420 12TH AVE N.PDF1111111111
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420 12TH AVE N
PERMIT ADDRESS AAI)O I 2TfJ 4\rffN
Da
LEGAL DESCPIPTIW -C;3
ED &I UL.0
STREET FILC
BUILDING PERMIT REVIQ-1 - ENGINEERING DEPARTMENT CHECK LIST
Instruction:
Check Accuracy o� Legal Descri,ption
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials --
1. This lot included in Subdiviqion/,�Jat No.:
2. Site Inspection made on: -A 144 z7o
3. 1.1hat are ground viater and soil conditions?
5.
:�iTe ijrainaqp LneCKea!
Storm Sevier Availabilii—v.-
Roadside Ditch
6. Grading & Final Contours-:- &5 5"VJ)N
7.
Septic Tank System Design Approved:
8.
Sanitary Sevier Availability.. Sht. 0 No.M'
Project 1=,
Side sewer availability: LAMW
%.V
9.
Sanitary Sewer Connection Fees? 'W
0
10.
Ilater Mains & Fire Hydrants (Indicate,Size
Main) #
Check Fire Dept.'s Comments
11.
Sidewalksi: tion shows conditions of sidewalks as
follows)
12.
Curbs'- Curb
Cuts/Driv, (Check driv,ways for safet 11(3cation,
way5 y,
grade ind %,l-dfh) tj SW&PtgD
_,7
Dg Why
_e
13..
Underground [1irinq:-.Tff9?O*
Street Lights:
14.
Street Right-of-way & Bldg setbacks-WW
Opm�ht.
of nfficial Street Map.
15.
Existing Utility Easements?-
16.
Access Easements-
17.
Site Plan. checked for accuracy?....AIM4
18.
Special Requirements listed in Memo to
Bldg. Dept.., in)
19.
Commercial & Apt. Reouirements form cormpleted?
20.
Drawings stamped & notations made?
014,
21. All Items filled in on Bldg.,Permit Application?
22. Bonds posted for site work?-___M=T-,e91E30--
23. Right-of-way Invasion Permit required?-"!W.7WN COM CUT5
COMMENTS:
Memo to
From:
Subj ect:
STREET FILE, Date August 2, 1976
Director of Maintenance & Operation
Public.Works
City Engineer
Sewer C onnection Charges
Legal Description: All that portion of Lots 3 A 4 of Wagners Addition
lying west of the following described line; beg at a point on the south
line of Lot 3 that is 2ift west of existing retaining wall measured at
right angles to the wall, thence northerly on a line 2-ft from said wall
to north line of Lot 4; All in Snohomish County WASHINGTON
Commonly known as: 1014' 12th Avenue N. owner: Paul -Nolan
NOTE: Sewer installedly Plat Development Traft'on/Wagher
Z.F.F. Calculation:
Z.F.F. X. Connection Fee
Lateral X Lateral Charge.
Unit X $25 $ 25.00 Trunk Charge
10-00 Permit
35.00, TOTAL
% CC:
2108
Date— Aug4st 2, 1976
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: All that portion of Lots 3 & 4 of Wagners Addition
lying,west of.the following described line; beg at a point on the south
line of Lot 3 that is 2-cft west of existing retaining wall measured at.
riqht angles to the wall, thence northerly on a line 2-ft from said wall
to.north line'of Lot 4;- All in,Snohomish County VIASHINGTON
Commonly known as: 1014 12th Avenue N. Owner: Paul "olan
NOTE: Sewer installeft Plat Development Trafton/Wagner
Z.F.F. Calculation:
Z.F.F. -X Connection Fee
Lateral X $ Lateral Charge
Unit X $25 25.00 Trunk Charge
10-00 Permit
35-00 TOTAL
CC:
2108
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0�
00' APPLICATION
The City of Edmonds for EASEMENT NO . ............................................
Sol'*K'*'4'EET FILE SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS E] LID NO - ------------------ ASMT. NO - ---------------
C)F7 - - e- V- - -%,
OWNER _!�PPL- ;. V:2�V=:F= - EESt�.14-
--------- - --------------------------------------------------------------------------- CONTRACTOP . ....... --------------------------------------------------------- PERMIT NO . .............
JOB ADDRESS ... . .. - --------- t-� ................ LEGAL DESCRIPTION: LOT NO - --------------- '-:t) ------------------ BLOCK NO - ------------------------------------
0
�]A
............................................................................................... ------------------------------------------------------------------
NAME OF ADDITION ... r-=- -M �-=pq t- P ------- - 4 . I . ..... L-- - S: ---------------------------------------------------------
- -- ---- ----
B/,,ft/� ...................
APPLICAT
ION:
The
Citv-� of Idm'06&
f or,
sibi"s EWER
EASt MENT - - - - - - - - . . . . . . . . 7 .......
-PERMIT.
�T REPAIRS
Nl��W qN$
:jLiDN'O., --- --- - ---------
211
a
%
X.
CITY OF EDMONDS SIDE SEWER PERMIT
A, 4"
WATER -SEWER DEPARTMENT
PERMIT
(Call 775-2525 for side sewer inspections BEFORE covering any portion of the constructi
Inspection will be provided within 24 hours after requst. No Sat., 8 1 spectioon.)
un. or holiday n ns.
ADDRESS'LOCATION OF CONSTRUCTION ......... LsA�r_-_
........................................................... .........
. . ...................... . .......................................................
PROPERTY LEGAL DESCRIPTION .....
_L_,.4 . ............... o'�
....................
................. . . ................................................
...................... . ........................... ...................... . .................
....................................................... . ............... .................................. . ..................................................
---------------------------------------------------------------- O1*TvrNERAL1SM/OR BUILDER ------ . . . .........
............
.. ........... ..........................
CONTRACTOR'S NAME & ADDRESS ........ Ai �; �r- m
---------- ------------
............ ............... ............................... .. . ... ............ ...................................... Q�_
Permission Is granted ....... V -- ---------------------------------- - ------------ 197L., for repair and�Oir connection of a side sewer to the City saidtary sewer
sy n in accordance with bitj of tdmonds ordinances.
ATTENTION IS CATJXD TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of lUght
-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade
shaxper than % will be permitted.
e..,% to
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6—It is unlawful to alter or do any other work than is provided for In the permit, or to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
.............
Di
DISAPPROVED E] Date BY ---------------- Date ................ .. 4 By .............. Date ............... . .......... By ...
APPROVED A/— 1:;�
f" .-,:;p ...... 7--� --------------------- By. .. . ... .. . ...............................
Remarks: ....... . ...... . .......................... . ........................................... . ..
..................... . ...................................... . ...... . ...... . ...................................................
..................................................................... . ........................................................................................ . .................................. .............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I.......... .. .. ... ... .... .. ......
...................................... .... hereby certify that the side sewer installation constructed under this permit
1 0 (Owmer of Contracting Firm Performing Construction)
was installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ....... ........... day of ........ /�4/.Q ... (..; ........................................ 19.
V V Check BEFORE you dig for: Water Gas E], Telephone Power Sewer Other 0
Pern-tit No:,�2a2g_ozoq
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: A—Z4-Z-905
A. Address or,;Yicinity of Construction:
B. Type of Work (be specific): e ot A Cr, Do 0�_ 10PA 040er A bAe C-Zk DVN(4
4 &.e, o r �e (,4- i ozi
C- R i rN 144. V J 0 3 L) tv _';'i Li 3
C. Contractor: C�o ND Contact: al-b \,\, ' , kk " (A Uern� 1 60 4 a
Mailing Address: 1? 0 Phone: �J-,25 - D13 LAIS 2---,
State License #: Liability Insurance: Bond:
City Business License #:
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. r_1 Commercial
F1 Multi -Family
INSPECTOR:
F. PAVEMENT CUT: F1 YES
CONCRETE CUT: El YES
G. a Mail Approved Permit
El Subdivision
E] Single Family
El City Project i< EUC (PUD, VEPIZON, PSE, COI�fCAST, OVWSD)
F� Other
EJ NO SIZE OF CUT
[:1 NO
F-1 Call for Pickup
INDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds 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 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 ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICHTIMEA DEBITOR CREDITWILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
4 Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
Meier must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their poss6ssion.
* 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.e , nd of the workday - NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE OfV SITE A T ALL TIMES FOR INSPECTIONS
Signature* Date: OC�
(Contractor or Agent)
Approved by -
Time Authorized:'
/,.J-),,A ir
ONLIY.��:_.
'RiAt_bf�",Way. ee:
44
_0
/vI
..owdiD ionF�MA4 ff,:,
Re&eipt, ,
d' b"
_v
2:7 qp Al 3),
REQUIRED INSPECTIONS: 0=aE:-P kc
- (4 ;r'i %,I A I P—tD\A,(
Cali'425- 771-0220, Ext. 1326for a 24-hour voice -recorded inspection request line.
FINAL APPROVAL OF PERMITTED WORK: DATE:
Inspector's Signature
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
CADocurnents and SettingsTurtisNy Documcnts\Forms\Engnrng\ROWpermit_.doc Revised 10/01/03
SNOHOMISH COUNTY
I Will
=
TRAFFIC CONTROL PLAN
PROJECT TITLE ENGINEER DATE
EMERALD HILLS BO CABLE REPL I ERIN BURKE 425-783-4745 18/11/05
1 420 12TH AVE N, EDMONDS
MAP NO. WORK ORDER NO. DRAWING NO.
454 H5 1346743 1 1
LANE CLOSURE ON 12TH AVE N �
(NO FLAGGER, TRAFFIC SELF—REGULATING, 35 MPH OR LESS)
SPEED SIGN
qPAf'TtJr.
F
W20-1
W20-4
FA
BUFFER
LIMIT
A, B (FT)
(FT)
.25
200
55
30
200
85
350
F 120
ce-
wjz�*
C)
AL W20-4
W20-1
DEPTH OF ASPHALT CONCRETE PATCH SHALL
MATCH EXISTING PAVEMENT DEPTH WITH 2' MINIMUM
ON COLLECTOR STREETS AND 3' MINIMUM ON MAJOR
ARTERIAL STREETS
FINAL JOINT SHALL BE SAW CUT AND ALL
EXPOSED EDGES SHALL BE TACKED NEATLY WITH
AR-4000W,
EXISTING ACP (SEE NOTE #3)
d
A
v 4-
4-
0
6' MIN DEPTH 1 1/4 MINUS CSBC
LREFER TO THE CITY OF EDMONDS
MODIFICATION TO SECTION 9 OF
WSDOT'S STANDARD SPECIFCATIONS
FOR BACKFILL MATERIAL GRADATION,
IMPORT OR NATIVE MATERIAL.
SHALL BE COMPACTED TO 95%
MAXIMUM DENSITY,
(SEE NOTE #2)
NOTES:
1. SEE CITY OF EDMONDS MODIFICATIONS TO DIVISION 9 OF THE CURRENT WSDOT
STANDARD SPECFICATIONS FOR BACKFILLING REQUIREMENTS,
2, SUBMIT PROCTOR AND DENSITY TESTS FROM CERTIFIED TESTING COMPANY
DOCUMENTING BACKFILL MEETS A MINIMUM 95% DENSITY PER ASTM D 1557,
3, FINAL PAVEMENT JOINTS SHALL BE NEATLY AND UNIFORMILY SEALED WITH
CRS-1 OR CRS-2 SEALANT,
ld9o-199U
..C-l-.TY'-...*'.0-.F-'.-... EID NA .0 -.'N.'D -S..*'.
REVISIONS STANDARD DETAIL
APPROVED BY DATE
D. GEBERT 07/29/05 TYPICAL ACP AND UTILITY PATCH
- DATE SCALE DWG NO.
7/24/01 NTS E2.3
LAYOUT LEGEND:
.9k ,
.4
IN
?ND MOUNTED TRANSFORMER
Es
SUBMERSIBLE TRANSFORMER
Q
ABOVE GROUND J-BOX
10
SUBMERSIBLE J-BOX
10
SECONDARY VAULT
E]
PULLING VAULT
SWITCH CABINET
0
SMALL SECONDARY PEDESTAL
LARGE SECONDARY PEDESTAL
PRIMARY UNDERGROUND CABLE
— - — - — - -----*350
SECONDARY UNDERGROUND CABLE
— — — — — — —
— 4/0 SECONDARY UNDERGROUND CABLE
.........................
1/0 SECONDARY UNDERGROUND CABLE
STREET LIGHT CABLE
SERVICE CONDUIT
POLE AND OVERHEAD LINE
PROPERTY LINE
—RIGHT-OF-WAY LINE
—U—EXISTING
UNDERGROUND CABLE
EXISTING DUCT
FUTURE DUCT
------- S ------
05ANITARY SEWER/MANHOLE
------- D ------
OSTORM DRAIN/CATCH BASIN
------- W -----
4) WATER MAIN/METER
w
FIRE HYDRANT
STREET LIGHT
UNDERGROUND LOCATOR MARKER
qrHFKAATTr
REFER TO SHEET SI
GENERAL NOTES:
1. THE CONTRACTOR SHALL COMPLY WITH ALL CITY ' COUNTY.AND STATE
TRAFFIC CONTROL STANDARDS UPON COMMENCING THEIR WORK.
2. ANY REQUIRED OUTAGES SHALL BE COORDINATED BY THE CONTRACTOR
TO THE SATISFACTION OF THE DISTRICT AND THE DISTRICT'S CUSTOMERS.
REQUIRED OUTAGES SHALL BE COORDINATED AND DONE AT THE EXPENSE
OF THE CONTRACTOR.,, DELAYS DUE TO OUTAGE COORDINATION SHALL
NOT CONSTITUTE AN EXTRA" BY THE CONTRACTOR.
3. THE CONTRACTOR IS TO HANDLE NOTIFICATION OF CUSTOMERS OF ANY
OUTAGES.
4. THE CONTRACTOR SHALL BACKFILL ALL REQUIRED BORE PITS AND TRENCHES
WITH SUITABLE MATERIALS AND COMPACT BACKFILL LIFTS TO OBTAIN 95Y
COMPACTION.
5. THE CONTRACTOR SHALL SAW CUT ALL CONCRETE AND BLACKTOP/ASPHALT
AS REQUIRED FOR THE PROJECT. BLACKTOP/ASPHALT REPAIRS SHALL BE A
MINIMUM OF FOUR (4) INCHES IN THICKNESS AND SHALL BE FEATHERED
EIGHTEEN (18) INCHES FROM SAW CUTS AND SHALL BE OF LIKE MATERIAL
TO THAT REMOVED.
6. THE CONTRACTOR SHALL RESTORE LANDSCAPING PAVEMENT. DRIVEWAYS.
LAWNS MAIL BOXES. ETC. DAMAGED BY THE CONfRACTOR DURING THIS
PROJE6T.
7. THE CONTRACTOR SHALL USE A CURRENT COPY OF THE DISTRICTS
STANDARDS TO INSTALL CONDUIT. CABLE, HARDWARE, ETC. DEVIATION FROM
THESE STANDARDS MAY BE ALLOWED UPON APPROVAL OF PROJECT LEADER.
8. CHANCES TO THESE CONTRACT PLANS MUST BE MADE IN WRITING AND
APPROVED BY BOTH THE CONTRACTOR AND THE DISTRICT'S REPRESENTATIVE
PRIOR TO COMMENCING WITH THE WORK. THE DISTRICT SHALL NOT BE HELD
LIABLE FOR THE DELAY IN OBTAINING THIS WRITTEN APPROVAL.
9. THE CONTRACTOR SHALL SETUP AND ORGANIZE THE PROJECT'S "SHOW -UP
LOCATION" SO MATERIALS ARE LAID OUT IN AN ORGANIZED MANNER SO
1) ALL GIVEN MATERIALS CAN BE EASILY EXAMINED 2) BOXED MATERIALS
AND UG MATERIALS ARE STORED IN A COVER MATKRIAL QUANTITIES CAN BE
REVIEWED AND SHORTAGES QUICKLY IDENTIFIED. AND 4) THAT ALL MATERIALS
ARE STORED IN A SECURED JOB LOCATION.
10. THE CONTRACTOR SHALL, UPON COMPLETION OF THE JOB ' "AS -BUILT"
INFORMATION NOTED ON THE CONSTRUCTION DOCUMENTS TO THE DISTRICT'S
INSPECTOR.
1 32 111
2
A-24
EXISTING
6
7
7
25 CABLE ABANDONED
IN PLACE (CA* 16)
24
8
23
9
A-23 TING
BORE EXIS
PIT/,
10
LAYOUT
'.. - 50'
CABLE
BY PUD'S CONTRACTOR
FROM A-23 TO A-24
450' OF (1) 02 AL CNCTRC NEUT DEI JCKTO PRI IN 2" HOPE
MAKE . Po REEL
DUCT
BY PUD'S CONTRACTOR
VIA DIRECTIONAL BORE INSTALL:
G) 400' OF (1) 2' HOPE W/(2) 90- ELBOWS
CONSTRUCTION NOTES:
(BY PUD'S CONTRACTOR)
AT A-23
INSTALL (1) *2 15KV PRIMARY ELBOW (CU-T1103)
REMOVE (1) *2 15KV PRIMARY ELBOW (CU-T1103)
TRANSFER (1) EXISTING FAULT INDICATOR TO CA# 63145
AT A-24
REMOVE (1) *2 15KV PRIMARY ELBOW (CU-T1103)
REMOVE EXISTING 50 KVA PDMT XFMR AND CONCRETE PAD
DIST R- -S
SER
MAKE
INSTALL 50 KVA PDMT XFMR AND VAULT PER ASSY* 12U610
INSTALL (1) 02 15KV PRIMARY ELBOW (CU-T1103)
24 HR. NOTICE R
FOR INSPECTION
;IPPROVE"D AS NOTED
BY ENGINEERING
Date:
61017) GONINAGI JOB
LOCATION 420 12TH AVENUE �L EDMONDS 98026 AREA SO COUNTY
POLE NO SEIAS24 T27 R3 DATE 6/14/05 WO NO
REASON FOR WORK REPLACE 450'OF' (1) *2 PRIMARY ENGINEER BURKE TASK 06
BO CABLE BETWEEN VAULTS DRAFTER McPHERSON UGND NO 1632-16
A-23 AND A-24
—FA�PROVED SCALE NOTED
DATE WORK COMPLETED —FOREMAN. D;TE _ ENVIRONMENTAL ANALYSIS
SUBSTATION MAPLEWOOD INSPECTOR 0 EXEMPT 0 NOT EXEMPT
CIRCUIT NO 12-346 PHASE--L PHONE PARA. -L8_ ITEM C
SINGS ONLY
FEES REQ'D OYES ONO
I APPV
DATE
DESCRIPTION
PRIMARY OVERHEAD
0 RESIDENTIAL
U COMMERCIAL
REVISIONS
LED--
— a S—. 2—
APPV
t!O.
DATE
DESCRIPTION
PRIMARY UNDERGROUND
0 RESIDENTIAL
0 COMMERCIAL
BASIC FEE S
LEU-
SECONDARY UNDERGROUND
BASIC FEES
s I -$—
UNDERGROUND PLAT
BASIC FEE s
ENGINEERING
FT D S_ . S
PLAT CONSTRUCTION
t FT 0 3— . S
STREET LIGHTI G
-LFT D 1_ . S_
CROSSINGS
FT G I— . 2
AS -BUILT
WORK IN RIGHT OF WAY
El PRIMARY
0 SECONDARY
FT 6 $— . S
APPV
NO.
DATE
DESCRIPTION
MISCELLANEOUS FEES
VAULT S
PERMIT S
s
s
9
TOTAL DUE I_
DATE PAID
RECEIPT-
ERIN BURKE CUSTOMER
�ENGINEER
PHONE (425) 783-4745 PHONE
PAGER/ PAGER/
CELLULAR (425) 347-8177/239-5951 CELLULAR
(I
SOUND
W06DWAY
SITE
EDMONDS
VICINITY MAP
OVHD CONDUCTOR--- X%
ADD_
CKT FT P�
REM
CXT FT P�
NET
CXT FT
LIGND CONDUCTOR—K%
ADD
CKT FT P�
CKT FT P�
NET
CKT FT
PERMITS
(DATE GRANTED:
* TREE TRIM
* STATE
* COUNTY
* CITY
oxn0hD
0
EASEMENTS
13 REQUIRED
E*
0 NOT REQUIRE
REQUEST NO.
DATE APPROVED
FOREIGN CONTACTS
• VERIZON JPN-
• CATV JPN-
• JOINT TRENCH VERIZON & CAT'
[I JOINT BORE VERIZON & CATV
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONSTR REOUIREMENT�
• TREE TRIM 0 PUD LOCATOF
• BACKHOE 0—
• ONE CALL DATE�--
READY PHASING
GIS WORKING
— L E !FINISHED
IN
]JOINT USE
LOCATION MAP PAGE 454. H5
KING PRINTED
c
TAGS
0
Zi
VAULT: EXISTING
CABLE: 63145
en r