The URL can be used to link to this page

556 HOLLY DR11111111111111 14103 556 HOMELAND DR CITY of E DM ON DS For Inspection Call 771-3202 SIDE SEWER PERMIT PERMIT NO. 00 C) Ln JJV Address of Construction: PUBLIZ NVKIV). A Property Legal Description (Include all easements):, Owner and/or Builder: Contractor & License No: Single Fami ly Residence Multi -Family (No. of Units W2- IEDMONDS TREATMENI P1 Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-555.5) before any excavation.) Cross other Private Property: No Yes (If Yes,easement'required, attach legal description and county easement number.) PLEASE READ THE ITEMS LIST D ON HE BACK I certify that Ilhave read and s-h�all comply Date with the items listed on the back. Pe.rmit Fee: Issued By: Trunk Charge: Date Iss,ued: Assessment Fee: Receipt No.: bo / Partial Inspection: Comments Date Initial Final Inspection Approved: Date In-Ftial Rejected: eason ** PERMIT MUST BE POSTED ON JOB SITE ** Date -Tn i -ti a I White Copy - File Green Copy - Inspector Buff Copy - Applicant % The City of Edmonds Side Sewer Drawing EASEMENT NO . .................. ----------- -- .......... NEW CONSTRUCTION REPAIRS F-1 LID NO. -- .............. ASMT. NO - ------------------ OWNER ................. CONTRACTOR .. jk.-rA ------ ------------ PERMIT NO. 752s- JOB ADDRESS SSG --------- Ho-L-t-n ------ D-Puve ------- PWW-0001-1 1/75 (REV.1 1/78) LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO . ..... ----------------------------- ------------------- --------------------- 71 til . E OF ADDITION -p3m 0 1.5,0P. EDMONDS ---------------------------------------- - TRE-ATMENT-FEANT ------------------------------------------------------------ ------------------------------------------------------- 7'DP. EX%S-r%*4G Gr'PV-C-. -ro Cc-r*% AaE. Approved: DATE� ...... 'Y'4L, -e ------- ---- ------ - --------------------- 01111171Z,,� - - ---- - - -------- "OR-IGINAL MIC;SING! the::- City-*.`bf -:'EdiTi,66ds Side Sewer Drawing EASEMENT NO.'4-'_': ------------ ........ NEW CONSTRUCTION W REPAIRS Fl Tin mn A C "r l0f-% . ............... . .................. CONTRACTOR.- ..... <_ .......... :...' PERMIT NO. " 7 LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK -NO . .................. ....... : .......... EDMOND ................. .................................................................................. ............. . ......... . T _T T FREAT TVT E I q TT L A N.TJ E OF ADDITION 0 U,,- W0Fk_rHr_ in— V t 4 7 usbp. 4**c_,o-%wsE 7'JDP. -rtNG EMS -rc, Approved: e.* DATE6...... By, .... ...... . ....................... CITY OF EDMONDS ASSET INFORMATION SHEET -"o' [R-NEW ADDITION RETIREMENT ASSET NO. ADDITION TO ASSET NO. Z1. DESCRIPTION SERIAL NO. LOCATION DVT. NO * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE *PROJECT NUMBER PROJECT COMPLETION DATE COST INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY el �DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE bl'p) INITIAL DATE VERIFIED BY PROCESSED BATCH NO. DEPARTM��W FILE lutio-MAJ % -ot -M cilia Man= ADDRESS: / -y ,ORI PR00CT NAME: �c -Awl APPT.TrA'PTfW RPYFTPT nAq, I p: ba, Reviewed by: (ini ial/date) CaMMENTS PLANNING WrR/SWR STREET ENGNRNG FIRE RUILDING TWIM SINGLE FAMILY/MJLTIPLE/CCWF?MCM - (qircle One) SETBACKS CHECKED - Planning 71-1111111 VARIANCE/SETMCK ADJ. ///////// //////// i 7777/7//7 /R///// CKMITIONAL USE PERMIT 2 AUB REQUIPIMEN71S CHECKED 3 OTHER ZON"ING MQUIREMM 777777 4 ENVIRONMENTAL FEATURES A 5 A=S SLOPE & VEHICLE ACCESS 6 7777/77// DRAINAGE PLAN (On Site) 14) ///////// 7//////// 1111T11T STREET FILE 8 LEGAL DESCRIPTION VERIFICATION 9 7/7777T777/////// QUIT CLAIM/DEDICATIONS 10 EASEMENT - PUBLIC/PRIVATE gin �,3� - 11 I CALCM-ATE SEWER CONNECTION IF NO LID# �� T) ////// 77777777T77777771T 12 PLAT/SUBDIVISICN REQUIREMENTS 13 -777777 11111rf1T77T17TRT RIGHT--CF-WAY MISTRWPION PERMIT REM- ////// ///////// ///////// 14 117TIl ///////// ///////// BOND REQD M-R PUBLIC IMPROVEMENTS ////// ///////// ///////// 15 SO= CONnPHONS & GROUND T77/77 ITIT1777T77TITMT WKMR FIEW CflFZKM) � ////// ///////// ///////// Wffly/ 16 7-777/7 ITTI-IT117- STREET PAVING REQUIRED ///////// 17 WITTI-W CURB AND GMTER REQUIRED -177-1-ITIM111111111 .18 1,/ Slf)MVJX REQUIRED 19 T11111 7TffllW 11111TITF1 CURB CM FOR DRIVEWAY REM 20 T ff TIT17TR7 711711 STREET I NAME SIGN REQD 21 T1-r171-1-177-1T11-17F1' 1 MEER SIGNING REM ///////// ///////// -fl7777/7 22 7T/-/// 77TI71-Iff SIDE SEWER AVAIIABILITY ////// ///////// //////// 23 EXISTING WFER MAIN SIZE 7TflTf 7TI77TI77' 7777T17TT71111111 24 1117 WATER �WFR SIZE 25 7 7 M7 -/TIM-/// 1171-7Tff 777TITfIW' ,9ERVICE LINE, SIZE //////// 26 7TfT[ffff 77//77/7 7777TIT177' HYDRANr RmuiRED ///////// //////// 'TITI-IT1777 27 71T.17T HYDRANT SIZE EXISTING 28 CROSS C%7NECTICN INSPECTION REM 29 MTEal METER CHAJ�E REM 30 - TflT1-11-r17 FIRE LINE CHARGE RFQD - SPRINI(LER 31 n1111111111 STREET CUT 32 11177TI17 m OPEN DITCH EXISTMG ///////// 33 11711711T11111111T 1/05 2 RE)QD 34 111117- I-ITI-1711-1 71-1111111 CULVERT REM- 35 ITRIMT1111111 SIZE 36 111117 M111IF1 17IT11111 T CATCH BASIN REQD 37 MT11111-711111111 INDICATED ON SITE PLAN ///////// ///////// 38 SFMLDER DRAINAGE MAINTAIN M111 111711111 SHALE OPEN RUNOFF' 39 14ISC: �40 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR7ME OF BUSINESS "P, JZ� MAILING ADDRESS CITY TELEPHONE NUMBER- 5>79 - �Zsv ADDRESS NAME ADDRESS ,As--,,) 'ELEPHONE NUMBER - 2_-Z-S& TELEPHONE NUMBER STATE LICENSE NUMBER Legal Description of Property - Include all easements (show below or attach four copies) LZ NEW L.� RESIDENTIAL Li PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOUSH REMODEL EXCAVATE D OR FILL El PRE -MOVE INSPJ COMPLIANCE INSP. FENCE ( x _FT) swim POOL WOOD STOVE/ INSERT APT.BLDG RENEWAL --- 540 JOB AUUKtSS 5-56 PERMIT NUMBER �E -0.3 , --36 A/19 711- 1 S - 95� r711- 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. 15 EXISTING REQUIRED DEDICATION 6p PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED 0 W Z SEE ENGINEERING MEMO DATED Z REMARKS a,/,� J If 0 METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS cc REMARKS SIGN AR EA ENV. REVIEW ADB NO. ALLOWED PROPOSED I COMPLETE EXEMPT I S HORELINEN NUMBER OF STORIES NUMBER OF DWELLING 2�- [UNITS I NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) I I X-YeW (f oA)_5-r. I VARIANCE OR CU REVIEW BY , DA YARDS- - ' I HEIGHY I LOT C GE/ 7-0 .15� R/ P FRONT SIDE Arl 24- �p BY TYPE OF CONST�UCTION 1 -7 —/V SPECIAL INSPECTOR REQUIRED 0 YES 0 NO PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Perm * It covers work to be done on private property ONLY. GRADING/FILL, Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days ENERGY CODE 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 UO)i harmless the City of Edmonds, Washington, its officials, j 2 employees, and agents from any and all claims for damages of ir < whatever nature, arising directly or Indirectly from the issuance of this permit. Issuance of. this permit'shall not be deemed to PLAN CHECK DEPOSIT modify,.walve or reduce any requirement of any city ordinance 0 nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 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 authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance., INSPECTION 1,S"AT4E (OWNEP, ENT) DATE SIGNED DEPARTMENT CITY OF EDMONDS ATTENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE da 71ZJ86 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-78 CODE HEIGHT OCCUPANCY OCCUPANT GROUP R_ _2 LOAD VALUATION / ') I ,)c L 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. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor Z Z 0 Z 9 5 cc 6.1'. 00. -7:5 06-f-P - 7 iewa . . . . . . LP7- U3 �4 00 * S�311 41 VM'. 1 it " Wr Boy, lit V4 SO e Ayslar In T" A4 .: -, "P,:.: ":, Y - I "J"'! " I . v WO el"t VIM, Nov sly fry! WON CATC.4 BA,51k: a PAJZ� I r- t o k TKrriCw LIrNGTH WOUAL) L44 -r1%1C1,4CH COVWR ............................. . ...... . .......... W IKE F E' KIC P I PC TIE E vy/ 4'Low., LEc-s LCYN-L T7MNC_J4 CAP SYSTEM CROSS—SECTION MIRAff I SOOX 1-1.1k, "1\/F=1 r-L 1--r TO 615a LAYED e W6,-_,�4t:D COVER 3/4*� 0/2" WASWED GPAVEI 4 cxAm FERF P I TRENCH CROSS—SECTION -(-/ A/0 (),Aj "'9 �q4l'4re A. " STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF _2 for location- :5-:56 h4XL plan by e4,14 phone date DESIGN D*ATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Req. NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). CITY OF EOMONos DATE ME140 TO: Building Division Planning Department FROM: Engineering Division Public Works Department SUBJECT: After revie-a of the subject Building Permit application, vie have the Following corrimen ts 1. Connection to, City viater system required. 2. Connection to City sanitary sew er system required. 3. Right-of-way permit. required for any work on City property. 4. Driveway'slope not to exceed-1-i 1110 5. Bac.k-..ia4,-.er' valve requ ired i f downstairs plumbing- is below elevation of upstream manhole. 6. Water and sewer Vines to'' bewseparated by 10 foot filiniflium. W5 00 6/82 I � - a_ e I El 01. — '7' , Iij-0 7-X L 'r�jj �7 SMACK 4". . . . . . . . . . . . . . . rS z >1 � �11 I uj �I o N4; I a fLcr fD OF\ ',I.* r ;712IFg