20000262.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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VALUATION I FEE
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STATE SURCHARGE
PERMIT APPLICATION:, 180 DAYS
WORK SISITARTED WITHIN 180 DAYS
ENG. REVIEW FEES
PERMIT LIMIT.- I YEAR ' pROVpjCEO
SEE BACK OF P NK ERMIT FOR M IE INFOR AliON
ENG. INSPECTION FEE
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
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OF THIS PERMIT LANCE OF THIS PERMIT SHALL NOT BE
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FROM THE ISSUANCE
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WAIVE RR�OUICSA REMENT
TO MODIFY. ORDINANCE PROVISION.
RECEIPT
DEEMED C ITY ENFUI
NOR LIMIT INANYWAYTHE TY-SABIL TO ORCEANY
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
DULY AUTHO RIZED AGENT OF
APPLICATION A PROVAL
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GIVEN CORRECT: AND THAT I AM THE OWNER. OR THE
IS UL' ING CONSTRUC-
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TION. ANO 'NC'IN THEWORKAUTHORIZ 'HE STATE OF HINGTON RE LATJNG
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I GN E DATE
WORKMENS COMPENSATION INSURANCEA-D FCW'S"
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IT IS UNLAWFUL TO USE OR ... U'y A BUILDING OR 771-0221
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A FINAL NSPECTION HAS BEEN MAD, AN. APPROVAL ORJA CERTIFI-
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Project Review Checklist
Plan Check #: C)C)—(
Project Name:
2- W
Project Address: Receipt Date:
4)
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Underground Wiring Required
Hydraulics Permit "ORI(s
Plat/Subdivision Requirements DEpT
Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Feel
Engineering 2.2 Inspection Fee
Drainage Plan (on -site)
Setback - Storm Drain Line
0 en Ditch - Existing
P
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
catch Basin Required
ehicle Access
Driveway Slope & V
Sidewalk Required
Curb & Gutter Required
Curb Cut for Driveway Required
street Paving Required
Right -of -Way Construction Permit Required
Bond Required for Public Improvements
FEMA Map CheckfWater Table
Side sewer Availability r�:, 4- 0.
Calculate Sewer Fee ifNo LID#
Water Meter Size
Water Meter Charge Required 7490
Hydrant Required
CIO
Street Cut
Miscellaneous
RW Permit #
SS Permit # Stl 7q
Date Issued —
Date Issued
Fire Connection$
Meter Size
Date Issued
Paid $ Date-21�
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Receipt #
Receipt# L2732-
Receipt #
Receipt # r��—Z4
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
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ADDMS
DATE: —
*****DESIGN DATA***** z
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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DETENTION PIPE LENGI LOCKING LID
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FINISHED G cm
MINIMUM M Z
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HTLI E CONC BOX OR RISER >
TO 1% SLIT E
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UPPER CATCH BASIN �ORIFICC ni FIE
CONTROL CATCH BASIN RECEIVED
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MAR 2 1 2000 r
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SYSTEM CROSS SECTION DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS 711
a'X2'X6' DEEP, 4-6' SPALLS 13R EOUAL
STING GRADE
FR13M CONTROL CS 2'X 2'X 3- DEEP,' 3/4' CRUSHED ROCK ��EXIA� z
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A 011�L
PRiOMTS PLA&emjN6P WSHHEMD"DRAIN ROCK
PIPPAP OUTLEr
DER -TRENCH
RUNOFF' SPREA
FOOTING DRAINS SHALL NOT BE CONNECTED To DE TENTION SYSTEM
NOTES. R70VEDBY
I. call Engineering Division (771-0220) for a tightline and detetion system inspectic-
beforee backfilling and for final inspections. APPROVED BY
2, Responslbitity for operation and maintenance of drainage systems on private property is the-
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Fresponsibility of the property owner. Material accumulated in the storage pipe must be flushed
d ED the catch basins to allow proper operation. The outlet control orifice DATE
OvV,
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Trust be k t o 10
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Table 1 Detention Pipe Sizes
Impermeable
Required
Pipe Diameter
Area Sq. Ft.
Vol Cu Ft
16, 18" 24" 30"
2000
50
40 28 16 10
2500
62
50 35 20 13
3000
75
60 42 24 15 Required pipe
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3500
87
70 49 28 18 length in feet
4000
4500
100
112
80 56 32 21
90 63 36 23
M
5000
125
100 70 40 25
Note: Allowable
Pipe Materials:
Reinforced Concrete
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Aluminized Steel
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N 12 ADS (Not permitted on roads)
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Table 2 — Outlet Orifice
Sizes
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Area Sq. Ft.
Outlet Orifice Diameter (inches)
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2000,
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2500
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3000
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3500
3/4
4000
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Table 3 — Rectangular Catch Basin Requirements
M
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type
< 18"
20"
Type 1, CB 15
18' to 24"
26"
Type IL, CB 16
24' to 36"
36"
Type 11, CB 19 19 (48" Basin)
36"to'42'
42"
Type 11, CB 19 19 (54" Basin)
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*Source: Assoc.
Sand & Gravel Co. Standards
5
Revised 3/16/95
. . . . . . . . . . . . . . . . .
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Oils NOTICE
U - MEN - T .- IN THISFRA-M E I§'LE- ts C- LEAR THAN
OTICE: IF THE DOC
THE QUALITY OF THE DOCUMENT,
IT IS DUE TO
CITY COPY
HEIGI-Ir CALr-�
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PA r i c'i /, r- t-i — — - - -
RECEEIvED
MAR 2 12000
OEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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FINAL I!ROJECT APPROVAL FO
TO:
DATE:_
NMMO TO: PERMIT COoRDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTNIENT DATE
MIS.
. GINEERING DIVISION DATE
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DES CRIPTION OF WORK TO BE INSPECT
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
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there are no objections from the above signed Department to the granting Of:
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FINAL PROJECT APPROVAL
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.aprvl.doc.l:temp-.bldg:forms6/98
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
_41742
SETBACKS .....................
FOUNDATION:
Footing ...............
wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
-71- 11-00
Rough -in ...................
Commercial Final
HEATING:
Gas Test ................
Gas Piping .................
Equipment .............
Commercial Final
EXTERIOR SHEATHING
NAILING .....................
VAS
FRAMING
FIRST FLOOR FRA MING
00
INSULATION ...................
YVIS
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
I OWNER NAME.AME OF BUSINESS . I
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PERMIT
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NUMBER 2,002
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FLAT NAMEISUBDIVISION NO.
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NO-OFFIXTURES
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REMARKS V --3
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PERMIT COVERS W. RKT.
Tffl%E....�'T AUT�-�O.AAMT-�- ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
�U.T'.. N THE PUBLIC
1: E ED. PROPERTYONLY. ANYCONSTRUCTION ON THE PUBLIC
E. ETC � WILL .. LIRE
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
T PERMITLIM T. I YEAR. PROVIDED WORK IS STARTEDWITHIN 180 DAYS
SEIE BACK OF PINK PERMIT FOR MORE INFORMATION
;A P ]CANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
N NTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
t'
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENT FROM ANY AND
11 ALL CLAIMS FOR DAMAGESOFWHATEVER NATURE, ARISING DIRECTO -1-1-IL,
'ROM THE ISSUANCE OF THIS PER MIT, ISSUANCE 01 THIS PERMIT SHALL NOT BE
DEEMED To MODIFY, WAIVE OR REDU E ANY REOUIREMENT OF ANY CITY ORDINANCE
0, NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
GRADINGIFiLL
GRADING"_
STATE SURCHARGE
END. REVIEW FEES
ENS. INSPECTION FEE
PLAN CHECK DEPOS17
TOTAL AMOUNT DUE
0
FEeEllT
I EC E I LPT
4.-1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAI THE INF MATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR TIIE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE LEMPLOYEO
DILATION Or THE LABOR ODE T STATE OF WASHINGTON RE ATlNG To
IN VI OEAHE
0 F
WORKMEN S COMPENSATION INSURANC NO RCW 18.27.
--S�l N DATE Sla
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APPLICATION AOPROVAL
Th,� ,ppjI,, P1111-1.1 1-pld by th,
CALL 6 d,,I9 .1fi-I -1 D-Pull -1111- - lbll
FOR INSPECTION .ipt 11 .mtldqld 11 11 pl-d1d.
OFFICI S N E DATE
(425)
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771-0220 RELEA$` By DAT�
ATTtNTION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFF
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
ORIGINAL 'ILE YELLOW INSPECTOR
PINK -OWNER COLD A