7018 177TH ST SW.PDFiiiiiiiiiiii
1177
7018 177TH ST SW
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City of Edmonds
-OF-WAY CONSTRUCTION
RIGHT
FiL ERM
IT
Peniit Number. 93 6
%7 1 ncr. I Issue Date: 37,
_73
A. Address,or Vicinity of Construction: 7018 177. ST. SW
B.' Type of Work (be, sppcific PLOW 160—Ft ALONG'ROW OF 177 ST. SW TO
6.
PLAQE�BSW. PUSH 1 DRIVE�IAY. PLEASE SEE,ATTACHE15:�SKETCH.
C. Contractor: —GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailin g Address: 22118,20TH AVE. SE SUITE 13&one:- 488-1642
Stat� License #: BOTHELL, WA 98021 Liability Insurance: Bond:$
D. Buildirig Permit # (if,apolicable): Side Sewer Permit # (if applicable):
E. E] Commercial 0 Subdivision EJ City Project ff) Utility (PUD, GTE, WNG, C"LE, 4*ER)
EJ Multi-Fa'niily EJ Single*Family El Other W.O.# 2100-9POOlDB 2423
INSPECTOR: INSPECTOR: r_- t4
F. Pavement or Concrete Cut El Yes UNo G. Size of Cut: x H. Chargq�,$
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to �p Vdtthe City ofEdmonds harml
.% e5pfrom ri,,22ages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma�e ajainst the City of EdmonJk,-6_r ::;�of!lds pCf-m' ents or
employees, including or not limited to the defense of any legal proceedings including defen' We cosis, 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
INSPECTI ON AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIOt SWILL BE HELD UNTIL THE FINAL �TREET PATCH
�SCOMPLETF-DBYCI,TYFORCF,S,ATWHICH-TIM,-A-DEBITORCRF, 116C.fS�ED FOR ISSUANCE(7,70'T'#ElAP I —CANT.
Construction drawing of proposed work.required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept, clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I ha ue read the aboue statemen ts and understand the permit requiremen ts and thepink copy of thepermit will be
available on site at all times for inspection purposes.
Signature: Date: 6-16-93
(Contractor qrl'Algent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED': VOID AFTER'- DAYS
SPECIAL CONDITIONS:
I 1z% 4 HT 6�— \AJA
- MLmkir
COMMENTS:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND III:
RESTORATION FEE:
PERMIT FEE:
TOTA L FEE:
"6�
RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION El YES E] NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
00 7-
I 1 1-7 -1 'S 7', ez', , ') -
CITY OF EDMOWDS
USE PERMIT
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB ITE/APT #
ADDRESS -57 SW
OWNAME/NAM3F BUSINESS
8 k
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO,
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MAILING ADDRESS
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70 1,g -7
CITY ZIP
T EP ON IN BER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REQUIRED DEDI
TESCP Approved 11
RW Permit Required 13
Street Use Permit Req'd 0
,.Woo
Inspection Required 13
I A;� A/
PROPOSED
quired 0
0
Z
REM RKS
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ADDRESS
12-103 So qVr toF-ST
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CITY— Z_1P____7TELEPHONE
NUMBER
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NAME
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ENGINEERING MEMO DATED R y
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ADDRESS
METER SIZE
DING SUPPLY SIZE
NO.
7
OF FIXTURES
Z
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TELEPH NE NUMBER
1620 ;7,0
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0
REMARKS
SPATE LICENSE NUMBER
Em O-DE* / 'PR
SIGN AREA
SEPA REVIEW
egal Description of P rt * I d all easements
Npe y - inc u a
to
ALLOWED
PROPOSED
COMPLETE
EXEMPT
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EXP
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LANNING REVIEW BY
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SETBACKS — FEET
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Tax Account Parcel No. 7N3 Ou 60
NT SIDE REAR
0
Z
EMARKS
NEW
3,. RESIDENTIAL
PLUMBING
"<ADDIALTER
COMMERCIAL
MECHANICAL
0 REPAIR
APT. BLDG.
El SIGN
GRADING FENCE
DEMOLISH CYDS. I x
CHECKED BY
0
.LaO.USTRUCTION CODE
7
471
HEIGHT
Z�S,
_FT)
CARPORT swim
FIREMODEL GARAGE POOL
SPECIAL INSPECTOR 7REA
REOUIRED
OCCUPANCY
GROUP
OCCUPANT
WOOD STOVE/ r7 RETAINING WALL/
INSERT L_J RENEWAL
13 YES
REMARKS
LOAD
Z
ROCKERY
0-
LL
(TYPW USE, BUSINESS.OR ACTIVITY) EX?LAIN:
PROGRESS INSPECTIONS PER UBC 305
Z
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WO
NUMBER OF CRIES
NUMBER OF
CD
a
DWELLING
00
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN
7_ OAf /6 k,.2 0
FINAL INSPECTION REQUIRED
45- aX 7-Z-A) 7? A)
VALUATION
FEE
PLAN CHECK FEE
BUILDING
03 53
PLU MBING
Plan Check N 0'
MECHANICAL
This Permit covers work to be done on private property ONLY,
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 186Days
Permit Limit: 1 Year - Provided Work 1 6 a Started Withl�180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her sp-dVso, hi�k% assigns and
ENG. INSPECTION FEE
Ln
successors in interest, agrees to inde' nify, defend and hold
I
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
a:
<
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce.any requirement of any city ordinance
I.imit in City's
X
nor any way the ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that"] have read this application; that the
information given is correct; and that I am the owner, or tho duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; And fees are paid, and receipt is
tion Insu.ran -ce.
INSPECTION
acknowledged in space provided.
SIG RE (OWNER OR AGENT)
DATE S' NED
DEPARTMENT
I
CITY OF
OFF I L' I ATURE jbATE
17�ZWYIAI
EDMONDS
TTANTION
CALL FOR
INSPECTION C
'RELEARDW. RATE
Z
RI-71-V
IT IS UNLAWFUL TO USE OR OCCU'PY A BUILDING OR STRUCTURE
771-3202
61, -
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
ORIGINAL — File YELLOW"' (ns"gIector
U
CHAPTER'l
102-87
PINK,— Owner GOLD — Assessor
STR
IE
er F1
LE
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CITY OF EDMONDS -49 1qW
�*-17UBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit Hso 1106 Q I �� 0
775-2525 Ext. (,272-,,0 igWb Issue Date
SIDE SEWER PERMIT 0.,v
Lul.
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3.
4 .
5.
6.
PER14IT MUST BE POSTED ON JOB SITE * -4
�MWMWAWAWAMVMW,�,�,� AVAM
Address 677onstruction /-7,"77"74 FLYNNWOOD LINE
Property Legal Descripti clude all easements)
Single F
Commercial
Residence Multi -Family No. of Units
Owner and/or Builder ,
Contractor & License No.
Invasion into City Right
way Construction Permit Required
- Call Dial Dig (QjCj M),3-jQ)) before
excavation) .
7. Cross other private property: Yes No Z Easement required -
attach legal description and county easement number.
READ THE FOLLOWI,,NG 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
construc t 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 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 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 hour/s) on/71y. Two' (2) working
days notice required.
DATE:
,�/derfify that'I' have read
,and shall comply with the above
IP PERMIT FEE:,2(),()r) DISAPPROVED BY: Date:
0 B Date:
6Y�N'IECT'i ON LFEE: Date:
04 APPROVED By::Y_
0
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 - ------------------
,SF
OWNER -t4l.F-L .... F-5-H.'LF-V.lAt4 ---------------------- ................... coNTRAcToR -Uf HN.W00-1) ------- ,.,p .. Tic, --------------- PERMIT NO. G.94.6
JOB ADDRESS _77.0.1.6 ----------- 1--cTIT" --- PL ................... LEGAL DESCRIPTION: LOT NO - --------- 12� ------------- ...... BLOCK NO. D.LINE
................................................................ .................................... .........................................................
NAME OF ADDITION ........... ClAEXZR.a .... Rxx-.I� ... I-A-NF . ................................ ... -
177 TR V)L.
13
70 18 17 Tr" -PL.
PWW-OW1 -11/75 (AEV. 11/78)
S'DEEP
4*Wfta
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C-0-c-P.-P V;Cvlrp-
Approved:
DATE ------- By,&O---�
............. ------ ------
ILE
NEIL ESHLEMAN Post Offies Box 578 Edmonds, Washington 98020 Phone 776-3569
.1983
BUILDING CO., INC* FEB 17
Legal: Lot 13, Plat of Cherry Hill Lane, Snohomish County.
Scale: 1" 201
444-74� e^i.
'70,
ZO N E -42CL��?
SETBACKS:
FRONT
SIDE 7 1,:,2
REAR
OTHER
H E I G H T — o2Z-
-7 -7
-70
-3"
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If
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SITE PLAN, SCALE:
NOTE: DO NOT USE RUNOFF SPREADER ON SLOPES
OVER 15 PERCENT (WIT HOUT SPECIAL DESIGN
j, 1 64 �- /
-31
64
CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET
NEW ASSET NO. e520,3
ADDITION ADDITION TO ASSET NO.
FIRETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
ei, 1:2 -7 Lt 4,q o
"PURCHASE ORDER NO. —
PURCHASE ORDER DATE
COST
*PROJECT NUMBER Y-3
PROJECT COMPLETION DATE
COST 42- - r-3
B.A.R.S. ACCOUNT NO. 4c/,," — r—c"> c/ —3
ESTIMATED LIFE 1-2 —C..>
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT —
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
(tnp
DEPARTMENT FILE
STREET
FILE
40
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE PERMIT
ZONE BER
NUM
JOB
ADDRESS
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NAME (OR NAME OF BUSINESS)
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO,
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JID NO..,
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MAILING ADDRESS
PUBLIC RIGHT. OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
CITY
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TELEPHONE NUMBER
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NAME
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED EJ
STREET USE PERMIT REQUIRED Ul
7DDAESS
4
-4090 k)
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
CITY
Bt I levve L-01
TELEPHO�E NUMBER
110 If -,54/
REMARKS
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NAME
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METER SIZE —71NG
SUPPLY SIZE
UNITS
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CITY
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
/I—;, -s/-) /& /t ) (-) _-) e / J-�s
CITY LICENSE NUMBER
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
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Legal Description of Property - include all easements
(show below or attach four copies)
SHORELINE#
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VARIANCE OR CU
PLANMNG EVIEW By
DATE
4V
YARDS
FRONT SIDE REAR
LOT,COVERAGE
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NEW RESIDENTIAL PLUMBING
ADDIALTER NON-RESIDENTIAL MECHANICAL
REPAIR 0 RETAINING WALL El SIGN
EXCAVATE FENCE
DEMOLISH M OR FILL ( x FT)
PRE -MOVE INSP.1 swim
COMPLIANCE INSP. POOL
fiz�r) 9,4 7' Pl�_A L
CHECKED BY
TYPE OF CONSTRUCTION CODE
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HEIGHT
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9
SPECIAL INSPFCTOR
REQUIRED
DYES IINO 7�
OCCUPANCY
GROUP
OCCUPANT
LOAD
El SIDE SEWER WATER LINE
REMARKS
D
OF STORIES
19
NU M BER OF
D ELLING
V
W
U,
F S
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
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
,ni
2
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
L,
0
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: �/O? /1/� rH '�-r &"'i
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. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
r]
BD, 6/82
PMLIC WORKS DEPARM�M CHECKLIST
BUI1D1% PEFO= REVICEW
(address) (date)
0
Street Right -of -Way Existl
ing _4,,"
REQD
Z
I g,
Access Easements Existin
REQD -
Utility Easement Exist
REQI�
Lot Per Subdivision Plat
lat
sessor Map 10�
Site Plan Checked for Accuracy
13 Ia
Z
Lhderground 14iring Reqd. 4�f5
Check Ac--ura f �gal D6scription
0,
Z
R e v i e w b
Date
Existing Water Main Size- .57
Water Main Required
Service Line Required
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code 4LA
Size
Detector Check I-Leter Reqd.
Cross Connection Inspection
Fire Department Comnmts
Wa t er Me t er %&Re, d. ,F 7S,
Review by—
Date -
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
---Permit No. —
Sanitary Sewer Availability
Drawing No. Z
File No.
Side Sewer Availabili
Sanitary Sewer Wection Fee qd.
Review by
Date
Open Ditch Existing
Reqd.
Z
Culvert Reqd.—
Size
r4
Catch Basin Reqd. 6_1
-Indicate an Site Plan
Shoulder drainage maintain collection an swale open runoff
�bnhole reqd.
Indicate on Site Plan
—
Soil Conditions and Ground Water Field Checked
Review by.__Z��� p
t
Pzvised: lvlO-1977