6920 160TH ST SW.PDF856
6920 160TH ST 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 accuracv 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 Iocation 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).
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CITY of EDMONDS
For Inspection Call 771-3202
Address of Construction: 6 I.Q 0
R C" E I V E D SIDE SEWER PER,M.IT
=PfRMIT NO.
DEG$TREET FILT:
[LYNNWOOD L41NEE
/ (" 0 f-r-/
Property Legal Description (Include all easements):
Owner and/or Builder: C-1 0 V_ct tj V\
Contractor & License No: Kevl,v-, Ult*�-Z_k�L
Singl:e� Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
M V*_ 0 Vt C
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 READ THE,ITEMS LISTED ON THE BACK
0
I certify that I have read Ind shall comply Date
with the items listed on the back.
Pe'rmit Fee: -30. oc> Issued By: 6-7/z4
Trunk Charge: 2-1700 Date Issued: /,?—//
Assessment Fee: Receipt No.: 41031
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
/)_-/9-8S-
Date Inipal
Rej . ected: Reason _ff-a—te Initial
** PERMIT MUST BE,POST,ED ON JOB SITE **
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
Ael"I" t
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------
fftco"D. Cot4m-
NEW CONSTRUCTION r-1 REPAIRS 0 LID NO. ----- - ASMT. NO. - ------------- -
OWNER ------ S - - ----- �ip-,Vrr-Lsts ----- ----------------- CONTRACTOR -)kF-V-lN X V-- --: T Z- -v-,t �i ------ PERMIT NO. .774.2.1---
JOB ADDRESS ----- E).9-2,0 -------- WOO ------------- ----- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------ - LYNN-WOOD-LINE
-------------------------------------------------------- -------------------------------------------------------------------------------------------------- ------
NAME[OF ADDIT ------------------ I -------------------------------------------- ------ I ----------------------------------------------
(692,0 IGO T" ST.
11.5, 0"1
4.5
.140-7-
IN, 1.5,Ix.
**c.o.%suc
46'
aw
2: OP.
Vt.Vt."r%F
ut u u u --of
85 1 4 Tee
MAIN Approved:
Tb LCOOT14 1830
PWW-0001 -11175 (REVA 1/78) DATE AW2d&P. Ift5By-.46k ------ --- - ------- ----
Ix, un. 'P ED. 4�
STREE7 FILETY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Subinit in Triplicate)
ADDRESS OF PROPERTY ....... A?2P... 160th S. W . . ............................ Lot No ... 46 ............. P,,mit N . ......... ?7? ......
.. .... .........................
er t
...... ......
Owner .... I)r -P.* ... L.,_ Porus Add,,,, 1712 -PaPi-fic ... Ave ...... Ev I ... e.t ... I Adne.A�!..9.-5.1.6_t.
Builder _ - - Same ----_------------ ----------------- - ... __ ........ Address -------- Same ...... ..................................... .... Phone ...... Same --------
Designer..._.N.9k. BA.-Meyring -------- Address --- P..*O.... Box- -3.2. _ 1yxmwoo.d..__.WAbh - Phone.,PR_.a-!!3.101.
Installer ---- North.-Edd Septie-Zank ..... ..... .- Address.- .- 19-500 ..Aurora -.Ava*. -S.M. Wask....U.-2-2222
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on my sewage disposal system permit application dated ................
. ....... .... ................................. have been complied with.
................................... ........
Signature of Designer
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ------- ............. ............... .... . ........ Date ....... Z,-- e/
t /� 1W
r-- — --------------------------- D_ -a- t- _e -------------
Not Accepted Date. . .. ................
Signature of Sanitarian ----------- .......................... ........
Rernarks:.- '04e---t ....... 'a�g-e5�0 . ...... . .................................... ........................................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loadinig the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2V2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or. patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harin the action of the septic tank and
disposal field.
Owner,:
P. L. Forms
L. Pofts
1712 Pacific Av'*�,
zVollett. Wash.
For. Tr. 46. 14eadowdaje Beach
'DwIgner t
WASH.
M - B . I�syring
P .0. Box 32
August 1967
Lymmood 0 Wash
Permit No. 277
Installerl
Nortit, w S Optic Tank Co
692o 16oth S. w. &bmids, Washi,
ft, Ave.
Seattl*'Vashl
All
to
0
Art
-T
Y
2—
Vey ring Surveyors, TrIc.
Septic Tank ...... ....... gals. SEWAGE DISPOSAL PERMIT No . ......
CITY OF EDMONDS
Disp. Field� -------- ur6-6 ...... Department of Public Works
3 e, A'
Other--------_--------- ----------------------------
Name -------- - A --- --- ------ -------_---------------- ............... --------------------------------- is hereby authorized to install/
repair sewage disposal system at
69.�70 ......... -------- -------------- -_--------------- ............................................................................
.................... I ------- -------------- ................ -------------- -- ---------
Date.issued on ----- ....... V.0 . ..... 1-9-a-7 ......
Permit expires one y r from date of issue
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all provisions of the City
of Edmonds Resolutions.
Signatureof Installer ---------------------------------------------------------------------------- Date ----------------------------------
ApprovedE] Disapproved Date ---------------------------------------- ------------_---_--- By ----------------------------------------------------------------------------------
Remarks: ------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------
SANITARIANOR DESIGNER_ ---------------------------------------------------------------------------------------- ..... Date ----------------------------------------------------------
This permit shall be posted in a reasonably conspicuous place,on the job until inspection has been completed.
N4
CITY OF ED MON DS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ...... Dr. P. L. Porus
....................................
For installation at: (street address) --------- _ -a- I .
. ....... .. .......... ...................... .............. I ..............................
Addition or Subdivision., lWad'o-wd-a le ... B-ea.ch ... Res.e.ription ... attach.e.d.) ........ Lot ................ Block .... 46 .......
---- - - --- ---- - - -- - .. .. . .. ...... . ..
Type of Building: New..x ....... Existing . . . Single family residence X Number of bedrooms 4 .............
Other: (specify type� or use) .................... .......... ........... --------- __ -------- .................................................. ..............................
Builder...... Vn-kn.Qwn .......................... ................ ............ Address ---------------- .............................. ........................................
Designer ...... M._.B...Meyring ... -------- ....... ......... ---------- Mdress_P-0- -Box -.32,__1y_nnWood,Washiagton - -----
11-811 it -
Soil Log Hole No. 1 ---- Q .. ...... a011.3 ----------- sandy. loam..with.gmvel .....................
SoilLog Hole No. 2 ........... 'Same ........... ................................. ................ ....... ................................
Elevation of Water Table, if encountered. (Distance from ground surface) ---..N=e ........................................................
Corrections to control surface water if needed ...... SYMI-e...exterior-P�.ast .. lirie ... o.f ... pro -party ........................
Specify if any removing or grading of topsoil in field area.- ............ ........................... ........................................................
....................
Percolation:
Test Hole No. I —Average Rate ......... 8 .......... .......... __ - ... .. , (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ......... 5 ............................................ (Fall in minutes/inch-bot:zom 6" test hole)
Test Hole No. 3—Average Rate .......... 7 ..................... ........... .. _ .... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ... 7 --- rain..... ---- -------------- . Date Taken ------- --------
Septic tank requirements based on present rules and regulations:
Septic Tank Size ... !QQQ ......... ..... gallons.
Amount of Square Feet of Disposal Field .... 569 ... qq.._jt A, 36.'. french
Signature — Designer ...... ....... ................. . Date ---- / Z/Z- zl-w
............................... ...... --- ------ ---------- .................. ... ......................
C/
DO NOT WRITE BELOW T �INE (L/be completed by Issuing Agency)
Peim it issued (date) ..... -mit Number .......... .................
------------------------------- Pei
Remarks: ......................... ........................... . .. .. ....... . . . ..... I . ............... .................................................
P
DE)saripjtloW
Ali or the %,bet 24o rt. or the Wiir na'st 'We'-fte
of Tract 46& plat of Meadowdajo Beach as recorded
In Vol* 5v- of Plate re6ordo of Sn6hmish Comty&
lose the east 229 fte of ths North 11704 ft.e
Togstbor vaith a undividad interoat Sn. the Ves",
30 fte of the Zest 460. fta, a. the Nlc's4 fbr rm4
and utility pArposes,
0
I
gar'ltatlom Deo.:Er.
Por.
sll(l
P`7
k—w
deC
5OMP - D Z�i7X eeA1A.1,5C 7-10A/
1-43
4
5 ,,7g-4J
/11;� r't521, ev"05
Lyr o d Wa sh
0-.-mp. r
Forus
I'll?- Faeific Alro.
Evcr;it*�,
///-S, /"o/
/""-Ov/," h1s
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5 C, q /' 57 , �! 70 7 /1, -
r�,,,—ing Survoyors, -,nee
w
PLANNING DATA =STREET �id
SINGLE FAMILY RESIDENTIAL
Name: r- (-T-eAd (jro ,
1' OOS7(71000rpq6"�
Site Address': 6 9 2,6 6o*
Date: _Z
-.1
Plan Check 20 (3,0 2- 3' Q
Project Description: D_t"IL-
Reduced Site Plan Provided: ( .0s/ NO)
Zonin Z_
Map Page:,
orner Lot: (YES
Flag Lot:
Critical Areas Determination ff: Ct2A7:�2or5ee(b %_
N�-Study Required
waiver
SEPA 0 ermination:
YEkempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required tbacks
SW9,t:
10
Side:
(0
Side. D
C_
R p.
W I ()
A ctual Setbacks cV
---Fide:
60
Side:
El Detached Structures:
Rockeries:
El Fences[Trellises:
El. Bay Windows/Projecting Modulation:
VCStairslC��
Height
Datum Point:
atum Elevation:
Maximum Height Allowed:
Actual Height: 13
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:
ADU Created: (YES kv
Subdivision: Z-0
Legal Nonconforming Land Use Determination Issued: (YES
comfneflts
Plan Review By: A C
Plarm" Data Form 04-11-06Joc
r-
ENGINEERING DIVISION
4rR,go AS NOTED
1,
pate: 3( tqJ13
Cw4povUAV GY-0 6 kiyl
47..75
Gravel Driveway
155.42
2 4 f [in e
83
59'-6"
6-
1�
0
-t
-4
m
&ROGERS
Construction
Ap VED BY PLANNING
z ."e —F-7
—L, Actual
Siatbacks E2gR�red
Front I �op 5-3
Sides,ql&/ JUE1610
Rear ---------
mer ----------
0 2- 3 0
OSPI-REET FILE
RECEIVED
MAR 0 6 2013
DEVELOPMENT SERVICr
COUNTER
SCALE: I" = 20'
Lar COVERAGE
LOT AREA SQFT. = AM'
LOT COVERAGE SQFT. = 1,97
DEO( = 48Z
MAL COVERAGE = 2,074?
LOT COV0 = 117/6
LEGAL DESCRIPTION
MEADOWDALE BEACH BILK WO D9
PLOT PLAN
Feb 26, 2013
Marlene Friend
SHEET
p 1
69 20 - 160th street SW
Edmonds, WA 98026
PARCEL ID NO. 00513100004609