7115 177TH ST SW.PDFiiiiiiiiiiii1184
7115 177TH ST SW
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 STREET HA's Sewer Drawing
EASEMENT NO- --------------------- ----------------------
NEW CONSTRUCTION REPAIRS E] LID NO------------------- - ASMT- NO. ---- -------------
OWNER ---ESRJ.EAA-t4 ----- CON5M ------ ........................ CONTRACTOR -A.-YRNW-0.0.0- ...... SEP -C ---------------- PERMI NO. ..(99- A- I
c LYNNWOO�
JOB ADDRESS ---- 71-15 ------- -------------------------- LEGAL DESCRIPTION: LOT NO. _3 ------------------------- BLOCK NO. t, -- -------
...................................... - ----------------------------------------------------------------------------------- .....................................
NAME OF ADDITION ---..CA . et. RRV ..... RXIAm .... 1JS',N--FM ........................................
'7 11.5 1 '7 rT -rH PL -
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WAT"
10 $TV
2-l"
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CVRB LINE
jr-1 c-7-,, P L
PWW-0001-11175 (REV.11/78)
Approved:
DATE .3-ZL ............ ............ .
PLOT PIA's
P'4fJ �.rJ J0 I J.�. STREiqms�FILE
APR 2 71984
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MAXIMUM HEIGHT 25 FEET. MEASURED
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SOIL AT CORNERS OF EXTENDED BUILDING
_ RE"' 44GLE. SUB!ECT TO FIELD CHECK BY
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fill
STREET
IIINEIL ESILEVI AN Post Office Box 578 Edmonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
LEGAL: Lot 3, Plat of Cherry Hill Lane,
Snohomish County.
SCALE: ill = 20'
"4
-7 -2
ZONE
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OTHER_
HEIGHT
f-ITY OF EDMONDS _
PUBLIC WORKS DEPARTSTT FOR .INSPECTION CALL permit A��
SIDE SEWER PERMIT 775-2525 Ext. 22+—:9I Issue Date 6 h 2 F
1. Address c
2. Property Legal Description (include all easements)
� V
�3. Single Family, Residence Multi -Family No. of Units
Commercial
1-7-.4. Owner and/or Builder j�,�,, r-�: �4
Contractor & License No.
�. Invasion into City Right -off : No Yes f Yes Right -of-
!:
POT way Construction Permit Required - Call Dial Dig (6 01-W- IM.4?) before
Wexcavation).
H 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
H
READ THE FOLLOWING AND SIGN:
a
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
w b. The side sewer contractor assumes full reponsibility for each
Ei installation for one year.
aC. Commercial establishment requires a minimum of a six inch (6")
z side sewer line._
o 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)
O and maximum grade of 100% (450). o
H f. No turn in side sewer greater than 45 (1/8 bend) is0allowed
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 1only. Two (2) working
days notice required.
DATE: Li PAY -I-%
I/eefi y that have read
and shall comply with the above
PERMIT FEE: 3 Oo DISAPPROVED By: Date:
rC,e B Date:
CONNECTION FEE: APPROVED By: Date: � -�/ • $ 3
O
* PERMIT MUST BE POSTED ON JOB SITE *
CITY OF EDMONDS
0 • NEW
❑ ADDITION
❑ RETIREMENT
STREET FILE
V
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
ur c,rQ G.oa.��
SERIAL NO.
LOCATION DEPT./NO.
I/J %% ih S% 6 $vJ (io
**PURCHASE ORDER NO.
PURCHASE ORDER DATE
COS
•
*PROJECT NUMBER Low 3 J ..5� Z 7
PROJECT COMPLETION DATE ' 3 RE -3
T COST ! 1 • `�' .S
B.A.R.S. ACCOUNT NO. ye/ - �o o r O / 3
ESTIMATED LIFE 2-S
INITIATED BY DATE APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
U DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT _
• G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
UPl
DEPARTMENT FILE
PtIBLIC WORKS DEPARM]T CHECKLIST
BUILDING PERMIT REVIEV //`J� /% SST
a ess to
Street Right -of -Way Existing ,f�J
REQD
z
Access Easements Existing
H
a
Utility Easement Existing
REQD
w
Lot Per Subdivision Plat
-S- Assessor Map
w
Site Plan Checked for Accuracy,
z
Underground Wiring Reqd. 1441-
H
0
Check Accuracy o Le al DeScAption
. D
Z
Review by Z
Date -3
w
Existing Water Main Size "
Water Main Required
Service Line Required Al
Hydrant Size Existing
a
Hydrant Reqd Per Fire Code
Size
w
Detector Check Meter Reqd.
Cross Connection Inspection -
Fire Department Comments
3
Water Meter Charge Reqd-O m�
Review by
Date 3
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
w Proj.
Drawing No. L / 0 /(
File No.
Side Sewer Availability /V/41
w
Sanitary Sewer,ection Fee Reqd.
3
Review by
Date ,eL -z553
w
Open Ditch Existing o �
Reqd.
Culvert Reqd.
Size
w
Catch Basin Reqd.
Indicate on Site Plan '----
0
Shoulder drainage maintain collection on swale open runoff
H
N
Manhole reqd.
Indicate on Site Plan '—'-
Soil Conditions and Ground Water Field
Checked
Review by�
Revised: lv10-1977
Page 2
H
Street Paving Regd.
Curb and Otter Reqd.
w Sidewalk Reqd. 1�
w Curb Cut for Driveway Regd.
w Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Irprovements.. —
Street Name Sign Reqd.
Other Signing Reqd. r� ti S %— .e 7`
A Pre Permit Site Inspection made on
Z
a 0�-4 BY: SE14ER
w w WATER
a
H N STREET
ENGINEERING
Special Requirements listed in memo to Comity Development Department,
Q Building Division
BY Date
o All items filled in on Building Permit Application
a BY Date
a' Drawings Stanped and Notations Made
a BY Date
a
Approved by Public Works Department
Revised: lv 10-1977
•
NEIL ESHLEMAN Post Office Box 578 Edmonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
LEGAL: Lot 3, Plat of Cherry Hill Lane,
Snohomish County.
SCALE: 1" = 20'
ZONE
SETBACKS:
FRONT ate'
SIDE
REAR
OTHrR
HEIGHT
BUILDING PEEP 11 RI-I'VItIM '\ Multiple
�-,/ Commercial
BUILDING ADDRES-40�N--
BLDG. DEPT. SUSPENSE DATE 2INITIAL DATE .
OFFICE ,ADMIN. — PUBLIC WORKS LOG IN
UJ ►CITY ENGINEER (check)
❑ Access Slope and Vehicle Access Gt
❑ Drainage Plan
W : ❑ Street File
W ❑ Legal Description
❑ Quit Claim
❑ Easement
' �'' �: ❑ Callculate Sewer. Connection
ATER/SEWER DIVISION. 4.•,�{I r
®Determine;: Me ter A Siie irp;
�R 1� ;�:�':�4 `iji�'•,'•I ; f'�� t`�:1•� I:>.' :I:•i.;rlri: .1 91�r•«L
Complete1Building�-Permit'!Review
'� ' r• 11 i • }..I f . 1, !I t P.._ r ilrJi 14d'I,� V1 i •L
STREET DIVISION 'y•; ;+:;I1 ,'
•' romplete•;Building Permit,Review
❑OFFICE ADMIN . --- LOG OUT -TO BLDG ; ' DEPT.
-,---------------------------------------------------------------- - - - - -
-
BUILDI PERMIT APPLICATION (COMPLETE).
2 COPIES OF SITE PLAN
-❑ 2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLYREVIEWED BY FIRE DEPT.)
3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION El
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 SQ. FT. ❑
u C ECK ZONING REQUIREMENTS (SETIBACKS)
1 COPY OF ENGINEERING CHECK LIST
COPY OF PU-.,tlC.WORKS MEMO
L MULTIPLE OR COMMERCIAL
YES ❑ ' ` ( ATTACH COPY OF ADB APPROVAL INCL . ALL DRA?•1
NO
SUBDIVISION — YES13/NAME. '
DATE17
NUMBER.. '' .
N0 ❑ (ATTACH COPY 'OF RM- UIRRT�1TS)
b1rHECK SESdER DRAWING AND ATTACH COPY
-11S DEDICATION YESUIRED RE OBTAIN QUIT CLAIP
Q ( CITY CODE )
NO ['
1 DOES CITY HAVE EASEMENT ON PROPERTY
YES[] (ATTACH COPIES OF DRAWINGS)
NO ❑
CHECK LEGAL ACCESS — INGRESS�UTILIT ESUQ/
YESYES [
NO ❑ NO ❑
'HAS SEWER ASSESSMENT BEEN PAID
YES [3/L.I.D. NO.
PLAT NO. -z .�-
_ _ SUBDIVISION NOS_'
jF MULTIPLE: INCLUDE NUMBER OF UNITS
❑ COMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS
V
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CITY OF EDMOMMIS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Neil Eshleman Building Co., Inc.
w MAILING ADDRESS
3 P.O. Box 578
J
J
lr TELEPHONE NUMBER
Edmonds 1 776-3569
Charles Lee
ADDRESS
903 loth Street
CITY TELEPHONE NUMBER
Mukilteo 347-4999
NAME
Same as Owner
ADDRESS
CITY
TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER
ESHLEN0281JS
Legal Description of Property - include all easements
(show below or attach four copies)
(I
`_ � it � �_ }� � � � ti-v��. ��'� \ (� � `• .n ' LZ-_
NEW RESIDENTIAL El PLUMBING
ADDIALTER NON-RESIDENTIAL MECHANICAL
ElREPAIR RETAINING WALL SIGN
DEMOLISH OR FILL EXCAVATE (ENCE x _FT)
M PRE -MOVE INSPJ 1-1 SWIM
ElSIDE SEWER .WATER LINE
z
O ❑ ❑ ❑
a
YU NUMBER OF STORIES NUMBEROF
DWELLING
- UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
USE
ZONE
ADDRESS / 1 5_ 7 7
_EGAL DESCRIPTION CHECK SUBDIVISION NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING —(O REQUIRED DEDICATION
PROPOSEu-J
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET USE PERMIT REQUIRED El ., ^
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
REMARK
METER SIZE IBUILDING SUPPLY SIZE
REMARKS
w
Z
0
Z
w
. i
RE UNITS
w
F
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
I
SHORELINE 0
VARIANCE OR CU
PLAN G EVIEW BY
DATE
IIA
z
YARDS /
LOT COVERAGE Z
Z
r
FRONT SIDE
REAR
REMARKS
g
a
BY ITYPE OF
SPECIAL INSPECTOR
REQUIRED
IJ YES I I NO
REMARKS
GROUP
VALUATION
OCCUPANT
LOAD
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.
` — '_j CITY OF OFFICIAL'S SIGNATURE
THIS SITE IS LOCATED IN THE CITY EDMONDS
OF EDMONDS. LOCAL SALES TAX 775-2525 DATE y
ATTENTION SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC JAN 4 19$3 CHAPTER 3. PINK — Owner GOLD — Assessor
102.78
Itmron Prinonp . eamuw.. ws rrp.au
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,
GRADINGIFILL
driveways, marquees, etc.) will require separate permission.
Permit 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
successors in interest, agrees to indemnify, defend and hold
3 harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
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."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that 1 am the owner, or the duly
ATTENTION
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-
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
iIGNAIVRE (OWNER Og�,6ENTy IPATE SIGNED 0
DATE: :2-3
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: �%�/� �77TJ`�Sr S'w
After review of the subject Building Permit application, we have the following's
comments;
1. Connection to Citv water systPm rPnnirPri
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 re uired if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separateAd by 10 -foot minimum.
h
BD 6/82