7025 156TH ST SW.PDF1111111 ' III
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7025 156TH ST SW
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CITY OF E ' DMONi)S F OR INSPECTION CALL
PUBLIC WORKS DEPARTMENT
73L5--M�Ext. 22-
SIDE SEWER PERMIT
Permit 111?
��_ An
Issue Date h)h�,l
PERMIT MUST BE POSTED ON JOB SITE
hllwll� 73wrAwmw3w
1. Address of Construction 5-
2. Property Legal Description (include all. easements)
M-NW.000 LINE
r r-11
%F 9 1 Gam&lp?s
3. Single Family Residence Multi -Family No. of Uni
Commercial
4. Owner and/or Builder
5. Contractor & License No.. -.2
6. Invasion into City Right -of -Way: No Yes (If Yes,Right-of-
way Construction Permit Required Call Dial Dig (/A�AY1444 before
excavation)
7. Cross other private property: Yes No 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 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/�
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. _N
1. Inspection during normal working hours onl (2) working
days notice required.
DATE:
I certify[,_thAt I have read
and shaft comply Wi rth the above
PERMIT FEE:
CONNECTION FEE:
0
rX4
PERMIT MUST BE
DISAPPROVED BY: Date:
B Date:
APPROVED By:M*Z�_Date: X—W T 7
POSTED ON JOB SITE
STREET
FLE
21!X
2E KRM2ERS
PUBUC WCM - ENGINEERIM
ACTION REPORT
SUSPENSE DATE:
Date: �j Time: F i 1 e # -
Attartent,:
_7,1
SUBJECT: ), /
kEQUESTOR: NAME: de- e _e1q
ADDRESS: -7 k 7--
PHONE:
REQUEST RECEIVED BY:
TELEPHCNE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
DMITE Tn.
N? 5650 -
=Yes
=No
BE,
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MMMLTAIFRAM,�=MnM
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ACTION: �A
'All Concerned Notified
Action Completed/File
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Side Sewer Drawing
Th. r; o%; IPArne%nAc
ffy EASEMENT NO. - � ------------------------- ..............
NEW CONSTRUCTION REPAIRS LID NO. ------ ASMT. NO - ------ ------- -
OWNER -W-1.1-LANNN .... Pt.E--�-mqw. ............... -------------- ...... CONTRACTOR TR-A-E-1) --------------- ---------- ------ PERMIT NO. 65-7-9-
-------------------------------------- BLOCK NO.
JOB ADDRESS .70-2-5 ---------- [d CAcx ............ LEGAL DESCRIPTION: LOT NO.
N4 0 R -r-"
NAME OF ADDITION .......... .....................................
7025 15c.Irm
cc3WrR0%- PA3461-s
T& SURVACE
Pump,
qvo
I
ASPoft>L.T/comr— 37'
PARkt"G AREA
I YZ' 141 -ML.
_P0L
PRESSURE U"-
-DRI*-JF—N^Z^Y
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-m s&3 r.
41AIM CONN.
Ls'op
C"ECKVALVE
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POLIL
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'7103 15'G-rt4 Approved:
PRESSURE LINE
PWW-0001 -11/75 (REV. 11178) DATE By,464tr - - --------- -
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M
ACCESS EASEMENT FOR
MAINTENANCE AND OPERATION
IN CONSIDERATION of benefits to accrue to the grantors
herein, the undersigned, William E. Pielow and Winifred L.
Pielow , hereby grant to the CITY OF ED�ONDS, a Municipal
Corporation, a permanent access easement for inspection and
maintenance of a sewage pump and pressure line over, across,
through and below the following described property, and the
further right to remove trees, bushes, undergrowth and obstruc-
tions interfering with the inspection and maintenance of said
sewage pump and pressure line.
The easement hereby granted is located in Snohomish County,
Washington, and is more particularly described as follows:
A ten foot strip of land that is 5.00 feet on each side
of the pressure,line and sewage pump as they now exist,
or as located in the future. Within:
That portion of Tract 55, Lund's Meadowdale Tracts,
as per plat recorded in Volume 6 of plats on page 26,
records of Snohomish County, Washington, described as
follows:
Beginning at the Southwest corner of said Tract 55;
thence East along the South line thereof 174.75 feet
to the true point of beginning; thence North, parallel
to the West line of said Tract 55 for 125 feet; thence
West parallel to the South line thereof, 100.74 feet;
thence North 175 feet; thence East parallel to the
South line thereof, 120.74 feet; thence South, parallel
to the West line 300 feet to the South line of said
Tract 55; thence West along the South line of Tract 55,
20 feet to the point of beginning;
EXCEPT the South 5 feet thereof as conveyed to the
City of Edmonds by deed recorded under Auditor's
File No. 2027832, records of Snohomish County;
situate in the County of Snohomish, State of Washington.
The CITY agrees to restore to substantially the original
condition and inspection of said sewage pump and pressure line,
provided the grantors, their heirs, or assigns shall not construct
any permanent structure over, upon or within the pe rmanent
easement.
DATED this '� / day of
STATE OF WASHINGTON)
) ss
COUNTY OF SNOHOMISH)
n this day personally appeared before me 6�
to me known to be the ind-i-0-dAla I (s)
-de�stffi'bed in _Th7 �who—ei-xe-
u e the within and foregoing instrume t�,
and acknowledged that signed the same as
free..and voluntary act and' deed,'for -the uses and purposes the7iein
mentioned. -, .
UNDER MY HAND AND OFFICIAL SEAL THIS C�?/ AY OF
992 , 19 P/ . 7�
NOTARY,PURLIC ih and for th ��) St t
of Washi-ngton, residing at J�ZZ/
UTILITY EASEMENT
IN CONSIDERATION of $1.00 in hand received and other benefits to
accrue to the grantors herein, the undersigned, David F. Olmer and
Denise E. Olmer , husband and wife, owners of Parcel A, hereby grant
to William E. Pi w and Winifred L. Pielow , husband and wife,
their successors and assigns, owners of Parcel B, a permanent easement
for the installation, ' operation and maintenance of a side sewer over,
across, through, and below the following described property; and the
further right to remove trees, bushes, undergrowth and other
obstructions interfering with the location, construction and maintenance
of said utility or utilities, together with the right of access to the
easement at any time for the stated purposes.
The easement and right-of-way hereby granted is located at the
County of Snohomish, State of Washington, and is more particularly de-
cribed as follows:
A ten foot strip of land that is 5.00 feet on each side of the
side sewer as it now exists, or as located in the future.
Within the following described property:
Parcel A
The West 74.01 feet of the South 300 feet of Tract 55, and
the East 53.88 feet of the South 300 feet of Tract 56, all in
Lund's Meadowdale Tracts, as per plat recorded in Volume 6 of
plats, page 26, records of Snohomish County;
EXCEPT the West 110 feet of the South 115 feet thereof;
AND EXCEPT the South 5 feet thereof as conveyed to the City
of Edmonds by deed recorded under Auditor's File No. 2032945;
Parcel B
That portion of Tract 55, Lund's Meadowdale Tracts, as per
plat recorded in Volume 6 of plats, page 26, records of
Snohomish County, Washington, described as follows:
Beginning at the Southwest corner of said Tract 55; thence
East along the South line thereof 174-75 feet to the true
point of beginning; thence North, parallel to the West line
of said Tract 55 for 125 feet; thence West parallel to the
South line thereof, 100.74 feet; thence North 175 feet;
thence East parallel to the South line thereof, 120.74 feet;
thence South, parallel to the West line 300 feet to the
South line of said Tract 55; thence West along the South
line of Tract 55, 20 feet to the true point of beginning;
EXCEPT the South 5 feet thereof as conveyed to the City of
Edmonds by deed recorded under Auditor's File No. 2027832,
records of Snohomish County.
TOGETHER WITH A TEMPORARY CONSTRUCTION EASEMENT OVER THE
aforementioned property. Said construction easement will
end upon the completion of the construction of the side
sewer, or January 1, 1985, whichever comes first.
THE i-Wtafgrees to restore to s . ubstantially the original condition
such improvements as are disturbedduring___the - constru - ction,-maintenance.
and repair of said uti-Fity or--ut-ilitie-s; provided t�e grantors, their
heirs, or assigns shall not construct any permanent structure over, upont
or within the permanent easement.
, 890 - 19 9
STREET FILE
CITY OF EDMONDS LAURA M. HALL
MAYOR
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning e Parks and Recreation a Engineering
June 1, 1993
W. Pielow
7025 - 156th Ave. W.
Edmonds, WA 98026
This letter is to inform you that �ou are served by a city maintained
grinder pump system. This system pumps your sanitary waste to city
gravity sewer lines as your h6use was too low to obtain gravity flow
when city sewer mains were installed.
I hope to inform you of the basics of how these pumps function, who to
call should you experience alarms, and what precautions should be taken
to prevent damage to your home.
1. The grinder pump was originally installed by the homeowner,
but the hardware was purchased by the city of Edmonds' Lid
Bond that paid for the sewer project in your area in 1985.
These pumps are float activated to cycle the one pump to take
your sewage up to where gravity flow can be obtained.
2. The following precautions must be adhered to prevent damage
to your home:
A. Do not dump any nonbiodegradable products down into the
pump tank. VIA your drains in your house.
B. Minimize the amount of grease disposed down your drain.
This may cause problems with the float operations.
C. Do not empty pools into the tanks without a restrictor
approved by the city of Edmonds. ,
D. Do not attempt to access tank or electrical cabinets.
Should you have a pump failure from any of the above mentioned items,
the homeowner will be held responsible for damage.
wi.
0 Incorporated Au4ust 11, 1890 0
Sister Cities International — Hekinan, Japan'
3. The city of Edmonds Sewer Section will maintain the pumps
every three (3) months to ensure the proper operations. We
will also clean, operate and check all components to ensure
proper working status.
A separate log is -kept to your pump that will reflect -any
maintenance done. We can track reliability and the need for
upgrade or repairs when a chain of failures start to occur.
Crews -will require the use of your water so the tank can be
washed down and we will always try to notify you of their
presence when they arrive on the site.
4. Should you experience any problems with the pump, there are
two alarms that will indicate failure. One alarm is located
within your home and has a black push button to reset to
silence. There is also a visual alarm locateo on the
electrical box outside your home.
When this occurs, please call us at 771-0235 immediately to
inves.tigate any'problems. Our office hours are
18:00 AM - 5:00 PM Monday Through Friday. Should an alarm
occur after hours, weekends, or holiday, contact 911. There
is a 24-hour call person on duty to be dispatched. We do
carry parts for all of these systems and should be able to
correct most problems within a reasonable amount of time.
If you have any questions or concerns, please contact Everett Akau or
myself at 771-0235, extension.349.
Sincerely,
Ron Holland
Water/Sewer Supervisor
cc: Everett Akau
RH/lk
GRIND/LT/TXTSEWER
STREET FILE
CITY OF EDMONDS LARRY S. NAUGHTEN
MAYOR
250 - 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
DATE:_
OFFICE OF THE CITY ENGINEER
FILE NO.:
PROJECT NO.:
SERIAL NO.:
(If Applicable)
TO: 6)
K, N
' -1 PUMN SM IT T I N G :
/I
A/c? lole
As you requested
For your information
As we discussed
For appropriate action
For your file
For posting in public place
For signature and return
REJMARKS: rll�d'5-e 1-�9_1-7AI-
41 7�'
s t
12/82
OF
City of Edmonds
250 5th Ave No.
Edmonds, Wash
98020
Dear Sir:
VtECEIVED
AM I k 1985
EMGIMEERIMG
10 January 1985
Attn: Jim Adams, City Engineer.
Enclosed plan after talking to your personnel when I took
out the permit. The large slab over the septic tank was
put in with the original idea to protect the tank from any
weight including trucks.
It will be expensive to jack -hammer cement and rebar for
removal and I would appreciate your approval so I can have
the job done.
W. E. Pielow
7025 156th S.W.
Edmonds, Wash.
98020
tele: 743 2197
Incl:
Plan
WEP: jM
zor 191
0
?,Imocn. Pump swoce%
Is-e. 6r
S,r
STREET FILE
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY.. ......... 70.2.5 .... . ... .. ...................... ... Lot No ....................... Permit No...34.7 ............
Owner ...... .. W... - -E.... -P.i.e.low ................... ... ... ------ Address .... -.7.0.25...—_ 15_6th,..St._S..W ........... Phone ........................
.. ... ...........
Builder ........ ... Carl..Lange ..... ........ . .... ..... .. . Address ------ 1.ggo.7..---lOt-h--NiiWii-$-Seat-t-le.. Phone ..................
Designer ........ Ron ... Wbale.y. ............... .... ............ Address-. ...... 73.0.1__!w._179.th..St._SW . ............ Phone ........................
owner
Installer-------_-_--- ------------ I ...... ............................... Address .............................. ..................................... Phone ........................
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on my sewage disposal system permit application dated ................
....... .... ................................ have been complied with.
..................... ---- _1 .............. .................................................................... ..............
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ...... ................... ..................................... Date .. ...... 11/12/69
.......................
Not Accepted Date .... ... .........
Signature of Sanitarian.. -- ---- ----- -----------------
Remarks: .......... .............. D S rIG FIED OF TIM ---- TO ... INUUT. ......................... I ......................................
................. .......... ...............................
......... ........................... NQ..INST_AUNT-IJM--PLM- SUBM-I-T-TED-o ---------------------------------------------------------------------------------------
INSTRUCTIONS: Use tile reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loading tile septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2y2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or.patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and
disposal field.
I
4
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY ........... ......................... Lot No ....................... Permit No .... 34.7 ...........
Owner ------
-- V... L.. I elo'g ------------------ - I - ----------
Address
"J,025.. 156-th .. st':� S W . ......... Phone ........................
Builder ............
Car,! Lanp_ ---------
- Address. -----
Phone ...... .......... ......
Designer
........ Ron..14haley --------------- -----------------
Address --------
mhstl ... Sul ............ Phone ............ ...........
Installer.
....... ....
............... ownf.ov ......... ..............................
Address..-
- ................................................... .......... Phone ........................
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address.
I also certify all recommendations
and restrictions (concerning plumbing stub elevations, maintenance of
grades,
fills, surface drains, etc.) listed by
me on my
sewage disposal system permit application dated ................
. ....... ....
...... i ...... . .................. have been complied with.
............ ......... ........ I ........ ........................................................................................
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted........................................ ....... ............... Date ....... ...........
Not Accepted. Date
Signatureof Sanitarian.. ........... ..........................................................................
Remarks: ....................... _Z351GIER.20T .. 30TIMED .. OF..TTlC- .10.13SPEM' ................. ............................................
. TA . _ Wwar - D 4
.................... ..................... 20 Ills '01"TIONAMM a ......................................................................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loadin,g the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2V2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or.patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and
disposal field.
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY ........... . ................. ....... Lot No ....................... Permit No....�j'47 ......... -
Owner ...... .... ...... ...... . . . ......... Address .... .. 701'� . ......
--- Phone ........................
Builder.. Phone ........................
Address
Designer
'14� 2 .-sto ... X0 ..... ..... Phone ......................
.�7 ............... .......... ...... Address --------
Installer ......... ..... UNW-IL,
.......... .................. ............ ... Address.. ......................... ........................................ Phone ........................
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on irly sewage disposal system permit application dated ................
. ....... .... ..... .. ...... ............ I _have, been complied with.
--------- I ............... .......... I ... ..................................................................................
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ...... ....................... ................................. Date .. ....... U/2.2169
.............................
Not Accepted .......... Date. .. ...........
Signature of Sanitarian_ .. . ... ..... ..................... ............
Remarks: ...... ...................
I . .................... ...................................
.......................................... U—b ......................................................................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER.
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loading the septic tank or disturbance of the drain -field inay seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2V2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or.patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in nornial household quantities will not harin the action of the septic tank and
disposal field.
SEWAGE DISPOSAL PERMIT
Septic Tank ............ ------ _gals. CITY OF EDMONDS No. / ......
Disp. Field ....... .... sq. ft. Department of Public Works
Other ....................
---------------------------
Name -------- ----------------- -, ------------------------------------------------- -------------------- -------------- is hereby authorized to install/
repair sewage disposal system at
----------- ------ --------
.. ............... ---------------------------------------------------------------------------------------------------------
Date issued on ------ "J: J, V
z------------------- r --- .........
Permit expires one year from date of issue --- / -------
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all provisions of the Cit . y
of Edmonds Resolutions.
Signatureof Installer_ ------------------------------------------------------------------------- Date .... ----------------
Dispproved M
proved pprove E] Date. ------------
------ 7 ---------------------- By ..................................................................................
Remarks: ---_-------
----------------------------------------------------------------- -------- -----------------------------------------------------------------------------------------------
SANITARIAN OR DESIGNER -------------------------------------------------------------------------------------- ......... Date --------- - -----
........ * ---------------------
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
4
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ........................ AX-e ... Z 0 01A.1,00--i
..........................................
For installation at: (street address)... ------- _ ... 7e,-F-57.
Addition or Subdivision.. �-'07'17�91OA02!'
......... ................... ............................... ... Lot ................ Block ................
Type of Building: New .... X.. Existing_ ...... ... Single family residencex_e�_ Number of bedrooms.---- ..............
Other: (specify type or use)
Builder ----- e:::�p ...... ................................ Addrcss/� ...... �. e --- /;. ..........
Designer.... ---------------------------------
Soil Log Hole No. 1 ...... 0Pe1,j000-..e,,Er,04V^0�
---------------- oe 46 e .............. ................................. -------- _ ..........................................................
Soil Log Hole No. 2 ... 0� Z.*ao
..................... I ......... -------- "00000
............ I ..............
..............
. . . .. ..................................................................................................................
Elevation of Water Table, if encountered. (Distance from ground surface) ...........................................
Corrections to control surface water if needed. ... _41.' Ae, . 5 ...................................
...... ....
........................................................................................................................... ..............................................................................
Specify if any removing or grading of topsoil in field area ........ ..........................................................
......................................................... I ................................................................................................................................................
Percolation:
Test Hole No. 1 —Average Rate ..... 5.;� 4? .... Ae (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2 — Average Rate_,_5--*2
..................................................... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3 — Average Rate_Z/ .............. —0-a-1,
---- --- .... (Fall in minutes/inch-bottom 6" test hole)
4 _'o .72 e
Average perciolation rate on whic�h to �a`se drain field design . .... ce .. .. ...... .............. . Date Taken...,PnR 4
Septic tank requirements based on present rules and regulations:
Septic Tank Size ..... �P�o .......... gallons.
Amount of Square Feet of D' i � ...... '
-piwosal Fie __%44�4? . ..... .....
Signature — Designer ........... ---- --------- --- - --------------------- --------------- - Date ........ 'ok-1.2
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date ....... ............ Permit Number ...... S. �// .........................
... . . . . . . .. . . ..... .................... ..............
Remarks: . .. ......
................................................................................................................... . ....................................................................... .............
ArO - 74
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,- .. 4
7 an,' install kitch--,n and other cabinets whert owr
('abink%r.,� in utility roon), kitch,-.,n, all bath roon')s and, nta...r\,, ix,
with flush doors and draw,.�i
I anc�
r(2d '.),rch faced,
c,- -i flush doors anrl dr,--\\,crs 3",'
.1,bincts to bc fir, witl
tou space under cabinet work. Provir
.je for -i'ori-nica
rims. All cabinet front5 shall be t1he "ful. over:,-- t"'pe,
-1, hincycs beinp concealed pin type, Provid(- 3/8" pjv%vood -,acks on
a- Cab-,ncts. Cz-,binets to lie walnut stained.
('ontractor has ption to bid n-ii . rl(,.
.11work as custom, s1lop-1-1-ja o r as ro-
stock cabinets. Acceptable prcfabricate(� are S,.. or
i3cil, or equal.
Vllrig roorn panels tube as noted on plans.
WORK
4
All electrical work as shown on plans, installed according to State
T--jcctrical Codes. All wiring to he Romex system connecti-nt� outlets and
sv,-itchcs. Minir-rium wirc to be #14. Allow $1, 000. 00 for fixtures
All lightt shall be
ort their installation, as selectcd by Owner.
silcrit i-nercury type. Panel box to be circuit- breake r lype, '-00 al-r.p.
ov,,,-jer will fufnish refrigerators and laundry appliances as noted or-,
olans, andr""the Inter-com system. Inter-com to be Nu Tone lhas-Lc
No. 2055-50 or equal. Locate control in kitchen with speakers as noted
on plans. Door speaker at main entry.
xiv. 1,--,--:MB1NG
plans for plun-ibing schedule.
-hown on plans. Plurnbinp and
.,olight-in for all, plumbing as unts of County Depart-
disiposal shall be completed to conform to requiret-n
of Health. All fixtures furnished to American Stan(—i-d or equal
a� noted on plans. Connect sewerage system to septic tank.
')o-,vnspouts and footing drains connected by tight -joint tile to discharge
4,nto storl-11 sewer. Furnish 1-1/4'' water service. A111 watoz- -Ines excePt
-,hose underground will be galvanized steel. Underground li.ncs will be
cz-t,;t iron.
111,'(1victe and hook up C.W. line to rcfrige-rator with ;(,(-' "" ne in k')'t.
-19.-
Permi =,2605-0663
City of Edmonds t No
RIGHT—O&WAYEONSTRUCTION PERMIT IssueDate:
'Viciltyof Construction: //bS5_ /54,M S \A/ F_ 05P
B. Type of - r; e s p"e c �fi c):
-/V aw) 4-reln C-A
OL LJ =�2 Z 0_790 4-,
C. Contractor: (, o Me: 14 S t- 0-/ W contact: / 4, ell-M sej�
7 3,' 5 6 -2,
Mailing Address: /-/Z!S
State License #: Liability Insurance: Bond: $
City Business License
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F-1 Commercial El Subdivision City Project XEUC (PUD, VERIZON, PSE, COMCAST 0 - VWSD)
F-1 Multi-Farrffly Single Family F] Other
INSPECTOR: AMMnin! IWAAlAun S
F. PAVEMENT CUT: El YES [:1 No G. SIZE OF CUT x
CONCRETE CUT: El YES El NO
G. & Mail Approved Permit Call for Pickup
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmless from
injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of
Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense
costs and attorneyfees by reason ofgranting 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 ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET P,�TCH IS
COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBITOR CREDIT WILLBEPROCESSED FORISSUANCE TO THEAPPLICANT
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying' completion of the
required training in their possession.
* Restoration is to be in accoi4-ance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday — NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TI MUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature:....- Date: 1211)aA1
J(Contractor or Agent)
REQUIRED INSPECTIONS: (7) TjUaL,
Call 425-771-0220, Ext. 1326for a 24-hour voice-rec
— . . �e �spection request line.
FINAL APPROVAL OF PERMITTED WORK: ()r—
s
DATE:
CADocuments and Settings\Curtis\MyDocuments\Fonns\Engnrn 0\0ftermit_doc Revised 10/01/03
7025
Door
7031
garage
0
Open trench in
shoulder of
ROW for
approx 100 ft,
bore driveway
P for approx 30 ft
to extend and
0 bury CATV
7
service drop
7009
NORTH NOT TO
SCALE
N
W E
S
Comcast of Washington, LLC
1525 75th Street SW
Suite 200
Everett, WA 98203
Contact: Kermit Benson 425-263-5362
North Drop
Node: EM 05A
7025 156th St. SW- City of Edmonds
Work Details
Open trench in shoulder of ROW for approx 100 feet (m/1), bore driveway for approx 30 feet (m/1) to extend and bury CATV
service drop to 7025 156th St. SW. Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds.
In tight corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project. Please see attached plans for restoration, erosion control and traffic control. Erosion control will
consist of placing filter fabric fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system
clean and functioning. Remove all debris from the work site. Streets and roads will be cleaned both during and after
installation of work.
Cco.mcast
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
Timeline — Up to 30-days past the issue date -
Work Hours —The entire project area will be conducted from q:06 V4i0-W_QQ_RMor
as sped ied by the Inspector.
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up per
Code shall be followed at all times.
2. A copy of the Permit and Traffic Control Plan shall be on -site with all
contractors during the project.
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traff ic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traff ic control are
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when questions arise about proper traffic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
S
i in C �6' e —7
F Tro-8 ...... - � _h. tt
If curb and gutters in project area:
Filter bags will be placed in catchbasins downstream of work site, and
Small check dams of pea gravel filled sandbags will placed within the
gutter upstream of the catchbasin.
Traffic control set -'up for minor encroachment
Traffic control set-up for lane closure
space
M
Depth =
4 36-inch minimum
-Compatible w/
other utilities
Shoring required
at 4-ft +
Pavement Cuts
T-cut 1-ft wider
than trench
Neat -line saw -cut
or jack hammered
edge
T T
ompab
Depth, Cleaning, Containment,
Compaction, and Restoration
All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using 1-ft loose lifts with whacker or 2-ft loose
lift with a hoerpack.
If proper compaction cannot be achieved with the
native material, new import material is required at
the 95 percent rate.
As an alternative, CDF can be used in a design
mixture approved by the Engineer.
Ccomcast.
le'l &:+- C-7,64taii
ea
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
- * Mechanical Vacuum is preferred -method
CONTAINMENT: All un-restored shoulders or
material storage areas ate required to be contained
with reflective barricades.
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
* Shoulder - Match existing surface conditions
9# Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greaten.
Trench across road (immediate cold rnix patch):
4 Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
0 Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type II of III cement, within 30 days.