7011 177TH ST SW.PDF111111111111
1175
7011 177TH ST SW
CITY OF EDMONDS
NEW
FIADDITION
F-1 RETIREMENT
DESCRIPTION
UJI9 r.412
LOCATION
-?cj i ( 1 -7 -7
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
0
v
SSET INFORMATION SHEET
STREET FILE A
ASSET NO.
ADDITION TO ASSET NO.
SERIAL NO.
DEPT. NO.
4 q 9
*PROJECT NUMBER 2 c/
PROJECT COMPLETION DATE
COST f
B.A.R.S. ACCOUNT NO. 3
ESTIMATED LIFE 2
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
Me DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
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DEPARTMENT FILE
CITY OF EDMONDS
FOR INSPECTION CALL 7�3
P��TT '10 - - nl� �,i() )
.�LIC WORKS DEPAR*,NT Permit
sibE SEWER PERMIT 775-2525 Ext. L2112LO ",6, Issue Date
PERMIT MUST BE POSTED ON JOB SITE * q
�OWAMIANWMW�MWMW3MV3MP3MP3WMWMWAWMWANW-3WAWML I LYNNWOOD LINE
1. Address of Construction --27-,,h / q �--_ r-- F)bm-
2. Property Legal Description (include a11 easeme'STREE"—U-
01), (-* E ( j 14', i I , LA fo E � 5
1
3. Single Family Residence wt Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License
6. Invasion into City Right -of -Way: No &� Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (XA2L"57,3A%)) before
excavation) .
7. Cross other private property: Yes No 2� Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. 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.
b. The side sewer contractor assumes full reponsibility for e�ach
installation for one year *
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
and maximum grade of 100% (450). 0
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. I
DATE: 71-J k_-1 t Cr��
I�certkfy that I have read
and shall comply with the above
PERMIT FEE: DISAPPROVED BY: Date:
own __2S_,00 By- Date:
CONNECTION FEE: APPROVED By: Date::��,.21-93
0
44 PERMIT MUST BE POSTED ON JOB SITE
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).
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------ ...... --------
NEW CONSTRUCTION REPAIRS LID NO . ......... ASMT. NO - --------------
OWNER ....... ...... ----------------------- CONTRACTOR ...... L --- I - N ------ N ..... W --- r
--- ............ . PERMIT NO. G 35
JOB ADDRESS ------ --------------- LEGAL DESCRIPTION: LOT NO . ...... -------------------------- BLOCK NO. -
WORT"
PWW-0001-11/75 (REV.11/78)
..................................................................................................................................................................
NAME OF ADDITION ...... CIAERR -%J ------ H-Dran ....... LAN.E -------------------------------------
C.O. C.AP5 ARE—
r)IRECTS-1 OuT
MoM T"ESE
P01r4T5
clopp�
Z'DP C..G.CAP
Y%BEt'Q— 110P
WYE
LINE
1'7'7-rv4 PL.
C.0-CAP
1.510P
3.5'DP
T-
)§ SEND
4'
WYE
\
4'WRED. I
13'
PROP c—ORNER
Approved:
DATE -.2,-! 1.93 .........
0
It
A
BUILDING ADDR* " *
BLDG. DEPT. SUSPENS
[:IOFFICE.ADMIN. ..
C;�CITY ENGINEER
T_
BUILMG PERMT RE'VII-IM
(check) A-1411
Multiple
Commercial,
ff FILE
DATE
11 &A
C3 Access Slope and Vehicle Access
t
ODrainage Plan
0 Street File
ElLegal Description
DQuit Claim
ElEaseme nt
!:,,�-Z]Cald�ulate -Sewer. Connection
WATER/SEWER DIVISION
6 Q LJDet6rm ne,,.,�Meter�,-S z e j. -
I'P ji t.:
let@,,Building�-i ern ;Review
.P—c6m
�kliiiET "DIVISION
1;i7
0mPie,t'e'*1' v
Bui I ding Perm t.,Re 'iew
.7
[]OFFICE ADMIN..'.'- LOG OUT -TO BLDG -.-' DEPT.
-------------------------------------------------------------------------
ILDI�G PERMIT APPLICATION'(COMPLETE).
COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEI�ED BY FIRE DEPT.)
3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 SO. FT
-0/r,
,,"�HECK ZONING'REQUIREMENTS (SETBACKS)
COPY OF ENGINEERING C11ECK,LIST
YCOPY OF PU211C.14ORKS MEMO
C
MULTIPLE OR CO14MERCIAL
YES (�Ma�:Copy OF ADB APPROVAL INCL. ALL D4R*T1NG.S
No
M/SUBDIVISION YESIn NAME. g e�g A
DATED RECOPPED
NUMBER ...
NO 0 1 (MACH wpyw REQuiRanm)
MLC AND ATTACH COPY
,HfCK SEWER DRAWING
W'IS DEDICATION REQUIRED' YESQ (OBTJIN nUiT CLARO
NO CITY CODE
/DOES CITY 11A EASEMENT ON PROPERTY
YES[3 (ATTACH COPIES OF DRAWINGS)
No. 0 s-S
CHECK LEGAL ACCESS INGRI UTILITIESB----,
YES YES
NO NO
-"--S SEWER ASSESSMENT BEEN PAID
YES 'L.I.D. NO. 44l
PLAT NO. -;z //1_1
SUBDIVISION NQ�._
0;IF;l MULTIPLE: .,INCLUDE NUMBER OF.UNITS .......
COMMERCIAL: 'INCLUDE NUMBER OF FIXTURE U14ITS
A
NEIL ESHLEMAN Post Office Box 578 �...Urnonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
LEGAL: Lot 8, Plat of Cherry Hill Lane, Snohomish County
,SCALE: 1" 20'
4.
M
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VIV it
14y�
4
JAN 141983
ZONE ks
SETBACKS:
"S" FRONT
f 4 -S 4-
c - Sp r- SIDIE
REAR ---
OTHER
HEIGHT
0 0
PTJBLIC UORKS DEPARTMENT CHEaCLIST
BUILDING PERMIT REVIEW
(address) (date)
Street Right -of -Way Existing.,56-1
Z
Access Easements Exist' WAD
Utility Easement Existing, WD
7
ga
Lot Per Subdivision a t kssessor
Site Plan Checked for Accuracy 01
Z
Underground Wiring Reqd.
1-4
0
Check Accuracy of Legal De cription
Z
Review b Date.
y
94
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Existing _ oy
9
Hydrant Reqd Per Fire Code Size
Detector Check 14eter Reqd.
Cross Connectian Inspection
-
Fire Department ComTients
'dater 14eteMre Reqd.
Review b Date.
Septic Tank Design Approved- A1111V Date
11
Septic Tank Permit Reqd. IiZA Permit No.
Sanitary Sewer Availabili Proj**.
ty
Drawing No. ZI) File No.
Side Sewer Availability
14
Sanitary Sewer Cqnnection Fee Reqd.
Review by Date
Open Ditch Existing_____,���.._Reqd.
Culvert Reqd. Size
94
Catch Basin Reqd. A-- 'Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd. Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
2
Review by
a
Revised: lvlO-1977
Page 2
-Street Paving Reqd. 5�f�� i 7.,
O.mb and Cutter Reqd.
Sidewalk Reqd.
Ourb Cut for Driveway Reqd.
od Right -of -Way Construction Permit R�qd.
Bond Reqd. for Public Inp�6vements.
Street Name Sign Reqd. _.5Af e-e'
Other Signing Reqd. V e5
Pre Permit Site Inspection made an
z
C) BY: SELM
�-4
W W WATER
z STI=
rX4 ENGINEERING
Special Requirements listed in merm to Com=ity Development Department,
Building Division
BY Date
c) All items filled in on Building Permit Application
94 BY Date
Drawings Staaped and Notations Made
BY Date
Approved by Public Works Department
Revised: lv 10-1977
DATE:
MEMO TO: Building Division
Planning Department
rROM: Engineering Division
Public Works Department
SUBJECT: .7011 17,7 -57-
After review of the subject Building Permit application, we have the following,
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. __DrivewaZ slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is b-elow elevation of
upstream manhoT6e--.
6. Water and sewer lines to be separated by 10 foot minimum.
BD 6/82
USE PERMIT
CITY OF EbMNDS ZONE W NUMBER
CONSTRUCTION PERMIT APPLICAT16N JOB
JNAME (OR NAME OF BUSINESS) ADDRESS
Neil Eshleman Building Co., Inc. LEGAL DESCRIPTION CHEckr§U_13DIvISjON NO. LID
w MAILING ADDRESS
Z
3:
0 P.O. Box 578
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
'5'
Edmonds 776-3569 EXISTING % 0 REOUI RED DEDICATION
NAME PROPOSED__—)4—
The O'Neill Group RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED [_J
u0i ADDRESS STREET USE PERMIT REQUIRED LI
0 14040 NE 8th Street
cr SEE ENGINEERING MEMO DATED
4
1 CITY TELEPHONE NUMBER ]car PIW -PT R-111-
- Bellevue 641-5444
NAME
Same as Owner
ADDRESS
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER
ESHLEN0281JS
Legal Description of Property - include all easements
(show below or attach four copies)
E2NEW
RESIDENTIAL
R PLUMBING
El ADDIALTER
NON-RESIDENTIAL I
MECHANICAL
REPAIR
RETAINING WALL
SIGN
DEMOLISH
EXCAVATE
El OR FILL
FENCE
F1 ( X FT)
PRE -MOVE INSP.1
COMPLIANCE INSP._
swim
POOL
SIDE SEWER
WATER LINE
NUMBER OF STORIES
INUM EROF
DWELLING
2
1 UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
.11 L DAIED
REMARKS
�x
METER SIZE BUILDING SUPPLY RE UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED I COMPLETE i EXEMPT
AD8 NO.
VARIANCE OR CU IPLANyy4G R _1DATE
,9VIEW. BY
YARDS LOT COVERAGE
IV
1L.e-_7 FRONT 11_7 SIDE REARI AA v I
�HECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
SPECIAL INSPECTOR AREA JOCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
0 YES [!NO I
REMARKS
I
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADING/FILL
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnity, defend and hold
J harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify,,waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
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 authoriz-
ed thereby, no person will be employed In violation of the Labor
Code of the State of Washington relating to Workmen's Compensa-
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
tion lnsurancq._
INSPECTION
DEPARTMENT
SIGNASURE (OWNER O"EN;Tr�,,,�
I— 'ply 19 117
DATE SIGNED
VALUATION
APPLICATION APPF30VAL
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.
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/ _/ L/ CITY OF OFFICIAL'S SIGNATURE
WCATED IN THE CITY EDMONDS
THIS SITE IS 0
OF EDMONDS. LOCAL SALES TAX 775-2525 DATE
ATTENTION SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE, OF OCCUPANCY HAS BEEN GRANTED. UBC L—i
CHAPTER 3. JAN 14 19e3 PINK — Owner GOLD — Assessor
102-78
Ke,v N,�g - Ed—ft WA ?759494
NEIL ESHLEMAN Post Office Box 578 :!.,Edmonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
LEGAL: Lot 8, Plat of Cherry Hill Lane, Snohomish County
SCALE: 1" 201
Erm"s
r. i FILE
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f4 s
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10
JAN 14 1983
ZO N E
SETB - A ' CKS:
F-ZONT
SIDE
REAR. -
OTHER
HEIGHT -5-p2,S5-'m,4Q v
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ill, - It" JA-
3UH TBRW
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