531 PINE ST.PDF11111111111111
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531 PINE ST
A 'ICATiON
T y Ecimonds
or,
SIDE"SEWER PERMIT
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NE CONSTRUCTION 0- AIRS E]
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CONTRACTOR . .
7.���ERMIT NO R'Z-_ 7.1
-1- -----------------------------------------------------------------------------------------------
.....
JOR ADDRESS - -----------------------------------------------------------------------------------
M5T -lr-_ LEGAL DESCRIPTION: LOT NO - --------------------------------------
_41
BLOCK NO. --------- ' . .........
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NAME OF ADDITION :_=JE7�
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Approved
DA
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................. By ............
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Z-,r; e72
CIT Q- OF EDMONDS SIDEQEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
call 775-2525 for side sewer inspections BEFO11E covering any Portion of the construction.
pectio
(Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday ins na.)
ADDRESS LOCATION OF CONSTRUCTION ......
......... ........ .......
......................................
PROPERTY LEGAL DESCR]FTION.. 51
................................................................................................ ........................
.. ...................... . .......................... . .......... . .......... . ............
........................................ . ................
.. . ............ . . ........
- ---------- ------ - --------------------------- ----------
-------- ------------------------------------------------------- 0 D/O BU
'1LDER_1__1
WNER AN R
4. ...........
CONTRACTORS NAME ADDRESS ...............
........... ......
---------------- ........... .
......... . .. . .......................................................
Permission is granted ........ I C-1
v — -------- --------- f ------ -- - ------------ 19 for rep8jr and/or connection Of
'Y'te"n In accordance with Clt3� of Edmonds ordinance a side sewer to the city sanitary sewer
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a Permit to construct sewer Inside Property line. A licensed Side sewer contractor must be employed to c
A
side sewer in street area. Do not cover any Portion of sewer before it has been Inspe onstruct
NOTE No. 2—All work Performed in city right-of-way cted.
N
requires an Invasion of Right -of -Way permit Obtainable from the City Engineer's offjce�
OTE 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%.
sharper than % will be Permitted.
No bends in grade
NOTE No. 5--Trencher; in street must be water settled and surface of street restored to original condition. Contractors Bhall be responsible for failure due to im
work which may develop within one Year Of Completion.
proper
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 maJn sewer or Ito appurtenances except to in -
Bert the pipe into the wye.
DISAPPROVED Date..
. . ..... By ---------------- Date ......
... BY ---------------- Date ...............
. ................... 'BY ----------------
"PROVED EVDate ... . .....
---- *_77 ............ By---
---------- .. . .. . ...................... ....... . .......................................................
Remarks:
..... . .....
..... . .................................. . .. . .............................. ......................... . .................................
. . . ................... ............. ........................
7 .7
..................................... . ........................................................................................ . ................................... . ......................... . ...........................
MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspec ion
BOTH Permit Copies
(Owner of Contra jr—'-jon- hereby certify that the s de sewer installation constructed under this permit
1� Con
c In
was installed in accordance with allgoverning ordinances of the City of Edmonds.
D
................... ......
ated this .... ............... day of ... .......... 19
;a --------
By-.. 4gW
... ................... . ...........
-------------- - -------------------------- 4 ............ :-=
=Fo Inspe:c ;1o.
ORTO Request
V Check BEFORE you dig for: Water
Gas El, Telephone Power Sewer Other C1 V N/
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4
0
APPLICATION
The -City of Edmonds for EASEMENT NO - -------------------------- -------------
SIDE SEWER PERMIT
NEW CONSTRUCTION r-1 REPAIRS 0 LID NO . ...... --------- ...ASMT. NO - ------------------
4
----------- PERMIT NO.
OWNER ---------------------------------------------------------------- CONTRACTOR
JOB ADDRESS..,,f 31
-------------------- --- ------------------------------------------------- LEGAL DESCRIPTION: LOT NO - ----- -------------------------------- BLOCK NO - ------------------------------------
.............................................................................................. ...................................................................
Vp
NAMEOF ADDITION ----------------------------------- ...................................................................................
Appro
DATE............................................ By ................................................... fily&
1! -
g
UILDING DEPARTMENT
USE
ZONE
PERMIT
NUMBER r-
IR
Applicant Fill
PERMIT APPLICATION
Inside Heavy Lines
JOB
NAME (OR NAME OF BUSINESS)
ADDRESS.
S.51
JAN 24, 1971
Ad -
LEGAL LOT
L OT AREA
SUBDIVj_�1,0N.N0.
0 YES 0 N07.
I
W
M _�_1111G ADDRESS
Z
0
VARIANCE OR
COND. USE NO.
ADIS NO.
0
—IT
CITY
E_ NUMBER
TELEPHONE
PROPOSED YARDS
HEIGHT
Z
NAME
FRONT
SIDE REAR
Z
ALLOWABLE,
U
SIGN AREA
SIGN AREA
W
ADDRESS
OTHER
u
REQUIREMENTS
M
CITY
TELEPHONE NUMBER
PLANNING DEPT. APPROVAL DATE
NAME
STREET R/W.
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
0
ADDRESS
COMP. PLAN ST. R/W
FT. FT.
U
CITY
TELEPHONENUMBER
REMARKS
Z
z
0
U
STATE LICENSE NUMBER 4.*
CITY LICENSE NUMBER
ECKED BY
W
Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY 0 YES
W
WORK REQ'D
0 NO
UNDERGROUND
0 YES
Z
0
Alt.) I/,/--
WIRING REQ'D
0 No
TYPE CONNECTION ,
VERIFIED BY
U
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In
W
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fit 4r,
SEPTIC SYSTEM
PVD
q�ERMI-I
El ES PERMIT
YE
N-UMBER
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3:
AP BY CITY ENG.
0 NO
W
L4 llo
REMARKS
W
0
.j
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C,
7
MET ZE
J57YI
SERVICE
SIZE
1CLEARANCE
CHECKED BY
Ir
W
NEW RESIDENTIAL
I
GAS
LINE
FIRE ZONE
TYPE OFCONSTRUCTION
NON-RESIDENTIAL
ADD
DEMOLISH
ALTER, EXCAVATE
OR FILL
REPAIR PRE -MOVE
INSP.
SIGN
RETAINING
WALL
FENCE
X—FT)
swim
POOL
—
I
ICODE
-
SPECIAL INSPECTOR
REQUIRED
11 YES mn
JAR E A
CCUPANCY
ROUP
JOCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04.
NUMBE�F STORIES
OF
INUMBER
DWELLING
UNITS
m
NATURE OF WORK TO BE DONE'
PROPOSED.USE
Z
P A H E C K
PLAN CHECK
L C
NO.
0
o.
PLOT PLAN (INDICATE BUILDING SETBACKS,
r'
U
ABUTTING STREETS)
IV
U I N G
BUILDING
I L D
P U M I N
PLUMBING
L G
W
0
H A T G
HEAT & GAS LINE
A L
FENCE
FE C E
SIGN
R T IN W,
ETAINI.NG WALL
S SW I M M I G P.c
WIMM ING POOL
VALUATION
FEE
STREET Fl�EE
C I T Y 0 D M 0 N D S'
- PUBLIC WORKS DEPARTMFNr -
3..-2-77
Routing of Building Permit, Plat, or Subdivision Applications
Proposed Property Address: 531 Pine Street
DEPARTMENT
COMMENTS
INITIAL
& DATE
W A T E R
S E W E R
S T R E E T
—AJ
B U I L D I N G
0 R
P L A N N I N G
ADDITIONAL INFORMATIO N:
10/11/76
BUILDUNG DEPARTMENT
�m
Applicant Fill-
USE PERMIT
ZONE NUMBER RECEWPr)'.
PERMIT APPLICATION
Inside Heavy Lines
Zf=)
JOB
JAN 24 197-
ADDRESS J A
NAME JOR NAME OF BUSINESS)
LEGAL LOT
0 YES 1:1 N 0
LOT AREA.
SUBDIV
fl_jI,P!.4
W
MAILING ADDRESS
z
0
-c> x
VARIANCE OR
-CON D. USE NO.
A D B NO.
0
CITY
TELEPHONE NUMBER
0
PROPOSED YARDS
FRONT SIDE REAR
HE[ HT
z
z
NAME
ALLOWABLE. IPROPOSED
SIGN AREA SIGN
'AREA
CL
U
W
U
ADDRESS
OTHER
REQUIREMENTS
M
CITY
ONE NUMBER
PLANNING DEPT. APPROVAL DATE
NAME
STREET R/W
EXISTING STREET R/w FT. DEFICIENCY THIS PROPERTY
ADDRESS
0
U
<
M
COMP. PLAN ST..R/W FT. FT.
CITY
TELEPHONENUMBER
REMAR KS
0
z
0
U
W
STATE LICENSE NUMBER
CITY*LICENSE NUMBER
CHECKED BY
W
z
Legal Descriptioh of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY YES
z
W
n't T14
WORK REQ'D NO
UNDERGROUND 0 YES
Al o I.J02. -.!1 -1 /1 A', .3
z
0�
WIRING REQ'D El NO,,
TYPE CONNECTION,
IFIED BY
U
Wo
6W
.J
SEPTIC SYSTEM YE
APPVD BY CITY ENG.
El NO
MIT N-UMBER
W
3:
W
Ilic �11 P 1,- 41 /V
A.1 Af.�*
4 0
47D
!!t� e—z5"— 'e- D
REMARKS
METTE SIZE
411
A
SERVICE SIZE
CLEARANCE
I
CHECKED.BY
I .
W
I , .
0
5.—/37-4 1
_
RENfA(RKS
NEW GAS
RESIDENTIAL LINE
FIRE ZONE
TYPE OF CONSTRUCTION CODE
NON-RESIDENTIALI SIGN
ElADD DEMOLISH RETAINING
WALL
ALTER EXCAVATE FENCE
OR FILL X —FT)
REPAIR PRE -MOVE swim
INSP. El POOL
SPECIAL INSPECTOR 1;�_REA
REQUIRED
0 YES 0 NO
JOCCUPANCY
GROUP
OCCUPAN
LOAD
I I
I.:
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS.LOCAL SALES TAX
SHOULD BE CODED 31.04,
m
13
0
REMARKS
z
NUMBE:jF STORIES
NUMBER OF
a
DWELLING
J
UNITS
NATURE OF WORK TO BE DONE.
-z
PLAN CHECK
VALUATION
FEE
PROPOSED.USE
0
NO.
PLOT PLAN (INDICATE BUILDING SETBA CKS,
ABUTTING STREETS)
BUILDING
U
W
PLUMBING
HEAT& GAS LINE
m
0
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
MEMO TO: Harry !,Ihitcu'tt
Building Official
FROM: Richard H.. Allen
Assi-stant City Engineer.
SUBJECT: Cc
bzl— C . .
After review of the subject buildinq' permi.t application, we have the followlig
comments:
T" [cKM 11 �.'V or- (A] k"I'l R- Is_
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1�7
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7- ------ -----
DATE
PERMIT ADDRESS
LEGAL DESCRIPTION
BUILDING PERMIT REVIEW ENGINEERING DEPARTMENT CHECK LIST
Reviewer's
Initials
1. This lot included in Suhdivision/Plat No.:
2. Site Inspection made on:
3. 1-11hat are nround water and soil conditions?
Lgot5q,
4. Site Drainage Checked?- r4olt5— V I
5. Storm Sewer Availabilitv: wt,'L R-Sht. — of Dwn. No. Project Pismo
Roadside Ditch
`4"
6. Grading & Final Contours: kVf-TF f, J nk I dNK
7. Septic Tank System Desion Approved_:
8. Sanitar�v I.Sewer Availabii i ty g ttl, Sht. of r.1vip. No. Project I I
Side sewer avail abil ity:-TUIN MeT Uhm-
9. Sanitary Sewer Connection Fees?
10. 1.1'ater Mains A Fire Hydrants (Indicate Size Main)1An111M)QW
Check Fire Dept.'s Comments
11. Sidewalks: (Site inspection shows conditions of sidewalks as follows)
12. Curbs eways (Check driveways forsafety, location,
grade and wi-dfKY:.T1L)J4JCA� Ld?-A=Q10,\1
13. Underground Uirinn:
Street Lights:
Sht. of nfficial Street Map.
14. Street Right-of-way Bldg. setbacks AA Z I
4 A
15. Existing Utility Easements?
16. Access Easements:
17. Site Plan checked for accuracy?
18. Special Requirements -listed in!Memo to Bldg. Dept. A A 7 DAN
19. Commercial &-Apt. Requirements form completed?
1 20. Drawings stamped & notations made? 2- 9-7-7
21., All Items filled in on Bldg Permit Application?
22. Bonds posted for site work?.
23. Right-of-way Invasion Permit required?
24. Check Accuracy of Legal Description
�25.. Check Against Assessor's Map for LeQa1 Subdivision
26. noes it conform to City Approved Subdivisions?
TAr
11q T
COMMENTS:. 2R�
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