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18125 76TH AVE W
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PEHMIT
NUMBER
CONSTR"IIVWP,EFtMIT"WPPLICATION
OW14ER NAME/NAME OF BUSINESS
7- H,:�M iff-_3
MAILING ADDRESS
ell
I / -7
CITY !:: T:E;PHONE NUMBER
Edmefld_5 76, -�P
NAME
In 0
404-") JOA/ye
ADDRESS
15� �, 0 4 H 14
CITY
Se,o 771 e a
.ITEL5PHONE NUMBER
NAME
ADDRESS
CITY I TELEPHONE NUMBER
STATE LICENSE NUMBER
'? // �, /_ �z
Legal Description of Properf-y - includii all easemenTs'
(show below or attach two copies)
7-Ij- , 5� "o S - / / -
-fwx WT41
K71
LCsl NEW RESIDENTIAL
E] PLUMBING
ADD/ALTER COMMERCIAL
MECHANICAL
REPAIR APT. BLDG.
SIGN
EXCAVATE
DEMOLISH OR FILL
E] CARPORT
REMODEL GARAGE
FENCE
x FT)
swim
POOL
WOODSTOVE/ RETAININGWALL/
INSERT ROCKERY
RENEWAL
/Ye- [1/ &6 d e /ya -e-�A7,3_
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ff e- tv ho o_g, 7e—,
Se,
,��)OSJW
JOB
ADDRESS
C�� — 7 /1, ;rh 14
[1,/
.EGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID/fiO
/V tl�
.5 _// _i#
PUBLIC RIGHT OF WAY PER OFFICIAL STREiAT MAP.
TESCP
APPROVED BY
EXISTING QUIRED DEDICATION
PRO
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED t.100-
STREET USE PERMIT REQUIRED.
SEE ENGINEERING MEMO DATE 0/
REVIEW B7
METED SLZE j/ BUILDING UPPLY SIZE RE UNITS
REMFAS Vg� 7/1
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED I PROPOSED COMPLETE I EXEMPT
IVARIANCE OR CU I PLANNING REVIEW BY
SETBACKS — FEET HEIGI OT COVERAGEI;>
FRONT_1`� SIDE A") REAR—'R-'N1 f?
CHECKED BY
HEIGHT
2-S-1
Aj
W
Z
W
cc
LU
0
Z
Z
Z
CL
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
R EQUIRED GROUP LOAD
YES I.": NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305 Z
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewelks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
E whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor I.imit in any way the City's ability to enforce any ordinance
provision."
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-
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
t on Insuranc
NSPECTION
DEPARTMENT
SIGNAT E (OWNER OR AGENT) DATE SIGNED
CITY OF
EDMONDS
F
41
E5 VALUATION
13 41,1561
Zj/ / S-
7-1
'9' A (,,
5V
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.
FlglAI;S SIGNATUV DATE
ATT NTION 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
\�-HAPTER 3.
1 .1
ELEASED BY:
DA T;
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD —
5-&-T,
&Afie-H 0,4-sl I ff loel
7Z'el
7 �7 �//
7_
A) 7-
-7-
A E c; P., i V F. D
OCT 2 0 1989 -
PEW, I COX=
September 26, 1989
10
TO: Permit Coordinator, Building Divisi6n-.
%, FROM: Dan Smith, Engineering Inspector
ADDRESS ZL�/' ke 1�0
OWNER &LL d—olve5 PLAN CHECK #
After review of the subject building permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS ........... 7:00 a.m. to 10:00 p.m.
WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m.
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required. Fees paid.
4. Connection to City sanitary sewer system required; obtain separate
permit. Fees paid.
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 is 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.
13. Repair or replace all defective existing curb, gutter, and
sidewalk. If intersection is involved, installation of wheelchair
access may be required.
BLGPER/TXTFORMS
a 0 7;�� I/
CITY OF EDIVIONDStyr
CONSTRUCTION PERMIT AP10118mi
usg_ PERMIT
ZF1 NUMBER
J 0 B ,
ADDRESS
.Z!57 — '71,77) A-e. lj�- L-_16n,,m,�A
z
OWNER NAME/NAME OF BUSINESS
H042 e---S
LEGAL DESCRIPTION CHECK
AV f 7-
SUBDIVISION NO.
LIDA,40,
z
z
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL S1 MAP
EXISTING R�QUIRED DEDICATION-____
PR
TESCP
APPROVED BY
CITY
TELEPHONE NUMBER
9 7
L(L)j
NAME
C[
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED.
ADDRESS
/y,
REVIEW BY
SEE ENGINEERING MEMO DATED
CITY
Se,o 7-7-7- e
TELEPHONE NUMBER
REMAYRKS
A
X
0
cr
z
0
NAME
e-
V
ADDRESS
METER SLZE /;/78UILDING�UPPLY
SIZE
FIXTURE UNITS
I Z�z
CITY
TELEPHONE NUMBER
REMFAS
STATE LICENSE NUMBER
06-1-7— TE t?:
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADS NO.
0
K
z
z
0.
z
(L
<
0
W
i
Legal Description of Properf-y includ6 all easements
(show below or attach two copies)
SHORELINE It
VARIANCE OR CU
PLANNING REVIEW BY
DATE
reacl 1) 1 Q 4 4 CIS
SETBACKS — FEET
F ONL.Z�_ SIDE In REARg2
HEIGHT
LOT COVERAGE
REMARKS
W
a
co
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR APT. BLDG. SIGN
EXCAVATE FENCE
DEMOLISH OR FILL — x _FT)
CARPORT swim
REMODEL 1:1 GARAGE E] POOL
CHECKED BY
JAL/7XL
TY E OF CONSTRUCTI
ptt!2--
CODE
P?FF1,
HEIGHT,
2-S /
z
SPECIAL INSPECTOR
REQUIRED
n YES L-NO 1
AREA
OCCUPANCY
GROUP 9-- -
1
OCCUPANT
LOAD
WOOD STOVE/ [:] RETAINING WALL/
INSERT ROCKERY RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
IYe i V �Oes tdelral
71-laWL WK 141� 64wx y m04E
NUMBER OF STORIES
I
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
tYc--' tv ho e,_5 e-- Ze-, As,, Z Z__
0/ at-alwe Y_23�wm,;0141 k6>b
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
GRADING/FILL
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Worl� is Started Within 180 Days
ENERGY CODE
on behalf of his or her spouse, heirs, assigns and
suczesso�s ip i4v�qrest, agrees to indemnity, defend and hold
ProjEcr REVIEW"' dM�kUST
ADDRES
�i� xi,
.-o ;l-N ;k4?v
bY: (initia 1 date)
PLANNING
wrR/swR
STREET
ENGNMG
rcl e)
,.Fl
BUILDING
T7//777
7FI11TRII
S P.Larin3.ng
L
vARIANcE/sErma ADJ,.,Y-�*�.'
77TI777T
T1 777-7 7777
7
-;j
CONDITIMAL USE
77.
2
;ADB REMENTS CHECKED
77777
IF111111
OFIMM ZONING REQUIREMENTS.-..
17777
.7777=
4
ENVIRONMENTAL MnMs
777777
T/7777777
-
. I 1-�
..........
//////
... :1. '' ..
/////////
5
ACCESS SLOPE,
R�CEJVEQ
DRAINAGE, PLAN (On'Sit6y
E-f 8 1989
SIREET FILE
/w/w/
LEGAL DESCRIpTjCN 70"
VFJIIFICATr2y`�-�--�;
7T=
. . . . . .
ALIC WO'
RKS
9
QXJIT CTAIM/DEDICATIONS
EASaAENT - IIUBLTC/PRTVA k po
10
CALCULATE� SEWER LIONN]EMION IF, LID
-7 �-
PLAT/SURD
111177
12
13
RIGHT-OF-WAY CONSTRUCTION PERMIT."
BOND REL
)D FOR PUBLIC IMPROVEMM
14
SOI CONDITIMIS & GROUND
15
WATER FIELD C3fECKED
777T/7777
777T77
16
STREET PAVING RMOUIRED
TITITIT17
17
CURB AND I REX)UIRED
MIT=
-ITIMT17"
18
SIDEWALK' REQUIRE6�,"-,',�
19
XRB CUT FOR DRIVEWAY Rl=�:
20
3TRJMT NAME SIGN REQD
1111177
21
X"M*SIGNING RECO
7TT77TI7
31DE SEWER AVAIWIL*ITY
22
23
2(IsTING wrm mArii siZE�'.;,:.',."
rl
7TIT7TR7
24
iATER MF.TER'SIZE"%'l;
77T/7777
7TIT777777
25
ICE
3ERV LTNE'SIZE
MW
777TIT17
7T
FITT11
-77'
26
fYDRANT REQUIRED',
11111111'777777TI77
27
rYDRANT SIZE EXISTING
-7,
777/7777
////////
7777777777
28
TIOSS CONNEC . TION-INSPECTION REQD'
TT17=
TRT77 TRT17777
-
29
ATER MIER'CIMM REC
)D
7TR7/F/7
7
T71-1 TFI 7
30
FIRE LINE CHARGE REM -
MMM
31
32
DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: 11� /X e2,41, e /xJ
OWNER: /7m ee,
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permitis 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. plumbi-ng is 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, c ' atch basin.installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.'
13
0-
/,:Y� I.Y 41
CITY OF EDMONDS 10,31 FILE ASSET INFORMATION SHEET
0XN`EW ASSET NO. 4�4�15:�w
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION I
SERIAL NO.
LOCATION DEPT.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECT NUMBER UL� s 0 �i s-
PROJECT COMPLETION DATE
COST - ()
B.A.R.S. ACCOUNT NO. Q
ESTIMATED LIFE yl-5
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
M/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
ktnp INITIAL
DATE
'�:-76R-TrIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
.1 - -
CITY of EDMONDS
For Inspection C SIMET F
Address of Construction:
S I D E S E WE R P EJR 11411
PERMIT NO. 08163
I
Property Legal Description (Include all easements): - - S P -5- — // - x,�I_
Owner and/or Builder:
Contractor & License No:
Singl:e Family Residence
Multi -Family
(No. of Units
LY . NNv%VuU1J LIIIE�'?07 77
Commercial (No. of fixture Units
2 f-Way
invasion into Cit Right -of -Way: No Yes es,, Right-0
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.)
f,'ECEIVED
PLEASE READ THE ITEMS LISTED ON THE BACK APR 13 '199U
P L! ILIC WORKS
El
I ceirtify that I have read and shall comply Ddte
with the items listed on the back. k J2 /9,Z-D
Permit Fee: Issued By:
Trunk Charge: 2-S Date Issued:
Assessment Fee: - 1-*)WWJ01MV1 Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
finitial
co Rejected:
"00
Reason Date Initial
(n-4 PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy File'.' Buff Copy- Applicant
Green Copy -'Inspe ctor
The City of Edmonds Side Sewer Drawing EASEMENT NO - ---------------------------- ---------------
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO - ----------
OWNER ------------------------------------------ ----------------------------------------------------- r-- L- 7k -------- 40 tA c c, 0
CONTRACTOR -------------------- . ....... ------------------------------------------ PERMIT NO.
JOB ADDRESS E ----------- V .... 4 - -------- LEGAL DESCRIPTION: LOT NO . ....... ---------------------- BLOCK NO - ------------------------------------
W �0 '
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