20000818.pdf-N DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
AILING ADDRESS
CITY ZIP
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CITY ZIP
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STATE LICENSE NUMBER EXPIRATION DATE
il-boe ):F -A co, Uo 112-01,31
ErNEW
RESIDENTIAL
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DESCRIBE WORK TO BE DONE
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PLAN CHECK 110 DATE
T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE ROPERTY ONLY. ANY CONSTRUCTION ON THE PU BLIC
P U
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2 DOMAIN ICU RBS, SIDEWALK DRIVEWAYS. MARQUEES. W ILL REQ IRE
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SEPARATE PERMISSION.
MITAPPLICATI N: 18IID4YS
PE
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPL, ANT i ON BE. PHI OR HER SPOUSE HEIFS. ASSIGNSAND SUCCESORS
;A�pp�LTE'�AENTi=FTOl.��E.�l�. DEIENDAN. H.L. HAF.LeES THE CITY 01
A EE.
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2 ADS , WA NET ITS OFFICIALS. EMPLOYEES. AND AGENTS FRO. ANY AND
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L MO E TEVER NATURE, ARISING DID
-0
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IS. R AN. G FE 0 ISSUANCE OF THIS PERMIT SHALL NOT BE
ALL E IS C T PERMIT.
FR HE H E OF THIS
G T MO'I V A "
UAF A E ED IREMENTOFANICITIOR.INANCE
G E - 'CE A
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PERMIT EXPIRES
USE PERMIT
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—NUMBER
'06
ADDRESS
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PLAT N�MEISUBDIVISION NO�
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REMARKS
PROGRESS INSPECTIONS PER U3C 1081FIVAL INSPECTION REQ'Dj a
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FOR INSPECTION
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I N VIOLAT ON OlF THE LABOR CODE OF THE
WORKM5NS COMPENSATION INSURANCE AND RCW 18.21.
DFFI IALS SIGNATU DATE
SIGNATU:��NER OR:S __T`
MNT:3'
ATLSONED
_
(425)
o7yy'� /0/17/49
771-0220
ELEASED By D
AT�FATIONV
EXT 333
IT IS UNLAWFUL TO USE OR O.Ull A 13U I LDI ING OR STRUCTURE UNTIL
771-0221
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A FINAL INSPECTION HAS BEEN NIADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW INSPECTOR'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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PWG STANDARD OUTLET
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P55.0
RECEIVED
DEVELOPMENT SERVICES CTA.
CITY OF EOIAONOS
���TYPICAL CLEANOUTS Lj
4*0 OVERFLOW PIPE
Co INLET
4=ALIGNED NTH BOTTOM OF INLET
AND WITH CLEANOUT ABOVE
MUD AROUND PIPE
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SEE TA13LE 2 FOR
TANK SIZING
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U�A�DIMNG
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APPROVED
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4 '771,111"
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C,Ty OF EDMOMD',
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
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CALC BY:
7740
PHONE- 126
ADDpxss
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DATE:
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.—**DESIGN DATA*****
IMPERVIOUS AREA
PIPE DIA
PIPE LG
ORIFICE
DCTENTION PIPE LENGTH LOCKI G LID
.(TYPICAL)
FINISHED G
MINIMUM
TIGHT 14E AEAWRWI or
CONC BOX OR RISER
.5Z TO 1% SLOPE
0 OUTLET
,OUTLET CONTROL
MIN.
UPPER CATCH BASIN .0RIFICE
CONTROL CATCH BASIN
RECEIVED
t
SYSTEM CROSS SECTION
DEL 1841000
DEVELOPMENT SERVICES CTR-
2'X2'X6' DEEP, 4-6' SPALLS OR EDUAL CITY OF EDMONDS
FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED RCCK CXISTING GRADE
'���.EG 70!
ROM CONTROL OUTLET WAS
UTF 0 TREN MIN CO' LONG.
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P E
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1UP1UP OUTLET
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SLRU NOT BE CONNECTED To DETENTION SYSTEM
NOTES:
1. Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the
,cumulated in the storage pipe must be flushed
responsibility of the property owner. Material ar E
as to allow proper operation. The outlet control orifice DATE
out and removed from the catch basi
must be kept open at all times.
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Table I — Detention Pipe Sizes
impermeable
Required
Pipe Diameter
Area Sq. Ft.
Vol Cu Ft
15" 181. 24"
30"
2000
50
40 28 16
10
2500
62
so 35 20
13
3000
75
60 42 24
15 Required pipe
3500
87
70 49 28
18 length in feet
4000
100
80 56 32
21
112
gQ 63 36
IJIDO 70 40
23
25
C�_Oop
125
Note: Allowable Pipe
Materials:
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N-1 2 ADS (Not permitted on roads)
81
11,�.�', IN
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Table 2 — Outlet Orifice Sizes
3 3:
6;
'10,010
Impermeable
Area Sq. Ft. Outlet Orifice Diameter (Inches)
co
0
5/8
�c Cn!
-2500 5/8
3/4
ra &
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3000
3500 3/4
4600 7/8
R
4500 7ffl,
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type
18"
8'
124"
20"
yp. �ICB
1� 1
26"
Type IL, CB 16
24" to 36"
36"
Type 11, CB 19 19 (48" Basin)
36' to 42"
42"
Type 11, CS 19 19 (54" Basin)
*Source: Assoc.
Sand & Gravel Co. Standards
5
Revi.�d 3/16/95
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Table 1 — Detention Pipe Sizes
Impermeable
Required
Pipe Diameter
Area Sq. Ft.
Vol Cu Ft
15' 18, 24' 30"
2000
50
40 28 16 10
2500
62
50 35 20 13
3000
75
60 42 24 15 Required pipe
3500
87
70 49 26 18 length in feet
4000
100
80 56 32 21
112
9'0--1 63 36 23
(1 70 40 25
1 25
_dO
Note: Allowable Pipe Materials:
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N —12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Impermeable
Area . Sq. Ft.
Outlet Orifice Diameter (inches)
2000
5/8
2500
5/8
3000
3/4
3500
3/4
4obo
7/8
7a
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Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout
Type
18
1241
20'
1, CB
LVPe
1� I
26"
Type IL, CB 16
24" to 36:
36"
Type 11, CB 19 19 (48' Basin)
36" to 42"
42u
Type 11, CB 19 19 (54' Basin)
*Source: Assoc.
Send & Gravel Co.
Standards
5
Revised 3/16/95
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER CALC BY:
ADDRESS PHONE:266
DATE:
*'—DESIGN DATA
IMPERVIOUS AREA PIPE DIA PIPE LIS ORIFIC.E
DETENTION PIPE LENGT!_j LOCKING LID
FINIS� ITYPICAL)
= %pTu"R&0tPffqP or
T--5-'TL- MIN`— COW BOX OR RISER
11 To 11 SLOPE
OU LET CONTROL
MIN,
UPPER CATCH BASIN �ORIFICE
CONTROL CATCH BASIN
RECEIVED
SYSTEM CROSS SECTION 121!55&�e
OEC 18 2000
DEVELOPMENT SERVICES CTR.
2*X2'X6' DEEP, 4-6' SPALLS OR EQUAL CITY OF EDMONDS
PP13M CONTR13L CB 2'X 2'X 3- DEEf;. 3/4- CRUSHED ROCK EXISTING GRADE
FROM CONTROL 0 TLET WASHED RUCK
OUTFL(3V TRENC MIN 10' LONG
PLIF P TO B� LEVEL
PERF PiPPIE V/ END CAPS
T' L&EL116F
PRTTRPkA N '.QSH EW %V N A 0 C K
RIPRAP OUTLET
RUNOFF SPREADER. TRENCH
FOOTING DRAINS SLUU NOT BE CONNECTED TO DETENTION SYSTEM
NOTES:
1. Call Engineering Division (771-MO) for a tightline and detention system inspection
before backfidling and for find inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. lie outlet control orifice DATE
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Project Review Checklist
ProjeotName: Pl,,Check#-
Project Address: Receipt Date:
2-
Underground W-119 Cl—
Hydraulics Permit
Plat/Subdivision Requirements 5-'Kt.(&7
Street Dedications -5�-Vf-147
Easements - Public/Private S-9q - L&'7
Engineering Storm Drain Review Feel
Engineering 2.2 Inspection Fee
Drainage Plan (0-site)
Setback - Storm Drain Line
open Ditch - Existing
culvert Required
Culvert size
Shoulder Drainage/Shale Open R-off
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required 4e-s - S -912v E 117
Curb& Gutter Required 6 -49 - t&-f
Curb.Cut for Driveway Required
Street Paving Required t1 -
-71
Right -of -Way Construction Permit Required Y-
Bond Required for Public Improvements
FEMA Map CheckfWater Table
Side sewer Availability '3-1q46,1
calculate Sewer Fee ifNo LID#
Water Meter Size
Water Meter Charge Required
Hydrant Required \6o5
Street Cut
Miscellaneous -Fia& i4qcvANt td;A:t�
?T1.
RW Permit # Date issued _ Receipt# —
SS Permit # Datelssued VL14-00 Receipt # -IL2a-2-
Meter Size Paid $ &Q. Date -L7�4--a) Receipt# -LL--Z�
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DATE, JZZA /,,31
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FER DEPARTMENT D E
ENGINEERING DIVISION DATE-5�-
PLANNING DIVISION D
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PERMIT INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED---Z'--'--/
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
approval of the described work
erformance Bonds associated with the project may be released
--;r _jGRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
N,?bqq
______FAILED FINAL INSPECTION - OUTSTANDING ISSUES r
1.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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FINAL PROJECT APPROVAL FORM
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DATE: —
MEMO TO: PERMIT COORDINATOR� BUILDING DIVISION
FROM: --FIRE DEPARTMENT DA
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
P—sm
PROJEC
SITEADDRESS- -lqlo sobf-A
PERMIT # 4 0 �Pi t ADB# ...... __—PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTE
that
A field inspection was conducted to determine compliance with approved plans. Final approval denotes
to the granting of:
there are no objections from the above signed Department
--Final approval of the described work
—GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
14"Ay - t� ') a!
q&LED FINAL INSPECTION - OUTSTANDING ISSUES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS .....................
FOUNDATION:
Footing ......................
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Pler/Porch .................
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PLUMBING:
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EXTERIOR SHEATHING
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FINAL APPROVAL FOR
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CITY OF EDMONDS
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REMARKS
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m
PLAN CHECK ... ....
PLUMBING
MECHANICAL
THIS PERMIT AUT OR IES ONL THE WORK NOTES, THIS PERMIT COVERS WORK TO
" I Y
T 'T N ON THE PUBLIC
BE DONE PRIVATE PROPER Y ONLY. ANY CON RUCTIO U
ON
DOMAIN SIDEWALKS . MARQUEES, ETC,) WILL REQ IRE
GRADINGIFILL
SEPARATE PE.MBS'.NL
STATE SURCHARGE
PERM IT APPLICATION' 190 DAYS
WITHIN 180 DAYS
ENG. REVIEW FEES
�p I S STARTED
PERMIT LIMIT 1 YEAR ROVIDEDWORK
SEE BACK OF PINK PFFIMIT FOR MORE INFORMATION
I
HIS OR HER SPOUSE HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
0 ;APPLICANT. ON BEHAL E. ", DEFEND A . No HOLD HARMLESS THE CITY OF
N INTE2EST=GTOT�0 C AND
:T�S
S
PE
:;, �l
G HTS FROM ANY
MO FFI'CIALS. E. PLOY EES. AND A E
ED N",W
ALL CLAIMS FOR DAMAGESCF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
BE
1 1,
'&K
REg.IPT
* FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERM" SHALL NOT
PLAN DEPOSIT
.00
T OF ANY CITY ORDINANCE
* DEP.EDT MODIFY. WAIVE OR REDUCE ANY REQUIREMEN,
ABILITY TO ENFORCE AN ORDMANCEPROVISION,
p
4-1)
to
0 NORLIMIT N ANYWAY THE CITY'S
TOTAL AMOUNT DUE
1 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON; THAT THE INF RMATION
APPLICATION PPR VAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE D LILY AUTHORIZED AGENT OF
STATE LAWS REGULATING CONSTRUC
CALL
Idby.
�0
0 a.d F. T�ld. 1,,d
THE OWNER, I AGREE To COMPLY WITH CITY AND
TION, AND IN DOING THE WORK AU HORIZED THEREBY. NO PERSON WILL BE EMPLOYED
TO
B'�., 101,11111 p,ty
1— P_ dg.P � �p pl.
FOR INSPECTION
DE OF THE STATE OF WASHINGTON RELATING
IN VIOLATION OF THE LABOR Co
WORKMEN S COMPENSATION INSURANCE AND FCW 19.21. 2
NATURE- O.F,
SIGIATIFEQW�Eno� OAT�_EIGNED
_,�
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(425)
771-0220
r.,ELEASED.Y DATE
"r�_
A:FC�fiTIQW/
EXT 333
1%,
USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
6
IT lSbNLAWF6LTO
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINA�Ll FILE - YELLOW INSPECTOR
A FINAL INSPECTION
BEEN GRANTED. UBC SECTION 109
FAX
Pil�K-OWNER - ..LD.ASIESSoq
CATE OF OCCUPANCY HAS