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622 ELM PL.PDF11111111111111 11153 622 ELM PL City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Persuit Number. Wue Date: W5�9' A. Address or Vicinity of Construction: 622 EU4 PLACE -%.A- -1 E to,placa'oporate 8 maintain a buried service wire 1200P �) B. Tyr of Work (be specific): PT 17c- droo existi g d n p '01 OA948, located.,8t 623 EU4'PL.., then south to a residence at 622 ELM PL. GTE to plov 80 ft., push I driverjay 250 and pash 1 oad 26 ?V6 K.U�W� yootage is 106 foot. C. Contractor: GTE NORTHUEST INCORPORATED Contact: Linda ALden, Permit Coordinal-nr Mailing Address: 2323C U. Casino. Rdo, EverottDtIA Phone: 425/710-0945 ENGR3TERRY AMDERSON 425/771-8683 State License #: . 98204FIRU Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. - El Commercial 0 Subdivision Cily, Project; N Utility (PUDrGTE,)WNd; CABLE, WATER) n Multi -Family 14 Single Family..",_"� -�,bther' GTEI�1:0.0.12100-9POOIDB 2423.10 INSPECTOR: INSPECTOR: F. Pavement or L;oncrete Lut I" les LJINO U. 31ze or t_uu C!;!, x %_nargt�'.p APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and hy 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 he made t�gainst the City of Edmonds, or any of its departments or employees, including or nbt limited to the defense of any legal proceedings including defense costs and attorneyfees hy reason of granting this permit. THE CONTRA CTOR IS RESPONSIBLE FOR [FORKMA NSHIP A ND M4 TERIA LS FOR A PERIOD OF ONE YEA R FOLIO WING THE FINA L INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCHIS 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 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 pe -nu . t requi . rements and the pink copy of the permit.will be available on site at all timesfor insp ur; yoftion p Signature: Diave PlauRl ns, Date: 7/19/99 ; CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVEDBY:_ RIGHT OF WAY FEE: TIME AUTHORIZED: VOrD AFTER 0 DAYS DISRUPTION FEEfFUND I 11: SPECIAL CONDITIONS: RESTORATION FEE: T OTAL. IS5,UEPPY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES I Comments: I Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES ONO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: wftb 1* PERMIT SUBMITTED BY GTE - ------------ LEGEND__ 1 PEDS 0 POLES 0 ROAD BORES OVERHEAD LINES— I.D.UTILITY POTHOLE C3 UG TRENCHING --UGT— I R.o.w. ---------------------------- EOP rit — c — — — p — — — — — — — — — — — — — — ----------- - I II 10 NA THE FOLLOWING INFO TO SE PROVIDED RICHT OF WAY LINES.EOP OR FACE OF CURB. EXISTING SIDEWALK. POLES. ROAO CUTS ANO THE UTILITY UNDER ROAD CILI'- A80VE GROUND FACILITIES,(ie:) PEDS,BOXES.CABINETS. ETC..UNDERCROUNO TRENCHING AND OVERHEAD LINES, FOOTAGE OF WORK IN R.O.W. LEGEND I PEDS 0 POLES 0 ROAD BORES OVERHEAD LINES- I.D. UTILITY POTHOLE C:l PERMIT SUBMITTED BY UG TRENCHING --UGT— GTE I R.O.w. ---------------------------- EOP 't I - , If -------------- L ---------------- THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LINES.EOP OR FACE OF CURB. EXISTING SIDEWALK. POLES, ROAO CUTS AND THE UTfLITY UNDER ROAD CU A60vE GROUND FACILITIES,(Ie:) PEDS,BOXES.CABINETS. ETC..UNDERCROUNO TRENCJ41NG AND OVERHEAD LINES. FOOTAGE OF WORK IN R.O.W. I , fjtr;tc::,t Slu (LO I M& , +T eA-,�W6761104� '24.1 -�jl A, �7- 119 STREET FILE w mew- HNH RaT-'= �Z22.11-3 X4 Ci 1p 44— kjo L 77, S, MOT fl4b� 1 -7 P .2- .1 Z. L, V D 00, S11A 10 -140j, ;—>13 —5- 7 C> Arm -4 —ol -E-4 --, jcq 67-P su) 111987 STREET FILE PERMIT COUNlER .1 pf,45,��D 46fl* CITY of EDMONDS SIDE SEWER PERMIT`�'\ *::I - co ce For Inspection Call 771-3202 0MCCd MLE: PERMIT NO. 070 Address of Construction: (.Ogg, (Eini Property Legal Description (Include all easements): Owner and/or Builder: +4oyndanci ktpyyy_s 19 Contractor & License No: Single Family Residence y I EDMONDS I' Mul ti-Family (No. of Units TREATMENT PLANT Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE D ON THE BACK /Jfy/,fhaVI 0 read and shall comply Date I _V, w he Xtei/s 't d on the back. _X&M, y MZ Permit Fee: Issued B Trunk Charge: iDate Issued: ///:�; IV Assessment Fee: Receipt No.: 7 Partial Inspection: Comments Date Initial Final Inspection Approved: 1)_( Ox 4 Dale'- Initial Rejected: Reason —6-5—te _Tn—itial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy -'Inspector Buff Copy - Applicant a . - The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION REPAIRS Fj LID NO - ------------------ - ASMT. NO - ------------------ OWNER ...... -------- CONTRACTOR ------------------------------------------------------------------ Z ----------- PERMIT NO. 0 ----------------- JOB ADDRESS (e .. ------ ----- ----------------------------- LEGAL DESCRIPTION: LOT NO - --------------------------------- ---- BLOCK NO - ------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ------------------------------------------------------ ---------------------------------------------------------------- ITREATMENT PLANT I (2A p jusiu— 4w V CA ?\ - Approved: /1 110, 2 ez� 4�-- PWW-(1001-1 1/75 (REVA 1/78) DATEI-J--a ...... U --------- ------- By ------------------------------------------------------------ -4- 00 CD V) I D IE! E R P E, R M I T CITY of EDMONDS S T EE1, Z For Inspection Call 771-3202 PERMIT NO. 07812 Address of Construction: Eln) P1 C:C( h mids Property Legal. Description (Include all easements): Owner and/or Builder: Contractor & License No: Single Family Residence Multi -Family (No. of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right-of7Way Construction Permit required. Call One-Cal.1-Center (1-800-42.4-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required,. attach legal description and county easement number.) PLEASE READ T I �dy�ffy tha wi tK /the kf terF HE/ITEMS )ISTED ON THE BACK I p read and shall comply s li/st d on the back. io I- 17,--Sb Iff Wt -e Permit Fee: i ! Z, �5,� Issued By: 7,/ 7 Trunk Charge: Iss Date Issued: Assessment Fee:- Receipt No.: rV 7 fz�'V 7 Partial Inspection: ; 0 m Zme �nt s Date Initial Final Inspection Approved: Date Initial Rejected: Reason —ffa--te Initial PERM6,MUST BE POSTED ON JOB SITE Wh-ite Copy - File Green Copy_ -'Inspector Buff Copy - Applicant S SIDE SEWER PERMITS 1 Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. 2. The side sewer contractor assumes full responsibility for each installation for one (1) year. 3. Commercial establishment requires a minimum of a six inch (6").side sewer line. 4. Side sewers may not be installed closer than thirty inches (30") to any structure. 5. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum grade of 100% (450). 6. No turn in side sewer greater than 450 (1/8 bend) is all.owed between cleanout. All 900 turns must be constructed of a 450 (1/8 bend) and wye with."removab.le cap for cleanouts. 7. No down spouts, footing drains or floor drains can be connected to slide sewer system. 8. Pea qravel is required for bedding w h e n i n s t a 1 -1 J. -§ e w 6 ra �1 i n: fi�-,o—u gj 8 �-tthh -6 Tr' than granular- sgi-L.. �A_ 9. Cleanouts are required at 301"-60' --from each plumbing exit', line and at minimuT�,- i'nterval s of 100' along sewer 1 i n'ig, run. 10. Trenches within City r'ight-of�-*Way";must �be restored to original conditions-. Contrattors shal 1: be responsib,M�."�fodr right-of-way failure due to poor compaction of fill. 11. Cleanouts at pro:p�rty 1 in e and at,,, h*b use will have risers installed to within 12" of surface'�grade.with removablje cap. 12. Water test is requi r 5 0 u g6veirre -inspected and approved by the City. 13. Side sewer must, I t h unti 1 14. Inspection durti., - _r ha6rs only. One (1) working day notice 9' required. N m 0 11 MNH FLZCP--- UQ IN (MV PV-4-1) 27,011 77, fl--OT L-� V-1ji Tt2p- I NH 1-/ 4n, 14 1 Z7 0.1 JP-. 4A'-p. f5PMvNPSi Rm R -i�� �-=' I V r,_-, "D 19-:4 8 7 n7n. A - I' MIT COU NTER PRO= ADD _4 PROJOCT NAMEt RESS: Ace 01-1i — �3 7 _jZ-e-v-jewed by: (initial/date) CaMMENTS PLANNING In= WrR/SWR S -17 7 ENGMNG 7 TTTF77 FiRE Sn%=Z FA I Mny/mMTn3LE/Ca4W.11CXAL - (Circle one) BUirDXNG 7T"77 REC SMACKS CHBMM -f�ilanfiing 111111117 - 77777TI171111lt 7777 VARIANCE/SETBACK AW. TI-7777 UBLI CONDITIONAL USE PERMIT --- -777// 77[ "7777 7111171 ADB'REQUIREMEtM CHECKED �'"ING 71-R7T /7//// 77777T A1111 ailm REQUIREKENM I -RMXXMCAL F M-TURES 777TI77777 ACCESS SLOPE & VEHICLE ACCESS DRAINAM PLAN' Oi Site) 111111177 �7' 7711TIll smEEr KLE 8 11111IT17 -7- 71777777 777771 77 V-100" LEGAL DESCRIPTICN VFRIFIVA 1(w 77 777777Tff 77777TFff QUIT CLAIM/DEDICATICNS .10 77Z[///// 11111777 77. EASBOV - -PUBLIC/PRIVATE -1-1111177T7TI77777 111171 777777Tff CALMATE SMM CONNECTION IF NO LID# ////// ///////// ///////// //////// 12 R/P7 7TT17-17T PIAT/SURDIVISICN REQUIREMEMS ///11// -[117777TR77777-MI11111 //////// 13 Riqw-g-wAy coNsnucww PERMIT REM 14:, Vi BMD REQD FOR PLJ13LIC IMPROVEKM�S -/T/77///[ 15 SOILS 0ONDITIMS & GROUND TT17TFff L1111111 16,% — WATER FIETD 0MCKED 7777// STREET PAVING REQUIRED 17 7T 777//./1 7 CURB AND GUTTER REQUIRED Tfffff T/T/77777 -fR7T1 SIDEWALK REQUIRED 19 77TT177777 CURB CUr FOR DRIVEWAY REQD 7T//// 7TTR7777 20 STREET NAME SIGN REOD 21, -7- T/777 M17 777 OMER SIGNING REQD 111111,114 22 SIDE SEWER AVAILABILITY 77TIll ///,/// -1 :' 23, 777T[77Tff ' � EXISTING I WATER MAIN SIZE VR 7 7[TfM 7TRTrff //////// TW 24 TM777TR7 7 7 7 7 7 //////// 25 WATER METER SIZE it TR11111 TR7777777 26 — �q MICE LIM SIZE W77777 7TR7TI-R7 //////// 27 HYDRANT REQUIRED -777 7T[7T1777 M17777T17TT11111 28 HyDRhM SIZE EXISTING 7777777T[ 7TfTNT TIT1777Tff CONNE)=ICN INSPE=ICN REQD ///////// //////// 29 CFLW T"T1111 7T//////// WATER MMIER CHARGE REOD 777UTR7 77TR777 30 11171 FIRE LIM CHARGE REM SPRINXLFA STREET CUr 32 'OPEN DIMi-EXISTING 33 711111? 7T7THIII '77- 34 REDD '71 77 7 7 7 7 7TI777TI7 35 CULVERT REM- 777TM7/ TIT17TTF1 SIZE 36 7TR7lTff 4, 37 CATCH BASIN REQD' TITRITIT IT171—RII INDICATED ON SITE PLAN f/77 3E SHOULDER, DRAINAGE mAINTAIN '3c SHALE OPO4 RUNOFF wrrcn,-�. g El� q WOMS 14M PUB C ENGINEERING MGR. .4" CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) Homeland Homes, Inc. cr W MAILING ADDRESS Z '30: 221 James St., Suite 100 Edmonds - 4. 1775-2033 McNurlen Design Group ADDRESS 221 James St., Suite 300 CITY TELEPHONE NUMBER Edmonds 771-2592 Homeland Homes Inc. ADDRESS 221 James St., Suite 100 CITY TELEPHONE NUMBER Edmonds 775-2033 STATE LICENSE NUMBER HO-ME-LHI*174KE Legal Descriptio , n of Property includeall easements (show below or attach four copies) Lot 12, Elm Place Edmonds, WA NEW I yl RESIDENTIAL Ll PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOLISH EXCAVATE FENCE REMODEL OR FILL PRE-MOVECINSP.1 El x—FT) SWIM COMPLIAN E INSP. POOL WOOD STOVE/ INSERT Fj APT.BLDG RENEWAL NUMBER OF STORIES NUMBEROF DWELLING I'T.70 UNITS One NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) To construct a single family home. USE \,�ERMIT ZONE RS-6 ppj) NUMBER Ess 622 Elm Place DESCRIPT16 DIVISION NO.� LID NO. E!5/Z Z 79 p t 12 '7�7P-9-8_� I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING — REQUIRED DEDICATION PROPOSE6)7Ly/_y,jjjj�- 10 I Z RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED EJ W W STREET USE PERMIT REQUIRED C Z Z SEE ENGINEERING MEMO DATED W METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS cr LU REMARKS SIGN AR EA ENV. REVIEW ADS NO. ALLOWED PROPOSED COMPLETE i EXEMPT I I SHORELINE# VARIANCE OR CU PLANNING REVIEW BY . I DATE YARDS HEIGHT I LOT COVERAGE Z FRONT SIDE REAR Z REMARKS (L CHEC KED BY YPE OF C T��ONSTRUCTION CODE HEIGHT 14/ 'T /Y /,7 SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES 0 NO AEMARKS PROGRESS INSPECTIONS PER UBC 305 Z _j _2)KWLP6C1W6 A 25,e4 6 V co PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewplks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENERGY C ODE "Applicant, on behalf of his or her spouse, heirs, assigns and I EARX fCjE successors In interest, agrees to indemnify, defend and hold 31 harmless the City of Edmonds, Washington, its officials, employees, and agents'from any and all claims for damages of E whatever nature, arising directly or Indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify,.walve or reduce any requirement of any city ordinance TOTAL AMOUNT DUE nor limit In any way the City's ability to enforce any ordinance provision." 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 authorized agent of the owner. I agree to comply with city and state laws regulating construction; and In doing the work authorlz- THIS PERMIT AUTHORIZES ad thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion InsurEnco.. INSPECTION DEPARTMENT SI NATLIRE( ERO A DATE SIGNED �-/0-87 CITY OF EDMONDS VALUATION I FEE _16V-00 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 ATTENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. RELEASED BY: ORIGINAL — File -YELLOW — Inspector Li PINK — Owner GOLD — Assp�snr