427 2ND AVE N.PDF1111111111111
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427 2ND AVE N
Water Sorvice Drawing EASEMENT'NO . ............................................
-1 he'Cily of Edr-nonds T. NO
REPAIRS Lq Lio NO . .................. . ASM . ..................
NEW CONST�RUCTION 0
N%CD%-k7k PLUme)l.i'J.G ...... PERMIT No. 6 - 00
-CONTRAC17OR . ..................... ; ...................... ... ... ... .. ...... . .
OWNEk.................................. .............................. BLOCK NO . ....................................
T..NO . ......................................
JOB ADDRESS .... .......... ....... LEGAL DESCRIP,rioN: LO
..............
. .......................................................................
3/4 " I-P P6R
By---------- ...... V ................
nncl I 11,7r (RE\
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CITY OF EDMONDS
ASSET INFORMATION SHEET
10 M/NEW
1-1 ADDITION
1:1 RETIREMENT
ASSET NO. �� 5� 15F -
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DVT. NO
�VV
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE
COST /A-57-,�:�
B.A. R.S. ACCOUNT NO. t�,'--IZI -Z2'Qe LIZ70 L�
ESTIMATED LIFE
INITIATED BY DATE APgAOVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
Z/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTRY
REFERENCE DATE
&P) INITIAL
DEPARTMENT FILE
VERIFIED BY
PROCESSED
BATCH NO
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Z
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0
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0
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40
CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. 0 Owner:
I
9 Address or Vicinity of Coin
Type of Work to be Done:
Work in Connection With:
Pavement Cut: 0 Y X"N
I Lo ^,,o /I
B. * ContrkFior:-
Name
MailingAddreW
Zip City State Zip
ct*on 410),
El Sub or Plat
0 Commercial
_7-2<-0
Permit No. (f7 --a—. -
Issue Date 3�4' &'
APPLICANT TO READ AND SIGN
State License Number
_XSingle Family
0 Multifamily
Telephone Number
El City Projects
El Utility
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, 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 proceedings including defense costs, court costs, and attorney fees by reason of granting 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.
Funds held from the Security Deposit (estimated restoration fee) 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.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the a ve nd that this permit giust be available at the job site for inspection purposes at all times.
.2 N 7 6/' _;E�7
Signature . ....... "'W' Date:
'CKne'r-or Conira.—dor-
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: 7-
Time Authorized: Void after— '50 days.
Special Conditions:
Amendments:
PERMIT FEE: _# 30
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
C 13 Y of EDIVION-DS' SIDE SEWER P E R M I T
.::J-
co
Ln
For Inspection Call 771-3.202 PERMIT NO.
4,
Address of Construct'ion': �-VWI Z�- V-' C( 0'\J p—,
Property Legal Description (Include all easements)
Owner and/or Builder: SkG\l a A6LLZ:Q--MJ CE1n'-S:J
Contractor & License No:
EDMONDS
Singl:e Family Residence TREATMENT PLANT
. , r]
Mul ti -Fami ly (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No N, Yes � (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
Q S
I dertify that I have read and sfia-11 comply Date
with the items listed on the back.
Permit Fee: je To, /-9 Issued By: 1441
7 — - V
Trunk Charge: !bate Issued: 7
Assessment Fee: Receipt No.: 71 ZZ
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant,
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - -------------------------------------------
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO. _ --------------
OWNER ------- L
--------- ------------------------------------------------------------ CONTRACTOR-5 . ....... VA-L - ------------------------- -------------------------------- PERMIT NO. Q_7J_ZZ_>
JOB ADDRESS _4P-7 �), -, �, Au-c- rAo - CRIPTION: LOT NO - -------------------------------------- BLOCK No. -_
----------------------------------------------------------------------------------- LEGAL DES ---------- EDMONDS-
-------------------------------------------------------------------------------------------------------------------------------- - TR_ E - AT - M . ENT --- PLANT
I ----- - ---- -- ------- ------
PWW-0001-11/75 (REV.11178)
Approved:
DATE .. . .............. B, . ........
Li P P P- 01
C N-17CH
BA-S k N 012TEWTION PIPE LIEENCTH C0VTTP.0L CATCH
1�
I' mij , 2' mAy, COVFP,
SLOPE
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OL/TLrT
I:0�4TROL�
-1-� .4"
S'.6 ��
70 OUT L.E`T
(RIP RAP OR
R,UNOFF
SPREADER.)
SPALLS (0�rou�L)
2' 3" DEeP, CRUSIAED ;Z,--CK
C U7 L
r-C N-1
RIPRAP OUTLET
r0U-r;rL10W -rRG-NCI,4, MIN 10' LONG,
TOP 4" PER.F Pipe -ro Be —vr.L
FRCM
0 Lr -1_
C-7- N. -, ROL L
PER;= PIPE WITH CAP.5
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for -Sic"Ar= �kuk,w
location I-% bkWL WJOWEWS
plan by DE-5,1-0-rs-- t*0A±—S
phone -1 L.0 5 Le CA
d a t e - Mckirtk% -2,'2- 101 W1
DESIGN DATA A 5 -LP eye--.
System Impe rTn Pipe Pipe Orifice
Number Area Diam Length Diameter
xV-4
NOTES
1. Call Enaineering Division (771-3202)
for pre�ackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private pro ' perty is the resoonsibility
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 �1) times.
CITY OF EDMONDS
NOTES
1. Call Enaineering Division (771-3202)
for pre�ackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private pro ' perty is the resoonsibility
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 �1) times.
CITY OF EDMONDS
CD I
BUILDING SET- BACK LINE
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fWC77 --%7 1., C.1%7
DRIV
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PLOT PLAN
FOR
SIGVE HELLEREN
LOT 2, CITY OF EDMONDS SHORT SUBDIVISION S-6-81
EDMONDS, WASHINGTON
IMPERVIOUS AREA - APPROXIMATELY 3700 SQ. FT.
ALL ROOF DRAINS TO BE CONNECTED TO DRAINAGE SYSTEM.
ELEVATIONS TO BE FURNISHED TO THE CITY OF EDMONDS
FOR ' REVIEW OF BUILDING HEIGHT -COMPUTATIONS PRIOR
TO COMMENCING OF CONSTRUCTION.
SET -BACK DIMENSIONS SHOWN HEREON ARE TO EXTERIOR WALL
LINE OF FOUNDATION. .% .
ser Is*
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'��-EX C49ED MONUMENT
(rop E. RIA4 eLev= ag z4)
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L Lovell- Sauerland & Associates. Inc.
SURVEYORS a DEVELOPMBrr CONsuLTmm PukNNERS
23106 100THAVEW. 9 EDMONDS WAL 98M PHONE 77S.1593
DRAM IF. I SCALE Zo, I F:l 11 r _7Z
JTT I 0JTT I DASTE- Z 1- 87 1 d= a
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IT
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
7AME (OR NAME OF BUSINESS)
NAME
— C�'E61
ADDRESS
MIT Y
NAMt
—
ADDRESS
TELEPHONE NUMBER
MLA-LI LD-2—
NU
USE PERMIT
ZONE NUMBER
JOB
AUUMtbb 4Z4r 2^9 lque 111&e,771
.EGAL DESCRIPTION CA`ECK SUBDIVISION NO. LID NO.
,1-07- Z 1 -5-6-9/ ig,,�,,e__-71 -7
PUBLIC RIGHT.Of WAY PER OFFICIAL STREET MAP.
EXISTING kV REOUIRED DEDICATION
PROPOSE6���
RIGHT OF WAY CONSTRUCTION PERMIT REOUIREDOI/
STREET USE PERMIT REOUIRED 0
SEE ENGINEERING MEMO DATED
3 _Pj
- METER SIZE BUILDINGAUPPLY SIZE
CITY TELEPHONE NUMBER
- - ____ I IREMARKS
ST I LICEN:
r"VRN . '
SIGN AREA ENV *
ALLOWED PROPOSED COMPLETE
LegalDesc
(show belo�
c�n,& 4uf�ow VARIANCE OR CU
(ARDS
RONT ,AIDE
1EMARKS
ADDIALI
IEW
EXEMPT
NING REVIEW BY
REAR I
7 1
UNITS
ADB NO.
I SHORELINE #
DATE
HEIGHT ILOT COVERAPE- Z
zt;l -
le
Z
Z
iL
REPAIR
AECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
DEMOLI1
REMODEL
L-11
swim
POOL
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
COMPLIANCE INSP.
REOUIRED
0 YES 0 NO
GROUP
LOAD
WOOD STOVE/
INSERT
APT. BLDG
E] RENEWAL
REMARKS
L_ P01t /109 6AM4 6 V
L14b,--
NUMBER OF STORIES
NUMBER OF
DWELLING
PLAN)
VALUATION
Reside.,Yct-
PLAN 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. STATE SURCHARGE
Permit Application: 180 Days ENERGY CODE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT ioo. 00
modify,.walve or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision." I I I
I herebv acknowledne that I have read this annilcation* that the
fo
In r a given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
I
authorized agent of the owner. I agree to comply with city and
u I
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
state'a"'
AUTHORIZES
This application Is not a permit until
ed I herel
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
LahInformation
tign, lnsu-r,3nco,.,
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
25_QQL_97
CITY OF
OFFICIAL'S SIGNATURE DATE
LIM
EDMONDS
ATTENTION
771-3202
RELEASED BY: DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD — Assessor
102-78
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: 4� 7
�Affi
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) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
way.
8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
/X
7 IN
b� -REVIEW �6�=.TST
rew
PR03BCT NAME. pRaJECT ADDRESS:
APPLICATICN-R IPT DATE
CCMEWS
FIRE
SINGLE FAMILY/KXTIPLE/CObf-fEMCzAL -.(Circle One)
PLANNING
Reviewed by: (initlal/date)
wrR/swR I STREET ENamG
ING
17TRIIII
111111117-
77T/7/77//
SETBACKS CMDCKED -.Planning
.VARIANCE/SETTACK ADJ.
TR
777 77TF7
1111111U1
I
CONDITIONAL USE PERMIT
IITII17T
7TIT117771
2
-
. I I . -
ADB REQUTYEMM CHECKED
TfT17 7
11117TIl-Fl
3
OTHER ZONTNG REQUIREHMS
T77777777
/7777777
4
ENVIRCNMENTAL F`EATURES
77777777
5
ACCESS SIDPF & VEHICLE ACCESS
=77777
777777777
7777T777
6
.DRAINAGE PLAN (On Site)
7
STRETT FILE
777/77
111111WTTf7T17T
8
LEGAL DESCRT"ICN VFRTFICATTCN Zo/-,7- —s-k-
//////
1111liTIT777777TI7
/////////
////////
1
9
()UIT CTAIM/DF1)TCATIONS 0
ITRI111
10
EASEMENT - PUBLTC/PRTMATE
17117111
CALCULATL? SLwER CONNECTION IF NO LID#
777TI77TRIIIII
777777-77
12
.pLAT/SuBDIVISICN REQ)UTREMENTS
7777777
13
RIGHT-OF-WAY CONSTRUCTICN PERMIT RFf-)D
7777T
14
. I .
BOND REM FOR PI IBLIC IMPROVENEVfS
//////
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/////////
//Mm/
15
SOILS CQNDTIPTCV,15 & GROUND
WATER FIETD CHECKED
7717/7
=1111,1111111T—
zlwnl
16
STREET PAVING �TMUTRED RECEIVEP
111171111
17
CURB AND GUPPER REQUIRED
777777
111177TF
18
STDEWALX RK.UIRED
777777
19
CURB CUP FOR DRIW-WAY REOD ,
1111177U
20
STREET NAME SIGN REQD
111111111777TWU
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21
OTHER SIGNING REQ)
22
SIDE SEWER AVAILABILITY
23
F_X I STINGWIn MAIN SIZE
-17TI111111
11114111111
24
WATER ?*'.TER SIZE
Vx/
25
SERVICE LINE SIZE
771777
777777777
/////////
q/#'
77777.7777
26
HYDRANT REQUIRED
11111IT17
/////////
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T77777TR
27
HYDRANT SIZE EXISTING
777.77
7TR11111
7777777777
28
CROSS CONNECTICN INSPECTION REM
29
VATER MMER CILARGE'REQD
7TTF17
7777 7 7
77U////
////
30
31
FIRE LIM CHARGE F= - SPRINKLER
717717
TMITR77
STREET CUT
hm/
32
OPEN DITCH'EXISTING
33
REOD
777777777
34
CULVEFT REQD
7 7.
77,w
777777777
35
. SIZE -77TRI
36
CAICH BASIN REQD
37
INDICATED ON SI'kE'PLAN
TRTITT11--11111
38
SHOULDER DRAINAGE MAINTAIN
'SHALE OPEN RUNOFF
3�
MISC t
777777777
40
REIVIERED BY:
PLANNING MGR. ENGINEERING MGR. -PUBWC WORKS MGR.
9 6P
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- - -------- -
"89056150"W 9b.06, _
PLOT PLAN
FOR
SIGVE HELLEREN
LOT 2, CITY OF EDMONDS SHORT SUBDIVISION S-6-81
EDMONDS, WASHINGTON
IMPERVIOUS AREA - APPROXIMATELY 3700 SQ. FT.
ALL ROOF DRAINS TO BE CONNECTED TO DRAINAGE SYSTEM.
ELEVATIONS TO BE FURNISHED TO THE CITY OF EDMONDS
FOR -REVIEW OF BUILDING HEIGHT -COMPUTATIONS PRIOR
TO COMMENCING OF CONSTRUCTION.
SET -BACK DIMENSIONS SHOWN HERF-9N ARE TO EXTERIOR WALL
LINE OF FOUNDATION.
4 Q
DRIV
'PIWA Y
lb
cy
T.
(<
0
A
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LAtO
23.27'
EX. r-49EO MONUMENT
(nop E. RIA4 --L--v= 39 Za)
L Lovell- Sauerland & Assoolates. Inc.
SUFPIEYOFtS DEVELOPMENT CONSLILTANTS PLANNERS
23,06 100TH AVE EDMONDS WA. 98020 PHONE 775-1593
DRAVM
JTT C7 I nATE
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