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18708 85TH PL W
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RECEIVED
OCT 1 9 1995
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PROJECT REVIEW CHECKLIST
's
PROJECT NAME:
PROJECT ADDRESS:
PLAN CHECK #:
RECEIPT DATE: 2 -/ P-�Z�
REVIEW
D BY: (nitial/Date)
PLAN.
WATER
I
I
COMMENTS**:.-
FIRE
BLDG.
SEWER.
STREET
- .�,ENG....
Setbacks/Variance/Setback Adjustment
Conditional Use Permit
ADB Requirements
- - - - - - - -----
Other Zoning Requirements
4
Underground Wiring Required
. . . . . . . . . . .
fn,
5-
Lot Slope 15%
6
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
Legai Description Verification
..... . . . . .
Quit Claim/Street Dedications
. . . . . .. ...
Easements - Public/Private 7T--
Engineering Storm Drain Review Fee
Engineering 2.2 Inspection Fee
Drainage Plan (On -Site) TZ-4 7 -ss-
5:
Setback - Top of Bank, Stream, Water Courses
-- ---- - ---
Setback - Storm Drain Line
..........
7:
Open Ditch - Existing
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
. . . . . . . . . . . . .
Catch Basin Required
. . . . . . . . . . . . . . . . . . . .
:�!22
Driveway Slope & Vehicle Access
..23
Sidewalk Required' 91
........... .... ..
24
Curb & Gutter Required
Curb Cut For Driveway Required e5Z
26.
Street Paving Required
27
Right -Of -Way Construction Permit Required
.28.
Street Name Sign Required
29
Other Signing Required
.30
Bond Required For Public Improvements .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..............
FEMA Map Check/Water Table
WON,
32
Side Sewer Availability
.33
Calculate Sewer Connedtion. Fee If No LID
.:'34
lCreate Street File
['35
Existing Water Main Size
all
::36
Water Meter Size
:::37
Service Line Size
Water Meter Charge Required
. . . . . . . . . . . . . . . . .
-
375
39
Hydrant Required
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
42.
Street Cut
In
i.
INV 0
7W
Miscellaneous
Reviewed By:
FIRE
PLANNING
,,oe� -
ENGINEERING
'a CF
FILE:DATAI 23/PROJCKLS.SFN S .
0 C T CA,
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xrunRK1.9 DFPT
PUBLIC WORKS
I % � �, V F% U u V �, v 11 1 A L, ; a
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT DATE ISSUED RECEIPT I
9
29
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT 6'7111 DATE ISSUED 7(P RECEIPT I
14
PAID $ RECEIPT # DATE
34
15
35
16
36
17
37
METER SIZE Y(/ PAID'$ 3 75� DATE f(ep RECEIPT #-�,Q-175-'
18
38
19
39
20
40
NOTICE:
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ura-c-c-u.r-a-coy
- I
The information'shown. on the attached
Map(s) was compiled for use by the City of
Edmonds/ its Employees and Consultants.
The City of 'Ecim.onds does not warrant the
accuracy of anything set for.th on t ' hese
rnap(�_). Any person or en.tity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
tRe.rna.p(s), Including, but not limited to,
th"e lociation of any sew-e r stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-to-yee-s o-r office-rs -sh.a.11] be 11a.b-'Fe for the
information given' on this rnap(s), nor for
tation provided based
any one represen
upon . said map(s).
The City of Edmonds Water Service Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION R REPAIRS El LID NO . ..... ............ . ASmT. NO . ..................
OWNER ............ ..................................... F4.4 P-A
................ CONTRACTOR ----- ... 14 .............................................................. PERMIT N0550.405Z..
JOB ADDRESS .... 1.8 48 5'rlp% PL.W.
—70-8 .......... .............................................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
................... ------------------- -----------------------------------------------------------------------------------------------------------------
rLE—OF ADDITION ...,] .................................................................................................................
19 r7o a 9 5 PL. W.
2 0 1.5'&V 1"Cappea
llljol,61-�
t4ORT W VW.-
95T-" PL. W. A d
PWW-0001-11/75 (REV.11/78)
DATE .... By � . . . .......... !�* -- -- ------------------ * ......
PoEl rl lexpx0�g,5 ?0 0AY5
CITY OF EDMONDS SIDE SEWER PERMIT
18 0 PERMIT 8741
Address of Construction: /8 70 R AL k)
'N.Property Legal Description (Include all easements): 'EQW) A
or 16) IV r,
RF-C-F-l'"D -
JAN 19,96
PUBLIC
Owner and/or Contractor: cf�oea)
State License No—.S-_J1CffJA_)). 11C--Z 0 60 L (;2 CBI- Building Permit NO. 1sx
'ki I
b/�Ingle Family
Multi -Family (No. of Units—)
Commercial
El Public
Invasion into City Rigllht-of-Way:12�/No 11 Yes
RW Construction Permit N 0
Cross other Private Property� �No El Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICEz USE � ONL
FOR INSPECTION CALL 7714NW, PUBLIC WORKS DEPT.
Issued By
Permit Fee:
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Lid No.:— /-3—
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Datel-//-`9� lnitialC'-�'�
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy; Inspector Buff Copy: Applicant
Revised 3/90
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ i
NEW CONSTRUCTION Or" REPAIRS n LID NO . .................. . ASMT. NO - ------------------
OWNER................................................................................... ............ CONTRACTOR .................................................................................... PERMIT NO.
JOB ADDRESS I ... — ----- V<� .......... ......... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................. I ------ ----------
..............
.......................................................... I .................................................................................... ................
NAMEOF ADDITION ..................................................................................................... I ................
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Approved:
PWW-0001-1 1/75 (REV.1 1178) DATE ... 1.7117.1.� ............ By
............... ..........
�10 7�ws
CITY OF EDMONDS
Address of Construction: 0 AIJE. LA
Property Legal Description (include all easements):
0E 5ADLI �P�
SIDE SEWER PERMIT
PERMIT N2 8740
050-Y"i
(��o(Con tractor:
Building Permitr No.
State License No.
__�4 Single Family
C3 Multi -Family (No. of Units—)
Commercial
El Public
0
Invasion into City Right -of -Way\ I No 11 Yes
RW Construction -Permit No.
Cross other Private Property >�N_ El Yes
0
Attach legal description and copy of recorded easement
I ceVy�hat I have read and sha pI ith all city requirements
as indicated on the back of the Permit Card.
11
Date '
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE: USE ONLY::
FOR INSPECTION CALL 771-3M PUBLIC WORKS DEPT.
Permit Fee: Issued By
Trunk Charge- Date Issued: —
Assessment Fee: Receipt No.: �7
Lid No.: —
Partial Inspection: Date —initial.
Comments
Reason Rejected: Date Initial
Final Inspection Approved: Date/- Initial
r
PERMIT MUST BE POSTED ON JOB SITE
White Copy: RIL Green Copy: Inspector Buff Copy: Applicant
Revised 3190
Side Sewer Drawing
The City of Edmonds
EASE ENT NO
. ............................................
NEW CONSTRUCTION ;9< REPAIRS F] LID NO . .................. . ASMT. NO . ...................
OWNER................................................................................................ CONTRACTOR .............................. L�b
------------------------------------------------------ PERMIT NO-E] ............
JOB ADDRESS ...... )�A ............ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO.. ...................................
e(-ccr. -S. -Dot<
F-1
I
it14
PWW-0001 -11/75 (REV. 11/78)
..................................................................................................................................................................
NAME OF ADDITION .................... I
----------- j� .........
C%A?,?3 Approved:
DATE ....
.... ..... ... ..... 0 ............. By
lqm�,
wUl)
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C"
Ul
CD
, 11
Mid -
SITE PL/s.-Nj
LO-r io, —WeLLE-REtJ LANE -
CITY or 513MON105
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SITE ADDRESS: / 709' fefL 81, - 1A). DATE: '1012 (IV
t
ZONING: 1:�s —12- PLAN CHK#: ?,�i - / pp 6>
PROJECT DESCRIPTION: A�LA� Sr-10
SETBACKS:
Required S tbackse
Front: ;�* Left Side: Right Side: Rear:
Actual Setbacks:
Front: 26�� Left Side: /,> Right Side: / o Rear: ;;M
CORNERLOT �b
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED
LOT COVERAGE:
Maximum Allowed: 03 &5�4zActual:
BUILDING HEIGHT:
Maximum Allowed: IV05, ( :P45 Actual Height: &Mr::::
SUBDIVISION4 -?-I ZY -
CRITICALAREAS#:
SEPA DETERMINATION: M:Q�5
LOT AREA: 14 006 61:�
OTHER: :ELA�
Plan Review By:
0 1 a.. 1 24 -1,1,3
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CA2
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PERMIT APPLICATION REQUIREMEM
To: Applicant
From. Lyle I Chrisman. Engineering Ifispector
Owner 4a,/_� Plan Check No:
Address:_ t . ��GT-H-,PL , I Izv 41K_-�,,
After review of the subject permit application, the following requiremerift must be met
1. Construction hours are.
WEEKDAYS — 7:00 AbL-10:00 P.NLWEEKENDSIROLIDAYS — 10:00 A.M-4:00 P.M.
2. A RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 1&60)
3. Truck haul route plan must be submitted and approved prior to permit'
4. Buildedowner is responsible for containing all temporary runoff and erosion control on site.
(ECDC 1&30.030d)
5. NO WORK SHALL BE DONE WITHIN IS FEET OF STREAM OR 10 FEET FROM ANY CLOSED DRAINAGE
FACIIJTY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC
1&30.50G)
6. FELTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7- INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTFAMIIGHTUVES AND CATCH BASIN
INSTALLATION- INSPECTIONS ARE REQUIRED PRIOR TO BACMUMG. (ECDC 1930)
RqWW or replace all defective existing curb, guttersd sidewalk adjacent to die property. [fan Intersection Is Involved, a handicap ramp
mayberequired. Contractorshall meet with the City Engineering staffto determine the cftd afrqwk prior to ismance ofthe permit.
(ECDC I&"
9. DdvmV slope shall not exceed 14% without a waiver. Every attempt shouM be made to keep the slope below 14% Walm granted to
% (ECDC IM060D)
10- l3ri"w"s must be Paved fi0m pro" line to City RIGHT-OF-WAY. A separate permh Is required. (EMC IU0.060C)
11. INSPECTIONS ARE REQUIRED ON DRMWAVS AND SMEWALicS pRIORTO AND AFTER POURING..(ECDC 1830)
12. No burning ofconstruction refitse without a permit fiom the Fire DepartmeaL
13. C4uwc&m to City Waw Systent is required. There Is a separate charge for the watw metw.
(ECDC 7.20)
14. Aback water valve is required if downstairs plumbing is below the elevation of upstream manhole.. (ECDC 7.20)
15. Wow and sewer main lines should be separated by 10 fed minimum. (EMC I&1o)
16. the City sanitary is A separate
system requiled.
=7Lr Few paid: Yes L--� No Cha (ECDC 1&IGY.
17. Undarground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 500A of the total assessed
value of the structure. (ECDC 1&90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIMON GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. QX.MC 18.90)
MiZET FILE.