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6960 160TH ST SW.PDFiiiiiiiiii 858 6960 160TH ST SW 0 The City of Edmonds Side Sewer Drawing EASEMENT NO . ........... ................................ NEW CONSTRUCTION Z/ REPAIRS F� LID NO - ------------------ IASMT. NO D OWNER -- ----------------------------------------------------------------------------- CONTRACTOR -------------------------------------------------------- - .......................... PERMIT NO. JOB ADDRESS6:��&c - l(po"14 LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ c------ --r ------------------------------------------------ ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ------------------------------------------------ ---------------------------------------------------------------------- ALI cl ID C!�4�s �—ID Lpv- �YU)f, L (lq 1314 PWW-0001-11/75(REV.11/78) EE�� - 10-u-e- C-ID 'A Approved: DATE...................... ....... By .,-.Z . ..... NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Emp,loyees 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). Permit No: aiQ004— 0;?�3 1,11.4,104 Jssue Date: .,, City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT A. Address or Vicinity of Construction: B. Type of Work (be specific): C. Contractor: 9 NO C-0, Contact: FATon6 ALLoPltj- DyA',(vV/' Mailing Address: P. Phone: _-2 -:�Ikt - All 1 -2, �v tz_- a- A :14-9 �_Z0147 7 7 Zd State License #: Liability Insurance: 16ond: City Business Lic ense D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. Commercial Subdivision El City Project EUC (PUD, VERIZON, PSE, COMCAST, OVWSD) Multi-Fanuly 0 Single Family F� Other' '4 5EW_ V C R x F. PAVEMENT CUT: YES n NO G. SIZE OF CUT Oq CONCRETE C1 *Y E S EINO Call for Pickup G. Mail Appi ed Permit YIV, INDEMNITY.- Applicant understands by hi-sNr sigqqtu�e to this application helshe'holds the City of Edmonds harmless from injuries, damages or claims of any kind or descriptl . on whatsoever, foreseen or unforeseen, that may,.Pf made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney.fees by reason ofgranting 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.'i ESTIMATED RESTORATION FEES &ILL BE HEL&UNT16.-THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBITOR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. * Traffic control and public safety shall be inaccor�dance with City regulations as required by the Ciiy Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifyijig completion of the required training in their possession. * Restoration is to be in accordance with City codes. All'street-cut trench work shall be patched with asphalt or City - approved material prior to the end of thew.orkday — N0,1EXCEPTIONS. * Thkee seis of construction drawings of proposed work are required with the permit pp__ ication. CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK '_'I"I HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQ UIREMENTS AND A CKNO WLEOGE THAT I MUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS Signature: �)Ac& kAL96en� ?.0 r4le, 600(0 - i /� A��Date: ' k V 21� (Contractor or Agent) REQUIRED INSPECTIONS: Call 425-771-0220, Ext. 1326for a 24-houir voice-rec or ,�(,e ,�,Spection request line FINAL APPROVAL OF PERMITTED WORK: DATE . C\Documents and Settings\CurtisNy DocumentsNFomis\Engnrng\ROWpermit_.doc Revised 10/01/03 4--A December 2000 CA-C, J-IL D Figure 6H-I& Lane Closure on Minor Street (TA-18) Typical Application 18 103; Page 6H-41 See Tables 61-1-2 and 61-1-3 for the meaning of the sVmbols andfor letter codes used in this figure. e (optional) ted Aftenuator (optional) Buffer Space (optional) ft) max. SccL 610 1 a LAYOUT LEGENDO vm PAD MOUNTED TRANSFORMER ES SUBMERSIBLE TRANSFORMER P1 ABOVE GROUND.J-BOX SUBMERSIBLE J-BOX SECONDARY VAULT PULLING VAULT SWITCH CABINET SECONDARY PEDESTAL PRIMARY UNDERGROUND CABLE — . . . . . —.---#350 SECONDARY UNDERGROUND CABLE — — — — — — — - 4/0 SECONDARY UNDERGROUND CABLE ......................... 1/0 SECONDARY UNDERGROUND CABLE STREET LIGHT CABLE 0 —POLE AND OVERHEAD LINE —PROPERTY LINE - RIGHT-OF-WAY LINE UNDERGROUND CABLE U—EXISTING EXISTING DUCT 10 — —FUTURE DUCT ------- S 0 SANITARY SEWER/MANHOLE ------- D ------ 0 STORM DRAIN/CATCH BASIN ------- W ------ o WATER MAIN/METER FIRE HYDRANT STREET LIGHT UNDERGROUND LOCATOR MARKER SCHEMATIC REFER TO SHEET 1 0 CONSTRUCTION NOTES* 1. REMOVE EXISTING #2 AL CNCTRC NEUT FROM EXISTING 2" PVC XING. CONNECT NEW 21, PVC TO EXISTING XING. 2.INSTALL 6" CONCRETE VAULT RISER (V0601) TO VAULT A-1457. L-23570-X GCIEA-3 IMTH STREET SW lLn LAYOUT its = 30' ABANDONED A-1457 7 EXIS-i I INU CABLE FROM GCIEA-3 TO A-1457 305' OF (1) 02 AL CNCTRC NEUT DB JCKTD PRI IN 2" PVC MAKE PO 1 11 1 —REEL DUCT BY PUD 40' OF 2" PVC W/0) STEEL 900ELBOW 210' OF 2" PVC 2t) PVC P��N CUT) I Ex I G T D p E w CuT SNOHOMISH C_0__U_N_TY___j F_D___� L_j__ k PUBLIC UTILITY DISTRICI NO I LOCATION-6960 160TH STREET SW.EVERETT 98026 AREA EVERETT POLE No GCIEA-3 — SW 1AS 5 T 27 R 4 DATE 9/22/04 WO No 342613 REASON FOR WORK REPLACE _.B.O. UGND CABLE ENGINEER MALLORY TASK 06 DRAFTER McPHERSON — UGND NO. 986-2 APPROVED 6p SCALE — NOTED DATE WORK COMPLETED FOREMAN DATE q10 ."ONMENTAL ANALYSIS SUBSTATION MEADOWDALE INSPECTOR M EXEMPT ONOT EXEMPT CIRCUIT NO 12-1840 PHASE PHONE PARA. 18 ITEM C ROAD CROSSINGS OF—LY FEES REQ'D OVHD CONDUCTOR KV 11 YES M NO ADD CKT FT PH APPV DATE DESCRIPTION PRIMARY OVERHEAD REM CKT FT PH 0 RESIDENTIAL NET CKT FT 0 COMMERCIAL REVISIONS LEO# UGND CONDUCTOR 7.2 KV APPV NO. DATE DESCRIPTION — Q S $ ADD 305 CKT FT PH PRIMARY UNDERGROUND REM <305> CKT FT PH 0 RESIDENTIAL NET 0 CKT FT 0 COMMERCIAL PERMITS (DATE GRANTED) BASIC FEE S 11 TREE TRIM LEU# 0 STATE � Q S—/,= S — 000UNTY SECONDARY UNDERGROUND 0 CITY BASIC FEES 0 @ S EASEMENTS M REQUIRED UNDERGROUND PLAT E*_ 03777 0 NOT REQUIRED BASIC FEE S ENGINEERING It FT @ S REQUEST NO. PLAT CONSTRUCTION DATE APPROVED It FT Q S FOREIGN CONTACTS STREET LIGHTING 0 VERIZON JPN# it FT @ S 0 CATV JPN# CROSSINGS 0 JOINT TRENCH VERIZON & CATV t FT @ 3 $ 11 JOINT BORE VERIZON & CATV AS —BUILT WORK IN RIGHT OF WAY 0 0 PRIMARY POLE STENCILIN& APPV NO. DATE DESCRIPTIOiT_ E]SECONDARY FROM TO FT 0 S TAKE OFF POLE MISCELLANEOUS FEES PRE-CONSTR REQUIREMENTS VAULT S 0 TREE TRIM 13 PUD LOCATOR PERMIT S M BACKHOE 11 $ M ONE CALL DATE TOTAL DUE S DATE PAID RECEIPT# ENGINEER PATTI MALORY CUSTOMER PHONE (425) 783-4412 PHONE PAGER/ CEI.LULAR (425) 346-8846 PAGER/ CELLULAR READY PHASING GIS WORKING F DMS FINISHED 11 LINE-,_ POINT USE LOCATION MAP PAGE 435. 1 XING PRINTED PRINTED ®R PICNIC POINT COUNTY PARK PUGET SOUND L7 WORK c:__ SIT t7— 99 IYA 164TH ST SW Z --- VICINITY MAP TAGS VAULT: EXISTING CABLE: 62597 c: G) coo 0.0. to 00 L ."m ow 0) D I . ':�C4 . N) w DATE RECEIVED PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBERrS?V/ CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 7 OWNER NAME/NAME OF BUSINESS PLAT NAMEA�UBDIVI SION No. LOT NO. I LID NO. Elz e d Ace +-e,- 's MMLING ADDRESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Apprmed E3 RW Permit Required 0 & q -,�, 0 / &,:5) Street Use Pernift Rsq'd 0 CITY IP TELEPHONE EXISTING — PROPOSED Inspection Required 0 Sidewalk Required 0 �7 IY3 REQUIRED DEDICATION_ FT =erground Wiring required NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 13 z M W ADDRESS REMARKS z z WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z Lu CITY ZIP TELEPHONE NAME ir'L ENGINEERING REVIEWED/DATE ADDRESS cr I`_ I q6, / A M , �4 V Cr 1--e- FIRE REVIEWED BY DATE W CITY ZIP TELEPHONE z S 0 Ij S ,;? ?u-70 LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATI DATE CHECKED BY REO'D IPOSTED I 0 YES 0 NO No 04- 1) e SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED, HEIGHT ALLOWED PROPOSED -j PROPERTY TAX ACCOUNT PARCEL NO. Lu 1 or)o EXP I , NEW ��<ESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRE6SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR AUDITION C] COMMERCIAL COMPLIANCE OR z CHANGE OF USE 0 REMODEL 0 APARTMENT C3 SIGN z IL PARKING REO D PROVI DED LOT ARE�� ING REVIEWED BY DATE REPAIR GRADING CYDS FENCE '\ X FT) REMARKS DEMOLISH TANK OTHER GARAGE ROETAININ CARPORT R CKERY� WALL RENEWAL Z (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYP�� T C ION OCCUPANT U) w , IV I GROUPe NUMBER NUMBER OF CRITICAL SPECIAL INSPECTOR OCCUPANT OF Z_ DWELLING 1 AREAS o STORIES 0 NUMBER? JAREA REQUIREPE] YES LOAD DESCRIBE WORK TO BE DONE D 4!,J rL r 09= 4e 4.)1- a ir -17 kzi REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION RECI'D 0z 1�9 7 VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % 'BUILDING 7— PLAN CHECK,,NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 GRADING/FILL 73 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. STATE SURCHARGE W PERMIT APPLICATION: ISO DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SU ENG. INSPECTION FEE FA CCESORS W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF I LAN P 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INS EE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHEfUEPOSIT REC7;; DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NOR LIMIT IN ANY WAY TH E CITY'S ABI LITY TO EN FORCE ANY ORDI . NANCE PRO-1014. REY I TOTAL AMOUNT DUE Z62 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIAL DATE VGNA �.T) ATE SIGNED (425) SIG7UREINER Q!7� , )E 771-02on 20 IfATE ATTENTION EXTP33 T IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 11 /A 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE - YELLOW INSPECTO� FAX PINK - OWNER - GOLD - ASSESSOR 5/98 CA FILE NO. 1-02, Critical Areas Checklist ---------------- --------------------------------------------- Site Information (soilshopography/hydrology/vegga�ion) 1. Site Address/Location: (IZ2CUP0 7-1 LJ 7 2. Property Tax Account Number: / c2 p 0 0 '-/ (' (2) 1 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? lw�. yes; _ no. If yes; how is site developed? S Describe the general site topography. Check allthat apply. Flat: less than 5-feet elevation change over entire site. Rolling: * slopes on site generally less than 15% (a vertical rise of 10-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 10-feet over a horizontal distance of 33 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: 0 Approx. Depth: 7. Site contains areas of seasonal standing water: M 0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway - Al c) floodplain-)V 0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? ' U 0 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: Q .... ..... . ... �"___r7��For City Staff Use:0nI 1. Site is Zoned? .2. ..SCS.mapped soil t..* v Lpt-W, D, C-0M'FLr_—X y 1 Wetland inNientot�..:Oi.C.'.A�.:mat)::indicates..we0�nd.pr�sen.t.:on:iiti?:., FMW- 4.: Critical Areas in*en'toriy. -or, CA-.:: map.-ii . ididates.1 Critical. Area, on site?: W F_R0SV0tA' . ... . .. .. .... . .5. gi.tewi-thin::.des.ign.a.to.ci.:'C.a..r.th::subsidene.e.landslidd�hazard-ama?::: 6. Site:detipaied oti thAn yirpilinental] SdMitiveAieasM:!N�—�.—.C:ZF—V>tt�'. ?1SqL^A9_F_t% .. .... ..... I -Y ap DETERMINATION X STUDY WAIVE Reviewe.d.by; Pev 1010"7 City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: CITY RECEIPT#: Ik W5 Critical Areas File #: Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT: CRITICAL AREAS CHECKLIST 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/or 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 assistant 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). i PLEASE PRIRT CLEARLY Owner/Annliaant: Name Street Address city State Zip Telephone-,/-/2 Siin-a'ture Date: c:mYdwumcntz(sPcthn%n&rma/CACL Formdoc s:xhamhemPri=dfcnnsCACL Formdoc Applicant Representative: Name Street Address City State zip Telephone: Signature Date: City of Edmonds Critical Areas Determination Applicant: I Fred Bates I Determination #: CA-01-002 I Project Name: Permit Number: Site Location: F6960 160" St. SW Property Tax Acct #: 1 5131000 046 0100] Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to a number of critical areas, including a Steep Slope Hazard Area, Landslide Hazard Area, and a Erosion Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required satisfy the requirements of ECDC 20. 1 5B by completing the following: Steep Slope Hazard Area Delineation Reguirements: To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of 40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50- foot buffer is required from both the top and toe of the slope. A 15-foot building setback is required from the 50-foot buffer. For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot buffer setback, it must be shown that the development will not adversely impact the Critical Area or its buffer, by doing one or possibly both of the following depending on the outcome of the study: I . For development proposals which will occur within the 50-foot buffer, but no closer than 10 feet from the top or toe of the slope, the 50-foot buffer requirement may be reduced to 10 feet if a study is completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. All Critical Area Studies, except those done by a licensed geotechnical engineer, must be completed under a three party contract where the City hires the professional required, and the applicant pays for the study (pursuant to ECDC Section 20.15B.140). 1 2. If development must occur within the critical area, buffer, and/or buffer setback, and is not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.1513.170A and 20.15B.040C. - Landslide Hazard Area All proposed development of the subject lot must meet the requirements of Chapter 19.05 (Building Permits - Earth Subsidence and Landslide) of the Edmonds Community Development Code. Note that building permits within the Meadowdale Landslide Hazard Area require more detailed information than is normally required, which is detailed in the Meadowdale Earth Subsidence Packet. Erosion Hazard Area The site is also in an area designated on the Critical Areas inventory. as Slopes with Erosion Potential. All proposed development must have an erosion control plan approved by the City of Edmonds Engineering Department. Both the qualified critical areas consultant and the Land Surveyor shall enter into a three party contract with the applicant and the City of Edmonds as required in ECDC 20.15B. 140(D), where the applicant pays for the study. The applicant may suggest qualified professionals for the City's approval. If the results of the Critical Areas Study determine that the lot may not be developed, the applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC 20.15B. 1 70A and 20.15B.040C). If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development -permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. Name Signature Date 2 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 . I 0 0 0 0 0 0 1 1 0 1 1 1 15809 � I p p I A-J� 1 0 1 1 1 1 0 1 1 1 d- I 1 0 1 d- 1 0 1 0 0 J d- I 1 0 1 1 o o 1 0 1 e 0 '1" 15810 ww I I I 1 0 1 15818 0"1 . .. — . A I I I I I 1 0 4 1 1 1 1 1 1 LLJ . . . . . . . . . . I I I I I e 00 0 0 . . . . A I J J I I % 1 15828 15826 > 15827 4 A 15904 15902 15911 15907 4§WQ' 15906 IM28 A e 0 0 0 0 0 0 e 159#2 15908 15917 15915 1 0 00000 e 0 I I o I I 9w 6911 6909 % % 1 0 1 1 1 1 1 )..R I 1 160 ST SW 6820 15931 16.428.* 16 P6M Mo I 1 0 0 1 1 1 I ir ir Io I I I I I I eeeeoeee I I I I I I I I I I I J I I I I I 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 NO 0 0 1 111 1 1 1 0 e p O� I I I foid . . . . ; Io 00 1 0 1 1 1 1 1 P 00 1 0 0 0 0 0 1% 0 0 00 0 1 1 MON.- . Ko I I . I . I d. I I I I I I I I . J I I . I I I I 00 1 0 0 e I e I I I e . I I I I I 'A�10-,O o I. I I I I I I 1 0 0 I I I I I . I I I 1 0 1 1 .0 1 I 1 0 1 1 1 1 0 1 1 1 1 d- 0 1 1 o OWN 0 0 1 0 0 1 0 1 oll" I I I 1 0 1 1 1 1 0 1 .0 1 1 1 1 '6 to I I I I I . dGM 0 .1 1 1 1 0 1 1 1 . I I ow 0 000 e00000 0 1 0 000 0 1 1 1 1 0 0 1 00 0 0 1 1 J -1 .1 0 1 F 0 1% 1 0 oeooeo 0 000000" 0 1 0 1 0 0 000 e 0 0 0680 1 94F -P I I 1 10 I I I I e 0 I I 1 0 1 1 oe o 00 0 0 e dw 00, 1 0 1 1 0 *t I I I I I I I I I I I I I I I I I I I I I I I I I I I I I j40000 1 0 0 vieF I I J&2J7F o oo I I I I I o 0 0 f&7fr 0000eoo jj� I I I I I I oee000 00000 0 1 1 0 0 16209 e-F e. .0p .0p -OF -OPP I I I 16 0 1 1 .0 1 1 1 1 1 0 1 0 1 1 1 1 1 1 .0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I-V02F I . . I I 1 .0 1 F I I I I I I . . I I I I I I I I I 1 0 1 1 1 1 1 . - I o I I I I I . <)ODLIrM SPACE 1 11 1 1 F ;p I I I I 1 0 1 00 0 0 I 1 0 1 .0 11 1 .1 1, 16214 ap 00 0 1 1 1 1 1 1 1 1 1 1 1 I I I I 1 0 1 1 1 1 1 1 1 1 1 1 1 1 d- I I 0 0 0 1 000 0 1 1 1 0 00 1 0 1 1 1 1 1 I I o 0 1 20 bwjp I o I I I I I I . I I . I I I 1 0 o I I . 1 0 0 1 1 LU -F, jem 00 1 > 1 .1 1 0 35 o 16222 0 1 1 1 1 %, _. V STREET FILF CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) I ADDRESS OF PROPERTY ..... ........ 0 . .... --- >ot No ....... . ........... Permit No.26!�� ..... Owner --- .......... (-. .... ... .... Phone.)�05_7.77.70d Builder .... OWNE—)e ................ ._ ------ Address ............ 141 .......... ................... ............ ..... Phone .......... i ............. �,/ Designer..k9E.I*.D2-.M.ID)Q!tE-.'70..-.).-I ddress32d—_/V4JA/ ..... �*_, .............. Phone..Re"7/ Installer------ 01VIVEE> .................................... Address .............. 4 ............ ........................................ Phone ....... ............... 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 ................ 7 - 7//_7/`�677 . ................ have been complied with. .......... . ........... �a ;'e .... * ........ TO BE FILLED IN BY CITY ENGINEER ONLY Accepted ..... �: .... � �. ............ I ........ Date ... ep -7 Ass tant--Engr. Dept. Not Accepted ......... ... ----------- -_--------_--- - .. Date .... ... Signature of Sanitarian Remarks: ...... Approval based upon designer's certification. ................................................... . ........................................................ ............................................................... INSTRUCTIONS: Use the reverse side of this form fox, tile 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 ove'r 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 tile action of tile septic tank and disposal field. k, =AS -BUILT P LT PLAN & DRAINFIELD DESIGN FOR: . FRED BATES The -West 175.00 feet of the South cne"half of the East 620.00'feet of Tract 46 Plat of Meadowdale Beach, according to the plat thereof and recorded In Vol. 5 of Plats, Page 38, records of Snohomish County, Washington; TOGETHER WITH an undivided one -quarter interest In the West 30.00 feet of the East 460.00 feet' of the North one-half of said Tract 46. June 3, 1968 Scale: I" - 20.001 Provided 264 sq. ft. of'trench area in two 24-Inch wide laterals as shown. System conforms to City of Edmonds regulations. N) /7 Cb F7, 1 —7 RLJDO ASSOCIATES Gmuit-pq rl.,jrjem, &Und SurveM 324 Mpir, SM PR 8-1171 ED!�jONDS, WASHINGTON k� N. Ill NN Job No. 12.319 CITY OF EDMONDS DEPARTMENT OF OLW9)W)OM ENGINEERING 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to:.. ...... T=AZIE.0 ................. .. T.J=. . ...... For installation at: (street address) ....... (�O. Co. -0 ........ ....... ...... �e. D.)'� .................................. 'P'T V4, Addition or Subdivision ....... — ------ . ................... Lot./3-.<,Z,._ Block ................ Type of Building: New ...... X__ Existing ............ Single family residence ...... )< ....... Number of bedrooms ...... *3 .... . .... _ Other: (specify type or use) .......................... ------------------------------ ------- .................................................................................. T_ . - Builder ....... .................... B. ...... Address ...... ...... Designer- ------ - --- ------ .... Address ......... 144n ... ............................. Soil Log Hole No. I --------- .... .. ------------- lc=� ------------- ------ ............................................... ............................... ................................................. ........ Soil Log Hole No. 2 --- ....... 7..�� ...... rL�' =55 ........... ............................ . . ............................................................................ ......................................................................... Elevation of Water Table, if encountered. (Distance from ground surface) k--A 5::> . ............................... Corrections to control surface water if needed ............... ..................................... I ................. 11 .......... I .......... ................................................................................................................................ ......................................................................... Specify if any removing or grading of topsoil in field ra V'-- x ................................................ ....................... y cR -e a-r> I r.-I C-3 V_— 'D T—>A I -tj V=, ie LT> ............................................................................................................................................ ........................... Percolation: Test Hole No. I —Average Rate ..... A.5�..15 .................. .... (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate ........ V. ..................................... (Fall in iiiinutes/inch-bottom 6" test hole) rL Test Hole No. 3 —Average Rate ......................... ....... ----------_ ------- (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design In . Date Taken.71_1...IA/�� Septic tank requirements based on present rules and regulations: REID, MIDDLETON & ASSOCIATES Septic Tank Size ..... 9. Q.Q ....... gallons. Consulting Engineers& Land Surveyors Amount of Square Feet of Disposal Fli d..�VB.4_ 324 Main St PR 8-1171 ---- ------ ................................ EDMONDS, WASHINPTON Signature — Designer ...... .. ------ ...................... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ........... jmly ...................... Permit Number --------- ZH ............................. Remarks: .......... $Pbj99t --- I;P_.qit_VJnspection. ..... . ............. ...................................... I ................... ............................. I ............... SEWAGE DISPOSAL PERMIT 0 Septic Tank ......... :96 ------------- gals. CITY OF EDMONDS No. Disp. Field ----------- :2.64 ......... sq. ft. Department of 9A41KA9ft , Lngineering Other------ --------------- ------------------ Name ------------------------------- F.W.D—B-ATE-S --- .......... --------------------------- .............................. -------- I ... is hereby authorized to install/ repair sewage disposal system at', ----------- ........... - ------------------------------------------- ------ ........................ ..................................................................... ........ Date issued on .......... �TUIY ---- 14-1%7 ...................................... Permit expires one year 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 ---------------------------------- Approved Disapproved Date --------- ZA �,Iouik <--.F - ------------------- By ---- ---------------- ............................ Remarks: ---------------------------------- ------------------------------------------------------------- ----------- --------------------------- ----------------------------------- ------------------------------------ SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------- Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. 0 plotsplan & Drainfield Design for: Fred Bates., 22421 95th Ave. W., Edmonds 4- The West 175. 00 feet of the South one-half of the East 620. 00 feet of Tract 46, Plat of Headowdale Beach, according to the plat thereof and recorded in Vol. 5 of Plats, Page 38, records of Snohomish County, Washington; together with an. un- divided one -quarter interest in the West 30.00 feet oil the East 460.00 feet of �the North one-half of said tract 46. July 17, 1967 Scale: 11' 20' Percolation Tests No. Depth Rate P-1 3011 1. 5 min/in. P-2 30 " 1. 8 min/in. P-3 30 " 3. 2 minlin Average Rate: 2. 2 min/in. f4i., �_z' Soil Log Data . M S-1 011-2" Duff 211 - 6011 Fine Sand & Gravel T S-2 Of,-211 Topsoil 211-5511 Sand and Gravel LO Ln Q Provide 264 sq. ft. of trench area in two laterals of equal length (24" X 66' 1g) NOTE: Lot to be gra ded to drain away from house. 0 0 (D P-5 W CA TU M 'RL. 1IDDLE-TON & ASSOCIATES Consuh;rg Engineers - Land SLrAf-_:'YQt-S -H. Job No. 12.319 3'24 tl�AWNI CST� EDV-!ONDS, WAS CITY of EDMONDS S I D E SEWER PER191-T For Inspection C-all 771-3202 PERMIT NO. 07893 Address of Construction: L5, �Jr v 5�7_ 6W Property Legal Description (Include all -easements): Owner and/or Builder: /— y e- Contractor & License No: 4 K\ 0 E C ;�t Single Family Residence Multi -Family (No. of Units Li EEEH] 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 de,scription and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I cert-ify that I have -read and shall comply. DaWl with the'items listed on the back. Permit Fee: Issued By. Trunk Charge: bate Issued: (30 Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: Date Initial 00 Rejected: CD —Tn —i Reason Date tial PERMIT MUST BE POSTED ON JOB SITE Wh.ite Copy File Green Copy - 'Inspector Buff Copy - Applicant