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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&GTHE 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 A0,111 C�V7O -a ,d -7 /- 1-:5� ?,5- e;�a-7i7- 44,5 SEF,"� m CD 'IV IDS " -;176'- 0 7,--) ., & "?/? " il, c a , �� �, a � c 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