7010 165TH PL SW.PDF1111111111
915
7010165TH 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).
a
Side Sewer Drawing
The City of Edmonds tJ7 FULE
EASEMENT NO - ----------- ------------ -------------------
I
z NEW CONSTRUCTION REPAIRS El LID NO - -------------- .---,ASMT. NO - ------------------
OWNER �-� - ------- ............. ....................... CONTRACTOR -E�.* .. . ... - v -
-C9 = X- 4. V.F.5 t =)P -,, r=: .......... PERMIT NO. 6PZ7A
JOB ADDRESS ..... . F ---.L ...... LEGAL DESCRIPTION: LOT NO. � ----------- (f,- ..................... BLOCK NO - ------ -----------------------------
.................................................................. -----------------------------------------------------------------------------------
NAME OF ADDITION .... .......... qqjE��s .....................................
Approved:
PWW-0001-11175 (REV.11178) DATE ..... �iLZZ-7 . ..................... By ----------------- P . ..........
,'OF EDMONDS.
_ji�LIC WORKS DE_**NT FOR INSPECTION CA*_
775-2525 Ext. 220
SIDE SEWER PERMIT
Permit
Issue Date ;J�
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction f)
2. Property Legal Description (include all, easements) /_(9
r4�
�'Z)r000,
3. Single Family Residence Multi -Family No. of Units
Commercial
4. pwner�,and/or Builder
5. Contractor & License No. -i,,- T 4- 1? L Q
6. Invasion into City Right -of -Way: No &110�'Yes (If Yes Right- of -
way Construction Permit Required Call Dial Dig (342-5344) before
excavation).
E-1 7. Cross other private property: Yes No L,;-,-'-Easement required -
U attach legal description and county easement number.
READ THE FOLLOWT,,NG AND SIGN:
a4 -
P4
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility,for each
installation for one year.
C. Commercial establishment-requ-i-res---a minimum of a sixinch (6")
a4
z side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
M e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (450). 0
E-1 f. No turn in side s8wer greater than 45 (1/8,bend') is 0 allowed
between cleanout. All 90 turns must be constructed of a 45- (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding.when installing 'Sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer line run.
j. Trenches within City'right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have -.read
and shall comply with the above
PERMIT FEE: (a I D re
CONNECTION FEt: �JO�Alz
44 PERMIT MUST
DISAPPROVED BY: Date:
j By: -Date:
APPROVED By: 4 _dz— —Date:
PO * STED ON JOB SITE
j
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94
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PUBLIC EURKS DF.Rt'�R�, I= CHECKLIST
CM Date
.OTWtR FEE 10 ?ou J&r -k), Addres
Street Right -of -Way Existing REQD
Access Easements Existing REQD
Utility Easement Existing REQD
Lot per Subdivision Plat Assessor Map
Site Plan Checked for Accuracy 912-1 1-7A
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environrentally Sensitive Area
Environment al Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area Nk
Slope, Soil, Vegetation N
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd. ADB # Approval
Board of Adjustment,Nproval Reqd.
Existing Water '�lain Size
Water Main Reqd. A -)A
Service Line Reqd. �%q
Hydrant Si:2e Existing Z>r-
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd. -A71p-
Cross Connection Inspection
Fire Department Cbmments
Water Meter Charge ReqO
5*�q 0
Review by:
Septic
Septic Tank Perndt Reqd.'_
Sanitary -Sewer Availability
Drawing NO 7 (a. 6
Side Sewer Availabilitw—
Date:
f Dat:e:
Permit No.
oF /---- n 2 PrOi - Ir-Y '9,7-
File No. I —
Sanitary Sewer Connection Fee--� �qd--�
Revia,, By: Date:
(;;5
lqr
BUILDING DEPARTMENT
Applicant Fill
USE VWMIT
ZONE UMBER
'PERMIT APPLICATION
lnsi.de Heavy Lines
JOB
ADDRESS
NAME (OR NAME OF BUSINESS)
0
T,
�G L LOT
ES 0 No
PLAT NAME
SUBDIVISION NO.
MAILING ADDRESS
(D -- -7,,�) 1,1e) A,1 - *
PUBLIC RIGHT OF,WAY PER ORDINANCE NO.
EXISTING RIGHT OF WAY cst�
PROPOSED RIGHT OF WAI�__
CITY
z5'11jA;;?a11)j f I
TELEPHONE NUMBER
NAME
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V c , P/1-1
DEFICIENCY OF RIGHT OF WAY
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III
IL
ADDRESS
Ile-
STREET/UTILITY WORK REQUIRED &YES NO
PERMIT FOR WORK IN PUBLIC R/W WAY ES NO
UNDERGROUND WIRING REQUIRED *YES ONO,
CONNECTION TO SANITARY SEWER 10YES 0 NO
SEPTIC TANK PERMIT REQUIRED DYES li4NO
SEPTIC TANK PERMIT NO.
17; 4,
LEPHONE NUMBER
0
U
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0
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NAME
C (CAI Al /4/�; C
ADDRESS
SEE MEMO DATED Ct
4-11 y
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED
-C)/
z
0
Legal Description of Property (Show Below Or Attach Four Copies)
METEI��IZE
BUILDING SUPPLY SIZE
W
REWAROkS
SIGN AREA
ENV. REVIEW
AOB NO.
U
ALLOWED PROPOSED
COMPLETE EXEMPT
SHORELINE #
W
REMARKS
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS ILOT
FRONT /0 SIDE
COVERAGE
GAS
[ErNEW [2/RESIDENTIAL LINE
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
ElADD NON-RESIDENTIAL SIGN
DEMOLISH RETAINING
EIWALL
EXCAVATE FENCE
El ALTER M OR FILL 1:1 1— --' "
F] REPAIR PRE -MOVE swim
INSP. El POOL
ICODE
I
SPECIAL INSPECTOR JAREA
REQUIRED
0 YES N 0
OCCUPANCY
GROUP
I
OCCUPANT
LOAD
PLAN CHECKED BY THIS SIT E IS LOCATED IN THE 61-TY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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0
W
0
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CL
W
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NUMBER OF STORIES
jr4umBER OF
DWELLING
UNITS
WATURE OF WORK TO BE DONE
/Ae I-t/ & IJ 'EA-1 C Z:—,
PLAN CHECK FEE
VALUATION
FEE
PROPOSED
III
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(a
W
0
0
0
J
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T PLAN JINDICATE BUILDING SETBACKS,
ABUTTING STREETS)
. I
BUILDING
PLUMBING
MECHANICAL
FENCE
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SIGN
ton
W
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"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indeninify, defend and hold.liarmless
the City of Edmonds, Washington, its officials, employees, and
lo�cllll fr(1111 any and all clainis for damages of whatever nature,
RETAINING WALL
Issit-
-3WIMMING P00t.
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Linei
NAME (OR NAME OF BUSINESS)
1 /- . -F,, Xzz
W MAILING ADDRESS
z
0 CITY TELEPHONE NUMBER
K k j -T�l -f'(_1 TWATA,-1
U
W ADDRESS
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M C I TI., ITELEPHONE NUMBER
_j
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NAME
14 4, CAI A-j C C;
0 ADDRESS
U
4 7,S R1 A 6- .6 i,�-)AY
Cr CITY TELEPHONE NUMBEF?
z
0
U STATE LICENSE NUMBER CITY LICENSE NUMBE
4 9, 23 - c / 1:il- - - e 6 - -a x 2
Legal Description of Property (Show Below or Attach Four Copies
z
0 4 0 Z1171�_ IZOAI
U
0
W
[i?rN E W
EJRESIDENTIAL
GAS
r LINE
NON-RESI.ENTIALI
0 SIGN
ADD
DEMOLISH
r -1 RETAINING
F ALTER
EXCAVATE
FICIR FILL
WALL
FENCE
[_ X_FT)
F REPAIR
PRE -MOVE
DINSP.
swim
POOL
z NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
U Ae -i-t/
)e & -C A/ C, 4:_
0
PROPOS�D Us�
, �- k� 3
i ABUTTING STREETS)
U
0
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold harmless
2 the City of E.dnionds, Washington,Ats officials, employees, and
any and ;ill claims f0r daniages of whatever nature',
USE PERMIT
ZONER UMBER
JOB
ADDRESS
L LOT
PLAT NAME
SUBDIVISION NO.
;YG ES NO
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
EXISTING RIGHT OF WAY
PROPOSED RIGHT OF WAY
DEFICIENCY OF RIGHT OF WAY
STREET/UTILITY WORK REQUIRED
*YES
NO
P ERMIT FOR WORK IN PUBLIC R/W
[AYES
ONO
UNDERGROUND WIRING REQUIRED
*YES
0 NO
CONNIE CTION TO SANITARY SEWER
WYES
0 NO
SEPTIC TANK PERMIT'REQUIRED
El YES
MIND
SEPTIC TANK PERMIT NO
SEE MEMO DATED Ct
REMARKS
CHECKED 13Y
ETERj,SIZE I BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED I PROPOSED COMPILE I
REMARKS
VARIANCE OR CU IPLANNING REVIEW BY I DATE
YARDS _/ LOT COVERAGE
/0 1� 5
FRONT SIDE REAR
FIRE ZONE ITYPE OF CONSTRUCTION I CODE 1HEIGHT
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
REQUIRED
1
GROUP
LOAD
1
0 YES 0 N 0
PLAN CHECKED By
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04..
REMARKS
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
RETAINING WALL
VALUATION I FEE
0
3-1
U
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M
W
3:
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CL
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'j-'AMING PC,�'.
Nte:
\L,(), Address
0
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1-4
Z
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Z
W
Street-Right-of-Way�Existing REQD
Access Easements Existing REQD
Utility Easement Existing 0 r4 0— REQD
Lot per'Subdivision Plat Assessor Map
Site Plan Checked for -Accuracy
Underground Wiring Reqd.
Check A�curacy of Legal'Description
Environmentally Sensitive Area
Envirornental Checklist. Reqd. bi ra. .
Flood Hazard Zone N6\-�
Shoreline Management Area Nk
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoninig Per C6de
Anienities Design Board.Approval Re4d. ADB # Approval
Board of Adjustment.�pproval Reqd. _t%4n
AWA
WO A, N�
Existing Water j'.,,Iain Size 11QX
Water Main Reqd. A -)A
Service Line Reqd.
Hydrant Size Existing Z> r-
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd. /1VO
Cross Connection Inspection
Fire Department Comments
Water Meter Charge Req4. (0
Review by: Date: JOIZ7-17e
-1C bepti-c Tank 1.�-asign i�pproved Date:
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability Proi. f:r-
Drawing i\,o. -749-n/Ofe File No.
Side Sewer Availability zo-;M�
W Sanitary Sewer Connection Fee Reqd. 46)6W1q4-1>
cr Review By: !/-S Date:
Open Ditch Existing___.&AAe Reqd.
Culvert Rp-qd. Size
P� Catch Basin Reqd. -,Indicate.on'Site Plan
0 Shouldcr drainagc n-nintah-i.collection on s%�ale open runoff
H
Cn
Indicate on Site Plan
Lu-diole rcqd. 2 ejo
Soil Conditions and Gr000d Water Field Chocked
70 r -- -7
PC,,,i T1, t C. far::: -
E- �Street Paving Read.
Curb and Gutter Reqd.
Sidewalk Rcqd.
Curb Cut' for Driveway Reqd.
P� Rio -it -of -Way Construction Permit Reqd. Yk r
Bond Reqd. for Public InprovcTmnts
Street Narm Sign Reqd.
Ocher SiL7iina Rend.
0 W k
0
Pre Permit Site Inspection r-kade on
0
BY: S E1.1 E R
ENGINEE RI N7
WATER.
STREET
Special ReqLLiro-,-,-.--nLs listed in ir,37o to Coni-Lu-iicy Dove!-opmnt Departw-nt,
BLLilding Division
> 13Y Da te
0 All iteirs filled in on Building Permit Application
0� BY Date
M I
Eq.-awings Stai-ped and Notations 1,1-ide
rL4 BY Ddte
jApproved by a Dlic 'Porks DepartTno-it
1�evj.!;cd: 1-v 10-1977
DATE: 9
MEMO TO:. Building Division
Community Development Department
FROM: Engineering Division
Public Works.Department
SUBJECT: I I&N
After review of the subject building permit application, we have
the following comments:
(1) Coordination of the location of any structure with respect to
util'ities, streets, property lines an—T-J—riveway grades is the
responsibility of the contr�ctor.
2) The contractor is required to kee
ed of dirt and debris caused bv t
the abuttin
e construction.
streets clean-
_(3) A "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
.(4) Driveway slope not to exceed 14%.
wky-It-Ar-- --&fa, u.)t4o ot!!Q
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