600 EDMONDS WAY.PDF11044
600 EDMONDS WAY
0
9
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:21)32 5Q&3DY-5 CL-)
I
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
DETERMINATION: []Conditional Waiver E] Study Required [j Waiver
LID
LOT: BLOCK:
LATEMP\DS'Ps\Foffns\Street File Checklist.doc
Tho City of E&non& Side Sewer Drawl,ng
EASEMENT NO. ----------- ........ .............
703-00200 NEW CONSTRUCTION Ei REPAIRS E] LID NO . .................. . ASMT. NO - ------------------
OWNER .... Mlffig ... a. RIBE ...................................................
CONTRACTOR ......................................................... -------------------------- PERMIT NO . ....................
JOB ADDRESS ------ 6-OD --- EDMO.NDS --- WAY ------------ -------------------- LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ........ ...................... ..
............................ I ..................................................................................... ----------------------------------------------- --
NAMEOF ADDITION .......................................... ----------------------------------------------------------
DYE TESTED ON SEWER
Approved:
PWW-Ml-I 1/75 (REVA 1178) DATE — -- - ------ .................... 11-11-1, By 'I',-,*"*,-, ------------------- - -------------------------
OV EDIV
Clrl"Y OFEDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20080177
SIDE SEWER PERMIT (1-Single Fanfily)
Permit Number: ENG20080177 Expiration Date: 7/5/2008
Job Address: 600 EDMONDS WAY, EDMONDS
DAY AND NIGHT PLUMBING AND HEATING
16614 13T HAVE W
LYNNWOOD, WA 98037
DAY AND NIGHT PLUMBING AND HEATING
16614 13TH AVE W
LYNNWOOD, WA 98037
425-766-1128
LICENSE #: EXP:
•
•
JOB DESCRIPTION
IREPAIR N PROPOSE TO REUSE LATERAL LIDNUMBER.
GRINDER PUMP HN PROPOSE TO REUSE SIDE SEWER
SIDE SEWER REPAIR. CLEAN OUT INSTALLATION AT PROPERTY LINE.
N�
EAS FAIENT IN FORNIATION
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
N
IADEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofatq kind or description whalsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
atiorneyfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1 -800-424-5555) BEFORE ANY EXCAVATION
CALL FOR ]INSPECTION (425) 771-0220 FXLjA;fL.
24 HO UR NO110E REQ UIRED FOR ALL INSPECT]ION REQ UESTS
'MIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,
F� MECOPY INSPECTORCOPY
Printed: Monday. Mav 05. 2008
DATE
F APPLICANTCOPY
STATUS: ISSUED
ENG20080177
• Refer to City of Ed monds Side Sewer information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain 10'separation between the sanitary side sewer and the water service line.
0 Appficant shall repair/replace all damage to utilities or frontage improvements in City fight -of -way per City standards that is
caused by or occurs during the permitted project.
0 EEngineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPEC71ON APPROVED DATE: INITIA L:
-L—W77.02 Pr
N -, F WS. DOT AION W/.-.*
D
2* MN `Pff RUED41
IN
CONCRETE AND-, -TACK
'Ct
DOWN 0.75' LN CASE-,
CIS
(03/08)
C�l
CID,
(b
LINE TABLE-�.
.LJNE,-.
'-.BWING
,.LENGTH
Ll
N41W'390E
(WO N41*28 �*E
L)�
If-.54'
(WEI)
L2 -
N6747'06V.
(WO
), N62*5 7'00'W
(L)
'63.78'
(L)
L3
N3a35260E-
(WEI)- NX725321E
(L)*
14.07'
(WEI)
L4
N62-47-06-W
(�g N62-57-00-W
(k)
.85.M'
(L)
L5
N6746-18-W
0YSD0T)(WEQ
14.60'
(WSOOT)
L6
'N67408.V
(WSDOT
)(WEI)
IZ19
T)
L7
N08*4752*E -(WEQ * NW.37560E
(L)
4.86'
LB
'NW21,'06*W
(WD) N88*J1'00'W-(L)
34.80.
(WD)
L9
N74-52'23-W
(M07)(WEI)
4Z70'
(WSOO
�00.
N6746?18-W
(WSDOT)(WEI)
2 .4 1.
(MOT)
01"
W.46'18V
Ar"7)(WEI)
49.W*
(*SD07)
F L12-
N6fr27-48-W
WDOT
)(WE7)
37.64'
(WSDOT)
it �,_t I J ENGINEERING DIVISION
CZ�
A PPRftEQ.�S N T�D,
k ri D2 -1 Vie
R,
kitf A6kW WA�
ell
FND I I.P. J.0, N -�i, -
43' W OF PROP COR
0T\ TV
P
IN RN
P''
EE R
CRES)
BONN
4�v * *. 8
400 20,222 SF
Ple
(0: 4 6, ACRES) to 84+40.31 PC
C�, No)
W. FND WS DOT AfON W1
1270,325oo3oa5OO
2' ".fPIPE RUED *W
1. FVACHM CONCREIr AND TACK
FND
bO*,0.75' IN 04SE
Lp. 0.2' E OF
PROPM tn '00 RECtIVED(oa/08)
161.22- (WEI)(L) -------
L8
SEP 05 2012
(wo
150.06 1
E LOPMENT SERVICES
—COUNTER
woct fmt6
vqlAo,*�
f
FRAWW�
RECEIVEP
SE P 0 5 2012
DEVELOPMENT SERVICES
COUNTER
CITY OF EDMONDS
BUILDING DEPARTMENT
WORK f-ZM&& —
ADDRESS 2QQ eHW6&15 ���
OWNER
APPROVED DATE:
BLDG. OFFICIAL
PERMIT NUMBE
1-2--0'7 -7�
APMOVED By PLANNING
e�r
a-�* �*� oq1vi5li-2,
F.- 9
S"T R t 0 1 m FILE
RECEIVED
Ep 0 5 2012
DEVELOPMENT SERVICES
COUNTER
jud
DEVELOPMENT SERVICES
COUNTER