1047 3RD AVE S.PDF1047 3RD AVE S
ADDRESS:
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
The City of Edmonds STREET FILLMide Sewer Drawing
EASEMENTNO - --------------------------------------------
NEW CONSTRUCTION 0 REPAIRS El LID NO_ ------------------ - ASMT. NO- -_--___-_-.-______
OWNER CONTRACTOR -------- 5--� 611"
........ ----------------------- ----------------------- PERMIT NO. Cp
JOB ADDRESS -!�--QE7 ------- ::: -- - -------- ............ LEGAL DESCRIPTION: LOT NO. --------------- 4 -------------------- BLOCK NO.
......................................................... .....................
-------------------------=
PWW-0001 -11/75 (REV. 11/78)
NAME OF ADDITION -------
. ............... ............ ...........
-M B . ..... -------- _k, -- ----------------
r C'ITY OF,_EDMONDS _
PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit �'�i o0
SIDE SEWER PERMIT- 775-2525 Ext. 220 Issue DateJ�
PERMIT MUST BE POSTED ON JOB SITE=�`
1. Address of Construction pQ"� a iQ'dJcw��rats
2. -Property Legal Description (include all easements) �, ��e��AJA.
3. Single Family Residence b�o' Multi -Family No'. of Units
Commercial' P.
4. Owner and/or Builder Ve �OMVlt►r�,a _A �c�re e� aiieyet
5. Contractor &., License No. T, R,,F_ - ° %z4-p L
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation). f
7. Cross other private property: Yes No M°` 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.
4 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. Sid"ewer lines must be laid at a minimum grade of 2%. (1.150)
and maximumgrade of 100% (450) .• :r o
f. No turn in side sewer greater than 45 (1/8,bend) is0allowed
between cleanout. All 90 turns must be constructed of a 45 (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 rprequired.
DATE: V _' •"
I" ddrti y that I have read
and shall comply with the above
PERMIT FEOP°A^�
U W
�.� CONNECTION FEE:
O '
W *
°09 FOR DISAPPROVED BY: Date:
By: -Date:
APPROVED By: ate:
IT MUST BE POSTED ON JOB E
J. GAYLORD RIACH
LEO J. GESE
VERN J. SEATHER
Mr. Saterlie
City of Edmonds
Engineering Division
200 Dayton Street
Edmonds, Wa 98020
RIACH, GiESE & SEATHER
ATTORNEYS AT LAW
November 21, 1978
Re: Mr. & Mrs. Donald Folsom:
Dear Mr. Saterlie:
STREET FILE
JOHN P. WATTS
PATRICK M. CURRAN
NANCY W. PREG
RECEIVED
NOV 2 71978
D11. UI
We represent Mr. & Mrs. Folsom, whose residence suffered water
damage after a rain which occurred on or about November 3,
1978. Their residence is at 1047 - 3rd Avenue South in Edmonds,
behind which there is a development. Mr. Folsom has indicated
that during construction, dirt was dumped so as to form a dike
whichcaught a heavy rain and formed a lake. The "dike"
eventually broke and the water which had been collected flowed
downhill onto the Folsom property, causing the damage.
Mr. Folsom said that you and another City of Edmonds employee
were present after this flooding occurred and that some photo-
graphs were taken, both of*the "broken dike" and the Folsom's
flooded basement. At the time, you told him that copies of
the photographs would be available to him. Would you please
send them to me at this office.
Also do you have any information on the identity of the developer
and contractor of the project. I would appreciate any help you can
give us.
Thank you for your kind attention to this matter.
very truly yours,
Fpl/
FAX DUNCAN
FD:rk
P.O.BOX 1067 • 5905 - 196th S.W. • LYNNWOOD, WA 98036 • AREA CODE (206) 776-3191
; , t"-CITY OF EDMONDS„ �.,.�..
PUBLIC AK$t-x0TPARTMENTj ENGINEEO;IRDIVISION
APPLICATION FOR RIGHT-OF-IJAY CONSTRUCTION PERMIT
THIS PERMIT MUST BE AVAILABLE AT THE.JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts.A an B
A. Permit to be issued to:.��M(N1C�S
UJ
L,.
UJ
W
For Work at:(address or vicinity)��)
Type of Work to be done: d� j
(attach drawing when applicable)
Time Required.-- Start: %� Finish: 30`��%
Owner: I' lV - FU ISO VL
Name
Mailing Address
Jvvu
City State Zip Telephone Number
Contractor: '4nr.---)
Name / r
Mailing ddress
r-�cl cCo2�
City State Zip
State. License Number
Telephone'Number
B. INDEMNITY: Applicant understands and by his signature to this application,"agrees
to hold; -the City of Edmonds harmless from any injuries;'damages, or claims of any
kind.or..description whatsoever, .foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments or employees,
including or not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of 'granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one 'year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at -which time a debit or credit will be
processed for issuance to the applicant.
Work.is subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for -inspection
.purposes at all times.
Signature: Date:" )9
Owner or Agent
C, TO BE COMPLETED BY ISSUING AGENCY: ;
Date Issued: (--19- l l Permit No.: �� 10 Fee:
Security Bond: N G-v
Time Authorized: {O
PROVED BY_
10-771v (Revised)
Date: l p
•
EDMONDS BLDG. DEPT.
' Date Time Recd.
F
Owner/Contr. _.
Job @
Address
i
I INSPECTION REgUEST Time Reg
i
Bldg..Fdn. Frame
Plumbing Ro. Fin.
Elect. Ro. Fin._
Inspected -Date
Remarks _
i
i
STREET FILE
L0' APF1?OJAT. ,STRFZT
NAME¢_..._,_
ADDRESS OF PROPOSED EU11�ii.
LEGAL DESCRIPTION: LOT f� BLOCK 2' ADDITION
TYPE OF USE G� ° NO. OF BEDROO?���:5 SIZE OF LOT &QX / D U
SOURCE OF DRINKING WATER: Public; 8-apply Private WelI
� J A�> RFAC DRAIN.A.GE
1. Is disposal field site we"11 d ~ayn.ed-?
2.► Any water course (stream, drainage d.Hc--h through. site?2ar-''
B, TOPOIGRAPF,1
31. Any heavy slopes in field a.a^ea?
2. Will present topsoil: in field area beremoved or graded before field tiles:
are installed?
3. Will any fill mate:�ia:z b ased l.rs' he disposall field site?
If yes, how much?
C
L. Has, a hole at least 4 feet deep been dug in the disposal field area to
determine the type of soil present 1
2 After hole is dug record the so ±- coniiti ns at, the following depths.
(Record as sand. gran°el, clay packed. sand_. ].can, tco )
2`2 inches 30
30 inches_
18 inches . / // �36 inches %
24 inches inches •
3. Any ground water encountered before reachilng a depth of 4 feet?
If so at, what, depth?
A simple water test will show hoer well this soil will drain or percolate water.
To perform this test^
1. Dig hole at least 36 incres.doepo Use a shovel or post hole digger —
size of hole makes no di_f#'erence� o:fiiy depth.
2.. Fill hole with water. Now I&I all water run out of hole. This soaks
the ground and will give a more accurate readings
3. Again pour water in hole to a.height of 12 inches from the bottom.
Let water run out until there J.s just 6 inches from bottom let in hole.
4.. Note how many minutes it takes for this last 6 inches to seep away.
record this time below,
MViAer of 'atresfeY last 6 inches to seep
4
5. Divide this time by 6; to obtain the rate. perinch �g
6. Date. water test was perior�ied / ./y
I hereby certify the above information to be correct and th above tests were
performed by me as prescribed
Address )�
NOTE: A septic tank permit is issued on the basis of the above information. If
there are any changes or alterationsinthe above soil conditions it may result
in the installation being rejected at the time of inspection.
Percolation Rate and Required Absorption Area.. For single Family Dwellings.
Percolation Rate (Time in Lineal feet of 4 inch tile
minutes for water to fall using trench with width of
one inch) two feet
3 1'S0 minimum
4 175 C
1'.90 It
7 22
310 �50 rr
12 265 rr
15 2-85 rr
30 3:75 "
Over 30 Soil Unsuitable