7121 177TH ST SW.PDFiiiiiiiiIII lill
1187
7121 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).
CITY OF EDMONDS
P3IBLIC WORKS DEPARONT FOR INSFECTION CALL A permit IN? _ - 0C 0
SLDE SEWER .PERMIT / 775-2525 Ext. C110 4�� Issue Date
PERMIT MUST BE POSTED ON JOB SITE=� LYNNW.00p LINE
1. Address of, Construction
LU 2. Property Legal Description (include all easements)
LL-•3. Single Family Residence - — Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. �r,4Z
6. Invasion into City Right -of -Way: No �
- Yes -(If Yes Right-of-
C% way Construction Permit Required Call Dial Dig (�,3. Tw5M-,4°)) before
excavation). "
7. Cross other private property: Yes No Easement required -
v attach legal description and county easement number.
H '
a READ THE FOL.LOWI.NG AND SIGN:
a
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.
w b. The side sewer contractor assumes full reponsibility for each
Ei installation for one year.
wC. Commercial establishment requires a minimum of a six inch (6")
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 atea minimum grade. of.2% (1.15°)
o and maximum grade of 100% (450). o
H f. No turn in side sewer greater than 45 (1/8,bend) is 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 hours only. Two (2) working
days notice required.
DATE: �t-1 �►����a
I (crerti�fy that I have read
and shall comply with the above
PERMIT FEE: ®, DISAPPROVED By: Date:
B �: Date:
CONNECTION FEE : APPROVED By • Date �/g-gam
O
w * PERMIT MUST BE POSTED ON JOB SITE
Side Sewer Drawing
The City of Edmonds EASEMENT NO - -------------------------- ----------------
NEW CONSTRUCTION
REPAIRS F
LID NO ...................
ASMT. NO.
.. ..............
OWNER ES�.ALF—MAN ...... COMIZ, , --------------
---------- CONTRACTOR -Lxwwoon
-----
�S.F--P-TtC, -----------------
PERMIT NO. .
(09-3-1.
JOB ADDRESS _711-1 --- -------- ... plm-..............
LEGAL DESCRIPTION: LOT NO . ...... 2 . .......................... BLOCK NO[LYFRWU0U--LlNEj-
...................................................................................................................................................
NAME OF ADDITION --- C14-EQ.lZ:l ..... HILI . .... kANE ......................... ......................
G.o. CAP ISDP
i�- $' --a —,�- , WYE 4;0P
4">C REDMER
a.
CURB Ll NIE
L3.5.�
177TM cc
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Approved:
PWW-0001-11175 (REV.11/78)
DATF - ----- ------------- By -------- -
STREET FILE
NEIL ESHLEMAN Post Office Box 578 ; ; Edmonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
'LEGAL: Lot:•2, Plat of Cherry Hill Lane, Snohomish County
SCALE: 1" = 20'
ZONE X�)
SETBACKS:
FOM,1IT_`......._
c!rjr 7`
OTHER
HEIGHT
I
CITY OF EDMONDS
® NEW
•
❑ ADDITION
❑ RETIREMENT
STREETFILE ASSET INFORMATION SHEET
ASSET NO. 00,-3
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
-? 1 2 r ? �—`' S i 5 6 y c:.
**PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECT NUMBER Le.J: i 9Z SS
PROJECT COMPLETION DATE 3a - 63
COST -Sw . 3 I
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
•
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 _
• G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
r
INITIAL
IIPI
DEPARTMENT FILE
NEIL ESHLEMAN Post Office Box 578 Edmonds, Washington 98020 Phone 776-3569
BUILDING CO., INC.
.'LEGAL:. Lot 2, Plit of Cherry Hill Lane,:'Snohomish County
SCALE: 1" = 201
ZONE
S E T i.3A
0.1.Y
1"ER
HEIGHT-
U+flJj Lrimli
PUBLIC WORKS DEPARM�OIT CHECKLIST
BUIIDING PERMIT REVIEW a 72Y ,ST-
- (a ess) (dato
Street Right -of -Way Existing��
REQD_�
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Access Easements Existing 1411,4
REQD
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a
Utility Easement Existing
READ
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Lot Per Subdivision fi at
Assessor Map
W
Site Plan Checked for Accuracy .-
x
Wiring Reqd.
�..,Underground
0
Check Accurac�e"f gal Descri ion
Z
Review by fl, ,771Date
w-
Existing Water Main Size
Water Main Required N A
Service Line Required 3 ��
Hydrant Size Existing 5 I "
c�
Hydrant Reqd Per Fire Code —
Size
w
Detector Check Meter Reqd. --
Cross Connection Inspection
H
Fire Department Conments
3
Water Meter ge 3 r%-5. eo
Review by
Date .0
Septic Tank Design Approved_ 111%
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability. l/] /
Proj .
Drawing No. —
File No.
a
Side Sewer Availability,
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Sanitary Sewer Connection Fee Reqd.
3
Review by
Date
w
Open Ditch Existing ti, �
Regd.
Culvert Reqd.
Size '
04
Catch Basin Reqd.
Indicate on Site Plan
O
Shoulder drainage maintain collection on
swale open runoff 2
H
Manhole reqd. yo Ak e—_
Indicate on Site Plan --
Soil Conditions and Ground Water Field Checked %
Review by
Revised: 1v10-1977
Page 2
Street Paving Reqd.
H
Gib and Otter Reqd. !i
w Sidewalk Reqd.
w Curb Cut for Driveway Regd.
c4 Right -of -Way Construction Permit Reqd. S
F, Bond Reqd. for Public Improvements
Street Name Sign Reqd.
Other Signing Reqd. ze- efl
A Pre Permit Site Inspection made on
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BY: MIER
w w WATER
a
cn
~ H SIREN 1
'4 Special Requirements listed in memo to Commlmity Development Department,
d Building Division
> BY Date
o All items filled in on Building Permit Application:
a BY T,Date
Drawings Stamped and Notations Made
a BY _ Date
a ..
Approved by Public Works Department
Revised: lv 10-1977
�. �
uortnerrial
BUILDING ADDRESS
r' BLDG. DEPT. SUSPENSE DATE
IriITIAL
DATE
❑ OFFICE ,ADMIN. -- PUBLIC WORKS
LOG IN
' I;CITY ENGINEER (check)
0 Access Slope and Vehicle
Access
❑ Drainage Plan
❑ Street File
❑Legal Description
❑ Quit Claim
❑ Easement
El,Calculate Sewer. Connection
WATER/SEWER DIVISION
;:;;'',`, ►�,:;;!<� �,, : - it DeMeter Size4
.termine'
lete , Building Permit
Review
`•; I ��R.E�T:VISION
mplete Building Permit
Review
- ❑OFFICE ADMIN.:- ` -- LOG OUT TO
-------------------------------------------------------------------------
BLDG':' DEPT.
BUILDDII PERMIT APPLICATION (COMPLETE).
U 2 COPIES OF SITE PLAN
-❑ 2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY 'REVIEWED BY FIRE DEPT.)
❑ 3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION ❑
GREATER TITAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2, 000 SO. FT.
�/z
riTcHECK ZONING -REQUIREMENTS (SETBACKS)
1 COPY OF ENGINEER114G CIIECK LIST
�
6 1 COPY OF PUr'LIC.WORKS MEMO
MULTIPLE OR C0141ERCIAL
YES ❑ ''(ATTACH COPY OF ADB APPROVAL INCL. ALL DWTINCS)
� / N O
IYES[]
n '
SUBDIVISION — YES [] NAME. C
DATEU—RE 11� D
NUMBER.
NO ❑ (ATTACH C PY ' OF REOUIREMf=- )
�ECK SEWER DR
AWING AND ATTACH COPY W7-P�-
IS DEDICATION REQUIRED YESQ (OBTAIN QUIT CLARO
NO ' CITY CODE )
DOES CITY HAVE EASEMENT ON PROPERTY '
YES (ATTACH CO IES OF DRAWINGS)
NO
CHECK LEGAL ACCESS -- INGRES UTILITI
.YES E YE _
NO ❑ N ❑
HAS SEWER ASSESSMENT BEEN PAID
YES C] L.I.D. NO.
PLAT NO.
- SUBDIVISION NOS._
io
IF:..MULTIPLE INCLUDE NUMBER OF UNITS`'
❑ IF. COMMERCIAL: INCLUDE NUMBER OF,FIXTURE UNITS •�
DATE : 2".3lJ �"_3
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: V21 /97 Tit .Sr .iw
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.
BD 6/82
USE
CITY OF EDMONDS
MBIT
ZONE ER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
NAME (OR NAME OF BUSINESS) t
Neil Eshleman Building Co. Inc.
LEGAL DESCRIPTION CHECK
SUBDIVISI N NO.
A
LID NO.
E,
ZMAILING ADDRESS
0 P.O. Box 578
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY TELEPHONE NUMBER
EXISTING �O
Edmonds 776-3569
REQUIRED DEDICATION
PROPOSED
NAME
Charles Lee
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED ❑
w ADDRESS
2
U903 loth Street
SEE ENGINEERING MEMO DATED
a CITY
TELEPHONE NUMBER
SEE PIW DEPT. REVIEW CHECK LIST DATED
4 - 9
REMAf�K i
(�/ ,
NAMEcc
Same as Owner
ADDRESS
UMETER
SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
cr Z CITY
TELEPHONE NUMBER
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REMARKS
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
Property of Descri tion LegalALLOWED
g p •include all easements
(show below or attach four copies)
SHORELINE q
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1
_�_cd ���
VARIANCE OR CU
PLANN REV BY
DAT
N ( ) ` `
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0
YARDS r
FRONT SIDE /,j REAR
LOT COVER E
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REMARKS
.® NEW ® RESIDENTIAL El PLUMBING
ADD/ALTER NON-RESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
1:1OR
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
DEMOLISH FILL ( XFT)
PRE -MOVE INSP./ ❑ SWIM
COMPLIANCE INSP. POOL
SPECIAL INSPECTOR
REQUIRED
YES I ; NO
AREA
O CCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER WATER
REMARKS
LINE
Z
w NUMBER OF STORIES
NUMBEROF
o
DWELLING
m
O
UNITS 1
1 NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
VALUATION I FEE
U
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Q
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0
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4
3
U
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5
PLAN CHECK FEE
BUILDING
PLUMBING
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.
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
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successors in interest, agrees to indemnify, defend and hold
J
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
iwhatever
nature, arising directly or Indirectly from the Issuance
A
of this permit. Issuance of this permit shall not be deemed to
0
o
modify,, waive or reduce any requirement of any city ordinance
=
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
I
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. 1 agree to comply with city and
state laws regulating construction; and in doing the work authoriz•
THIS PERMIT
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
Code of the State of Washington relating to Workmen's Compensa•
WORK NOTED
Deputy; and fees are .paid, and receipt is
tion Insurance.
INSPECTION
acknowledged in space provided.
S�IGN� �UR OWNER OR A NT) J
DATE SIGNED
E
DEPARTMENT
CITY OF
OFFICIAL'S SIGNATURE
THIS SITE IS LOCATED IN THE CITY EDMONDS
OF EDMONDS. LOCAL SALES TAX
ATTENTION SHOULD BE CODED 31.04.
775-2525
DATE
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
"'
CHAPTER 3.
�� 1 19�3 PINK — Owner GOLD — Assessor
N
102-78
1 1 0
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