7129 LAKE BALLINGER WAY.PDF11111111111111
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7129 LAKE
BALLINGER WAY
ADDRESS: r. 1, L(.LIJ� �ifl1�,1yy- U��► �(�f �
TAX ACCOUNT/PARCEL NUMBER: / l
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:_ (Q I I (J j
SEWER LID FEE $: LID
SHORT PLAT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 1 (_S I
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT: BLOCK:
LATEMP\DSTs\Forms\Street File Checklist.doc
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CCIT`F-OF EDMONDi! d• .INMMsekr 8 028ONSTRUCTION PERMIT AP L�CAT ON\NAME IOR NAMEPF BUSINESS! - Lo In.01r) a1Pt CHECn SUBD�t'I$iC:. NO 0 AI0 I � T • � .
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IT IS UNLAv:FU� i- USE '_R CZUP'• :w.G
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Street Right -of -Way Existing�19—
REQD
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Access Easements Exist, Zw
REQD
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Utility Easement Existing .%,(,
e*fidT VO REQD
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Lot/Per Subdivision Plat
Assessor Map
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Site Plan Checked for Accuracy,
s to It
2
Underground Wiring Reqd.
Check Accuracy of Legal Description
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Review by
Date
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Existing Water Main Size
Water Main Required /
Service Line Required
Hydrant Size Existing
x
Hydrant Reqd Per Fire Code ,�; q'
Size
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Detector Check Meter Reqd.
Gross Connection Inspection
Fire Department Conments -
3
.Dater Meter Charge Rec�d.� G',
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Review by /c. � � �.",...-��'
Date
Septic Tank Design Approved /(///
- Date
Septic Tank Permit Reqd. /��/�
Permit No.
Sanitary Sewer Availability M�'L
Proj.
Drawing No.
File No.
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Side Sewer Availability '
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Sanitary Sewer Connection Fee Reqd.
3
Review by
Date
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Open Ditch Existing 1tD
Regd.
Culvert Reqd.
Size
a�
Catch Basin Regd.�e AMP -Oda). OC-.dA.) Indicate on Site Plan
O
Shoulder drainage maintain collection
on Swale open runoff
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Manhole regd.
Indicate on Site Plan
Soil Gonditi and Ground Water Field Checked
Review by
Date 1-T 83
'levi.sed: * 1v10-1977
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DATE: 4 /-t
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After review of the subject Building Permit application, we have the following
comments:
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 rnanho e. - ----
6. Water and sewer lines to be separated by 10 foot minimum.
1. Builder/Owner responsible for_containing all ten) orary runoff and erosion
on_site=y not impact neighboring.properties in aDy��y,
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Z.-eDNrRGTOle. / rf4J� i LE-
/o t %WAII-WOVAIV
BD 6/82
CITY OF EDMONDS �Y
PUBLIC WORKS DEPART T FOR INSPECTION CALL • Permit Ha Zl�_
SIDE SEWER PERMIT Ext. 2` o Issue Date .5
.,,,, �,,,,,, .,�.�
PERMIT MUST BE POSTED ON JOB SITE=q VIA BALLINGER
l.. Address of Construction iq 1= LIFT. STATION
Property Legal Description (include all easements)
(A
3. SingleFamily Residence Z Multi -Family No. of Units
Commercial
L[�A Owner and/or Builder
Contractor & License No.����'
Invasion into City Right -of -Way: No / Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (AW-4AAA) before
excavation).
1-800-424-SSSS
7. Cross other private property: Yes No__�(_ Easement required -
attach legal description and county easement number.
READ THE FOL.LOWI,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
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 inside sewer greater than 45° (1/8 bend) 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: _ 0 -
certify t at I have read
and shall comply with the above
PERMIT FEE: ;?o. nr7 DISAPPROVED BY: Date:
"" ` a r y1E n2 00 B Date:
CONNECTION FEE: n In. � APPROVED By : Date:
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* PERMIT MUST BE POSTED ON JOB 5ITE
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------- ..................
NEW CONSTRUCTION [X REPAIRS 0 LID NO ................... . ASMT. NO. ..................
OWNER DOUG ... AE(ZM.At4./ELUr---Pp,%.pqi ... l4anr-5 CONTRACTOR .................................................................................... PERMIT NO.
JOB ADDRESS .711-9 ------ LAX-e --- SA)-LL!G-Eg .. WA,'J-- LEGAL DESCRIPTION: LOT NO . .........4
........................ BLOCK N ................... ....
VIA BALLINGER
LAKE BA-LiNcert -------------------------------------------------------------------------------------------------------------------------....UFT-&ZATIM....
---
NAMEOF ADDITION ---------------------------------------- ...............................................................................
!-G XOG*
Pump SI'A.
PWW-0001-11/75 (REV.11/78)
Ir jjFlvvu.
vpR"^,, 5-2.i-e4
DATE ... 9t:nS--.S' . ................... By
Ml
CITY OF EDMONDS
rra fi
. ASSET INFORMATION SHEET
�'
E? NEW
•
❑ ADDITION
❑ RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION r
SERIAL NO.
LOCATION � DEPT. NO.
*'"PURCHASE ORDER NO. _
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST
O /c/
B.A.R.S. ACCOUNT NO. '_0Od DD L-
• i 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
LYJ DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT _
• G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. _
INITIAL
by
DEPARTMENT FILE