18110 85TH PL W.PDFIIIIIIIIIIII
8044
18110 85TH PL W
ADDRESS: IZ116
TAX ACCOUNT/PARCEL NUMBER: 0o & 3a 1 000 bo(4 oo
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: Conditional Waiver El Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):- (AW
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED: 19:3
SEWER LID FEE $: LID #: 151
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: —
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DST's\Fomis\Street File Checklist.doc
APPLICATION
for
The City of Edmo%%REET FILE SIDDE SEWER PERNUT
NEW CONSTRUCTION [:] REPAIRS
30q -
OWNER..... ..............................................................
gkDR"EWS addA
A... 1.77.)Z ...... ..........................................
15/EWT,A"5
PA-�t� ad � / g I I & - 0) &,,-,
0
0
I* -
... . .... .. ......
EASEMENT No. ........
CONTRACTOR -6f-'F'A ..... �,,Z- PERMIT No. -
LEGAL DESCRIPTION: LOT No . .............. ............................ BLOCK No . ............................................
NAME OF ADDITION ..... ....................................................................................
APPROVED
DEC 3 1968
Approved:
p t 7-
ly
DATE/42.77 ............. By....
NOTICE:
wa
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,.e City of *Edmonds does not * wa rra nt t,
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
-t-He -map(s), Including, but not J"mited to,
th'e lociation of any sew-e r stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the �ity of Edm b-nds nor its
ernpl-o-yee-s o-r office-rs -shall be 11a.b.-IFe for the
n on this ma p(s), nor for
information give'
any one representation provided b.ased
upon . said map(s).
CITY OF EDMONDS Cali pRospect 6-1107 when work
CIVIC CENTER— WATER -SEWER DEPARTMENT is ready for Inspection- (No in"Pec*
tions Saturday, Sunday or holidays.) N2 3192
SIDE SEWER PERMIT
ADDRESS ........
......... CONTRACTOR ..... .......
OWNER------------ j%Qad* --------------------------------------------
Permission is granted .......... December ------ 3 ...... 19-6.8- for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance %vith application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
btain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
N('-'v No. 1—The owners of the Property may 0 ortion of sewer before it has been inspected.
be employed to construct side sewer in street area. Do nolt cover any P t permit.
Nu No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you ge mum gra e of 2%.
rage at property line and 12 inches Inside property line; mini d
NOTE No. 3—ToP of side sewer must have at least 30 inches cove
No bends in grade sharper than % will be permitted. ndition. Contractors shall be responsible for
t--Trenches in street must be water settled and surface of street restored to Original cO
NOTE No. , failure due to improper work which may develop within one year of completion. ts r
NOTE No. 5--it is unlawful to a3ter or do any other work than Is provided for in the permit, or to do any work on the main sewer or I &PPu
tenances except to insert the pipe Into the wye.
-POSTED ON KROLL W�NO-: ZlRMIT
680408
NUMBER
BU0,I)ING DEPARTMEN Flu
Inside Ileavy Lines FOB �,,DRF82
PERMIT APPLICATION -A A
RF-AR YAR SETHJXX
(OR NAME OF BUSINESS)
SWE YARD SETSAC�-� SMV GETBAG
- y I F, 4-0,
MAIUN. "D-88
A.NT SITE
z UE; zo LOT A.Rlial, r4
2 74- 12 ly z
NUMI10C [3 NO
TaPHONE I
S
CITY ��ARV�lj AIRIAg-Cr —NU�JBER J6
GIJT BUILDING
-1,19 7
m
ZIAME
PLOT PLAN �PPROVED
F.T R/W
Drylc=cy Tais PRoPrnTy
-G STREE7r R/W V ..FT.
Z ---I —TELEPIICNE NUMBER ENISTIN
Ty
COMP. PLAN ST. n/w -:W-rr.
REMARKS
I NAME
Dri
indicated on Standard Drawing #103.
z
ADDRES
-(NECKED BY
CITY TELEI*IIONE NUMBER
ILETFR SIZE CLEARANCE cazqt� BY
LICENSE NU.I.BER CITY LICENSE NUMBER
Z -
REUARKS
Legal D—ription, of Property (Show Below r: ALt&Ch Fo- Cop e-)
TYPE CONNECTION VERMEV III
4�1
PERT NUJ�BXR
'14
F-RE ZO IFE OF C- UCTIOU STREET JMI�ROVED
TM 0 NO
SP INSPECTOR RBqVV.UW P11C,
E] GAS YES 0
Ea—DENTIAL LINE PLAN CRECK-ED By
[KN--
No, TIA,
F� ADD RETAM-1 0
DEMOLISH WALL 47
FE.'TCE
ALTER EX AVAT
ORCFILL E "--,t ......... Pt.)
%
-'0
—PA][. E] Poc:..
INSP. El
-91U—MBER Of —.qT0j—ftUIFql Nj1VBrR Oil
WELWN
UNITS
WORK TO BE DONE
/7zi�-- a
valuation PC. Receipt NO.
Z.
Plan Ch-14 ..........
PROPOSED USE
BUILDING
�30 (L
PLWOT P N (Imlicate Building setbacks. abutting streets) PLUMBING
00
1111,aT GAS LIN
MNCE
SIGN
N
RETAMIING WALL Al
SVVIMIaNG POOL
DEMOLITION 7
7, 'R, MOVE INSPECTION
EXCAVATION OR FILL
7
TOTAL AMOIDN'T DUZ
I hereby Itck—ledge that I bAre read this application: that 1,11.
fortanCon giv" is I correct: tutd-th.t. I am the owner, or the duly W W-
Mgti-
,Zed agent of fbe owner. I ag— to comply with City and State law 11-TTEINMON APPLICATION APPROVAL
lating coast n: add In doing the work authorized thereby, no person
will be empl.Zdton 1.1-tim Of tne Labor Code Of the State Of Wachlngt- TYUS PERMIT This apolication is not a prrrolt Un
nl&tL.g to Workman's COMPentathm Inst-I'ance- AUTHORIZES igned by the Building Official oi Vs Dep-
ON'Ly THE
uty;
NOTE: Permit Limit One Year (E.Cept DEMOLITIONS whMh W020C NOTED and fees are paid, and recelp.. is aC-
Ah&Il bC completed in ninety days: MOVED -IN BUILDINGS Sh011 be knowledged in space provided.
pleted la
INSPEC,710?q DIRECTOR'S �i
AT.. I.WNZ�OR ArF.
SICN DEPARTMENT
CITY OF' DATE
NOTE: Appl;cant Subject to Plan Cbeck Fee PR 0-1107
big permIt coverg work to be do" M Private rMpet"Ity ONLY.
Any cortstroctloo an the public d..Un (Curb., sidewalk . drivewaYs. FTLJC
will sc
CO-Q.— etc.) ft4ul" epe_te permls�!;n.
N
3A
61TY COPY
RECEIVED
APR 2 3 1-333
PERMIT COUNTER
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vo
to
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�4-o,j s
CD
IT 184
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I&* %J-T I OJ 46
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lF PTLMc> ke- tA V-A -Z� e k-� I Al�
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CRY of Edmonds
Critical Areas C''hec'klist
-MeQitiMlJ4z=Cliccdist -ntainedon
dlis f0m is to be filled out co
PmParing a Devclo by =Y pcmn
.pmcnt permit
Application for the 4MtY OfEdr[10nds prior
to his&cr StlblKli�l of a development permit
to the City
The puqx= of the Checklist is to enable
City staff to dctcnxiineivhethCr any potential
Critical Areas am or may be prescrit on the
Suldect PrOPertY. The information xiceded to
con*lctc the ChOddist should be easily
avw%ble EMM Observationsof the site or
data available at city Hall (Critical Areas
inventories. Maps, or soil surveys)_
01? eo
9 9
3
COUIP&q
Alm aPplicant, or his/her rcprcs,,.
..t.fi,e
, must
fill Out the cherldist. sign and date it, and
submit it to the City. -Me City Will review
the ch0cidist, To a precursory site visit
v
and malm a detcraiinajtion of the Sb.,Veut
stcPs n==trY to complete a development
Permit aPplication.
With a signed copy of this form. the
VP"Cant Should 31SO submit a vicinity map
of the. parcel Vith Mough detail that City
-staff can fmd and ideritify the, sulqcct
parccl(s)- In addition, the applicant is
encouraged to include any other pertinent
information or swdics in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Chccidist and attest that the answers p
fichiA. to the best of my knowledge (fill out the appropriate column below). rovidcdare
Owner / Applicant:
MamF��//�
Title
Sftct Address
City, State, zip
Phone
)Ignature
Date
Applicant Representative:
CID ez-vVes-W-i'll
Title
Street Address
City. State, ZIP Phone
,7ign
Date'
0 OCEIVED
STREET APR 2 8 1993
Critical Areas ist*
PERMIT COUNTER
Site Information
ProjectName: -1&22-5�11�191111 Permit Number.
SiteLocation: Ze-,) - Property Tax Account Number:
Approximate Site Size (acres or square feet):
Have you filled out a Critical Areas Chocidist for a project on this site before?
General Site Conditions
1. Has the site been cleared or logged? NO Date of most recent action:
Soils I Topography
2- In the Snohomish County Soil Survey, what is the mapped soil typc(s)? 6 "-a, 6"
3. Describe the general site topography. Chc& all that apply.
Flat: less than 5 feet elevation change over entire site -
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance -of 66 feet.)
)ffilly.- slopes present on site of more than 15% and less than 30'Yo ( a vertical rise
of 10 'feet of horizontal distanm)
Stecp: grades of greater than 30% present on site-
C�mrncnts
Rev N271.92.
0. STREET FILO
USE PERMIT C:) I'll)
CITY OF EDMOND77 'O"AW2, NUMBER '030311
--CONSTRUCTION PERMIT APPLICATION JOB ,
OWNER NAME/NAME OF BUSINESS ADDRESS SUITE/APT #
.Z1
.a _ 8.�- '-
cc K#6&zZy LEGAL DESCRIPTION C IVISION NO. LID NO,
Lu MAILING ADDRESS r
Z
0
17 PUBLIC RIGHT OF WAY PER. QFFIQ14 �TFIE T§§PP Approved 0
CITY ZIP TELEPHONE NUMBER ..9T MAR PVV
permit Required 0
EXISTING — RWU1R9P P9M9�kT10 Street Use Permit Req'd 13
792 VC7 PROPOSED �nspeclion Required 0
NAME Sidewalk Required 11
XF REMARKS
191?fiNj97 C/,, P") -5
ADDRESS
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a:
CITY ZIP TELEP NE NUMBER
F
/),�Yll k,11 Q,;�, 4-P 1 144/
CI-WrIY) 90,
N;A��M
ENGINEERING MEMO DATED REVIEW BY
cc ADDPRES$
0 11141
t'�> ::g�� & METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES
0 /yA.
j? CT ZIP cc
�ITE EPHONE NUMBER uj
0 9 "M52) REMARKS
STATE LICENSE NUMBER EXPIRATION 6ATE
SIGN AREA SEPA REVIEW ADB NO,
Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT
Z SHORELINE I
INZ sxoft4w 46WE 6400/4- o0o 0 - EXP
VARIANCE OR CU 1,"o REVIEW BY #TE
SETBACKS F
T 6OVERAGE Z
Fii�� HEIGHT 11.0 E
Z
u. Property FRONT ;��SIDE/0 REA
Tax Account __000 5
Parcel No. REMARKS —
NEW RESIDENTIAL El PLUMBING
DDITION COMMERCIAL MECHANICAL
gREMODEL El APT. BLDG. El SIGN
GRADING . FENCE CHECKED BY TYPE OF CQWTRUCTION CODE HEIGHT
REPAIR CYDS. I— X _ FT)
DEMOLISH WOODSTOVE SWIMPOOL SPECIAL INSPECTOR JAREA I OCCUPANCY OCCUPANT
INSERT HOT TUB/SPA REQUIRED - 0 YES GROUP ;83 LOAD
GARAGE RETAINING WALL/ RENEWAL EMARKS
C ROCKERY
Z
0 INESS OR ACTIVIT PROGRESS INSPECTIONS PER UBC 305 Z
(TYW OF USE. BUS Y) XPLAIN:
NUMBER OF STORIES NUMBER OF 1971
W
DWELLING
I UNITS A
12 K TO BE DONE (ATTACH PLOT PLAN)
4 00 0 ?5;P;W1,4 I FINAL INSPECTION REQUIRED
VALUATION FEE
Athqhv I
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
406;eec
GLAZING
W
PLUMBING
Plan Check N
DL fV
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewolks
STATE SURCHARGE
driveways, marquees, etc.) will require separate permissio�.
Permit Application: 180 Days
Permit LImIt:1 Year - Prov . Ided . Work Is Started Within* 180 Days'
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, as's-Igns and
ENG. INSPECTION FEE
w
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
cr
2r
0
z
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this pe mit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that I 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-
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance. INSPECTION
SIGNATURf"(0ti"15 OR AGENT) DATE Sl NED DEPARTMENT
CITY OF
EDMONDS
SUN III CALL FOR
ATTENTION INSPECTION
It IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFOCIAL'21 SIGNATURE DATE
_J�; /11011711
ARE��A DATE
r
7K4 I _
ORIGINAL File YELLOW — Inspector
PINK — Owner GOLD — Assessor
A CERTIFICATE OF OCCUPANCY- HAS BEEN GRANTED. UBC
CHAPTER 3.