16711 76TH AVE W.PDFIIIIIIIIIIII
6162
16711 76TH AVE W
.TOWL&COUPPIO'
Suite B • 16521H,•..4ay 99 •Lynnwood, WA 98037 3161
'.-,STEEL B U I'LMI N G S Everett Line: (206) 258-4171
Toll Free: 1-800-824-9552
Administrative Headquarters: (206)•743-1555
.DIVISION OF Contractor's Lic. #: PERMABI .179JR
' Quality: Our Future Depends On It' TREET FILE ��, ��
t(fsl 5 .
Site Plan
P SE -CHECK: --
Preperty dimensions P-bR'--'aIIh6s
;nd drainfieId ss to proposed building
C�E�stt�ig buildings l ize
Croposed building cks .of' proposed: and eVation of property
❑Easements ex' tritig• buildings OBodies of water
2 0fain road with name. EW466rplan
Job name: Ak4 Job Site Address: 1.6711
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Owner has verified and approved the location of accessories, orientation of the build In o the north, and. verif that all items specified in paragraph
B of the contract are shown on this drawing and vice versa. Customer signature_, t0 —
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CITY OF EDMONDS
�L; U r� L� ASSET INFORMATION SHEET
1 NEW
i
❑ ADDITION
❑ RETIREMENT
ASSET NO. �p
ADDITION TO ASSET NO.
DESCRIPTION o
SERIAL NO.
LOCATION r
DEPT. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
* PROJECT NUMBER %1 � �3Sc--�(U
PROJECT COMPLETION DATE �_,_? ?_Z
COST (9 I / r7• a J
B.A.R.S. ACCOUNT NO.
iESTIMATED LIFE
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
b P INITIAL
DEPARTMENT FILE
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(/ VERIFIED BY
PROCESSED
BATCH NO.
CITY_ of EDMONDS _ = SIDE, S VE-R PEAM1_.T
For Inspection Call 771-3202FILCPERMIT.NO.' O'8023
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Address of. Construction': /(e Jl� w�� (iYE';7
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Property Legal Description '( Incl ude all easements) :. Id7 O-F .SJ/, =-y
Owner and/or Builder: ,���7'P.0
Contractor & License: No: &Z 7 Tle .:?;z.'q Z
LYNNWOOD LINE
Single Family Residence
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 READ THE .ITEMS LISTED ON THE BACK .
anus.- �iI- 7
17A
I certify that . I. have read and s,ha.11 -comply Date .
with the items listed on the back:
Permit Fee.: kIssued By:
Trunk Charge: ZS` Date Issued:
Assessment Fee.: Receipt No.:
Partial .Inspection:
Comments Date Initial:
Final Inspection Approved: -`1� �j ,���54/
Date Initial
00
Rejected:
CD
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy •Fi 1 e . Green CopyIn spector, Buff Copy App1.icant
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- ----------------------------------- --------
NEW CONSTRUCTION Ra REPAIRS Fj LID NO- .................. ASMT. NO. ------------------
B. OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ...... A-M -------------------------------- --------------------- PERMIT NO.
JOB ADDRESS ...... 7-66-mt--4 ---- --------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO- ----------------------_------------.
12, OP. --
4--c-G-WVF-
NAMEOF ADDITION -------------------------------------------------------------------------
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W. C.O. CAP
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,;cApproved:
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PWW-0001-1 1/75 (REV.1 1/78) DATE ... Plu-G ------- 9-j589. By
-----------------------------------
FLYNNWOOD UNE
--ING WORT"
/Z 7
DATE: J
KEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: %// Z Iy/
OWNER: G% lVr-VE5
After review of the subject building permit app.lication, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:OOam to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:OOpm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary sewer system required; obtain separate
permit.
5) Water and sewer lines to be separated by 10 foot minimum.
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%. '
8) Back water valve required if downstairs plumbing i.s below
elevation of upstream manhole.
9) Builder/Owner responsible for,containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10) No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin -installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy:
e
S)TE PLAN
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EXCEPTTNE WEST t0'THEREOIr, COK,/6'YEV Tt7
Tt-tE CITY OF EPMONPS Tlty FILE
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ASlpi DETENTION PIP LENGTH COWROL CATCH
'CNT) SAS 1N
1 I r-- 1t MIN, 2' MAX COVER -�
% SLOPES
SYSTEM CROSS SECTION
*SEE PAGE 3 FOR OUTLET CONTROL. DETAIL
DVTLGT
CO NT Ito e
ni • 4-
'TO OUTL-rT
(RI PRAP OR
RUNOFF
SPREADER ._
2' • 2' a to" Va=r. 41. 6• SPALLS (eaeeu�L)
t t'• 2' r 3" mi;P, 'V40_ CRUSHED ROCK
FRD►rl
OLTLET
CONTROL
RIPRAP OUTLET
>f ""I'D GRAVEL TRENCH, MIN10� LONG,
1foLrrr,LOV,,
TOP Pe1iR rIPH TO SE LZVICL.
FROM
OUTLET
CONTROL
PERF PIPE. WITH CAPS
RUNOFF SPREADER OUTLET
..h:.6i
STANDARD DRAINAGE PLAN .,"' .
DETENTION SYSTEM
PAGE 1 OF 2
for �1.r l /f4)MoE7S
location
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
• P4
4
NOTES
1. Call Engineering Division (111-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility.,
of the property owner(s). Material:,zi'z
accumulated in the storage pipe must ;F::
be flushed out and removed from catch']
basins to allow proper operation. Them
outlet control orifice must be kept;';
open at all times.
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CITY OF EDMONDB.
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USE
;. CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
T
C0/,,y7
(i/ems e
w ADDRESS
/ - a /Y'O� Sly Svi% e ,�J
a CITY TELEPHONE NUMBER
M ,//< l % e 'C%
NAME
o cyA'c', _ 19zo
TIADDRESS
CITY I TELEPHONE NUMBER
STATE LICENSE NUMBER
Legal Description of Property - include all easements
Z (show below or attach two copies)
Q
a
6- -A ? r, ..
#-- U 9 - o
Cbo e
NEW
RESIDENTIAL
1:1PLUMBING
ADD/ALTER
COMMERCIAL
El MECHANICAL
REPAIR
APT. BLDG.
SIGN
EXCAVATE
EJ FENCE
DEMOLISH
REMODEL
OR FILL
CARPORT
GARAGE
( x_FT)
SWIM
POOL
WOO VE/
INSERT
r7
RETAINING WALL/
ROCKERY
RENEWAL
NUMBER OF STORIES
OLIq
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
�1'� 3v ,E es c de i✓e e_
T
PERMIT
Zo NUMBER
JOB 7
ADDRESS
_ /0 // 7-L9
II Ur-- W efS7'_
.EGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP
APPROVED BY
�j
EXISTING _ REQUIRED DEDICATION _.O.__
PROPOSED��—__
O
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
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STREET USE PERMIT REQUIRED.
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SEE ENGINEERING MEMO DATED
REVI W BY cZ
REMARKS
METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
3/y /I /// /Y
SIGN AREA I ENV. REVIEW ADB NO.
ALLOWED I PROPOSED COMPLETE I EXEMPT
VARIANCE OR CU IPLANNING REVIEW BY I DATE
FRONT SIDE
—FEES OE REAR I HEIGHT I LOT COVERAGE
CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP 2 LOAD
❑ YES L NO J
REMARKS
PROGRESS INSPECTIONS PER UBC 305
aCLfP�W( y 2s�c�a/
-� VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curls, 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
N successors in interest, agrees to indemnify, defend and hold
—
w harmless the City of Edmonds, Washington, its officials,
memployees, 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
omodify, waive 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."
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
tion Insurance.
INSPECTION
SIGNA URE (OWNER OR AGENT)
J�.%�-¢--
DATE SIGNED
�vZR/Oa f
DEPARTMENT
CITY
lC.tcv .
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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
O
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ATTENTION 771-3202
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
CHAPTER 3.
102.87
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor