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CITY of EDMONDS RECEIVE® SIDE
For Inspection Call 771-3202 F E B 19 1995
PUBLIC WORT,,,
Address of Construction: ( D-Z.`1 F.vA��
.
Property Legal Description
Owner and/or Builder:
Include all easements):
4
SEWER PERMIT
,RMIT�NO.
EDMONDS }
TREATMENT PLANT
Contractor & License No: �Q) ME- L "! —11'4 k-F
Single Family Residence V
Multi - Family (No. of .Units ) �
Commercial (No. of fixture Units ) !/JD
Invasion into City Right -of -Way: No X Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-55.55) before any
excavation.)
Cross other Private Property: No j`— Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEM /'ISTED ON THE BACK
I certiyfy th,a I/fhave read and shall comply Date
with the items cllisted on the back.
Permit Fee: 3 6.00 Issued By:,
Trunk Charge: 2.S- yc> Date Issued: •/ % d��
Assessment Fee: Receipt No.: 4 243
Partial Inspection:
Comments Date ' Initial
Final Inspection Approved:
Date Initial
Rejected:
.Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green'Copy - Inspector
Buff -Copy Applicant
i\�
The City of Edmonds Side Sewer Drawing EASEMENT NO. . --
-----------------------------------
NEW CONSTRUCTION JR REPAIRS 0 LID NO. -ASMT. NO. ------------ I ------
OWNER ------- 40-1,�G-S ------- 114C,--- CONTRACTOR - ---------- Bjacx+A-0-�r ------------------ PERMIT,, O. 7443.
r
JOB ADDRESS AOZ7 --------- Euc,.Ln ...... t�-N.F — --------- LEGAL DESCRIPTION: LOT NO. ------ 5 --------------------------- BLOCK NO. E,,,MMPONPqDS.,..
PERMIT:,
PLANT
------------------------------------------------------------------------------------------------------------------------------------------------------------------
PWW-0001-11/75 (REV.11/78)
OF ADDITION .:FLAT --- OF ----- lmQ�.DS....
I L A
1O2'7 EUCLID
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Vc-O.WvE� T-
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3.4
38'
7*4
ra, 0 P.
4:'c--*.w2frr-
Q.6. c^p
Approved:
DATE ------- --------
STANDARD DRAINAGE PLAN
/OZ-7 1:lGLtd
CATCH BASIN:
XD5 ok I530 (o A.
WSUAL
-nrw uN
g•�►ER
M
TRENCH LItNGTH
/ 2 K
S � �
TNiNCN COV[R
j � - -,� r
E L[VE'L. TR�NC.N
-. P P9 CAP
TEE W/ 4 LONG LEGS
SYSTEM CROSS-SECTION
M I P,AF I 140 ►-1
OK
To
TRENCH COVER
3/4' - I'/�'WASHED
• GRAVE I
4�DIAM PERF P
TRENCH CROSS-SECTION
SrA�7w
FACE
INFILTRATION, SYSTEM
PAGE I OF 2
for City of Edmonds
location Euclid Ave.
Lot 3• S-32-85
plan by • ewis
phone 775-2033
date 1-3-86
DESIGN DATA
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 e�X546
r)
CITY OF'EDFVIONPS
Perk #3 1.1min./inch
(refer to S-32-85 Eng.Plan)
Impermeable Area: 4133 sq.ft.
NOTE:
All roof.and foundation drains will
be independently routed to catch
basin then released to infiltration
trench. Catch basin to be ADS
O #1530 or equal.
i
l�
SITE PLAN, SCALE: 1"=20'
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL )
__PLO T PL A N
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22 / JAA-1E_5' ST. EDMOAI.DS', WA.
-IN SE%41 SECT/ON 13, T. 2 7il/.l R. 3 E WA4
LOT 3 5-3Z-8$ .
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SELLER
SELLER
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T-
PRD= ,REVIEW CHECKM
PRO= ADDRESS
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-COMMENTS
. FIRE
PLANNING
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DESCRIPTICN VERIFICATION LOT
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CONDITIONS &..GROUND
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WATER FIETD CJJECKED
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PtEVIEYAM, BY:
PLANNING MR.
7 -p ENGINEERING MGR.
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_7X76 6
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Chris & Del McKenzie
MAILING ADDRESS
221 James St%
CITY TELEPHONE NUMBER
Edmonds 775-2033
NAME
Design Consultants
ADDRESS
903 10th. St.
CITY TELEPHONE NUMBER
Edmonds 775-6569
NAME
Homeland Homes Inc.
¢ ADDRESS
° U
221 James St.
¢¢ CITY TELEPHONE NUMBER
Z
Z
Edmonds 775-2033
O STATE LICENSE NUMBER CITY LICENSE NUMBER
HO-ME-LH1174KE B-2274
Legal Description of Property - Include all easements
(show below or attach four copies)
z
0
a 3
W
Lot Y Short Plat S-32-85
W
0
® NEW
® RESIDENTIAL
❑ PLUMBING
❑ ADD/ALTER
❑ NON-RESIDENTIAL
❑ MECHANICAL
❑ REPAIR
❑ RETAINING WALL
❑ SIGN
EXCAVA❑
❑
DEMOLISH
❑ OR FILLTE
(ENCE X_F)
❑PRE -MOVE INSP./
El SWIM
COMPLIANCE INSP.
POOL
❑ SIDE SEWER ❑ WATER LINE ❑
Z
w NUMBER OF STORIES NUMBEROF
0 two DWtLLING One
M UNI IJ
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
construct single family home
USE _PERMIT
ZONE NUMBER
RS-12
JOB
ADDRESS 1027 Euclid Ave.
41K I S-32-85
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING N REQUIRED DEDICATION _Q_
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED [`
STREET USE PERMIT REQUIRED ❑
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DA ED
REMARKS
METER SIZE IBUILDING SUPPLY SIZE [FIXTURE UNITS
REMARKS
SIGN AREA I ENV. REVIEW
ALLOWED I PROPOSED COMPLETE I EXEMPT
NO.
VARIANCE OR CU PLANNING REVIEW BY DATE
°
YARDS I.LOT COVERAGE ?
Z
FRONT SIDE REAR Z
REMARKS g
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
REQUIRED
GROUP
LOAD
❑ YES ❑ NO
REMARKS
%
Pew,
_ZxSa4
l
ca
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
This Permit covers work to be done on private property ONLY.
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
u) successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
f employees, and agents from any and all claims for damages of
a whatever nature, arising directly or indirectly from the issuance
0 of this permit. Issuance of. this permit shall not be deemed to
0modify,.waive or reduce any requirement of any city ordinance
x 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
state laws regulating construction; and in doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insuran e.
INSPECTION
SIGNURE(NEROR A DATE SIGNED
DEPARTMENT
1-3-86
CITY OF
EDMONDS
ATTENTI 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE Ile A07-&
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
VALUATION
=rl/ //
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
ORIGINAL — File YELLOW — Inspector U
PINK — Owner GOLD — Assessor
Ke.yon P—o 9 . Eomono.. WA 775 W9e
DATE : / —,2/— J�
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: �O,Z Lit/%� �✓ (lam
After revie+•i of the .subject Building Permit application, vie 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.
d. Driveway slope not to exceed lrta
5. Backc:•iater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum. _
80 6/82
iiiCATCH d/SIH:
M.13 0IS30(0k
■OUAL)
IA L.
TRGNCN L&rNGTH
4 � �
_rncHCH. Covrn
c
11 E� - -
�' -n&4H UHE LCVKI- TR> NCH
411EKF Plus CAP
TEE W/ 4"LONG LEGS I
SYSTEM CROSS-SECTION
MIR.FI 140►-J
LF�'--r
TO 2 (= ' /-''E D
TRENCH COVER
3/4* — 1 VI" WAS U E D
GPAVEI
Y
4 oi,AM PERF P
1. 9-1. O��
TRENCH CROSS—SECTION
STANDARD DRAINAGE PLAN
INFILTRATION, SYSTEM
PAGE I OF 2
City of Edmonds
for
location Euclid Ave.
Lot 3- S-32-85
plan by ff ewis
phone 775-2033
datel 3-86
DESIGN DATA
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 shoul
be cleaned of floating material and
sediment at regular intervals (at leas
twice per y ar).
"'v
CITY OF EOIYIONOE
> Op_ p,P
,I h
i
I
I
f
I
I
2(�- -
59.1 u �.
SITE PLAN, SCALE: 1"=20'
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (1.5
rn^T oiec ocp no 9:9•ET HOR17ONTAL )
Perk #3 1.1min./inch
(refer to S-32-85 Eng.Plan)
Impermeable Area: 4133 sq.ft.
NOTE:
All roof.and foundation drains will
be independently routed to catch
basin then released to infiltration
trench. Catch basin to be ADS
#1530 or equal.
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2