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345 12TH PL N
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CITY OF EDMONDS STREET FILE
2NEW
ADDITION
RETIREMENT
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
N
DEPT. N��
"PURCHASE ORDER NO. s'A PROJECT NUMBER
PURCHASE ORDER DATE PRO , JECT COMPLETION DATE
--COST
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST...
*SUBMIT ASSET INFORMATION SHEET UPON'CLOSE OF . PROJECT
ACCOUNTING ONLY
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NOV 11984
UPPER
CAI-MH
BASIN DETE1,MDN PIPF LRNr.TH CONTROL CATCH
(VENT)
5"19
miw , 1' MAx COVE&
% SLOPE-6
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OLITLET
CONTItoe
MWJ7 4-
'ro Z:�N P 4;rlol'
P,UNOFF
51PREADER)
2' x 2' A �D" DMET, A" (D" SPALLS 6 WGU^L)
I'x 2' w V'DeEP, C-RUSHED ROCK
FRC".
OLMLET 7'
CON'TROL
RIPRAP OUTLET
WASHED CrR-XVFL OUTFLOW TRENCH, MIN 10' LONG,
TOP 4 4- PE-R-F PIPE TO BE L-F-Vel.-
'FROM
C)Lr%ET
CON-MOL
'L
A 4" PF-RF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for
location
plan by
phone
da te. i
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Lenqth Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibi ' lity 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.
Awl
CITY OF EDMONDS
/0
Av-tA--
-r-z>
W/46 ";?, 'Q 0,
1r)
As C,�:,
SITE PLAN, SCALE:
NOTE: DO NOT USE RUNOFF.SPREADER ON SLOPES
OVER 15 PERCENT (WITHOUT SPECIAL DESIGN
STANDARD DRAINAGE PLAN
D�ZNTION SYSTEM
PAGE 2 OF 3
-:z2_
co
C)
Ln
7 k�-
C-I T T- of EDIVI ON D SIDE S WAR PERMIT
P MIT,
i; For Inspection Call 771-3 TREET FILE NO. 7218
Address of Construction�� 'I �5 12AT�-
Property Legal Descriptibn.(Include all easements):
�AD kA Ckr\a �\C) V EDMONDS
Owner and/or Builder: TREATMENT,PLANT
Contractor' & License No:A Q M E� L HZ -1 -7 LE
Singlse Family Residence Y
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No p( Yesv--��; (If Yes, Right -of -Way
Construction Permit required. Call One-Call-Ce—nt-e �..(1800-424�5555) before any
excavation.)
Cross other Private Property: No V__ Yes (1f Yes, easement required,
attach legal description and county easement number�;,)
PLEZASERE/AWDHEIT LISTED ON THE BACK
j_
I C6 �ft I f3(. ��Y read and shall comply Date
wi_i-h,�. the i ems �O, stied on the back.
Permit Fee: 7
Issued
By:
Trunk Charge
Date Issued:
ZI
fr�
Assessment Fee:
Receipt
No.
Partial Inspection: SL(5vj
PRQGfZC-SS T7)oF-
-ro GfZADP
sl�
4Initial
Comments
Final Inspection Approved -
Date
Date
Initial
Rejected:
Reason
Date _rn i —ti a 1
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
iv
Side Sewer Drawing
The City of Edmonds
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO - -------------
OWNER
-------------------------- CONTRACTOR ---- 5A-c-KRae ------------------- PERMIT NO.
JOB ADDRESS --- 34S ----------- 1-1 -------- LEGAL DESCRIPTION: LOT NO. -8 --------------------------------- BLOCR NO.
I TREATMENT PLANT
NAME OF ADDITION
WO.OD
- ------ VjL&^.gt 4 -------------------------------------
34S I Z -r'4 P L. tAo.
T-
PWW-OWl-11/75 (REV.11/78)
8.5,Dp
4"c.*-w,sc
C0kP.S06tVA4F
1-31
S.S 4"c,*.W!5E
CAP, SuArAce
9,0P
c^P, SURF^CF
I. �V-cj-
Approved:
4-18
4-14)
DATE ----------
STRE FILE
T
ENGINEERING
A PUBLIC
WORK8
CITY OF EOMONDS
P R 0 J E
C T R E
V I E W
canc uftilit . l&W0ft0$. VIA4.0410. MaM
SINGLE TA14ILY IlULTIPLE COMM[ �C I A.L
C H E
C K L
ST
IJECI
PROJECI NAME
EADDRESS
CONTACT NAVIC TELEPHONE NUMBER
L
ACCESS SLOPE AND VEHICLE ACCESS
CrWENTs
DRAJhA6E PLAN
STREET FILE
L I GAAL DESCRIPTION VERIFICATION
QUIT CLAIHIDCDICATIONS
EASEMENT - PUOLIC/PRIVATE
CALCULATE SEWER CONNECTION If NO LID 0.
X
w
w
STREET PAYING REQUIRED
0
CURB AND GUTTER REQUIRED
w
SIDEWALK REQUIRED
�m
CURB CUI [OR. DRIVEWAY, REQUIRED
RIGn7-of-WAY CONSTRUCTION -PERMIT REQUI
BONI) REQUIRED FOR PUBLIC MPROVEHINTS
STREET nAmE SIGN R[QUIRED -------------
OTHER SIDIING REQUIRED
(ADDITIONAL.COMMENTS ON BA(
1XISTINI W'k1fR KAIII SIZE
WATER RAIN REQUIRED
SfRVICf Lhf REQUIPED
"YORA"T SIZE EXIS711IG
HYDRAllf REQUIRED PER FIRE COE
CROSS CONNECTION MSPECTICH SIZE
WATER JIFTER CeKf REQUIRED
REVIEW
DATE AWITIOUAL COOKHTS On 81
cr Sfi)MARY SEWER DWIIXG IlUX.BER FILE WIGER
w SIDE SEWER AVAILABILIJY
3: SANITARY SEWER C011JECTION FEE REQUIRED
Lu
so
OPEN DITCH 1XIST1114
>- ------------- .40% PEQUIUD
CC CULVERT REQUIRED
< pia�-p A v S I I E
CAICH BASIN REQUIRED I- INDICATED On SITE PLA)t
z
oc SHOULDER D.UIMGE )LAINTAIN COLLECTIOti Oil SHALE OPEN RUt*ff
ir L"Notf, REQUIRED INDICAT[o 0.4 SITE PLAX
0 SOIL CONDITI UD
DTCR FIELD CHECKED
0 AEVIEW By
PAT[ (ADDITIONAL COMM.ENTS ON BAC
Uot PERMIT
CIT EDMONDS ZONE !UMBER
CONSTRUCTIV-1ERMIT APPLICATION
Jol
NAME (OR NAME OF BUSIN �ADDRESS
Rn w (-�_y JLEGA DESCRIPTION CHECK SU DIVISION NO
114U AUL1"rZ1.,j -7 6 —_�L 4� 1)
2=L=C2 -ki -
TELEPHONE NUMBE-F
ESS
03 1 oA 6t.
TELEPHONE NUMBER
M LZ a-
-a -
ADDRESS
_2b
CITY
TELEPHONE NUMBER
11.
55 - M7
STATE LICENSE NUMBER
CITY LICENSE NUMBE
�b -Mr--- LAT_-
I 1 `4 k_F_
v!��
Legal Description of Property - include all easdments
(show below or attach four copies)
/j/,
L15 NO
PUBLIC RIGHT gf-WAY PER OFFICIAL STREET MAP.
EXISTING -rO REQUIRED DEDICATION
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRE
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
—_
SEE PIW DEPT. REVIEW CHECK LIST DATED
rX4,leaZouly Wet�vv
METER S61 BUILDING S UPPL Y SIZE,�/ FDOURE UNITS
REMARKS
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED I PROPOSED COMPLETE i EXEMPT
VARIANCE OR CU
G
-r—
YARDS LOT COV E
FRONT SIDE
NEW
ADDIALTER
REPAIR
EID*EMOLISH
FV_1
Lonj RESIDENTIAL
NON-RESIDENTIAL
RETAINING WALL
EXCAVATE
OR FILL
PRE -MOVE INSPJ
COMPLIANCE INSP.
PLUMBING
El MECHANICAL
SIGN
FENCE x
FT)
swim
POOL
HECKED BY
CHECKED 13Y
7E OF
_T
SPECIAL INSPECTC
SPECIAL INSPECTOR
REQUI RED
REQUIRED
n
_ Y ES
n YES 11 NO
SIDE SEWER
WATER LINE
REMARK S
REMARKS
F]
NUMB
.T�OF
STORIES
NUMBEROF
U"LLLINU
UNI I ZJ C)
t�lIy_
NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
PLA14 CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
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
En successors in interest, agrees to indemnity, defend and hold
20 harmless the City of Edmonds, Washington, its officials,
m employees, and agents from any and all claims for damages of
< whatever nature, arising directly or indirectly from the issuance
X
a of this permit. Issuance of this permit shall not be deemed to
0 modify,.waive or reduce any requirement of any city ordinance
T nor limit in any way the City's ability to enforce any ordinance
1
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-
THIS PERMIT
ed thereby, no person will be employed in violation of the Labor
AUTHORIZES
ONLY THE
Code of the State of shington relating to Workmen's Compensa-
WORK NOTED
tion
_1nsLV%V$e.
SIGNAT E NER GENT) OATESI NE
INSPECTION
DEPARTMENT
0
VZ,
CITY OF
EDMONDS
ATTENTI(JN
771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR 1 IC
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.
UBC 0
CHAPTER 3.
102-78
OCCUPANCY
GROUP
VALUATION
rZo
HEIGHT
OCCUPANT
LOAD
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
DATE
IGINAL — File YELLOW — inspector
PINK — Owner GOLD — Assessor
, P,.n,,., - E.-, V1.
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NOV 11984
U PPF_ P,
CA-MH
BASIN DETENTION PIPE L-EHGTH CONTROL.CATCH
(V&14T)
r— I' MIN MAX C.OVFR.
SL.oPF--*
SYSTEM CROSS SECTION
a SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OLrrLFLT
C004TROC
4-
TO OUTL-ET
TO
(N P RAP OR
P,UNOFF
SPREADER)
2' a 2' A 1�"DE=?, 4'�Llp" SPALLS (GILZVU^L)
2' i, V' DEEP, CRUS"ED ROCK
oLrrL ET
CON-I-ROL
RIPRAP OUTLET
WAAHED &R-XVIFIL-) (-OUTFLOW TRENCH, 11"AIN 10' LON&,
-Top 4 A* PFR.F PIPE 'TO 59 'k�&VE71-
FROM
oLrr.ET
CON-rROL
4" PERF PiPF- WITH C A. P-S
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DE-TENTION SYSTEM
PAGE I OF
for
14-1 IVY 701�'
locationL61 8.'. rlox 0
plan by -Mr-l"Va-
phone 77,6-2036
date- i0- %J-&%
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 ope ' ration 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
10
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering.Division
Publ ic Works Department
SUBJECT: W5- aWl Al Al
After review of the subject Building Permit application, we have the following
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. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
BD 6/82