1440 OLYMPIC VIEW DR.PDFiiiiiiiiiiiiii
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1440 OLYMPIC
VIEW DR
CITY of EDMONDS
RECEIVED
SIDE
SEWER PERMIT
FqCj 7P-3202
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PERMIT NO.,A7222
Address of Construction: YN 0
VI NOM
MA)�A- G? % C,
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Property Legal Description (In , clude
all easements):
EDMONDS
TREATMENT PLANT
Owner and/or Builder:
Contractor & License No:
S.ingl:e Family Residence
Multi -Family
(No. of Units
"I
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-,800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county.easement number.)
PLEASE READ THE ITEMS ,4JSTED ON THE BACK
I certify tt I have read and shall comply:. Date
with the items listed on 'the back.
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Permit Fee: Issued By:
Trunk. Charge: Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
6at I n i t$b 1
00
o Rejected-
--
Reason In
itial
nitial
PERMIT MUST BE POSTED ON JOB SITE
White Copy Fi'l e Green Copy Inspector Buff Copy Applicant
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STREET FILE
I OT :�2, SHOP f P I, r 5-30-83, C l 1'Y O r d WIOW D5
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STREET
FIL
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May 22, 1985
MEMO TO: Art Housler, Director
Administrative Services
FROM: Bobby Mills
Acting Supt. of Public Works
it.,' ._
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SUBJECT: REIMBURSEMENT OF STREET CUT SECURITY DEPOSIT
ORDINANCE # 1935
R/W .CONSTRUCTION PERMIT NO.: n/a (Street cut for Water
DATE ISSUED: Meter Installation)
LOCATION OF WORK: 1440 Olympic View Drive
SECURITY DEPOSIT AMOUNT: $125.00
RECEIPT NO. & DATE: 3437 2 13 85
COMPLETION DATE OF REPAIR: 5 19 85
Please prepare a Treasurer's Check in the amount of $ 125.00
made payable to the following:
Trinity Construction
13310 Wigen Road
Lynnwood, WA 98037
The balance of the deposit in the amount of $ -0
is to remain in Street Division Revenue Fund 111-000-000-383.00.
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Thx� 543(10
/131P�
ArCEIVED
MAY 2 8 1985
COMMUNITY SERVICES DIR.
CITY OF EDMONDS ASSET "INFORMATION SHEET
STREET BILE
LJ NEW :, ASSET NO s 4Ap
ADDITION I T ❑ ADDIT ON 0 ASSET NO.
❑ RETIREMENT
•
J.
N.. -
DESCRIPTION
f� �l
SERIAL NO.
to
LOCATION k;r DEPT. NO.
F+
"PURCHASE ORDER N0. = { s !'QROJECT NUMBER
. _ PURCHASE ORDER DATEPROJECT COMPLETION DATED
COST COST
�
B.A.R.S. ACCOUNT NO
ESTIMATED LIFE
t T
INITIATED BY DATE f APPROVED BY
r
"SUBMIT ASSET INFORMATION SHEET WITH FINAL:PAYMENT REQUEST:,-.'
'SUBMIT ASSET INFORMATION SHEET.UPON.CLOSE.OF. "PR,OJECT :';
ACCOUNTING ONLY .".
'r y
�''� r' VERIFIED BY
L_91DEPRECIATE
MONTHLY DEPRECIATION AMOUNT ``~PROCESSED: •
ANNUAL DEPRECIATION AMOUNT BATCH NO'.
I
Y I
G.L. ENTRY 't •,t�
REFERENCE DATE
INITIAL
vp)
DEPARTMENT FILE
STREET FILE
PROJECT
ADORE
CITY OF EOMONOS
C'V'C UNUR - 10MONOS. WA4110061Ow Do=
SINGLE FAMILY IIULT1Ul, COMMERCIAL
4z,
OINEERINQ 3 PUBLIC WoRI
PROJECT
REVIE
CHECK
LIST
CONTACT NAlIE & TELEPHONE NUMBER
ACCESS SLO No— ACCESS
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DRAINAGE PLAN
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4 — of n, �%I r
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STREET FILE
uT�G
LEGAL DESCRIPTION YERIFICATION
,QUIT CLAIM/DEDICATIONS
s � Jam,
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EASEMENT - PUBLIC/PRIVATE
Z
CALCULATE SEWER CONNECTION IF NO LID /
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REQUIRED STREET PAYING R��
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CURB AND GUTTER REQUIRED
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SIDEWALK REQUIRED
CURB CUT FOR DRIVEWAY. REQUIRED �.
RIGHT-OF-WAY CONSTRUCTION PERMIT tEQUIRED
`
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED ,____---•
'
OTHER SIGHING REQUIRED
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DiTIONAL COMMENTS 01
EXISTINF WATER MAIII SIZE
WATER WAIN REQUIRED
SERVICE LINE REQUIRED
HYDRANT SIZE EXISTING
HYORAIIT REQUIRED PER FIRE CODE /
CROSS CONNECTION INSPECTION %.—, SIZE
WATER IIET
REVIEW BY
116ML-4. LUMILHis Ut;
5AHITARY SEWER DIMING NUMBER
FILE ►W18ER
SIDE SEWER AVAILABILITY SANITARY SEWER C0111ECT1011 FEE REQUIRED
UFLN DITCH EXIST
CULVERT REQUIRED
REQUIRED
IV I3 1 SIZE
CATCH BASIN REQUIRED � L
INDICATED On SITE PLAN
SHOULDER DRAINAGE MAINTAIN COLLECTION ON SHALE OPEN RUIMOFi
KmHOIE REQUIRED INDICATED OV SITE PLAIT
SOIL CONDITI 71D WT[R F LO CHECKED
REVIEW DY
PATE I d (ADDITIONAL COMENTS ON e
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
TRINITY CONSTRUCTION
MAILING ADDRESS
13310 WIGEN ROAD
CITY TELEPHONE NUMBER
LYNNWOOD 743-9407
NAME
GERRY L. GARRISON
ADDRESS
12512 NE 134th PL.
CITY TELEPHONE NUMBER
KIRKLAND 821-5442
NAME
SAME AS ABOVE
ADDRESS
CITY
STATE LICENSE NUMBER
TATNT('*l R71V
SEE ATTACHED
TELEPHONE NUMBER
CITY LICENSE NUMBER '
arty - Include all easements
r copies)
COPYS
S 30
�
NEW
x
RESIDENTIAL
Li PLUMBING
ADD/ALTER
NON-RESIDENTIAL
El MECHANICAL
REPAIR
RETAINING WALL
SIGN
DEMOLISH
EXCAVATE
OR FILL
❑ IENCE
xFT,
n PRE -MOVE INSPJ
rj SWIM
1-1 SIDE SEWER 1:1WATER LINE
I�
NUMBER OF STORIES NUMBEROF
UWtLLINU
TWO UPOIA- 0
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
SINGLE FAMILY. RESIDENTIAL
USE PERMIT
ZONE NUMBER
ivu
ADDRESS 14411) . IJIV!iaDFr %11119. i ,/1/a
LEGAL DESCRIPTION CHECK
SUBDVISION�7NO.
LID NO. _
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET USE PERMIT REQUIRED ❑
SEE ENGINEERING MEMO DATED ___.
SEE PIW DEPT. REVIEW CHECK LIST DATED
ARKS i
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alv j�,�v govv !�
METER SIZE
BUILDIfG SUPPLY SIZE
FIXTURE UNITS
REMARKS
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
SHORELINE #
VARIANCE OR CU
PLANNING REVIEW BY
DATE
/V ?
FRONT SIDE REAR
J.YARDS LOT COVERAGE
35
REMARKS
CHECKED BY
70F CONSTRUCTION
J
CODE
HEIGHT
SPECIAL INSPECTOR
REQUIRED
Q YES L NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
REMARKS
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
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
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successors in interest, agrees to Indemnify, defend and hold
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harmless the City of Edmonds, Washington, its officials,
Qemployees,
and agents from any and all claims for damages of
i
whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
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o
modify,.waive or reduce any requirement of any city ordinance
TOTAL
AMOUNT DUE
x
nor limit in any way the City's ability to enforce any ordinance
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-
THIS PERMIT
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.
SIGNATURE (OWN R AGENT PATE SIGNED
INSPECTION
DEPARTMENT
i
�
CITY OF
EDMONDS
ATTENTION
771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBAuG
2
CHAPTER 3.
1984
102.78
V HW—U. I rrm
27E 1
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 L
PINK — Owner GOLD — Assessor
a v- P11 nO • Earn _ — . ",
DATE : / 0�
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After review of the subject Building Permit application, we 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.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
FA
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