19703 88TH AVE WT�Z
CITY OF EDMONDS
USE P
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CONSTRUCTION PERMIT APPLICATION.
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ADDRESS �
NAME (I AME OF BUS ESS)
LEGAL DESCRRII`PTT110N C�4�VISION
NO.
LID NO.
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MAILING ADDRESS (j �/ //
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING _(lir�rG REQUIRED DEDICATION
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CITY
TELEPHONE NUMBER
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NAME
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED I_I
STREET USE PERMIT REQUIRED ❑
ADDRESS
SEE ENGINEERING MEMO DATED-
SEE PIW DEPT. REVIEW CHECK LIST DATE
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REMARKS
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ADDRESS
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METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
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CITY( „
TELEPHONE NUMBER
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REMARKS
STATE/LICENSE NUMBER �7
CITY LICENSE NUMBER
SIGN AREA
ENV, REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
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Legal Description of Property - Include all easements
( below r agach urcgples)
SHORELINE#
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VARIANCE OR CU
PLAN G REVIEW BY
DATE
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2 j FRONT /?-SIDE /j REAR
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REMARKS
NEW RESIDENTIAL PLUMBING
ADDIALTER NON-RESIDENTIAL 1:1MECHANICAL
0 REPAIR � RETAINING WALL El SIGN
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
EXCAVATE FENCE
DEMOLISH OR FILL ( x_FT)
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❑PRE -MOVE INSP.1 ElSWIM
COMPLIANCE INSP. POOL
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SPECIAL INSPECTOR
REQUIRED
11 YES I I NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
;91SIDE SEWER WATER LINE
REMARKS
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NUMBER OF STO
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NATU F WORK TO BE PL PLAN)
�DONE �(ATTACH
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VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
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
harmless -the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
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PUBLIC WORKS DEPAR'= CHECKLIST _
BUILDING PERMIT REVIEW
(address) e
Street Right -of -Way Existing % �%
REQD
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Access Easements Existing
REQD
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Utility Easement Existing
REQD
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Lot Per Subdivision Plat
Assessor Ma
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Site Plan Checked for Accuracy
Underground Wiring Reqd. G
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Check Accuracy of 1 Descri ion
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Review by rj,� Date
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Existing Water Main Size
Water Main Required --
Service Line Required q
Hydrant Size Existing
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Hydrant Reqd Per Fire Code -
Size
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Detector Check Meter Reqd. -
Cross Connection Inspection -
Fire Department Com;nents -
3
Water Meter ge Regd.
Review by Date?
Septic Tank Design Approved X/XDate
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability 77
Proj.
Drawing No. File
No.
Side Sewer Availability
Sanitary Sewer ec�ion Fee Reqd.
3
Review Date
2,�
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Open Ditch Existing Reqd.
Culvert Reqd. ASi-ze
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Catch Basin Reqd. k , ` 1Indicate
on Site Plan
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Shoulder drainage maintain collection on swale open runoff
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Manhole reqd. Indicate on Site Plan
Soil Condit' d Water Field Checked
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Review by �� Date
2. IS�
Revised: 1v10-1977
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DATE: 2
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 refired if downstairs plumbing is below elevation of
upstream —manhole. --� — — ---
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for —containing all temporary runoff and erosion
on Asite and may not impact neighboring properties in an 4a
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/Lti'L L�iGvvG' `�
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-rfi��, 8D:6/82;
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r- CATCH SASIK:
kUAL
�ou. TRENCH LWNGTH
, 4UNE L[VWL. TR�NCN
(.` PERF. P%PE CAP
G"TEE W/ !o" LONG LEGS
SYSTEM CROSS-SECTION
TRENCH COVER -
3/4•— II/�' WASWED
GRAVEL
6" 01AM PERF P1
TRENCH CROSS-SECTION
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for , I-�C�►,► tAw�� Sic
location
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 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 from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
-M�
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CITY OF EDMONDS
Table 1, Infiltration Trench Length
Note: This table shows trench lengths for each 1000 square feet
of impermeable surface draining to the trench.
Perc Rate Trench Length, in feet,
(minutes for 1000 sq. ft. of
per inch) contributing area
13
2 t.SB 18
3 21
4 24
5 26'
6 28
7 29
8 30
9 31
10 32
11 33
12 34
13 34
14 35
15 35
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SITE PLAN, SCALE:
2.F - 00
1S 2o"
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
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ON
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
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4p °o p ACC4655 .y� UT/</TY EA-5e44eNT
A. or. No. 2079611
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EX/ST CONC. MON. 4c' �F �''��N; '•. L
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NOTICE:
Nb--.wa r r a nfy o. a. ce-a- a c
The information'shown hown on the attached
.
map(s) was compiled �l d for use by the City of
.
p
Edmonds,
its Employees and consultants.
Thy city ®f Ed
rnonds does not warrant
accuracy athe
of anything set forth on these
�
rnap(s). Any person or entity -requesting a
Should conduct an independent
copy - - non
regarding the information show
inquiry g �
p(s)� tie -ma including, but not limited to,
n of sewer stub shown. Such
the locatio an y
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
t. . *s o'r office-rs sh- I�1 be lia-b-Ife for the
er�p�oyee
information
given on this ma p(s), nor for
entation provided based
anyone repres
said ma (s).
upon �