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1318 11TH PL N.PDF1111111111 587 1318 11 TH PL N _ ATE RECEIVED n -pC�p d�.. - O PERMIT EXPIRES a_-b CITY OF EDMONDS ZONE n S - PERMIT Q'A'� I dt'DD NUMBER Z©0�26 CONSTRUCTION PERMIT APPLICATION JOB. -SUITE/APT. ADDRESS / * , I , (�(� ,/1V/ -OWNER MEM EOF SINESS PLAT NAME/SUBDIVISION NO. LOT NO, LID NO. ' LID FEES PUBLIC RIGHT OF WAY EXISTING PER OFFICIAL STREET MAP PROPOSED TEWPAIp ad PpD .r.N.—..d 81—U..P-1 Reed O eup.caori RpPew p 3 •: --�, /irk �� Ill/ CIf1' - - ...ZIP_.. TELEPHONE % REQUIRED DEDICATION `` FT SM-aA R__ D ..arwl" / ry,n.d NAME METER SIZE LINE SIZE NO. FIXTURES PRV REQUIRED -r - �� YES❑ NOW i AODRESSr .• - REMARKS z . OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE (� z W CITY ZIP,. TELEPHONE NAME ENGINEERING ._ REVIEWED/DATE FADDRESS u-7,) S-1 "' —'1 •.\ FIRE, REVIEWED BY DATE a i CITY ZIP IF TELEPHONE s .. 6vvQk� . vf- ll )0P STATE LICENSE NUMBER EXPIRATION DATE - - H VARIANCE OR CU SHORELINE OR ADB. INSPECTION REO'D BOND POSTED I DYES ENO PR PERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED .PROPOSED HEIGHT ALLOWED PROPOSED .aD.. w EXP I ❑NEW " ESIDENTIAL" ❑'"PLUMBING/MECH - LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED- PROPOSED FRONT SIDE REAR FRONT LIP SIDE REAR u ❑ AUDITjON„ ❑ .COMMERCIAL COMPLIANCE OR 0 z ,-❑a CHANGE OF USE !ryy REMODEL APARTMENT - r.• ❑ ❑ SIGN a PARKING REO'D PROVIDED LOT AREA PLANNING REVIEWED BY DATE ❑ REPAIR.... ❑ GRADING ❑ FENCE CYDS ❑ DEMOLISH ❑ TANK ❑ OTHER - 2 ❑ GARAGE CARPORT ❑ RETAINING WALL ❑ RENEWAL ROCKERY F (TYPE OF USE. BUSINE S �&A�aTIVITY) EXPLAIN: CHECKED BY TYPE OF CONSTRU TION CO OCCUPANT ✓` 7L U I GROUP ' GNUMBER OF NUMBER OF DWELLING CRITICAL AREAS, SPECIALINSPECTOR. AREA OCCUPANT O STORIES UNITS NUMBER REQUIRED ❑ YES LOAD DESCRIBE WORK TO BE DONE \ REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D O IS /I at 5 �g •- VALUATION FEE L PLAN CHECK FEE S �� -HEAT GLAZING % LOI SL PE % BUILDING PLAN C ECK NO:' VESTED DATE PLUMBING � �— MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WOR]:TO I BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC _ GRADING/FILL - DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.- - - PERMIT APPLICATION: 190 DAYS STATE SURCHARGE PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 1e0 DAYS ENO. REVIEW.FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION w •APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS EE (� IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDS PING EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY s FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF PERMIT SHALL NOT SE REC7 THIS o DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REOUIREMENTOF ANYCITY ORDINANCE PLAN CHECK DEPOSIT v i NOR UMITINANY WAY THE CITY'SABILITYTOENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE RECOPY�43P> I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Thia application ie net 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 Bundlnp Onlcial or nisAlar DBDUty: end Fees are paid. and FOR INSPECTION receiPl is acknowledged in 9pau provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGNAT NT) DATE SIGNED (425) ICIALS SIGNATUR DATE_ a�O flulL % J 1-0220 • • ED BY DATE ATAfNTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 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 s9e STREET FILE CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT I q p Public Works • Planning • Parks and Recreation • Engineering 89�_19 May 5, 1994 Mrs. Greta McKay 1318 - llth Pl. N. Edmonds, WA 98020 Dear Mrs McKay: LAURA M. HALL MAYOR Due to the fact the city's water meter gasket had leaked and had to be repaired by city crews, I have reviewed your account.and will allow an adjustment to your account. I will use the 1993 consumption for April thru June to use as a comparison and anything in excess will be dropped from your bill. Should you have any additional questions after you receive your new billing, please contact Ilene Larson, Utility Billing Clerk.. Sincerely, G.. 46 Ron Holland Water/Sewer Supervisor RH/lk cc: Ilene Larson Utility Billing Clerk #216875/TXTWATER • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan CITY OF EDMONDS _ FOR INSFECTION CALL I& `�'� fl �-PUBLIC WORKS DEPART Permit �o _ _ _ SIDE SEWER PERMIT 775� "252�5 _.EXt$ 2;00 Issue Date U. W Uj . PERMIT MUST BE POSTED ON JOB SITE * EDMONDS ice► Address of Construction T!, PL , U TREATMENT PLANT, Property Legal Description (include all easements) �fl. s�ri_ 1^ ►4�i , li i S (r fV Afo("f 1 . ;7 '' J :E4 ?1,, Single Family Residence Multi -Family No. of Units Commercial Owner. and/or Builder G-bD CRArT- Contractor & License No. WoDA cry I 8(6 6 A Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOL.LOWI.NG AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. zi C. Commercial establishment requires a minimum of a six inch (6") E: side sewer line. 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% (1.150) and maximum grade of 100% (450). 0 �+ f. No turn in side sewer greater than 45 (1/8,bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (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: 7//1 A� _ ��a-( j..,, :, r1 I certify that I have read and shall comply with the above -+ PERMIT FEE: btus ,/5"_' /;)� DISAPPROVED By: Date: 0 w By- Date: � 2 CONNECTION FEE: APPROVED By: Date:, fs, * PERMIT MUST BE POSTED ON JOB SITE * i117.Y Side Sewer Drawing The City of Edmonds EASEMENT NO--------------------------------------------- Ir I NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO. ...... ........... OWNER ---- W-00DCRA, ------- IN.0 . . ......... CONTRACTOR ... F—v.. F—R G-x REE- N ...... B-U4L007—IN.G- PERMIT NO. JOB ADDRESS ... 13-1-S ......... - ---------------------------- LEGAL DESCRIPTION: LOT NO. .............. BLOCK NO - -------- I .......... TkEATMLINT fLZI 1318 1IT11 'PL-No. NAME OF ADDITION ... .... �A-e-%-G.Vvm ................................................... 31 f CA.WVE 13F NO C,04 CAP 1.5,0p P.V.G. 52.'Flkan TEE As'op To WIA'8-215 WxW'W%jE z 0 PWW-0001 -11/75 (REV. 11 78 45r ....... ........ : ...... ......... - By �TE� T>UGE--r DT-RIVE ".,hrW, CITY OF EDMO USE NW.AIT ZONE X� /� NUMBER STREET FILE CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) joe ADDRESS �',24GJ�/%�� �/{�C; LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO/ w MAILING ADDRESS i7J� if O��VVIi•7 '� /�C/ d✓LG. I"✓• / CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. ^^ 4 ,T /`7QAJ �' %' w, � �S /� NAME — EXISTING v_ REQUIRED DEDICATION /1 PROPOSED —�'— GP,41 AV 5-0,4_3 RIGHT OF WAY CONSTRUCTION PERMIT �• w ADDRESS REQUIRED STREET USE PERMIT REQUIRED[-] W Z SEE �� w Q CITY TELEPHONE NUMBER ENGINEERING MEMO DATED SEE PIW DEPT. REVIEW CHECK LIST DATED p -SAT%L E" �/✓ » NAME REM0114',�,"� �ovc�.y�ror��= /r✓G / / C ADDRESS U2.3/0�--��� y� /�/ /-//•L- - /•' METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS CITY TELEPHONE NUMBER ¢ w O ✓lD�til�� �Yl(r' 7%S �v S'/ REMARKS a 3 U STATE LICENSE NUMBER CITY LICENSE NUMBER `�f /Ca�� 4 WQ,9v C/'// 1�116 Legal Description of Property - include all easements SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT (show below or attach four copies) SHORELINE N Z 0 _a U VARIANCE OR CU PLAN NG�,REVIEW BY DATE 0 / YARD LOT COVERAGE ? z w n —U f 17 FRONT IL' SIDE e-5 REAR -3S �' fLI%� 5 � REMARKS a 7 , NEW Ei'RESIDENTIAL PLUMBING ADDIALTER El NON-RESIDENTIAL 2 MECHANICALEJ -1/\SIGN REPAIR RETAINING WALL EXCAVATE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT DEMOLISH FILL 17C I ��g x Fn `�— DPRE -MOVE INSP.I SWIM COMPLIANCE INSP. POOL SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP IYATER LINE LOAD I i YES NO REMARKS 2 SIDE SEWER El O O R wNUMBER OF STORIES NUMBER OF CD 0 DWELLING / m 0 UNITS NATURE OF WORK TO BEDONE(ATTACH PLOT.PLAN) VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING This Permit covers work to be done on private property ONLY. MECHANICAL GRADINGIFILL 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 u, .harmless the City of Edmonds, Washington, its officials, }employees, and agents from any and all claims for damages of I: � •J 1:71' • ' 1 101 • 1 • �. • 1-14 - (address) to Street Right -of -Way Existing `/Q REQD z Access Easements Existing REQD H 1>~ , Utility Easement Existing,? ,l/ ��. r' READ w Lot Per Subdivision 5-���?� Plat Assessor Map w Site Plan Checked for Accuracy p %' Z Underground Wiring Reqd. C>' H 0 Check Accuracy of Le 1 Description x Review by �' 1�,�, Date Ali - w � Existing Water Main Size !;;:r Water Main Required Service Line Required Hydrant Size Existins .5 a& Hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. =-- Cross Connection Inspection H Fire Department Commits -- a � 3 Water Meter Review by , _ _ Date Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj . Drawing No. File No. Side Sewer Availability ",f "S o: w 3 Sanitary Sewe�Connection Fee Reqd. IfIld Review by Date w 1 / N Open Ditch Existing Regd. ` Culvert Reqd. GDP oc Catch Basin Reqd. �. < Indicate on Site Plan Shoulder drainage maintain collection on swale open runoff Ea ' N Manhole read. 196V Indicate on Site Plan Soil Conditi and -Ground Water Field Checked Review by �� Date :tevised: 1v10-1977 N • • MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department SUBJECT: DATE: _ �1 7/ 3 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. Backwater 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 containinq all temporary runoff and erosion on site and may not impact neighboring properties in anyway 1'. a-�- " #`� s€ p;^.5/.82 c =a W� � YI • Q 4 a 'I''� •. 1/V-?"39 2�b1/N N W?�O1S' X� t OS1brJ07 C773i.� c'13M �S Nys „ X 3 1 JIM a w d o Z f-" U- O w' SOZ dlN.7,2/732 O 8L 2L/ 14 -- a V� 6 f% CITY OF EDMONDS QNEW • ❑ ADDITION ❑ RETIREMENT STREET FILE ASSET INFORMATION SHEET ASSET NO. 0 D ADDITION TO ASSET NO. DESCRIPTION Ad SERIAL NO. LOCATION DEPT. NO. 3 Ilk � L �c•, yG **PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER W 3 ,J tc�/l6 ! PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. `i/!- o o c - () / y .3 • ' ESTIMATED LIFE Z S INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. INITIAL U1 DEPARTMENT FILE F En,y CITY OF EDMONDS i - SINGLE FAMILY ADDITION/REMODEL COVER SHEET Directions: -Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a single-family residential addition/remodel project. APPLICANT PROJECT ADDRESS PROPERTY TAX AC( DESCRIPTION OF WORK PLAN DATE OWNER h Z,�9' PHONE J �. CONTACT PERSON E-MAIL FAX MAILING ADDRESS EI—EAUX CORRECTIONS MAIL CORRECTIONS El E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE T�THI ROJECTIACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN OROMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE // DATE Gd ZONING INFORMATION ZONE /QS —/QG� LOT AREA NUMBER OF DWELLING UNITS EXISTING DEMOLISHED PROPOSED DISCRETIONARY�APPROVALS CA Determination SUBDIVISION VARIANCE SHORELINE SEPA Expires OTHER CU LOT COVERAGE INFORMATION EXISTING SF PROPOSED SF TOTAL SF % HEIGHT CALCULATION INFORMATION DATUM AB C D AVE MAX ACTUAL SETBACK INFORMATION REQUIRED FRONT SIDE SIDE REAR .PROPOSED FRONT SIDE SIDE REAR CNR. LOT YES NO FLAG LOT YES []NO ST DEDIC. YES NO FT. ADU STATEMENT REQUIRED ❑ YES ❑ NO RECORDING # STAFF COMMENTS: I 1 i ENGINEERING INFORMATION ! DRIVEWAY SLOPE % GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT. PROPOSED NEW NET IMPERVIOUS SURFACE SQ.FT. (City Use Only) SIDEWALK REO'D YES ❑ NO DRAINAGE PLAN REO'D YES NO UNDERGROUND WIRING REO'D El YES [] NO STREET DEDICATION STAFF COMMENTS: BUILDING CONSTRUCTION INFORMATION LID# CODE EDITIONS _ — i 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load Roof Snow/Live Load Balcony Live Load Floor Dead Load Roof Dead Load Balcony Dead Load NUMBER OF STORIES LOT SLOPE % BASEMENTS FLOOD ZONE D ❑ YES SOILS REPORT PROVIDE FLOOR AREA (Measured'to face of exterior wall) Existing Proposed Total Living Space Garage Carport Deck/Cov. Porch Other (,City Use Only) AM FT. Ceiling Insulation . Window U-Value Wall Insulation Skylight U-Value Floor Insulation Glazing % Door U-Value Slab Insulation Energy: ❑ Prescriptive ❑ Target ❑ Systems Whole House Ventilation System Req'd ❑ Yes ❑ No Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically identified, requested and considered by the appropriate city offical in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. PERMIT ISSUANCE APPROVALS (City Use Only) PLANNING REVIEW & APPROVAL DATE CONDITIONS OF APPROVAL: ENGINEERING REVIEW.& APPROVAL DATE CONDITIONS OF APPROVAL: BUILDING REVIEW & APPROVA - DATE CONDITIONS OF APPROVAL: L:\temp\building\forms\Add_rvw.vsd -- 7/00 ,�� r zcb8 �