9115 185TH ST SWIII iiiiiiii
15712
9115 185TH ST SW
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
Side Sewer Drawing
The City of Edmonds EASEMENT NO. — .............. ................
fflRMTRLSEW CONSTRUCTION REPAIRS [:1 LID NO- ------------------ - ASMT. NO. ------------------
OWNER ---- 1;:RX5� - ----- --------------------------------------- CONTRACTOR -FzA—t—:5 ------- itI - ------------- PERMIT NO.
JOB ADDRESS .. WeL ......... LEGAL DESCRIPTION: LOT NO. --------- <!n------------------- BLOCK NO. ....................................
........................................................................................................................... .................................
NAMEOF ADDITION ----- ----------------------------------------------------------------
Approved:
rdfil
PWW-0001-11175(REV.11/78) DATE .4 --- ..................... By ----- ............
CITY OF EDMONDS
PUBLIC WORKS DEPAAMENT FOR INSPECTION CA* Permit r,N�.
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date BQ
k PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction -C 9Y T,14 • U. C1194) 2 0
2. Property Legal Description (include all easements) LOT
3.
Single Family Residence
Multi -Family
No. of Units
Commercial
4.
Owner and/or Builder
5.
Contractor & License No.
6.
Invasion into City Right -of -Way: No P,,-' Yes
(If Yes Right-of-
way Construction Permit
Required - Call Dial
Dig (342-5344) before
excavation).
7.
Cross other private property: Yes No ,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.
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. Side sewer lines must be laid at a minimum grade of 2% (1.150)
and maximum grade of 100% (450).
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 unt r-inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days noticepp �yrequired. ;I./
DATE: 411wll ,6 ..
(( I' ,certi y th"at- I have read
�, ,,��nA an shall comply with the above
PERMIT FEE: S ZN
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CONNECTION FEE: , r
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1L,V0 DISAPPROVED By: Date:
By: Date:
_ APPROVED By: _ Date 4=Zj fM
T BE POSTED ON JOB SITE *
BUILDING D E P A R T M E.N T Applicant Fill
Z0 14,
NUMBER ST13
Fu
.PERMIT APPLICATIO Inside Heavy Lines
It
4
JOB /w
ADDRESS- /// /l'J
NAME IOR NAME OF BUSINESS)
LEGAL LOT
[DYES ❑NO
AT NAME
SUBDIVISION NO.
�
�\ U�'1-LI L
W
MAILING ADDRESS
I
C
PUBLIC RIGHT OF WAY PER ORDINANCE NO..
CITY
ELEPHONE NUMBER
EXISTING RIGHT OF v
,
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PROPOSED RIGHT OF WAY .121
'
NAM
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�• 1�� `
DEFICIENCY OF RIGHT OF WAY
W
F
ADDRESS
` `\
STREET/UTILITY WORK REQUIRED BYES
W
❑NO C
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-
SZ V CJLIII �I
PERMIT FOR WORK IN PUBLIC R/W Iq�YES
UNDERGROUND WIRING REQUIRED VES
❑NO C
3
❑NO U_
E CITY
Q
TELEPHO E NUMBER
1
v
�q
CONNECTION TO SANITARY SEWER pIYES
SEPTIC TANK PERMIT REQUIRED ❑YES
❑NO J
m
VNO IL
NAME
Ir
Q
SEPTIC TANK PERMIT NO.
0 ADDRESS
QJ
/ /
SEE MEMO DATED
K
CITY
TELEPHONE NUMBER
REMARKS
0
L o :'
r - U J U
MEEM MM\A ,0
U STAT LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
Legal Description of Property (Show Below or Attach Four Copies)
MET R IZE BUILDING SUPPLY SIZE
W
REMARKS
I
Q
Z
0
1 �
a
E
SIGN AREA ENV. REVIEW
ADB NO.
U
ALLOWED PROPOSED, COMPLETE EXEMPT
SHORELINE
W
0
J
Q
REMARKS
0
W
J
VARIANCE OR CU
____[PL.ANNING
REVIEW BY
DATE
YARDS
LOT COVERAGE-
.
//��i
ti FRONT
/ �% SIDE a
® NEW
RESIDENTIAL
❑GAS
p? a REAR
LINE
FIRE ZONE
TYPE
OF CONSTRUCTION
CODE HEIGHT
❑ ADD
❑ NON-RESIDENTIAL
❑ SIGN
❑ DEMOLISH ❑ RETAINING
SPECIAL INSPECTOR
AREA
OCCUPANCY OCCUPAI
WALL
❑ ALTER EXCAVATE FENCE
REQUIRED
❑ ❑
GROUP LOAD
OR FILL ( X FT)
YES NO
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES
PRE -MOVE swim
REPAIR D INSP. El POOL
TAX
SHOULD BE CODED 31.04.
Z NUMBER OF STORIES
NUMBER OF -
REMARKS
.
0
DWELLING
F
UNITS
a NATURE OF WORK TO BE DONE
it
m
0
m
0
PLAN CHECK FEE
VALUATION
FEE
PROPOSED USE
PLOT PLAN INDICATEBUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
U
N
W
0
PLUMBING
_
m
0
MECHANICAL
FENCE
-
w"Applicant, on behalf of his or her spouse, heirs, assigns and
SIGN
J successors in interest, agrees to indemnify, defend and hold harmless
f the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
Q agents from any and all claims for damages of whatever nature,
x arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
F
Z
W
F
1-
tC
e
IL
W
0
F
Z
W
f
d
0
J
W
W
0
F
2
i
0
U
D ance of this permit shall not be deemed to modify, waive or reduce
D any requirement of any city ordinance nor limit in any way the
= City's ability to enforce any ordinance provision." 7
�PUBLIC T URKS DEPAR'PMU CECI�T
BUILDING PERMIT REVIEW
2, _Date
-r
0
z
F-4
x
w
w
z
F,4
U
15-185� .-address
Street Right -of -Way Existing 150/5_z� REQD
Access Easements Existing 'r - REQD
Utility Easement Existing REQD
Lot per Subdivision �� Plat7rp,,,4 Assessor Map
Site Plan Checked for Accuracy--s-^1�
Underground Wiring Regd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area
z �-( Slope, Soil, Vegetation
w � Stream, Creek, Drainage Basin
Existing Zoning Per Code 'Zj -►Z
Amenities Design Board Approval Reqd. 1y(� ADB # Approval
Board of Adjustment Approval Reqd.
Review By : Date:
"3 Existing Water Mlain Size 9"' A j
Water Main Regd. NA
Service Line Reqd.
w Hydrant Size Existing Sly
Hydrant Regd..Per Fire Code 41A Size
I Detector Check Meter Reqd. &A
�{ Cross Connection Inspection NA
Fire Department ,Coc nts
Water Meter Charge Reqd. -5f a 7e.
Ryeview ' by : Date: ,2 - clo 79
ryv
I -ell Septic esign Approve s bate: ti
1 Septic Tank Permit Reqd. Permit No. N ��
Sanitary Sewer Availability Proj
i� Drawing No. l_►12 151 1 File No
w
Side Sewer Availability
w Sanitary Sewer Connection Fee Reqd. ti, C)
v= Review By: _��. Date: Z.�S
Open Ditch Existing, Reqd.�`,
Culvert Reqd._ Size
oG Catch Basin Reqd. /]j6 Indicate on Site Plan
o Shoulder drainage nkai.ntai.n collection on swale open ru-ioff�t
H
41u11101.0 rc d.
q 41�2 Indicate on Site Plan - —
Soil Conditions and Ground Water Field Checked _
r\.0Vi e!.v by Date
Street Paving Reqd. /f/pyie
H
Curb and Gutter Reqd.
w
Sidewalk Reqd.
w
Curb Cut for Driveway Reqd. f
Rig11t-of-Way Construction Permit Reqd. er
Bond Reqd. for Public In-provemnts
jo,
Street N�z;��e Sign Reqd.
Other Signing �Zegd._
Pre Permit Site Inspection made, on
7 (r
BY: SEGIER
F' I
w
WATER
S'iTtEET ��
cn
~' z
a�GINEEPZING
Special Re uireiii ants Listed. in m,a t
p g m1 to Coi ir�inity Developr -_ Departant,
Building Division
p BY I Date
t
o All. i-tans filled in on Buildii g; 'Pe -niit Application
a
R: 13Y Date
y - 1
i P+ G1
llrawirlf;s Staimed and Notation ittz
w 4 BY
Date
t
Approved by Public.neparti1t
v AMA
Ivi�;cd: lv 10-1977
Date Z--7-19
MEMO TO: Building Division
.Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: G I I -CZ"
After review of the.subject building permit application, we have the
following comments:
LT Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor.
The contractor is required to keep the abutting streets cleaned
of dirt and debris caused by the construction.
/ / The "Right -of -Way Construction Permit" is required, from the.
Engineering Division of Public Works, for any work within the
Public Right -of -Way or public easement.
V
/-7
Driveway slope not to exceed 14%.
Connection to sanitary sewer required.
Septic Tank Permit required, submit design.
Fire hydrant required, submit design.
Site drainage per code .# 1ce,4 See approved plans
Curb /% Sidewalk /7 Paving required.
Bond required for public improvements. Submit cost estimate.
Underground wiring required.
Approved Engineering Plans required when applicable.
For Fred F. Herzberg, P.E.
City Engineer'
Department of Public Works r
Rev. 7/78 t