18320 85TH PL W.PDF111111111111
8055
18320 85TH PL W
CITY of EDMONDS
For Inspection Call 771-3
Address of Construction:
FILE
0
SIDE SEWER PUM,,-I.T
PERMIT NO. 08144
Z�q-x �L we
Property Legal Description (Include all easements): Z.04— Z!�
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Owner and/or Builder:
Contractor & License No: -Z '2_
Single Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right-�f-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
RECEIVED
MAR 0 6 1990 `7 — 967
certify thAt I have re —ad ang —shall comply PUBLIC Date
ith the items listed on the back. WORKS
Permit Fee: hIssued BY:
Trunk Charge: �Date Issued: 3- 7- 90
Assessment Fee: LleQ Receipt No.
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date C-1
00
I-- Rejected:
C) Reason —Ta—te 7—nitial
Ln
PERMIT MUST BE POSTED ON JOB SITE
Wh-ite Copy - File Green Copy -Inspector Buff Copy Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Ej�' REPAIRS F-1 LID NO - ------------------ IASMT. NO. - --------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR --------------------------------------- -------------------------------------------- PERMIT NO. 0-23 L�
JOB ADDRESS --- 1-9.13 -a-D -- ------ �-( — ------ V4 ---------- LEGAL DESCRIPTION: LOT NO - --------- t- - --------------------- BLOCK NO - ------------------------------------
--------- ---------------------------------------------------------------- I ---------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
11 /75 (R qV. 11/78)
Approved:
DATE.... .. ....... ..
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CITY OF EDMONDS
/NEW
1:1 ADDITION
F-1 RETIREMENT
4V
STREET FILE ASSET INFORMATION SHEET
ASSET NO. eo:� /90
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
� * * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER �Qozso�-(o
PROJECT COMPLETION DATE
COST 10,11(os
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE 2=S
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
ktnp INITIAL
DATE
a4zu
t VERIFIED BY
PROCESSED
BATCH NO
DEPARTMENT FILE
NOTICE:
-N'o ... war-ranty 0
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 Edim.onds does not - wa rra nt the
accuracy of anything set for.th on t hese
rnap(�_). Any person or entity -requesting a
copy shou . ld conduct an independent
0 �atlon shown on
inquiry regarding the inf rm
tFe -map(s), including, but not limited to,
th . e lociation of any sew-er stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the city of Edmo'nds nor its
empl-o-yee-s o-r office-rs shall be 11a.b-'Fe for the
information given' on this rnap(s), nor for
tation provided based
any one represen
upon . said map(s).
DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Enginelering Inspector
ADDRESS:
OWNER: 1&2"zA__Z
e the
After review of the subject building permit application, we hav'
following comments-.
1) Construction hours are: WEEKDAYSi 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit. is required for any work on
City property.
3) Connection to City water system required.
4) Connection �o City sanitary sewer system required; obtain separate
permit.
5) Water and -sewer lines.t o -be separated by 10 toot 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 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 constructi 0' n'refuse I without approval from Fire I Dept.
.11) Street to be kept clean of,d ' ebris, dirt, mud, and construction
materials.- Contractor responsible for dust control.
12) Inspection required on'drainage sy stem, catch basin.installation,
driveways, and sidewalks. A final' engineering inspection is
required prior to the building division granting occupancy.'
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PERMIT COUNTER
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPMATION
OWNER NAME/NAME OF BUSINESS
MAILING_ADDRESS
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CITY
TELEPHONE NUMBER
NAME
wo ADDRESS
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* CITY TELEPHONE NUMBER
NAME
* ADDRESS/
r CITY TELEPHONE NUMBER
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STATELCENSE UMBER
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1_411 Description of Property - include all easements
(show below or attach two copies)
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F-0 NEW
El RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHANICAL
F1REPAIR
APT. BLDG.
SIGN
DEMOLISH
EXCAVATE
OR FILL
FENCE
REMODEL
CARPORT
El
(_ x _FT)
swim
GARAGE
POOL
WbOD STOVE/ F7 RETAINING WALL/
INSERT I I ROCKERY
F] RENEWAL
NUMBER OF STORIES
1UNITS
NUMBER OF
DWELLING
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
USE
PERMIT
NUMBER
J&B5 afto " L_
ADDRESS 7j� '77 JI`� /� 1V
�EGA DESCRIPTION CHECKISUBDIVISION 110, LID NO,
1 AV 9'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MA p TESCP
I APPROVED BY
EXISTING �V, REQUIRED DEDICATION
PROPOSED
R
S
R
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Z
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED.
STREET USE PERMIT REQUIRED,
Z
SEE ENGINEERING MEMO DATED WBY Z
REMAFVS/
WETER SVE BUI(YING SUPPLY 8rE fIXTURE UNITS
a:
Uj
REAARKS
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE I 'EXEMPT
I I I SHORELINE
VARIANCE OR CU PLANNING REVIEW BY OAT
I L— . r-- I Cr
SETBACKS — FEET f I kIGHTt I LOT COVERA
FRONT SIDE REA,045
REMARKS
CHECKED BY TYPE OF CONSTRUCTION CODE HEIG HT
J4 I A� / —9157r 1�_ I? lz��
SPECIAL INSPECTOR A OCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
P YES U: NO 17 1 A_,3
REMARKS
PROGRESS INSPECTIONS PER LIBIC 305
PLAN CHECK FEE
BUILDING
PLUMBING
cybrs
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, 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
successors in interest, agrees to indemnify, defend and hold
2 harmless the City of Edmonds, Washington, its officials,
m employees, and agents from any and all claims for damages of
Cr
4 whatever nature, arising directly or indirectly from the issuance
X 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
nor limit in any way the City's ability to enforce any ordinance
provision."
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-
THIS PERMIT
AUTHORIZES
ed thereb no )erson will be employed in violation of the Labor
ONLY THE
L S 0
Code of th ytie f Washington relating to Workmen's Compensa-
WORK NOTED
jLion InsuraA
SIGNA��
DATE SIGNED
I NSPECTION
DEPARTMENT
CITY OF
/YALUATION FEE
APPLICATION APPROVAL
This applicat�lon 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
a
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AT7710N 771-3202
IT 6 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: I DATE
ORIGINAL — File YELLOW — Inspector
I
PINK — Owner GOLD — Assessor