18306 85TH PL W.PDF111111111111
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18306 85TH PL W
ADDRESS: 12� 32 � c, s A)
TAX ACCOUNT/PARCEL NUMBER: '-7:Z 2 (2:)ars nc)o
BUILDING PERMIT (NEW STRUCTURE): DO— m I R-
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):- am I - 05<132,
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE LID #: 17)1
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: �1�31 lb
SIDE SEWER PERMIT(S) #: c;
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: c�
OTHER:
LATEMP\DSTs\Fomis\Street File Checklist.doc
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CITY OF EDPAONDR, ZONE NUMBER
CONSTRUCTION PERMIT
A ATION
ADOPM
18306 85th Place West; Edmorlids
BJORN THUESEN, INC.
-- --00-135
322 MAIN 5TREET /57
tLIP-ONE NUA08�R PUBLIC RIGHT OF WAY PER OFFIC-14L STXjEj MAP TESCIP
APPRovio
EDHOL�I`DS 775-1953 RIOUIPIODIIACATIGN_.6.
IT PROP`O5(o_
TL —BURMHARD
STON DESIGN N.W.
RIGHT OF WAY CONSTRUCTION pl:pwiy pgotalo
STREET USE.-EF-VIT Riot -Ingo
x
13252 N.E. 47th St.
SEE ENOiNEEPING MEMO DATED
T-IL, ,
BELLEVUE IjrA. 1867-0230
BJORN SEN, INC.
AVORM -
322 MAIN TREET
METER BUILOI
TELIPHOAE NUMBER PPPLY SIZE rIXTURE
EDMONDS
775--1953 REMAOM-y'
STATE LICL.NU WJWBEP
BJORNI*225BZ
SIGN AREA ENV. REVIEW
Descnption t P too no,
.Me2"Inc;ude all easements ALLOWEO [ PPOPOSE0 COMPLETE EXEMPT
=I betow or att I I
'Lot #12: Panorama Point VARIANCE 611 -cu PLANNING REVIEW By
SETBACKS — FEET
1 .1 .490"T LM
T SIDE RE.. 7-le
y
Acr- Zk 7762-000-012-0009
New RESMENTIAL PLUMBING
ADDALTER CO-MfarJAL MECHANICAL
REPAIR APT. BLOO
CZWOLZM LXCAVAIE ENC4 c"ficAEO BY
rILL TYPE OF CCONSTR COOE HEIGHT
El OR 11—.—Fn
REMODEL CARPORT SWIMI
GARAGE SPECIAL INSPECTOR
-- RIECUIREO OCCUPANCY
EWOOO STOVE I RETAINING WALLI I] YES GROUP LOAD
INSERT ROCKERY RENEWAL KLMARKS 1: No
PROGRESS INSPECTIONS PER UBC 305
NuWatp. of 3147613ES
NU R OF
C 2 DWELLING epw
UNITS
HA-JA
F Opt VKWK TO BE DOME tATTACH, PLOT PLAN)
S INGLE FAMILY RESIDENCE
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
140 MECHANICAL
-r-" Covers work e ocive on Private Property ONLY. GRAOINQ;FILL
-"-tion on the public domain (curtts. SIdewPIk3.
_�evd r�,v
aty,
_e';,T;P � Lque.s. etc.) will require separate permission. STATE SURCHARGE
tic
on: 180 Days
ENEROYCODE
Permit Limit: I Year. Provided Work ISSt8rtedWIthIn 180CayS
"A icant. 0 beriatt o his or her spouse. heirs. assigns an
r successors in interest. agrees to indemnity, defend and hot!
harmless the City of Edmonds. Washington. its omci.-:s,
3 employees. and agents from any and &it claims for Ga�!-.dgs of
4 whatever nature. arising directly at �ndfretliy
parmit th;!
.Mit Shall r-.Ot be deemed to PLAN C"ECK D(F-CSIT
mOf-"IY. waive or reduce any Ief;uirerner,.: Of any city oroinance
nor k,mif In
any way the City's abillity to an Orce any ordinance
F TOTAL AMOUNT DUE
I haroby acknowledge no! I no" read n
In.' Pplication; mat the
"'mallOn given Is cOtNict; and that I am the. Owner, Or the duty ATTENTION APPLICATION APPROVAL
aultiOnt-O agent of The owner. I *area .a co-
3 nply with city a d
into laws regulst:no construction: and In dOIMQ the wotiq allthorM
eal thereby, It. AUt.OQi:tS` This lip4jkCilillon is no, It po?" unto
o of th
mc person will " CM1310yed In vlofst[On or file Labor ONLY I-[ Signed by In*. Bullcmi; O"Iclfil 4)? Mill
Statoo
I Washington relating to Wootmen's Compesa. W%OAR NOTID
tione . Ce. I Deouty. and less ary Paid, and to"lp, ks
INSPECTION ackitowledgeo in space 0mvided.
0�111— S 3�;W1
President 1/22/90 CITY OF DATE
EDMONDS
TEN 1 771-3 PILIA a
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCT
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL. UAE
A CEATtFICATE OF OR
CHAPTER 3. OCCUPANCY HAS BEEN GRANTED. UBC 123 ORIGINAL File YELLOW
PINK — ovyner GOLn — Assessor
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TO: Permi.t Coordinator, Building Divisidrr
FROM: Dan Smith, Engineering Inspector
ADDRESS—/A�Ob : � (
OWNER
PLAN—C—HECK #
After review of t he subject building permi-t application, we have the
following comments:
I - Constructi . on 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
permi t. 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 dfyi�sion granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
s I dewa I k. If intersection is involved, installation of wheelchair
access may be required.
'ILOER/TXTFORMS
A STRFFT F:u r-
CITY OF EDMONDS
-SE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
joa
ADDRESS 18306 - 85th Place West; Edmonds
O.WNER NAiME/NAME OF BUSINESS
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BJORN THUESEN, INC.
LEGAL DESCRIPTIO CHECK
SUBDIVISION NO.
4yC1rA-t"a,,
LID NO.
MAILING ADDRESS
322 MAIN STREET
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED j�a
TESCP
APPROVED BY
CITY
EDMONDS
TELEPHONE NUMBER
775-1953
NAME PAUL BURCKHARD
CUSTOM DESIGN N.W.
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
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<1CITY
STREET USE P ERMIT REQUIRED.
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ADDRESS
13252 N.E. 47th St.
SEE ENGINEERING MEMO DATED flq,�w BY
TELEPHONE NUMBER
REIF
nj
AL
BELLEVUE, WA.
1867-0230
NAME
BJORN THUESEN, INC.
U
ADDRESS
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METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
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0
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322 MAIN STREET
CITY
EDMONDS
TELEPHONE NUMBER
775-1953
REMARKS
STATE LICENSE NUMBER
BJORNI*225BZ
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
Legal Description of Property - include all easements
(show below or attach two copies)
SHORELINE #
z
a:
Uj
<
Lot #12; Panorama Point
VARIANCE OR CU
PLANNING REVIEW BY
V
SETBACKS — FEET
FRONT 7'. SIDE REAR
HEIGHT
LOT COVERAGE
5
Tpf y arr -T :Xt 7762-000:-012-0009
REMARKS
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR APT. BLDG. SIGN
CHECKED BY
ITYPE OF CONSTRUCTION
JZ7 A/
CODE HEIGHT
P
EXCAVATE FENCE
E] DEMOLISH OR FILL x —FT)
CARPORT
REMODEL GARAGE ED swooL
SPECIAL INSPECTOR AREA
REQUIRED
OCCUPANCY OCCUPANT
GROUP LOAD
WOOD STOVE/ RETAINING WALL/
INSERT I I ROCKERY RENEWAL
0
cr
0
r.) YES 1-: NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
YOS
4t.
RM,"k.- Joist14 10R4 I" 1414RW Y 60AW
co
NUMBER OF STORIES
NUMBER OF
W
0
ca
2
DWELLING
1 UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
u4we- y
SINGLE FAMILY RESIDENCE
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on' private property ONL
GRADING/FILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will requlr� separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided WorR is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
SuCCeSSOrShin interest, agrees to indemnify, defend and hold
harmless t e City of Edmonds, Washington, its officials,
emolo%!ees. :md aoents f Tom any and ali claims for damages of
T
STREET FILE
CITY OF EDMONDS
Address of Construction:
Property Legal Description (Include all easements):
;7 7"l
SIDE SEWER PER MIT
)4 PERMIT 1\10 8218
5"NO
i�m
F'
A
Owner and/or Contractor:gir!�r",�-v 70%,, -scv"V
State License No. '3'T&'A).T* 225 TJZ ' —Building Permit No. 90 o
Single Family Invasion into City Rlght-of-Way-�$(No 0 Yes
Multi -Family (No. of Units—) RW Construction Permit No.
El Commercial Cross other Private Property'*_4 No El Yes
El Public Attach legal description and copy of recorded easement
I c
as
y that I have read and shall comply with all city requirements
cated on the back of the Permit Card.
77-Z3766
Date
�Pooz / -2—
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE'�USEI NLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: '30' &J, Issued By 2te_ 641�
2 - ,,Fo
Trunk Charge: Date Issued: 7 -;?,
Assessment Fee: Receipt No.: Zo? Z&
Lid No.:
Partial Inspection:, Date -Initial
Comments
Reason Rejected: Date —initial
Fin . al Inspection Approved: DateZ-W-3-�_*D Initial
FLKMI I MUb I Lit 1JUb I LU UN JUD bill I t
White Copy: File Green Copy: Inspector Buff Copy: Applicant t", A/ 0 P KS
Re,ised 3190
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------------ -------
A
NEW CONSTRUCTION V
OWNER----------------------------- ------------------------------------------------------------------
JOB ADDRESS IX3-0.-� ---- --- a- S� - Vk ---- —)�( — --------- W ------------
------ -- ---------- -------
0
vj
REPAIRS Ej LID NO . .................. . ASMT. NO - ------------------
CONTRACTOR-------------------------------------- ------------------------------------------- .. PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ---------- �- --I,-
--------- ........... ---- BLOCK NO - ------------------------------------
-------------------------------------------------------------------------------------------------------------------------- ---------- EDM.G�Ds ----------
XT A U C%V A 1-%I-%TrTf'% I FiRiEi�AE�TM ENIT PLANT]
---------------------------------------------------------- ------------------ -
Approved:
W' F. i/.c- el o
,c4f -ro
e,(0
O@D
PWW-0001 -11/75 (REV.1 1178)
- -2-3-
DATEI ................
Byc- ZI-1 - -----------------------------
0
NOTICE:
u
n racy....
'0..Wa rr a n
-N'
The information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
The City of Edmonds does not. warrantthe
accuracy of anything set for.th on these
Map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown- on
-map(s), lncluding� but not limited to,
t b shown. Such
the lociation of any sewer stu
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of Edm0'ndS nor its
emp-1-o-yee-s o-r office-rs -sh-a-11-1 be 11a-b-'Fe for the
information given on this map(s), nor for
tation provided based
any one represen
upon said map(s).