6532 170TH PL SW.PDF958
6532 170TH PL SW
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATEWSEWER DEPARTmENT
PERMIT
6 11311
CaIl 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.N
Inspection will be Provided within 24 hours after request. NO Sat., Sun., or holiday tnspections.1
ADDRESS LOCATION OF CONSTRUCTION.. 6532 - 170th M. SW
................ ........................................................................................... . ......................................................
PROPERTY LEGAL DESCRIPTION .................. Lot._H. 9 5qtj.jy!g�..Lan.q 5
.................................................. . ...................... . ........................................................................................ . .................................. . ................................................
.................................................. ............. 014714,�,4�NDIOR BUILDER ........... JAh n.. P . Re i d
.. .. ..... .................................................... . .......................................................
CONTRACTOR'S NAME & ADDRESS ................ liqqjqM's PiPe & Stir!, 8805 - 220th SH, Edmonds, Nlash. 98020
....................................................... . .................................. . .......................................................
Permission Is granted ........... . 1:11 ......... 19.73., for repair and/or connection of a side sewer to the city sanitary sewer
---------- * ---------- _'
system in accordance with City -of Edmonds ordinances.
A7 TION IS CALLED TO THE FOLLOWING:
NIL,_i-lo. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE 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 ai least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall . be responsible for failure due to improper
work which may develop within one year of completion.
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 main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date ... . ......... * ------------------- BY ................ Date .......... .......... )9Y ......... .... Date ............... . ................... By ----------------
APPROVED
....................
....................................................
Remaxks: ........ .................................. . ... ................................... le�
..................................................................... . ........................................................................................ . ................................... .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
I, . .. . .. ..... -e _r� hereby certify that the side sewer installation constructed under this permit
4ri r. ,' r--9 -------- ----- --- : ............... ...
Own�erof Contracting Firm P rfc g Construction)
t 11 go
W/_ _"�Stallji�naccordance witVall go,�eg ordinances of the City of Edmonds.
Datedthis ........ y ...... day of ............ .............................................. 1 19-?13
V V Check BEFORE you dig for: Water C], Gas [], Telephone E], Power F
], Sewer [3, Other C]
APPLICATION
for
The . Cliy of Edmonds SIDDE SEWER PERNUT EASEMENT No . ..........................................
NEW CONSTRUCTION El REPAIRS (3
......... ....... PERMIT ......................
OWNER ....... ....... e-� ......... ff-e .. .......................... CONTRACTOR .. . ..... No.
........... LEGAL DESCRIPTION: LOT No . ........... ......................... BLiDCK No . ....... ti, ................... ............
ADDRESS ............ 3 ......................
........... S ....................................................
NAME OF ADDITION .......... . ..................
0
0
70 1,1�4proved:
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
EASEMENT No . ........................
tX.,NEW CONSTRUCTION REPAIRS
L- I r-> 1 c?5
.-T
OWNER .... . . . ........... p ......... K.a.%.Po .................................. CONTRACTOR ....... ...... ........................ PERMIT No.44-<.:2,-.?..
ADDRESS -r . ....... LEGAL DESCRIPTION: LOT No . ............... 14
------ ---- ...... ............................... BLOCK No . ............................................
NAME OF ADDITION ...... . ........ ........
0
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_.,,SP1,OFEDMONDS� 40C _T
(�6MMUNITY SERVICES DEPARTMENT
RJGHT-OF-WAY CONSTRUCTION PERMIT
A. * Owner: Washington Natural Gas Company
iiain$iercer Street
Mailing Address
Seattle WA 98111
City State
Zo
CUTS
B. 9 Contractor:
Permit No. 9,D— 4 57-3
Issue Date -9 (D
Name
Mailing Address
F11 F City State Zip
N��
State License Number Telephone Number
C. 9 Address or Vicinity of Construction: 9532 170 Place Southwest
Type of Work to be Done: Install New SArvir-P
D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects
0 Commercial 0 Multifamily is utility
E. 0 Pavement Cut: JR Y El N F. 0 Size of Cut: .2 x 4 (1) @ Gas
APPLICANT TO READ AND SIGN
INDEMNITY: AppI ' icant 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 -Whatsbever,'forseen, or unforseen, that may
be made against the City of Edmonds, or any of its d part -E ts or employeesi including'or not limited to the defense
M,�
of any legal proceedings including defense costs, coug"t.06stsr/2'ind att " fiey2fqes by'
�reason of granting this permit.
_5�LS FOR A PERIOD OF ONE
THE CONTRACTOR IS'RESPONSIBLE FOR WORK SHIP 1ANDr
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF 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.
• A 24 hour notice is required for inspection; Please call E4'dering: 771-3202
9 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.
. Signatur I e:. MCMA"4-1 Date: September 17, 1990
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: Ra( .0411CI—Mr
Time Authorized: Void after NM�L_3 0 4ap.
Special Conditions: N A
RELEASED BY: Date
PERMIT FEE: g coo h., 9,4
rr
Restoration Fee:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. March 1989
Eng. Div. July 1985
Washimgton
Natur5lGw
AVAZhr0-&-WC—pajV
0/ GVV
WNG to window
Addendum to:
City of Edmonds
Permit Application
Engineering Aide: Kerry Walsh
Washington Natural Gas
622-6767 x2761
I (& 4� e 67/4� -
depth unknown
(- existing gas main
proposed
Key:
:s: saWary sewer
w wa er
-g- gas
water valve
hydrant
815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
4
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. - EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein@ci.edmonds.wa.us
�f 11 C. 1 S ()'-) WEB SITE: www.d.edmondsma.us
February 23, 1999
Ed Baginski
6532 1701h pl SW
Edmonds, WA 98026
Subject: Water Leak Credit
Dear Mr. Baginski:
r
BARBARA FAHEY
MAYOR
I have reviewed your account and will allow a credit for the billing period between
October 23, 1998 and February 25, 1999 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 Denise Burke, Utility Billing Clerk, at 771-0241.
Sincerely,
X � (� -
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Denise Burke
Utility Billing Clerk
wordata\water\credit99\#301650
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
i
January 29, 1999
Jim Waite
7110 2 1 Oth St. SW
Edmonds, WA 98026
Dear Mr. Waite:
3,0t (01529
64��21 t,7 C,
RECEIVZO
FEB 0 11999
PU"" WO?KS OEP7
Due to the recent cold weather, the pipe carrying water from the meter to our home
cracked in two places. We were unaware of this until a lady came to check our water
meter and told us that the meters were indicating that we were using more water than was
remotely feasible. Without -her help, we probably wouldn't have guessed that something
was wrong with our pipe until we received the bill for it.
The next evening, the pipe that was leaking completely cracked, spilling water
underneath our front lawn. You could see the bulge of water underneath the ground
where the pipe had cracked.
We fixed the pipe by the 20th of December, however the pipe had probably been leaking
water a long time before that date. The water leaked through the pipe before we found
out that we had cracks in it was substantial.
We are asking to be exempted from paying for the wasted water since we did not use it.
Sincerely,
<� � AV
Edward Baginski
UMMASMNT
City of
Edmonds
PAGE 2
02/19/99
10:38
Print Master
File
Account Details
Account;
3-01650
History
1)
Water
Surcharge
Sewer
Misc Fees
DEP:
Unapp
Total
2)
Penalty
StrmDrain
DEP:
Balance
Read Date
Sery Days
Read 1
Read 2
Read 3
Consumptio
Avg/Day
[Memo] --------------------------------------------------------------------------
01/21/99
Water
12/18/98
56
833
0
0
253
4.517
B 1
341.47
19.63
1 38.30
0.00
0.00
0.00
2
0.00
7.40
0.00
0.00
0.00
406.80
Balance:
406.80
01/18/99
M-C
1/18 CREEP
T.N.
12/14/98
R 1
45.07-
2.59-
38.30-
0.00
0.00
0.00
2
0.00
7.40-
0.00
0.00
0.00
93.36-
Balance:
0.00
11/20/98
Water
.10/23/98A!
TI
63
580
0
0
25
0.396
B 1
45.07
2.59
38.30
0.00
0.00
0.00
2
0.00
7.40
0.00
0.00
0.00
93.36
Balance:
93.36
10/22/98
R 1
72.37-
4.16-
38.310-
0.00
0.00
0.00
2
0.00
7.40-
0.00
0.00
0.00
122.23-
Balance:
0.00
09/22/98
Water
08/21/98
59
555
0
0
46
0.779
B 1
72.37
4.16
38.30
0.00
0.00
0.00
2
0.00
7.40
0.00
0.00
0.00
122.23
Balance:
122.23
08/21/98
R 1
47.67-
2.74-
38.30-
0.00
0.00
0.00
2
0.00
7.40-
0.00
0.00
0.00
96.11-
Balance:
0.00
07/23/98
Water
06/23/98
62
509
0
0
27
0.435
B 1
47.67
2.74
38.30
0.00
0.00
0.00
2
0.00
7.40
0.00
0.00
0.00
96.11
Balance:
96.11
06/08/98
R 1
46.37-
2.67-
38.30-
0.00
0.00
0.00
2
0.00
7.40-
0.00
0.00
0.00
94.74-
Balance;
0.00
05/21/98
Water
04/22/98
61
482
0
0
26
0.426
B 1
46.37
2.67
38.30
0.00
0.00
0.00
2
0.00
7.40
0.00
0.00
0.00
94.74
Balance:
94.74
04/24/98
R 1
46.37-
2.67-
36.20-
0.00
0.00
0.00
85.24-
Balance:
0.00
03/20/98
Water
02/20/98
59
456
0
0
26
0.440
B 1
46.37
2.67
36.20
0.00
0.00
0.00
85.24
Balance:
85.24
02/13/98
57/
UMMASMNT
City of
Edmonds
PAGE 3
02/19/99
10:38
Print Master
File
Account Details
Account:
3-01650
History
1)
Water
Surcharge
Sewer
Misc Fees
DEP:
Unapp
Total
2)
Penalty
StrmDrain
DEP:
Balance
Read Date
Sery Days
Read 1
Read 2
Read 3
Consumptio
Avg/Day
[memo] --------------------------------------------------------------------------
R 1
45.07-
2.59-
36.20-
0.00
0.00
0.00
83.86-
Balance:
0.00
01/22/98
Water
12/23/97
61
430
0
0
25
0.409
1
45.07
2.59
36.20
0.00
0.00
0.00
83.86
Balance:
83.86
11/25/97
R 1
46.37-
2.67-
36.20-
0.00
0.00
0.00
85.24-
Balance:
0.00
11/20/97
Water
10/23/97
63
405
0
0
26
0.412
B 1
46.37
2.67
36.20
0.00
0.00
0.00
85.24
Balance:
85.24
09/30/97
R 1
42.47-
2.44-
36.20-
0.00
0.00
0.00
81.11-
Balance:
0.00
09/22/97
Water
08/21/97
59
0
0
23
0.389
B 1
42.47
2.44
36.20
0.00
0.00
0.00
81.11
Balance:
81.11
08/06/97
R 1
16.47-
0.95-
36.20-
0.00
0.00
0.00
53.62-
Balance:
0.00
07/23/97
Water
06/23/97
62
356
0
0
3
0.048
B 1
16.47
0.95
36.20
0.00
0.00
0.00
53.62
Balance:
53.62
06/10/97
R 1
64.57-
3.71-
36.20-
0.00
0.00
0.00
104.48-
Balance:
0.00
05/22/97
Water
04/22/97
60
353
0
0
40
0.666
B 1
64.57
3.71
36.20
0.00
0.00
0.00
104.48
Balance:
104.48
04/17/97
R 1
41.17-
2.37-
36.20-
0.00
0.00
0.00
79.74-
Balance:
0.00
03/26/97
Water
02/21/97
39
313
0
0
22
0.564�
B 1
41.17
2.37
36.20
0.00
0.00
0.00
79.74
Balance:
79.74
02/10/97
R 1
52.87-
3.04-
36.20-
0.00
0.00
0.00
92.11-
Balance:
0.00
01/23/97
Water
01/13/97
87
291
0
0
31
0.356
B 1EST
52.87
3.04
36.20
0.00
0.00
0.00
92.11
Balance:
92.11
12/23/96
R 1
43.77-
2.52-
36.20-
0.00
0.00
0.00
82.49-
Balance:
0.00
11/26/96
UMMASMNT
City of
Edmonds
PAGE 4
02/19/99
10:38
Print Master
File
Account Details
Account: 3-01650
History
1)
Water
Surcharge
Sewer
Misc Fees
DEP:
Unapp
Total
2)
Penalty
StrmDrain
DEP:
Balance
Read Date
Sery Days
Read 1
Read 2
Read 3
Consumptio
Avg/Day
[Memo] --------------------------------------------------------------------------
Water
10/18/96
60
260
0
0
24
0.400
B 1
43.77
2.52
36.20
0.00
0.00
0.00
82.49
Balance:
82.49
10/21/96
R 1
46.37-
2.67-
36.20-
0.00
0.00
0.00
85.24-
Balance:
0.00
09/26/96
Water
08/19/96
61
236
0
0
26
0.426
B 1
46.37
2.67
36.20
0.00
0.00
0.00
85.24
Balance:
85.24
08/08/96
R 1
35.97-
2.07-
36.20-
0.00
0.00
0.00
74.24-
Balance:
0.00
07/25/96
Water
06/19/96
62
210
0
0
18
0.290
B 1
35.97
2.07
36.20
0.00
0.00
0.00
74.24
Balance:
74.24
06/18/96
R 1
41.17-
2.37-
36.20-
0.00
0.00
0.00
79.74-
Balance:
0.00
05/23/96
Water
04/18/96
57
192
0
0
22
0.385
B 1
41.17
2.37
36.20
0.00
0.00
0.00
79.74
Balance:
79.74
04/15/96
R 1
39.87-
2.29-
36.20-
0.00
0.00
0.00
78.36-
Balance:
0.00
03/25/96
Water
02/21/96
61
170
0
0
21
0.344
B 1
39.87
2.29
36.20
0.00
0.00
0.00
78.36
Balance:
78.36
02/20/96
R 1
42.47-
2.44-
36.20-
0.00
0.00
0.00
81.11-
Balance:
0.00
01/24/96
Water
12/22/95
63
149
0
0
23
0.365
B 1
42.47
2.44
36.20
0.00
0.00
0.00
81.11
Balance:
81.11
UMMASMNT City of Edmonds PAGE
02/19/99 10:38 Print Master File Account Details
Account: 3-01650
Screen 1
Tenant Information Owner Information i-
01 Name BAGINSKI ED 10 Name BAGINSKI ED
02 Care of 11 Care of
03 Addr 1 6532 170TH PL SW 12 Addr 1
04 Addr 2 13 Addr 2
05 City EDMONDS 14 City
06 State WA 07 Zip 98026-5213 15 State 16 Zip 00000
08 Phone (000) 000-0000 17 Phone (000) 000-0000
09 Status A 19 Water 341.47
===Meter Reading Information== 20 Surcharge 19.63
18 Location 6532 170TH Pl, SW 21 Sewer 38.30
Current Previous 22 StrmDrain 7.40
26 Curr 253 27 Date 12/18/98 28 10/23/98 23 Previous Due 0.00
29 YTD 253 30 Rdng 833 31 580 24 Current Due 406.80
34 LTD 798 32 Rdng 0 33 0 25 Balance 406.80
35 Meter #: 6096
36 Location 37 Extension Dt 00/00/00
21S OF DR 31W OF T/P IIN OF GUYWIRE 38 Acct Setup 00/00/00
39 Last Pay 12/14/98
40 Last Bill 01/21/99
41 Due Date 02/24/99
Screen 2
-- Misc Codes Rate Codes Units ***Meter Info***
01 Status A 14 Water 001 5/8 R 15 1.00 26 Meter BrndSR
02 Type 13 16 SurchargeOO1 TAX 17 1.00 27 Meter #: 6096
03 Cycle 02 18 Sewer 001 RSEWR 19 1.00 28 ID Meter
04 In/Out 1 20 StrmDrain001 STMDR 21 1.00 29 Type M A
05 Sort Cd 0000 22 Misc 000 NOCHG 23 0.00 30 # Readings I
06 Est Flag N 24 Penalty 25 0.00 31 Meas Code HCF
07 #Tenant 1 32 Install Dt 07/29/77
08 #Owner 33 Shutoff Dt 00/00/00
09 Respon? T 34 Route 301
35 Sequ 6600
10 Penalty Y 36 Codes ABIAL
11 Past Note T 37 ADDR. CODE 1 00
12 Shut Note T 38 ADDR. CODE 2 00
13 Account Info
39 Hist Memol
40 Hist Memo2
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CA FILE NO. 0 A — 0 6
Critical Are as Checklist
--------------------------------------------------------------
Site Information (soil shop o graphy/hydrology/ve getati on)
1. Site Address/Location: . eY31 170
-?,/ - 6
2. Property Tax Account Number: '-�? J- J 3 — 616"Cl
3. Approximate Site Size (acres or square feet): _ �6 ��O-
4. Is this site currently developed?_ yes; V no.
If yes; how is site developed?
Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
1 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site. contains areas of year-round standing water: ; Approx. Depth:
7. , Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
Fdt. tt WT Us
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City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
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Fax: 425.771.0221
Critical Areas File #: C-A -00 - 1'66
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: E- 14 - --000
City Receipt No: 9
Date Mailed to Applicant:
CRITICAL AREAS CHECKLISTJ6 1 4 "'01-99
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds Prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out.the appropriate column below).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
17V
Street Address
aw
City State Zip
�1,9i
Telephone
Signature
Date
d:receptionrjana/CACLHandout.doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
Revised 4110/20DO
RECEIVED-
AUG 1 4 2000
-PL A-Wiusi�. -DEP-T.--