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1012 7TH AVE S (2).PDFIIIIIIIIIIII6928 10127THAVE S - 1 I `�b�'���--I -� - i - !WP�,,C�N A ION !NP C ;I®iv } i : { I I I } I I 1 1 1 1 1 : 1 - I I -- _ S EOUN AT I I1 X.I tt--1 i i S 1 ION OESIG� I r- } j i �J �KVAl UB4ECT';TO INSPECTION-- ,.i WQ SIT CO DITIONS, I I __ ! C 1>�IAk . MST �E;;tfCT4�A T ISTITHE;LATt --- �- � - ` � ---- -- — '---� -- -- -- _ I��- � --- -- I F O' T RETAINED MAT R THE i i I I- - �PR tItS1 NS AMU 06 MAQE FQ I ' I CA TRQL AD D IMAGE OF.SURFdCE-�--- I WA' �ROI ND UILDINGS. ! I I I I ! l _ I - -- Tip I IT I�S`�( 'FUNK", ��9� i I i I i , �` _ i j I - - � � !11�� �- i I I��T I i I I , I . l I li� - -1 _ I I I - -- - --- - -�114 9-0 Ii I t CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF BUSINESS MAILING gZIP��/j�/� TELEPHONE a �i�j �A-- K 1�/--m— 1 NAME gtTT ZIP TELEPHONE NAME a ADDRESS L1G A W,, 10A L CITY ZIP TELEPHONE zLqL WA .. .r' .� STATE LICENSE NUK46EFI EXPIRATION DATE I ru PROPERTY TAX ACCOUNT PARCEL NO. 5-VV Zo 0 NEW WRESIDENTIAL ❑ PLUMBING / MECH �AODMON ❑ COMMERCIAL ❑ COMPLIANCE OR CHANGE OF USE O REMODEL ❑ APARTMENT ❑ SIGN ❑ REPAIR ❑ GRADING FENCE ❑ CYDS ; X DEMOLISH TANK OTHER. „ __ _ 0GARAGE RETAINING WALL CARPORT �l ❑ ❑ RQCI�ERY RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: q� NUMBER OF �j rUMBER OF ELLINOAREAS CRITICAL ( ITS �jSTORIES NUMBER / 2 r DESCRIBE WORK TO BE DONE z_ ?r, PERMIT EXPIRES 1 USE PERMIT ZONE � NUMBER JOB ADDRESS I fy *.-{r� ,}'\ Vf S BUITE/APT# r PLAT NAME/SUBDMSION NO. LOT NO. LID NO. ' LID FEE 41 PUBLIC RIGHT OF WAY.PER PER OFFICIAL STREET MAP . TES�pO� RW f�amia Ra9akad EXISTING PROPOSED Sb'aat Uu Parma Ragtl kupudoeRaoL*vd Sidwwak ReWrad REQUIRED DEDICATION FT Un G METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 0 NO 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED/DATE FIRE REVIEWED BY DATE I I Q VARIANCE OR CU SHORELINE OR ADB# INSPECTION - BOND RE"" POSTED YES 1 SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED O NA EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR NA Zo' S • Is 75 5/s. 3_S S PARKING . LOT AREA PLANNING REVIEWED BY DATE REO'D PROVIDED I fv G 14, G 37'^�1 CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT . �! I (� GROUP SPECIAL INSPECTOR JAREA OCCUPANT REQUIRED C] YES L:J / I «S (� J LOAD REMARKS PROGRESS INSPECTIONS PER UBC 106/FINAL INSPECTION REO'D VALUATION FEE E Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building o Tf PLAN CHECK NO: VESTED DATE ©2-Z 1 Plumbing THIS PERYR AUTHOpD%B ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical t BE DONE ON PRIVATE PROPEM ONLK ANY CONSTRUCTION ON THE PUBLIC M DOMAIN Gradin (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 9 Recording Fee SEPARATE PERMISSION. Engr. Review City Surcharge PEAYR M'PLICATION: 100 DAYS . S PERMIT LIMN 1 YEM - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection State Surcharge L' 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Traffic Mitigation Plan Chk Deposit EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS DAMAGES Fire Review Receipt # FOR OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CrfY ORDINANCE FIfB Inspection p Total Amount Due NOR LIMIT W ANY WAY THE CRY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Landscape Insp. Receipt # I HEREEIY ACKNOWLEbGE THAT I HAVE REM) THIS APPLICATION; THAT THE INFORMATION GIVEN is CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPR VAL THE OWNER. I AGREE TO COMPLY WITH ChY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL This application Is not a permit until signed by the IN VIOLATION HE LABOR CODE;bF THE STATE OF WASHINGTON. RELATING TO FOR INSPECTION Building Oftlel or hWher Deputy: and Fees are paid, end receipt Is ackhWedged In space Provided. WORKMEN'S 39RPCYATft IN RANCE AND RCW 1827. SIGNATURE ER R A DATE SIGNED ( 425) OF NATO DATE D L�J J ... J • • 1 -022O 1.4 A ION EST 1333 RELEASED BY DA Tt - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 LATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1(* F ORIGINAL - • YELLOW - INSPE OR PINK -OWNER GOLD - ASSESSOR 1wo1 PLANNING DATA NAME: _ SU DATE: 57/9/02 SITE ADDRE S: 10 / 2 - -2 - A,.-. S. PLAN CHK#: dZ- 2-0, PROJECT DESCRIPTION: Replg(z iox ® ei ewih� ilecfc Z46 x� O new "dM 5 +� Les-e REDUCED SITE PLAN PROVIDED?: es / No) MAP PAGE: 15 3 CORNER LOT: Yes / o FLAG LOT: Yes / o ZONING: &S —(n CRITICAL AREAS DETERMINATION ❑ Study Required: ErWaiver ❑ Conditional Waiver SEPA DETERMINATION: r ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) La Exempt SETBACKS: Required Setbacks: Street:��Left Side: 5' Right Side: S ' Rear: 15 ' Actual Setbacks: b aayc Street:-75' Left Side:T'Right Side: 5" Rear: 35.5 ' Street map checked for additional setback required? (Yes / No / A) ❑ DETACHED STRUCTURES: ❑ ROCKERIES: nl-- ❑ FENCES/TRELLISES: Nm, ❑ BAY WINDOWS / PROJECTING MODULATION: tiei� U STAIRS / DECKS: Si,-, —aIL PARKING: Required: Actual: Na LOT AREA: 14 Y a LOT COVERAGE Calculations: No Gov/'csl Sdr Gh+�tt ) BUILDING HEIGHT: Datum Point: NA Datum Elevation: Maximum Allowed: Actual Height: A.D.U. CREATED?: / Yes SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes / o OTHER: Plan Review By: NewBPP 1 anningDataForm. DOC CA FILE NO. ��-2•$O C&ical Areas Checklist - - ------------------------------------ Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: k 02-4 -1 - kv 6 • SOV'f N 2. Property Tax Account Number: �'r, 19 4 6OS CGL,Z - p 00 3. Approximate Site Size (acres or square feet): _ �� , (c37 4. Is this site currently developed? yes; no. If yes; how is site developed? .5'ti�.glt Mjl•� ►4LA,,e. �- _bc--rnc.Kc_7 GA•a...a��_ 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire'site. 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 ear -round standing water: Nc y 8 ; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What-season(s) of the year? 8. Site is in the floodway _ floodplain= of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? tie Flows are seasonal? = (What time of year? ), 10. Site is rimaril): forested : meadow -shrubs : mixed r an landscaped ,shrubs etc) 11. Obvious wetland is present on site: R+�.C`iw."a•: • r Y:A� :ti `•"...:5 v::::?'S;:^>:t;F.;Hii�:t>:'t:J...::sti:#:Ca'•;:ow:• �'<•.i:tsYtf �`!'.'`.cut�.- •':S.o'J�;••r: a:��4X•:'WQ2�c+':>Ca£^k'M~'t�'dS''6:ti yrQ "� niC �i -Ar Ste>; S:Z.tlatd ,iiY" stk>� w f :rX?•'��¢iw.•: "' +. v: ••.a:: �Y•S?'::.:5 t>�'^•a,,,yj;•a• S;, 3: ' :y::aL: R'<^. ��jj'':: Iy�whx.'.+t: .^�. Y,'^c.:t•::� ��� t'{y•°� .r .te%?3y',�ry :..{�gS� Y l'fy....6 < " sR: M:i::r.. ..>v..:r.:.ti wn..•...% S 1 } I i � •F K'S :MYK:�y^C�y ";7•.4��r' �`��'M yTi�'•n` ��P� �'jt�. • r•.j• w :1• ::tiV'.lr: ?JiV't: { ii.:. 'tiJ y .tir; .., +�+:.r+..rr✓� �'!.�!• •3'4::.:��..•�,'ti?;';�ap,PEd'•90M��;`r43;Ei��� � .�.�roj�•.;�'.w`.'.`•��•�: i' v`:� •.•��..� .,>�:?i:'�i`s'�'�f—D�TY�> � tk:,y;J�cy � <$Malmi f; u:�' III }{}µa}r�♦♦� y±±±:���7yyytJW j. yy�:: rrA .t.]t/n.JC (T•W+y: LIX�S •�. �:rCwt�:�� �•w�Y.rftl.�'t^^''^.'1...:.�.:�:•1:N�.i�:::+,i::�w..>}TKI�j•I•t`.:.'t.,; •:�-t:.. '� r4:SW::1: k' ra•�1'� :T'����.Y', ��i j � ;� `SJ,.. Y'''�,. ,t,�} , Y..y.N• T•7' y•:(• :ate d, ;s(Q.•rtafe4*1" i # lisp: Y1foIIt lAeAfali�f,: Cl lt%•�. •.r�•.r��[.. y� .yµ� , �t � ;, : *� �}:' :.t•. J(y'� 4;,' ':,K �• y ' =• 5 N w+1• M . w ... .Y i \• .t•.w.,...>vwv..n.�•,+.y vr. rC.. v.... ....'+y+.,t,•W�:�yF:y,w }.}:+ :H...: Z. ..X'.:i'.h. .,.' :V.� }w.,,<. .%:'r.• • •�•'.r .'•w:'+t'c R 1)ir'1?�Rki1NA`r)I•�'! t:" :MJ: a:tY�s•':>':�::•,.J :::..;��. • •:{.�J;' :, "r. x E ,; N +.••:��T.����M�iY'7iA•�'�.'�•4w %M�•+! .'x". •.{.: J..M" .,�R:,' �i •` }Y:t[' �.lj;� j�{�.q A: 1} f � ;: . <is':i.y. '• ''!,iy•`,�.�}°"•' aa4.'� en' }' :�. c"•.ti�,�r, ` } '�'i`:� .'V1L'a V: ?{, • C 'T •fir•:l> rt: C:p .I•.. V .. ..• .'i: tr ..{4?''?}Si:iP•x• .. L ii••F 5 }• ,.� tf"'••}> •`'{".'••t �I •t; 'ti FYe1[�.'i:}:. ti w�q;�, ,rclkt4'+: I g .. 7-8 Cdwrt Rev IWOM City of Edmonds CRITICAL A,REAS CUECKLIST 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, naps, 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. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. 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 Areas Checklist and attest that the answers provided are factual, to the 5est of my knowledge (fill out the appropriate column below). 3wner/Applicant: lame lo24 - Apt✓ -Soo-v-" street Address 'ity State Zip (4z5) —7 —7 /4 Llond ignature ate Applicant Representative: Name Street Address V\'f-'.,.-)oa a V3N Ci State Zip Bo T ephone Signature -7 12,t, 1901 Date :cepdonVAnMcW.doc (over) PLANNING DATA NAME: SITE ADDRESS:4a_ / _DATE: ZONING:16l1p PLAN CHK#: 1 PROJECT DESCRIPTION: CORNER LOT (Yes/No) FLAG LOT !V (Yes/No) SETBACKS: Required Setbacks-, Front: ZO Left Side:_ l Right Side:``Rear:_ Z Actual Setbacks• Front:..`Left Side: -_Right Side: Rear: Street map checked for additional setback required?? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: Maximum Allowed: d �� Actual: d �3 BUILDING HEIGHT: Maximum Allowed;_ ffi—_.Actual �A Height: (a Datum Point: Datum Elevation: A.D.U. CREATED?: 11% A SUB DIVISION:_'J TI CRITICAL AREAS SEPA DETERMINATION: LOT OTH f �r►rn� � �,c�ir P s �o � jS CITY OF EDMONDS SIDE SEWER PERMIT 11890 1 94o �1 PERMIT , _ �' 9149 Address of Construction: t� NO Property Legal Description (Include all easements): RECEIVE[3 APR 2 5 2000 PUBLIC WORKS DEPI Owner and/or Contractor: State License No. 1M-1KQAk15 Building Permit No. -J 1 rah IIOAI�)S PLAN/ �Q Single Family Invasion into City Right -of -Way: ❑ No 1P Yes '_ ❑ Multi -Family (No. of Units ) RW Construction Permit No ❑ Commercial ❑ Public Cross other Private Property: ® No ❑ Yes Attach legal description and copy of recorded easement I c2dicated y that I Tiave read and shall comply with all city requirements as on the back of the Permit Card. ` sho Da e * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY * FOR INSPECTION CALL 771-329g;'PUBLI W DEPT. Permit Fee: Id By Trunk Charge: Date Issued: 7 � O Assessment Fee: Receipt No.: Lid No.: Partial Inspection: Date -Initial - Comments Reason Rejected: Date Initial � -Ut, Final Inspection Approved: Datelnitial (fie-' ,A`* PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3 90 The City of Edmonds Side Sewer Drawing EASEMENT NO. ............................................ NEW CONSTRUCTION ❑ REPAIRS LAY I.ID NO ................... ASMT. NO. .................. � OWNER Lc . .t.�cx�U ....... t't�-M-CS CONTRACTOR �.re.�5�1 �.JJL I`"Zn l5 PERMIT NO. .c�.�.. .... JOB ADDRESS ... I.U......... ..`%........A-.��....5.... •---•............. LEGAL DESCRIPTION: LOT NO................ BLOCK NO. NAME OF ADDITION (1or-i-h l encel. l i'ne, ......................................................... ............................................ .-............. v 1 ic! LL 0.c u Approved: PWW-0001.1,1175 (REV.11/78) DATE ... .. ..CX3------------- By------------------------------------ ••- ;c 'r —_ •ar _ ."`A`�` '� .. -.ter- - i�� ., - ------------ 11-77... ,a CITY OF EDMONDS 890 19qo SIDE SEWER PERMIT PERMIT ; "I9176 Address of Construction: w1a1 - Tlik.r, Property Legal Description (Include all easements): (��k Owner and/or Contractor: MUM -L' State License No. iNGU 101kQ5 Building Permit No. P003M ,I Single Family Invasion into City Right-of-Way:i$.No ❑ Yes ❑ Multi -Family (No. of Units ) RW Construction Permit No. ❑ Commercial Cross other Private Property: No ❑ Yes ❑ Public Attach legal description and copy of recorded easement C.- I certify/that I have read and shall comply with all city requirements as indicated on the back of the Permit Card. 64/00 Da e * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY * FOR INSPECTION CALL 771032�UBLIC Permit Fee: — z-w Issued By —� Trunk Charge:_ Date Issued: Assessment Fee: Receipt No.: Lid No.: PT. * Partial Inspection: Date Initial Comments Reason Rejected: Date Initial Final Inspection Approved: Date nitial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3 90 The City of Edmonds Side Sewer Drawing EASEMENT NO . .................. _...... . ................. NEW CONSTRUCTION REPAIRS [] LID NO ................... ASMT. NO. OWNER ....... AG�EGlADO ....,�IO.i�?.�s.... N4----------- -- CONTRACTOR .... ECc..o©G� H0iir e,4... ZMq - PERMIT' NO. .?17 JOB ADDRESS ........... /©/a. ... ... 7 - !!_ 5,. .................. LEGAL DESCRIPTION: LOT NO ..................................................... BLOCK NO. --------.......... ............... -i s PWW-0001.11175 (REV.11/78) co ..................................... ..................................----------•---------.......--.------•--•--------•----.................................. NAMEOF ADDITION ...................-............................... ................................................................. 1012 7AV. S. Approved: DATE ....... %a Q ............................... By � C .. ` 11, City of Edmonds Permit No: RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date, A. Address or Vicinity of Construction: /d/ Z - 77-0,id- . S B. Type of Work (be specific): t�T/L 177FS_ AHQ DIZ do C. Contractor: Mailing Address: State License #: e Phone: 0 5 Liability Insurance: Bond: D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ CityProject ❑ EUC (PUD, GTE, PSE, CHAMBERS, OVWD) ❑ Multi -Family Single Family ❑ Other INSPECTOR- F. PAVEMENT: ❑ YES ❑ NO G. SIZE OF CUT X H. Charge: $ CONCRETE CUT: ❑ YES ❑ NO 3PLICANT TO READ ANC IDEMNITY. Applicant understands by his/her signature to this application he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING 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. ♦ Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. ♦ Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. ♦ Three sets of construction drawings of proposed work are required with the permit application. I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS (Contractor or Agent) CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK �,(� FOR CITY USE ONLY Approved by: � C t " Right-of-way Fee: t S Time Authorized: Void After p / Disruption Fee/Fund 111: Special Conditions: Pi -' P Restoration Fee: Total Fee: 5 Receipt No: Issued by: • UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS L COMMUNITY DEVELOPMENT CODE. , FINAL APPROVAL OF PERMITTED WORK bwjPtx.rl'n ^ �d INSPECTOR'S SIGNATURE D TE: 1 0' For inspection requirements see Engineering Information Handout. ':DATE RECEIVED � � `� [PERMIT EXPIFI&S USE PERMIT CITY OF EDMONDS ZONE - NUMBERS``° CONSTRUCTION PERMIT APPLICATION JOB RESS SUITE/APTN ADD1, �"]— /) t i // �_- G OWNER NAME/NAME OF BUSINESS 4 ` PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. Y 5"919- z-v, LIDFEE$ 2 MAILI ADDRESS TESCP Approved L'1' 3 ' ��. ; �r • PUBLIC RIGHT OF WAY P�R OFFICIAL STREET MAP RW Permit Required /fp Street Use Permit Req'd /✓Q CITY ZIP TELEPHONE EXISTING 'f PROPOSED Inspection Required ./60. Sidewalk Required y`AYB" ��P� p �"��� �{ q REQUIRED DEDICATION FT ''� Underground U%9 �39 d (A d Widng required NlkME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES NO ❑ Q W REMARKS Z ADDRESS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE yr CITY ZIP TELEPHONE r F'IZc7S r✓ rd o A/'- £? �_ Orr'N • '" �� vp NAME �j�n�A �.�'..aj � !•W /�l C ��V //L"�!'��� V / U !/.S ENGINEERING REVIEWED/DATE Ox ADDRE S / 4 C f �� ��7 ✓ ,' G, ccFIRE REVIEWED BY DATE W 2 CITY `- zlpy_ - T LyE�Pv,HONE'g �p U. STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADBq INSPECTION BOND p a9 } -- READ _ _P.OSTED, Q 6— T�1®� t i4�1. Y'— 0 YES ❑ NO SEPA REVIEW SIGN AREA HEIGHT -J PROPERTY TAX ACCOUNT PARCEL NO. , COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP RESIDENTIAL LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) NEW ® PLUMBING / MECH ALLOt(VED PROPOSED FRONT SIDE REAR. FRONT UR SIDE REARCOMPLIANCE OR 9 r, ❑ ADDITION ❑ COMMERCIAL ❑ CHANGE OF USE 51z,6Yr ""�� Z PARKING LOT AREA a PLl bl E' IEWED BY DATE t a ❑ REMODEL ❑ APARTMENT ❑ SIGN REO'D PROVIDED G QQ ) FENCE ❑ REPAIRS GD CYDS ❑ ( X FT) REMARKS j ❑ DEMOLISH ❑ TANK ❑ OTHER A GARAGE ❑ RETAINING WALL RENEWAL ❑ 0 'CARPORT n (TYPE OF USE, BUSINESS QIR A TIVITY) EXPLAIN: U 5`m �` �} 4` -sp•, CHECKED BY TYPE OF C NSTI�UCTION CODE OCCUP R ANT w NUMB NUMBER OF CRITICAL OF DWELLING AREAS ("yt 1 SPECIAL INSPECTOR Ei �%r�� �( �7 1 OCR UPAj`JT O STORIES •' UNITS NUMBER 1 �"^ REQUIRED ❑ YES.� r LOA P''] r� I rd; DESCRIBE WORK TO BE`DONE REMARKS z Z ! PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D o VALUATION FEE PLAN CHECK FEE IJEAT SOURCE___F G LAZIN � ® LOT_", b % BUILDING ( 6' s `i ' iY I(1 C"°' 0 PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL i THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK a TO ly t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL i DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. ! STATE SURCHARGE W PERMIT APPLICATION: 180 DAYS R� V , a PERMIT LIMIT: 1YEAR -PROVIDED WORK IS STARTED WITHIN 180 DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ' rl r— a APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE N IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING (t= f EDMONDS,WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION-FEE06 r„`1 i"t'Ycc a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT � DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE O NOR LIMIT IN ANYWAY THE CITY'SABILITY TOENFORCE ANY ORDINANCE PROVISION.• RECEIPT TOTAL AMOUNT DUE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIO ION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WO N'S COMPENSATION INSURANCE AND RCW 18.27. ,, OFFICIA •SIGNATURE D4TE S U R E WfdE AGE SIGNED A ) DATE SIGyD (425)/ , r.•-•. �r �� ����� 771-0220 RELYASED BY s- DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 7%1'0221 A FIN4 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW •INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER • GOLD • ASSESSOR 5/98 m` 27 a M rn . f "MUM GAttS; a= li3,o TOIAL (oA6A' N rn ct 0 3 cc 3 ri, m� cn n � O Z T9 z.8 o— r- O z m t7 cn � O cn cn WT. (-4) = %14.0' M + 25 0' MAX HT. = M.0, Acv. N1. = M's, CkE ELE.vp vov4 P.1) 17936" E 1 - 5.00' N 89'3736" E 125.00' �Q. —TAKN& . lbovm" " �,O- \"ko Luc CNy %Wtln -( 1"( of W101445 INN Jk25 IACANtO 1% %v11EO t(,-pop OF It AYE, 5, 6o owt- ST. NA m � I 0 B • '• Z I ,caWc E ' O �. J m o T zn ,Q r � -V . � \_ c m c7 i a w Z C= Ea MP! ' l'�VNvQI � I � c CD o� vm-rin° i1 O CO m 0- r m cn 0 CD ' Z o� 01 N0our- PLAN. UGLIM1000 ftm,19L IgGO-1 OV041IL wuvti Dl tbrtwo� wh c%zo . t� %mb,$ W A 9901U TAX RCC,T. it raw-005-ODL-00-00 SPul ;1: 0 0 - C9 i3 PA �38�Z l 3 3 A 0 3 t11=ZO' M. HT. (�4� =114.0 t 25.0 OAX Iq°1.0' CSEE E�EvAZ�b�'S P.I� "N89*37'36" E 125.00' DAWOk -UTY of W101445 M &25 LUNT% %% %,AjV tr-,j\pp q l� AvEA 60 QM-- sT, IN4011 E%,Ev. = % 11M, (illy t.Ev, : g 00 0 rtA�EQI . 4 'v m 0 Z rn mCAD u.r m v QLOY' PLAN ;lr UU-106m I $(api W Ih�%L V IEH. D4` EDI�oNO' WA CM20. PaOP t0.�t P�D(1ESS'.1612 l RVE . S , %1' 05 WA 99020 "TPtik RCCT, it GVW-oo5-M-00-00 LOT A OT- SNnAZ KNN ''LS-aF1-236 ;1: 0 0 v9i1 CT� J NE16N11 G Au.S ; �V. Hl, (.4) = ►14.0! 25.00 D = I1t•0, Act. NZ. TotAt_ ' �� CS�E E�EvA�ced�'s P.1� 1 /1a 59,6, CMWL' Mutt\ -UTY of 000105 fhH &25 I OW O %% OkITOWL'I ft % l Avs. �, 6o QIWE ST, I%jm-t zt t4. = 1"12,11' NO\ t.�V.: \-ll.ro, ItWl OLYI*L WT—N. M PROPER PtI�QESS', t61L' 1 t5 _ %"Ko W A `i801U iAx RCCV, 1� 61c%4-ooS-M7--06-00 1_ DRAINAGE PLAN SCALE: 1 "=20' d k X — X EXISTING FENCE 55 55 SANITARY SEWER ATUM-CITY OF EDMOND5 MH #113 OCATED IN INTER5ECTION OF 7TH WE. 5. AND PINE 5T. M ELEV. = CD # 1 CB #2 MT cPIIIFIX CATCH FA4H "FT 1 ?_>>, c"VII FIX cAT01 FMIH IIN. 169 F. TIT l 11 66• T ----Iln' I6F 66' _ 172 --- I f ----kI11 IC--_T----f----T----r---T----- - - - i ----� --- i ----� --- i----^-- i 1 �11.5' yl' 3034 PVC 18% i I I I i I I II i 56' 124"NA2@1°/1 I II I I I i 1 i 1 i I 170 --- I ----I ----- —E--- I Lit I 3w---I-----I----I-----I----r--- t---- r---- I---- I I � � I - 11 I I I I r IIFF',°FAIT I I I I I I I I I I 168 I---- I I I — — ---- —I --- I ---1 1 I----4----L---— — — — ----I -4 I I I I I I I I I I 1 I I I I I I 125.5' "I°' 34 VC @.3% 1cG 1-------I---- t ----I -- 1---- — -- --- l --- --- I---- T1 _cs #4 —1 --- I ujI---- I I I I I I I I I I I Im Ifila• I I I I I I I I I I I I I I IIN IFi6R 1 I I I64Lor _1 7 I-----�----r----I•----�---�----I-----r----I --E----I — --- —---I-----r----a I I I I I I I I I 1 I I I I 1G2r----�----I-----4----I-----I-----I-----I-----I-----I-----�-----�----�-•----�-----�----�----I----� I I I I I I I I I I I I I I i I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I 1 I 1601---- I--- I---- I--- I---- I--- I---- I--- I---- I---J---- I---J----1 --- 1----i-------U 0+00 30 60 90 120 150 180 210 240 1+00 2+00 SYSTEM PROFILE SCALE: V = 15' HORIZ. I' = 2' VERTICAL - ....�� APR 2 6 2000 � OEVSEIRVICES Lo me v EDMDNDS CiR• c J + Al R � APPROVE-Ul. CONST RUCTION DATE: od. CITY ENGINEER z< on L A � 1\ T N .�co W � .> (c) UN U Ln E Ln MT co W M 0 a 7W L _1 W O <C N O .Lo Lo W O O LU 4.7.00 REVISIONS: 4.24.00 GENERAL NOTES 1. All work and materials shall be in accordance with City of Edmonds Standards and Specifications, and Washington State Department of Transportation 1991 Standard Specifications for road, bridge and municipal construction. 2. -Temporary erosion/sedimentation control measures shall be implemented prior to any grading or extensive land clearing. These facilities shall be satisfactorily maintained until construction is completed and the potential for erosion is minimal. 3. All pipe shall be placed on stable earth, or if in the opinion of the City Engineer, the existing foundation is unsatisfactory, then the unsuitable material shall be excavated and the void backfilled with a free draining granular material, free of debris and clay. STORM SYSTEM 4. All grates (inlet and catch basin) shall be depressed 0.1 foot below pavement grade. All catch basins to be type I unless otherwise noted. The contractor shall be responsible for adjusting all manhole, inlet, and catch basin frames and grates to grade just prior to pouring of curbs and paving. All catch basins with a depth over 5 feet to the flowline shall be a Type II CB. All structures located outside of the right-of-way shall have locking lids. Catch basin frame and grate shall be Olympic Foundry part No. SM 50G, Herringbone pattern; part No. SM 52, thru-curb inlet; part No. Sin 44, rolled curb type; or other approved equal; or as otherwise called for on the plans. 5. Stormwater retention/detention facilities must be constructed and maintained in accordance with City of Edmonds requirements. 6. All road fills shall be compacted to a minimum of 95% of maximum density when tested using the modified Proctor test. Compaction shall be accomplished in accordance with Section 2-03.3(I 4)C, Method B or C. 7. If cut and fill slopes exceed a maximum of one foot horizontal to two feet vertical, a rock or concrete retaining wall will be required. 8. Approximate locations of existing utilities have been obtained from available records and are shown for convenience. Tile contractor shall be responsible for verifying the location of all existing utilities whether shown or not. The contractor shall call the Utility Locator Service, 1-800-424-5555. two working days prior to any construction. 9. Tile contractor shall take all necessary precautions for the safety of employees on the project and shall comply with all applicable provisions of Federal, State, and Municipal safety laws and building codes. He shall erect and properly maintain, at all times, as required by the conditions and progress of the work, all necessary safeguards for protection of workmen and the public; shall post danger signs warning against known or unusual hazards; and he shall designate a responsible member of his organization on the construction site whose duty shall be the prevention of accidents. 10. Thr_contractor shall be responsible for maintaining and repairing asphalt and gravel surfaces disturbed as.a result' of this construction until they are accepted by the Public Works Department of the city. V 2X2 DF OR BETTER FILTER FABRIC \ 2" - 4" TOP OF SWALE QUARRY SPALLS ROCK CHECK DAM SECTIONI NO SCALE FILTER FABRIC 2X2 DF \ 1-8!4/1 OR BETTER 7/8" WASHED GR/ yf l_ 7 3 6" LIj------4 —7---I I �� BURY FILTER FABRIC " BURY BOTTOM OF FILTER IN GRAVEL -LINED TRENCH FABRIC IN TRENCH FILTERFENCE DETAIL UPPER CATCH BASIN OUTLET 12" MIN CONTROL 1.00 IN ORIFICE CONTROL CATCH BASIN D'ETENTION CROSS SECTION. N.S. D,►, , iii I W Z Q ren N� ^1 T C— N W 't CU O N 000 T _(1)0') LLI z_ J W ry- Q CV m � c. LO G Lo :X W 0 Um cn 0 G rc • • Z O W 4.7.00 REVISIONS: 4.24.00 Aue- R RECEIVED APR 2 6 2000 CD DEVELOPMENT SERVICES CTR. CITY OF EDMONDS