23025 75TH PL WiiiiiiIIII iiiiiiii15048
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CITY of EDMONDS SIDE
For Inspection Call 771-3202 STREET FILE
Address of Construction: oZS•'���/(�c�.
Property Legal Description (.Include all easements):
Owner and/or Builder:
Contractor & License No:
Singl:e Family Residence
Multi -Family
Commercial
(No. of Units )
(No. of fixture Units )
SEWER PERMIT
PERMIT NO. 07920
VIA BALLINGER
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 LISTED ON THE BACK '
I cert� y, that I haw r d and shall comply Date
with th iitems listed on .the back.
Permit Fee: �°D Issued ByETC-
:
Trunk Charge: Date Issued: 7 ��
Assessment Fee: Receipt No.:
Partial Inspection:
..Comments Date Initial
Final Inspection Approved: 7-3 160.
Date Initial
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy. - Inspector. Buff Copy - Applicant
The ray of Edmonds
Side Sewer Drawing
EASEMENT NO- --------------------------------------------
NEW CONSTRUCTION REPAIRS 0 LID NO. 108 ------ - ASMT. NO- ------------------
OWNER------- C -MST ------- I ------------ CONTRACTOR ----------- _ -------------------- -------------------------------------------------- PERMIT NO.
JOB ADDRESS .2-20-2,25 ---------- LEGAL DESCRIPTION: LOT NO_ ------ ----------------- ------------- BLOCK NO- --- --- VIA--BALLINGER
LIFT STATION
-------- --- I ----------------- — - - -------
NAME OF ADDITION -----------
aF why
PWW-0001-11/75(REV.11/78) 'T
DATE ----- By,44--------- - -------------
PitU7ECr REVIEW Q 7ClQ,IST
, ,3e }" We
Y
�NAME:�rF �1/ere ii 4 PRWBCT ADDRESS: �Z3o-Z.s /-
't{,F A, • �'{$Y ,! 1. ` tw, , `'t},, - 4 r s+7N.r ! D - f GE'.. tart !" tt
' ��/L'/o '" "'' R °•' R $s: r l��&,; a {, P
1PPLICATION Rr]CEIPT DATE
, ,, a Revieweed • by: (in
T; 1�1.�.�..
�v�r�, *�
Vu•yxydm h PLANNING WTR/SWR STREET � ENIs�N�G
FIRE BUILDING •
iINGT.E FAMILY/MULTIPLE/CM4ERCIAL = (Circle One),',: ////// ///////// ///////// //////// ////////// h1��
•T
XTBACKS CtFECKED - Planning i acr;� „�" ` ' , r / //
4� : •' w.` ///////// //////// //////////
VARIANCE/SE`PL a ADJ,
)ONDITIONAL USE PERMIT ////// ///////// //////// ////////// 2
,y
//// // �..� ... i;
/ / // // // /
;DB REQUIREMENTS CHECKED ////// ///////// //////// ////////// 3
YMER ZONING RBQUIRErOM ////// �" ///////// //////// /// 4
7777777777
MIRONMENTAL FEATURES ////// ///////// //////// 5
;lJCFSS SLOPE S VEHICLE ACCESS ///////// ///////// //////// 6
111711
)RAINAGE PLAN (On Site) allop////// ///////// ///////// //////// 7
STREET FILE �—
//////
/////////
/////////
////////
8
9
UMM DESCRIMIC14 VERIFICATION �//�O
7777777777777777777777
//////
/////////
/////////
////////
XIT CiAIM/DEDICATIONS
//////
/////////
/////////
////////
10 - i G'.'w.
,f
12 74y
13
14 lei
EASDOR - "LIC/PRIVATE
7777717
2AIaJI.ITE SEWER ION IF NO LIDS
PLAT/SUBDMSICN REQUIRDEI 'S %�
/ 7 7 //
//////
/////////
////////
"�
RIGHT-0E-WAY CONSTRUCTION PERMIT REf1D
//////
/////////
/////////
.»;
rX= READ FOR PUBLIC IMPROVEMFlTI'S
//////
/////////
/////////
////////
15
SOILS CONDITIONS 6 GROUND
,HATER FIE1D CHECKED
//////
/////////
/
16
STREET PAVING REQUIRED ..
//////
/////////
V57777
17
18
CM AND GUTTER REQUIRED
117111
//////
/////////
SIDEWALK REQUIRED//////
19
CURB CUT FOR DRIVEWAY READ
//////
/////////
/////////
//////////
20
STREET NAME SIGN REM
////
21
OT M SIGNING REM//////
/////////
22
SIDE SEWER AVAILABILITY
//////
///
23
IMP
7TR7T77T
EXISTING WATER MAIN SIZE
//////
l/l//l///
24 ;" a
//////
/ / /
/////////
// /
25(
WATER METER'SIZE
26
27,!
SERVICE LINE SIZE Y::. "'
//////
/////////
HYDRANT RDQUIRED
e
28
HYDRANT SIZE EXISTING
—
COSS:CONNDCTION INSPWrICN REQD
R
29
iii/i30
WATER METER CHARGE RnQxi;
/
•-
',' .'' `' •rxy l:',•P'(�•.wXr�'i,*.-.a�'` '. i.e..s ;.._
/////////ZKV////////
//////////
Y�,>1�Ti
31
FIRE LINE CHARGE - SPRINKLER
7�
STREET CUT .�..r.„ - �; •
//////
/////////
//////////
32
_;
33111711
//////
111111TIT111111111"
/////////
//
OPEN DMCH'EXISTINGe�`�tl ,�
,k
TITITF17T
l
S
34REM
V,
CULVERT, .READ
35
.. 4
SIZE
G�s> ! .•
37
<yPs"p,yti,�4>E A: r
CATCH ,BASIN R�)i;. i� i. `4- ..
/
=.38
INDICATED. ON SITEEP,IAN
St}OUIDER�,DJ2ZiINAGE �MANTAIN
",+SHALE�OPI1IwR(MOF•F';n.l:-,.
x�, t /
////// /////////
,�
/////////"
I..
kJ. V :-t
REVIEWEn BY`: ` <,a Mon
is ,i 1
1111;1"!' :
,.;'�• r 1 .
t, PLANNING MGR. ad p ENGINEERING MGR.PUBLI
RKS MGR90'1�110q
v"Wro','NWri9Z�Jil.'.:i"RL
� •"� .. ... ;•...4 - %:.�. .. i.::. ...
u_ '.4.Us . , t, A.S... . �. IL•e ..
Is
DATE: ✓r:13 ""��i
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: 1-930,25'
After rev ie:r of the subject Building Permit application, vie have the folIovring
corraents
1 , Connection to City vrater system required.
2. Connection to City sanitary sewer system required.
3. Right-of-%vay permit required for any work on City property.
4. Driveway slope not to exceed 14;
5. Back: -rater valve required if downstairs plumbing is below elevation of
upstream manho F.
6. Water and serer lines to be separated by 10 foot minimum.
n � _
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF �u�INESS) !•,
� - - . LL, . ► Ci'1 N l� onlll�a S �I
USE 0 PERMIT
ZONE A , n NUMBER
ADDRESS 2302-5" IG.;
LLEGALDESCRIPTION CHECK SUBDIVISION NO. LID N%�
Lor 2
TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING �� REQUIRED DEDICATION-
P'T PROPOSED --
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED���
TELEPHONE NUMBER
TELEPHONE
REMARKS
UNITS
WI3
MBER SIGN AREA
ALLOWED PROPOSED COMPLETE EXEMPT
on of Property Include all easements I
attach four copies)
4Y- 2
PLUMBING
NEW
RESIDENTIAL
COMMERCIAL
MECHANICAL
ADDIALTER
REPAIR
RETAINING WALL
El
SIGN '
EXCAVATE
13
FENCE
DEMOLISH
OR FILL
(__x_FT)
11
E PR•MOVE INSPJ
INSP.
❑
SWIM
POOL
REMODEL
COMPLIANCE
WOOD STOVE
INSERT
D APT. BLDG
RENEWAL
OF STORIESELLING
=`MBEROFNUMBER
ITS
NATURE OF WORK TO BE
DONE (ATTACH PLOT PLAN)
16i
VARIANCE OR CU
BY
SPECIAL It
REQUIRED
O YES
VV BY
SIGHT LOT C(
REAR
ADS
out
TNO
E OF CONSTRUCTION C/����
�RE OCCUPANCY OCCUPANT
GROUP LOAD
j6veu
%.yr>tin.✓� Mil llBG 30s
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
Permit covers work to be done on private property ONLY.
GRADwGIFIu
This
Any construction on the public domain (curbs, sidewalks,
Separate permission.
STATE SURCHARGE
driveways, marquees, etc.) will require
Permit Application: 180 Days
ENERGY CODE
Limit: I Year • Provided Work is Started Within 180 Days
Permit
"Applicant, on behalf of his or her spouse, heirs, assigns ands
agrees to Indemnify, defend and hold
successors In interest,
harmless the City of Edmonds, Washington, its officials,
all claims for damages Of
employees, and agents from any and
whatever nature, arising directly or Indirectly from the issuance
not be deemed to
PLAN CHECK DEPOSIT
of this permit. Issuance of. this permit shall
modify,waive or reduce any requirement of any city ordinance
to enforce any ordinance
TOTAL AMOUNT DUE
nor limit In any way the City's ability
provision."
I hereby acknowledge that I have read this application; that the
I am the owner, or the duly
ATTENTION
Information given is correct; and that
I agree to comply with city and
THIS PERMIT
authorized agent of the owner.
construction; and in doing the work authoriz
AUTHORIZES
ONLY THE
state laws regulating
ed thereby, no person will be employed In violation of the Labor
Washington relating to Workmen's Compensa-
WORK NOTED
Code of the State of
INSPECTION
E SIGNED
DEPARTMENT
I�
CITY OF
EDMONDS
771.3202
VALUATION
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
MCLCAACV o,.
VAIL
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
ORIGINAL —File YELLOW — Inspec
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORS BEEN GRANTED. UBC PINK — Owner GOLD — Assessor
A CERTIFICATE OF OCCUPANCY HA
CHAPTER 3.
- .----__.._ --- — a�a-�_� �s �a�v'�'ra°saueru.�aan.-....,_.. , �-•••� ,,. r•;- = �.-.r
pat, a
ti
CLERK
Cryrc CIMTER
NW 1/4, NW 1/4 32-27-4 @DMONDB. WA 28020
.IOi-Cif
c 4 C.
�a lot 2 parts of 4 min/In ,
N 89.48'00 W 368.08 "-
26 241.19 0 26.86
concrete drive � 161� 2 c
u house s O 1 W 1 �:/ O
2302]'• :p I5,620 s4tt. _ ®O wry 731 1 i
o N o N 1 08 ea ft / ?S C R C1 E tJ
water tons eossmom� _219.98— -- _ 1 — —f00 O t`
321-M S 89.5810• E
c ti ,_`s fir• k
� �' •--•ter -_ -
0se or manhile J
�.'�1 ��2..89r.9J '1 ►Jl� i- mow•. 1 ..
cot basin j
1'2
�.
. !
3 1 rw '
w• See Survey in v. 7, p• 30 U Z lL 3 • . Li
oSco18 :. 1° = 77' J,e
OD
IL .
Oi
to
a NOTE: Approval of this short
subdivision is subject to the 1',�� P�
conditions found in City of
q. 0.80 Edmonds File #S-37-85.
/3e�4°°o I
P N 73•22'30"8 at_J?'12�85 S BJ•S b g
EDMONDS AUTHORIZED I ��
VdI EE§ING DIV. FOR _=
LATE RECORDING
CITY OF E- DMONDS R 9q; ><
By
P.ige Of
6 LU
�'.. Er ? 4 C N IL
A8 Tk I55E5 P 2 ? i g
V i
O L. I V l Q Ci RM a c ew. fififi
6U`1 0 i 6 0 r�
CXTCH ISA'SI 1:
A,r� -Iia0(0k
W'QUwL
TI«NCw L.WWCTH
2 K
•�� Z i
TNCr+CH COVCR
C
,- lrrK
TEE vw/ 4" Low Lacs
LtVtL. TRCNCH
c�
SYSTEM CROSS-SECTION
z nDUlv:LE�,-; i a
!�•_ ��D �� iC 1 v
R� G'rl C O V E rZ --�
G R.a.V E
�,oI
i
tiI
TRENCH CROSS-SECT,ICN
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF
j f 2 1
for S�A�C, tIt(''�
I �
li I� �1 �j
location t..
plan by C�.l
phone
da to
DESIGN DATA
Trench Per F per Imperm rench/
Number Rate�000 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 fron entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at lest
twice per year).
'L
r
CITY OF EOMONOS
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