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1429 10TH PL N.PDF1111111111547 1429 10TH PL N PLANNING DATA NAME: SITE ADDRESS: l C� DATE: f 7 l ZONING: 'P PLAN CHK#: y - L PROJECT DESCRIPTION: CORNER LOT tiZ) (Yes/No) FLAG LOT Z6 (Yes/No) SETBACKS: Required Setbacks: Front:t-F Left Side: /° Right Side: Rear: TiS Actual Setbacks: Front: Left Side: Right Side: Rear: Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: Maximum Allowed: 3 5 Actual: z_z5z BUILDING HEIGHT: Maximum Allowed: Z S Actual Height: Datum Point: Datum Elevation: A.D.U. CREATED?: All� SUBDIVISION: CRITICAL AREAS #: SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: 7::JA Soy o ,e l zeyd c:Tt1ealpertni d^plandaLdoc PERMIT APPLICATION REQUIREMENTS TO: Permit Coordinator, Building Division FROM: /Lyle Chrisman, Engineering Inspector'r�/Ni OWNER: ; -7e.Z' / STREET FILE PLAN CK # ADDRESS 7 A f�L. �i�l DATE: After review of the subject permit application, the following requirements mustbe met. 1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/Owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) S. NO WORK SHALL BE DONE WITHIN IS FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACIL- ITY. BUILDER/OWNER IS REPSONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES, FOUNDATION DRAINS, AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACIUMLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent 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 14%. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30) 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) 16. Connection to the City sanitary system is required. A separate permit is required. LID# 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 18.05.010) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU- PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) 19. /// 5 , l/ ��•, �� � /moo an-X244 h(we Z�1/ �fjl 44C5 f g'; 31C Q e? 'veil 20. 402"&Z 11,� 1^1»e !v dl.• STREW" FILE CITY OF EDMONDS 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-3202 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Addition to an existing single family residence Proponent: Daniel Hendrick & Jean Duncan Location of proposal, including street address if any: 1429 10th Pl. N. Lead agency: CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. XX There is no comment period for this DNS. This DNS is issued under 197-11-340(2); -the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by .1992. Responsible Official: Jeffrey S. Wilson Position/Tide: Current Planning Supervisor, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 Sth Avenue North, Edmonds, WA 98020 Date: `t��q�RZ Signature. XX You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than 1/42 , 1992, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the procedures for SEPA appeals. XX Posted on I/ f �'l y 1992, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: XX Department of Ecology Environmental Review Section P.O. Box 47703 Olympia, WA 98504-7703 XX Daniel Hendirck & Jean Duncan 1429 loth PI N Edmonds, WA 98020 Page 1 of (((FILE A)))EN/(((DATE))).SEPA XX Phil King 1527 150th St. SW Lynnwood, WA 98037 Pc: Building Permit Plan Check No. 610 SEPA Notebook Peter Hahn, Community Services Director Robert Chave, Planning Manager Page 2 of Z (((FU.E #)))EN/(((DATE)))•SEPA MEMORANDUM CITY OF EDMONDS PLANNING DIVISION 250 5TH AVENUE NORTH, EDMONDS, WASHINGTON 98020 TO: FILE NO. Building Permit Plan Check # 610 FROM: John Bissell, Code Enforcement Tech. Jeffrey S. Wilson, AICP Responsible Official DATE: April 29, 1992 SUBJECT: ENVIRONMENTAL DETERMINATION FOR BUILDING PEMIT CHECK # 610 I have had the opportunity to visit the site, review the environmental checklist, and building plans. A copy of which are filed in the official file for this permit. Based on my review of all available information and adopted policies of the City, I recommend that a determination of nonsignificance be issued. Review by Current Planning Supervisor: I concur I do not concur Comments: Jeffrey S. Wilson Date Attachments PC: PERMIT PLAN CHECK NO. 610 Robert Chave, Planning Manager -Pese-3-et-. (((FILE #)))EN/(((DATE))).SEPA CITY OF EDMONDS ENVIRONMENTAL CHECKLIST A. BACKGROUND 1. Name of prop sed project, if applicable: cr-t- "O� X't� 2. 3. Name of applicant: Address and phone number of applicant and contact person: r 4. Date checklist prepared: S. Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including phasing, if applicable): (STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 1 of 26 S. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Nfs (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your approval, if known. (STAFF COMMENTS) 11. Give brief, complete description of your proposal, including the proposed uses and size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 2 of 26 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. VI (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle. one): Flat rolling, hilly, steep slopes, mountainous, other: (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 3 of 26 C. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. N© (STAFF COMMENTS) e. Describe the purpose, type and approximate quantities of any filling or grading proposed. �1�Indicate source joffill. �(I % oKIE M G ( -76 lw, v(7 (STAFF COMMENTS) f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 4 of 26 g. About what percent of the site will be covered with impervious surfaces after project construction (for example{ asphalt or buildings)? A (STAFF COMMENTS) h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: (STAFF COMMENTS) 2. AIR a. What types of emissions to the air would result -from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. Ak ME (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal?A If so, generally describe. !v0 (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 5 of 26 C. Proposed measures to reduce or control emissions or other impacts to the, if any: Xfz itd b 010/ZV (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. (STAFF COMMENTS) (2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, .please describe available }'plans. (STAFF COMMENTS) (3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. CHKLT/10-8-91.MASTER Page 6 of 26 (STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions. . Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) (5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. l� O (STAFF COMMENTS) b. Ground: (1) Will ground water be withdrawn, or will water. be discharged to ground water? Give general description, propose, and approximate quantities if.known. //J M may' �1,�/ C� -6ZG1 Ir CHKLT/10-8-91.MASTER Page 7 of 26 (STAFF COMMENTS) (2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. /u( (STAFF COMMENTS) C. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (including quantities, if known). Will this water flow into other waters? If so, describe. M (2) Could waste materials enter ground or surface waters? If so, generally describe. y� (STAFF COMMENTS) CHKLT/1 0-8-9 1. MASTER Page 8 of 26 d. 4. Plants Proposed measures to reduce or control surface, ground, and runoff water impacts, if anv: ( STAFF COMMENTS) a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other: evergreen tree: fir, cedar, pine, other: shrubs grass L40'L k) •. pasture crop or grain wet soil plants: cabbage, other: cattail, buttercup, bulrush, skunk water plants: water lily, eelgrass, milfoil, other: other types of vegetation:_ 6_04 AY, (STAFF COMMENTS) b. What kind and amount of vegetation will be remove or altered? C� CHKLT/10-8-91.MASTER Page 9 of 26 (STAFF COMMENTS) c. List threatened or endangered species known to be on or near the site. d. (STAFF COMMENTS) Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on -the site, if anv: (STAFF COMMENTS) 5. Animals a. Check or circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) CHKLT/1 0-8-9 1. MASTER Page 10 of 26 b. List any threatened or endangered species known to be on or near the site. p (STAFF COMMENTS) C. Is the site part of a migration route? If so, explain. Kr n�J (STAFF COMMENTS) d. Proposed measures to preserve or enhance wildlife, if any: (STAFF COMMENTS) 6. Energy and Natural.Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe ewwhJether it will be used for J�heating, manufacturing, etc. yi[/l.' C J (STAFF COMMENTS) CHKLT/1 0-8-9 1.MASTER Page 11 of 26 b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. (STAFF COMMENTS) C. What kinds of energy conservation features are included in the plans of this ro osal? (STAFF COMMENTS) 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this. proposal? If so describe. V (STAFF COMMENTS) (1) Describe special emergency syerrv�ices that might be required. Ili"l 1 (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 12 of 26 (2) Proposed measures to reduce or control environmental health hazards, if any: (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other) ? .(STAFF COMMENTS) (2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic,• construction, operation, other)? Indicate what hours noise would come from the site. (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 13 of 26 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. A fOs'� (STAFF COMMENTS) C. Describe any structures on the site. a (STAFF COMMENTS) d. Will any structures be demolished? If so, what? (STAFF COMMENTS) e. What is the current zoning classification of the site? CHKLT/10-8-91.MASTER Page 14 of 26 (STAFF COMMENTS) f. What is the current com/preeheln'siveepplann designation of the site? (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site? �t (STAFF COMMENTS) h. Has -any part of the site been classified as an "environmentally sensitive" area? If so, specify. (STAFF COMMENTS) i. Approximately how many people would reside or work in the completed project? (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 15 of 26 j. Approximately how many people would the completed project displace? f (STAFF COMMENTS) k. Proposed measures to avoid or reduce displacement impacts, if any: (STAFF COMMENTS) 1. Proposed measures to ensure the proposal is compatible with existing and projected.land uses and plans, if any: PA - (STAFF COMMENTS) 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. (STAFF COMMENTS) CHKIT/10-8-91.MASTER Page 16 of 26 b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or ,,low-income housing. (STAFF COMMENTS) c. Proposed measures to reduce or control housing impacts, if any: (STAFF COMMENTS) 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle exterior building material(s) proposed? -:!�(t>jAJ& . (STAFF COMMENTS) b. What views in the immediate vicinity would be altered or obstructed? MA (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 17 of 26 C. Proposed measures to reduce or control aesthetic impacts, if any: )JA (STAFF COMMENTS) 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? (STAFF COMMENTS) b. Could light or glare from the finished project be a safety hazard or interfere with views? i i (STAFF COMMENTS) C. What existing off -site sources of light or glare may affect your proposal? (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 18 of 26 d. Proposed measures to reduce or control light and glare impacts, if. any: ! o - (STAFF COMMENTS) 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? (STAFF COMMENTS) b. Would the proposed project displace any existing recreation uses? If so, describe. UyIIrnrn y (STAFF COMMENTS) c. Proposed measures to reduce or control impacts on .recreation, including recreation opportunities to be provided by the project or applicant, if any: (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 19 of 26 13. Historic and Cultural Preservation z a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. /VQ ( STAFF COMMENTS) b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. (STAFF COMMENTS) Y C. Proposed measures to reduce or control impacts, if any: i $ (STAFF COMMENTS) 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. X, (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 20 of 26 b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? 1 �i � �TiL•Y (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? r ( STAFF COMMENTS) d. Will the proposal require any new roads or street, or improvements to existing roads or streets, not 'including driveways? If so, generally describe (indicate whether public or private). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. /JU (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 21 of 26 f. How many vehicular trips per day would be generated by the V completed project? If known, indicate when peak volumes would occur. 49hu1 tel AA9 (STAFF COMMENTS) g. Proposed measures to reduce or control transportation impacts, if any: (STAFF COMMENTS) 15. Public Services i 3' a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. ( STAFF COMMENTS) : b. Proposed measures to reduce or control direct impacts on public services, if any: (STAFF COMMENTS) CHKLT/10-8-91.MASTER Page 22 of 26 16. Utilities a. e e u i 't' rre y availab a te: natural gas water refuse service, telephon , ani er e em, er: (STAFF COMMENTS) b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. (STAFF COMMENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that -the lead agency is relying on them to make its decision. "/, � //6z: � �/' Signature of Proponcdt Date Submitted CHKLT/1 0-8-9 1. MASTER Page 23 of 26 APPLICATION CARD No- ----------------•--------------------- for The City of Edmonds aTREET FILEUTSIDE SIDE SEWERPERMITEASEMENT No. - [� INSIDE ❑ REPAIRS ❑ , OWNER--------•---� J ----- S l _. --•-•--•------------- CONTRACTOR--------•--------------•------..-.---•-----------•----•-- -------------------- --- ------._. PERMIT o. .---- _ STREET / �2 --- --4---� L_----/i/�J- i-- .- ---------------------..._.... ------- AVENUE LOT No. ------------------------------------------------------ ------.------- . BLOCK No. -----------•----------- HOUSE No. -- -•------------- NAME ADD. ...... ------------------------ w,� s ly 4o cry I w `, 23 Date Approved: BACKFILL WORK ORDER ISSUED ------------------------- DEPOSIT, $-..----........................... ... SEWER WORK ORDER ISSUED - DA •-•----- BY - .--....... -' t o�+, 100 - 00 14251. A of ft, A �ZVW-Wll ts. luof) C �PROV (jot m i114J4 l V--fr-- ,� I t; A.) ��('At.f f4"{�(.� S luoo A 2L�7v -= k -- _ e :„�i.�+.�L,a:•�im�itt'�raom::ajY�.ma�•.-u •�hw++*, ^ .+a,^re:•�e,;,.--....:-.,>.....-.._ns...,: ... , , .. .. - i--- � _-- _ r -. .. -, - -- --- ,BILE 0 STREET � ZONE PERMIT �� CITY OF EDMONDS f � NUMBER CONSTRUCTION PERMIT APPLICATION jos d � �� � SUITE/APT# OWNER NAME/NAME OF BUSINESS ADDRESS 0. 'Dan j-e f (-n „/�/•�k / a - LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. ' w MAILING ADDRESS [! C 't [7! 2 l p e� O /qzIO �• �• PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. I TESCPApprOved O CITY ZIP TELEPHONE NUMBER RW Permit Required O q ; 7 EXISTING REQUIRED DEDICATION Street Use Permit Roq'd O 7 " 5- 3/9 3 PROPOSED Inspection Required O NAME / ` Sidewalk Required O O / l !/ REMARKS w uj w ADDRESS c- � t: Ga z _ 1527 /S 0'L S J• W < CITY ZIP TELEPHONE NUMBER f Zzz �rxZ� X �-k--! 73 NAM l�.�v>�'9 //IG+.I Q/ � ) f.� ENGINEERING MEMO DATED �% EJI�� cc ADDRESS VV Y O METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES U Cr ¢ CITY ZIP TELEPHONE NUMBER I o REMARKS d 3 U STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW ADS 140. ALLOWED PROPOSED COMPLETE EMPT Legal Description of Property - include all easements SHORELINE N Z O EXP 0 VARIANCE OR CU PLANNING REVIEW BY U SETBACKS — FEET HEIGHT LOT COVERAGE ? d z W FRONT SIDE REAFl , G J Tax Accountproperly .�, f %?� a REMARKS a Parcel No. 13? r� NEW RESIDENTIAL � PLUMBING L1jl ADDITION El COMMERCIAL MECHANICAL REMODEL El SIGN BLDG. c SIGN GRADW FENCE - f'K6D-8X TYPE OF CONSTRUCTION CODE HEIGHT REPAIR __ CYDS. ( x_FT) DEMOLISH WOODSTOVE n SWIM POOL SPECIAL INSPECTOR AREA OCCUPANC OCCUPANT INSERT S c0 HOT TUB/SPA f( UIRED ❑ YES GROUP LOAD (;GARAGE RETAINING WALL/ J�CJCARPORT ROCKERY RENEWAL EMARKS r, (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 205 Z 0 P.5 Mell l AA Z6 NUMBER OF STORIES NUMBER OF DWELLING ro 2 - UNITS O DESCnIBE WORK TO BE DONE (ATTACH PLOT PLAN) II�J/��tnote-75.7 FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEEv BUILDING 7 HEAT SOURC5,- GLAZING % PLUMBING �� Plan Check No. MECHANICAL ` This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewpiks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 160 Days STORM DRAINAGE FEE Perml2 Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE w successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, g employees, and agents from any and all claims for damages of 1� zwhatever nature, arising directly or indirectly from the issuance G 0 of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT $, o modify, waive or reduce any�kequirement of any city ordinance z nor limit in any way, ttte City's ability to enforce any ordinance TOTAL AMOUNT DUE �� �• ;.�_'OR provision." a 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. 1 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 ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is ti n Insurance. INSPECTION acknowledged in space provided. SIGNATURE (OWNER OR GENT) DATE SIGNED DEPARTMENT CITY OF OFF N TURE ATE C•(AA i�..��- �-��� %� EDMONDS ,� CALL FOR RELEA, E BY: ATE ATTENTION INSPECTION' 6 ��i �"` IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING` :"RUCTURE UNTIL A FINAL INSp9CTI0N HAS BEEN MAbE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspe*r A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CkAPTEq A.- A PINK — Owner GOLD — Assessor 10*- +' •:`!y'i: .•ICY• I , rs M) 10 - . I W44wp ToMtl LIT/ 4 404- ulie, 12, TO fl.4J 17� j4fA6 MI