7015 176TH ST SW.PDFiiiiiiiiiiii
1151
7015 176TH ST SW
CITY OF EDMONDS Property of:
CITY OF EDMONDS
R'NEw 05039
ADDITION
RETIREMENT
ASSET INFORMATION SHEET
STREEZ""I FILE
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
Aj
SERIAL NO.
DEPT. NO.
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
*PROJECT NUMBER,0602� azx�
PROJECT COMPLETION DATE
COST C=q57 / /
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
XDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
INITIAL
b,P)
REFERENCE
t6c
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE
K31
00
C)
CITY of EOM ON DS RECEIVED SIDE SEWER PERMIT
For Inspection Call 771-3202 MAR 2 4 101JF-6 0#f1RMIT NO. 07460
PUBLIC WORKS STREET FILE
PX" -s-r r
Address of Construction: :;, LA)
Property Legal Description (Include all easements): ILYNNW.00D Ll
Owner and/or
Builder: /w
ocd cf,,-4
�4DI-,i � �
Contractor &
License No:
�� Z-
is ) 5-� 60)�'
Single Family Residence
Mul ti-Family
(No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No K 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
I certify that 1--have read and shall comply
with the items listed on the back.
Permit Fee:
Trunk Charge:
Assessment Fee:
Issued By:
Date Issued -
Receipt No.:
Partial Inspection:
Comments
Final Inspection Approved: 3 -2� -SCO
Date —ni-Xi a —1
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
3-c� BG
Date
5ate Initial
Date Initial
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
A&"-L
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).
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONSTRUCTION CK REPAIRS F� LID NO-1-64 ..... . ASMT. NO . ..............
OWNER -------- �_A lz�lp�.CK
.... CONTRACTOR Lu-Tz ......... ...... ................ PERMIT NO.74.Q;�O
......................
............. 0
JOB ADDRESS .7.0 - I. S ........ 17(�D-T`A ---- (�m- .......... LEGAL DESCRIPTION: LOT NO - ----- .................... BLOCK NO. .. =�Y- ...
'71 "T \,^/. ...................................................................... ..........................................................................
CP
$4f-.
1) NAME OF ADDITION ......... .............................................................................................................
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7 j IST
175 17
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Approved:
DATAVACZ ... 3,M-G ...... By,4�#..� ... .. ... . ... ....................
APPLICATION
for
The City of Edmond fit SEDE SEWER PERYaT
NEW CONSTRUCTION REPAIRS C] EASEMENT No . .....................................
610 %/ ro-�6-
OWNER ........... n ... 7 1:0 ......... ........................................ CONTRACTOR ................. PERMIT No. 2 6 ff
ADDRESS ... .............. ............................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ...........................
------------
........................................
NAME OF ADDITION .............. .............................
\IS
r\
I.,
Approved:
-low
DATE -------- By .. .... ............
.... ........
r �j
7i7�� td-ra -i __/ /__'kUQ d
7-
7
------------ ---- - --------
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PRospect 6-1107 when work
Is ready for Inspection. (No Insp '
ce'
t,ans Saturday, Sunday or holidays.) N2 3611
ADDRESS................. __ ......................... ................. 70.1.5 ... . .... 1.7.6t.h .... S.t.rgt .... S...W ...........................................................
OWNER ................ Qtt.Q ... �.J.Qrne.py ............................................ CONTRACTOR ......... We.S.tg.rP ... $.e. w.. e r ....................................
Perinission is granted ........... Mamb .. 17 ............. 19 ... 70., for ........................ days to REPAIR or CONNECT a side sewer
% itli City Sewers in accordance with application oil file anti governing ordinances.
vi
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 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—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%.
No bends in grade sharper than 1/s will be permitted.
NOTE No. 4—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. 5—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 it's appur-
tenances except to insert the pipe into the wye.
City of Edmo4 0
City Engineer's Office
COMPLAINT REPORT
MEET F,'L'.,r-;
Report No.
Referred to for Action (keen on file in Enzr. Dent.) Time Date
Received By James H. Conway, Asst. City Engineer Time 12:30pm Date 1/27/70
Property Rented -
Made By MX!s. Otto Biorneby Address- 7015 - 176th S.W. Tel. Owner lives
in Snohomish
How Received: Letter Telephone xxx In Person
Nature of Complaint: Water runnina across property from neighbors to the east and
ponding At Ust Ave, W.
Describe Action Completed: No adequate solution without—re-constructinjg streets
and putting in storm drains. A culvert would relieve ponding at 71st Ave. W.
but ponded water is not doing any appreciable damage as it runs across the
street before it gets too deep.
Reported by
Time Date 1/29/70 egNpUgijaxa� James H. Conway
Location Sketch:
ANAMM
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OLT --STQ L
F
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ANk 76;F
--- USE ERMIT
CITY OF EDMOVDS ZONE WNUMBER
&MEET F11 9:
CONSTRUCTION PERMIT APPLICATION joe a
NAME (OR NAME OF BUSINESS)
VJWbC_REP7_
W
Z
MAILING ADDRESS
3'.
0
ke-
CITY
TELEPHONE NUMBER
NAME
DE 5 1 -6 C c)
ADDRESS
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CITY
Alkdko_ My,
ITELEPHONE NUMBER
NAME
ADDRESS
Z
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER
AUMCHI /A�, Q A -
Legal Description of Pro eny-Include all easements
(show below or attach fopur copies)
Z
rL
lek,4 7 -2 5110 R T A Z 4 7
1121 Td7AI
, 9 Z/ C
3�0 116,M Cc, WAI..
Q__N';� 1:1 RESIDENTIAL PLUMBING
E] 1:1
ADD/ALTER COMMERCIAL MECHANICAL
E]
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
E]
DEMOLISH OR FILL ( x _FT)
F7 PRE -MOVE NSPJ swim
REMODEL L_J COMPLIANCEINSP. POOL
F WOOD STOVEI
INSERT APT.8LDG RENEWAL
Z
Cc
0
V)
tu
NUMBER OF STORIES
NUMBEROF
DWLLLINU
C,
191—Leve
C 0
0
Limb
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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.
�'7ermlt
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
w
'u4i
successors in interest, agrees to indemnify, defend and hold
j
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
Cc
<
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." - % � I
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly
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-
tign.Insuranco...
SIGNATURE IOWNER 0 AGENT)
DATE SIGNED
ADUKURS
LEGAL D SCRIPTiON CHECKI
SUBDIVISION NO.
ILID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING 6& REQUIRED DEDICATION
PROPOSED
Z
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
Uj
W
STREET USE PERMIT REQUIRED 0
Z
Z
SEE ENGINEERING MEMO DATED
Uj
REMARK�,
/,7
SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED PROPOSED COMPLETE EXEMPT
VARIANCE OR CU PLANNING REV BY
fARDS HEIGHT [�LOT
FRONT 2-4 SIDE 7)2. REARIS J?__45" _I
-1
,HECKED BY TYPE OF CONSTR
I X — /V
SPECIAL INSPECTOR AREA
REQUIRED
0 YES 0 NO
��ellll
3LAN CHECK FEE
WILDING
3LUMBING
4ECHANICAL
'RADINGIFILL
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
I NSPECTION
DEPARTMENT
CITY OF
EDMONDS
ATTENTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
VALUA
ADS NO.
IORELINEN
CODE HEIGHT
/ citf 2- 1
OCCUPANCY OCCUPANT
GROUP R _3 1 LOAD
Itmuc)
—I,D.DD
APPLICATION APPROVAL
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.
ir IW
01
Z
Z
5
(L
cool
OFFICIAL'S SIGNATURE DATE
RELEASED BY: DATE 11`
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
DATE : / — '? - S14'
ME140 TO: Building Division
. Planning Department
FROM: Engineering Division
Public Works Department
/Z 7,71
SUBJECT:
After reviea 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. Driveway slope not to exceed 141,
5. Backwater valve required i downstairs plumbing is below elevation oil
upstream manho-Te—.
6. Water and sewer lines to be separated by 10 foot minimum.
a
C-- L
00 6/82
g J CIT'Y CLERK.
..... V CIVIC CENTER
EDMONDS. WA 98020
C.11-Y OF LD?-1QNI)S
ItECORD OF SII0_1',T_SU_1T1_-VJ-S1_0_11
I i )wn oll 010. ILUICIled 11101' (rxiii.i?iA "A") and
This is to certify LhaL the J)r0I)CCtfe-q "-'; ';"(
described as follows: See Exhibit
the provisioils, of Lhe Stl1)(1ivis.1()ll orcli.tionce (SCC-12-10)
have been divided under
File No. S-27-84 subject to the fo.L.Jowilig condiLions and requirements:
D 1. Exhibit "C" Hold Harmless Agreenienl:
2. Exhibit "D" Agreement to Waive Protest of LID.
3. Turnaround required on all lots.
4. Connection to water system and sewer system required with building permit.
5. Submit and obtain approval of site drainage plan per Ordinance #1924
with building permit.
6. Underground wiring required per Ordinance #1387, with building permit;
7. Excavation and grading per Chapter 70 of Uniform Building Code.
8.. As' builts required for all utility systems with building loermit.
Existing house on Lot 2 to be removed prior to final approval of building
permit on any lot. Demolition Bond fbr $2,000 and 6 months to be taken
out with building permit on any lot. scribed above. * I/we'
I/we cerLiEy that I/we are the legal atmer(s) of the property de
warrant that all representations are true and correct and understand tliat in the event
of any misrepresen cation or failure to coniply with the con(litions and regulations Set
forth herein, the City of Edmonds shall have the right to declare -the subdivislon void
and record a scatement to that effect in the Grantor -Grantee's Index in tile office of
the Snohomish County Auditor.
e.
5 IGIVI ED:
ALL REOUIREEMENTS AND CONDITIONS
OF THIS SUBDIVISION MUST BE
COMPLETED PRIOR TO ISSUANCE OF BUILDING AUT.H.CPUZED
P E204 I T S
G,
Cr—. OF ED:'..iONDS
L I .
DATED this _,?,,6- r" day 0 f L9 e-5' 87 _ze:2�_
STATE OF WASHI'G'O'J ss: pa _e Of 612,
COUNTY OF SNOHORISH)
On this day . personally appeared beCure me
_aa�L 1 1-0 lie lcriown to be tilp lilt] 1vidu..11-st described
lnsLruilleilt, aLid acknowl.edged that
in and who executed the within .111d.
-ind
s igne rree atid voluntary act and deed, for the uses Purposes
sftme as AA_-,c
t, so,,, \
gf4 Zdmi�d
19
v e m
hand and official seal this �day o[
-%J
C__-7
vinsh 01gtotl
"mV--LVTrm Mnw A -A?
Reviewed
byt (initial/date)
PLANNING
WIR/SWR I
STREET
ENGNWG
7 7 7 7 7 7 7 7
71 TR777
FIRE:
TuimiNG
7 7//TR7/
3n=z,FMnY/KJLTI1 (circle One)
3L,Tah=.,CHBCM - Plam
.�VARMUM/SETBACK ADJ
77771777TRTRI
� 1.� ".k, 77777
7 M 7777177777777
1111117TFI
2
USE PERf.MT..
4 2
B -F4)7jjgEKW1S CHECKED"
3
ynm4.ZCNING R16QEJIRD1ENTS
PP
TTIT177
4
amprRMWAL FMTURM'�;,"
5
;CCESS: SLOPE & VEHICLEACCESS
7/7777777
A
6
11111117777Tfl7Tff
)RAINAGE PLAN (On SiteLl- 'o-d
ft�
7
MEET FILE
7771
7 7W
77777771-
8
77777T
77M777777711111
MAL DESCUPTICk VFMFICATION
9
VIT CIAIM/DEDICATICNS
10
V
7T17TT17T
'ASEMENT - PEJBTIC/PRTVATE .:2&
/////////
11
11177T
ALCULATE SEWER CIONNECTIM IF NO LID#
12
1117171
1AT/StYBDIVISIM REQUIREMENTS
////////
13
77777T
777TI777
JGM-OF-WAY CIONSTRUCTIM PM44IT REQD
//////
/////////
14
77TR7
7
TM1111
i(M RBQD FOR PUBLIC IMPROVEMM
//////
/////////
//////-U
)OIIS CCNDITICNS 1, GROUND
1ATER FIELD CHECKED -
TITRI
/'/////
/////////
INfIl
/////
j
16
777777
1REET PAVING REX)MRED
-
17
111177TI7-
777777777
W\
IM AM GUrM REQUIRED
kv
18
111117
77777777777T77777
A I IDEWkX FtEQUIRED
An
19
77TR7
171711111
-UM CLYT, FOR DRIMAY REQ)
20
VRMT NAME SIGN'REQD
21
7TI-97
711111111
yn= SIGNING REQD
22
1IDE SEWER AVAILMILITY
23
.?XISTING WATER MAIN SIZE
7TT17
I
11m'11111
24
MFIMM SIZE
r
M/Mm
25
JTRVICE LIM SIZE
"711111
TrIMT177
26
/77777777
MRANT REIDUIRED
27
ITR-11
.=RAwr SIZE EXISTING
28
MOSS C'CNNECTICN INSPECTIM REM
-ITRII
29
.JAMM METER CHARGE RMD
171
TfTfTTrl7
FIRE'LINE CHARGE REOD SPRINKLER
31
32
3TREET'CUT
OPEN . DrIM EXIST=
33
7TT77
34
CULVERT REQD
7777/////
35
SIZE
11177
71111111T
777111111
36
CATCH'BASIN
7=
77TT17
77T
37
CN SITE PLAN.
38
,�INDICATED
SHOMDER DRUNAGE MAn\TrAIN
77TIff
1IM11
T
39
SHALE � OPEN M)NOFF
LJ.
140
REVIEWED BY
4,1Y
P ANNING MGR.
---- I . . �� oe,
INTI—NEERING MGR. PUBLTC WORKS MGR.
STANDARD DRAINAGE PLAN
C kTC.34 IS A5 I N:
AMM - I S-31,0 (0 k
U%UkL)
L4 I
TKrKP4CW LW04GTH
-MUNCH covam-',
- ly- .
.............................
AI- _n CPWT U 14 K -" LCVE"L TX�NC_N
4FIEPUF PIPW CAP
TEE W/ 4'LONG LEGS
SYSTEM CROSS—SECTION
MIRAI'l .50OX
/'%V =L i-r
TO 164_=� LA%YED �
W&1'5L_:tf D Ko�_K
'TkENC14 COVER
3/40— 0/2" WASMED
G RAV E I
,41AM FE;kF P
k 9-1. e _�
TRENCH CROSS—SECTION
MR.
INFILTRATION SYSTEM
PAGE I OF 2
for (OMT)C�_A(_-T \4()TR65
location 770(s- - 1-7c-"h 5i. S.W.
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
04�
11
i7
lu
(7CO4 I vvs I) KMA5 511YEVALK
DQ\UeW A�115;ideu-b JK5
17( T 5T. S.w.
,PLOT PLAW
SC&.L.W:l"Wzb'-o
Lor an,&,rz %war PL-^;r-
IN sw%f OF 'Awc-T. 6,rx7m
.#
%t4cwOpftv%" C.O., wA'f'j4'
ul
i
0
TRENCH SECTION_
CNATIVE BACK-F—ILL —)
AL A A F'-% A � J
91.4 !/2 " KIA 5HEC? GRAVEI
'INF'ILTRAT/ON TRENCH OPETAIL
N-T5.
W;;?—AP 5L)RAC 8 NR ON 710P
AND 507TOM OF- TEE AND
SECLJ9;W— WITH 5TAINLESS
STEEL BAND
8"PVC TEE
NOTE: C:'FP-AINAGF— SYS-FEM -rO BE MAINTAINED
By 1-40MEOK/NEFZS, CATCH E3AS(N SHALL- BE
CLEANEP OUT PEF;Z100?ICALLY.
a