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1046 7TH AVE S.PDF111111111111 6937 1046 7TH AVE S io�fLQ 7#1 m � � RSCEIVED NOtE: 6 AND EXISTING HOUSE TO BE DEYIOLIBHED 81 I REPMM FROM &M AS F2Ed1MM BY I BWLDM DWARnMff. PREPARE 611E FOR C a STiEICTICN OF NEW RE600 CE LM CF MAN ROCK ABM IetAean � to CBCTc ��- --I- of 6LT IEWM ' L, OM MAL 1 \� LIE a cent AOOY£ 41, -LIE CF DCSTM IWAIOG Ufa w w I431AE0. IFMim &M FM t" IE6mBm CF FROM" LIE LIE CP Now 0436" AEWE II AVERAGE GRADE CALCULATIOK 9433 96J I 9B]5 96A 3803 3B4M / 4.9620 NOV 171995 pERMIT COUNTER CF� APPROVED BY PLANiuiN lthAVENUE SOUTH --------------- PLOT PLAN NORTH I' • 20 - 0' STANDARD DRAINAGE DETENTION SYSTEM - WORKSHEET %,.a Cup y I OWNER /1�VW 6w1e0.-I CALL BY: 6%`JP A<!I�z- Gifu 1. ADDRESS 104& 7 7Y ��_ S , kFD/440 ll/ _0 s PHONE: &,z4- ` 3 2-10 DATE: *****DESIGN DATA***** // _. /O— gS IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE T.,24-f s't: tl< j54957- 28 -7/ RIM ELEV 11� I rWN COVER I 6'.MIH 01.0 2'MAX COVER FW V a c M �aV T 4' O MIN 1 .WA-rA. SLOPE 4' 0 PIPE MIN. z , OWFKE r Big. pS�D INV ELEV INv ��TROL (.Fl FR CATCH CON CATCH BASIN BASIN SYSTEM CROSS SECTION WASHED GRAVEL OUTFLOW TRENCH, MIN KY LONG TOP AND 4'PERF PIPE TO BE LEVEL FROM CONTROL OUTLET j4 4'PERF PIPE W/CAPS RUNOFF SPREADER OUTLET ' x 2'x 6' DEEP, 4'-6' QUARRY SPALLS x2'x 3' DEEP, 3/4"CRUSHED ROCK I FROM CONTROL OUTLET RIPRAP OUTL'CZI V Ift., _ ieD P�R��T�� 'yyS FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. APPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet control orifice DATE must be kept open at all times. a of _Z,4��A• DE�EN• PIPE ✓ 90- 94— PDG NAY PAtEs c-- c-95T ca. -- KeFe PRUvMe d tr NOTOS: (• OO N07- Gb,NNEdi jt-TW& DRAIN TD As. uNB. Z. &Ro,40N cvNnwL. Mr06l2les SO'I+U- ae 114 PEAL@ PR(ol- TO BEGlNNlNO oP c�wsrlZUcT(onl. 3. SE'E AP-04 DeAwjAll, A•-( Me SILT FENCE• -'SILT F54t1< As K®D Ar sme- pw4 6r+VS. 4t17714AI t� sai-S CW SV71-57. VAYER SEA AL lorkCTIONS REQUIRED. CALL 771-0235 ACCEPTABLE TIGHTLINE MATERIAL N-12 ADS SCh 40 PVC S R 35 (ASTM D3034) • ,� �.,..�, mow: > ►mac 3 �sz — — — — — P to 40 28 /N6 ' •Paar w. Kof.LE�P EQy� repo. y \Q$rtof,t' !a9°aauu Rf+� �CO�j i ED �F9 PROJECT REVIEW CHECKLIST PROJECT NAME: CC. k)"01iox PROJECT ADDRESS: & V& 7 PLAN CHECK #: 15� RECEIPT DATE: / '/ 7-5�;; EVIEW D BY: (nitial/Da e) ' COMMENTS. FIRE PLAN. 'BLDG.': WATER SEWER SIRE ENG._: Setbacks/Variance/Setback Adjustment ry> ;,•; ,rz Conditional Use Permit 2 "> ADB Requirements .t 3 Other Zoning Requirements Under round Wiring Required •,A Lot Slope 15% , , 6 :. SEPA Environmental Checklist/Hydraulics Permit 7 Tree Cutting Plan Plat/Subdivision Requirements Le ai Description Verifications>.h Quit Claim/Street Dedications }h; Easements - Public/Private "' ;:" :.`. 12:; Engineering Storm Drain Review Fee Engineering 2.2 Inspection Feej 14 Drainage Plan On -Site Setback - Top of Bank. Stream, Water.Courses v 16 Setback - Storm Drain Line _ t 7:' Open Ditch - ExistingN 1:g Culvert Required W Culvert Size :20, Shoulder Drainage/Shale Open Runoff;" 21 Catch Basin Required `` } 'x "" 22 Driveway Slope & Vehicle Access p ,<: .' • :< ; �;;;: ;} :: `:f:f 23 Sidewalk Required. .24 Curb & Gutter Required Lf Curb Cut For Driveway Required >.��.�x:..%>{��•',,:� • �{' Street PavingRequired 27 28 Right -Of -Way Construction Permit Required ..:.e Street Name Sign Required 29 Other Signing Required 30 Bond Required For Public Improvements :::h„. .. FEMA Map Check/Water Table °;.; ; • ' `>" 1.32 Side Sewer Availability fQ} 33 Calculate Sewer CorInebtion .Fee If No LID # ,¢'.. x :< x:. . `N 34 35 Create Street Filet Existing Water Mai Size ;?",;". S,i Y$<` "'" .. 36 Water Meter Size <.37 Service Line Size �r.:, , 3✓ 38 Water Meter Charge Required .; 39 Hydrant Required y% r :< ::40 Hydrant Size Existing Fire Line Charge Required - Sprinkler 42 Street Cut _ :: >4 firs :' :• s 5`» ,'? �tf�:N�:�:�:-Ffr•r..}�.��:r' _� 43. . Miscellaneous ---- <:44.: Reviewed By: FIRE PLANNING FILE:DATA123/PROJCKLS.SFN ENGINEERING PUBLIC WORKS 1� L i v 1% U Ur L U It 1 N L 1 J 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RN PERMIT DATE ISSUED RECEIPT # 9 29 10 30 11 31 12 32 13 PAID RECEIPT # DATE 33 SS PERMIT S� DATE S U D �� 14 PAID $ RECEIPT # DATE 34 15 35 16 36 17 37 lolu METER SIZE ' ID $ DATE C � RECEIPT 18 38 19 39 20 40 Water Service Drawing The City of Edmonds EASEMENT NO . ............................................ NEW CONSTRUCTION ® REPAIRS ❑ LID NO ................... .ASMT. NO................... OWNER................................................................................................ CONTRACTOR......................................................................_.._.......... PERMIT NO. .................... TH JOB ADDRESS ........................................ AVE. -....5 .................... LEGAL Dl-SCRIPTION: LOT NO....................................... BLOCK NO. .................................... PWW0001.11175 (REV.11/78) NAMEOF ADDITION..:.....................................................................:.............................................. 10 4G 7 0 14-a 2.5'oc I^ I s� 1 V NORT-H- 7 TN Av . So. I I I I ��4 - l6o P.S.Q. SuPECLLOIJ P.E . 1 '7Tu AVE.. So . '. Approved: DATE .....9.... 9/ ................ B %/ y ..................... City of Edmonds: RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: 77 A. Address or Vicinity of Construction: .1046 7th Av S '%%L "r�...,03 � GTE to place, operabg, and maintain a buried service j 8 � B. specific): . Type of Work (be sp„,i re frnm exi sti na�pol a #1004 1 nnated at 1031 7th Av S 9 0 1 9 - then south to a residence at 1046 7th Av S. GTE to plow 135 feet, push one Mary A Bower, DFerm'luyeo$ing,one road 24 foot 'R 0 W 135 fppF C. Contractor: GTE Northwest Incorporated Contact: Dennis Alexander 771-9036 or mobile 388-1358 asino Kd Mailing Address: Everett, WA 98204-1400 Phone: Mary 206/488-1628 or 710-4130 State License #: Liability Insurance: Bond: $ �. D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other 2100-9P001 DB 242310 INSPECTOR: INSPECTOR: � /. F. Pavement or Concrete Cut : ® Yes G. Size of Cut: �' 2 x Oft H. Charge $ Please see attaehed.sketch,_ Cut.to exp water line. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made against the City of Edmonds, or any of its departments or employees, including or 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all t' s TlnFJohn—H. urposes. Signature: Stewart Date: July 3 1996 (Contractor or Agent) Oprns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT . v TIME. AUTHORIZED: VOID AFTER3 DAYS SPECIAL CONDrfIONS: 1 2u ��Y tnrlC-I i�� S COMMENTS: DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: 3 D ' o O TOTAL FEE: RECEIPT FEE: r DATE: ISSUED NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments Diagram.: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: PERMIT SUBMITTED BY GTE -C► -7 `0- o A 400 --------------------- - LEGEND PEGS ® m POLES O ROAD BORES OVERHEAD LIMES J.D. UTILITY POTHOLE O UG TRENCHING --JJGT w N 4 N R.O. w. r EOP ---- ------------------- - __ _ - - --- .---------------- - -- --- s. S -- . lOY1 ip0y ZI 0 ' N CUTS, m W PERMIT SUBMITTED BY GTE -a /on a� 1 LEGEND PEDS POLES 0 ROAD BORES OVERHEAD LINES I.D. UTILITY POTHOLE O UC TRENCHING -- UC T 4, a - $,,,-) �'� --�-- S 7 , - -- - --� R.O.w --------- -USN-- ----------------------- a ��' -�r'�ors---------- - EOP logs a Xy �r w�rF 7 1t ur S x -�.,-- -- ---------- -- —3'Eo----- S. S -- I d° _! t13S 1 031 w ro .. N co CUTS, u m W 09/18/96 09:10 NO.676 D01 F A X DATE: �,- � 0 I RFC`�'!�r". SEP 181996 HALLS LAKE CONSTRUCTION FAX NUMBER 206 672-7255 FROM: 6,--, F:,. �qll-sQL q ke PHONE NUMBER: -7-7', go � SUBJECT:_ 3c�d comPkd-,C 9-(-7,96 COVER'S H EET PLUS __� � PAGES 09/18/96 09:10 N0.676 1702 A -r ...City of Ecdmonds Iaie..^, G��v SIGHT -OF -WAY' CONS�MU'CTION ENG,ty - ''�° 619* PERMrF G A. Address or Vicinity of Co¢1 r,4tian: 1046 7Lh Av S GTE to nee o are and mr• e n—Ea a Darted Service R. Type of Work (ba spoe:�ie)! ^ * ' 1 h Av S 8 9 0 1 9 t1!om, soutt+ to a eesidwme at lGf#fi 7th Ay 5. tti plow to 0 pus ono ae llsry A 9eer . %ffyeo$Ag.one road 2414-t. R-!1.W tic F"t G►atnwtor: GTE Northwest Incorporated Contact: Dennis Mexander 771-9036 or mobile 388-1358 Mailing Address: Everart. WA SUN-1*00 Phase: Harr 106/468-1428 or 710-41;O State License Limmitr Los amosi find: D, Building Permit # (if applicable): Side Sower permit B (if applicalsla): 6. ❑ C'om namw 0 Subdevkien ❑ City Project E3 Utility (FUD =WNG. CARI.E. WATER) . [] Multi-i✓an!uIy ❑ Singte E =21 ❑ Other 2100-9PNIBB 242110 INSPECTOR, INSPECTOR: "A' . F. Favcn mt or C.anatete eug : M Yes Q. Size of Cut:, Zi . _ x 4f N. (`hg4?-$ Please nee+ attaahou SlcszucA. Cut to 6UEsl: weTer APPLICANT TO READ AND SION ,(NAP.sINITY: A0b6Cdn r. undrr u-d& and Ay hb ♦jgAatx— A. #A., appllamuaa, aweee to "ties City pjESlMtonds hannleaaham ue lea, domwees, or elaiwo of any /deal or daw.' tiVA whaMmner, fore"an or unforr"swmv4 Thal mq+o by Made s&0invt 1hw C1y of Unvotdr, nt any e/ II* delpe nmmr, er #M1*yer.,.ine&d1rwornot&n&&, tathedefenseofaleyiachwuABdqraaeamom,and auom-yf6t"by.f�d�+`el��Pa+� TyC ComjkAevaR !9 RE;jP01VS17)1./#: FOR WaRKMANWIP ANI? AfATFR1ALS FOR A PERIOD Ole ONfr YEAR FALLAWING TAB FLVAL INSPECTION, AND ACCEPTANCE: OF 111S WOJW. FNTIMATED Rn-TofL4r7a)y pRES WILL BE HELD uN7'It: TK$ rtivA►. y}"It!'/_T PATCH tR COMPLETED r1Y CITY FORCW, AT W11rW MdP A OMT AA CBEMr WILL. ZT PRIWJ 22D SUR ISSUANCE 70 Tll k APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please coM the Engineering Division, 771.022t)- Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept dean at all titnes, Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end ofthe worldng day, NO EXCEPTIONS. I hatle read the above statements area understand the permir requirements and thepink copyo{the permit coil! be available on site at all roes or ' apt! ion purposes. Signature: H. Stenarc - Date: July- 3. 1996 fCbntraclnrnrAAent) anrns 5upv-OW Engrg. CALL DIAirA-DI(i YKIUK'lIU i3Le GINNINtr WUI~i.K FOR City IJM ONLY . , APPROVED BY: ' ��` �• � TIMS A4ri'r ommtn: VOID AF.r.=• ., ' ' C) DAYS SPECIAL C0r49)r1't0Nf0e gommera�, 1UG11T Op WAY QEP08rt' P134VPTIGN F E/FVND 11.11 I�srblu7�ni� �: . PRRMT Paz-, .42 DA NO WORK SHALL BEGIN PkIOR TO PERMIT ISSUANCE £0d 90 1 'Cqv €€ : 5 T ON -of. Edmonds 46 8go-199 RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Numb r// C� ,- Issue Date: A. Address or Vicinity of Construction: 1046 7 AV S (9615927 ) B. Type of Work (be specific): Install Service C. Contractor: Washington Nattrtali Gas Mailing Address: 1182' 75—St SFI Everett . State License #: 98203 D. Building Permit # (if applicable): Contact: 10riamne Kingsbury Phone: 56-75a0 (7596 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: _Wk, I'A4- F. Pavement or Concrete Cut : J.l Yes UNo (.i. Size of Cut: x H. � Charge APPLICANT TO READ AND kGN INDEMNITY: Applicant understands and by his signature to this application, agrees.to hgdhe CFty of Edmonds harinles'. fro injuries, damage., or claims of any kind or description whatsoever, foreseen or unforeseen, that may be`made gainst the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City ' Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all t'mes for inspe ti n purposes. Signature: Date: 6-19--96 ontrac or or Age t) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: _(AI(t k ► RIGHT OF WAY.DEPOSIT TIME AUTHORIZED: VOID AFTER FW3 DAYS DISRUPTION FEE/FUND III: SPECIAL CONDITIONS: _ N RESTORATION FEE: COMMENTS: DATE: PERMIT FEE: �7 • �� ,S TOTAL FEE: RECEIPT FEE: — ISSUED BY: - NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments• Diagram; CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: 1 ' A M M Naftnid G A VJbftxjbn Energy Can3ff V Q . Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Wabhington Natural Gas 1356-7500 ,X7596 Ioq-(o r4 Av S. JoF3 ,►19 C, t ( 9E'C( 4=1 ST- Key: -W- Water Watertnain depth NoT sa�t�ctg� -G- Gas -SS- Sever e Water hydrant 2 " gas main Q :Water valve Washington Natural Gas Company - 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 ' M M N� NaturNew AvftHrglonEnewCb n -V Addendum to: City of Edmonds Bight of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Wadhington Natural Gas 1356-7500 X7596 IC q4(o ''T4 A S Jog ,1S9Z�- 1 Cam. Z- • T4=1 �R- ST Key: -W- Water Watermain depth -G- Gas -SS- Sever 2 -& Water' hydrant " gas main 0 :Water valve Washington Natural Gas Company - 1122 751h Street S.W., Everett, Washington 98203, (206) 355-3331 ytS, �"`�'+'�"�q,}&v�a�,a.,�1'y�'9y�.:a,Sti�rw'//�A''�{�{j,(n,�}r-•""""°p'�'�"v'� .�t�k"' 7,q(nti��K-rp.Kx�''tr'��°Ai%ii"'iyQ?^�`•'4Zra�,$�.'S l7'kp/R�s Rio►yS CITY OF EDMONDS SIDE SEWER PERMIT .e 90 194 PERMIT �.jo 0765 Address of Construction: Property Legal Description (Include all easements): (P Q0so c]a r_ MAY U 1 1995 ..WORKS DEP7 Owner and/or Contractor: =T-n State License No. `S;"�io9'� 01� Building Permit No. Single Family ❑ Multi -Family (No. of Units ) ElCommercial ~. F ❑ Public t Invasion into City Right-of-WayANo ❑ Yes RW Construction Permit No. Cross other Private Property: No ❑ Yes Attach legal description and copy of recorded easement I certify that I have read and shall comply with all city requirements ) as indicated on the back of the Permit Card. S-I Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY * FOR INSPECTION CALL 771-, PUBLIC WORKS DEPT. "� 1...0� , 1 Permit Fee: v Q ' Issued By �y cK /G/iUf'�j p Trunk Charger HOust lJEi%11�'� Date.lssued: S Assessment Fee: A) �� Receipt No.: 27 / a a.'r Lid No.: 7y� Partial Inspection: Date -Initial - Comments Reason Rejected: Date Initial i �GG 4 Final Inspection Approved: Date.2l�lnitia� ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant .. Revised 3!90 1 Side Sewer Drawing The City of Edmonds EASEMENT NO- ............................................ NEW CONSTRUCTION ❑ REPAIRS LID NO . .................. . ASMT. NO................... OWNER..........................•--•--•-•-----....---........-•---................................--.. CONTRACTOR..--•-•-••--••--•--.................-•---•--------.............--.-................. PERMIT NO. JOB ADDRESS .lO. J t()i^._.....s-.•..................... LEGAL DESCRIPTION: LOT NO. ...................................... BLOCK NO. ........................ ••-•-•-•-- ....................................••-•--•-•-------••---•-•--•.....I.......------•........•----••------•--••-•••-------.................---•--......-----........ NAMEOF ADDITION ...... .......... f ` --...----................----.............................-•••--•--••--•-•----..........---- (^E�cE 1 4" ?vc. co l� u T 22� Vt ,Zyv L+ 3 q PWW-0001-11/75 (REV.11/78) T 3z� 4�(P•ve. C.v ' 0t c (� C • 1 h/'I� mL � hi a )Iw Approved: / DATE,5 .7" �............... Ciq of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT :Permit Number. 425 f �: // Luue Date: A� A. Address or Vicinity of Construction:0 �t0 -%��!� 2S r 8 B. Type of Work (be specific): 6n ✓e 1A �Y/ ve a) rt tq ati u 9 1 9 f rPs�CGt /0 t f ✓l %t'�li� .S".01 ��Y✓/C C. Contractor: /S C�V L( Contact: rk. oeG1S Mailing Address:' Phone: _�:26 01 / /= oN s W 9boab State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E.. ❑ Commercial ❑ Subdivision ❑ City Project tility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: J.vit i &c q F. -Pavement or Concrete Cut : ❑ Yes QNo G. Size of Cut: J-1 " x H.,.'Charge $ . APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agreest9hold the City of Edmonds harmless jr m injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may bejmade,against the City o%Edmonda, or any of its departments or employees, including or not limited to the defense of any legal proceedings includingdefense coals, and attorney fees by reason of granting this permit. THE.FONTRACTOR 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 y IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Resi6fation is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times fo ection purposes. Signature:'" Date: (C actor or Agent) CALL DIAL-A=D.,IG,PRIOR TO FOR"CITY USE ONLY . APPROVED BY: H� 9 f RIGHT OF WAY DEPOSIT TIME AUTHORIZEd'VOID AFTER -F AL DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: RESTORATION FEE: COMMENTS: DATE: PERMIT FEE: .. Z3 7) ' 0 C-7) TOTAL FEE: RECEIPT FEE: n ISSUED BY: 16;� NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) N ❑ YES Date: Date: ❑ NO , ricl,,� � o 4 W. u I bom' m � DETAL f r-- - - ---i EXIBT04G HOIIBE TO 8E OB'IOLIBFW A4D 1 I RE7'IOVEy FROM BITE A8 REaupM BY 1 BLI4 DM UPAfVHD(t. PREPARE BITE FOR COIOTRlIG" OF NEW IW60 M lAE at MAN MOOR A■OY8 II — lGIM 1r ro oeot 0- — I ] f � Ol ■ jq r J L , 1 !t£DUAL ; .,. �;. \� I \� Lm CF W=ABODE .. 1 L . . . . . . 1 I i I L \\ 1-aAW$�rLEyM I. I� �:�.:, ABOVlANaoaR L I L 1 I -L!E O t70I1M MAan G" To ■E 113100M R39BAB LIE aW GLT Mo! eM DEtAL L&E Or MCFER11'LJE LIE Or 14" 0w9fan AaWL 1 I I II ) I AVBZWsE CaRAOE I I T'Qm CAI.CIlIAnM I I I I � r ro eIE r 5433 96J) — —SW FW FL4KrE I W25 etarE D= TO MST yy6�� 96A GRADE AT CWA MAX NAMSf � L-A❑ r ICE ORIY£ . / 4- 3B 3B4D3 9620 e >` o ❑ 1 15 ? 60m' Fl- 20'-0' tar 0= N970t OOWM TO eE MW OF IEGUT R 7t" AVENUE SOUTH PLOT PLAN NWN )I 1' • 10- 0' NOV 17 1995 PERMIT COUNTER L L - Z-V — 7 f 02/27/1996 08:44 2066243243 PERCICH KROESE ARCH PAGE 02 RFfCI= IVED �= �NGjNEE1996 2 /zylgc 1Vtr. Jim walker City of Edmonds Fes ne rmg Department 2S0 Sth Avenue N Edmonds, WA 98020 Re: Conroy Residence 1046 7th Avenue S ✓ Dear Mr. Walker: As noted on our approved Drainage Plan for the above referenced project, the slope of the driveway exceeds 14 percent. It is our undcrstanding that this is not allowed without special authorization. The character of the site and the design of the house are such that a slope greater th&u 14 percent is required for vehicular access to the lower garage, namely 20 percent maximum. Also, this drive will be used only for seasonal access to storage areas on the lower floor. Due to thcsc constraints and the fact that the drivcway slope is entirely on, private property we would like to zequest the required authorization to construct the driveway as designed. PIease contact me if you have any questions. Sincerely, Randall GouW1 kiiateeA Project Manager ON STf WART ST. SUfTI JQ7 RATTLE. WA 9R 101 206 624.32f11 FAX 414.1241 272 NOIIIMG MIf.1♦ U-1 W,NATCHff. WA ♦8/01 So 664•91AI OAK 605•07S0 l U1 lam/ W N F-tJ -] • STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER _ 1'��tVW 60WIQ0'�/ CALC BY: ADDRESS / 0 4 & 77n1 A-Vr--' s, k7%A4oN05 PHONE: & 2¢ - 3 2/0 DATE: '"DESIGN DATA***** // _ l°- JS IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE S, st 3 S DETENTION PIPE LENGTH WASHED GRAVEL LOW Q TOP AND 4EPERF POPE� LONG t� TO BE LEVEL RIM ELEV r►aN COVER WhIfN SPACE W 1 .O FROM y 2'MAz COVER RIM ELEV CONTROL t 91 OUTLET I� 4' O 6" 4'PERF PIPE W,CAPS � E l j .5% rA. STAPE 4' 0 PIPE MIN, (� r s _ LL. 5j • Z ORKTO: RUNOFF SPREADER PERMIT cQU� INV ELIE $19' � OUTLET "'Wo CATCH - IRV ELEV : � •D BASIN CON%ROC CATtW BASIN 'xZwG'DEEP, 4'-G'OUARRY SPALLS SYSTEM CROSS SECTION +2*s3" DEEP, 3/4'CRUSHED ROCK FROM CONTROL OUTLET RIPRAP OUT A!p y� FOOTING DRAINS SHALL NOT BE CONNECTED 719 DETENTION SYSTEM 1 NOTES:. L Call Engineering Division (771-0220) for,'a, t&4_tt k et ti! �ii.s S,�tem inspection before backfilling and .for final inspections. 2, Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times APPROVED BY i/Zf/fjI- Fer era 4n � m -� 6 L NOT):s (. 00 N07- CoNNC-C►` r fix'u� _ �TIK6 OR,NN •v _ -- -- r As. LINE. 2. b'RosiON CANIMO -• M 6A50R,L=5 SOV*U - IO' IW-*P• QwvoFp 8E (N PLA« MO/Z sms4oak p/pe eA To At-C9INNIA16 oP � � sv5Ta" clay smucrioA4. s. sell , 69CO PRAWINO �e � ' A-1 MZ -SILT FEW,-= PROPOSED ctagmsi,. Axanxeo house %1 C 90 I' PIe�P►�D � $ f�avritilC� 6 '96• Lv T"4k -olfaaF pa 8 -SILT MkIC& As Amb AT S/06' A04- IWE. 40117NAl scYls ew S✓TE• SERVICE INSPECTIONS IED. CALL 771-0235 HAY 014L*5.G- ensT "� - - - - m c� 1A ► T/�c(ro 0 6 to So 28 Y T �ar� REc c Nok S" W 744' Y u �CEPTAB E TIGHTUNE MATERIALpfIrCOUNTF/Q � j &O� � � ch 4 ADS *lvfwuUGl� A Wi 35 (S PVC G b SDR 35 (ASTM D3034) ST SUE PERMIT APPLICATION REQUIREMENTS To: Applicant From: /LyleC1'hrisman. Engineering Inspector Owner. ` A44 LI Plan Check No: Address: /0`Ld 7�/� S Data Z�27 ,19-6 After review of the subject permit application. the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M.-10:00 P.M.WEEKENDSIROLIDAYS —10:00 A-M,-6:00 P.M. 2. A separate RIGHT-0F•WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Buildedowner is responsible for containing all temporary runoff and erosion control on site. (ECDC 1830.030d) S. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1830) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFIELING. (ECDC 1830) S. Repair or replace all defective existing aid% gutter and sidewalk adjaeeat to the property. If an intersection is involve4 a handicap ramp may be required. Contractor shall meet with the City Engineering staffto ddenuke the exiDatt of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 109. Waiver granted to °; `/a %. (ECDC 18.8(.060D) . 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIORTO AND AFTER POURING. (ECDC 1830) 12. No burning of construction refuse without a permit from die Fire DepartmeaL 13. Connection to City water system is required. Them is a separate charge for the water meter. (ECDC 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole.. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) . 1 16. Connection to the City sanitary system is required. A separate permit is required. i LID# `7 � Fees paid: Yes No Charge (ECDC 18.10} 17. Underground wiring is required on all new construction, and for additions, alterations and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (*CDC 1890) H P PERMIT APPLICATION REQUIREMEMT8 To: Applicant From: Lyle Chrisman, Engineering Iinspector r Owner. — 40'4 Plan Check No• Address: Date:_ �Z27 6 Ater review of the subject permit application, the following tecpA menu must be met: 1. Construction hours are. WEEKDAYS — 7:00 A.M.40:00 P.M.WEEKENDSIHOL.IDAYS —10:00 A.ML.6:00 P.ML 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 1&60) 3. Tuck haul route plan must be submitted and approved prior to permit issuance. 4. Buildedowner is responsible for containing all temporary nmoff and erosion control on site. (ECDC 1830.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACELITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.50G) S. FELTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1830) 1. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGiTT1.INIES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIORTO BACKMMG. (ECDC 1830) L Repair or replace all defective existing nub, gutter and sidewalk adjacent to the property, if an intersection is involve4 a handicap ramp maybe required. Contractor shall meet with the City Engineering staffto determine the extant of (ECDC 18.90) Kpslc prior to issuance of the permit. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14% Waiver granted to a/o, (ECDC 18.80.060D) , 0. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required, (ECDC IU0.060C) .1. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 1830) .2. No burning of const action refuse without a permit f am tine Fin; Department 3. Connection to City water system is required. Then: is a separate charge for the water meta (ECDC 7.20) 4. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole.. (ECDC 7.20) 5. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 6. Connection to the City sanitary system is required. A separate permit is required, LID# '7 Fees paid: Yes No Charge (ECDC 18.10j 7. Underground wi inng is required on all new construction. and for additions, alterations, and repairs that exceed 50% of the total assessed value f the structure. (ECDC 18.90) 8. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. QDCDC 18.90) WBQPJW PLANNING DATA SITE ADDRESS: / 616 - S DATE: 14- 3.0 13� ZONING: g S 4 6 PLAN CHK#: �-' [9 5 PROJECT DESCRIPTION: Ve nol: 4 4 V -4, S F 'D SETBACKS: Required Setbacks: Front: zo Left Side: Right Side: Rear: Actual Setbacks: Front::2 o Left Side: Right Side:_Rear:-4*"' CORNER LOT Vy LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED Ai0 LOT COVERAGE: 3S ! o q Maximum Allowed: Actual: 6 • �!o BUILDING HEIGHT: Maximum Allowed: Z S Actual Height: Z4 ' 1 t " SUBDIVISION: 6YA - CRITICAL AREAS #: I l 1 SEPA DETERMINATION: EXeMp* LOT AREA: OTHER: Plan Review By: K it. r-y ►.vi5k 090-19y City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on and submit it to the City. The City will 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, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary *to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual; to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: ~VI%I coe"to C'GQ,56, r, P.? Cc. t c.� N&e Name to 471- cz> Street Address Aga 20 I(Z7 R;Ar '�-4. Street Address �EbVMAfk, Sf,�AsW�I` W'�- (�8110T City, S te, ZIP Phone City, State, ZIP Phone Signature Date Signature Date STREET FILE CA FILE NO. Critical Areas Checklist Site Information (soils/topography/hydrolo /vegetation) 1. Site Address/Location: `O K Z S 2. Property Tax Account Number: (D (qt 025 C94 09 3. Approximate Site Size (acres or square feet): G 000 5 4. Is this site currently developed? yes; no. If yes; how is site developed? S c u-:% (c -6 1. ,o.J Vie 5. Describe the general site topography. Check all that apply. 1�.. 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 year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing water: d ; 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? L 6 'Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ;mixed urban landscaped (lawn,shrubs etc) _X, . 11. Obvious wetland is present on site: /4-/Q . Rc. o1roaroa APPLICATION for The City Of Edmond ��)" SIDE SEWER PERMIT EASEMENT No . .......................................... 106-0II500 NEW CONSTRUCTION REPAIRS owrrER ........John...L,-LJdde---------------------------------------------------------------------- CONTRACTOR........-----------...------------...................------------...----------------------------- PERMIT No....................... ADDRESS ..... 10-G... -=-... 7.th... Avenue ... 5-------------------------------------------------- 0 • i i LEGAL DESCRIPTION: LOT No ............................................... BLOCK No............................................. NAME OF ADDITION ............................................. DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ BY------...........--------.............------.....................----- City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on and submit it to the City. The City will. this form is to be filled out by any person review the checklist, make a precursory site preparing a Development Permit visit, and make a determination of the Application for the City of Edmonds prior subsequent steps necessary -to complete a to his/her submittal of a development development permit application. 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, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in cogjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual;- to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: r6c) Coed �(:;G PC cc. t C N&e Name to �L-71-pq"- S. Street Addn= '760 20 Stet Addr= �"A e W or t� City, S te, ZIP• Phone City, State, ZIP Phone Signature Date Signature Date r CA FILE NO. 1 a`r/j� - 1 4 q Critical Areas Checklist Site Information (soils/topography/,hydrology/vegetation) 1. Site Address/Location: iO `i Z S . 2. Property Tax Account Number: 6 4 02 C,94 O �. 3. Approximate Site Size (acres or square feet): 6, 000 '6 ;7 . N C1 4. Is this site currently developed? ___yes; no. NOVI If yes; how is site developed?_ S c u•2 (c- c j 1 �o j ��R��rCO 5. Describe the general site topography. Check all that apply. UNZ'ER Y�. 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 year-round standing water: 0 ; Approx. Depth: 7. Site contains areas of seasonal standing water: b ; Approx. Depth: What seasons) 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? L 6 Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed ; urban landscaped (lawn,shrubs etc) X,_ . 11. Obvious wetland is present on site: R"01/0 4 rg M: G EM 2-7 y 5.3{-B,.( 32- -t�•L�4- I6(6.44-Zi3,(- 54- 4S 31s- i x Z) Z '7.�vxLl � L533 z gf s \%j; Zl 2Z :9. .r to,* /l/( _ CU. PX/5T. Ca Pars Cow AtFkavay ce�r�eoL •�1�=�le�s. PAjE*4-Aj6 AP -,FA To A� RECEIVE N 0Y 1 7 1995 PERMIT COUNTER t� o CITY OF EDMONDS USE PERMIT ZONE f^ _ NUMBER 96 , .14 CONSTRUCTION PERMIT APPLICATION SUITE:APTa ,Ioe ADDRESS OWNER NE NAME OF B INESS LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO w :s* MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ O 6�� EXISTING REQUIRED DEDICATION RW Permit Required ❑ Street Use Permit Req'd ❑ CITY 22A, C� TELEPHONE NUMBER (,) 7 3� PROPOSED Inspection Required ❑ Sidewalk Required ❑ ¢ NAME ff/r lJ✓,/,r%�,}� !� `T,� `eft ,rt j C'� f v't ("VLVL.v'4 '✓ 4.+'I/'��%✓lU.�cy"` METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED a 3 w YES ❑ NO ❑ 0 ADDRESS Lam✓ 1 r - '. REMARKS Z a ll C�y :-�(;,r�,.I�✓ CJ•.C.. Z CITY I� TELEPHONE NUMBER J�} l�In/,'�rP f�•- ! .�' '"• ;�.r1 r . ',' ., ;..-�... f i'i c. c �-,;% w NAME tic ADDR cc ENGINEERING MEMO DATED - REVIEWED BY rCIT 21P TELEPHONE NUMBER FIRE MEMO DATED REVIEWED BY w O �, U � ST TE LICENSE NUMBIER EXPIRATION DATE SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT _. Legal Description of Property - include all easements G OF — SHORELINEa o EXP �' - l a VARIANCE OR CU PLANNING REVIEW BY DATE �y w SETBACKS —FEET %%ii IHElp T., LOT COVERAGE z FRONT Z r- SIDE 4 REAR Property Tax Account % , 7'4 02) " •�''ril_/1"') `7r (�i/ (��' V G... REMARKS a Parcel No. / (�(,J Z•' � �. , El 1:1PLUMBING NEW RESIDENTIAL ADDITION COMMERCIAL MECHANICAL APT. BLDG. El SIGN REMODEL G ING FENCE CYDS. ( x CHECKED BY TYPE OF CONSTRUCTION COD {� GROUPAN REPAIR _FT) DEMOLISH WOODSTOVE a SWIM POOL INSERT HOT TUB/SPA SPECIAL INSPECTOR AREA REQUIRED OCCUPANT LOAD 11 YES GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL REMARKS C7 PROGRESS INSPECTIONS PER UBC 305 s (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: _ pry J.� / 1 � ,,j-':. f- / / cf.1-�C... !` �f � �' 00 rD a to o NUMBER OF NUMBER OF DWELLING 1 CRITICAL AREAS /e�' ,I m ST0 / UNITS ! NUMBER f }} - �J� DE CRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED r4101 �;>r_f N6 VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE GLAZING�„� r"(� PLUMBING � Plan Check No. MECHANICAL GRADING/FILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days . STORM DRAINAGE FEE .- ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, M:7/c m employees, and agents from any and all claims for damages of iwhatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance ° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES signed by the Building Official or his/her ed thereby, no person will be employed In violation of the Labor ONLY THE WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. tion Instrancd anti RC,W 18.27. INSPECTION SIGNS RE tiERrOR��ENT DA/ESNED DEPARTMENTOFFICI ' 'S SIG �r1E gATE �CITY OF�. f� C� EDMONDS CALL FOR RELEASEDjBY:..... ATE ATTENTION' INSPECTION'`/' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 — 0220 ORIGINAL — File YELLOW — Inspector Li A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC % f . AnTCD o ;,;,.✓,,.' fl/I-TIge PINK — Owner GOLD — Assessor . 0 CITY OF EDMONDS USE ZONE n> ' NU BIER CONSTRUCTION PERMIT APPLICATION JOB SUITE:APT a ^i OWN R NAME NAME OF•flUSINE \�` ADDRESS ,, � , � LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID N w Z MAILING ADDRESS O U CITY TELEPHONE NUMBER PUBLIC RIGHT F WAY PER OFFICIAL STREET MAP. / �tLn-+ TESCP Approved ❑ RW Permit Required In., •-�- EXISTING �REQUIRED DEDICATION_ "'_ Street Use Permit Req'd ❑ PROPOSED Inspection Required Sidewalk ❑ �0: -, NAME—) Required w S� v JfAv, �/ti MET R SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED H a ADDRESS �a �� r! f� YES NO ❑ 0 ✓a./„� ��..3' / C.._ J REMARKS a L± w U G 6: CIT _- ZIP TELEPHONENUMBER j... ' ,/',� Y •t � , tL )11L.1 Kt<-1 1.' L'`(�i''1`� [. ��Ifi wit. � '�t )�•� Z Z Q r 1 ��tt f cv 5 N S . ►t�lSP• ¢'t is�ri......t� l l-�.i b' NAME �J r j� (�� / v. L- r fij!'1C•,. Ilse 4!�10 H ADDRESS/•�,/►�J] �••'' ,\/ / / (_,• t.l ►` iWl ENGINEERING MEMO DATED REVIEWED DY ¢ CI ZIP TELEPHONE NUMBER Z (Jr FIRE MEMO DATED REVIEWED BY w O O STATE LICENSE NUMBER EXPIRATION DATE LL ,) - (� /�j SIGN AREA SEPA REVIEW ADB NO. Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT ,r•��'� CL- �` SHORELINEa O ` .. EXP Y ... i VARIANCE OR CU PLANNING REVIEW BY DATE to W SETBACI(Sl-FEET // [aF1EIG*T ,LOT f COVERAGE O ? Z FRONT SIDE REAR/ W PropeAy Tar Account j},1i'" "V"L/� REMARKS a Parcel No. l�1 I NEW RESIDENTIAL T� PLUMBING J Ej ADDITION COMMERCIAL % MECHANICAL I EIREMODEL 1:1APT. BLDG. El SIGN ElREPAIR ® G DI .+!"" ❑ CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT GR P ,7 IFENCE X _FT) CYDS. ff DEMOLISH ❑ WOORDTTOVE a SWIM POOL HOT SPECIAL INSPECTOR REQUIRED AREA OCCUPANT LOAD GARAGE RETAINING WALL/ ❑ CARPORT El ROCKERY RENEWAL ❑ YES 4 O REMARKS' �f/� Z (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIOf�TS PER U� 3�rJ p i ) ! lr?7C`t It =,A,--Ze44& 5 m O w 0OF LryV6-TM---T- NUMBER �{ NUMBER OF I DWELLING CRITICAL ,,,,,�, 11 AREAS fV h �' , m tf STORIES 7 UNITS NUMBER / y� DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) , FINAL INSPECTION'„ REQUIRED VALUATION FEE ' PLAN CHECK FEE ;`r /' 6 � BUILDING B" HEAT SOURCE: GLAZING o/d PLUMBING Plan Check No./3 - MECHANICAL GRADINGIFILL This Permit covers work to be/done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE �f Permit Application: 180 Days Permit Limit: 1 Year - Provided Work IS Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his Or her spouse, heirs, assigns and ENG. INSPECTION FEE ' j-1 successors in interest, agrees to indemnify, defend and hold w harmless the City, of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of - whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 0 modify, waive or reduce any requirement of any city ordinance X nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 0r 1 provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authorii, AUTHORIZES ONLY THE signed b the Building Official or his/her 9 Y 9 Ed thereby, no person will be employed in violation of the Labor WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. Lion Insdfanee and RCW 18.27. INSPECTION SIGNATY FiE OW R R AGENT) . DATE SIGNED / DEPARTMENT DIMONO S OFFICI IGNr , RE ATE r CALL FOR RELEASEO-BYa ' GATE• ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR �� r. 11 oAwo ORIGINAL - File YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC � fig/ -• • • ----- •• ;'�- ." PINK - nwr,ar GOLD -Assessor