7101 156TH ST SW.PDF1111111111
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7101 156TH ST SW
CITY OF EDMONDS
ro •0+rUBLIC WORKS DEPARTMENT FOR INSFECTION CALL Permit_�'
SS DE SEWER PERMIT 77-5-2°5�2y5 Ext. '242,0 Issue Date h)�/���
'7' y d 3 2j0?_ ,s -
PERMIT MUST BE POSTED ON JOB SITE * LY_NNWOOD LINE �r
1. Address of Construction
2. Property Legal Description (include all easements) �`}s�� �i 61,
3. Single Family Residence / Multi -Family No. of Units
Commercial
4. Owner and/or Builder �� „ 7Al b `%- ,f /i9 Ij A/,
5. Contractor & License No. 1s".��'"�.�
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (A,412,1 �AA14+) before
excavation) . 1-800-454-5555
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.
e. Side sewer lines must be laid at a minimum grade. of 2% (1.150)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45° (1/81bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (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:
GIycerti y that I/ ave read
and shall comply with the above
PERMIT FEE: ��5���
CONNECTION FEE:
* PERMIT MUST BE
DISAPPROVED By: Date:
B Date:
APPROVED By: Date
POSTED ON JOB SITE-*
Side Sewer Drawing
The City of Edmonds
EASEMENT NO- --------------------------------------------
lrlr,PA) . C-0 " W
NEW CONSTRUCTION ❑ REPAIRS Fl LID NO. --2110 ----- ASMT. NO.
OWNER -y-0j-Apj.jD
--------------------------- CONTRACTOR -------- 0.V-J-ht44t_ ----------------- -------------------------------------- PERMIT NO.
JOB ADDRESS ------ 11.9-1 -------- !--�4 -----
---------------------------------------------- LEGAL DESCRIPTION: LOT NO. ------ 8-s--t-S ------- BLOCK NO. ------ I - LYNNWOOD LINE -------------------------
1 5 14 ........ )-4 ------------------- --------- ---- (- 0-51 ... D-CS---54 -67)
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Approved:
DATE A64 --- By,-46r ------ . ....... .. ......................
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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).
-- 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...........7101 — 156th St. S.W. .......................... Lot No ....................... Permit No ...... 317 ........
.................................... ..
Owner....Jim.... Blue Address _ 7101 - 156th St. S.W.____ . Phone ........................
....- _....
Builder_ ..Gloria_....lattum.............. --- --------------- Address -------- 6627..r..36th-.-Ave.•... .............. Phone ...... 743nU3.8
Designer. ..Jim..Blue............... ........................... Address ------------ ........................................................ Phone---------------------
Installer.. -_Richmond --- Concrete ... rod...--_... Address --------- 17.119---Rwy....9-9............................ Phone....... W!T-3,E-23
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 ................
.MBy... 149..190...... .......... have been complied with.
- ---- ----------- .....................
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ........................................................�Date...... - o.6
...........
Not Accepted............ ......_. ........... Date.
f13'1"l, Eh� r. r
Signature of Sanitarian ............. ----- J....... ..c�.rcr//........................................
Remarks:.........................................................................................................................................................................................
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 (2%s-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.
/_ / 0,v-v SEWAGE DISPOSAL PERMIT
Septic Tank X.00 ....... gals. CITY OF E D M O N D S No.
!../ ..............
Disp. Field... ......... sq. Department of Public Works
Other
Name ......
.............. --------------------------------------------- ----- -------------------------- ------------_ is hereby authorized to install/
jJ
repair sewage disposal system at
----------- .................. ------------ ........ ..................................................................................
Date issued on
Permit expires one /Year from"Wate 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 City
of Edmonds Resolutions.
Signatureof Installer-------------------------------- --------------------------------- Date ----------------------------------
Approved 2' Disapproved Date.-_----:._ ------------ ----- By ----- ...... t iA!4j�L ............................
Remarks:
,SAWfT-AiU*N--0R DESIGNER._
------------------------------------------ Date ----- ............
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
Approval subject to acceptance by designer (owner). See as —built drawing for
eviations from design.
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:...........
For installation at: (street address)------1--r1 5� T� u .................................... .........
Additionor Subdivision ................. -----------------•----------------------........--------- ............................. Lot ................ Block ................
Type of Building: New ---. I-"-- Existing ............ Single family residence..._ <... Number of bedrooms. .................
Other: (specify type or use).....
Builder.--------- ---------lS .f/T.rGc r"i .......... Address...... �..Z ........0�..-6.-�.....
y
Designer....... .---..0 �,`l��ir✓.Gf�... ..Address.... . c�
oZ --U Q.�G�... f /fJ��SG�i
Soil Log Hole No. 1............. l -1..... Gt-ov.G/.
........e.....- a..... 47........Z - __ � a.wTv.......c�g
r- Gry vim/ To s/ S�
SoilLog Hole No. 2............... C�� J / e.......................... -------- ----- ---------------------- ------- ---------------------------------
Elevation of Water Table, if encountered. (Distance from ground surface) ........,l O. I .G� ...............................
Corrections to control surface water if needed......... w%s......! Q......P�e......po-e"A'."ed...........
h? .'V. .-----��- a..�y ,��-t�i;�11-. �./� ire-.----.
Specify if any removing or grading of topsoil in field area.— .......... ........... ................. .........................................
----------------------------------------------------------------------------------------------------------•-. •-•---...... --------....................................--••-----•-.............-•--•----•-
Percolation :
Test Hole No. 1 —Average Rate ........... ............. .. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ...... .... i*...!`7! ..........................(Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate........ ld...' %! .................... ...... ( Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design I --------------- - Date Taken_J'7 ..16
Septic tank requirements based on present rules and regulations:
/000 — /ems c� Fee .�.vscrle�%
Septic Tank Size .......... . ... .........gallons.
ounAt of Square eet of is os 04..5. �T.. .j� 7✓.de TAG �i
Signature — ---- - - ------ - -- -/-------------------- Date.....1- -.... � �- � .........
DO NOT WRITE BELOW T/HIS LINE (To
(To be completed by Issuing Agency)
Permit issued (date)........! . `./..?/ .....................Permit Number 4
Remarks:......... .. . .. ............ .-••_,�yc¢�
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IMPERVIOUS SURFACE CALCS , Tx
ADDRESS_ 7I1U1 1�5.6St. S p�wiu,
Existing building: 3680 SF incl eaves Edmonds, 98026
Existing deck: 133 SF
Existing patio/walkways: 150 SF OWNERS: Esther and .Sven Powilleit
Existing driveway: 1240 SF
All existing built in 1962 PARCEL #:. 00500900005503
Total lot coverage: 5203 SF
Lot SF: 110 x 110 = 12100
Coverage = 43% (Existing)
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Setbacks Rec 'ko wired Actual 00 1 to wo I VCY'
Front
Sides, r-,/ \AL RECEIVED
Rear APPROVED BY PLANNING
Other MAR 2 7 2012
Heigh
DEVELOPMENT SERVICES GTR-
CIV OF EDMONDS
COPY-I,TY.'
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