16740 76TH AVE W.PDF111111111111
6166
6740 76TH AVE W
ADDRESS: / ii e
TAX ACCOUNT/PARCEL #: 6 b 4pq 310000
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: IC) -0005DETERMINATION: ❑ Conditional Waiver Study Required ❑ Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: (Q 1
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
0
Zone. I v Corner Flag
Setback Eegui�
Actual
front t✓ to
l o +
Sides N 15 5
515
P"A \I V -
`
APPROVED BY PLANNING
Iy.0(9.volo
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
° PIL -
PIL
20'
eccl L 23.`FO • 1-7-0 • L INOREQUIREDREARSErimcrg ea.5i' PIL P1L \
P D. STAJR TO
I cl 7 0_ I P L P / EXISPISTING LOW R \\
PIL / DECK \
EROSION CONTROL FENCE \
a
f'V
Ln
d
QFQU I VZO = 21 10SCIF1 0 \ r
/ \ 4
EXIST DECK @ LOWER FLOOR' / \
EXI5TING DECK @
5ECONDFLOOR
�11'41/16• / / I 24 NRKau j} Ilf! E U UL>t1Eje
EXI5TING H0U5E , / / I ALL EXPOSED SURFACtS TO
10407bthAVE. W;4---- ---�
} I \ I E COVERED ��JP N 9-MAYS
\ \
I -11'-713116' \
r ----�\4
i \
6 I 17.0 9/16'
I
,I
5ET BACK LINE
EXI5TING MAIN FLOOR LA N-w/-Nf Y4 DECK ADDITION
SCALE 1/4" = 1'V" —
31.47 I
/ �Id8.
Applicant shall repair/replace all damage to
utllitles or frontage improvements in City
right-of-way pel Cty standards that -is caused
or occurs during the permitted project.
P/L
V51TE PLAN P"
5cale: 1" = 10
�l��'I AVE, AP�R�f�! z E2 ' �;EER86�i6 RECEIVED
�I
i NOV 102010
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
I
i
CITY OF EDMONDS
P6BLIC WORKS DEATMENT FOR INSPECTION C1� permit
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction 16 7, `"7
LU2.
3.
Pro
al„Description (include all easements)
Single Family'Residence X.
Commercial
Owner and/or Builder
Multi -Family
rqR--,0 .
No. of Units
Contractor & License No. .Sq Pg&__ � E-C- NE- , ,, 7- 00'i 'C E
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 FOLLOWTING 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.
c. Commercial establishment requires a minimum of a six inch (6")
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).
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
r
days notice required.
DATE:�'
/ I certiy' t at I have read
and shall comply with the above
PERMIT FEE:?o
CONNECTION F
0
W * PERMIT MUST BE
DISAPPROVED By: Date:
B i : Date:
APPROVED By Date :� __?_
ON JOB SITE *
Side Sewer Drawing UY UNE
The City of Edmonds EASEMENT NO. ...................................
NEW CONSTRUCTION REPAIRS E] LID NO. ..... ASMT. No. ..................
OWNER ........................................................... . .. ..... .. ....
. .. . . . .................. . CONTRACTOR * . ........ C—e ........... PERMIT No.
JOB ADDRESS ..A;..7.t/ ... . ... 76..W ................................. LEGAL DESCRIPTION: LOT ...................... BLOCK NO. .....................................
.2 'n va 5
E
W., L=
c'? ta .2,
3 �3
rc? I--
2--
L
ca
tn
c:
4010 Z cii
1
cu -2
ca �5
I
PWW-0001 -11 f75 (R EV. 11 f78)
....................................................................................................................................................................
NAME OF ADDITION ... 23.K!?
.... ........ ................................
rl
4 f l/c- '�y
--0
.3
0 014
01D 1,00 1 '"S
014
Approved:
•
............... . ........... 9�
.. . . ........
• CITY OF EDMONDS
PUBLIC WORKS DEATMENT FOR INSFECTION Ca Permit N?
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date 3
* PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction ►b '-to :76 La.�#r�e. W LfilAR 3 1982
2. Pro erty L gal Description (include all, easements)
3. Single Family Residence X Multi -Family No. of Units
Commercial
4. Owner and/or Builder��j�rq+�, C� •
5. Contractor & License No. sq*w-- E"C_41E -L_7 _ 2-01 CFE
6. Invasion into City Right -of -Way: No A Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E4 7. Cross other private property: Yes No__X Easement required -
Uattach legal description and county easement number. toll 48 HOURS
w READ THE FOLLOWING AND SIGN: BEFORE YOU DIG
a. Property owners must obtain a permit to install sid o�seweers6478 on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
w b. The side sewer contractor assumes full reponsibility for each
E+ installation for one year.
ac. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
u 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)
O and maximum grade of 100% (450). o
H f. No turn in side sewer greater than 45 (1/81bend) is°allowed
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 hoA o (2 rking
days notice required. /
DATE:
T7certiffivthat I ha"e read
and sh4X1 comply with the above
PERMIT FEE: DISAPPROVED By: Date:
cHi cw By: -Date:
O CONNECTION FEE: APPROVED By: Date:
O
* PERMIT MUST BE POSTED ON JOB SITE
&6(DAT c
1(WF740 ? 4'''''' W
84MOVAS. I VJA CISOZO
L..c I Z
Q Vo al 7.0;yd --�
PUBLIC WORKS DEPARRNT
ITTBUILDING PERMIT EW.
BUILDING ADDRESS -71 o +k� �ia �A)
BLDG ., DEPT . SUSPENSE DATE
I?IITI L
UTE: ® OFFICE ADMIN. — PUBLIC WO S LOG IN
0 CITY ENGINEER (check)
0 Access Slope and Vehicle Access
0 Drainage Plan
D Street File
® Legal Description
®Quit Claim
® Easement
13Calculate Sewer Connection
TER/SEWER DIVISION
®Determine Meter Size
13Complete Building Permit Review
---iingle Family
Multiple
Commercial
DATE
�- - �
REET DIVISION! o/'�
O Complete Building Permit Review
O OFFICE ADMIN. — LOG OUT TO BLDG, DEPT.
sismm�mm®momme®m®m®m® ®%ME%I W. Enme3:m70®o®®®e®e®®®■ma®®®m®��m®�®imam®mma
9SS0 m ®® ®®ice m ®m ®®m®m 95� ®®m M ■C 0Mm® ■® mmo m® m®m m ■®Ymma ®u ■® mmmo 8®
,
BUILDING�ERMIT APPLICATION (COMPLETE)
01 COPIES OF SITE PLAN
® 2 COPIES OF FIRE PROTECTION PLAN
PREVIOUSLY REVIEWED BY FIRE DEPT.)
33 COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFACE E]
LESS THAN 2,000 SQ. FT. [�
0 QHECK ZONING REOUIREME14TS (SETBACKS)
Ol . COPY. OF ENGINEERING CHECK LIST
!�+ 1 COPY OF PUBLIC ?JORKS MEMO
MULTIPLE OR COMMERCIAL
YES E] (ATTACH COPY OF ADB APPROVAL INCL. ALL DR*TING!S )
NG
0 SUBDIVISION = YES,3 NAME s
DATED RECORDED
NUMBER
NO ® (.ATTACH COPY OFREQUIREMENTS)�-
/,CHECK SEWER DRAWING AND ATTACH COPY
IS DEDICATION REQUIRED -- YESE (OBTAIN QUIT C/LAIPI)
( CITY CODE )
P1%ff6PERT'Y
DOES`CITY HAVE EASEMENT ON
i
YE'(ATTACHiCOPIES OF DRAWINGS)
% NO
CHECK ..LEGAL ACCESS INGRESS_ UTILIT,IES6
Y YES /
� ® ES.®
' NO/0 NO
HAS SEWER ASSESSMENT 'BEEN PAID
NO. .
:'PLAT N0: . , �,QD ' i -'7,
SUBDIVISION; NO,
:j' IF��MULTIPLE `.INCLUDE NUMBER OF UNITS
IF,COMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS
f
Y
CITY 1 Or O S � USE � fl�''> �. PER I
ZONE NUR
'
S •_
BUILDING PERMIT AI LICATION
,DB
ADDRESS / /^ ��/
NAME (OR NAME OF BUSINESS) (S/ �Y kJ
• '✓�1�-i�i�i
The Cc. -,Abart�ev- CD,-, t,, LEGAL DESCRIPTION SUBDIVISION SHORT SUB NO,
- Vjj
MAILING ADDRESS
Z
" 3
`^�
bYYra `�•��
' 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CIITY{ TELEP�jHONE NUMBER
4 -u i_o EXISTING
Z
NAME PROPOSED
"-' ��CJ�G�E.�� DEFICIENCY OF RIGHT OF WAY
La
Z
F-
rj ri(�SL`� T=
U
Fg W
ADDRESS CHECKED BY
(�
H
,T , /_ ,` A` (� •�
�� SEE ENGINEERING MEMO DATED
W
Y 1Ci V /V ` G.. L\
U
`f V
C
l
REMARKS
CITY TELEPHONE NUMBER
¢
SeTYMIG >
NAME
• E
0
ADDRESS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
F
m
' E
¢
CITY TELEPHONE NUMBER
REMARKS
I-
0
vW 2> 77 .O 2-0,5
3
!,
. V
V
STATE I ENSE NUMBER CITY LICENSE NUMBER
SIGN AREA ENV. REVIEW ADB NO.
¢•.
r CC-OC1�1 ` ` )'2 09 ,� C-
Legal Description of (Show Below or Attach Four Copies)
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE
jProperty
L
VARIANCE OR CU PLANNI £VIEW DATE
/�
P 00 V_At,,,,w•� �' �a5
,.
YARDS LOT COVERAGE
0
FRONT J SIDE --�' REARJ
Z
N
REMARKS
Z
D 0
J
It.
•J
_
W
s J
+ti
r.
Y
t
NEW RESIDENTIAL ❑ PLUMBING
CHECKED By TYPE OF CONSTRUCTION HEIGHT
?:
cj
❑ NON-RESIDENTIAL D MECHANICAL
❑ ADD
ICODE
❑ DEMOLISH SIGN
SPECIAL INSPECTOR OCCUPANCY OCCUPANT
4
ALTER
❑ ❑ ORCFILLTE ❑ (ENCE X—FT)
JAREA
REQUIRED GROUP LOAD
❑ YES ElNO
1
0
REMARKS
Z
REPAIR PRE-MVE INSP./ SWIM
COMPLOIANCE INS P, E] POOL
OJ
�• Z
NUMBER OF STORIES NUMBER OF
m
` 0
y� ,�• DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ul
e_-
0
# 0
r
PLAN CHECK FEE VALUATION FEE
BUILDING
f PLUMBING
I
' MECHANICAL
i; This Permit covers work to be done on private property ONLY.
t. Any construction on the public domain (curbs, sidewalks, driveways, FENCE
marquees, etc.) will require separate permission.
SIGN
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work IS Started Within 120 Days RETAINING WALL
"Applicant, on behalf of his or her spouse, heirs, assigns and SWIMMING POOL
W successors in interest, agrees to indemnify, defend and hold harmless
J
i the City of: Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature,
= arising directly or indirectly from the issuance of this permit. Issu-
a ance of this permit shall not be deemed to modify, waive or reduce TOTAL AMOUNT DUE
_
J : any requirement of any city ordinance nor limit in any' way the
s City's ability to enforce any ordinance provision."
ATTENTION
APPLICATION APPROVAL
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- THIS PERMIT
This application is not a permit
ized agent of the owner. I agree to comply with city and state laws regu- AUTHORIZES
until signed by the Building Official or
lating construction; and in doingthe work authorized thereby, no person ONLY THE
his Deputy; and fees are paid, and
willbe,employed in violation of the Labor Code of the State of Washington WORK NOTED
receipt is acknowledged in space pro=
relatiri' :Workmen's Compensation Insurance.
vtded.
SIG T OW INSPECTION AG T) DATE SIGNED
DEPARTMENT
2 j 7 CITY OF
DIRECTOR'S SIGNATU RE
EDMONDS
DATE
THIS TE IS LOCATED IN THE CITY 775-2525
OF MONDS' LOCAL SALES TAX
' SHOULD BE CODED 31.04.
ORIGINAL —File YELLOW — Inspector
ATTENTION '
;'(.;..: ;•'
IT, IS,UNLAVVFUL TO USE OR OCCUPY A BUILDING OR STRUCTUREUNT'f
ON HAS BEEN VAL 0 ff''
ADE AND 0304, L r/
PINK —Owner GOLD —Assessor' '
7
BEEN GRANTED. UBC 306. 1
REcD
,A CERTIFICATE,I•OFSOCCUIPANCY HAS
102-7 r.
r
DATE:.. r �-il /
MEMO TO: Building Division
Community Development DepartmenL
FROM: Engineering; Division
Public Works DeparwenL
SUBJECT �/�•�� %/��'�•zP h/
After review of the subject Building Permit application, we have
the following comments:
1.
Connection to
City water system required.
2.
-C*onnection to
City sanitary sewer system
required,
3.
Rinht-of-wav
Permit required for an.y work
on City property.
-. 4,
Driveway slope
not Lo exceed 14%.
5.
Backwater valve required if c_iok:nsLrtir.s plumbing is below
elevation of
uvstream manhole.
G.
Water and sewer lines to be=eparited by
1.0 foot minimum.
Sig, 671Lure
q.71
IVALA.
AUG REC'b:`
PUBLIC WORKS D£PARTmENT McnisT
(address)
0
Street Right -of -Way Existing��i¢�7-� "gin REQD —
Access Easements Existing; �ii/�'-'r<'"_ REQD
H
a
Utility Easement Existing REQD
w
Lot Per Subdivision Plat Assessor Map :�ec
w
Site Plan Checked for Accuracy G �'
z
i
Underground Wiring Reqd.
H
U
r
Check Accuracy of Legal,Description
z
Review by // Date—,.
Existing Water Main Size
r.
Water Main Required
Service Line Required
Hydrant Size Existing
c4
Hydrant Reqd Per Fire Code Size
w
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comments
3
Water Meter Charge Reqd.
Review by Date
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability G/s Proj.
Drawing No. File No.
Side Sewer Availability ,Il ydd
w
Sanitary Sewer Connection Fee Reqd.
3
Review by Date 'k
w
'
Open Ditch Existing ,wZ Regd.
Culvert Reqd. Z;,�-_ Size
x
Catch Basin Regd.,`/ Indicate on Site Plan
Shoulder drainage maintain collection on swale open runoff
H
`n
Manhole reqd. Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by Date
Revised: lv10-1977.