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1036 CEDAR PL.PDF11111111111111 10595 1036 CEDAR PL 0 L:] TAX ACCOUNT/PARCEL NUMBER: Z70 ? 2 - oq?� i F-)Vy BUILDING PERMIT (NEW STRUCTURE): q p2O2 q (GO!` COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: g ' '} • E;e2-,, PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: S-25.81 LOT: BLOCK: SIDE SEWER AS BUILT DATED: S j -yJ SIDE SEWER PERMIT(S) #: log GEOTECH REPORT DA STREET USE / ENCROACHMENT PERMIT #: FOR: c� WATER METER TAP CARD DATED: � I ' 3 * S OTHER: LATEMP\DSTs\Forms\Street File Checklist.doc USE PEPMIT CITY OF EDMONDS ZONE :,DMBER FCSO?NS�TRUCTION PERMIT APPLICATION AME GF BUSINESS) ADDPESS .� /' AOORESS TELEPHONE NUMBER A 82029( IJ� —X / I `-'UBLIC RIGHT Or WAS PER OFFICIAL STREET MAP. cv15TIrIG_-_.__._ PEOUIRED DEDICATION__,___ PP.OPOSEU_ RIGHT OF V.AY CONSTRUCTION PERMIT REQUIRED: t STREET USEPERMIT REOU:PED: SEE ENGINEERING MEMO SEE PIW CEPT. REVIEW CHECK LIST GAT ^� ^ &{'- M / 1 ' 7�X METER SIZE '�/ 111 /-T BUILUINL SUPPLY SIZL IFIXTU•TE'INITS t CITY S? /L TELEPHONE NIIM BER 7%V J� ^ REMARKS Pr ��U0 e- f4G(�V i. X7 t- rF-GZD STATE LICENSE NUMBEj. `�- /� s CITY LICENSE NUMBER SIGN AREA AL' OWED PROPOSED _ I ENV. REVIEW COMPLETE EXEMPT IR- A� O. F. al Description tion Of Property g p y -include all easements (showbeloworattach four SHORELINEI� tcopies) PVARIANCE OR : PLAN I/G REVIEW BY ATE YARDS LOT //JJ / y �(Q FRONT � SIDE /"7 REAR COVERAGE K ff JJ �Q/Le4 2 ❑ ❑ ❑ 1 NEW i�RESIDENTIAL ADOIALTER ❑ NCN-RESIDENTIAL REPAIR ❑ RETAINING WALL EXCAVATE DEMOLISH ❑ OR FILL ❑PRE -MOVE INSP.I COMPLIAN :E INSP, ❑ PLUMBING ❑ MECHANICAL ❑ SIGN FENCE ❑ (__x_FT) ❑ SWIM POOL CHECKED BY TYPE OF CONSTT,RUU\ _ N SPECIAL IN$PFCTOR REOWRED L- YES I' NO AREA lJ SIDE SEWER ❑ WATER LINE ❑ REMARKS E-iZ.IYA�aI_ 1 yVL- ❑ ❑ ❑ T'V-0G [UMBER OF STORIES NUMBEROF DWELLING UNITS / I ATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) -_ r- . / 4 A k 7 I 1 t I i 4 1 i z w i• � I Z `o z t i CODE Iq `.915't+� ( HEIGHT • OCCUPANCY - OCCUPANT le "• , a'�?t:�.-�T;.' GROUP 1� fn LOAD ' igbcT �J�i- COD o VALUATION PLAN CHECK FEE BUILDING -7 PLUMBING I I MECHANICAL JI This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit UmiC 1 Year - Provided Work is Started Within 180 Days "Applicant. on behalf of his Or her spouse, heirs, assigns and I Successors In interest, agrees to indemnify, defend and hold " harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly Or ina!rectly from the issuance of this permit. issuance of this permit shall not be deemed to �I modify, waive or reduce any requirement of any city ordinance 'MI limit in any way the City's ability to enforce any ordinance provision" TOTAL AMOUNT DUE `T I hereby acknowledge that I havo read this appllca;lon; that the Information given is correct; and that I am the owner, or the duly A1-ELATION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THISPERM- S state laws regulating construction; and In doing the work authors?- AUTHORIZES This application Is not a permit until Ed thereby, no person will be,employed in violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington relating to Workmen's Compensa• wONK NOTED Deputy: and fees are paid, and receipt Is !!on Insurance. INSPECTION acknowledged in space provided. _ fj �G SI AT RE IC :TI OATS SIGNED OEPA RTMENT L' �._ _ CITY OF OFFICIAL S SIGNATURE EDMONDSOF t� THIS SITE IS LOCATED IN THE CITY EDMONDS. EDMONDS. LOCAL SALES TAX 775.2525 ATTENTION SHOULD BE CODED 31.04. DATE 1 7 ~ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION 4AS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC 1' CHAPTER 0. -- 111L PINK- Owner„ GOLD -,'Assessors 1, _ CITY OF EDMONDS FOR INSPECTION CALL 0 A �� PUBLIC WORKS DEPARZ. T � Permit H. _ SLDE SEWER PERMIT 775-2525 Ext. ,,232-0, o?Sq Issue Date �* PERMIT MUST BE POSTED ON JOB SITE 1. Address of Construction 2. Property Legal Description (include all easements)7EDMONDS �.60 Dj / o' S 3. Single Family Residence L% Multi -Family No. of Units Commercial 4. Owner and/or Builder 46 ur-. (_i4 i/ D (fo . 5. Contractor & License No. 14 OPI P L % 4 2 6. 'Invasion into City Right -of -Way: No Yes t% (If Yes Right-of- way Construction Permit Required —Call Dial Dig (342-5344) befog excavation). 7. Cross other private property: Yes No Easement required - u attach legal description and county easement number. H a READ THE FOL.LOWI.NG AND SIGN: a 4 a. Property owners must obtain a permit to install side sewers on >4 their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each H installation for one year. wC. Commercial establishment requires a minimum of a six inch (6") z side sewer line. o 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% (1.15°) o and maximum grade of 100% (450). 0 H f. No turn in side sewer greater than 45 (1/81bend) is allowed between cleanout. All 90 turns must be constructed of a 450 (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 until inspected and approved by the.City. 1. Inspection during normal working hours only. Two (2) working days notice required. -� DATE: // " I`--certi y that I have read and shall comply with the above PERMIT FEE • ��,i , DISAPPROVED BY: Date: J j lid Y� S, 0® By : Date CONNECTION FEE ; APPROVED By: Date : 3-7-$3 * PERMIT MUST BE POSTED ON JOB SITE Side Slower I)rawing The City of Edmonds EASEMENT NO- ---------------------------------- -------- NEW CONSTRUCTION C@ REPAIRS n LID NO. ------ - ASMT. NO. ------- ....... OWNER------------------------------------------------------------------------------------------------ CONTRACTOR --- ------ Co.,-- ------------------- PERMIT NO. .-G.9-13 JOB ADDRESS -102& ---------- C.E.DAP,.AAC-E LEGAL DESCRIPTION: LOT NO. LOCS-25-!-81 BLOCK NO. ............... EDMONDS. .................................................................................................. ......................... TREAT VEt4f-ftANT, NAMEOF ADDITION ........................................................................ ------- I . .. ..................... To WuT' It NOR"T*4 S.S. F"P-1111 PVVW-OWl-I 1175 (REVA 1178) Approved: DATE -.'.a:`_-27i.10-i. -cft4wW%%" p1m -3.S#ft*Xft w PIIBLIC. WORKS DEPARM= CHEC cusr .,BUILDING PERMIT REVIEW (address) to Street Right -of -Way Exist' ��/Qi REQD 2 Access Easements Existing 4e,,t N ac Utility Easement Existing REQD w Lot Per Subdivision S—LSD Plat Assessor Map w Site Plan Checked for Accuracy. /C Z Underground Wiring Reqd. H 0 Check Accuracy of Legal Desckption O1G Z Review by Date L.-I w. Existing Water Main Size 'S 77 Water Main Required Service Line Required Hydrant Size Existing x Hydrant Reqd Per Fire Code ,g/Q Size w Detector Check Meter•Regd. Cross Connection Inspection �---- Fire Department Conments ---- 3 Water Meter Char g yed. ,,5 Review by Date JZ Septic Tank Design Approved Date Septic Tank Permit Regd. Permit No. Sanitary Sewer Availability Proj. Drawing No. File No. a; Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. 3 Review by Date w Open Ditch Existing��/,yt Regd. - Culvert Reqd. Size - aG Catch Basin Reqd. fOe ,-z, Indicate on Site Plan --- Shoulder drainage maintain collection on swale open runoff % P H ` y IV?/ -5 N 04.•.� Manhole regd. Indicate on Site Plan Soil Conditions and Ground Water Field Checked , Review by, �A? 45 j7,`Zl Date -- i2-- ii- 2— Revised: lv10-1977 Page 2 -0 S ' Street Paving Regd. H Glnb and Gutter Reqd. w Sidewalk Reqd. w Curb Cut for Driveway Reqd. aG Right -of -Way Construction Permit Reqd. p S H Bond Reqd. for Public Improvements Street Name Sign Regd. T Other Signing Reqd. o Pre Permit Site Inspection made on z a off BY: SEWER E., w w WATER a z STREET ENGINEERING `a Special Requirements listed in metro to Co=unity Development Department, Q ' Building Division BY Date o All items filled in on Building Permit Application x BY Date a' Drawings Stamped and Notations Made w BY Date d Approved by Public Works Department Revised: lv 10-1977 DATE: h MEMO TO: Building Division Corununity Development Department FROM: Engineering; Division Public Works neparrment SUBJECT: —14—?,6 64Z P-9, After review of the subject Building Permit application, we•ha, the following comments: , 1. Connection to City water system required 2. Connection to City sanitary sewer system required L Riph :of-wav Permit required for any work on City property 4, Driveway slope not to exceed 14%. 5. Backwater valve required if downstairs plumbing is below elevation of upstream manhole 6, Water and sewer lines to he se2arated by 10 foot minimum. .0 Signature SZ^.e0�._.:.?:�..a_... a•�-T��J�_Tr..^,wL*t:TS,ti_... �._.^_I41eae.�.ti�k�•_rr r�.th. c� ._ >.. _..-. - ....a..._.. .__.�.._��T^•' ... ___. PLOT PLAN Co =,aD I �Ivl Ih. ZONE NO SETBACKS: F 11") 0 NT R EE Al, T r- 0 R HE HEIGHT;--!2!�� a I- CATCH BA31m: &M'*1b'30(0k TIIGNCH LKNGTH WSUA�) r b9 s TwcNCH coven 0 66 -nr. LINE �<bR. TItcNCN b' /tRF 11PC CAP b"TEE W/ (o" LONG LEGS SYSTEM CROSS-SECTION TV-ENC" COVER - 3/4* - (I�° WA5NED G RAV B L 6„ DIAM FERF P1 TRENCH CROSS-SECTION 1 STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 for �i:► J.?, i+J`� location- plan by phone date- 2 ��— DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Reg. 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). r JI CITY OF EDMONDS ^r t .qo I c SITE PLAN. SCALE: v NOTE: DO NOT USE INFILTRATION SYSTEM ON SLOPES OVER 15 PERCENT (15 FOOT RISE PER 100 FEET HORIZONTAL 11' V STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE 2 OF 2 EXHIBIT B Q-rA> cog, or 5ECTIOAll e5 AOeo.00' r OF THIS SUBJECT TO TIONS SET DMONDS SHORT SUBnTVT.ZT 5-8J. �jl N, tdv- L—sea*50'a/ -E 85.60-.. — IS 14 �bjw njli Ii R" ZO, 41 6000oIW 0 U 'o, --Wv/ ARIVI ;0 rpo. '0 - 10 37 SEE A. P. No. iz two SEE A. F A10- 80(:)�p90/54 co V-64TEPLA/6' om f'Z 0 Z) fv 60001, 'Y V) JOHN L. Z/44A4E,,qW .4A/ 17 10' to, SCALE: 31.59, L-31-44' EDMONDS "GINEERING DIV. DATE 3o Lr) 54.98' VV ,—ACCESS. 4AJI-) (-/r/L!TY j SHORT SUBDIVISION FOR p q, W i US M JOHN L. ZNMERMAN I & 1 0, 1 1 A I I i- a 0 ( - ------------------- - ------- Difto SEP,--r6 REC&gdof Edmonds ---Water Department S E P .9198Z. TAP CARD Dir. Ot Publi DIale ............ . ftj...&..A.... Meter ..... No...... ................................... Size. Mfgrs. Style-I&V SP . .................... For "n ................................. .................... .......... .......... ...... .. ..... ..... .......................... ,0 ....... ........................ ..... . ......... Lot No. Blk. No. ------------------------------------ Add. .............................................................................. Service Location ............................................................................................................. MQw%o ............ ............... Meter Location 120-842iZ14 ----------------------------------- N ...... (MakeTap ............................................. . ..................... . .............. Pressure .... 1.1-0 1 ......................................... bs. Test ..................................... % Send Bills to ------- ......................................................................................... ...... ..................... Dateof rk ... 2.2 ................................................................... ....... * ........ 411110M. ............ W ----------- JDt ....................................... ... Foreman Guar. Voucher No... $ - emarks:------------------ ......... .................. 4 ...... N.T. ....... ................................................ ............................................................................. _.. ............................... STREET... F ........................ OUTGOING Index .......... Reg ------- Route Bk ......... Stencil ...... Card ...... INCOMING Index ------ .... Reg ------- Route Bk ......... Stencil. ........ ...--Card ...... ...--Card ........ (�1 ROUTING SLIP NEW SERVICE INSTALLATION ADDRESS: DATE: Q ✓ TIJ�� 'Y COY DIAL A DIG# g�r3 019 P.U.D. VZSG� TELEPHONE 5�e $ 96 wor�5 � Q�buc CABLE T.V. QL GAS I FOREMAN STORM SEWER OTHER FUTURE SERVICE INSTL: YES NO ' BOR CUT: YES NO SURCHARGEt: � LOCK INITIAL: CREW OC T_ INITIAL' � I DAE: ACCOUNT NUM _ NUMBER: %) I, METER SHOP SUPPLIER: S Ft/a- -PLANT SIDE -SEWER PERMIT TREATMENT �. Fr1RII`1AN E B L T �� Q FORE[`'IAN INITIAL DATE: TAP CARD METER SHEET APDLICATION ISPATCH / ` UTILITY i t BILLING 7 76 PERMIT NUMBER USE: CITY OF ED NDS ZONE CONSTRUCTION PERMIT APPLICATION JOB NAME (OR NAME OF BUSINESS) ADDRESS r CITY TELEPHONE NUMBER —114 X4, NAME Tti"'c�- 146'.14 erL "Z ADDRESS AT uir TELEPHONE NUMBER S C 7%(-G STATE LICENSE NUMBF�)/6 CITY LICENSE NUMBER _%vL7�L�' O S Legal Description of Property - Include all easements (show below or attach four copies) �ffrlvx�Amw% �]I NEW 'RESIDENTIAL PLUMBING ADDIALTER NON-RESIDENTIAL MECHANICAL REPAIR C� RETAINING WALL C� SIGN DEMOLISH El OR FILLTE ❑ (ENCE x FT) aPRE -MOVE INSP./ COMPLIANCE INSP. SWIM POOL SIDE SEWER WATER LINE El NUMBER OF STORIES NUMBEROF DWELLING / UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) /. . %_ r l- 6 `A - rp r 'TION CHECI SUDDIVI ON NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED U STREET USE PERMIT REQUIRED n SEE ENGINEERING MEMO DATED Z SEE PIW DEPT. REVIEW CHECK LIST DATED REMARKS - ri METER SIZE (BUILDING SUPPLY SIZE (FIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW . ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE VARIANCE OR CU PLAN G REV"BYDATEYARDS FRONT SIDE CHECKED BY TYPE SPECIAL INSPECTOR REQUIRED UJ YES I I NO 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 successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of Cr i whatever nature, arising directly or indirectly from the issuance 0 of ,this permit. Issuance of this permit shall not be deemed to o modify,,waive or reduce any requirement of any city ordinance = nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the V Information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT ed thereby, no person will be employed in violation of the Labor AUTHORIZES ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance__. SIGWA RE (O fj T) DATE SIGNED INSPECTION GROUP VALUATION HEIGHT OCCUPANT LOAD Ct Z a Z D 7 m APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; r p y; and fees are .paid, and receipt is acknowledged in space provided. DEPARTMENT CITY OF OFFICIAL'S SIGNATURE THIS SITE IS LOCATED IN THE CITY EDMONDS OF EDMONDS. LOCAL SALES TAX 775.2525 DATE ATTENTION SHOULD BE CODED 31.04. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR T ORIGINAL —File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC JUL CHAPTER 3.102-78 N PINK — Owner GOLD — Assessor, s nn,On Fnln _ ' i . 0 • EOmuTq. WA ii lng"d . Ingle Family BUILDING PERMIT REVIEW.,,.,Multiple Commercial. BUILDING ADDRESS �D ��/_&Pj . l/�Or 0 0 BLDG. DEPT. SUSPENSE DATE INITIAL DATE ❑ OFFICE ADMIN. -- PUBLIC WORKS LOG IN CITY ENGINEER (check) ❑ Access Slope and Vehicle Access `f 2 ❑ Drainage Plan ❑ Street File ❑ Legal Description ❑Quit Claim ❑ Easement ;.,❑,Calculate Sewer. Connection WATER'/SEWER DIVISION '_'.,;`; i.;+4!1.'.f; ❑ Determine' Meter Size ;h:.;;;n ".' .. .Complete,.Building Permit Review STREET DIVISION '.omplete-Building Permit Review ❑OF' FICE ADMIN' = LOG OUT TO BLDG•;'.,:DEPT. r ------------------------------------------------------------------------- , E BUILDIING PERMIT APPLICATION (COMPLETE). 8Z �2 COPIES OF SITE PLAN C 7 - -® 2 COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEWED BY FIRE DEPT iCOPIES OF DRAINAGE PLAN WITH CALCULATIONS C41� REQUIRED BY SUBDIVISION ❑ GREATER TITAN 2,000 SQ. FT. IMPERMEABLE SURFACE ❑ LESS THAN 2,000 SO. FT. ❑ ❑ CHECK ZONING. -REQUIREMENTS (SETBACKS) ❑ 1 COPY OF ENGINEERING CHECK LIST ❑ 1 COPY OF'PUBLIC.WORKS MEr70 ❑ MULTIPLE OR COP'MERCIAL YES ❑ '`(ATTACH COPY OF ADB APPROVAL INCL ALL DRATIINGS) NO ❑ SUBDIVISION — YES ❑ NAME........... DATED RECORDED NUMBER NO E] (ATTACH COPY ' OF; REQUIRED ) [ICHECK SEWER DRAWING AND ATTACH COPY ❑ IS DEDICATION REQUIRED YES❑ (OBTAIN QUIT CLAIM) ( CITY CODE. ) NO ❑ ❑ DOES CITY HAVE EASEMENT ON PROPERTY YES ❑ (ATTACH COPIES OF DRAWINGS) NO ❑ ❑ CHECK LEGAL ACCESS — INGRESS❑ UTILITIES❑ YES ❑ YES [] NO ❑ NO ❑ ' ❑ .HAS SEWER ASSESSMENT BEEN PAID STREET FILE YES L.I.D. NO. PLAT NO. ,SUBDIVISION NO' El ❑ JF MULTIPLE •INCLUDE NUMBER OF UNITS"' IF. COMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS 'o