The URL can be used to link to this page

545 3RD AVE S.PDFiiiiiiiiiiii 4991 545 3RD AVE S ADDRESS: TAX ACCOUNTIPARCEL #: BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required El Waiver CRITICAL AREAS #: DETERMINATION: Conditional Waiver Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: ), 4er� PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID#: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATEDS OTHER: LATEMP\DST's\Forrns\Jana's Street File Checklist 5-14-08.doc 4-��f j*A'�N,4W�P�4 4W76"i ;WA, . P RECEIVED 7qiL CITY OF EDMONDS 'AUG 2 9 1',020 S 10 E 'SEWER-.- PER T M1 8 9 0 19 PUBM Wr%r� PERMITN 0— 82 40 Address of Construction: 54�, S on (Include all e 1614 /',01/1 4ddl �11131'v. Property Legal Descripti asements): Owner and/or Contractor: kave_ State License No Building Permit No. ingle Family Multi -Family (No. of Units—) commercial 0 Public as indicated on the back ot the Permit Uard. NT PLANT 1TREAtTuM1vE1`l u%) Invasion into City Right . -of-Way-)(No O.Yes RW Construction Permit No. Cross-ot - her Private Property XNo El. Yes Attach legal - description and copy of recorded easement -e -.Ci 0 Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * :0FF10E,USE.0NLY% *FOR INSPECTION CALL- 7-71:-3202,- PUBLIC WORKS DEPT.* Permit Fee: '30 Issued By 1,2(7 Trunk Charge: Assessment.Fee: 4q Lid No.: Date Issued: 2 09 7:% Receipt No.-. Partial Inspection: Date Initial - Comments Reason Rejected: Date Initial Final Inspection Approved: DateS_!� �'Q Initial:U PERMIT MUST BE POSTED. ON JOB SITE White Copy: File Green Copy: Inspector Butf.Copy: Applicant Revised 3190 0 The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION OWNER----------------------------------------------------------------------------------------------- 0 JOB ADDRESS ---- L� - S ------ - ------------------------------------------------------------------- PWW-0001-11/75 (REV.11/78) EASEMENT NO - -------------------------------------------- REPAIRS F� LID NO - ---------------- ...,ASMT. NO ---------- CONTRACTOR ------------ I ---- ----------------------------- PERMIT LEGAL DESCRIPTION: LOT NO - ------ k�p -------------------------- BLOCK NO - --------- I -------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAME OF ADDITION -I',*- ?c�,cv- A,*D 0 " —\� � -0�) ....................................................................................................... 1-1 :-: %ATC4 vcc, I ----L —U-1 -7 ViArst, mr--rcL q0 M,,iONDS TREAI'MENT PLANT Approved: So. DATEL.-F-D.-YP --------------- By .................................................. Ll E STORM DRAINAGE DETENTION SYSTEM developer—k��. date approved 5i5*'--' q addre�ssN,�' �V address approved by AL-- FLU _q PU- ! r q �T; - C"I Loll nr- T — ----------- L-6� --" . 7— I k. Stinroorn t---Li!3tinq Residence Doc L t0l'i Er- be n E '.' r , 0 As& SD i -t- R- p I a r-I Lo- T .113 Cl-tL4 Park. Addn, To F-dri-ionds !E�'irnhomish Wa, w uj w C" Ln q W cr- -I LULS cc 91. >ad I V-� (Scale., 1" = 20'--0" 2!E 0 0 a f4 a L4 cls a -L cl. . 0—)z � -1--")H I)Clneu cLm%o4lo?jj -5 L 6 -7 Z O'S.-C 4- cli + + -0 -BVH scl I" u ClAc)Odc),Uej Pp cn Ul 0 BM, lo — — — — — — — — — — -- Pro t--Jg,-,j vi i i n r r, �j rTt . . . . . .. . . . . E x s t i In e i d e n a e Dea L G-3r 6ge 104 r- L7, F) r, I... -t 10 C i -t L4 P-3 r k Add n, To F-.-Jr,-v:.,nd:-Lt S-ir-4-iornizh Couri-tLl Wa. cn > Cjk LLJ F- f V ==:Il b zxza e 20' -0" .� r -t7 r, /!DK�K L-- �-j - 1 7 J B43 I I J.o R Q-51 Tarm WC.G- AN 06 T HE I -C-H T cA, LC-5 rb .+O.g 5-ITE' 'PL,&,tJ c + 9.1 LO'r 10 c i ry ju x T?- v. xt) m N to *- 3. 0 ro IFOMONVdb Tork L, 7. 9 H 9 i�r (M C k t4)' Hr—r STFiEET-FILE A Ll on Cie, - a C—m-, V- E- I I " - L o'- o CITY OF EDMONDS E PERMIT 61 NUM13ER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS "Is 5- —7 SUITEIAPT A-),E 1 OWNER NAME/NAME OF BUSINESS ,/Jj� 14 /1 /J_S AAAG.... 1 LEGAL DESCRIPTION CHECKI SUBDIVISION.NO. LID NO, MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING — REOUIAED DEDICATION TESCP Approved AW Permit Required Street Use Perrnit Rect d 0 0 13 CITY zip 0A1 rTTELEPHONE NUMBER I 17,y_;2q:3& t�'<)/'j S PROPOSED inspection Required Sidewalk Required 0 0 C 12 NAME - /N)k I REMARKS I III E NUMBER BAYIS _5CH(-4&LLt5A. LAJ(, q, ADDRESS I-I&IY 99 .,5L41r6 CITY zip ' TELEPHONE NU 1__yMMW00J0 q3037 8. STATE LICENSE NUMBER EXP I I 4AVIJ 51 lorolv A) = I 1 1 n.—mfi— �f P—n—t. - i—h0a all AARAMAR Property Tax Accoun Qalft.' 110% W1 010 06 [I NEW RESIDENTIAL PLUMBING XDDITION COMMERCIAL MECHANICAL F—IREMODEL 13 APT.EILDG. SIGN GRADING El FENCE El REPAIR CYOS. I X_ FI) DEMOLISH OODSTOVE M W-NSERT SIN POOL HOTIMTUB/SPA GARAGE [:] RETAINING WALL/ ARPORT ROCKERY RIENEWAL ITY USINESS OR ACTIVITY) EXPLAIN: ?L= 0" NUMBER OF STORIES NUMBER OF .ELUNG UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 4 J ENGINEERING MEMO DATED REVIEW BY ALLOWED PROPOSED COMPLETE. ;. I I JEXEMPT SHOR VARIANCE OR CU A - I q --q EW BY PG��, � &,/�4 SETBACKS — FEET er 1 :Q(.n0j FRONT 190 SIDE 4- H EIGHT ILOE7,A ; .5, WOD44 .. 11 I --- 86 1 ...... SPECIAL INSPECTOR AREA OCCUPANCY - loccu .EOUIRED YES GROUP ):?3 ILOAD ARKS PROGRESS INSPECTIONS PER UBC 305 N&MIUM eAALC 10. L. MICIWAIC-11 PIC IAISrAlf" /0-& X11- -SC41VA0014 FINAL INSPECTION REQUIRED 6w is r s. VALUATION PLAN CHECK FES BUILDING A % PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewtilks, driveways, marquees, etc.) will require separate permission. GRADINGIFILL STATESURCHARGE Permit Application: 180 Days Permit Limit: 1 Year_- Provided Work Is Started Within 180 Days . STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest. agrees to indemnify, defend and hold h armless 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 Iss u ance x of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance Ox nor limit In any way the City's ability to enforce any ordinance provision." ENG. INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RE I hereby acknowledge that I have read this application; that the information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL uthorized agent of the owner. I agree to comply with city and tate laws regulating construction; and in doing the work authoriz. THIS PERMIT AUTHOAIZES This application Is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code of the Sla.te of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insuranc I INSPECTION acknowledged in space provided. SIGNAT VREJ,0 ERZ�qENTJ JNED DEPARTMENT I A0VURE /�DATE IF, Z CITY OF 610 Z EDMONDS AskD BY DATE CALL FOR ATTENTION INSPECTION IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UJIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220- ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC CHAPTER 3. PINK — Owner GOLD — Assessor 102-87 I f CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Sigve Helleren Construction T W MAILING ADDRESS z 3:9225 Olympic View Drive 0 --LT FILE USE ZONE PERMIT NUMBER �e, 7 JOB ADDRESS SUITE/APT # 3pd AIE so,41w AL DESCRIPTION C711DIVISION NO. LID NO. VAI 4-- /_ / -,) _-5� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY Edmonds 98020 1 771-2381 1 EXISTING _. I REOUIRED DEDICATION NAME PROPOSED 19" Design Consultants M RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ADDRESS STREET USE PERMIT REQUIRED 0 Uj '! PO Box 1306 E REVIEW BY z L) SEE ENGINEERING MEMO DATE W a: ---TT-ELEPHONE NUMBER CITY ZIP 1�77_ Mukilteo 98275 1 745-6569 REMARKS . I NAME all Z4 Sigve Helleren cr ADDRESS o same as above METER SIZE BUILDING SUPPLY SIZE RE UNITS L) 4 cr CITY ZIP TELEPHONE NUMBER r z REMARKS 0 L) STATE LICENSE NUMBER SIGVEHC208MN SIGN AREA ENV. REVIEW AD8 NO. PRO POSED I COMPLETE I EXEMPT Legal Description 01 rroperty - Include all easemenLS z (show below or attach two copies) 9: i Lot 10, Block 1, W! City Park Addition VARIANCEORCU thereof recorded in Volume 9 of Mx Account Parcel No.4096-001-010-0003 15 NEW RESIDENTIAL PLUMBING F-1 El ADDIALTER COMMERCIAL MECHANICAL ElREPAIR APT. BLDG. SIGN EXCAVATE, FILL GRADE FENCE DEMOLISH OR (_ x _FT) REMODEL CARPORT GARAGE swim POOL WOOD STOVE/ F__j RETAINING WALL/ : INSERT " ROCKERY El RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN NUMBER OF STORIES NUMBER OF 2 DWELLING I UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) SETBACKS - FEET FRONT SIDE PLANNING REVIEW BY I DATE REAR I HEIGHT JLOT COVERAGE ED BY I TYPE OF CONSTR CODE I HEIGH SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD El YES 0 NO I I I I PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE �ermit Application: 180 Days Permit Limit: 1 Year - Provided WorR 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, 1"I ....... employees, and agents from any and all claims for damages of ploy vfttever nature, arising directly or indirectly from the issuance o'l Lthh'"Is permit. Issuance of this permit shall not be deemed to pf PLAN CHECK DEPOSIT miadilly. waive or reduce any requirement of any city ordinance Wily. vi w limit In any way the City's ability to enforce any ordinance n 6 limit TOTAL AMOUNT DUE owledge that I have read this application; that the 1. and that I am the owner, or the duly ATTENTION qwner. I agree to comply with city and THIS PERMIT lion: and In doing the work authoriz- AUTHORIZES 4nployed in violation of the Labor ONLY THE "Mating to Workmen's Compensa- WORK NOTED I NSPECTION DATE SIGNED DEPARTMENT 5-11-90 CITY OF EDMONDS CALLFOR INSPECTION A BUILDING OR STRUCTURE 771-3202 0,M MADE AND APPROVAL OR '4AAS, BEEN GRANTED. UBC -200 1 /Zlf APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED 13Y: DATE ORIGINAL — File YELLOW — inspector PINK — Owner GOLD --Assessor a: uj 0 z I z 0 z 5/90 TO: Permit Coordinator, Building Division ROM: Dan Smith, Engineering Inspector ADDRESS: DATE: 0 W N E R P LAN CK# ell After review of the subject building permit application, we have the following comments: 1. Construction hours are: WEEKDAYS .......... 7:00 a.m. - 10:00 p.m. (ECC 5.30.110) WEEKENDS/HOLIDAYS..10:00 a.m. - 6:00 p.m. 2. A separate Right -of -Way Construction Permit is required for any work on City property. (ECDC 18.60) 3. Connection to City water system required. Separate water meter charge required. (ECDC 7.30) 4. Connection to City sanitary sewer system required; obtain separate permiti LID # e-2— Fees.paid: Yes /— No Charge $ (ECDC 18.10) 5.- Water and sewer lines should be separated by 10 feet minimum. (ECDC 18.10) 6. Driveways must be paved a minimum of 20 feet back from,City right-of-way; separate permit required. (ECDC 18.80.060C)'. 7. Driveway slope not to exceed 14%. Waiver granted to (ECDC 18.80.060D) 8. Back water valve required if downstairs plumbin6is below elevation of upstream manhole. (ECC 7.20) 9. Builder/Owner responsible for contiining all temporary runoff and erosion control on site. (ECDC 18.30.030D) 10. No burning of construction refuse without permit from Fire Department. 11,. Street to be kept clean of debris, dirt, mud, and construction materials. Contractor responsible for dust control. (ECDC 18.30) 12. Inspection required on drainage system, catch basin installation, driveways,, and sidewalks. A final engineering inspection is required prior to the building division granting occupancy.- (ECDC 18.30, 18.80) 13. Repair or replace all defective existing curb, gutter, and sidewalk. If intersection is involved, installation of wheelchai� access may be required. (ECDC 18.90) 14. Underground wiring required on all new construction. Also, if the proposed addition, alteration or repairs exceeds 50%.of the'total assessed valuation of the existing structure. (ECDC 18.05.010) 15 - J' �Ipwelk eal,-i a',4A fl- le, dl-, /o//O/ -2 "o zezl" / .1 - --- / 4 A 0�p e 1 f;� -' -- 4 e., A, - - � .0/- . ev'elltt ^07" 7, STANDARD DRAINAGE PLAN, L) f> P P— R CONTROL CATCH DETEN"ON P1 I L-ENGTH miw 2' 6AAx COVF& 77 5LOPE- L J 311 > SYSTEM CROSS SECTION SEE PAGE 3 FOR OUTLET CONTROL DETAIL OVTLrLT COVJT;toe '4. 'TO OLFrL-E*T (N PRA.P. OR P,UNOFF SPREADER) 2' x 2.' it k," ME?, 4�- (o" SPALLS 2 x 2' te 3" 101 EE VeP, CAUS"ED ROCK F" 0 nL LrTL ET CON-1-ROL RIPRAP OUTLET W""CO Cw"WL� r0UTFL1110 TRENC", WN 10' LONG, -rop 4 A- PUFLF PIPE -M be Lim-VIEL FROM OLMLET CONTROL 'L 4� ?F-RF P%PE WIT14 CAPS RUNOFF SPRE . ADER OUTLET'f DETENTION SYSTEM PAGE I OF 3 for location :5% 31v%. 1-je-, plan by -- phone__ —577.1 date DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the resDonsibility 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 all times. -MAYL 'F Cr "J'N P, CITY OF EDMONDS 14� —T LA TZG workic.5 Pr V) G lij Lli —7P C. va #.I- W- 1-bl-0, CLjob �70rreV- raA,14 1,U4 C co4e Y-e, 0 1 Ked 62e L101-1 A Fie 6ev) e-.40 ro 0 w co E- 0 rz HEIC.,HT CALC"S A, v + 2. 1 rb .+O.g c + 9.1 10 '4- 1.0 TOrkL 7.9 -:.- 14 4- IS. 0 24..-9'75' W,7- MAY 17 pEpq.,,11T COUNTER 5 1 TE' PL A, NJ LC)*r 10 0 IrY MNTZv. xvrj N 0 -5r—A.%-e,t i"�7.o—o -- oicL I Cl AV V4 C. rq a 71 Vj A -I) 0 1 -L 0 -1 cl 311 6 '1 + b'Q + 0--1 V -L H 12 H ;rATC IW14 !l r 0' -1.4 I Js rq ; 4 Ul 0 City of Edmons RIGHT-OF-WAY CONSTRUCTION PERMIT' PermitNumber. 7 110 Lssue Date: A. Address or Vicinity of Construction: _5�p B. Type of Work (be specific): 23za.4� C. Contractor: t4e), -5. EALge y Mailing Address: State License #: D. Building Permit # (if applicable): Contact: Phone: Liability Insurance: Bond: $ Sid e Sewer Permit # (if applicable): E. 171 Commercial EJ Subdivision E] City Project bj� Utility (PUD, GTE, WNG, CABLE, WATER) r] Multi -Family E] Single Family Other INSPECTOR: INSPECTOR: A) F. Pavement or Concrete Cut: '0 Yes ONO G. Size of Cut: x 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 qf Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A. PERIOD OF ONE YEAR FOLLOWING THE FINAL IAISPEC- TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIONTEES WILL BEHELD UNTIL THE FINAL STREETPATCHIS COMPLETED .BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUA NCE 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 6f the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will b.� c�vailable on site at all timesfor inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG. PRIOR TOBEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER V7 DAYS I SPECIAL CONDITIONS: 1. RIGHT OF DISRUPTION FEF/FUND I 11: RESTORATION FEE: T OTAL FEE: 3,0.00 — :1 RECEIPT N ISSUED_BY NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Dw 1997 low .1'.,"'-6lTY OF EDMONDS COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT A. _4 Owner: STREET F117 Naih,oJq,,7,q5 ()IV p1C M ddress City State :613 B. o C ontractor: Permit No.. 3 . issue Date _2haho .1 Name Mailing Address City State Zip ao e- �0�,g A 14. StateYicense NuAer Telephone Number D. 0 Work in Connection With: El Sub or Plat JX Single Family El City Projects -1 Commercial y El Multifamil'. El Utility N F. 0 Size of Cut: X - E. 0 Pavement Cut.: 11 Y q0405_07 APPLICANT TO READ AND SIGN 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. t7 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. • A 24 hour notice is required for inspection; Please call Engineering: 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!Td that t must be available at the job site for- inspection purposes at all times. Signature: Da�e: OvWer or Contractor' This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: PERMIT FEE: Z Time Authorized: Void after .2310 days. Restoration Fee: 0 Special Conditions: Receipt No.: Fund I I I Fee: x Street Cut Dimensions* $ U RELEASED BY: Date 3 6196 INSPECTED By 'Date 0 NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. March 1989 FIELD INSPECTION I I - Route copy to Street Dept.) Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: Date: Date: Eng. Div. July 1985 Z 0 "i U C4 0 ;I. 1W L41 0+Y "OF EDMONDS, Permit No. q 0 aq F E C1 - 14 - q0 COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date A. *Owner: S %504E �A E L�L r-J B. 0 Contractor: PUD Name Name !9 zzs- -Zlote V-kwl Mailing Address Mailing Address &nmc>Nw�x 1 W L-4 ?i Q wo 0 a W A q 460 3 to, City §ate Zip city State Zip leva:r MAR-rit-J 40-70 — . — 3 ZL-7 State License Number Telephone Number C. o Address or Vicinity of Construction: ES 45 S(21) AIJ S Typeof Work to be Done: tQS'TFt%--L UN0t'2-C_,-(L0UrQD EfIr�1L.114--!S Qtj E_)((5T4rQ4 P0 LL- tn, Ro 9- 11JL-kAJrA' IAA&tAC- r) V'4 D. 0 Work in Connection With: El Sub or Plat W�in'gle �amily. El City Projects 0 Commercial El Utility E.*PavementCut: 02'ff EIN F. 0 Size of Cut: + St DCwA�.-%4� APPLICANT TO READ AND SIGN 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 again'st the City of Edmonds, or any of its departments or employees, including or not limited to the defense C s�ya?p attoff. eyfiq hrleason of granting this permit. of any legal proceedings including defense costs, couro, THE CONTRACTOR IS RESPONSIBLE FOR WORKM-ANS14IP ;(ND�MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION ANb"X &EPTANCE OF THE WORK. Estimated restoration fees wi - 11 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 Enginefing; 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 above and that this permit must be available at the job site for inspection purposes at all times. -6i 0 Signature: M Date: Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: R\h) Time Authorized: Void after G0 —days. Special Conditions: 1N5±EMt_XD9. I YL-E— C_BRL-,WN RELEASED BY: cb0ser—_ Date -9 1 1 Y No P E R M I T F E E: !$ -a.0 70 pi I LL_ r-_ N Restoration Fee: Receipt N-o.:- Fund I I I Fee: Street Cut Dimensi x INSPEC Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE .5CV- PPA94E Eng. Div. March 1989 — I . .. - - %� � �- 4,7." ., , - , ", . , , - .11. t FIELD INSPECTION Noll (lun1l I I Route copy to Street Depl.) Comments: Diagram: ti CONTRACTOR CALLED FOR INSPECTION El YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 F:mL-JE3 1476 rgrvmmrmnwn PUBLIC UTILITY DISTRICT NOA OF SNOHOMISH COUNTY . /., L0CAnON \0 AREA POLE NO. 1/4 S 2(- T Z-1 R -�> DATE dAu-S. 22 --t W.O. NO. REASON FOR WORK E��N ENGINEER P-jA�C- cj DWG. No. Z Sl —Z-1 c, ula; V4 e L-L r= S:7% DRAFTER U.C. NO. SCALE [�-ZOC)' DATE WORK COMPLETED APPZVED� DATE PRINTED FOREMAN ENVIRONMENTAL ANALYSIS FEES REQ'D 0 EXEMPT U NU t LALM� I SUBSTATION LOes-tc-iAlig. So5 16 YES ONO PARA. 18 ITEM C PRIMARY OVERHEAD O.H. U.C. COND. KV' CIRCUIT NO. 12 -?-C�-95 PHASE 0 RESIDENTIAL 0 COMMERCIAL ADD CKT. FT- PH LEO# REM CKT. FT. _ PH NET CKT. FT. SECONDARY OVERHEAD O.H. U.G. COND. KV BASIC FEE S ADD CKT. FT. _ PH REM CKT. FT. -PH METER/CONV. POLE.,$ CKT. FT.' tj PFIMY UNDERGROUND PERMITS '(DATE GRANTED) 0 IWNTIAL 0 TREE TRIM 0 STATE m 0 COMMERCIAL BASIC FEE S 0 COUNTY 0 CITY LELIJ 0 SECONDARY.UNDERGROUND EASEMENTS, BASIC'FEE, 0 REOUIRED 0 NOT REOUIRED /os UNDERGROUND' PLAT - . DATE: R66SED SAS IC Fliii FT.'* S -7� FOREIGN CONTACTS:,- 0 STREET LIGRTING 7,7 0 CATV �.:,JPN# FT. 0 S KJOINT.-TRENCH GTNW & CATV 77 WORK IN.RIGHT OF WAY 0 JOINT BORE GTNW & CATV 0 PRIMARY 0 0 SECONAOARY FT. 0 POLE STENCILING FROM TO MISCELLANEOUS FEES - TAKE OFF POLE VAULT t PRE-CONSTR. REOUIREMENTS PERMIT S 0 TREE TRIM 0 PUD LOCATOR 0 BACKHOE 0 9 ONE CALL DATE INDEX 1 1 POLES PLAT TOTAL DUE S 4- tt- DATE PAID Z I -Q 0 LOGS RECEIPT# r2 XFMR C-M AP�� NEW SVCE APPLICATION1 1 1'? 0CI �LCICATION MAP PAGE A V.emovk L z-iob- -.77-77--r 1-4 to z .1 kj Dc- —(NtL-- "o SCALE- )(FM9 we-- tZ b —:l A� I-,. Tc- r4 I V . City of Edmons RIGHT-OF-WAY CONSTRUCTION PERMIY* Permit Number. Date: xA. Address or Vicinity of Constructiow. _fs L4 /17 B. Type oi Work (be specific): M"�S P aw C. e 'C. Contractor: S'�X\NC0,A\-zA QAJM�-1 t-\3-6"'Co1nt-ct: Mailing Add s : Phone: 1&7 6 -12Z 13 LS ress �A Ls-i .9 9 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. Commercial Subdivision ��P�oject 0 Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family Single Family Other' INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ClYes []No G. Size of Cut; x H. Chargq_$ APPLICANT TO READ AND SIGN INDEMNITT 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, for�seen or. unforeseen, that may. be made agai.nsrthe City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal p , roceedings including defense costs and attorneyfees 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. ESTIMATEDRESTORA TION 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, 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 mgujut.oij�i %, required by the City Enoineer. All street cuttrench 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 timesjbr ins4pectioLnurposes. Date: Signature-.- (ContractoLbr Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY CPO APPROVED BY:. L/ RIGHT OF WAY FEE: TIME AUTHORIZED: VOID AFTER 3041 DAYS DISRUPTION FEE/FUND I 11: SPECIAL CONDITIONS: RESTORATI�,N FEE: T OTAL FEE: RECEIPT NO. - ISSUED BY: NO WORK SHALL BEGIN PRIOR TO -PERMIT ISSUANCE- Eng. Dw 1997 From pole located near the SW1/4 of 543 3d Av. South PUD to cut a 6'x 6' section of sidewalk and replace the pole 3 1/2' south of the existing pole. From the 6' X 6' sidewalk cut PUD to directional bore 60' south under sidewalk then remove and repair the wheel chair ramp then directional bore 147'east to the east side of asphalt alley then trench 65'east and install a 56" X 56" concrete Vault to be set flush to existing grade. From the vault trench 76' east then bore under 4 th Av. South (38' asphalt road) then trench 56' east then bore under 15' asphalt driveway then trench 63' east to the property line. 1-23 3RD AV ��I I SOUTH 1 15431 545 IF, IC �A Q\j V_ + C-\AP�%r ek"e ERBEN DR. SL-30280-F -X 01 N 224GR92 J-5 541- M 558 547 4TH AV SOUTH 654 11 555 5,Toe" OY10 ID4Z\ t� wvm U F-W 0 (.:S,;r\Nvz faw SL-1509-D 0 P-797-S -To) 0) 1 eCA-1 ri C C-X irj �3 0 IC �-3 P'41,, \)C_ co PMCI 1"-140 0