1218 7TH AVE S.PDFIIIIIIIIIIII
6922
12187THAVE S
Any request for modification, variance or other
administrative deviation (hereinafter "variance")
Spuctilcally called out and identified. SHEET I OF 2
Approval of any plat or plan containing provisions
L'A
h do not comply with city code and for which a
ance has not been specifically identified, CITY OF EDMONDS ,-C steed and considered by the appropriate city BUILDING DEPARTMENT���\
official W ac dance with the appropriate provision ADD Efgg U bA %K Aywa. .�.G: .1-
0 PI/9
' I A L D E V E LORM UNstate law does not approve any items OWNER gzhti AY
not
C . 25, T. 27 N . t t� 0 spe* ;.ilrl . APPROWD DATE
t BLDG OFFICIAL
1S HINGTON PE IT UM M
655.97 _ _ ELM ST
320.4e - — -
139.71 a •PPROVEGN AS NOTED 1
BY ENGIN ERING -� 1
TRACT 102 N
vel
.62STREET FILEm g �< r �' i 1 J ��l PROVED BY PLANNING
m ., ( 30 rn
t�op
1E
18 L
` /O. 34.7
Aeo 900 a'l
O
/?VC ob
90 `7?/3 /O17
a`
0o w y
` A
/O'
00
�o•
6 :9a
� o
a` 25
y
� 44.94
WE 78.00 Lz55;S6 1
a701=- =—'A' 0op72
W
N �
00
10 g
• a
w,°
6 I
o,
in
,a
w.
F5.00
2
00' 13' E
561
102
Lac�o� 01
i Glt
S_88o31'27° E
M
�r
P�•I�1�3. 1 ��
150.78
16 = 109.90
A5 W) S 88°3127 E 79. 4`
29.17 F 20' rn
14 Y� .
to
q
0
0�1 2d N
3 O
S coo15 S 1s'
8gti� tAp0.
do ®_
16 w -
10 2
5.35 aaii 16' 34'
i
EL M
_ PL.
•F ce must be located on private property.
�P perty owner responsible for determining
p perty lines.
*Fe nee shall not enclose or prevent access to
a y City maintained utilities.
o+
Q
N
M.
to
tC
3 N
IECEIVED
o JUN 0 9 2GO&
90ILDING 'DEPARTMENT
CITY OF EDMONDS
CITY of EDMON•D S
Fo, r Inspec TREET-FILE
Address of Construction:
RECE,.vED SIDE SEINER P.ERAI„T
j U L G 8 t988 PERMIT-NO..07880
V:
u
iUE11iGc.e_
Property Legal.Description (Include all easements):, /S
Owner and/or Builder: Ce, ;)0/ • Cam(
Contractor & License No:0`Xf1,7.Ld),,4. (PW44-e-OG
S'i ngl:e Family Residence EDMONDS
TREATMENT PLANT.
Multi -Family (No. of Units )
Commercial (No. of fixture Units )
Invasion into City Right -of -Way:. No Yes (If Yes, Right -of -Way
Construction Permit required. Call One - Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.).
PLEASE ;EAD THE ITEMS LISTED ON THE BACK _
I ert� f y that I have read and shall comply D to
with the items listed on the back.
Permit Fee: 36.00
:,Issued By:
6
Trunk Charge:- 00
kate Issued:
7-200 —cff
Assessment Fee:
Receipt No.:
%OSU
Partial Inspection:
Comments
Date Initial
Final Inspection Approved:
Date
Initial
00
Rejected:
Reason
Date Initial
•n
a�
** PERMIT MUST BE POSTED .ON JOB SITE **
a�
Wh.ite Copy - File Green Copy
- 'Inspector
Buff Copy - Applicant
1
a
The City of Edmonds
\1
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS ❑ LID NO- ------------------ -ASMT. NO. --_--.---.--------
OWNER-------------------••---....-•-•---•----••--• CONTRACTOR \ °�•---------`''d-WSJ 2`���t,0 ----- PERMIT NO. - -.9-5-
�^ _ TLC► ''nn
JOB ADDRESS -°��-------- --------- P s� ' LEGAL DESCRIPTION: LOT NO.. ----_Is.-.---------------------- BLOCK NO. -------------- .------- -.............
%0
PWW-0001-11/75 (REV.11/78)
---------------------------------------------------------------------------------------------------------------------------------------------- --------------------
NAME OF ADDITION---.----� 1------- C_,
EDMONDS
TREATMENT PLANT
42-2ge c.10 a AST
---- e 244, e 0 —VD 30 (!,.L 14-W 3 Dee? -
Approved:
DATE _ -. V _"-[1---------------- BY L -. ---- :......-n
V8��0/88
':`""^a"'*y.'/",+,"y°��J"�'-',�4+'+sr'•Ydt'I''Y•`'..'v` r -V. w.—n'l�'-car-w`'lr�—o-{'r�"''Mi��^'.,.`�,{•yjYf �y e.�;,�^-•++'3yy `.,_t"M _T_
City of . Edmonds
RIGHT-OF-WAV CONSTRUCTION
PERMIT Peat Number. 4-
Issue Date:
A. Address or Vicinity of Construction: 1.220 7th AV S
GTE to place, operate, and maintain a buried service
8 9 O 1 9q Co B. Type of Work (be specific): ti,J rp frnm exist{ ng PPda'shal OR200 l ocatad at 1921 7th
Av S then west to a residence at 1220 7th Av S. GTE to plow 175 feet, push one
driveway and push 1 road_.. .
C. Contractor: Mary A Bower, Permit �oord. Contact Deaniz er 771-9036 or ile _
1358
Mailing Address: 2312C W Casino Rd Phone: rs
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. ❑ Commercial
❑
Subdivision
❑ City Project 0 Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family
❑
Single Family
❑ Other 2110-9P001 DB 242310
INSPECTOR:
INSPECTOR:
F. Pavement or Concrete Cut: ® Yes []No G. Size of Cut: 2 f x 5 ft H. Charge $
TwQ ap window cuts required to expose location of gas and w4te' lines. Please see attached sketch.
APPLICANT TO READ A SIGN 6r •cl
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 may be 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 of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE. FINAL
INSPECTi'ON 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 CREDl.T�!-L,•BE.P.ROCESSED FOR1C%G°E` I"O"'ME-APPLICANT.
Construction drawing of proposed work required with permit'applica£ion.
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 streE:t 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 or ' ion purposes.
Signature: P, 10 - John Stewart Date: Augusi-, 1S, 199r,
(Contractor or Agent) Oprns Supv-OSP Engrg
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK ` �
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER OLTDAYS
SPECIt4L CONDITIONS: —� A=
COMMENTS:
DATE:
RECEIPT FEE:..
ISSUED; BY: C
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments
Diagram,:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION ❑ YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
❑ NO
PERMIT SUBMITTED BY
GTE
4� 5
n�
� � a
�o
A UE S. -
LEGEND
�PEDS a
POLES O
ROAD BORES -----
OVERHEAD LINES
I.D. UTILITY POTHOLE O
UG TRENCHING---4JGT
R.0.w.
--c--:o-- -------------- ESP
�—GA la, /L"p P
1 (.4
- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
�� PLRGE 3
I 044C
G
1 --
5 PR B 5 ui
z-
CUTS.
.m
m
A
z
0
m
PEI`iMIT SUBMITTEQ BY
GTE
LEGEND
[PEDS aLES O
ROAD BORES ----
OVERHEAD LINES
I.D. UTILITY POTHOLE C]
UG TRENCHING ----UGT—
W-
a
R.0.vv.
ss Ar c EOP
OF 5, o 1 G 4 �"o P
E
"5 PR a 5 bi
ox fie
CUTS.
122
TO:
DATE;:
FROM:
F A X
01
SEP' 6 1996
HALLS LAKE CONSTRUCTION FAX NUMBER 206 672-7255
PHOINE NUMBER: 7-7/ -,P// /
c
SUBJECT:
q 1,10 - go/
-
COVER SHEET. -PLUS
r
�--- - PAGES
TOO 299'ON M:80 96i9T/60
CITY OF EDMONDS ZorE� , PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
NAME (OR NAME OF BUSINESS) ADDRESS _ 7th Ave. So.
Homeland Homes, Inc. LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID N0.
MAILING ADDRESS Lot 15 P-9-83 r5k Z79
221 James St., Suite 100
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
Edmon ds 775-2033 EXISTING REQUIRED DEDICATION
NAME PROPOSED I
Z
McNurlen Desi n Grou
O p RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
Z
Cr
ADDRESS STREET USE PERMIT REQUIRED ❑
Z
221 James St. Suite 300 SEE ENGINEERING MEMO DATED
w
CITY TELEPHONE NUMBER
Edmonds 771-2592 REMARKS
NAME
Homeland Homes Inc. 61
ADDRESS
221 James St., Suite 100 METER SIZE BUILDING SUPPLY SIZE __]FIXTURE UNITS
CITY TELEPHONE NUMBER
w
Edmonds 775-20 3 REMARKS
3
STATE LICENSE NUMBER
HO-ME-LHI*174KE SIGN AREA ENV. REVIEW ADS NO
6r
Legal Description of Property - Include all easements ALLOWED PROPOSED COMPLETE EXEMPT
..��
(show below or attach four copies) U,1 {rN'
SHORELINE q
1 r �
Lot 15 Elm Place VARIANCE OR CU U PLANNING REVIEW BY DAT
YARDS HEIGHT A LO�VERA 4
6"�REA
[C_J
O
_
2
FRONT SIDE
=
a
RE ARKS
® ®
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
ElREPAIR RETAINING WALL SIGN
EXCAVATECHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
FEEJ NCE NCE
DEMOLISH OR x—�
(q
-v--
PRE -MOVE INSPJ ❑ swim SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REMODEL COMPLIANCE INSP. POOL REQUIRED GROUP_ LOAD
NO
WOODINSERTAPT.
BLDG RENEWAL REMARKS
C7
2
J
NUMBER OF STORIES NUMBER OF
°D
DWELLING
Two uNlrs One
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
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
ENERGY CODE
"Applicant, on behalf of his or, her spouse, heirs, assigns and
o successors In interest, agrees to Indemnify, defend and hold
lu harmless the City of Edmonds, Washington, its officials,
E 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
modify,.walve 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."
provsion."
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that 1 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
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
ti Rlnsuu lnce''
INSPECTION
i N TORE R O PATE SIiN��
DEPARTMENT
CITY OF
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK —Owner GOLD —Assessor
102.78
PRDJErr MM r C� = i �.• a � �PIaQ7DCT ADDRESS :
APPT.TrATTM RFY'F.TPT nATR? ` "I 9 /
Reviewed by: (initial date)
COMENI'S
PLANNING
WI'R/SWR STREET ENGNRNG
FIRE
BUILDING
////J/ //
/// //
SINGLE FMaLY/MULTIPLE/COM4ERCIAL - (Circle One) //////
/•////%///
/////////
////////
//////////
SETBACKS CROCKED - Planning
jj
/ ///
117717777T//
VARIANCE/SETBACK ADS.L-
'
p--
/
/// /
// //777
CONDITIONAL USE PERMIT
// //////
/ //////
/// //// /
_
ADB RDQUIRE EM CiECKD
//
/
_
OTHER ZONING REQUIREM M S •
//////
/////////
////////
//////////
4
ENVIROM°tEnNTAL FEATURES
//////
/////////
////////
5
ACCESS SLOPE & VEHICLE ACCESS
6
DRAINAGE PLAN (On Site).h
//////
/////////
/////////
////////
7
STREET FILE "_'_
//////
/////////
/////////
1
8
G
LEGAL. DESCRIPTION VF.RIFICATICN �0?4 /� � % ��
/
/////////
/
////////
L9
/
QUIT CLAIM/DEDICATIONS
10
EASEMENT - PUBLIC/PRIVATE' .
/////////
/////////
////////
11
CALCULATESEWER CONNECTICN IF NO LIDS ZJ
//////
/////////
/////////
////////
12
PLAT/SUBDPJISICN REQUIREMETI'S
//////
/////////
////////
13
RIGHT -OF -MY CONSTRUCTION PERMIT READ —�
//////
/////////
/////////
/i�,�
14
BOND READ POR PIJBLIC IMPROVEh91M
//////
/////////
/////////
////////
15
SOILS CONDITIONS & GROUND
/777777777—
WATER FIEUO CHOCKED
//////
/////////
/////////
/////
16
TITI-17
STREET PAVING REQUIRED I'�
//////
/////////
/////////
Ae
17
CURB AND GJTTER REQUIRED+
//////
/////////
/////////
//////////
18
777777777
SIDEWALK R]JQUIRID
//////
/////////
/////////Iwo
19
'
////
/
CURB CUT FOR DRIVEWAY READ.
//////
/////////
/////////
//////////
20
,
STREET NAMEs'SIGN REQD
111111177
21
0711ER SIGN NG REQD
//////
/////////
/////////
//////////
22
SIDE SEWER AVAILABILITY
//////
/////////
/////////
////////
23
EXISTING WATIER MAIN SIZE
77W�
//////
/////////
$!I
////////
//////////
24
WATER METER SIZE
//////
/////////
i�
////////
//////////
25
6
SERVICE LDIE SIZE
//////
/////////
/
////////
//////////
26
HYDRANT RECQIRID
/////////
/////////
////////
//////////
27
/
HYDRANT SIZE EXISTING
//////
/////////
////////
//////////
28
CROSS CONNECTION INSPECTION REQD
//////
/////////
////////
//////////
29
17711111
VATER METER C"AIM REQD
//////
/////////
////////
//////////
30
FIRE LINE CHARGE READ - SPRINKLER
/////////
k%2r
31
(,)'�
S1�2EE'P CUT
//1///
/////////
c�7`'�'�
//////////
32
OPEN DITCH MCISTING
//////
/////////
/////////
33
/ /
R=
//////
/////////
/////////
34
777777
/ / /////
CULVERT READ
//////
/////////
/////////
i'
35
W/77777777777
SIZE
36
CATCH BASIN REQO
//////
/////////
/////////
37
INDICATED CN'SITE PLAN
//////
/////////
/////////
38
SHOULDER DRAINAGE MAINTAIN
SHALE OPEN RUNOFF
39
REVIEWED BY:
PLANNING MGR.'
0
3
cc,
ZQ
221f. No
Zoc.
D
LOT iza, -M
I.OT I �,
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: /.7,70 , A�- J
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for any work.on City property.
4) Driveway slope not to exceed 14%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff and
erosign on site and may not impact neighboring properties in any
way.
i
8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
0
Id .
Any request for modification, variance or other
An
must be specifically. called out and identified. SHEET I OF 2
1 of any plat or plan containing provisions -
w do not comply with city code and for which a
a has not been specifically identifie , CITY OF EDMONDS
LAi'BUIL ING DEPARTMENT
requested and considered by the appropriate ci ORK #
A L D EVE L° t#Tnce with the appropriate provis ko�R -Ss
of city code; or state law does not approve any ite WNER L
C. 25 T" 27 to c�e `L'p APPROVED DATE
S H I N � T O N 6LDu CFFI�!AL
P RMIT MBE
655.97 _ _ EL M ST. -
320.48 — -
139.71 W 1
TRACT 102 N
8
at
19 =
m �
ti
O 9ero N
O
18
\ b°� 34.7
a4
Peo 4000 Aa'\
/O 0 1
0o k 5
4` 25
I q,
o.
- 44.94
WE 78.0(
47.01----
5.00
10. 01;� \, is
10
N 0
0
W
o O �-
10 g
h y1.0tcoz
11 w�
an
I5.00
26.12: Arb
00' 13' E
5 6�
102
APPRUbVJ7kS IN=. —_�I
G Fence ar st be located on private property.
BY E GINE RIO
Property owner responsible for determining
propertlines.
(�/�� Fence sh 11 not enclose or prevent access to
Date: �,m. 1. any City maintained utilities.
�t �C E 1,71 01\1
8I —
30' M
M
S 88031'27" E 150.78 8TREET FIL
�
0; 16 - 109.90 1
2 ,- -gq� ;n S 88°31 27 E 79.04
R�_
o _ �1 2 4 2920' 1
�O 15 g
fl.°A. 14 CP
3
g S c0
8 t0
0
�a� t�
�� 0� 16
86.35
0
34'
EL M PL .
I
y APPROVED BY PLANNING
O(v 12o t O(v
PP-n—�ag3—I
� R
M
N
r
N
N
i
M
to
W
3 N
CY
ILAECEIVED
t. JUN 0 9 20.06
0
BUILDING
CITY OFDEDMONDSN+
zvv 6 O(-a9C4112
STREET FILE
RECEIVE®
JUN 0 9 2006
BUILDING DEPARTMENT
CITY OF EDMONDS