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18508 90TH AVE W.PDF8760 18508 90TH AVE W ADDRESS:.. 1-9508 901,14, A16 w TAX ACCOUNTIPARCEL NUMBER: O)OZ150000040p BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: E] Conditional Waiver 0 Study Required 0 Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DATED:—(o - 15 SIDE SEWER PERMIT(S) #:,!5m GEOTECH REPORT DATED: STREET USE ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LOT: LID#: 1-11-51 4 BLOCK: LATEMP\DST"s\Fonns\Street File Checklist.doc USE: r T ZON BUILDING DEPARTAWT Applicant Fill Inside Heavy Lines PERMIT APPLICATION JOB NAMEj(OR �IAME_OF BUS I NES 5 ACORrSS :5-0 LEGAL LOT LOT AREA NO. dSF,1VISION _kYES N 0 MAILING ADDRESS I �, 000— W VARIANCE OR ADO NO, COND. USE NO. CLEP CITY HONE NUMBER ___TT PROPOSED YARDS Of / 1��GHT Z D FRONT SIDE REAR 40 Z NA ALI COWABLE 1PROPOSED SIGN AREA SIGN AREA U W ADDRESS t OTHER REQUIREMENTI, C: CITY PHONE NUMBER 4 rE PWINO DEPT, APPROVAL DATE NANIC TREET R1W FT. THIS PROPERTY XISTING STREET R/W DEFICIENCY ACIDRESS COMP. PLAN ST. R/-C30/�� FT. Z) FT. I. U < M REMARKS CITY TELEPHONE NUMBER Driveway slopes not to exceed those 0.. Z inelinntea nn qtandard Dwg. Nn- 110.1; 0 U 7ATE LICENSE NUMIIER CITY LICENSE NUMBER ICIIFCKIEO BY W Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY El YES Z W WORK REQ'D 0 No UNDERGROUND AYES Z 2 WIRING REQ'Z) NO 0. 111RIPIE TYPE CONNECTION 0 By U PERM YES RMIT NU w SE PTIC SYSTEM APPVO BY CITY ENS. CJ NO W .J < 0 W REMARKS N t;—= rmn METER SIZE: SIZE BY ISERVICE 1CLEARANCE ICHECKED W REMARKS 4EW RESIDENTIAL GAS 1-1111 TYPE OF CONSTRUCTION NO. SIGN 1CODE F_j F� ADD OCCUPANCY UPANT RETAINING SPECIAL INSPECTOR IAR.� locc DIZIACOLIS. I�EQUIRIZ. GROUP LOAD WALL C:] ALTER E] .-CAV-TE F_j FENCE 0 YES 0 OR FILL PLAN C�IECKIEO 13Y THIS SITE IS LOCATED IN THE CITY Fa OF EDMONDS. LOCAL SALES TAX. P-.- -VE E] M REPAIR. INSP * E].WIM POOL SHOU�D BE CODED 31.04. REMARKS M NUMBER OF STORIES 11411 BCR OF DWELLING UN ITS 0 NATYRE WORK TO BE DONE FEE VALUATION PROPOSED LOSE PLAN CHECK 0 NO. PLOT PLAN (INrICATE BUILDING SETBArKS, Or ABUTTING STREETS) BUILDING U PLUMBING 0 HEAT & GAS LINE 0 c, FENCE SIGN RETAINING WALL SWIMMING POOL I hereby acknowledge that I have read this application; that the I.- TOTAL AMOUNT DUE 2� formation given Is correct; and that I am the owner. or the dUly aUth— Ize4 agent �f the owner. I agree to comply with city and igtato law. regu- latIng constructlon; and In doing the work authorized thereby, to person ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the State of Washington THIS PERMIT relrAing to Workmen's Compensation Inxurahc�_. This application Is not a permit until NOTE: Permit Limit One Yecir AUYHORIZES , ONLY THE signed by the Building Official or his Dep- (Except DEMOLITIONS which W ORK NOTED -ceipt is ac- uty; &nd fees sure paid, and rL .hall be ompleW in ninety days: MOVED -IN RICMDINGS hall be corn. pl,t�d I /-�h,.) knowledged in space provided. Lt INSPECTION 1_� S:7�JLORE JOW DAT SIGN 0 DEPARTMENT - DIR CT . SO A URE �ERCQaENT) CITY OF EDMONDS NOTE.- Applicant Subject to 775-2525 This Permit covers work to be done on private propiirty ONLY. Any construction on the public domain (curbs, sidewa!ki, driveways, ORICI14AL -File YELLOW - 1nn;-*C:or marquees, etc.) will require separate permission . PINK-0,ne, COLD-Asse�sc- NOTICE: w*a r-r a n o formation . 'shown on the a-ttached The -in -led for use by the City of map(s) was cOm ' pi Edrnonds� its Emp[oyees and Consultants. Th,..e City of Edrn.onds does. not. warrant the accuracy of anything set for * th on these rnap(�). An . y person or entity -requesting a copy should conduct an independent inquiry regarding th*e inform'ati - on shownlor -rnap(s), Including, but not limited to, -1 er stub shown, Suc the location of any sew sewer stubs may or may- not e.xist 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 -shal-1 be 11a-b-l'-e for the I n on this map(5), nor for information give' any one representation provided based upon'said map(s), APPLICATION for Thb City of Edmonds SIDE SEWER PERMIT EASEMENT NO - ------------------------------- ............ NEW CONSTRUCTION W REPAIRS LID NO. ....... ASMT. NO - - ---------------- OWNER------ ----------------------------------------------------------------------------------------- CONTRACTOF - -- — ------------------------------------------------------ ...................... PERMIT NO . ..... -------------- JOB ADDRESS -.14e�4'r=b-6-6 7-1-3r�-ru4 ttt:-'�4 F- - "" - LEGAL DESCRIPTION: LOT NO. --- -4 --- ------------------------------------ ................................... BLOCK NO - ------------------------------------ 0 0 9 ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAME OF ADDITION ----- 17P"n-L - ------ F== - ------------------------------------------------------ ----------- ..... By ............. ---------- fi7.ig zl'� S 'VER"PERMIT ITY, .:OF EDMSONDS DE", IEW �AA WATEWSEWER DEPARTMENT' PERMIT 14" WI 1,757 for';sidet scwer� :insp.cctibns,AIhFORE, covert . ng-any- portion of -the; construction 2525, Inspection -will,be prbvid-ed withfn� 24 hours, after, requst. NO,-Sat.j Sum, or holiday Inspections,) O�. LOCAMN.OF -CONSTRUCTlo* .... .. 900, Avenui-A West N. ............ ... :! ............................. ............................................................ 'kfM0P,ERTY-%- 1�k Sb R1 P n 0 � ........... I I ....... I ......... jivil-4. T01 Pi,rc;' # 2. ............................... .......................................................................................... ...... ............................................................................................................................... 7 ........... .................................................. ............................ ............ ........ ............... KALCER HOMES' .......... 77 ... 7* ----- ........ .... OMWER AND/0R.-BUILDER: ... ............................................................ ........... . C,&."N.Excavators� �:6 kAuTo _AIDDRES& ................................................................... I ...... ............................ 77 .... 7,777,1­­ --- 7 7 ............................. T..: ......... JUIA161 1. S jq� 76 conn �Sew ........... ...................... : .......... ........... ... ........ for repair and/or eetl.oa of- a. side, sewer, tot ithe),city,, sapltar� er ;j h,%C4Y of,Edmonds ordinanee&, 4 'LEDt T %THE�,-FOLLO 1NG.: �W, —Th6iowners. of th'e*, tiropert, to construcf,' sewer': inside proper.ty.11ne., A, licensedt Side Sewer Contractor must,,,be employed, fo;:constru'et NOTE No: 'T I ­ I � �, 1. y, rpay.,obtaln a. permit - ' ..: , I' �slde, sevver,in,-str6et area. Do not� cover any,, portion'of :sewer before it has,been, Inspected. -2- kit worW�peri'�"_ Wir city NOTE Hght-of-way requlres,an�Invazion 'oL,RJ9ht-of:WELy Permit obtainable -from the City �Engineer's, office. NOTENo , 3—Obtainjfulli'ilniormatlon� regardin'g Ordinance 1.1.16.030.and, Regulations governing side. -sewers, when you get permtt�, NOTE No. �4 Top,, ofside_sewer�musV�have �at leazt� 30 Inches'coverage -at �r�roperty line zLnd 12 Inches­InsIde�'proper*ty line; 'minimum.'grade of 2%'. No� �ends In grade,*. sharper Ithan..I/g��%�,111�:be,.permitted�, NOTE No. �.1,1�:-Tf6neheoln,�street,�.must be. water' settled! an dl,surface,of. street - reitored to, originsll condition. Cofitractors sha,11 be responsible for failure, Aue,: to iffip�oper - work,..whichi may- develop within- one year� of xornipletion; �-�-�i3OTE-No.-.6-:-It-ts,unlawfill,�to alter, or,do.any other work than is'tprovided for! in -the pern-dt,, or to, do any work on the, main sewer or JtSj'a, p a iirtithe �plpe- into, the mye. pip rtenance ey..cept to in- -71 ISA13PROMEU .... . .... 4, ..... . . ........ BY ................ Date ............ Date ................................... ............. 'APPRO�ED'' ...... 15_7 . ....... ByZi. ..... ... ................. . .......................................... .............................................. ju.. ........................................................ inar" ...... ............................................. ........... ................................................................................. ....................... ............. ............................ ....... .................. ........ ........... -BIUST'B Si WS, e ,, 1 4, OP ��nedt./.By. Gwnbr of Firm, Per -forming �onstructionr,PRIOR To),RequeSt, For, lnspecftbn� ......... hereby 6 tif t er - hatAhe, side'sewer installation constrcte&under this, permit . y -,.(Owner.,,,of Contracting,- Firm, 'Per ons ruct ion.) �D�D' A I f�rtp-nlrg C t nsta1ledqin'accPr. an=wit allgb d h ihg,,ordihance§-of -the CitY'iof"Ednaonds.,' Datedthis ............................. day., of ................................... .................... . ...... :C * ­ I you:,'dig b Waier,:,[]­�' ',Gas�:E] Velephonee E],,. -Power E] V", fieeli,4EF'ORE.. Sewer. er:E], _41 APPUCATION ,The City of Edmonds for EASEMENT NO - ----------------------------- -------------- SIDE SEWER PERMIT NEW CONSTRUCTION [-] REPAIRS E] LID NO. .-AV- OWNER ---------- ke' ----- /--/*L/--*?x--c--;-2 -------------------- JOB ADDRESS ------ ------ a 1 z,.5'- CONTRACTOR - ------ x ------- ---- PERMIT NO. LEGAL DESCRIPTION: LOT NO - ------- ----------------------- BLOCK NO - ----------------------- ------------ - I If- ......... . ------------- 2 ---------------------------------------------------------------------------------------------------------- NAMEOF ADDITION ------------------------------------- --------------------------------------------------------------------------------- RECEllr-n JUIV 15 1976 eubk "is Vapt. SL q� //0 Approved: DATE-------------------------------------------- By ------------------- ------------ yi7,yg JUL 14 2005 12:50 PM FR BERNSTEIN INU SEATTLE42 1375 TO 914257710221 P.02 0 Atta Ave_ W io . l2rit. AM.?PdLttL*7; 00(o 3 95 coo.00 lf..00 _l+ eKoeoSED, :RE610DEL- q A LLS MOVINa. (Z (T 3L Lo r Wt&l 12 40 SQ + q,3 L 2 nb F1 ok e it so S�q Loa) cc q. Lr.L#( CF- VoWrtrL L RECEIVED loo;� JUL 1-'4+2005 r.. ti —PEMAT COUNTER :4!.,; Q4 3. TU 7717 .91 Ah- 4+ 777� —lop 7-7-7 --- F ILE STREET TOTAL PAGE.02 EXEMPTION 190M CONTRACTOR R%;ISTRATION VERIFICATION FORM The undersigned property owner or contractor has applied for a building pen -nit from the City of Edmonds and claims that he/she/it are exempt from providing contractor registration in accordance with the provisions of RCW 18.27. The property owner, by their signature below hereby verifies to the City of Edmonds that: Value of work under $500.00. The aggregate contract price of labor and materials and all other items required for the project is less than $500.00 and is not part of a larger opertation to be undertaken on the property. The person employed to do this work has not advertised nor otherwise put himself forward to the permittee to be a contractor or qualified to engage in the business of a contract. RCW 18.27.090(9). Work performed personally on own property. The undersigned verifies that all work done under this permit will be done by the permittee personally on his/her own property and that the improvements constructed on the property are not being undertaken with the intention and purpose of selling the improved property. Commercial property exemption. The permittee is the owner of commercial property and the owner's own employees will perform all maintenance, repair and alteration work on the property. No work will be done by contract under the pen -nit. RCW 18.27.090(13). Licensed architect, engineer, electrician or plumber. All work performed under this permit will be performed by an architect, civil or professional engineer, licensed electrician or licensed plumber operating within the scope of his or her license. RCW 18.27.090(14). General Contractor. The owner is the General Contractor for the project and is required IP to hire a minimum of two licensed subcontractors (unrelated building trades or crafts). Tile general contractor is responsible to verify all State licenses of subcontractor. RCW 18.27.010 THE UNDERSIGNED PROPERTY OWNER HEREBY VERIFIES THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE, HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. Dated this day of 20 PROPERTY OWNER/PERMITTEE WITNESS: C-1 Print:-.- 67ket-7--ey RECEIVED JUL 12 2005 PERMIT COUNTER LATEMMUILDINGTORMS\exernp contractor regis verif fonn.doc03/28/01 k ovt��k 61, 9 7 -03 - " I 2 iioi X�s 0 20,9 17922 17926 1796 CO 17951 9211, 92 3 Ihio t- 01 1 BC?04 1800 18003 1801 "3 8615 85' N PIC VIEW of, IfiW2 1801 8364 219 & 18011 0 0 8020 8424 18004 1801 '8018 8706 18021 OR !D 9221 18026 18006, .9 8426 8029 9104 8708 18102 8125 18102 ED 18109 In 8107 8432 922 co 9110 18105 ;� 9102 18121 8710 781�,f, 18110 18117 68101 if 18107 18108 -d' 8712 19, N 1911, 18206 181 )107 11 18121 9202% 190 18140 1r F� 18129 18210 18218 I§ZN P )m 9204�, 9118 18214 8721 D sw 92D6 18226 18226 IM4 18220 18215 18300 18224 IBM 3: 8 04 8628 8616 18226 18225 I E1230 18229 18301 1823 18311 18306 920� 8720 8706 8621/. 18310 18302 18230 X 18311 18308 -1 CID j"b. 18310 (L' 18312 �OD 8710 18306 18310 18323 18327 18320 18324 18317 8615 18331 9135 1 861 8 18mo rl.6 18339 184TH ST SW 9134 TH ST W 18404 9010 9D07 I8Q7 M 18400 18403 8808 18404 t 18411 1� .1 82 la4lg 9004 18410 ui 18417 18406 18407 A R 5 JW5 18427 T T T 18427 18424 18410 1 9 t2 0 ISW6 18508 18503 E1525 18502 3: 18509 18502 18 1 503 If 18514 w — 18SH PL SW 185TH ST SW 9521 18522 <> I 8515 18532 16515 If 18520 8517 8507 OD 8413 8403 a if 18524 18520 18606 18605 186M ST 8 Seciview 0 0 Water 's 2 186TH PL SW ank 18610 18615 1 8TrH PL SW 18620 �'o 8911 18625 1870�" 703 18722 0 1 TrH PL SW 18709 18711 18706 18705 Lu W-T 18710 - 18708 3:. 8957 8821 > 8617 18707 1716 �z I < 1 15 J w 18717 Go > c" T <; F, 709 8829 �10 a I . .1 X co 18717 8615 8609 19726 9125 OD 188TH ST SW t2 18804 !D 18808 1 18802 188DI D- 18807 w a 18814 18806 18805 18815 18816 2 8817 8520 18820 1.812 co — 18820 18821 8815 18810 18807 IM23 18829 18a22 18821 18824 18904 18826 0 no) 18901 ENGINEERINC; DEPARTMENT APPLICATI,N FOR PIG11T-0E-'.'!AY CONSTRUCTION4PMIT (AprZ,"o,:z�-t to C,—vZete A rnd in DuvZ1:-,rte) Permit to be issued to: Z 17 e- For work at: (address or vicinity) Type of work to be done: (Attach Dra,,,ing V.-hen Applicable) Z:: Time Required Start: Finish: --7 Own er: Name /) 0 �tailing Address 7 7f //J City/ State Telephone r-:umber Contractor:— 'e- Name State License 'Number Maiiing Address City State Telephone "LIMber I -INDE'INITY: Applicanz understands and by his signature to this application, agrees to hold the Citv of Edmonds harmless from any injuries, damages or claims of any kind or description %,,hatsoever, foreseen or unforeseen, that rnay be made against the applicant or the City of Edmonds, or any of its departments or emDloyees, including but not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials '�r a period of one year following the final inspection and acceptance of the restoration by the Engineering Department. Work subject to inspe — ,z lon and restoration �n accordance with City Code. A 24-hour not1cf\is reAV�Ired for ins�ection the Engineering Department. Call 775-25251 YnLb/^ 1'7 '7 Y� Signature: r or Ag(iint D a t�e./S j. g n e d DO NOT WkIT,� BELOW THIS LINE (To be cc-pZ'eted by Issuing Agency) Permit Issued (Date) 77 Fee: Time Authorized: '� 1 -.-2 , Permit Number 44 Bond: ENG I N E EI) I S AFYPOVAL DATE cb Mk M 4 W-11 r� M