515 HOMELAND DR.PDF11111111111111
11736
515 HOMELAND DR
ity ofEdmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number.
Lssue Date:
A. Address or Vicinity of Construction: 515 Homeland Drive #107006868
. Install a 2- Plastic Pipe gas main in
T of Work (be s i'c'*
iromeland DrTcve';rie into existing steel main e IU-W
14's c/l and ext,630'west to serve target
C. Contractor: —PUGET SPUND ENERGY Contact: DOUG USITALO
Mailing Address: 1122- T�th ST' SW EVERETTPhon . e: (425) 356-7520
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. 0 Commercial D Subdivision 0 City Project J] Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family E] Single Family EJ Other
INSPECT -OR: INSPECTOR: Vjk� A r-,A
F. Pavement or Concrete Cut 93 Yes DNo G. Size of Cut: 3 x 5 H. Chargq�_$
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 d�epartments or
employees, including or not limited to the defense of any legal proceedings including defense costs and atiorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTOPA TION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLE74ED
BY'CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT'
Two sets of constructroh- Arwings of proposed work requiredwith 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 site at pll timesfor inspection purposes.
�J 12�w . ei—�
Signature: _ V" /J. Date: 311911**S
(Contractor or,4gent) F LOPEZ FUGUIAO
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
RIGHT OF WAY FEE: 7 ,00
APPROVED BY. wt-�Ag_v t t,
TIME AUTHORIZED: VOF) AFTER �O DAYS DISRUPTION FEEIFUND I 11:
SPECIAL CONDITIONS: N A- RESTORATION FEE:
T OTAL FEE:
RECEIPT NO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 097
I b
FIELD INSPECTION NOTES
Comments:
Diagram
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
FEwns
City d FAinonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
Issue Date: 7
A. Address or Vicinity of Construction: 515 Homeland Drive (0#1�7006868)
/n J-,30QJ B. T�F� OfTWork sp "Iic� Install a 2" Plastic Pipe gas mai n in Homeland
C e �Zo -1teei main @ 18 - W, IS - 5 c/ I —e-x—t-e-M 630' W
C. uig a
to serve target
DOUG USITAW
C. Contractor: PUGET SOM ENERGY Contact:
I Mailing Address: 1122."75th St SW Everett, 901im: (425) 356-7520
Liability Insurance: Bond: $
State License #:
D. Building Permit #'(if applicable):
Side Sewer Permit # (if applicable):
E. [I Commercial Subdivision EJ City Project :F] Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family, Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: [N Yes ONo G. Size of Cut: x 5 H. Chargq�.$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any olits departments or
employees, includingor not limitedto the defense ofany legal proceedings including defense costs and6florneyfees by reason ofgranting thispermil.
THE CONTRACTOR , IS RESPONSIBLE F . OR WORKMAN . SHIP�AND M4TkJ?JAS-k0R;i`PERIOD�6F 001ah FOLLOW>HE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BYCITYFORCES, AT WHICH TIME A DEBIT OR CREDIT WII L BE PROCESSED FOR ISSUANCE TO THE APPLICANT
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 a nd understand the permit requirements and the pink copy of the permit will be
available on s,ite at all timesfor inspection purposes.
Signature: Jtf'A�A Date: 7/12/99
1. (Contractoror'Akent) MM H "Ez—ru6u I
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK -
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY FEE:
TIMEAUTHORIZED: VOIDAFTER '52-VOf- 10 DAYS DISRUPTION FEE/FUND I 11:
SPECIAL CONDITIONS: —476--. RESTORATION FEE:
I WJ AvC 5.T OTAL FEE:
RECEIPT NO.: 42
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE . Eng. Di� 1997
FIELD INSPECTION NOTES
IComments:
I Diagram.:
(Fund 111 - Route copy to Street Dept.) -
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
CITY OF EDMONDS
250 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
June 26, 1987
Tim Evans
515 Homeland Drive
Edmonds, WA 98020
Dear Resident:
SrR,64�r
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City of Edmonds is currently engaging in a program to improve its
wastewater treatment system. One of the major parts of the program is
reducing the volume of flow into our treatment plant. A major item
contributing to this problem is the infiltration of stormwater runoff
from roofs, drains, etc. into our sanitary sewers.
A series of tests were completed by an independent engineering firm.
They pumped smoke into sewer lines a,nd recorded where it was escaping,
thereby locating the stormwater infiltration sources.
Your property has been identified as having a roof drain connected to
the sewer and the City requires, per the Community Development Code,
Chapter 18.10, Section 18.10.030, that this problem be corrected.
Please contact myself or Everett Akau of our Water/Sewer Section by
July 24, 1987 to provide you with further information and to answer
your questions. Member of the staff will be glad to advise you as to
your best solution.
Your assistance in disconnecting this source is requested no later than
August 7, 1987.
Sincerely,
Archie Brena
Water/Sewer Supervisor
AB/1 k
cc: Bobby Mills
RUNOFFL/TXTWATER
PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
250 - 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202 S
OFFICE OF THE CITY ENGINEER
December 16, 1983
Tim Evans
515 Homeland Drive
Edmonds, Wa. 98020
Dear Mr. Evans:
The City of Edmonds is currently experiencing a serious storm
water problem. Our sewage wastewater treatment system is being
overtaxed by large volumes of storm water from roofs, drains,
driveways, and parking lots. If this water is not -eliminated from
the system, the sewage treatment plant will require expansion much
sooner than it otherwise would.
A series of tests were completed, identifying your property
as one of the infiltration sources. This storm water must be
removed from the sanitary sewer system as soon as possible. The
attached drawings indicate several solutions to this problem, one
of which should be applicable to your property.
The City has established this as a top priority project, and
your cooperation is urgently needed. Please contact Dan Smith or
Jerry Hauth at 771-3202 for assistance prior to installation of
your modified system.
Sincerely,
�IAMES`��. ADAMS 1, P. E.
C-it-y—Eng i nee r
DTS/St
Attachment
cc: file
'Dan Smith Dt
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS
104-05650
OWNER.............. Olaf ... Larson ------------------------------------------------------------------- CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ 5-15 .. Hweland --- Drive --------------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
0.
11
NAMEOF ADDITION ....................................................... .................................................................................
DYE TESTED 0.1 SEIIER
JULY, 1972
Approved:
DATE................................................ By ......................................................................
i
STREff ADPCPFO�S FRIF
CITY OF EDMONDS LAURA M. HALL
MAYOR
7110 - 21oTH ST. SW EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
8 go . 1 9 '�
November 9, 1995
Magnhild Pettersen
515 Homeland Dr.
Edmonds, WA 98020
Dear Resident:
I have reviewed your account and will allow a credit in accordance with our City policy.
The policy states that the customer will be billed at the retail rate based upon the average
water consumption for the same period during the previous year. In addition, the excess
water lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three
year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241.
Sincerely,
a- dze
Ron Holland
Water/Sewer Supervisor
cc: Ilene Larson
Utility Billing Clerk
wordata\water\# 115625
Incorporated August 11, 1890 e
Sister Cities International — Hekinan, Japan
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C. Contractor:
C y nds
RIGHT-O&WAY CONSTRUCTION
PERMIT
A. Address or Vicinity of Construction:
Permit Number. c?cl-;� 3/
Issue Date:
515 Homeland Drive (0#107006868)
V1//'
C ItIT-11 :Ir install a 2" Plastic Pine uas main in Homelan(
lypc 0 kLw- Spec CJ:
Dr. Tie into existing steel majLn Ld -Lt3'W,, 18'S c/l & exten 630' 1
to serve target-
PUGET SOUND ENMGY Contact: DOUG USITALO
Mailine Address: 1122 7-')tll St SW Everett, 982g&: kqzD) J30—/Dzu
State License #:
D. Building Permit # (if applicable):
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. F1 Commercial EJ Subdivision E] City Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family [I Single Family E] Other
INSPECTOR: INSPECTOR: W
F. Pavement or Concrete Cut Yes []No G. size of cut: 3 x 5 H. Chargq�_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City ofEdinonds harmlessftoin 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 ofany legal proceedings including defense costs and afforneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TIONANDACCEPTANCEOF THE WORK. ESTIMATED RESTORATION 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 perinit 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 site at all timesfor inspection purposes.
Signature.
// - t-1412- - �J
(Contractor oi'Akent) FELMA H.-
Date: & 7/12/99
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVEDBY: If RIGHT.0F.W.A'.T', FEE,:- �;7'9
TIME AUTHORIZED: VOID AFTER -21 Q DAYS DISRUPTIONTEEIFUND H
lSPEC,IAL,CO,,N,DITI(JNS:�..::.: RESTORATION FEE.
L-( UE- I 1\J T O.TAL.FEE:
ISSUEDBY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
NOTES:
1. CALL 2 DAYS BEFORE YOU DIG 1-800-424-5555
2. CITY OF EDMONDS:
Maintain a minimum of Whorizontal
and 3'vertical clearance from all
city utilities and appurtenances.
Cuts in paving are shown as Im
--.L- cuts in paving anticipated.
N Notify Engineering Division 24 hrs
prior to construction - 425-771-0220
3. PROJECT MANAGER: DOUG USITALO - 425-356-7520
SCALE:1"=60'
15 14 12
60, 18 1
17
DRI
E_ L L
S__S�
Cq VICINITY MAP
r
HOMELAND
ROPE
T 11 A END M IN 608' E, 18' S
94 1— —_ R70PE
TIE-IN, 0 18, W, 18, S IL 2" JPE IP MAIN 18'S 10
2" SVC TEE 5 6
F— - — - — - — - — - — -
Q ol.
do
�_r? '
GAS MAIN INSTALLATIONRETIREMENT
IR
I SIZE
TYPE
MANUFACTURER
1
211
-LENGTH-
630'
MPE
1
11/41,
MPE
CALL 1-800-424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
5
REAL ESTATE/EASEMENT
-------------------------
PERMIT
EDMONDS
-----------------------
—
4
----------------------
3
FUNCTION
CONTACT
PHONE NO
DATE
2
--
--------
----------------------
PROJECT MGR:
D. USITALO_
!?L5) qlkq-,K§?g
1
--
--------
----------------------
ENGR - POWER:
-----------
--------
--
REV#
DATE
BY
DESCRIPTION
ENGR - GAS:
-----
--------
--
COUNTY
--------------
EMER SEC
I - - -
WorK Center
NSNHG
- - - - - - - -
DRAWN BY:
_CMURSM
(1?9) MUTNQ
Q_Q/ 9-81.99
CHECKED BY:
---
1/4 SEC
NW - 25 - 27- 03
OP MAP
- 164.62
PLAT MAP
164.65 - - -
APPROVED BY:
-------- —
( --- ) --------
--
FOREMEN #1:
-------------
--------
---
U-MAP# (POWER)
CIR MAP#
CIRCUIT#
FOREMAN #2:
--------
--------
--
MAPPING:
-----------
--------
JOINT FACILITIES
ARRANGEMENTS
UTILITIES ------- ----------- ----- — --------- --------------
CONTACT ---------------- ---- -------------
PHONE# ------------------- ------------------ ----------------------
INCIDENT#
PUGET 2" PE IP MAIN EXTENSION TO SERVE: - - - - - - - - - --
SOUND 515,516,523,624,539,546, AND 550 HOMELAND IFR _0J E C T# DRAWING#
ENERGY DRIVE 107006868 107006868
SCALE: 1- --60- 1 I-L / _L
NOTES:
1. CALL 2 DAYS BEFORE YOU DIG 1-800-424-6555
N
SCALP�1"=60'
15 14 12
601
18 17
DRIVE
1;0
HOMELAND
ROPE
.T rr END MA N (508' E, 14' S
y
2" rE IP MAIN 14'S 10
T*1F.-IN 18' 14' S
A
2" SVC TE9
to
aD
dc,
2. CITY OF EDMONDS:
Maintain a minimum of Whorizontal
nnd 3' vertical clearance from all
city utilities and appurtenances.
Cuts in paving are shown as IM
__�L cuts in paving anticipated.
Notify Engineering Division 24 hrs
prior to construction - 425-771-0220
3. PROJECT MANAGER: DOUG USITALO - 425-356-7520
GAS -- MA I - N IN - STNE-AT-10WRE-TIRIMENT
F'11
-s -IzE --- 7��E��GTH -MUNUFMC T-U R -EIA
I R �—TYF
1 2 6 3 0' MPE
11, 4 It MPE
VICINITY MAP
CALL 1-800-424-5555 1
r%
Z bU�>INLZ)Z� UATZ) btr Nt 1UU U1
R E V I S E D THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
i -1 1 ,
F'r-ZE-Z 'L ENA "J'� t PRY 0 N LY
Not for Construction
5
REAL ESTATE/EASEMENT
-------------------------
PERMIT
EDMONDS
-----------------------
4
----------------------
3
--
--------
FUNCTION
CONTACT
PHONE NO
DATE
2
----------------------
PROJECT MGR:
D. USITALO
-----------
(125) qqq-Zq?O
0012-819-9
Qy/16/99
-
USITALO
.
_R�IVE_ -MA. I jT- TO - 14 ' S
ENGR - POWER:
-----------
--------
--
.11 EREV#
DATE
W
BY
B Y
PMERSEC
DESCRIPTION
ENGR - GAS:
-----------
--------
--
COUNTY
WorK C enter
NSNIIG
DRAW1 BY:
--Miumo -K
0 7
(19P) ak - - -5QQ
9
MUIR-
CHECKED BY:
-----------
( --- ) --------
--
114 SEC OP MAP PLAT MAP APPROVED BY - ----------- -------- --
NW 25 27 — 03 - 164.62 — — 164.65— — — FOREMEN #1: ----------- -------- --
U-MAP# (POWER) CIR MAP# CIRCUIT# FOREMAN #2: ----------- --------
- — — — — — — — — I -------- I — — — — — — — — — M A PP =IFNG67 ----------- --------
JOINT FACILITIES ARRANGEMENTS
UTILITIES
�ONT�CT
PHONEU
------------------ I
IINCIDENT#
2" PE IP MAIN EXTENSION TO SERVE: — — — — — — — — — —
13UGLT 515,516,523,524,539,545, AND 550 HOMELAND PROJECT# DRAWING#
�6UND DRIVE 107006868 107006868
ENERGY — — — — — — — — — -- — — — — — — — — — —
SCALE: 60