18702 85TH PL W.PDF11111111 lill
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18702 85TH PL W
PERMIT APPLICATION REQUIREMENTS,
TO: Applicant
From:. Lyle Chrisman, Engineering likspector
Owner
PlanCheckNo:
Address:— Date: :5�.AA61 -16'
After
review of the subject permit application, the following requirements must be met:
�4�, Construction hours are:
WEEKDAYS — 7:00 A.IVL-10:00 P.IVLWEEKENDS/HOLIDAYS — 10:00 A.M.-6:oo P.M.
2. A separate RIGHT-O&WAY CONSTRUCTION PERbUT is required for all work on public property. (ECDC IW60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site.
(ECDC 18.30.030d),
0 iWORK SHALL BE DONE WITHIN IS FEET OF S`TREAMS OR tO FE
ET FROM ANY CLOSED DRAINAGE
A.
MUM. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAW G. (ECDC
I&X50G),
IN
9-16 FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTIOr
(ECDC 1830)
'7.
DISP-ECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEM TIGHTLINES AND CATCH BASS
i MITALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECD
C 18JO),
?8. Repair or replace all defective existing curb, gutter and sidewalk a4jacent to the pw", - If an intersecticm is
In =1 ahan,11cap ramp
mairberequired. Contractor shall meet with the city Englneeft staff to detern Ina the extent of reTaIr prfor to 'see fd 0 permIL
L"(Sabc 1&90) a
�D-rlv=MV-zlope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14 Waiver granted to
V, (ECDC I&SO.0601))
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDCI& 60C)
ro
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER PO
URING. (ECDC 19.30)
11 Noburning of ction refuse without a permit fiom the Fire Department,
13. Conection to City water is required. Ilere is a separate charge for the Water meter.
(ECDC 7.20)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
16. WaWand sewer main lines should be separated by 10 feet minimum. (EcDC 1.&10),
tothe
City mitutY system is requlre& A separate
required.
Feeitpald: Yes No
(ECDC I-LIOY
-*,-1Uhd&gr6undi"Is�
iWq all new construction, and for additions, alterations, and repairs that exceed 50% o e total assessed
vilud,dfthe stucture. (ECDC t-8.90) 11
-1-8. AFIN*-L ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION
.0F'TflE VILDING OR STTARUCTURL (ECDC 1&90)
fft4d 44- 44WS4-WMV UmAk
STREET FILE
OCCUPANCY
CITV C��
c� c. 03,
Pw
3 C'A- LU ZO'—O
5) T E PL A\ NJ
L 0 T 7. 1-1 EL L S TZ E JQ L A, M E*
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"4 N 0 H 0 m 115 1-4. C 0., w A..
I i E I c, H T f tuv*i--i: '31
3 7?.,4 2
13 3 78. J;L Ir
5ol'-r uj rr if
)TO a 74.. S',Idr To -Wmd�.
+.. Adyw000
JJO) .62 !r )14 4.)t
4%
RECEIVED
APR 1 8 1995
PERMIT COUNTER
C"
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C'A� LE 7.0'-0
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Cl-r'*Y OF E7r7MONrJ'5
MNOHOMI '51-4 Co., wA.
HEIG-HT rA.LC:S
A- 377.,425-
r3 3 78. il 5' M J'A 0
C 1 �4
-3 74. 7 2 5' It, Y.
d
rOl'A; L ITO 0 0 4 w 3 r H Wh W -Irrvy Copy
+—Z5,000 Cl I
At 0 1 .6 2 5' m
A"CEPTABLE TIGHTLINE MATERIAL
STER SERVICE INSPECTION P-
N-1 2 ADS
A.7"PROVED Sch 40 PVC 771-0235 0c
SDR 35 (ASTIVI D3034) REQUIRED. CALL 00 "nova
M FAIED
LS
PROJECT REVIEW CHECKLIST
PUBLIC
PRO PLAN CHECK#:
RECEIPT DATE
PROJECT ADDRESS:
Z r--) -//llll -7
REVIEW D BY
hill IlDae)
CO MMENTS
PLAN. WA
np. -QpAmR,,l
Setbacks/Viiriance/Setback Adjustment
Conditional Use Permit
ADB Requirements
Other Zoninb Requirements
Underground Wiring Required
Lot Slope IS%
SEPA Environmental Checklist/Hydraulics Permit
Tree. Cutting Plan
Plat/Subdivioion Require ments
............
.0
7
9.
Legal Description Verification
i I L 3
Quit Claim/S-treet Dedications
Ea te
EngineeringlStorm Drain Review Fee-
Engineerine,2.2 Inspection Fee
Drainage PlAn (On -Site)
Setback - Top of Bank, Stream, Water Courses,
Setback - Storm Drain Line
Open Ditch z Existing
Culvert Required
ME
71
Culvert SiZe
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slove & Vehicle Access
Sidewalk Required
Curb & Gutter Required
Curb Cut For' Driveway Required
Street Paving Required
Right-Of-Wa,Vr Construction Permit Required ),-Jo
Street Narn��quired
Other Signing Requi ad
2S.
-26--
. . . . . . . . . . . . --------- ...... . . . . .
.. il't
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................... ................. ---------- . . . . . . . M
2-7 .11'
2 . 9
Bond Required For Public Improvements
FE111111111,111 Map Gheck/Water Table
Side Sewer Availability LY $- 5
7W
Calculate SeWer Connection Fee If No LID #
Create Street File -fts,
Existing Wat#r Main Size
Water MeterlSize
Service LinelSize .
Water Metei,Pharge Required
Hydrant Req4lred
Hydr3nt SizelE tina
I k-
Fire Line Charge Required - Sprinkler
41
42
Reviewed By: f-
FIRE
PLANNING NGINEERI PUBLIC WORKS
I'S I t"ll E E T F I L
PLANNING DATA
SITE ADDRESS IEL - 0, DATE: 4)z4),ls
1 1
ZONING: g,6 - rz, PLAN CHK#: %
PROJECT DESCRIPTION: b6i -sm
SETBACKS:
Required Setbacks:
Front:015 LeftSide: /0 RightSide: /0 Rear:
Actual Setbacks:
Front: Left Side:— vo Right Side: j Rear: S,,5
CORNERLOT 'j M
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUE
LOT COVERAGE:
Maximum Allowed: ��ctual: :Z,6 b 4zlvn)
BUILDING HEIGHT:
Maximum Allowed:--40/t,5 7-,6 66_))_Actual Height: XAQQ?17-
SUBDIVISION:
CRITICALAREAS#: CW---71-1
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:
Go
ii w-
0: tA.
id
PAr'
'44
1906 co
15
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S)TE PL/-\M
LO-r '7, HELLETZEN LANIE'
CITY OF E7ljMowrJ5
ZNOHOMOH.Co., wA,
HEIG-HT rA.1,C:S
A. 377.1125- 0 t
G 378-M5, !o
1711. 7 2 T
TO'rA;L* )TO 4,.)00 -+4- 3 74. T.2 T
AJ0 1 .62 5
ACCEPTABLE TIGHTLINE MATERIAL
N-12 ADS
SCh 40 PVC, WATER SERVICE INSPECTIONS
Al"?PROVED SDR 35 (ASTM D3034) oc
REMIRED. CALL 771' 0235
60
oTREET FILE
I . /\I V I 1� VV
C-8 *4 F'01 RES f
W,eSOLIP Lip
(CRANNEL OASE)
D I V, 1\1 4
-1 2 -1 4
CO.* 5
W1 SOLIP LIP
(CHANNEL SASE)
(0
CO
2-EX.9-PINE I N 89&00" W 332.38'
TREES
I PRIVAT
EX --'%4 "CEPAR, P NrION 5YSTEM
T�ZEE- FOR LO;TrS 7 SEE PETAIL-
(rIELOSET L TO AVOIG)
L4 6"pvc Pi!57 ROW OES i MINIMIZE
(-ryp.) ENC;eCOACHM Ti IN �3UILOINC
PAO AREA) it
6
r C. 6.1# 10
I \ CO.# 7 NOR H SICIE
48"D .,TYPEE
L A P!�EP, ON
H -CUR5 'I
lz I 'PRIVATE ��IL ER7U SOLI ROUN to
66W 1- - It
w m AINAGE Ft EXTENPEP
SMT FOR --Jfzf�'OFF-RA PT.
ILOT 7
CLEANO
10 Ile
t4l I (NOT W57ALLECI�—
�O'VRAINAGE E M'T-
)"FvC
0 1.0 116 MjWSLOPE,
04 4:1 d FOR PRAII�IWNNECT/ON
u
(20/6 PFZEF?EP-9-EP),-r,/p.
DRAINAGE.
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E SAA cl$
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C-0
365 LO 77
cz-#6
W1 SOUP LIP -C E;. I 0'6A t�- s r:. wER Esm -r
SE) 611FIVC -,F NOTE: C,4
(CHANNEL SA 10'PRIVAT� PRAINAC
La f.00%
9
15; IVATE DRAINAGE
9 OrAN/TAIZ'/ i5eWER ff5A,4'T (NO-r Ws-rALLZCI�',
5 (9' f t4 r7C-R
QL. CBAS/
LLI x ,1 44 6"
C:,
/t I / i54
211.0
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1�4- &5' 0 * � 114 T I RL
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crry OF E717moNrJ5
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HEIG-HT
A. : 377.1125- 11 ?-- 0 t
13 378.);Llr
3,1,3. 4;tr 1 �4
1174.725' . . Ptl y.
TO-rhiLl ITO 46-100 1-1 3 7t... TAT MW&W
AT. o co CITY COP
ACCEPTABLE TIGHTLINE MATERIAL RV
N-1 2 ADS WATER SE ICE INSPECTIONS
:7 38p, cc
APPROVED Sch 40 PVC CALL 771-0235 0
REQUIRED. nvmq�T
SDR 35 (ASTIVI D3034) 60
CITVcopy..".
1 C> CO
L
A �3
3 CIA, L E 7- 0 - 0
S)TE PL/-\M-
LO-r 7, HELLEi-IZEN LA.NIE-
ci-r-Y 0;= E7i3mo"rj5
HEIG-HT rAt-C:5
A. 37 7. Ll 2 S'
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'3 7-1. 7 2 5'
ro7rb; L I )TO 4-) 00
15.000
A10 1 .52 5
APPROVED BY PLANNING C*
In
wQyex 3K?oo
60 -,o n U a) eAAT
p-CEIVED
M' AR'CO� �010-414tor7:
PROJECT ADDRESS:
--/-. 6 1 7_lf_�-_ . //__.-,�j
PROJECT REVIEW CHECKLIST
c?_,low"sE� PLAN CHECK#:
11OZ— 1,�_) RECEIPT DATE: V
EVIEW�D BY: ( nitial/Dii e)
I rPLAN.IWATERI f 11
Setbacks/Variance/Setback Adjustment
. . . . . . . . . . . . . . . . . . . .
X.M.-M-M
Conditional Use Permit
----------
. . . . . . . . . . . . . . . ........
.... ....
ADB Requirements
. . ...... X.."
. . . . . . . . . . . .
Other Zoning Requirements
I . . . . . . . . ...
. . . . . . . . . . . .
...............
.. ........
. ......
Underground Wiring Required
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
9.1
Tree Cutting Plan
. . . . . . . . . . . .
Plat/Subdivision Requirements 51;�
Legal Description Verification
... 41
Quit Claim/Street Dedications P-1 4-- '-3�
. . . . . . . . . . . . . ..... ..... ..
...
Easements - Public/Private
.....
...
Engineering Storm Drain Review Fee
22
Engineering 2.2 Inspection Fee
I
. . . . . . . . . . . . . .
Drainage Plan (On -Site)
Setback - Top of Bank, Stream, Water C-ourses
Setback - Storm Drain Line
...
- - - - - - - - - - - - - - - -
- -----
Open Ditch - Existing
16%,
Culvert Required
..........
la',
Culvert Size
Shoulder Drainage/Shale Open Runoff
41-V
Catch Basin Required
Driveway Slope & Vehicle Access
2: . . . . . . . . . . . . . . . . . . . . :::. . . . . . . . . . . . .
. . . . .
Sidewalk Required
Q ----- .
. . . . . . . . . .
Curb & Gutter Required
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
------------ ....
Curb Cut For Driveway Required
Street Paving Required t_� C.-
. . . . . . . . . . . .
Right-Olf-Way Construction Permit Required �-Jo
Street Name Sign Required
Other Signing Required
........
Bond Required For Public Improvements
........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...........
FEMA Map Check/Water Table
Side Sewer Availability LY5_5�
Calculate Sewer Connection Fee If No
........................
Create Street File %-ff--Z
x a
Existing Water Main Size
. . . . . . . . . . . . . . . . .
..........
Water Meter Size
Service Line Size
- - - - - - - - - - - - - - - - - - - - -
Water Meter Charge Required
'M ............. 3 _750'
. ..................
...... M
H�drant Required
.............................
.. . ..
...
�ii� 4 . 0
Hydrant Size Existing
X X
............
Fire Line Charge Required - Sprinkler
. . . . . . . . . . . . . . ....................
Street Cut
. . . . . . . . . .
Miscellaneous
Reviewed By:
FIRE
PLANNING
No
INEERING PUBLIC ORKS
R E C 0 R D OF C 0 N T A C T S
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT DATE ISSUED RECEIPT #
9
29
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
-SS PERMIT # DATE ISSUED,��/-5�QCEIPT
14
PAID $ RECEIPT # DATE
34'
35
36
r
37
METER SIZE& PAID $375- DATES--,q?(,j!;' RECEIPT
18
38
19
39
20
40
co
3 CIA, LU 7,0'- 0
T E PL A, M
L 0 -r '7, 1-1 E'L- L E TZ E N L A� KI E*
ci-r-Y OF E7K7mo"rj5
HEIC,HT rAi-C:S
377-42V
M 378-UT'
-0
W -3 74. 7 2 5' A
ro'rA; L I ITO ea-) 00 7 Sl T W C31
co ..
+ A5, 0 00
Ji 0 1 .6 2
APPROVED BY PLANNING
p
to
CITY OF EDMONDS SIDE SEWER PERMIT
A2 8695
,9 90. 19p, PERMIT
2,
Address of Construction: —1geog 'Ts- u),
Property Legal Description (Include all easements): kcy+ ok �kevw�
1Rrr-CF-'VED
MAY 3 1 1533
Pogue yyOft DEPI
Owner and/or Contractor:
State License No. t14F;ez_z- /0J k9 Building Permit No. 9 roz-Z-3
Single Family
Multi -Family
Commercial
El Public
01
(No. of Units—)
Invasion into City Right-of-Way:)d No El Yes
RW Construction Permit No.
Cross other,,Private Property: fif No 0 Yes
I
Attach legal description and copy of recorded easement
I certify thgI have read and shaKcomply with all city requirements
as indicated on the back of the Permit Card.
9r_
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY,
FOR INSPECTION CALL 771-MM, PUBLIC 7RKS DEPT.
0.2 35-
Permit Fee: Issued By
Trunk Charge: Date Issued:
Assessment Fee: Re.ceipt No.:
Lid No.
Partial Inspection: Date —Initial.
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Dat-e- �-- Initi
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
The City of Edmonds Side Sewer Drawing 3�
NEW CONSTRUCTION
OWNER
-------------------------------
JOB ADDRESS
f
I
PWW-000 1 - 11/75 (A EV. 11/78)
EASEMENT NO
------------------
REPAIRS E] LID NO . ........... ...... IASMT. NO . ..........
CONTRACTOR '&
----------------- PERMIT NO. �
LEGAL DESCRIPTION: LOT NO . ..... ................................ BLOCK NO . ........................................
..................................................................................................................................................................
NAME OF ADDI
r,�
qfpvc
'3 ' 0 --- 4, (7
-�F
C�" 1 'Oef
17'
61py-t, ao
0
3 ------ W.-
P,,� _V3
Approved:
DATE ...
. ... ..... illy ... .......................
The City of Edmonds Water Service Drawing EASEMENT 1,10. -
NEW CONSTRUCTION REPAIRS El LID NO. - ................ ASMT. NTO .. .. .....
OWNER .... 3AJ�A ----- ....................... .......... .......... ... CONTRAC'TOR ......... ....... .......................... PERMI-r No. 9.5 2,23
JOB ADDRESS ............... 8-5 -T- 4 p W.
.............................. LEGAL DESCRIPTION: LOT NO . .................. ................... BLOCK NO . ........... ....... ....... ......
............................................................................. ....................................................................................
NAMEOF ADDITION ..: ............................ I .......................................................................................
ISGO4 S57 -rt-k 'PL.,
4.5 1
1P.E.
35, 4? V%AsT. SL"vs)
PWW-0001-11/75(REV.11/78)
z
0
)0
..... ......
.............
NOTICE: =yo f
aac
-NbW-a r.r a n
The information shown on the attached
map(s) was compiled for use by the City Of
Edmonds its Employees and Consultants
Inn
Th.e City of:Edm.onds does not - warranttliv
on these
accuracy of anything set for.th
-requesting a
Any person or entity
Map(�
copy should conduct an independent
arding the information shown on
inquiry reg
tfTi� -map(s), Including, but not limited to,
th'e lociation of any sewer stub shown. Such
not exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the city of Edmo'ndlr- nor its
emp-to-yee-s o-r offi-ce.rs -sh-a-11 be 1--la-b-11--e for the
information given on this map(s), nor for
tation provided based
any one represen
upon . said map(s).
141'0� N.
N_
0
CITY OF EDMONDS
USE
111E �-: < PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS S TE APT
a:
uj
3:
0
OWNER NAME AME OF BUSINESS
__/,-7 e"
LEGAL DESCRIPTION CHECK SUBDIVISION NO L
S,
D 0
MAILING ADDRESS
PUBLIC RIGHT D�F�WAY PER OFFICIAL STREET M P
.",A
I
EXISTING 4 S� REQUIRED DEDICATION
PROPOSED Inspection
TESCP Approved 0
RW Permit Required 0
Street Use Permit Req'd C3
Required 0
Sidewalk Required
o:
CITY ZIP
vcL> 0
TELEPHONE NUMBER
w
<
NA E
`1, .
M ?A
LIN$SIZE
NO. OF FIXTURES
PRV REQUIRED
YE NO
W
ADDR�SS j
TEMARKS
x�
cr
CITY ZIP ITELEPHONE
kw 9 SZ�
NUMBPEL
L15". 6 6
Z
W
cc
0
U
NAME
Z.
ADDRESS 'tlj�
ENGINEERING MEMO DATED REVIEWED BY
A 6 6—.
CITY ZIP
>
TELEPHONE NUMBER
IS - �S (
FIRE MEMO DATED �REVIEWED BY
cc
STATE LICENSE NUMBER EXPI TI NDA E
2hT
SIGN AREA
ALLOWED 4 PROPOSED
SEPA RE IEW
C EXEMPT
OMPL E
EXP
ADB NO.
11
�( 11A.
SHQ9ELINE N
2
LegalDescri i n of Property -include all easembrits
1 0 T \_\OINKQ� U_X\AQ_
LL
a:
VARIANCE OR CU
PL NIAG VIEW BY
DjTE
U
in
W
AJ�
I )A
.41e3iol*�7
uj
_j
SETBACKSA- FEET
RONT SIDE
F j,/ REAR/
HEIGHT
LOT CdVERWGE
Z
Z
Property
Tax Account
Parcel No.
0.
NEW Ld:!sil RESIDENTIAL I 200PLUMBING
1771-
ADDITION COMMERCIAL LM MECHANICAL
I
REMODEL E-1 APT. BLDG. SIGN
CHECKED BY
I
TYPE OF CONSTRUCTION
I /U
CODE OCCUPANT
GR,9UP
17/ 1 X --,3
0
WO
0
CO
0
FENCE
REPAIR CYDS. I— x _FT)
.J?
D DEMOLISH WOODSTOVE SWIM POOL
0 INSERT El HOT TUB/SPA
rZ7rGARAGE RETAINING WALL/
t - I GA&POW El ROCKERY El RENEWAL
SPECIAL INSPECTOR
REQUIRED 1
C3 YES
AREA T
'10"
REMARKS
PROGRESS INSPECTIONS PER LIBC 305
Z
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
—2
NUMBER
OF
STORIES
NUMBER 0
DWELLING
1 UNITS
CRITICAL
AREAS
INUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOLII RiED
Aff
1,07- SW_066 I V6
VALUATION
FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
6-a S
GLAZING
20 %
PLUMBING
Plan Check No. e7
Y. -
MECHANICAL
This Permit covers work to e done on �rlvate property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant. on behalf of his or her spouse, heirs, assigns and
20
5
Cr
0
X
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
whatever nature, arising directly or Indirectly from the Issuance
of this permit. 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
CIO,
TOTAL AMOUNT DUE
I
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 APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T . his application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy: and fees are paid, and receipt is
tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided.
SIGNAT �K, OWtjEjr GENT) DATE SIGNED DEPARTMENT ATURE DATE
CITY OF
EDMONDS
CALL FOR LAELEASED* dy: nA TF
ATT NTION/ INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Ov.rter GOLD — Assessor
I
,yr-
CITY OF, EDMONDS
�E PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
I,-
JOB
ADDRESS SUITE/APT #
OWNER NAME/NAME OF�BUSINESS
'k
cc
Lu
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
N
MAILING ADDRESS
Z
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREEI'MAP.
EXISTING — REOUIRED DEDICATION
PROPOSED f-�-lu."I
TESCP Appr6ed E3
RW Permit Required 0
Street Use Permit Req'd 13
Inspection Required
Sidewalk Required
CITY ZIP
TELEPHONE NUMBER
NAME
REMARKS
Uj
U
W
711>4,17
uj
Z
0
ADDRESS
Z
ui
CITY zlF
`_7
PHONE NUMBER
NAME
M
ENGINEERING MEMO DATED a REVIEW BY
A6c,-- —
ADDRESS
METET IBUILDING
't
)UPPLY SIZE
It
NO. OF FTTURES
7-
uj
CITY ZIP
TELEPHONE NUMBER
Z
8
REMARKS
3:
STATE LICENSE NUMBER EXPIRATION DATE
I
SIGN AREA
SEPA REVIEW
ADS
ALLOWED j;ROPOSED
1
EMPT
COMPLETE EX7
. EX1P_ 'A .
SHOREONEI
A/W
Z
2
Legal Description of Property - include all easements
CL
_j
wi
VARIANO OR CU
IV
P VIEW BY
SETBAoks FEET
FRONT M SIDE REAR
LOT 06VE `43
Z
Z
Property
Tax Account
REMARKS
Parcel No.
1
EINEW RESIDENTIAL 20�LUMSING
Ej ADDITION COMMERCIAL 200'MECHANICAL
-rizz%
REMODEL APT. BLDG. El SIGN
FENCE
REPAIR CYOS. x _FT)
APRQvm "S (A 6 6 1 T6 T-tiw
CHECKED BY
Haa
TYPE OF CONSTRUCTION: CODE
I :Y- Aj 1�/
HEIGHT
0
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
El 0
GARAGE RETAINING WALL/
ROCKERY RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
. I OCCUPANCY
SPECIAL INSPECTOR JA,
REQUIRED ROUP
13 YES i
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER.UBC 305
Z
0
AM /W!f K4&:� 4- 9.3 VjAk
NUMBER OF STORIES
NUMBER OF
DWELLIN
UNI CA
DES901BE WORK TO BE DONE (ATTACH PILOT PLAN)
FINAL INSPECTION REQUIRED
cy-d-5
VALUATION
FEE
PLAN CHECK FEE
BUILDING
7� 1
HEAT SOI&CE:
TGLAZINt %
, V %
PLUMBING
Plan Check No.
7 '5�-z
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curts, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE,,SURCHARGE
150
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
STORM DRAINAGE FEE
r 6 Alp
/,40 n m
ENG. INSPECTION FEE
oui
5
Ir
<
0
"Aipplicant, 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
whatever nature, arising direct ly or Indirectly from the 1q,suahcem.
of this permit. Issuance of this permit shall not be debmed to
modify, waive or reduce any requirement of any city"ordinance
nor limit In any way the City's ability to enforce,6y ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
Information given is correct; and that I am the owner, or this duly
authorized agent of the owner. I agree to comply with city and THIS PERM IT This application is not a permit until
state laws regulating construction; and In doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
anc2i.,* ;____ I INSPECTION acknowledged in space provided.
low 'ER OR AGENT) DATE SIGNED DEPARTMENT OF IAL* ' S NATURE DATE
CITY OF Aer
EDMONDS aw 3-1 -7 -vt5,-
CALL FOR XE—LEASEd DATE
.-/C-- 7-S
ATTENTION INSPECTION t,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL - File YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
PINK - Owner GOLD - Assessor
CHAPTER 3. 2 -
10247 -2
rp i e
el AD 0-
fe ce 7,*,Lc
.Q.
4i
A
In E)
40
vat
lwx Akp
Jojo
oz
e4S-
7j-b
4r,
00
PL A As
'4 P-L'i So \
0
PLkNJ
Lo'r 4.. HE7LLEIZEN LA.PJE-
C IT Y OF E'X)MOkID5
5 "o 140 " I .�" Co., wj�..
H E 14 7- C. L CS
A 7
ID
ro L
+
R. EL t- E'Relt%j co"s-r.
RECEIVED
MAR 0 8 1995
PERMIT COUNTER
WATER SERVICE INSPECTIONS
REQUIRED. CALL 771-0235
ACCEPTABLE TIGHTLINE MATERIAL
N-12 ADS
Sch 40 PVC
SDR 35 (ASTM D3034)
t�PPR 1) AS NOTPE
"e
DALE F.
TALLMAN
i\j D,
a �2
SCALE
1"=50'
D�
I"
LID,
VE �- Joi I-- —
?6 t,0
P,JWPAN
_ ROVO
7N
�_ATa4 L,4P
(,0 370
K. DAAD
VAEGAND JR.
* EXISTING FIRIHEMLOCK
EXISTING CEDAR
SUPPLEMENTAL DECIDUOUS
SUPPLEMENTAL FIR/CEDAR
-1 2
ROGER H.
FINCHER JR.
ACT 100
1.509 sq.ft.
RICHARD D.
TAUBER
CI
0
-1 3
ELAINE C.
rl A TTrki
-1 4
FREDERICK J.
ARENTZEN
188th STREET -W-
DONALD E.
PRICE
7.
RAY D.
JOHNSON
trz- Z-
Ln�
1 87th
6
JAMES
w SCISCOE
in
YET�-A c-15 \--) 1 71 -� A EXHIBIT .'&
L I �� FILE No. T -94
NOTES:
1. ADDITIONAL LANDSCAPING WILL BE ADDED AT HOUSE FRONTS UPON
COMPLETION OF HOUSE CONSTRUCTION.
2. TREES PLANTED NEAR THE STREETS WILL BE PLACED SO AS TO NOT INTERFERE
WITH UTIUTIES.
3. TREES TO BE SPACED PER LANDSCAPERS RECOMMENDATION.
4;f SUPPLEMENTAL. CEDARS/FIFIS TO BE APPROXIMATE 6 FEET TALL
5. SUPPLEMENTAL DECIDUOUS PLUM TREES TO BE A MINIMUM OF 2 INCH CALIPER.
f
FRED A.
SOMMARS
� Lovell-Sauierland &As . sociates, Inc.
0 EngUIGM/ SUI'VOYOrs/Plamers/ Development Consultants
19400nd Avenue W.Suile2oo - LynnwoW.WA9eO37 -(206)775.1591-(206)340,0830
TREE RETENTION PLAN
FOR
HELLEREN LANE