Loading...
113 9TH AVE S.PDF1111111111119923 1139THAVE S res Io CITY OF EDMONDS SIDE SEWER PERMIT �8 90 �9 4° PERMIT �.J® 9144 - Address of Construction: Property Legal Description (Include atheasements): �/3VZ ,06a 037 0/ Owner and/or Contractor: State License No. SO t,.&V1AV I'lo 1,5- o c �J Building Permit No. � 1078 C) Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-Way:Z No L7 Yes RW Construction Permit No. Cross other Private Property: No ❑ Yes Attach legal description and copy of recorded easement "TR T I certify that I -have—read and shall complkad. with all city requirements Date as indicated on the back of the Permit C * CALL DIAL -A -DIG. (1-800-424-5555) BEFORE ANY EXCAVATION Partial Inspection: Date Initial Comments Reason Rejected: Date Initial Final Inspection Approved: Date 3'W Initia ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector, . - Buff Copy: Applicant . - Revised 3!90 "a��'"•G;:%,�-0s9o�akr tsa�L..�p+e�r�%^.r".Jk�`�i�rr"�y:Ky�NS'ive.'qqu.+irr�F'i�tri'r�'�+wb�7"rv6A�(..�i�>SP�.;s,�r?�.'t�`roc^taww,t^-..�;iA^••.�w['tio+-^�'"+r"`'; ` e & rr— EXPIRE 90 7)AYS "-" CITY OF EDMONDS SIDE SEWER PERMIT J'890 �9q° PERMIT N j4'Kddress of Construction: (H Auv,- Property Legal Description (Include all easements): 0 A Owner and/or Contractor: State License No. Ok Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public ,A a. R �°o o '7W Building Permit No. Invasion into City Right -of -Way No rj?IA FoMOND RW Construction Permit No. MENT Ds Cross other Private Property: )1 No ElYes Attach legal description and copy of recorded easement I certify that I have rea and shall comply with all city requirements Date .as indicated on the back of the Permit Card. * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICEUSE :ONLY, * FOR INSPECTION CALL 771-8 , PUBLICWORt(SMEPA'. Permit Fee: —f���" �' ��/ Issued By d` /� Trunk Charge: 2.S Date Issuef Assessment Fee: Receipt No.: IqV 7/ Lid No.: /! Partial Inspection: ( � T- _l ga Z K,Yr Date nitial Comments Reason Rejected: Date Initial Final Inspection Approved: Date /o?QB Initial Or. ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Butt Copy: Applicant Revised 3'90 The City of Edmonds Side Sewer Drawing EASEMENT NO. ............. --.......................... - NEW CONSTRUCTION [� REPAIRS ❑ LID NO .............. ASMT. NO. .................. t - q OWNER ............... PERMIT NO.----1..� .�.-•-- ..................................... ........................................................... CONTRACTOR ..................................................... --........-•---- J� JOB ADDRESS � ....-.. 9.....- /¢=�-------�---•------ LEGAL DESCRIPTION: LOT NO........................................ BLOCK NO. ----------------------------------- N 0 PWW-0001-11175 (REV.11/78) ........................................ ..:........................................................................................... -.-------------------------- NAMEOF ADDITION----------------------------------------------------------------------------------------------- ----------------------- w�4 i� i1J I t i N 5° L7 7n l Approved: DATE .�-•,------•---- BY ---...--- I --- ----- .--- Water Sorvice Drawing The, City of Edmonds EASEMENT . NO ............................................. NEW CONSTRUCTION REPAIRS ❑ LIV NO . .................. . ASMT. NO . .................. -CONTRACTOR ...... ............... PERMIT NO. OWNER................................................................... ........................ LEGAL DESCRIPTION: LOT.NO ....................................... BLOCK NO. .................................... JOB ADDRESS ....... ................. 4 ................... ... ............................................ i JAJ Approved: DATE............................................ By ............................................................ ®� ■fie_ � - -----�------ `�r ur �� t— r_ 1 I 1 - g - F 1 ' i T a_ 14 T7� ------------- __ : _ .. .._....---- -- -•SEC E 1 V �._ ._ _....__ .... _ __ ._ _ _... ._.. - __-.,- - __�- —DEVELOPMENT SERVICES =Tl— ..—._.._—.^__ _ ____ — � �1 •;- � . :-- CITY OF EDMONDS ._ �_ ........__ .. _ � � +—' • 1 y. OL _ t --- -- — — a -- - i : ; T� *. r +cltAs - kv i Ira of SiHEET FILE R MMco, E V ED Czr;_'T 2 4 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS AP OV D NNING at ASC Development, LLC 17819 - 44th Avenue VVest Lynnwood, `1VA 98437 4--z, lei ` 44L 20 e G w t vR- :APPROVED BY PLANNING � •�U�tite� o �• 3 0.13 '.one Corner Flag >etbacks Rem ired Actual Front W -.2fo _ _ 'VD Sides N 1 5 5 > 6 15-- Rear Other Ha t 25 New In45 Smaller fD 0+P inn thah exisfing. Loft afea = bb00 10 12- LtD-' GO V &CA 9 G : 2OKla = 3Z•/. k, rk�12 r-O 1AJ�XT*4 J ,-)TREET FILE RECEIVED JUL 2 6 2013 DEVELOPMENT SERVICES COUNTER RECEIVED h C"T • 12 DEVELOPMENT S f O O O (C j CITY OF EDMONDS SCALE: 1/2" _ �' •t- �' —- loge �e06 f CIO to30.'7o Io If 10 � •;�?� is �� � - ,��' C, r"TIM 121011I,-) %o°a 50 ''Ile Te -1{�aTl�v�i . zs2wee design R0CA 40 A0 100 * Copyright 1993 Southworth Co. • West Springfield, lx&1089 • Order No. 0473 i If g' 0' �01 Y' It (YT- 4p "E S�n6J �yab c%i rl rDATE R CITY OF EDMONDS CONSTRUCTION PERMIT APPLIC OWNER NAME/NAME OF BUSINESS ) I jj.1 1 MAILING ADDRESS CITY ZIP } TELEPHONE ID ✓NAME r yt i , ADDRESS CITY ZIP r TELEPHONE 47,Li�� NAME ADDRESS c CITY ZIP y TELEPHONE STATE LICENSE NUMBER EXPIRATION DATI PROPERTY TAX ACCOUNT PARCEL NO. I � k © NEW Q""RESIDENTIAL PLL ❑ AUDITION ❑ COMMERCIAL ❑ CHOf ❑ REMODEL ❑ APARTMENT ❑ SIG ❑ REPAIR ❑ GRADING, CYDS ❑ (Er ^ --.......... r-t r..,,, 1-1 OTI �+ T PERMIT EXPIRES - USE ZONE ; f' ' PERMIT'S;,, 'rr, D'J' NUMBER JOB-rSU)TE/APTr+ _ ADDRESS ° IN i PLAT, NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ ('/" PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED Approved Permit Required Q • RW Pe Street Use Permit Req'd/{/ E) ❑ inspeotion Required Sidewalk Required C.i` 0 REQUIRED DEDICATION FT Underground Wiring required Q' - MERE SIZ Ir 1'Ly IJ . UNE SIZE, ,r d� 1 NO. OF FIXTURES 4 PRV REQUIRED YES 0. NO O Zi Z w REMARKS<.>C;U....-J �.ir.'_`i f,�,,N - ,M1 1 /Ui!a�- �!4"f.• _ 1'�...: S <+.c 4/ OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE yc �'iVr`r-nlEE,aAI/, .J`..'rc!•� ''t,'CIUr r v'_�E :C :ru .41 ENGINEERING Aft nt FIRE REVIEWED BY U. t'2 /..� j VARIANCE OR CU �S ..,SHOREIINE OR ADBN I INSPECTION REQ'D, «�]-BOND AYES ©NO POSTED t' ( �, -IECKED BY SEPA REVIEW COMPLETE EXEMPT' `g EXP SIGN AREA ALLOWE�jq PROPOSED ✓ HEIGHT ALLOWED PROPOSED utECH OR LOT COVERAGE ALLOWED PROPOSED REQUIREb SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR g / ;PARKING -REQ'D I PROVIDED. LOT AREA, : ' PLANNING ,REVIEWED BY DATE I RE ARKS FT) H (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF ONST CTION CODE•) OCCUPANT GROUP �9 p rn to NUMBER O "' ,Nil BEROF M DWELLING ) CRITICAL c. F (';: AREAS ( •1 SPECIAL INSPECTOR • ' CCUR,ANIT R'yw (; /p; 1�, OF m r•-..•-•' O STORIES UNITS j NUMBER /l ,/1� !! REQUIRED❑YES �',�a� r �t:�ObD" 1,A Z DESCRIBE WORK TO BE DONE REMARKS " - PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D o � ,'.�"Il-�t/�,T��t`!' 1� i-{�'�q. 1 I'�'•rP�,r� Llhjt= r "�- ��- 'r�.�- � ., ?�'Gra'��"�1... �l,���TJ,O �1,''lYfFrr� �� ;=� � I--{-� ��.��r!',!(' 't•, 1 'v• tt r' VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % '=r) w v r BUILDING >•'> v�' ' ' �� �'♦ S / VESTED DATE PLAN CHECK NO: : �� j � i PLUMBING /i ✓�;d�' r. MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. y STATE SURCHARGEcc PERMIT APPLICATION: 180 DAYS w n PERMIT LIMIT: tYEAR -PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES - SEE BACK OF PINK PERMIT FOR MORE INFORMATION rn 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE rn w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING i EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT; t = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I p _.... c TO MODIFY, WAIVE OR REDUCEANYREQUIREMENTOFANYCITYORDINANCE ,DEEMED 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." RECEIPT, TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- `ALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or his/her Deputy: and Fees are paid. and FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE;�r/ DATE SIGNATURE (OWNER OR AGENT)- DAJE.I�iNED (425) 1+(/! 1 •,^t'r ,i °���� 771-0220 ,71 (�-r 6� DATE ATTENTION FELEASE6'13Y EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ''` € } ` i ". A FINAL 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 City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT A. Address or Vicinity of Construction: ! f 3 T u Ave. B. Type of Work (be specific): C. Contractor: 50✓rj('�) VIEW iqo i", C Contact: ZDAJ b G" JAA 2. Mailing Address: 90 2' • & -214 /J . Phone: 4 Z- = 3 4-4- - 13 % 1 State License #: _SouNAi/HDIS DC. D. Building Permit # (if applicable): Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ 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 APPLICANT1 READ AND SIGN 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 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. ♦ 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 CO THE PE T AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS eA Signature: ate: �I ® 7 (Contractor or Agent) CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK FOR CITY USE ONLY Approved by: a C 14 Right-of-way Fee: 70 Time Authorized: Void After /o lzo l oo Disruption Fee/Fund 111: Special Conditions: FFr 62euvram Restoration Fee: Total Fee: 70 — Receipt No: Issued by: UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT CODE. FINAL APPROVAL OF PERMITTED WORK. - INSPECTOR'S SIGNATURE DATE: For inspection requirements see Engineering Information Handout..