7016 165TH PL SW.PDF7016,165TH PL SW
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OVVNM'- CALC BY:
ADDRESS PHONE: �q-5
WA 7souln DATE: 101 /o Lr
'"DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
DETENTION PIPE LENGTH WASHED G L
7ZTF�GR�AVEL
LOW TREN11
OUTF TRENCH MIN IW LONG
An
Top DrP
TOP 0 4-PER� PIPE TO BE LEVEL
RIM ELEII-LPSL 001IN COVER 4rMK 5101WE FROM
2'MAX RIM ELEV- CONTROL
�4TROL
4 rLET
4- Al 16 OUTLIET
At V
410 MIN T. 'PERFPIPE W/CAPS
.3% SLOPE 4"0 PIPE MIN.
g
x
ORIFIOE RUNOFF SPREADER
OUTLET
INV ELEI-LZZ-
L*Pr,9 CA 11CH INV CLEVL?--I'
SA SIN COMMM CAWN
VASW
/2,X zm 61 DEEP, e- 6- QUARRY SPALLS
SYSTEM CROSS SECTION .2-.3- DEEP, 314- CRUSHED ROCK
FROM CO TROL
'NTR
OUTLET
RIPRAP OUTLET
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES.-
1. Call Engineering Division (771-0220) for a tightline and detention system inspection
APPROVED BY
before backfilling and for final inspections.
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
DATE
out and removed from the catch basins to allow proper operation. The outlet control orifice
must be kept open at all times.
—, � 1^ � Page 6 of 6
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40
CITY OF/EDMONDS Permit No.
COMMYNITY SERVICES DEPARTMENT Issue Date
RIGHT-OF-WAY CONSTRUCTION PERMSTREET FILE
V-5 WA FA F5 W. A VA VA FA FA P&M
Ike.
A. *Owner: C-,qqm bas G)de' B. 9 Contractor, ci of C4� (64
Name mi9il<T
Mailing Addre
Y4 State Zip
( 4 y
State License Number
Ve %?) 2--
State Zip
Telephone Number
u 0 Single Family El, Cit y Pro ects
Work'ili�-Ucn fiec"66"n Vilti'�: El i51Jb:4 or P at
Commercia 11 Multifamily 'XUtility
Pavement Cut: Y 0 N &LQ
4 Q �/� ia
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made. against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting 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.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit or credit will be processed for issuance to the applicant.
• A 24 hour notice is required for inspection . ; Ple�se call Public Works:,771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Streqt to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All str'e et -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
1. understand the above CA t this permit must be available at the jo�. site for inspe purposes at all times.
Signature: Date
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:
Time Authorized: Void after %30 —days.
Special Conditions:
Amendments:
11 /
PERMIT FEE: /- ;'c tz( 6-(-
Security Deposit:
Receipt No.:
Fund. I I I, Fee:
Street Cut Dimensions:
X
I NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
0
(Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION El YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
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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).
�§icle Sewer Drawing
The City of Edmonds LYNNWOOD LINE
EASEMENTNO . ............................... ............
j rlNEW CONSTRUCTION E REPAIRS F� LID NO. .1 --------- 7S.---- ASMT. NO - ------------------
OWNER...... 6.1 ....... ..................................... CONTRACTOR M ...................................... -------------------- PERMIT NO.
JOB ADDRESS - --- r70 I L� �S" PL. S'W LEGAL DESCRIPTION: LOT NO . ....... 5 .......................... BLOCK NO - ------- — --------- ----------------
--------------------------------------------------------------------------------
-t ........................
---------- NO - -- ------ OF ------- �A C) y- ( -?- o tj ....... \.,�Jes-t ............................................
2:'A-8-S. W�xtc
(�e-,evice.
c-u- Pipe
Wctter Ser. Me-tey
I LYNNWOOD LINE]
NAMEOF ADDITION ----------------------------------------------------------------------------------- ...................................
9�clo- sp-we-, Gr-acle +Lavt 1'7o,
See 130,tc-�xecl GraAe- Rr-leq-ce- L-Aettcv-
I I
T H
ST 1S.W.
Approved:
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CITY OF EDMONDS
FOR INSPECTION CAL
PUBLIC WORKS bEPA*ENT Permit 1 0
SIDE SEWER PERMIT 775-2525 Ext. . 220 Issue Date
U PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction r701A — It,17" PL. S- LU� 80-2c)
2. Property Legal Description (include all, easements) L_0T -4. Z7
P I ai o P Hp vi z u a.) W est
3. Single Family Residence &,-' Multi -Family No. of Units
Commercial I (Soa fflav4-�
4. Owner and./,o-r_Bud:.1-der Al ma: -Hock
5. Contractor & License No. E- CT- �cl- E,31�0
6. Invasion into City Right -of -Way: No-Z Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342- 5344) before
excavation) .
E-4 7. Cross other private property: Yes No 1,�Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
P4
04
4 a. Property owners must obtain t to n 19ide ewe s on
>4 their property. A licensed side sew '07N ct t9fte DAlk oye to
M -
construct side sewers in the public' igh ~S
b. The side sewer contractor as ume P n"!Foft or ach
installation for one year.
you
c . Commercial establishment re 're
P4 nch (6
side sewer line.
0 d. Side sewers may not be insta .(30")
to any structure. NTT`
e. Side sewer lines must be lai N C
and maximum grade of 100% (450). 150)
0
EA f. No turn in side s8wer greater than 450 (1/8ibend) isoallowed
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 100' 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: C?
I certify that I have read
L *�Y IV IV W 0 o 0 TI�C C--Y� FAI EAA C(D 1-1_7nd shall comply with the above
PERMIT FEE: ISAPPROVED BY: Date:
Date:
CONNECTION FEE: —Date:
APPROVED By:N_T�
V_ r
PERMIT MUST BE POStED ON JOB SITE
TO: City of Edmonds
Engineering Division
200 Dayton Street
Edmonds, Via. 98020
HE: Sewer connection at 7016 - 165th Place S. Edmonds.
Lot 5, Plat of Horizon 'Nest, City of Edmonds
As owner and builder of a residence at the above -described
property, I.am making a request for permission to install a sewer
connection on a 1% grade using a 4" service line, which grade is less
than the 2% minimum required by the City of Edmonds.
I hereby certify that in the event of failure of the system
resulting from this installation, I will install a pump system and I
further agree to absolve both the City of . Edmonds and B &.M Contractors,
the side sewer installation contractor, from any responsibility.
Albert Matlock
7504 Ridge ';Vay
Edmonds, Wa. 98020
STA-"'L'E OF 'ViASHINGTON
) ss.
County of Snohomish
. On this day personally appeared before me Albert Matlock, to,me known
to be the individual described. in and who executed the above instrument,
and acknowledgedthat he signed the same as his free and voluntary act and
deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this 18th day of September, 1979.
NOTARY PUBLIC in and for the
State -of Washingt , residing
e ".1 OP
'e6"e
at
STREETTILE
P e-wr VVI 6373
TO: City of Edmonds
Engineering Division
200 Dayton Street
Edmonds, Wa. 98020
RE: Sewer connection at 7016 - 165th Place S. W.9 Edmonds.
Lot 5, Plat of Horizon West, City of Edmonds
As owner and builder of a residence at the above -described
property, I am making a request for permission to install a sewer
connection on a 1% grade using a 411 service line, which grade is less
than the e- minimum required by the City of Edmonds.
I hereby certify that in the event of failure of the system
resulting from this installation, I will install a pump system and I
further agree to absolve both the City of Edmonds and B & M Contractors,
the side sewer installation contractorg from any responsibility.
Albert Matlock
7504 Ridge Way
Edmonds, Wa. 98020
STATE OF WASHINGTON
sso
County of Snohomish
On this day personally appeared before me Albert Matlockq to me known
to be the individual described in and who executed the above instrument,
and acknowledged that he signed the same as his free and voluntary act and
deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this 18th day of September,,.1979.
_11 -
';�T� �YBJBiLIin and �f6r th6'�
iri
State of Washingtoryi resid g
at
BUILDING DEPARTMENT Applicant Fill
USE PERMIT IWIM
ZON NUMBERj)
Inside Heavy Lines
PERMIT APPLICATION
'OB
A
ADDRESS
5 �Yalc�
NAME JOR NAME OF BUSINESS),AWK
44 C01V (A
LEGAL LOT
SUBDIVISION No.
W
EIYES' ONO
If"ME
MAILING ADDRE;,S
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PUBLIC RIGHT OF WAY PER ORDINANCE rJO
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"'A'1d;1V'JT
TELEPHONE P
-71-16- 94�91
EXISTING RIGHT OF WAY
.
PROPOSE D RIGHT OF WAY
NAME
-t1v 9�a -twlqlL-�
DEFICIENCY OF RIGHT OF WAY 0
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ADDRESS
STREET/UTILITY WORK REQUIRED 19YES ONO
XYES C3
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PE.RMIT FOR WORK IN PUBLIC R/W NO
UNDERGROUND WIRING REQUIRED CKYES El NO
C I 1�yp C,-Q
TELEPHONE NUMBER
CONNECTION TO SANITARY SEWER XYES El NO
SEPTIC TANK PERMIT REQUIRED D YES j4NO
NAME
(90
SEPTIC TANK PERMIT NO.
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ADDRESS
7 _t . V,
C'-;'C7
SEE MEMO DATED
CITY
TELEPHONt NUMBER
76
REMARKS
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79-TA-TE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
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2 � -,-) / IV/- - - ( 20 - - /I C,/(- Q 5
3 k' #
Legal Description of Property (Show Below or Attach Four Copies)
METER SIZE
13UILbING SUPPLY SIZE
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1.
REM`A0KS
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7ALLOWED
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SIGN AREA
ENV. REVIEW
ADS NO.
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PROPOSED
COMPLETE EXEMPT
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SHORELINE
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REMARKS
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VARIANCE OR CU
NEW
GAS
RESIDENTIAL FILINE
JIA
YARDS .
FRONT
FIRE ZONE
TY
ADD
ALTER
NON-RESIDIENT I L SIGN
DEMOLISH RETAINING
WALL
EXCAVATE FENCE
OR FILL
E
SPECIAL INSPECTOR
REQUIRED
0 YES N 0
PLAN CHECKED BY
EJREPAIR
PRE -MOVE
INSP.
swim
POOL
REMARKS
Z NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
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PLAN CHECK FEE
PROPOSED USE
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING
STREETS).
BUILDING
U
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PLUMBING
MECHANICAL
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FENCE.
SIGN
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in Applicant, oil behalf of his or her Spouse, heirs, assigns and
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-I successors in interest, agrees to indemnify, defend and hold -harmless
2 the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
agents from any and all claims for damages of whatever nature,
'r ansing dilk:cIly or illdirck-1h, floll) tilt: issirillce of this 11knillit. Issu-
, .�j . . I I * �' ;.' '-d-we
SWIMMING POOL
PLANNING REVIEW BY DATE
I I I -
LOT COVERAGi
EA R
/0 SIDE R
)F.CONSTRUCTION rCODE 1HEIGHT
OCCUPANCY OCCUPANT
GROUP LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
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—IV
ENGINEERING Rf"IREMENTS FOR BUILDING PERJW APPLICATION
CITY OP El)� 101,R)IJ W
PUBLIC WORKS DEPARqT,T�1fV
V*[11;LO1l
DATE
SUBJECT:
Subdivision Plat 1A L-n— mb
Multiple Coiiniercial
GEJJERAL f1d,�OUIR0,1UTFS
Coordination of the location or any�Stl'LlCture wit . h resnect to u*tilities, streets, Dronerty
lines and driveway grades is the responsib-11ity of the contractor.*
The ccnstra,�tor is required to keep the abutting street cleaned of dirt and debris caused
by the construction 7.30.200 Violations - Penalties.7-30.290.
A "Right-br-Way Construction Permit" is required from the EnFineering Division of Public
Works for any work within the Public right-of-way or public easement. 7.30-010 Violations
Penalties 7.30.290.
SPECIFIC REQUllU3.1E1ViS
UNDERGROUiJD PO1,ER
Undergr�)Und Wiring Reqld Hot Req d
SANITARY SEWER (FLR',IIT RLOID)
Wconne'ction to S'anitary Sewer Req I d Back 11ater Valve Reqld'on Side Sewer
El Septic'Taiik Permit, Reald. Design Approval Reqld
Approved Dt. Pervdt IlLurber
STORM SEWEJR SYSTL`ij (PER CITY CODE
Drainage Plan Reqld
Site Drainw-�,e to be Contained on Site
ROADWAY I:1.1PR(D%r&LEiT1'S Al -I L) M�IVHIAY M--QUI --l-JEJ
FU- Fr
Drive,,,jay Slope Not to Excerd I
Driveway Favini7 Req'd
FJ Vertical Ct.trb lien d
0 Street Paving Req d
El Drainage Plan . Arr)roved Dt.
0 Site Drainage to be Connected to City System
0 Drive�-.lay Culvei,t Req 'd Size
El Sidewalk Req'd '
T)i Req'd
EJ kproved resii
El Bond Req?d*for Publ-ic Improvements E]Submit Cost Estimate
7
Note
I!-Ispect.ions Engineering Division
Foundation Side
Sewer
Septic Tank
Water Service Fire
Protection
/'S*J Drainage
Site Improvements
A1�24
hour notice is*required for inspection
hy Engineering, call
775-2525, extension 220.
A'I
W, NEW
F�- D F. 11
MZBERG
I
P.E.
C -V
I I
OUBLIC .1,,URKS DEPAMTnn CIIE Date
BUIII)IEG PERaT REV&Cn*
0 1 (_,O LXS 4— siddes s
Street Right -of -Way Existing REQD
Access Easements Existing REQD
Utility Easement Existing REQD
Lot per Subdivision Plat R�=Orq Assessor Map
Site Plan Checked for Accuracy 04
Underground Wiring Reqd.
Check Accuracy of Legal Description
.Environmentally Sensitive Area
Environmental Checklist Reqd.
'Flood -Hazard Zone
Shoreline Manacement Area
0
Slope, Soil, Vegetation
Strearn,.Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd.� �)t_\ ADB Approval
I Board of Adjustment roval Re d.
Reviqw :�By: Date.- I Cn, - �9
d)A Existing Water 'Main Size
O-later Main Reqd.
"Service Line Reqd.
Hydrant Size Existing,
Hydrant Reqd. Per Fire Code A14 Size
N Detector Check Meter Reqd. AIA
I Cross Connection Inspection— NA
Fire Department Comments
Water Meter Charge Rcqd.
Review by: Date:
Septic Tar*, Design Approved T—A Ds, Date:
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability Proi. I -ID I -in
Drawing No. File No.
Side Sewer Availability
Sanitarv. Sewer Connectjpn Fee Reqd.
Review By: Date:
Open Ditch. Existing
Reqd.
Culvert Reqd.
Size
Catch Basin Rcqd.
Indicate on Site Plan
C4
0
S1 ioulder drainage n-nintain collection on m, iale-open runoff
Xilole rcqd.
Indica'te on Site Plan
Soil Conditions and Ground Water Field
Cliecked
4
Rc.View
o'
77.
Tka te
Street Paving RecId.
Cux-b and Gutter Reqd.,
Sidew.,alk Reqd.
Curb Cut* for Driveway� Reqd.-
1��ght-of-Way Construction Peindt Reqd
Bond Reqd'. for P�-iblic In-provenimts
Street Narm Sign Reqd.
Other Signin- Reqd.
OF
tc r
jPre*
Per.niiL Site Inspection m.- de on
C) >
BY: SLIER
M
WATER V
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S11UTT
EN I N E F. RI N G
LIM
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Special Rcquireriia-its -isw in memo to COMT111nity Dbvelo"p,ri-ent Deparom-nt-,
4)'Ld-lding DiVision.
13Y Date
o All itms filled in on Buildinp Pb-mit Application
By. —Dat��
PL4 Cl/
Drawings Staffned and Notations
Date
Approved by Pul )1J.c '%qoj.-J�f,
.kf wa-,�-LT-
ReviSed: 1v 10-1-977
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