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9311 OLYMPIC VIEW DR.PDF11,11111111111 12689 9311 OLYMPIC VIEW DR "^�M.ri','^�---y,fry.....C�,ti,'.^was'�y-�w`�r`��lu��j�yrn`.'SF+cpf�'he*r-nlci-.,dr'Mb��"wrrH9ro-3�ret'F+�t�,.+r"'..^i�'y✓�"r..�'ti�..�r, �;,.",�,nrNv%^�rt�..�,�...�^-r"�o1�-M�1��'-^+"'n-,r'o-"v"F»yy..-�M.x,��Nu�,,i{j.V�wlNn:x �,.n,•..,.�.fr. n City. of Edmonds RIGHT-OF-WAY CONSTRUCTION NCO 19 PERMIT permit Number. Issue Date:,;? -,Q7- 91 A. Address or Vicinity of Construction: 9311 Olympic View Dr (9608384) .B. Type of Work (be specific): Install Serviee C. Contractor: Washington Natuarl Gas Mailing Address: 1122 75—St SH Everett State License #: 98203 D. Building Permit # (if applicable): 44 Contact: Mariamne Kingsbury Phone:. 356-8500 X7596 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): _ a E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut: /I x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to,hoid the City of Edmondg harmless frohvt juries; damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costa, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWINGS THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all tirpes for inspection purposes. Signature: Date: 02-21-96 ( tractor Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER 1 t ray DAYS SPECIAL CONDITIONS: N COMMENTS: DATE: RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND III: RESTORATION FEE: PERMIT FEE: n C70 TOTAL FEE: 3 o • 0 0 RECEIPT FEE: ISSUED BY: _ NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: M NahnfilGw AV1h#*VtntngWVGMr" Watert;ain depth `^ w ga s s tttain Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 . X7596 N DL-`(LAP c C✓ vw 0e— J o6 c� o�3S4 7S Key: -Y- Water -G- Gas -SS- Sever .e. Water hydrant p Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett. Washington 98203. (206) 355-3331 M M !+e Naturilclo AVAYAt ylontr+ergyCarp" i' i Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Marianne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 .X7596 ,)o6 9 co oS3g4- � o _cam 7S - Key. Watermain depth N i0c --�Gf Water Gas -SS- Sever e. Water hydrant " gas vain -" p Water valve Washington Natural Gas Company 1122 75th Street S.W.. Everett. Washington 98203, (206) 355-3331 k-A t'11.1r NU. ItZ/— Ll— / Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) RECEIVED 1. Site Address/Location: c)6,n,02 \1,cj JQN o s 1996 2. Property Tax Account Number: j3?-j03-1-0n -OOc->2 3. Approximate Site Size (acres or square feet): �3� arm (t0,ll"1 yi P�RM+� �ouip, 4. Is this site currently developed? v/ yes; no. AVO If es; how is site developed? 40 - "t=1 Mic,Awh s1 ` 19S S. Describe the general site topography. Check all that apply. G46b oJFlat: less than 5-feet elevation changeover entire site. C sbw� Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-few). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ; Approx. Depth: *,JJA 7. Site contains areas of seasonal standing water. t.io ; Approx. Depth: N/A What season(s) of the year? tj(q S. Site is in the floodway Mo floodplain Wiz, of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? k10 Flows are seasonal? NV (What time of year? "A ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: Ma For City Staff' Use Only 1: Site is Zoned? 1 ( " 2. SCS mapped soil type(s)? 3 Wetland inventory or C-A. map indicates wetland present on site? 4> : Critical Areas inventory or C.A. map indicates Critical Area on site? S: Site within designated earth subsidence landslide hazard area? 6. 1 Site designated on the Environmentally Sensitive Areas Map? o& �-ao DETERMINATION :STUDY REQUIRED WAIVER Reviewed by -- Planner Rev 01/04/94 CONDITIONAL WAIVER A� /C�� 'I - ate City of Edmonds Critical Areas Determination Applicant: Steven and Wendy Johnston Determination #: CA-95-233 Project Name: Permit Number: F_ Site Location: 9311 Olympic View Drive Property Tax Acct. #: 132703-1-023-0002 Project Description Non -Project Specific Determination: Study Required Due to the presence of steep slopes on or adjacent the subject property, a study is required. The purpose of this study would be to identify the impact of development on the steep slopes. Typically, a 50 foot buffer is required from the top of steep slopes unless some geotechnical studies indicate otherwise. If an applicant feels that their development proposal will not effect the Critical Area in any way, they may request a Conditional Waiver from the requirement to prepare a Study. Since the footprint of the building will not be expanded, and the new garage is obviously more than 50 feet from the top of the bank, a conditional waiver is granted for the proposed 2nd floor addition and new garage. Stephen Bullock January 4, 1996 Name Sig Lure Date F STANDARD DRAINAGE DETENTION SYSTEM ; WORKSHEET , C?IIZV 1✓ 1� 1� L✓ 9'lkk� OWNER _ CALL BY: r i t ( -'{j a l P r e_y jet (� A�. Z� Z ADDRESS PHONE: S lull DATE: '"DESIGN *DESIGN DATA***** IMPERVIOUS AREA PIPE;DIA PIPE LG ORIFICE DETENTION PIPE LENGTH WASHED GRAVEL OUTFLOW TRENCH, MEN10' LONG TOP AND 4`PERF PIPE TO BE LEVEL RIM ELEV 1'MIN COVER 6'MIN SR10E FROM 2'MAX COVER RIM ELEV CONTROL y OUTLET I* iV•� M �xsV 4'0 MIN T 4"PERFPIPE W/CAPS .5 :—P/, SLOPE 4" 0 PIPE MIN. z - r Z W • ORIFICE RUNOFF SPREADER OUTLET INV ELEV INV ELEV 1/Flo£R CATCH BASIN CONTROL CATCH BASIN xZKG"OEEP, 4".6'OUARRY SPA LLS SYSTEM CROSS SECTION 1I x2'x3" DEEP, 3/4`CRUSHED ROCK FROM CONTROL > OUTLET RIPRAP OUTLET �SvvS RECEIVED FEB p 2 1996 PERMIT COUNTER FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems -on private property is the G� G responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. REV 2 /9 2 6 1. Table 1 Detention Pipe Sizes Impermeable . Required Area Sq. Ft. Vol Cu Ft 2000 50 2500 62 3000 75 3500 87 4000 100 4500 112 5000 125 Note: Allowable Pipe Materials: Impermeable Area Sa. Ft. 2000 2500 3000 3500 4000 4500 5000 Pipe Diameter 150, 18" 24" 30" 40 28 16 10 50 35 20 13 60 42 24 15 Required pipe 70 49 28 18 length in feet 80 56 32 21 90 63 36 23 100 70 40 25 Reinforced Concrete Aluminized Steel Aluminum CMP Asphalt Coated N-12 ADS (Not permitted on roads) Table 2 — Outlet Orifice Sizes Outlet Orifice Diameter (Inches 5/8 5/8 3/4 3/4 7/8 7/8 7/8 Table 3 — Rectangular Catch Basin Requirements '"° a V 113 " Detention Max. size pipe diameter knockout < 18" 20" 18" to 24" 26" 24". to 36". 36" *36" to 42" 42" *Source: Assoc. Sand & Gravel Co. Standards Catch Basini^;si.t.)'iy��. Type Type I, CB 15 Type IL, CB16 Type II, CB 19 19 (48" Basin) Type II, CB 19 19 (54" Basin) 5 Revised 3/16/95 CA FILE NO. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: M11 be', c, EAw% h\&s 2. Property Tax Account Number: -OOc� 2 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? dyes; no. Iy0v If yes; how is site developed?_�;,�,tti 5. Describe the general site topography. Check all that apply. G��A Flat: less than 5-feet elevation change over entire site. (zbtih 1i1 �F X Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: N8 ; Approx. Depth: %IVA 7. Site contains areas of seasonal standing water: tJo ; Approx. Depth: N/A What season(s) of the year? W.14 8. Site is in the floodway M floodplain ►,) , of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? —KID Flows are seasonal? _�t� (What time of year? CIA )_ 10. Site is primarily: forested ;meadow —;shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: Uo For City Staff Use Only . 1 Zoned? mapped soil type(s)? 3 > : <Wetlaod inventory or C.A. map indicates wetland present on site?. 4 :::::Critical Areas inventory or C.A. map indicates Critical Area on site? 5"<:< : Site'within designated earth subsidence landslide hazard area? (/� F�7 i j•.(T"� \ 6..::.- :: Site' designated on the Environmentally Sensitive Areas Map? A f i � ac t4 (�2.�D j :DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER W/A'IVER Reviewed by ` , /� , L✓fl Planner ate RCV01/M4 y -city , of Edmonds Critical Areas'Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will -review the checklist, make a precursory site visit, and make a determination -of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: skmtn A • _.A Name Street Address City, State, ZIP Phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Signature Phone Late City of Edmonds Critical Areas Determination Applicant: Steven and Wendy Johnston Determination #: CA-95-233 Project Name: Permit Number: Site Location: 9311 Olympic View Drive Property Tax Acct. #: 132703-1-023-0002 Project Description Non -Project Specific Determination: Study Required Due to the presence of steep slopes on or adjacent the subject property, a study is required. The purpose of this study would be to identify the impact of development on the steep slopes. Typically, a 50 foot buffer is required from the top of steep slopes unless some geotechnical studies indicate otherwise. If an applicant feels that their development proposal will not effect the Critical Area in any way, they may request a Conditional Waiver from the requirement to prepare a Study. Since the footprint of the building will not be expanded, and the new garage is obviously more than 50 feet from the top of the bank, a conditional waiver is granted for the proposed 2nd floor addition and new garage. Stephen Bullock January 4, 1996 Name Sign4ture Date PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyl Chnsma'(n. ftineering Inspector Owner. Plan Check No. R 9 Address:_ �i OLLVW p-zz W1,6W Date: 2 PM `i6 After review of the subject permit application. the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M.40:00 P.IVLWEEKENDS/HOLIDAYS —10-00 Al".-00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 1&60) 3. Tmck haul route plan must be submitted and approved prior to permit issuance. 4. Buildedowner b responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WLIM IS FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY- BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830SOG) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1830) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTTINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIORTO BACKFILLING. (ECDC 1830) L Repair or replace all defective existing curk gutter and sidewalk a*oe nt to the p Wary. If an intersection is involved, a handicap ramp < ? maybe required. Contractor snap meet with cite CiW Eagiaeaiog staffto detamime Ere extant off prier to is:hraace of the permit.. (ECDC 1890) 9. Driveway slope shall mot exceed 14%witm ut a waive. Evay attempt should be made to keep the slope below 14% Waiver granted to (ECDC 18.80.060D) 10. Driveways must be paved from proMW One to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 1830) 12. No burning of construction reface without a permit from the Five Department 13. Connodion to City water system is required. There is a separate charge for the water meter. (ECDC 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole.. (ECDC 7.20) 15. Water and sewer mainlines should be separated by 10 feet minimum. (ECDC 18.10) 16. Conmodion to the City whitey system is mnquhvd. A separate permit is znquir+e& ; LIDN Fees paid: Yes Nq Charge (ECDC 18.10} 17. Underground wiring is required on all new construction. and for additions. alterations and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL: ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 1890) STANDARD DRAINAGE DETENTION SYSTEM i WORKSHEET OWNER ADDRESS C12--1j 0LYk4.1P4L V�tv t�2 IMPERVIOUS AREA RIM I CALC BY: �L� � 7 PHONE: -M •�LZ DATE: '"DESIGN DATA***** PIPE IDIA PIPE LG (#s Eff Ci7CM �WROL CAR:N BaS�N BASIN SYSTEM CROSS SECTION 4SvrS RECEIVED ORIFICE 3 5le GRAVEL 'LOW TRENCH, MW 10' LONG P AND 4'PERF PIPE TO BE LEVEL v FROM CONTROL OUTLET s __ N PIPE MIN. PIPE W/CAPS RUNOFF SPREADER OUTLET ftkl . 7. G' DEEP, a'-G' OUARRY SPALL S ■2L 3' DEEP, 3/4'CRUSHED ROCK FROM CONTROL OUTLET RIPRAP OUTLET F E 8 p 2 1996 PERMIT COUNTER FOOTING DRAINS SHALL 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. 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 Bus out and removed from the catch basins to allow proper operation. The outlet control orifice must be kent oven at all times. REV 2/92 6 FILE APPROVED BY DATE {;. cL CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3'C%opies)�� Permit to be issued to:------ 7 � w.. / Y . For installation at: (street address) ... .... .G� ��.-.... (.-.1�%%1. �G� .....1//..�� .... f" ............................... Addition or Subdivision. ..a..G.�.Pn.�...�......�Ld�(L�...-�..`.C�lti'i..Q.�............. Lot.-�S*'�$lock................ Type of Building: New ... /-`o'.. Existing ............ Single family residence --- _ok�... Number of bedrooms...... ............. Other: (specify type or use)) ---------------------------------------- ---------------------------•-------------------•-------------------.............------------................. Builder ... rYdl-k----- Vr.--- .lclf Ch .�------- Address ----- ;.?43........ J tm---- /V-t..... ................... ........ Designer...... ..%' -----------------------------................................Address....... ....... ......4� i00 Soil Log Hole No. 1. ---------- © ®.. `�.-�Cl'�l .... ......................... -------------------------------•------------.----------- .. ...................................... .................... SoilLog Hole No. 2............. ®--- -----. ........ W -- ..... -- -- ---- ---------------------• ......................... .......... -........................................................................................................ ..--------- ......... ----....---•---•----......----------- Elevation of Water Table, if encountered. (Distance from ground surface) ...... ....... ..... ...................................... Corrections to control surface water if needed ------------------------ .. .............. ............................ --------------------------------------------------------------------------------------------------------------------------------------------I..........--- •----........V `A ................:. Z�"Specify if any removing or grading of topsoil in field area-- ........... . .... - --------------- ------ --- ........ ............................ .................................. Percolation Test Hole No. 1 —Average Rate..... .- :. _4........................ .. (Fall in inimites/inch-bottom .6" test hole) Test Hole No. 2 —Average Rate ....... 3..,..P.................................... (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate_ ... ................................. Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ........... o Date Taken y ..... Z / Septic tank requirements based on present rules and regulations: Septic Tank Size.---..1..�...... gallons. Amount of Square Feet of Disposal Field.. Signature — Designer.... Date y 7— ::.... . v DO NOT WRITE BELOW/THIS LINE (To be completed by Issuing Agency) / Permit issued (date)--..... yl .................................Permit Number....` % `.- please Notify the Remarks:... ....... ..........------•--- -Edmonds-Enginw- ring-Depa-rtrnent­ Prior to Commencement of work ---------------------•-----------------------------------------------------------------------------•- ------------..............----------------........---------------.....................--•--....-- "Z or,' �- --- I as z cd qu b.0 •� o �+ �3 c A LU c Cd i o zz ° W an d Q C IL A a Cd c Oa c Cd O E W >- `oa 4 � W cd �_ al A 1•-I U . U 3 A T b N o o u F f W � s W z CIS 1 o >cc N 0 U2I Y O A O / a z A as o A �o a ,. PLANNING DATA SITE ADDRESS: q3/i Cyq -,-w %L DATE: 1 L - 2 7 - 4 r ZONING: PS - /Z PLAN CHK#: qS' - 20 y PROJECT DESCRIPTION: � F p2 Add ; .4(0 V SETBACKS: Required Setbacks: Front: Z f Left Side: to Right Side: Ay Rear: Z 3' Actual Setbacks: ,arc e- Front: I/D Left Side: 7.T Right Side: Rear: 3 0 CORNER LOT (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED--IV"'(Y/N) LOT COVERAGE: Maximum Allowed: 3 �o Actual: BUILDING HEIGHT: _ Maximum Allowed: Z s Actual Height: Datum Point: Mom/ Alfa cye. ^ Datum Elevation: 106 SUBDIVISION: /'� eL /-�o V- CRITICAL AREAS #: _ f 4' f'- Z5-f SEPA DETERMINATION:C "--Yor LOT AREA: 13+ 2-rb 4' OTHER: Vs.riwvGe ieej, a.,j apWrevej. Plan Review By: 4 4 rI L.z • REET f lb CD HSIN el m Ul z CITY OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER —WATER -SEWER DEPARTMENT Is randy for inspection. (No inapce �NQ 516 SIDESEWER PERMIT ttona Saturday, Sunday or holidays.) 1� ADDRESS ..................... ............. e.W..-Ash v�.. - •---•---------- OWNER... -------- Bil...... I`phy....-....-•---•--------------•---............... CONTRACTOR .... I�eB... FIQOl�Y Permission is granted ..... aovember..6............. 19..67, for .............. days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No: 1-The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. 'Contractors shall be responsible for failure due to improper work which may develop within one year of completion. . NOTE No. 5—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur- tenances except to insert the pipe into the wye. , 1 rt!sw_•4i".{t'-Sc.�sr`e;,-.-y%-'+�,��"k...Kryi..�-.. .t3�.a. a`•r:,.'A .,-i:..d�t, uk__��w p� wbiP�"s."."!�...N*:,.w�'p.:l�°fx:1A:�j3y'^rF''."t��r'4'7a'C':i%":irT �.a v sr./�r-.. w .v.'. a..g {. '1 'I�•Ki•ry.r�-`.* � a�rrd�,�"�� t:1u1-Y. bi��w i�`�.,�.7.r..,..h�'>�•?srlf"�;J Hr.rfS�FE 89p.19C�- City of Edmonds RIGHT-OF-WAY CONSTRUCTION F PERMIT, Permit Number. D Issue Date: U %e�i 91�' A. Address or Vicinity of Construction: 191alx,016, B. Type of Work (be specific): C. Contractor: Mailing Address: State License #: 6u2NC LA, 1 V t D. Building Permit # (if applicable)? Contact: �o6/�flU �[/G1iiL Phone: 778- Z/,, 3 Liability Insurance Bond: $ Side Sewer Permit # (if applicable): _ E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) .' ❑ Multi -Family W Single Family ❑ Other INSPECTOR: L UI I P INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes ❑No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN v INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against 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, and attorney fees by rea o` fgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE A FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNT E FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISS TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Divisio t 20. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance"with City Codes. Street shall be kept clean at all times. . Traffic Control and Public Safety shall be in accordance with City regula ' s required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved mate 1 pr}or to the end of the working day; NO EXCEPTIONS. b ,k I have read the above statem is and understand the permit requirements and the p'nk copy of the permit will be available on sit l s for inspecti t aon purposes. Signature: Date: -Is (Contactor orAgent) ,h CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: Ate_ RIGHT OF WAY DEPOSIT 3O TIME AUTHORIZED: VOID AFTER �� DAYS DISRUPTION FEE/FUND III: SPECIAL CONDITIONS: RESTORATION FEE: PERMIT FEE: TOTAL FEE: h a_2 COMMENTS: .. ' . RECEIPT FEE:, DATE: ISSUED BY:. V L NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE i� G Eng. Div. 1994 1 FIELD INSPECTION NOTES Comments 1, Diagram; CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) ❑ YES Date: Date: ❑ NO m �ao O IV rn m w �! 'Sol tll ® >f i _ rC,) en 3 Z �lb m Ln W. uj O p� V 8 W O F4 f..' OF EDMONDS USE PERMIT ZONE R�j.�'), NUMBER 960071 ..."CITY 'CONSTRUCTION PERMIT APPLICATION. JOeSUITE'APTa ADDRESS L I olqwv v Dr. OWNER NAME NAME OF SIN SS QI r I `�• � VVVv O LEGAL DESCRIPTION CHECK SVI%hSIO14 NO LID NO OMAILING ADDRESS P/ 1 , W TESCP Approved CI _ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. Permit Required ❑ CITY .' ZIP TELEPHONE NUMBER EXISTING REQUIRED DEDICATION RW Street Use Permit Req'd ❑ ^ t✓ Inspection Required El Sidewalk Required ❑ cc NA PPROPOSED • .. + l METE SIZE /! LINE SIZE /r NO. OF FIXTURES PRV REQUIRED < 3 YESX NO ❑ c7 W . ADDRESS / I\ !�� . REMARKS W I' _ O _ • J (/ZIP ,/ I �nSr/ L' lam(/ L^'rl Z a CITY ITTELEPHONE NUMBER � NAME(Q �/ } ,SyS• Firs+ / �i...y',a ¢W�-� O ADDRESS r r / r, .`• ,/1 (D '1! W V ENGINEERING MEMO DATED !/ 2 1 � � TELEPHONE r. CI r 404b NUMBER /" ` !. � FIRE MEMO DATED REVIEWED BY 0 A l �( ` U STA LICENSE NUMBER / ` EXPI TIO DATE s / �/ /t t G O �Lf L1V SIGN AREA SEPA REVIEW ADB NO. (�( /L�.iVVCCC Le al Description of Property -include all easements n 77- ALLOWED PROPOSED COMPLETE EXEMPT o `. 1. 5!0 . &) &7t!' a I - -3 SHORELINE. EXP a V LAN OR CU PLANNING REVIEW BY DATE Z W §FrTBACI<Sr7 FEET HEIGHT LOT COVERAGE Z J Q r, FRONT SIDE REAR _ _ � Property /� h o. ' i 7 703) � 03- 00- C � No. Qk V✓ REMARKS a Par el Parcel _. EINEW RESIDENTIAL UMBINO L.�(J ADDITION COMMERCIAL MECHANICAL �] �R M DEL L]A E 0 APT. BLDG. SIGN GRADING ❑ FENCE CYOS. (—.x CHECKED BY TYPE CO(JSTRUCTION /yV' CODE OUT GR REPAIR --F TOVE SPA DEMOLISH INSERT HOTTUB INSPECTOR REQURED q ((�/ PANT LOAD ❑ YES GARAGE RETAINING WALL/ ❑ CARPORT a ROCKERY RENEWAL REMARKS t7 PROGRESS INSPECTIONS PER UBC 305 c (TVP OF USE. BUSINESS O ACTIVITY) EXPLAIN � J � n a � NUMBER OF CRITICAL SE G �ry" L „ CID ui O m NUMBER OF "//A STORIES v DWELLING AREAS •,.� R UNITS NUMBER I ���7-�'J� � •� Z. - �, DESCRI E WORK TO BE DONE (ATTACH Pam�`` OT AN) Se(f C))'1 FINAL INSPECTION REQUIRED /J n ' • VALUATION FEE A' , GIt !//t1Vn1Y PLAN CHECK FEE rHE BUILDING OU ROE: GLAZING 0 /o 5 PLUMBING PLU '?' �-9 Plan Check No MECHANICAL This Permit covers wor to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, r� 1 separate permission. etc. will require s@ driveways, marquees, q P STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year. Provided Work Is Started Within 180 Days . "Applicant; on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE in successors in interest, agrees to indemnify, defend and hold W 2 harmless the City of .Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of a whatever nature, arising directly or indirectly from the Issuance PLAN CHECK DEPOSIT _ of this permit. Issuance of this permit shall not be deemed to�vnq modify, waive or reduce any. requirement of any city ordinance / �J i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 914�!! provision." 1 0 - 1 hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given i9 correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES ONLY THE signed by the Building Official or his/her 9 ed thereby, no person will.be employed in violation of the Labor WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. tion Insurance and RCW 18.27. INSPECTION SIGNATURE IOWN R AGENT) DATE SIGN D DEPARTMENT OFFIC SIMRE ATE /l CITY OF ,L''S `` c;" EDMONDS j RE CALL FOR E SED BY; ATE ATTE NTIOW INSPECTION IT IS UNLA L TO USE OR OCCUPY A BUILDING OR STRUCTURE ra LL 771 oAAo UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK — Owner GOLD — Assessor CHAPTER 3. - . tot-0T Z 0 ON 0r, USE PERMIT CITY OF EDMONDS, ZONE /_ --/� NUMBER g6iclov CONSTRUCTION PERMIT APPLICATION JOB l SUITE APT a OWNER NAME NAM E OF BUSINESSSSf'' ADDRESS ' LEGAL DESCRIPTION CHECK SUBDIVISION [NOO UD NO STATE LICENSE • PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved RW Permit Required ❑ ❑ ' ZIP TELEPHONE NUMBER EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ �j Inspection Required ❑ PROPOSED Sidewalk Required ❑ 2 w METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ a 3 . (� REMARKS J��.:�r.'I�la i.�:'•c �u':1 Cr. Z ZIP TELEPHONE NUMBER�G,!/•':•! 0 Z PENGINEERING MEMO DATED 2// A9c VIEyJE��✓ of Property - i SIGN AREA SEPA REVIEW ADB NO. ALLOWED I PROPOSED I COMPLETE IEXEMPT EXP VARIANCE OR CU PLANNING REVIEW BY DATE 15 i c7 2 SETBACKS — HEIGHT OTCOVERAGE a Z FRONT SIDE REAR Z Property a Tax Accouy REMARKS a Parcel Nd. SrWEW 71RESIDENTIAL PLUMBING DITION COMMERCIAL MECHANICAL REMODEL APT. BLDG. SIGN FENCE REPAIR a GRADING CYDS. El I x_FT) WOODSSWIM POOL DEMOLISH r INSERT TOVE a HOT TUBSPA GRENEWAL ARAGE RETAINING WALL/ ARPORT ROCKERY a (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: IiA NUMBER NUMBER OF ICRITICAL V � OF DWELLING AREAS ) STORIES UNITS NUMBER f ' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) TY SPECIAL INSPECTOR AREA OCCUPANT REQUIRED LOAD ❑ YES REMARKS PROGRESS (INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING D/� PLUMBING Plan Check No. q45 ^4911 MECHANICAL GRADINGIFILL 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. STATE SURCHARGE Permit Applicatlon:180 Days Permit Limit:1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE y successors in interest, agrees to Indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, Qemployees, and agents from any and all claims for damages of a 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, waive or reduce any requirement of any city ordinance i nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereb acknowledge that I have read this application• that the Z FEE y information given is correct; and -that I am the owner, or the duly ATTENTION I authorized agent of the owner. 1 agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz• AUTHORIZES THE signed by the Building Official or his/her ed thereby, no person will be employed in violation of the Labor. ONLY WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa• acknowledged in space provided. lion nsur nd = 18.27. INSPECTION SIGN URE 0 DATE IGNED DEPARTMENT •% OFFICI 'S IGN R D TE LOAGENT) Z • lei CITY OF EDMONDS i.1 7. CALL FOR RELEASED BY- TE ATTENTION. INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 OwLLwo ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-87