline and detention system inspection
APPROVED BY
before backfilling and for final inspections.
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
out and removed from the catch basins to allow proper operation. The outlet control orifice
DATE
must be kept open at all times.
Critical Areas Checklist
Site Information (soils/topography/hydrology vegetation)
I - S ite Address/Location: 11 S, w K4 oAd,
2. Property Tax Account Number: 36 7-7 n3 - 3 -60 -05�
3. Approximate Site Size (acres or square feet): G Sd 3 q Ac-,�
4. Is this site currently developed? _k��y no.
If yes; how is site developed?j0-Tj-P_ G",yXAk Hou5c .
5. Describe the general site topography. Check all dig apply.
L,-"_F1at: 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 nwre 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 standi ng water Wodir;E' Approx. Depth:
7. Site contains areas of seasonal standing water: IV61JF Approx. Depth: /V//'�
What season(s) of the year?, /J d rjjF
8. Site is in the floodway_ /V(j floodplAin of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? . A114 Flows are seas onal? Q4 (What time of year?
10. Site is primarily:..forested m. eadow shrubs mixed
urban landscaped (Jawn,shrubs etc)
11. Obvious wed and is present on site: PJ00j'_—__
For City Staff Use Only
I Site is Zoned?
2. kS mapped soil type(s)? 1 -7 - EwxvmWt!!�: I!U SL-� I -A- 17. 4!!jLe_ S
4 Q %J
3. Wetland inventory or C-A. map indicates wetland present on site? M10
4;.,. :-,Critical Areas inventory or C.A. map indicates Critical Area on site? tin
5.- Site within' designated earth subsidence landslide hazard area? No
6. des;ignated on the Environmentally Sensitive Areas Map? No
DETERMINATION
-"STUDY REOUIRED CONDMONAL WAIVER
WAIVER
Reviewed by:
(Sanner Date
PcV01ffl&94
890 -19,
City of Edmonds
Critical Areas Checklis t
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 purposeof the Checklist is to enable
City staff to determine whether any
potential Cr ifical Areas are or may be
present on the subject property. The
information needed to complele the
Checklist should be easily available from
observations of the' site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
Anapplicant, or his/her representative,
must fill out the checklist, sign and date it,
RF.CF.IVED
DEC -11996
Qwmutay blaivll�a
and submit it to the City. The City will
review the checIdist, make a precursory site
visit, and make a determinationof the
subsequent steps necessary to complete a
development permit application.
Mrah a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lotsof the parcel
with enough detail that City staff can find
and identify the subject parcel(s), in
addition, the applicant shall include
otherpertinent 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
:Q�� Applicant:
-E4AJ W - M 4COo WOrWO
Name
Street Address
71-- 2- 0 (0 -36 3 -W,-�-2-
VK 7- � - J061 ?
City, state, zip Phone
V-i M.A,", 2 -6
Ignature Date
Applicant Representative:
--I-AN W - PlAcOyiALD
Name
0
0
2-0 - MC 175-'�t
Street Address
City, State, ZIP Phone
- �L /1111 Fg, — . 0
Signature Date
7
—city OF -Edmonds.
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
Issue Date:
A. Address or Vicinity of Construction: W
13. Type of Work (be specific)7�9_r_NCA V3 i-x -1
12 C. JS
C. Contractor: Contact:
Mailing Address: AAU.s PhoneqkS —__(D-70- 32-0 6
State License #: :C- bV-4 0 QtS 98G-\6 Liability In surance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applic:able):
E. F1 Commercial E] Subdivision 0 City Project �It.!:�Y-(PVD, GTE, WNG, CABLE, WATER)
0 Multi-Famil� )V Single Family Other
INSPECTOR: INSPECTOR: zv
F. Pavement or Concrete Cut 0 Yes )KNO G. Size of Cut: iJ, x H. I& rgC$
APPLICANT TO READ ANDSIIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the Ci1Ji,,eEdmon1ds harmlessfrom injuries, damages, or claims ofany
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 of any legal� Iroceedings including defense costs and'atiorneyfees by reason of granting this permit.
40
THE CONTRACTOR IS RESPONSIBLE FOR WORKMA NSHIP 'AND MA TERIALS FOR A PERIOD OF ONE YEAR FOUO WING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORA TION 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 THE APPLICANT
Two sets of construction drawings of proposed work required with permit applicati -on.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is to be inspected d,4ring 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 cuttrench work shall be patched with 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 si . te at all times 46� inspection rposes.
Signatureb?N�, -Date: /2-30-97
(ContractArTor Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY FEE: .00
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND.1 11:
SPECIAL CONDITIONS: RESTORATION FEE:
ou
T OTAL FEE: vtfo .
RECEIPT N(
ISSUED -BY.:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Di� 1997
FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.)
Comments:
/*
I Diagram.:
CONTRACTOR CALLED FOR INSPECTION El -YES E-1 NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
L6616 tio :-2V27 104TH AV W EDMONDS 98020
Poll 'S-
7 27 N R: 3 E —36---- -
Rea*soh Fpr Wok- INSTALL SEC RISER AND PED AND
INC CAP FOR CAREFREE HOMES INC
GAS HEAT
Date Work Completed:
Foreman:,:,,::
jV-1/4- jDate: 1 ?J24/97
Engineer R. AFDEM
Drafter:
Approved:
W-O. No.--S,3?-'
, k2 Q,- -., -- ' - '
Dwg.No.: 123046
U.G. No. -
Scale: 1"=100'
Date Printed
Fee's.Re"q'd: NYes FINo
Environmental Analysis
E]Exempt E]Not Exempt
Substation: RICHMOND PARK
Para. Item
Circuit No.: 12-232 Phase: 3
Primary Overhead
O.H. U.G. Cond. KV
EIResidential E]Cornmercial
ADD CKT.FT. PH
REM CKT.FT. PH
Engr's Tel. #
LEO No.:
-1
NET CKT.FT.
1 (425)-670-3208
@. P =$
0.00
O.H. U.G. Cond. KV
Engr's Pager #
Secondary Overhead
ADD CKT.FT- PH
(425)-787-7522
Basic Fee
0,@ P =$
$0.00
0.00
REM CKT.FT. PH
NET CKT.FT.
Meter/Conv. Pole
$0.00
Permits (Date Granted)
Primary Underground . E]Tree Trim
EIResidential ElCommercial E]State 2 3"�' 2 7
Z�A 'W�1,
Basic Fee $0.00 E]County
LEU No.:
Ecity
P 4 0.00.
a
Secondary Underground
Easements
1P
Basic Fee $500.00
EjRequired ZNot Required
P =$ 0.00
Underground Plat
Basic Fee $0.00
Date Released
oc
c-ft@ P =$ 0.00
Foreiqn Contacts
EIGTNW.:. JPN:1\16.-�
Street,Lldhting
c-ft@ P =$ 0.00
EICATV JPN No.:
Work in Rightof Way
NJoint Trench GTNW & CATV
[:]Primary'
E]Joint Bore GTNW &CATV
NSecon8ary-
�3),SC
El
70c-ft 0 J�.75/'
=$ 4,
Pole Stenciling
Miscellaneous Fees
From To
Vault $0.00
Take Off Pole
Permit �$30.00
Pre-Const. Requirements
$o.00
E]Tree Trim EIPUD Locator
so.00
SBackhoe NFlagging
-EOne Call Date
Total Due:
No.:*
Index Pole
Date'Paid: 12/27/97
—Plat
Logs U-Map
Receipt No.: 38328
XFMR C-Map
New Sbrvice Appfiqation- NLoo: 2267709 ..Location Map Page 474 g-2
WON
W. 0. # 20 REMOVE TRAN'F DIST # L-19366-X SER #
HANG A 25KVA TRAN'F DIST # N- SER#
SEC'D VOLT
.7-
W. 0. # 32 FROM POLE TRENCH 7'NW AND SET DISTRIBUTION PED AS STAKED
REROUTE EXISTING CONDUCTOR IN RISER TO NEW DIST. PED
RUN 50'OF UG 4/0 DB TPX DOWN POLE AND TO DIST. PED
,fROM THE DISTRIBUTION PED TRENCH 70'WEST AND SET PED AS STAKED
RUN 80'OF 4/0 DB TPX PED TO PED IN CONTINUOUS 3"PVC
PC)
W-
-7CY
P - 4 062 - X
P-4063-X CS) ;'
P-11813-X J-3349-X
rJ-3212-X
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3-4 J� C - 14 71
3-13 10
11
3-5007 -
0
P L SW- L-15OG-X
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3 T H S Tzl!
WIN \-j V V
-19 1z:4
3-154 366-X-V�Coov-ll 12 N-
2
-10 L
A 3-12 3-150
-X 3-5 F3
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---) u -
1540 <C3 > 3-11
N-10420-X
3-6 3-5004
0
FUG5
<
C21>1
Location: 27N3E36c Scale 1:100
A`
ed
9 0 19
C. Contractor:
Mailing Address:
State License #:
City- of'Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT
A. Address or Vicinity of Construction:
B. Type of Work (be specific):
D. Building Permit # (if applicable):
E. E) Commercial E] Subdivision
[-] Multi -Family E] Single Family
INSPECTOR:
Permit Number.
Issue Date: 47K - / / -
C.
Phone: .40-5 -774 -za&
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
El City Project 0 Uitility (PUD, GTE, WNG, CA13LI
Other
. 31
INSPECTOR:
17.032�vement r Concrete Cut: Pes []No G. SizeofCut: -E H. Chargq
3— x 4-
APPLICANT TO READ AND SIGN
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 attorney 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
ISCOMPLETEDBYC ITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPL I ICANT.
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.
Ihavereadth�a o ve statements and understand the permit requirements and the pink copy of the permit will be
available on s te at al ime n purposes.
Signature: 9skz' tio, Date: -/Cl/
lContractor or A�knt)
Ek&&Iemki� -To�;CiAjtc IAN
D I
IAL-A-DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHTOF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER AMIL- 34qAAYS DISRU . PTION FEE/FUND 111:
SPECIAL CONDITIONS: RESTORATION FEM
PERMIT -FEE:
TOTAL FEE:
COMMENTS:
RECEIPT FEE -
DATE: ISSUED BY:
5
NO WORK SHALL BEGIN PRIOR TOTERMIT ISSUANCE Eng. Div. 1994
El
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION D YES E] NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
RO,40
104"
0 L
'409 -774 77&1
0!57 R�B 10
co
nlll-�
ppopo-CEO s K4 C(-)T-
2 --3- 7 - r" R
c-:t: - W4 T4 2
2-24-1998 4:49PM FROM OLYMPIC UIEW WATER 206 670 1856
P. 1
OLYMPIC VIEW WATER 8c SEWER DISTRICT
23726 Edmonds Way Phone (200) 774-7769
Edmonds WA SW2"981 FaX (200) 670-1836
FAX TPUANSMITTAL COVM GREET
Please deliver this documnt to:
NAME: Ra
COMPAW.
FAX #. -?'7 /-
DATE: 4;'
ME: (5
Ntwber of pages including this cover shaet
Board of Commissioners
..................
Jchn E Elsasser
Patdcia L Meeker
Lore L Petso
2-24-1998 4:49PM FROM OLYMPIC UIEW WATER 206 670 18S6 P.2
690.19 Cj -
C Contractor -
Mailing Addr=;
State Lk'am #..
City-of-Edinon&
RIGHT-OF-WAY CONSTRU,
PERAIff
A. Addr=orVicWtyofcomstmot1Qn� 2::�'
R - Type of Work (bo "ific):
D. Building Fennit # Cif applicable).
Milk
ermit
iwe
4
;�177 ------ jr I
Phone: 42�-"
Uability Insuranm: $
Side Sewer Pertnit # (if amliciblel:
F— 0 Commew-W , 0 Subdivision n City P'0360t )ZI, Utility (PUD, a WK0
Multi -Family [j Single FAraily 0 am r
INSPECTOR- INSPECTOR: ?1W.
Concrete Cut - A�yes ONO G. SiZ4 of Cut;, x
APP rJC AN T TO READ AND S IGN
INDEMMI'V! Applicant undmvf&md.�.kd hyA ic. thi# ffPPU�a9j0*' f� 49M *h& aty OfR&.*�Jo A�-ffdvva from Injurfee, amages, or
016ima Al any kind or otcycription whasoot.,42r, fQrr�ccn or Knfomeenj Mat m&y bc ffmdg agaimg the Layty Of 4�z . or any of &A dr, anwaA
C.."Widyacm, ir"luding or not hmiWto &he dalermr Ofany 1vZ01J7P00eedkW* &'Cluding deftwee w8tv, and attorzwyf�
THE CONMA CTOR is REsPoNsLaLR PDR w0i4xvANsNjp AND mA TERjAL8 J-X)R A RMUOD OF 0 YEAR FOLLOWXNO TFIZ F7NAL
INSPECTION AND AOCEPTANCE OF THE WOICK ES-NNA TED RESTORA 27ON pEb-s WIU BE H= 111711L THE FLVAL STREET PA 7ru
ISCOMPLEMw vycn-YFORCES�AT WHICH TMEA MWTORCREDIr 147LL Or, pROCESSEFDFOR ISSO, NCET0THEAA*pL[CANT
Constructian drawing of proposed work required' with permit application.
A 24 hour notim itA required for inspection; Pl0a" cAII the Engineerihg Division, 77� -0220.
Work and ms,teAftl is to be inspectad during progress and at completion.
Restoration is to b-a 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 reqlared by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material Prior to, ihe end of the working day;
NO 9XCEPTIONS. I
Maw read the'above statements and understand thepermit requirements and thepi�jz copyofthapermit uVil be
/12 C
City of Edmonm`
RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number. 2?
Wue Date:
A. Address or Vicinity of Construction:
0?_3 7 40* 444�' ul
B. Type of Work (be specific): .151-91--k-AU: 6:P(e9:00%_tt*
C. Contractor: Zee Contact:
Mailing Address: a'44-K& 15�14 hone: 66LE) '774 - 116�4
_' - I - �W�" % ' 1 '00
State License#: 'e__4 Ape- i A-7 9 e---Pj Liabilitv Insurance: Bond: $ 4,oJAA,
D. Building Permit # (if applicable): 9%4 JtJ/_ Side Sewer Permit # (if applicable):
I/ - I — -
E. Jj Commercial El Subdivision
0 City Project 0 Utility (PUD, GTE, WNG, CABLE,.WATER)
E] Multi -Family 9 Single Family Other
INSPECTOR: W,-117CU77— INSPECTOR:
F. Pavement or Concrete Cut Yes No ' G. Size of Cut: — x H. Chargt�,$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or, any of its departmentsor
I I
employees, including or not limited to the defense of any legal proceedings including defense costs and allorn�yfi b"T'reas' of a ling this permirl
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE R F6 0 WIN F L PEC-
I V;
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE L E??�
BYCITYFORCES, ATWHICHTIMEA DEBITOR CREDITWILL BE PROCESSED FOR ISSUANCE TO THk' _k N3V'
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 accordance with City 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 have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on si . r ainspe tion purposes.
(nle
, 2 f)
SignatureV T, Date.
/IN— /(-- '—�C�tTtr`actorlorrAfqven-t)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: a6g/ RIGHT OF WAY FEE:
TIME AUTHORIZED: VOID AFTER 90 DAYS DISRUPTION FEEIFUND I 11:
SPECIAL CONDITIONS:
RESTORATION FEE:
T OTAL FEE: —
RECEIPT NO.:
ISSUED BY: —
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE En g. Div 1997
FIELD INSPECTION NOTES (Fund 111--.'Route copy to Street De'pt.)
Comments:
CONTRACTOR CALLED FOR INSPECTION El YES NO
Partial Work Inspection by. P.W.:
Work Disapproved By:. 4-� Date:
FINAL APPROVAL BY: PA vC--Q Date: AA ir I
/'O-M-E-S mc-
NewHcma
46
3924
(206)
204th Street S.W.
776-1442 - PAX
Lynnwood,
Wash ill g ton 9 8 0 3 6
(206)
7i'2 —:8843 -
LIC. 0 CARRFHI I 22CP
-T>LCJI-
-PL A 14
401�-x IO'x-;tn' f %.- f - -I V-C�- VY *
4.:� lt�
c 57
, - :Fj- O.Z
'� 3 -r-Z 7, - 1,;)-z7 /,/.
77-�j
-4-
V)
�v
USE
ZONE PERMIT
CITY OF EDMONDS NUMBER F? 0 G 12 5
CONSTRUCTION PERMIT APPLICATIONIJOB
ADDRESS
g� 7
OWNER NAME/NAME OF BUSINESS
AA I i i ( ) <1
r)V� I V\ :� . §LEGAL DESCRIPTION CHECKI SUBDIVISION NO. I LID NO.
VAV
1Y3 ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
0
NUMBER
EXISTING REQUIRED DEDICATION
RW Permit Required
Street Use Permit Req'd
0
0
1IR
Inspection Required
Sidewalk Required
ti I C I TY ZIP TELEPHONE NUMBER
NAME
IADDRESS
lC'CI CITY ZIP I TELEPHONE NU
I I STATE LICENSE NUM13ER EXPIRATION DATE
ption of Property - include all easements
Tax Account
Parcel No.
NEW
L All RESIDENTIAL
PLUMBING(MECH
D
El
COMPLIANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
EIREMODEL
APT. BLDG.
SIGN
GRADING
El
FENCE
E] REPAIR
DEMOLISH
- CYDS.
WOODSTOVE
F] INSERT
LAJ
x -FT)
SWIM POOL
HOT TUB/SPA
RETAINING WALL/
a-
C PORT
El ROCKERY
BJENISNAL
Z
_I (TYPE OF U9E. BUSINESS OR ACTIVITY) EXPLAIN
Cn NUMBER NUMBER OF CRITICAILIT_) /
LLI _( Y4 1/6 X
0 OF DWELLING A
M STORIES lu IN
DES�R�IBE WORK TO BE DONE (ATTACH PLOT PLAN)
4ei N( -n
tr
W
METER SIZE LlNtNq� NO. OF FIXTURES, PRV REQUIRED F-
YES 0 NO El
REMARKS Z
FE
1ji
J W
k" 0i Y - �A Z
Z
ENG E71NG MEM�JAYTD REVIEWED BY
VARIANCE OR CU ADEI # SHORELINE #
SEPA REVIEW SIGN AREA HEIGHT
COMPLE E EXEMPT ALLOWED, [PROPOSED ALLOWED IPROPOSED
EXP I L
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED I PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
1
1
Z
5
LOT AR EA
PLANNING REVIEW BY
DATE
REMARKS
CHECKED BY
7
TYP
VTI N
OF CON�T LIC
7
COD
i, fl
OCCUPANT,.,,
GRO I /
LIEt
SPECIAL -INSPECTOR '
REQUIRED 0
JAREA
OCCUPANT
LOAD
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REQUIRED
VALUATION. FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private *property ONLY.
GRADINGIFILL
Any construction on the, public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
'Wn harmless the City of Edmonds, Washington, its officials,
2 employees, and agents from any and all claims for damages of
a: whateVer nature, arising directly or Indirectly from the issuance
4
X of this permit. Issuance of this permit shall not be deemed to
0
, modifv waive or reduce any requirement of any city ordinance
PLAN CHECK DEPOSIT
:r
nor limit in any way the City's ability to enforce any ordinance
provision."
i
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner, or th i e duly
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed thereby, no person')wIll be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State ash ngton relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurappe`arlt? 18.27.
INSPECTION
acknowledged in space provided.
siGNAyusW �Vloly DA
6o, N AGENT) TE SIGNED
P
DE ARTMENT
4 -
CITY OF
OFFC SSYGURE q1
EDMONDS
414TE
%TT E N T
CALL FOR
1`119LEArS�D By.) DATE,
h
INSPECTION
IS UNLAWFUL T USE OR OCCUPY A BUILDING OR STRUCTURE
14TIL.A FINAL INSPECTION HAS BEEN MADE AND APPROVAL I. OR
771-0220
ORIGIN'AL — File YELLOW — Inspector
CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
ECTION 109
PINK — Owner GOLD — Assessor
GA t J-71-
STANDARD DRAINAGEDETENTION SYSTEM
WORKSHEET 19911 1044�;Avtx-,
.OWNER CA816-F-R625 116MJ�S�- /Ahzl,
ADDRESS :-T111
CALC BY4 A C-Pos
7
PHONE: (�Z5) 7 7,16 -
DATE:
*."'DESIGN DATA*.****
IMPER . VIOUS AREA PIPE DIA PIPE LG ORIFICE
Zf 1'6 P64,j o 7�, Ix I --,-> x I
q I
-f r4
PAR 0
11205
jrjIEXPI ES /0 - 3
FROM CONTROL C9
DCTENTION PIPE LLENGtFH
OCRINa LID
FINISHED G XTYPICAL)
MINIMUM
TIGHTLI E A,EA1,UNRfW0ANCfcP or
-5x TG IX SLOPE' CONC Box OR RISER
OUTLET CONTROL
JPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN RECEIVED
SYSTEAf CROSS.SECTION
VWXV.DEEP, 4-6- SPALLs OR EQUAL
2% e'X 3' DEEP, 3/41 CRUSHED ROCK
ftrh,�XiSTINQ GRADE
RIPRAP OUTLEF
FROM CONTROL
ROCK
APR 3 0 1998
ENGINEERING
MIN 10- LdNG,
LEVEL
I CAPS
1EMNSP 'WASHE11TAiN ROCX
RUNOFF SPREADER. TRENCH
FOOTING DR"NS, ARU NOT BE
CONNECTED 2V DETENTION SYSTEM
NOTES.-
L Call Engineering Division (771-0220) for a tightline and detentio, . n system inspection
before backfilling and for final inspections.
APPROVED BY
2, Responsibility for operation and maintenance of drainage system on private property is the..
responsibility of the property owner. . Material accumulated in the'-storqe pipe must be flushed F
out and removed from the catch basins to allow proper operation. 'Me outlet control orifice
must be kept open at all times. PT, oLmff
6
C,4LREFREE 3924 204th Street S.W. Lynnwood, Washington 9 8 0 3
H-O-M-E-S iNc- (206) 776-1442 FAX (206) 712 -:8843 LIC. CAREFHI 122C]
NewHornn
DRAINAG-6: PLA14 SaPUFACC ELV-V.
ArN -Aga
IV
BLOM
Pr's
LO
0
Ds V)
:�4
/#
Ft
re, o
Jr.
-tl7mf, i4
ENTRA NCE- sh-a v 8-ac-- s
oq 421- A VE -
1',4
a. Cx
-M Pg:R VIO U S 5tARF'ACi5l
CA,Lcs
40as C--
'D v- teve-
N/Aruvo4 130
D2AIMAC-S—' . 4 1�)ETEN-rTtON, PL-AW
1/= 1/ 15, (o A�: V I ig, -)/C k OS -S � -T,6:-c r/ a IV
rErl RES A2 - R - '?=
f-
CAPACIT-Y CALCIXLATED
0 A I W x At "I- X' / 'A-
(PoNl> is �zt.. LoNg 9
koHe, e
1,6nr, @,
0
Table I — Detention —Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
100
4500
112
5000
125
Note: Allowable Pipe Materials:
Pipe Diameter
1511 1811 ' 2411 3011
40 28 16
10
so 35 20
13
60 42 24
15 Required pipe
70 49 28
18 length In feet
80 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
Impermeable
Area Sg. Ft.
Outlet Orifice Diameter (Inches)
2000
5/8
2500
5/8
3000
3/4
3500
3/4
4000
7/8
4500
7/8
5000
7/8
Detention
Pipe diameter
< 1811
18" to 2411
24" to 36"
3611 to 42"
able 3 — Rectangular
Max. size
knockout
2011
2611
36"
4211
*Source: Assoc. Sand & Gravel Co. Standards
Basin Requirements
Catch Basin
Type
Type 1, CB 15
Type IL, CB 16
Type 11, CB 19 19 (48" Basin)
Type 11, CB 19 19 (54" Basin)
5
Revised 3/1.6/95
STANDARD DRAINAGE DETENTION SYSTEM
1' WORKSHEET
ADDRESS -,-WeiC6� -5;4, :-T111
CALC By: 0-5
�71,
PHONE: (OZ5-) -7 14
DATE: lob-,ZL�Z..
"'DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA
Z#' 7'6 PC' 0IJ 0
PIPE LG
7 .. �< i ---S x I
q I
ORIFICE
--T/A 1/. -
FINISHED G DL-'TrNT11O.N P111PLE LENGTH I, '-TTCVXP11NCaAL`)ID
D tG ATYPICALI
MINIMUM
F mINImuH
MUM
PARRo TIC TLI C
WA TIGHTLI C I JUN
—C- Wl R firP#61440P Or
.3X TO IX SLOPr CC OR RISER
-5X TO 1% SL PC'
�ZOUZLI
`L&U4TL
OUTLET CONTROL
19MIN.
11 05
JPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN
3 1/0 -.9 J
SYSTEM CROSS. 'SECTION
2-XZ-X6-.DEEP, 4-6- SpALLS OR EQUAL
FROM CONTROL C9 e1x e1x 31 DEE
P. 3/41 CRUSHED ROCK TING 13RADE
---V h
FROM CONTROL OUTLE WASHED ROCK
D 0
OUTFLOW tR
F 0 ; ENC LdNO.
PIPE to g MIN EtO
PE EV
I'S' R Pipe:
1-7. PERF PIPE W/ END CAPS
XPRAP ourlcl- T HALLCIE Lj"5P WITH
P%55"TOS P A MEN WAS14I!04ITkRFA1N R13CK
RUNOFF SPREADER. TRENCH
FOOTING DRAINS, SHAU NOT Z!E CONNECTED Yo DETENny
ON SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a tightline and detenition, system inspection
before backfilling and for final inspections.
APPROVED BY
2, Responsibility for operation and maintenance of drainage systems o a private property is the.
responsibility of the property owner. Material accumulated in the-storago pipe must be flushed
out and removed from (he catch basins to allow proper operation.. Ile outlet control orifice DATE
muit be kept open at all times. 11—
CAREFREE, 3924 204th Street S.W.' - Lynnwood, Washington 9 8 0 3
H-O-M-E-S mc. (206) 776-1442 FAX (206) 712 —8843 - LIC. # CAREFH1122C]
I F
NewHorian -D R-A . INAGrE- PLA14 SagrACC EL-EV.
Vl�'
6.15
D L---j
L
bs
TV'me COMSTM
eAlTRA NCO
1 11-4 1, RO cv,
12--s-gs
6'.
I o &j 4Y- A V6 - W,
D
V)
/#
v
CIS Fs- /44=,P-
3
CALcs
4vasc--
Dr�ve-
-r/Aruat4
130
coexc- Pad
zq?& ST-
-'-AIMAC..P— � -1
-71
PAR o CAPACII--'*l CALCItLATED
ON 7 "W /3 "/-,."Y,
-F:>o N 1> I LON& 9 zap-rAC6
TC
11205 APPI< 17 401VG WA tRUAIC
rEXPIRES
- . . 0
Table 1 — Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
100
4500
112
5000
125
Note: Allowable Pipe Materials:
Pipe Diameter
15" 1811 2411 3011
40 28 16
10
50 35 20
13
60 42 24
15 Required pipe
70 49 28
18 length In feet
80 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
Impermeable
Area Sq. Ft.
Outlet Orifice Diameter (inches)
2000.
5/8
2500
5/8
3000
3/4
3500
3/4
4000
7/8
4500
7/8
5000
7/8
able 3 — Rectangular Catch
ts
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type
< 1811
2011
Type 1, CB 15
18" to 24"
2611
Type IL, CB 16
24" to 36"
3611
Type 11, C13 19 19 (48" Basin)
36" to 42"
4211
Type 11, CB 19 19 (54" Basin)
*Source: Assoc. Sand & Gravel Co. Standards
Revised 3/1.6/95
19
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Jamal Mahmoud, Engineering Inspector
Owner:
Address:
Plan Check No:
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.;WEEKENDS/HOLIDAYS — 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
%. (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 18.30)
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 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 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)
PPNTFAPP.dot
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-EDMONDS: `7
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.
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STORM DRAINAGE FEE
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"Applibanti. on behalf of his or. h use,, heirs, assigns and.
successors in interest, agreeS. t6 indemnIfy_defend 'and hold
ILI ,harnI the City.,,..�oO Edmonds;:.�Washington;:�-itsl officials,,
�,�Omployees,. an6 agents from any.and all claim sJor..darnages o
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TOTAL AMOUNT Q_U E,
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0 z THIS�PERMIT p mit:.until.
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CALL. FOR
'ATT N ION: INSPECTION
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'HlAa- BEEN:MADE AND APPROVAL' j6Rj: inspector
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A% CERTIFICATE. �OF OCCUPANCY�,,HAS BEEN d.AANtbDi.�-'.UBC
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LOT 2. - 45669 ZF
AIN' &;IW�7 f4'hxk /�u
CITY Copy
-CONDITIONS
1. Compliance with all of the conditions of approval.found in the final approval of the i
subdivision and the atLaclunents thereto. A copy of said document is located in File "02011
office of the City of Edmonds Planning Division.
NOTES:
1. UTILLTIES SLRVICE PRuVIDED BY OLIMLL Vibw
WKIER AND SWEK CU. IS AVAILABLE, 1§U*1 NUL
rKUVIDLO, CUhhbL'fLUN CHARGES MAY AYFLY.
2. SETBACKS SHOWN YOK KEFERENCE UNLY
ANO VZS'I* NU KIGHIT.
CARF,FREE 3924 204th Street S.W. Lynn wood, Washin gton 9 803 6
H-O-M-E-S iNc. (206) 776-1442 FAX (206) 712 —8843 LIC. # CAREFH1122CP
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STREET FILE
ACCEPTABLE TIGHTLINE iVIAT'Q'-i--ii(ftjALcS
N-12 ADS
Sch 40 PVC 17-3f
SDR 35 (ASTM D3034) D ('03 /1-�
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER H6MkZ:S% /A/C-, CALC BY: —Cro-dCA
ADDRESS PHONE:
tplx �rro2z, DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFIC.E
Zil 16 PC �j P qz X-3
DeTENTION PIPE LENGTH LOCKING LID
(TY ICAL)
G
FINISHED G
I
�E ' MINIMUM
T Ti TLI E N "CfOP OF
IGHTLI E 6WTURWON
CONC BOX OR RISER
.5X TO 1Y SLOPE
L cc
0 OUTLET
OUTLET CONTROL
MIN.
Vo
UPPER CATCH BASIN ARIFICE
& e- n CONTROL CATCH BASIN
Grass bne.,4SWdle—
SYSTEM CROSS SECTION
2'X2'X6' DEEP, 4-6' SPALLS OR EOUAL
FROM CONTROL C9 2'X 2'X 3' DEEP'� 3/4* CRUSHED ROCK EXISTING GRADE
EXISTING GRAI
FROM CONTROL OUTLET WASHED ROCK
"OUTFLOW TREN% MIN 10' LdNG.
PERF PIPE TO B LEVEL
PERF PIPE W/ END CAPS
\TR
PRJNCM SMALL BE LINED WITH MIRAFI
OR TO PLACEMENT F WASHED DRAIN ROCK
,R]PRAP OUTLET
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES.-
1. Call Engineering Division (771-0220) for a tightline and detention system inspection
APPROVED BY
before backfilling and for final inspections.
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
out and removed from the catch basins to allow proper operation. Ile outlet control orifice
DATE
must be kept -open at all times. I
I I
PLANNING DATA
NAME
SITE ADDRESS: /&OY4* ODATE:—J) 11144f
ZONING:-- �5 PLAN CHK#:- 17-�;qs
PROJECT DESCRIPTION: WA2 S(f-
CORNERLOT Yes/No) FLAG LOT. 00 (Yes/No)
SETBACKS:
Required S tbacks:
Front: 7,5 Left Side: -711;7- Right Side:-'7
/Z Rear:
Actual Setbacks- I
Left Side: Right Side: r: 4
'jc'
Front,
Street map chlecked for additional setback required? _(Yes/No)
LEGAL NONCONFORMING LAND. USE DETERMINATION ISSUED__ —(Y/N)
LOT COVERAGE:
Maximum Allowed: -A�� �,—Actual: �21
B UILDING HEIGHT:
Maximum Allowed: Actual Height: �Ye- �r
-4&um
Datum Point: 2,kLqz,1h,0L at '�30evation:
-5t 0 4
A.D.U. CREATEW:
SUBDIVISION:— (,vu W-1 fdm6fv& *-!� �1-
CRITICAL AREAS#: �A _,q&-
SEPA DETERMINATION:
LOT AREA:-
nTHFR-
'RONALD K. RIACH, P.E.
d.b.a. JRR Engineering
16030 52nd AVENUE WEST
EDMONDS, WA. 98026-4724
Phone. (206) 745-1766
FAX. (206) 742-5221
April 22, 1997
City of Edmonds
Community Services Department
Attn.: Mr. Don Fiene
250 5�hAvenue North
Edmonds, WA. 98020
IRECEIvEo
APR 2 3 1997
PER"T COMM
SUBJECT: STORM WATER INFILTRATION SYSTEM, HUSTLER SHORT PLAT, REF: FILE
No. S-07-20, EDMONDS, WA. JRR # 9717
Dear Mr. Fiene:
As discussed in our telephone conversation today I have reviewed material (photos, SCS map, SP
Map, Edmonds drainage req's, etc.) provided to me by Meyring & Associates, Inc. and have
discussed infiltration test results with Mr. Meyring. Based on the aforementioned I have no doubt
an infiltration system can be designed and constructeqto adequately handle storm water runoff
from Lot 1 of the above subject short plat.
Due to the lot size and building setbacks it appears the increase,in impervious area will be below
5000 sq. ft. and will therefore be designed from the City's tabulated format rather than by an
engineer. If this turns out to be the case I recommend a safety factor of 50% be apR�ed, to the
value of 2.5 minutes per inch witnessed by"- Mre�yring�.����
Please advise if you require additional information or clarification.
Sincerely,
JRR Engineering
x: rew
Ronald K. Riach, P.E.
SV S Jas-,
141
D-r- L-(�Ulqk-
the soil has 'over 15% of fine material the hole must
soaked a minimum of I hours (continuou; soaking for 24
Lirs is preferred) The soaking may require periodic
lition of water. Percolation measurements are made -24
ars after the start of the soaking period. -
:er soaking, the percolation rate is to be measured by
� of the following methods:
If water remains in the test hol'e, add or remove water
so the water level is six inches above the gravel.
Carefully measure the drop in water level over a 30
minute period. Use this data to calculate the perc
rate in minutes per inch.
b. If no water remains in the hole after the soaking period,
add water to six inches above the gravel. Measure the
drop in water over a 30 minute period. Use this data
to calculate the percolation rate in minutes per inch.
C. If more than 2k inches of water drains out within 30
minutes, disregard the previous results. Retest by
adding water to six inches above the gravel. Then measure
the time (using a stop watch) it takes for the -water to
drop 2 inches and calculate the perc rate in minutes per
inch.
Miscellaneous Notes:
It is important that a six-inch diameter hole be used for.
perc tests. :Other sizes need to be"mathematicAlly aidjust . e d.
This infiltration system is require ' d for downspouts and yard
drains. Connd'ction of found�-ation footing drains to this
system will constitute justi-fication for a rejection of the
system by the Engineering In'spector.
Table 1, Infiltration Trench Length
Note: This table shows trench lengths for each'1000 square feet of
impermeable surface draining to the trench.
Perc Rate
(minutes
Trench Length, in feet,
for 1000 sq. ft. of
per inc-h)
contributing
area
13
is
3
4
21
6
24
26
A Cce-
28
7
8
9
29
30
31
10
11
�3 2
33
61C 1(e-d *-D
.13
14
..,34
34
35
f9cev.)6U5
15
35
jo U 0
KING COUNTY, WASHING'TON, SURFACE WATER DESIGN MANUAL
FIGURE 4.51A ROOF DOWNSPOUT INFILTRATION SYSTEMS
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is
a
CITY OF EDMONDS
250 5TH AVENUE NORTH, EDMONDS, WA 98020
PLANNING DIVISION
FINDINGS, CONCLUSIONS, AND DECISION
To: Fi�e-20
From:
1TVWF. Bullick—
Project Planner
Via: Jeffrey S. Wilson
Planning Supervisor
Date: JUNE 4,1997
File: S-97-20
TABLE OF CONTENTS
Section Page
I. INTRODUCTION ........................................................................................................................ 2
A. Application ................................................................................................................................................ 2
B. Decision ..................................................................................................................................................... 2
H. FINDINGS OF FACT AND CONCLUSIONS .......................................................................... 2
A. Analysis of Design: .................................................................................................................................... 2
B. Conformance to Comprehensive Plan: ....................................................................................................... 3
C. Environmental Assessment: ....................................................................................................................... 3
D. Critical Areas Review: ............................................................................................................................... 3
E. Access: ....................................................................................................................................................... 3
F. Required Improvements and Dedications: .......................................................... .................................... I ... 3
G. Comments: ................................................................................................................................................. 4
III. RECONSIDERATION'S AND APPEALS ............................................................................... 4
A. Request for Reconsideration ...................................................................................................................... 4
B. Appeals ........... ; ..................................................................... ..................................................................... 4
IV. LAPSE OF APPROVAL .......................................................................................................... 4
V. APPENDICES ............................................................................................................................ 4
VI. PARTIES OF RECORD ............... .................................................... .......... . ................. 4
S97-020.DOC / June 4, 1997 / Staff Report
[an MacDonald
File No. S-97-20
Page 2 of 5
1. INTRODUCTION
A. Application
1. Applican : Ian MacDonald (see Attachment 2).
2. Site Location: 10319 238th St. SW (see Attachment 1).
3. Request: To divide 1 lot with a total area of approximately 17,980 square feet (0.41 acres)
. into 2 lots (see Attachment 2).
4. Review Process: Following the Comment Period, Planning Staff makes an administrative
decision.
5. Maior Issues:
a. Compliance with Edmonds Community Development Code (ECDC) Section 16.20.030,
site development standards for the RS-8 zone.
b. Compliance with Edmonds Community Development Code (ECDC) Section 20.75,
subdivision requirements.
c. Compliance with Edmonds Community Development Code (ECDC) Section 20.95, staff
review requirements.
B. Decision
Based on statements of Fact, Conclusions, and Attachments in this report and the submitted
comments, we approve this application subject to the following conditions:
I Prior to recording the applicant must complete the following requirements:
a) Completion of the Engineering Division conditions listed "Required prior to
Recording" on Attachment 4.
b) Corrections and addition's to the submitted map including
(I)- Show the required 10 dedication on the west side of the property.
(2) Correct the setbacks shown on lot I of the plat map as follows:
Street Setbacks: From the west and south property lines.
Side Setbacks: From the north and east property lines.
Rear Setback: N/A
(3) Add a statement to the map that says the following, "Setbacks shown.for reference
only and vest no right."
c) Submit copies of documents and recording fees to the City of Edmonds Planning
Division.
II. FINDINGS OF FACT AND CONCLUSIONS
A. Analysis of Design:
1. Lot sizes and dimensions:
a) Proposal: The proposal is a three lot short plat (see Attachment 2 & 3).
b) Proposed number of lots: 2
c) Proposed Lot sizes:
Net sg. ft Gross sq. ft
Lot 1 8,060 8,060
Lot 2 8680 8680
S97-020.DOC / June 4, 1997 / Staff Report
Ian MacDonald
File No. S-97-20
Page 3 of 5
d) Areas, Setbacks and Lot Width: Lot areas for lots I and 2 are adequate for the RS-8
zone. Setbacks on both lots should be as follows:
Lot 1: Street Setbacks: From the west and south property lines.
Side Setbacks: From the north and east property lines.
Rear Setback: N/A
Lot 2: Street Setbacks: From the south property line.
Side Setbacks: From the east and west property lines.
Rear Setback: From the north property line.
Since lot I is a c * orner lot, lot width may be determined from either street frontage. Its
124 feet of frontage on 104th Ave. W meets the lot width requirement. Lot 2 has 70 feet
of lot with which also meets the lot width requirement.
e) Corner Lots: Lot I is a corner lot.
f) Flag lot determination: N/A
2. Lot arrangement to topography: Satisfactory.
3. Lot Coverage of Existing Buildings on Proposed Lots: 35% maximum
lot coverage is allowed. Lot 2 has an existing house which will be removed. Lot I is an
undeveloped lot.
4. Zoning: The subject property is zoned RS-8 (single residential family with a minimum
8,000 square foot lot size requirement). The proposed development appears to be consistent
with the minimum lot size requirement of the RS-8 zone.
5. Consistent with the purposes of the Zoning Ordinance? Yes
Conformance to Comprehensive Plan:
1. Conforms to the policies of the Comprehensive Plan? Yes
C. Environmental Assessment:
1. Is this site identified on the City's Environmentally Sensitive Areas Map? No
2. Is an Environmental Checklist Required for this application? No
D. Critical Areas Review:
L. Critical Areas Review number: CA-96-245
2. Results of Critical Areas Review: A waiver from the requirement to complete a study
was issued.
E. Access:
Access for Lot I can be obtained from 104th Ave. W. or 238th St. SW. Lot 2 will gain access
directly from 238th St. SW. (see Attachment 4).
S97-020.DOC / June 4, 1997 / Staff Report
Ian MacDonald
File No. S-97-20
Page 4 of 5
F. Required Improvements and Dedications:
1. Engineering, drainage and street dedications: See City Engineer's Report (see
Attachment 4).
G. Comments:
No public comments have been received.
III. RECONSIDERATION'S AND APPEALS
The following is a summary of the deadlines and procedures for filing reconsideration's and appeals. Any
person wishing to file or respond to a recommendation or appeal should contact the Planning Department
for further procedural information.
A. Request for Reconsideration
Section 20.095.050.B.2 allows for planning staff to reconsider their decision if a written request is
filed within ten (10) working days of the date of the initial decision by any person who attends the
public hearing and signs the attendance register and/or presents testimony or by any person holding
an ownership interest in a tract of land which is the subject of such decision or recommendation.
The reconsideration request must cite specific references to the findings and/or the criteria
contained in the ordinances governing the type of application being reviewed.
B. Appeals
Section 20.095.050.B.3 describe how appeals of a Staff decision shall be made. The appeal shall
be made in writing, and shall include the decision being appealed along with the name of the
project and the date of the decision, the name of the individual or group appealing the decision,
their interest in the matter, and reasons why the appellant believes the decision to be wrong. The
appeal must be filed withthe Community Development Director within ten (10) working days after
the date of the decision being appealed.
IV. LAPSE OF APPROVAL
Section 20.075. 100 states "A preliminary approval of a subdivision or lot line adjustment will expire and
have no further validity at the end of three years, unless the applicant has obtained approval of the final plat
or has filed an application to extend the time before the approval expires."
V. APPENDICES
Attachments 1 through 4 are attached.
1. Vicinity / Zoning Map
2. Application
3. Plat Map
4. Engineering Requirements
VI. PARTIES OF RECORD
John E. Osterhaug
931 Viewmoor Pl.
Edmonds, WA 98020
Jeffrey Treiber
Lovell-Sauerland & Assoc
19400 33rd Ave W.
Lynnwood, WA 98036
Engineering Division Parks Division
Planning Division Public Works Division
Fire Department
S97-020.DOC / June 4, 1997 / Staff Report
Reviewed by Current Planning Supervisor:
I concur: ftooll
I do not concur:
Comments:
Ian MacDonald
File No. S-97-20
Page 5 of 5
S97-020.DOC / June 4, 1997 / Staff Report
city of edmonds
land use application
11 ARCHITECTURAL DESIGN BOARD
El COMP PLAN CHANGE
0 CONDITIONAL USE PERMIT
D FORMAL SUBDIVISION
1:1 HOME OCCUPATION
0 LOT LINE ADJUSTMENT
0 OFFICIAL STREET MAP AMEND
11 PLANNED RESIDENTIAL DEVELOP
0 REZONE
0 SETBACK ADJUSTMENT
El SHORELINE PERMIT
A -SHORT SUBDIVISION
0 STREET VACATION
0 VARIANCE
El RESUBMI`TTAL FILE #
11
-7 C�_
FILE# ZONE ]PS' 22
RE C'D BY,-,
DATE
F E Z 2� RECEIPT #
HEARING DATE
13 HE '0�-STAFF 0 PB El ADB 11 CC
ACTION TAKEN:
0APPROVED 11 DENIED DAPPEALED
APPEAL #
Applicant Ian MacDonald . Phone 363-7152
Address 2120 NE 175th, Shoreline, Wash 98133
10319 238th St. SW, Edmonds, Wash 98020
Property Address or Location
Property Owner
Howard Hustler
Address 21527 88th Ave West, Edmonds, Wash
Phone 672-3681
Agent Meyring & Assoc., Inc. Phone 778-3101
Address
Tax Acc # 362703-3-018-0008 Sec. 36 Twp. 27N Rng. 3E.WM
Legal Description W. 165' of the NJ of the NEJ SWJ Sec. 36, Twp 27N, Rge 3E, WM:
LESS the West 20' and the South 30' for roads:
AND EXCEPT the North 512' therpof-
Details of Project or Proposed Use Subdivide property into two lots for
single family residential use,
The undersigned applicant and his/her/its heirs, and assigns, in consideration of the processing* of the application
agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including
reasonable attorney's fees, arising from any action or infraction based in whole or in part upon false, misleading,
inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees.
The undersigned applicant grants his/her/its permission for public officials and the staff of the City of Edmonds to enter
the subject property for the purpose of inspection and posting attendant to this application-Aftn r- h m in n t
SIGNATURE OF APPLICANT/ OWNER/ AGENT
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238TH ST SW
Subject Property
10319 238th St. SW
T
240TH L sw
240TH PL SW
Ov Nsio,-) Vicinity and Zoning Map
Attachment 1
S-97-20
PITY bFE ONb
... I :.
R
ENGINEERii-4.G ....EQUIkEMENTS:FOR PLATS AND SUBDivisioNs
Nar:
ne:,. He No.:
8-9T-020
-)Aeariing batle� 'Vicinity:
1030 2Mth St. S.W.
P P.-
City Engineer -date
. ... ..
Req-'d prior -q'd w/bld Bond posted Com. p16 te
R.ights-Qf-way for public streets:
-.to permit
Dedicate or show proof of feet of public
X
right-of-way from the centerline of 238th St. S.W.
Dedicate or show proof of dedication for 30 feet of public
X
righc-of-way from the centerline of 238th St. S.W.
I` Ea�e Mts (City utilities, private ac-�-ess, -6the�dii-jjljjtjjje�gy;.-
Access and utility easements as required.
X
3. Street improvements wb�i curb and guttei)*.
Construct concrete curb and gutter across frontage of 238th
X
St. S.W. Curb to be located a minimum of 12 feet north of
the centerline of the existing pavement.
Construct concrete curb and gutter across frontage of 104th
X
Ave. W. Curb to be located a minimum of 12 fecet east of the
centerae of the existing pavement.
Driveway for lot 1 to be located as far north as possible on
X
104th Ave. W.
Construct turnaround on lot 1. .......
X
Construct turnaround on lot 2. X
'Sidewalks
5. and/or walkways:
Construct five foot wide concrete sidewalk across the X
frontage of 104th St. S.W. and 238th St. S.W.
t lights:
N/A
7.". Planting str ip:
X
N/A
.;S.. Water system impr vements (pipelines, flie hydrants, pump
X
stations, telemetering, D.S.H.S., etc.):
Provide service to each lot. X
Connect to public water system.
X
Sanitary sewer system unprovemeiiis (pipelines, pump
stations, telemetering, health district, etc.):
Provide service to each lot. X
Connect to public sewer system.
10., Storm sewe . r s . y . ste I in 1. improvem I e nts ... (pipelines . p ump -
X
uations,*D0E, fisheries, etc.):
Construct one detentio system sized to provide adequate
.P,
storage for all impervious surface for each lot.
X
I I.- On-siie drainage,-- —(planper 01
Per -Ord.. 21013):
Connect all new impervious surfaces to detention system.
'Un—dergioilhd wiring (per 0
X
Required for all new services
:13: E d
xcavation an grading (pet BC, Chapter 70):
X
NIA
X
S97020.DOC Attachment I
77��
Req'd prior
to recording
Req'd w/bldg
permit
Bond posted
Complete
.14. Signage (per City Engineer):*
N/A
x
ist&v�y monu.mentaiion �per-:O d. 8
r ection 12* 10. 120
N/A
t t drawing ty
As�buil s (kr.:Ck.�:Engineer
x
Required for all utility construction.
17. 0 ther requirements:
x
x
a) A preliminary drainage plan prepared by a Professional
Engineer must be approved by the City Engineer.
b) Utility development plan
x
x
18. Enginee ring fees: I ------
a) Drainage system design review at $30 per lot
b) Sewer connection charge/LID agreement
x
c) Subdivision improvement inspection fee (2.2% of
approved construction cost estimate)
x
d) Other related fees
CITY ENGINEER, CITY OF EDMONDS DATE
The Engineering requirements have been completed and the subdivision can be recorded.
Authorized for recording
S97020.DOC
Date:
0
1 12 c. 18 9'3
N 0 T I C E
TO PERMITTEE AND/OR OWNER
0 PARTIAL APPROVAL
F-1 VIOLATION
Uj CORRECTIONS REQUIRED
Permit Number I 10 1 Owner c1_AyLfL F-,<< kki/"�e5
Job Address 2—'5) -2-1
No PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY
WITH ALL APPLICABLE CITY CODES.
F-1 CONSTRUCTION Is NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK.
MAKE WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE.
71 STOP WORK - UNTIL AUTHORIZED To CONTINUE By CITY INSPECTOR.
F-1 CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE
NEXT PHASE IS STARTED; To AVOID POSTING OF A STOP WORK ORDER, ORDER To
CORRECT, OR ABATEMENT PROCESS.
F-1 JOB CARD MUST BE POSTED ON SITE AND BE VISIBLE FROM STREET.
F-1 APPROVED PLANS MUST BE AVAILABLE To INSPECTOR ON SITE.
F-1 WORK DESCRIBED BELOW HAS BEEN INSPECTED AND Is APPROVED.
F-A CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT.
Fx_1 RECALL FOR INSPECTION. ThKE 607 Nfw ?f%1M1_r ( IZ/�, PAr
ye- o,\j
-THE- Af'FFo)z --512—F— A-F -rke- 150TTc*1 OF 7140- PoNP 15 15 1 >e I I I
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Qf' '�0-0— ANO <A0- FZ1 A VE-ktJ5rtFCT1V1j.
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN
3 0 DAYS OR PENALTIEES MAY BE APPLIED. FOR INSPECTIONS CALL 771-0220. *3?-
F771
Building Division Lj Planning Department Engineering Department FIFire Department
CITY OF EDMONDS
Inspector . 2W MAI 14- 1 Y Date