Loading...
16540 76TH AVE W.PDF111111111111 6153 16540 76TH AVE W PUBLIC WORKS DFPAi TI nTr CI�iE:cnisr BUILDING PERMI'r REVIEW BEET 7 Date - - - FILE Y %�(,� Address Street Right -of -Way Existing ���}{� REQD� . Access Easements Existing -� r.l READ i Utility Easement Existing � Lot per Subdivision Plat. p �,�, Assessor Map z Site Plan Checked for Accuracy r, Underground Wiring Reqd. (� c� Check Accuracy of Legal Description 7 w Environmentally Sensitive Area rz Environmental Checklist Reqd. H Flood Hazard Zone X u Shoreline Management Area : z Slope, Soil, Vegetation �S w Stream, Creek, Drainage Basin y �S Existing Zoning Per Code Amenities Design Board Approval Reqd. ADB # Approval (� Board of . Adjustment Ap royal Reqd. j Revieo7 By : Date- r 7I Existing [,rater L lain Size 6" = ----------- Water Main Regd. jJ Service Line Reqd. 3/4 "' w Hydrant Size Existing - p r, Hydrant Reqd. Per Fire Code N O Size X ? Detector Check Meter Reqd. X X Cross Connection Inspection (S>ti xFire Department Com,ents K Water Meter Charge Regd. Q-{.0.& Review bv: Date: Septic 1'ai�lc lsigz Approve Septic Wank Permit Reqd. pt.. Permit No. Sanitary Sewer Availability �� Proj . �- It$racc4V a P4 Drawing No File No. w �. Side Sewer Availability ] Pe©p��Ty L �pJ�P �r,��►,'C� x.�S4,, w Sanitary Sewer Connection Fee Reqd. `r Review By: `� Date: 2(0 -.I BUILDING DEPARTMENT PERMIT APPLICATION NAME (OR NAM[ OF OUOIN[0•) ir W MAILIN ADDR[S Z 0 ^ D 0 CITY' CLEF Q lI. e98°�Q. NAM fw U F ADDRESS I U E CITY TELEP Q NAME An s en 0 A SS F / Q F CITY TELEP Z 0 1�\ !7 /1 U STATE LICE E NUMBER CITY L 3--0 i - Z7 Legal Des iption of roperty (Show Below or At W J U5t -_ NuePERMIT Applicant Fill zoNe NUMOtN Inside Heavy Lines PAC: JOB ADDRESSI O _ SU BOIVI510N NO. PLAT NAMU . A•OtttON-MAP NO. PHONE I U PUBLIC RIGHT OF WAY PER OROINANCt NO NUMBER " EXISTING RIGHT -OF WAY 90 PROPOSED RIGHT OF WAY S- DEFICIENCY OF RIGHT OF WAV O STREET/UTILITY WORK REOUIRSO a IVIV[O ONO PERMIT FOR WORK IN PUBLIC R/W UNDERGROUND WIRING REOUIR[O, I#Yt• I�V[O ONO ONO HONE NUMBER CONNECTION TO SANITARY E[W[R '$ V1Y[O ONO SEPTIC TANK PERMIT REQUIRED OY[s - .. ONO SEPTIC TANK PERMIT NO, - SEE MEMO DATED HONE NUMBER REMARKS 1247 ICENSE NUMBER CHECKED Y 1 1 tech Four Copies) � 1 METER SIZE BUILDING SUPPLY SIZE C C REMARKS " SIGN AREA [N V. R[VI[W ADO NO. ALLOWED I PROPOSED COMPLCT[ I CX04Pr REMARKS VARIANCE OR CU NEW L�l RESIDENTIAL GAS EI YARDS !O FRONT ' ❑ ElREPAIR ADD ALTER LINE ❑ NON-RESIDENTIAL ❑ SIGN DEMOLISH ❑ RETAINING WALL EXCAVATE FENCE OR FILL ( -_ ) RE -MOVE SWIM POOL L FIRE ZONE T) SPECIAL INSPECTOR REQUIRED ❑ YES ONO PLAN CHECKED BY NUM BIER/O`F STORIES 7� [ (.i �.S NUMBER OF UNITSDWELLING REMARKS NATURE OF WORK TO BE DONE Z 0 F a PI [ U IA W 0 USE PLAN CHECK FEE ABUTTING STREETS) BUI L•DING PLUMBING MECHANICAL FENCE SIGN RETAINING WALL SWIMMING POOL PLANNING R[VI[W OY DATE C LOT COV[RAG[ a7 ' SIDE MCA OF CONSTRUCTION COO[ INEIGHT PANT OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE H Y E 0 3 _U J m a V O z o z O .a Z W; 4` z O .a z z 0 0 Q 0 U Q� O � a z O C¢7 w . u .� z t�.rTlC NO'V1ARlR�'.i' (%, O► RU�.�l�! M Tien intormatic! s t"M c� s the City of Edmcn' , ; rii?;) V13S CU;%piieu tvr U e by tY i ' 'ris. Thu City of Edmonds does not warr.;11 tl- a ;; t ,:° °- frrti? on the map. Any person or entity rep;;: ,. inaviry regardhrm thu cu, in:;f peident ino'kid "g, but not limited to, th-, locaaior+ cf vv c. _�� nog eAst and may or n:--I is ? c;�_t ai may or ma stic. ; , _• lGr�stu= n ih City of Edmonds ncr its e;, ' '- ; cl s,,,:;; Neitheri-. y Irvors' th" tcunt,u? ll N li4;e for the information giv,;o o,i this map nor fcr �i ofiiLa s s'.? reprase���atior� nt provided based w, 4 -o O CITY, DF EDMONDS SIDE 4.,WER PERMIT WATER -SEWER DEPARTMENT 3 PERMIT (Call 775-2525 for side sewer inspections BEFORE covering any portion of the -construction, \Inspection will be provided within 24 hours after requst., NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION..-_...1 PROPERTY LEGAL DESCRIPTION........'^ " -------------------- --- _------------------- ...-.-_.._- .---------- ._...--•---------------- ••--•---•---••- _._....................................................... OWNER AND/OR BUILDER ---_._._._!•..-:.,. `?:q___ J CONTRACTOR'S NAME & ADDRESS_..__••-"-Ir��n,t _.............................. ---- --- •----_ _----- ermission is granted ........... _..._.._ . ._--_-_ 19.--_.-__, for rep air pair and/or connection of a side sewer to the city sanitary system in accordance with City of Edmonds ordinances, tY ry sewer ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.15.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30;nches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in sharper than % will be permitted. grade NOTE No. 5—Trenches in street must be water settled and surface of street -restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year completion. NOTE No. 8—It is unlawful to alter or do any Other —7 th- Is 0 Bert the pipe into the_wye. provided for in the permit, or to do any work on the main sewer or its appurtenances except tq in - DISAPPROVED ❑ Date..__......_... / 7 BY-•:----••---- Date_._-__--- -�e_..._ By ...... :......... Date ........ ._-•-- •-•----------- :sy................ APPROVED = Date .. ..., `/ ..... .........." By..__.__. Remarks: ....... _...... _.................... - --••---••--.._...--•................--•-••----•-._.._...:.____..____._.._.__...._..._....._.....-----.._...----......_..._..--•--._._...__.... -----------------••---•----._.------••••-- - BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — ahereby certify that the side sewer installation constructed under this permit 'jing Firm -• was installed i accordance ewith all governing ordinances of the City of Edmonds. Datedthis ---------------------------- day of ............................................... J V Check BEFORE you dig for: Water 0, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other 1• je BUILDING DEPARTWNT Applicant Fill ZONE ZONE_ PERMIT `�PR� NUMBER RLE PERMIT APPLICATION Inside Heavy Lines loe ADDRESS NAME JOR NAM( 0/ (^^UfIN(ff) SUBDIVISION NO. PLAT NAM( ASSUSSOR MAP NO. �'n MQ W MAILING ADDRESS Z G D PUBLIC RIGHT OF WAY P[R ORDINANCE NO. CITY RQ� ELEPHONE NUMBER "' I 4. EXISTING RIGHT OF WAY PROPOSED RIGHT 0/ WAY NAM F I- DEFICIENCY OP RIGHT OP WAY O y W ADDRESS - F I STREET/UTILITY WORK REQUIRED MY(f ❑NO Y U PERMIT FOR WORK IN PUBLIC R/W - i11Y(f ONO 0 0: CITY Q TELEPHONE NUMBER UNDERGROUND WIRING R[OUIR(O - ONO 3 U yilvto CONNECTION TO SANITARY SEWER : ^Y[f NO ❑ J m NAME SEPTIC TANK PERMIT REQUIRED OYES j t SEPTIC TANK PERMIT NO, 0 ADDRESS U O ry Q b SEE MEMO DATED �w xV F CITY TELEPHONE NUMBER REMARKS-_/161 I Z U STATE LICE E NUMBER CITY LICENSE NU BER CHECKED Y 3--0/ ,��`_ 27 Legal Desc. iption of roperty (Show Below or Attach Four Copies) METER SIZE I BUILDING SUPPLY.SIZa Z 0 IL it SIGN AREA ENV, R(VI[W NO. U I ALLOWED PROPOSED COMPLETE [X:MPT W 0 J Q 0REMARKS W J VARIANCE OR CU PLANNING. REVI9W fY DATt YARDS .LOT COVCRAGE NEW �SIDENTIAL GAS ❑ FRONT IO SIDE MCA 1 1 ❑ NON-RESIDENTIAL LINE FIRE ZONE . TYPE OF CONSTRUCTION COOL HEIGHT ❑ ADD ❑ SIGN ❑ DEMOLISH RETAINING ❑WALL SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT ALTER ❑ EXCAVATE ❑ OR FILL FENCE ( X �) ❑ YES � ❑ NO GROUP , LOAD ❑PLAN REPAIR PRE -MOVE CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. INSP, ❑SWIM POOL LOCAL SALES TAX SHOULD NUMBER OF STORIES NUMBER OF BE CODED 31.04. REMARKS /� �S DWELLING ' F 1B UNITS Z NATURE OF WORK TO BE DONE W f F ( Q d W PROPOSED USE - PLAN CHECK FEE VALUATION FEEPLOT PLAN INDICATE BUILDING SETBACKS W ABUTTING STREETS) i BUILDING aO PLUMBING J WMECHANICAL W I FENCE} F SIGN Z f RETAINING WALL f 0 SWIMMING POOL u m W F Q 3 A 0 PUBLIC T,lORKS DEPARTMENT CHECI'T 7 Date BUILDING PERMIT REVIEW Address Street Right -of -Way Existing--''��G}.(� -REQD A - Access Easements Existing REQD Utility Easement Existing L` Lot per Subdivision Plat'-?. Z,"�, Assessor Map Site Plan Checked for Accuracy. � }j 2_ H Underground Wiring Reqd. c4 Check Accuracy.of Legal Description w Environmentally Sensitive Areas w Environmental Checklist Read. Flood Hazard Zone pa� U Shoreline.Management Area- _2 Slope, Soil, Vegetation" w Stream, Creek, Drainage Basin �5 , Existing Zoning Per Code��� Amenities Design Board -Approval Regd. _ADB # Approval Board of Adjustment Ap roval Reqd._MC)O r-- Review By: Date: Existing Water ' 1ain. Size 6" � - Water Main Reqd. jJ.Ar �. Service Line Reqd.-- w-' Hydrant Size Existing p V' H Hydrant Regd. Per Fire Code N O Size Detector Check Meter-Reqd. Cross Connection Inspection d;oti Fire Department Qx nts K.�Ikr Water Meter Charge Reqd. �.g,� .�' ; " 2 OF Review by : Date: - -� 5'eeppti '1' c sign ��pprove Late: ---- Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability. t.� Proj . D. -- ItBeCOCACVES lop Drawing No. File No. Side Sewer Availability T_eWpaLieis-t c. �e,��—$r,y�►'t� :'L.1CA'P-64 w-- Sanitary Sewer Connection Fee Reqd. v; Review By: Date: 2(p 1bxx - Open Ditch Existing. � Regd Size Culvert Reqd. Indicate on Site Plan oc Catch Basin Reqd. Shoulder drainage mZi.ntaiii o lec On Swale open runoff }•►u-IIole regd. jndicate on Site Plan Soil Conditions and Grouiid Water Field Checked Pcvic^a by Date Street Paving'Rcgd. H Curb and Gutter Reqd. G �u W Sidewalk Reqd. Reqd. Curb Cut for Drivewjy__ Pe e d P4 Right -of -Way Construction H Bond Reqd. for Public Irrprov , -' is Street Nave Sign Reqd. Other Sipiing Reqd. "vl� Pre Permit Site Inspection Q mde on z CN BY: SEIdER . U f` w [� k7ATER - F. to STREET -- -Z .. Special RegLdre-,:,, nts listed in n.,2Jro to Corn -.Miry Development Deparomnc, Qi BU ldina Division U BY Date o All i.turs fi l.led in on Iiuilding PermitApplication I - 0� BY , Date /1 PL' Drawinf;s Stanned and Notations 1 zde w } BY Tk- to A-V 4 Approved by I'tibl.'i.c Dma rbm—it I LM—sed: IV 10-1977 DATE:. MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: � Lam 16e0 `140 A Ul✓ LKA .4 After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is tie responsibility of the contractor. (2). The contractor is required to keep the abutting streets clean- . ed of dirt an e ris caused by the construction. (3) A "Right -of -Way Construction Permit': is required, from the Engineering Division of Public Works, f.or any work within the Public Right -of -Way or public easement. (4) Driveway slope not to exceed 140. i PW 5/77 iC)7 r Sol w7 7p as h T �/f _ d a ^ _• �i z ' F y .'i I P a v 100* 461 s +s. 7:77 .,�, 3`�u+a ^ d orb �•. a •i _ Z ,. su I O s A. Is fCD C =2�3_.r. ad to 0 `�I I ' - co I 7 63 N•5 il'C9'E, 82. Ln CO O 0 I CO IC) CD co J li° 4(c 34' G ( -, 0 co ti�l ' � -._ vi ui 10 I j 13Z.fo8' :Q �i L L5_ISl15.1 N.VF g, I L li.' 3 p.m i 9., If co co im - = I� 19 4c� n �� tip`=' `� z N.2°E.00, CALC SATED 9 s. L= 22.(.a' v;J o �;:o- `O' E. _J I—�3—POSI ION (SEARCHED v.��•Z�:1-�' r,� FOR Cr�U. IN E- 10 I 9 E Z A F', _ r\I / y ! F� J i� V 799.64' �?'r 1304. 68 7. 0 NORTri LINE OF SECTION 8 AS ESTABLISHED BY RAINES WHARF N92- 0 N ORES ESTATES 1 �- I° � SHEET 2 OF 2 z STREET FILE 78045L. BUILDING DEPARTMENT Applicant Fill USE PERMIT ZONE NUMBER PERMIT APPLICATION Inside Heavy Lines ADDRESS I i /J NAME (OR NAME OF BUSINESS) �rlvlr ` D SUBDIVISIONS NO. PLAT NAME ASSESSOR MAP NO. E MAILING ADDRESS W ADDR L/ Ole3� I_ NUMBER PUBLIC RIGHT OF WAY PER ORDINANCE NO. CITY n /1 O/J �- ^O -i EXISTING RIGHT OF WAY hTELEPHONE I V (� -1 PROPOSED RIGHT OF WAY NAME ^ S F U DEFICIENCY OF RIGHT OF WAY O -W ADDRESS h_ STREET/UTILITY WORK REQUIRED 14YES ONO = U PERMIT FOR WORK IN PUBLIC R/W DYES ONO UNDERGROUND WIRING REQUIRED 11YES ❑NO E CITY Q TELEPHONE NUMBER CONNECTION TO SANITARY SEWER FIVES ONO SEPTIC TANK PERMIT REQUIRED ❑YES ®NO NAME lZ , Arl SEPTIC TANK PERMIT NO. 0 ADDRESS I- ^/ SEE MEMO DATED /6111S U O E CITY TELEPHONE NUMBER REMARKS Z EdO , O /1 T A E NUMBER U STATE LICZ,��� CITY LICENSE NUMBER CHECKED Y 3 -0/ V Legal Desefiption Of Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE 3/4 1t p `� C C REMARKS 0 Pn�SSV R6 Z(:)LA°TO D_6C4> E• a_ SIGN AREA ENV. REVIEW ADO NO. E U N 'ALLOWED PROPOSED COMPLETE I EXEMPT / V W 0 J Q REMARKS \O e `iP_ ,- ` C� l l I W c `tk c 1 a J VARIANCE OR CU IPLANNING REVIEW BY IDATE l�J NEW RESIDENTIAL a GAS LINE NON-RESIDENTIAL ❑ SIGN ADD DEMOLISH RETAINING a WALL ALTER ❑ EXCAVATE FENCE OR FILL ❑ ( X FT) REPAIR PRE -MOVE SWIM INSP, D POOL YARDS I /O FRONT FIRE ZONE 3 TV SPECIAL INSPECTOR REQUIRED �� ❑ YES LJ NO PLAN CHECKED BY AZ NUMBER OF STORIES > Q S C NUMBER OF DWELLING UNITS Y REMARKS LOT `O , NATURE OF WORK TO BE DONE PROPOSED USE Z O y PLOT PLAN INDICATE BUILDING C ABUTTING STREETS U N W 0 Is 0 I hereby acknowledge that I have read this application; that the in- formation given is correct; and that I am the owner, or the duly author-' ized agent of the owner. I agree to comply with city and state laws regu- lating construction; 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 Workmen's Compensation Insurance. NOTE:, Permit Limit One YeOr(Except DEMOLITIONS and FILL PERMITS without conditional use permit, which shall be completed in 90 days; MOVED IN BUILDINGS shall be completed in six months.) SIGNATURE NER OR AGENT) DATE SIGNED 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. ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. 1 02.7a TVAtZ AA _ s.o I L.s (z E �G 1Z l�C PLAN CHECK FEE BUILDING PLUMBING MECHANICAL FENCE SIGN RETAINING WALL SWIMMING POOL AL AMOUNT DUE ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS 775-2525 LOT COVERAGE SIDE REAR )F CONSTRUCTION CODE HEIGHT V - N 1 19716 30'14+ AREA OCCUPANCY OCCUPANT Z3 GROUP M-1 _ LOAD THIS SITE IS LOCATED IN THE CITY . OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. 'PE2 Okb. 1-714• 1JSvLA'TIOW - C) C - Seep VALUATION FEE 5Z ;1 0l qi 1 I +291 °°-i 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 pro- vided. DIRECTOR'S SIGNATURE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor