18802 92ND AVE W (2).PDFIII . 111111111
8853
18802 92ND AVE W
IRFE
USE
PERMIT 91 n697
ZONE
C11Y OF EDMONbs 4C NUMBER
CONSTRUCTION PERMIT APPLICATION
OB TE/APT It
OWNER NANIF/NAME OF BUSINESS ADDRESS 016 Aml�r aj
'To k Y, -t Co- iv DowLs LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO.
a:
w
Z
3:
7_AILINGADDRLS�
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
city ZIP TELEPHONE NUMBER RW Permit Required
0 EXISTING — REQUIRED DEDICATION Stroot Use Permit Req'd 13
1�_cl, livN o v,�,s 77&31a�p
PROPOSED Inspection Required 0
NAME Sidewalk Required 13 0
Z
REMARKS a:
ADDRESS
0
iW4 q)�!'�A-vr, uJ, Z
'EITY ZI P TELEPHONE NUMBER
0 -? -7 8,
&O;L 711
NAME
C ENGINEERING MEMO DATED REVIEW BY
"l-S Co Ve.
cc
ADDRESS
0
METER SIZE SIZE NO. OF FIXTURES
<
cc
a
CITY ZIP TELEPHONE NUMBER uj:
Z
7 7rS7 -q�a� REMARKS
0
U
STAIIE LICENSE NUMBER
1SWPrN_5 sc 1 1900 M SIGN AREA SEPA RE71EW'h ADB NO.
Legal Description of Property - include all easements ALLOWED PROPOS�ED COMPLETE EXEMPT ------
Z
SHORELINEI
----------
X
2
EXP
cr
L)
VARIANCE OR CU Pk4NNING REVIEV�LBY DATE
3 J'/
0
SETBACKS — FEET HEIGH LOT CO
T pp
Z
Z
FRONT S
4S IDE /0 REAR 0
<
Tax Account Parcel No. REMARKS
ffRESIDENTIAL PLUMBING
NEW
E�ADDIALTER 1:1
COMMERCIAL MECHANICAL
E?rREPAIR APT. BLDG.
SIGN
GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
0
I
DEMOLISH — CYDS. 1— x _FT)
/J I R k-
_—T
CARPORT swim SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
El REMODEL El GARAGE 0 POOL
REQUIRED YES GROUP 1Z LOAD
.
I I I
--I
ElWOOD STOVE I E] RETAINING WALL/
El RENEWAL REMARKS
INSERT ROCKERY 0
i: 0
(TY OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER. UBC 305
W-504ACe-
a:
L)
ch
W
NUMBER OF STORIES NUMBER OF
0
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
nlRe,�Ve* ke.-hulw -�roptt C14+v
FINAL INSPECTION REQUIRED
VAL6ZATION FEE
VfX
PLAN CHECK FEE &0
h4e&ws rwr
BUILDING
PLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Y, 56
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Sta"ed Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
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
a:
4
.7
whatever nature, arising directly or indirectly from the issuance
Issuance this be deemed to PLAN CHECK DEPOSIT A&
of this permit. of permit shall not 5;zs
modify, waive or reduce any requirement of any City ordinance
0
T
nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT 'DUE
A565/
provision." 1 �15 1
1 hereby acknowledge that I have read this application; that the
ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or th i e duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT
This application is not a permit until
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
THE signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor ONLY
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance. I NSPECTION acknowledged in space provided.
SIGNATU (OWNER OR AGEN I OATE SIGNED DEPARTMENT
CITY OF OFFIC L'S SI(jjlATURE DATE
EDMONDS X�w
Y:
CALL FOR RE DATE
ATTENTION INSPECTION _,�EASE ,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
!ADE 771-3202
�r AND APPROVAL OR
UNTIL A FINAL INSPECTION HAS BEL ORIGINAL — File YELLOW inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK Owner GOLD Assessor
102-87
^-P fm% rm m
r. I r1L.
MANSON BUILDING CO.
0. Box 490 * Mountlake Terrace, WA 98043 * (206) 778-9623
kq�
49
prP.-Va
I. -COUNTER
BUILDING DIVISION
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
j 0-HIJ -T6 u_,-e
W WAILING AODRKSS�
z
0:2, cl :Z A-6 UJ
8 MOAWS
I-
U
W ADDRESS
t
x
U
M CITY
_FNAME
�0� USE PERMIT —F—M
Applicant Fill ZONE NUMBER
vy L
Inside Heavy Llinesi.,
ADDRESS
LEGAL DESCRIPTION I SUBDIVISION S H 0 R 0.
'PHONE
NUMBER
�1?5_ Rai 3
ELEPHONE NUMBER
Ix fiftc. ri,wil C_AfVbSC0C-
0 ADDRESS
I-
U
AVE.
(t CITY TELEPHONE NUM13ER
I-
z
0
STATE LICEN CITY LICENSE NUMBER
A- C I .- F,'� g? 1�035 3
Legal Description of Property (Show Below or Attach Four Copies)
z
0 It- Cr —I -5HPvzoA) h7s,
It
U )V1
IA
W
J
W
YARDS
NEW
k4f2j RESIDENTIAL
GAS
D LINE
FRONT
FIRE ZONE
NON-RESIDENTIAL
SIGN
17-,
ADD
DEMOLISH
RETAINING
SPECIAL INSPECTOR
ALTER
EXCAVATE
OR FILL
WALL
FENCE
E] I— X F-r)
REQUIRED
0 YES NO
PLAN CHECKED BY
REPAIR
PRE -MOVE
INSP.
swim
POOL
REMARKS
z NUMBER OF STORI E S
94UMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
u
SYS-77-_—M
In SPAIjOrli-M
W
a
M
21PLOT
PLAN CHECK FEE
PLAN
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
14 "Applicant, on behalf of his or her spouse, heirs. assigns and
In
W
successors in interest, agrees to indemnify, defend and hold harmless
J
I the City of Edmonds, Washington. its officials, employees, and
RETAINING WALL
it
agents front any and all claims for damages of whatever nature,
<
I arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
60
EXISTING
PROPOSED 60
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED
0
DRAINAGE IMPROVEMENTS REQUIRED
0
DRAINAGE PLAN REQUIRED
0
UNDERGROUND WIRING REQUIRED
0
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D 0 NO.
ELEVATION OF PROPERTY CORNERS
& FOOTINGS REQ'D
SEE ENGINEERING MEMO DATED 4 -7-
1 ib
CHECKED BY
METER SIZE I BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED �COMPLETE I EXEM P T
REMARKS
VARIANCE OR CU PLANNING REVIEW BY DATE
[LOT COVERAGE
SIDE REARI
OF CONSTRUCTION JCODE lHEMHT
AREA JOCCUPANCY
I GROUP I LOAD_
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
0
U
M1W
3:
i.
z
W
W
Z
W
CL
0
W
W
—MO
Z
:E
0
U
01 ance of this permit shall not be deerned to modify, waive or reduce
J
0 any requirement of any city ordinance nor limit in any way the
DATE: '4-01-90
MEMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of the subjeca building permit application, we have
the.following comments:
I
.-�F
re
-.1
X
*MLIC WORKS DEPATMOU CBECKLISf
P(N VIF I C. 10 (0 LA-u-PSCAPE BUILDING PERMIT REVIEW
r- c:) SFJk1MKLe9 SYSTEPI
0
Z
Z
Z
W
z4 - 17 -&--0 Date
/ 9'9Oq-?R i,) Address
-TO14KI -TOLL-%/ - - - - --
Street Right -of -Way Existing
REQD
Access Easements Existing
REQD
Utility Easement Existing
REQD
Lot per Subdivision 2 oV Plat
Assessor Map
Site Plan Checked for Accuracy.
Underground Wiring Reqd.
Check Accuracy of Legal Description
c>K-
Environmentally Sensitive Area
r4 e)
Environmental Checklist Reqd.
*-�o
Flood Hazard Zone
Po
Shoreline Management Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd.
0B # Approval
Board of Adjustment Approval Reqd.
Review By: -D-s"M1qq+
Date: —4 -zl--cko
Existing Water Main Size
Water Main Reqd.
Service Line Reqd. ax t.;71 xv- sr-,gyjca
_1 m 4
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection S P,
#-"-Ss vote vf4cvv M OOM-Aituot is REP-Qul"D
A-r PADiPM-rl LjuF- oF aPP96VaP TYPE
Fire Department Comments
Water Meter Charge Reqd.
Review by:
Ite: c4, - / 7 - 9LO
SepWtic'P� ftign�prove
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
Proj.
Drawing No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
Review By:
File No.
Date:
-W Mr 211 1K
X
Open Ditch Existing Reqd.
:2: Culvert Reqd. Size
A� Cc, -itch Basin Reqd. Indicate on Site Plan
0
0
c
cc
Shoulder drainage niij.ntiin collectiol-I on swale open runoff
e
0
v
u
c
e
h
.11-�hole reqd.— Indicate oi-i Site Plan
S j. 1 C -iecked
oil Conditions and Grouiid Water Field C1
.1 te
Renriew
�T/A,s, uO,,
)OStreet Paving Reqd.
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
r4 Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Improvements
Street Narip- Sign Reqd.
rA .10r-her Signing Reqd.
0
mit Site Inspection made on
Xre Per
OZ BY:
SD�ER
WATER
STREET
ENGINEERING
- — — — — — — — — — — — — — -
Special Requirements listed in me= to Comimmity Development Department,
Building Division
BY -Date
o All item filled in on Building Pern-Lit Application
r4 BY Date
P-4 Drawings Stamped and Notations Made
BY Date—
jApproved by Public Works Department
Revised: Iv 10-1977
NOTIC�:
NA I'a r. an
I
The information on the attached
pHed for use by the City of
map(s) was com ' I
Edmonds/ its Empl.oyees and Consultants.
Th,,.e City of`Edrn.onds does * n ot. warrant the
accuracy of anything set for * th on these
m a p (�_). A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e info'rm-atlon shown- or
tFj2 map(s), including, but not limited to,
n of any sewer stub shown. Suc
the lotatio
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the city of Edmonds nor its
tm_mpl-o-yee-s o-r office-rs -sh-a-1.1 be 11a-b-'Fe for the
n on this ma p(5), nor for
information give'
(9ny one representation provided based
upon said map(s).
V-1
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMT
EASEMENT No . .............................
NEW CONSTRUCTION REPAIRS
L— I E:�, 115z'K
ER -------------------------------------------------------------------------------------------------------- 1:)... _5 �F—W.
- NN. V4 . " h.L-L- <:X3t-4,G-.r. --V
OWN ...... CONTRACTOR L ................................ .. ...................... PERMIT No . ......................
ADDRESS le�esc:X;Ei - ca�2:�-301 E--- a.. W. LEGAL DESCRIPTION: LOT No . ....... ............
............................................................................................... ...... ........................... BLOCK No . ............................................
T.
NAME OF ADDITION ........ ...... g ........................... . ..........
............
,
7
E D)MY. �, Q N I DS "(S. MMIU
IT yK., SiDE MEW
�WA�T
ER-�SEW?ER.�DEPART NT
PERMIT. 4531
sewer. inspections� BEFORE covering, any porti= of the construct on.
(,Cali' 715rZ52& for side hin, 24, hours. after requst. NO Sat., Sun., �or holiday Ins pections.)
Inspection will be provided wit
6F,"CONSTRUCTION ........ 133.0.2"...-9.2.nd ... AYeAue .... We.s.t .................................................... ......................................
_�"'DRESS', L1OCA'nON ..... ; .. .. .. .. .. .. ..... .. .... . .... .... .. ..
Lot No. .2,; Sharon Heiqhts No. 3
.......... ........................................
ESG ....... ...... ...... ...... ......... ...... .........
PROPERTY LEGAL�;D RIPTION ........................................ -
................................................ .................................................
.......................................................
. ......................... ................... ..................................................
.............. AI�WOR BUILDER ........ W 11 � ..... Hall .... con.s.t.ru.cti.on ..... ................ .............
......... O'"IER, ... .. .. .. .. .... ....... ....
Lynnwood Swr-& Const, 4214 Vlaple, Road, Lynnwood, tiashinaon '98036
...................... ..................... ; ............................. .......................
CPNTR�AG T
�MMEii&ADDRESS .... �_Y� ...... ; ...............................................................
ove r 16
m.be ................... jq� ......... for r'e'piir and/or connectioh� of' a side. Sewer to, 'the!�,clty, sanitary sewer
............................ . ... ..
d' h Cl�y
sysi6rm imaccor ance,wit of, Edmonds- ordinances.,
W' NTION, IS�.CALiED),TO,',TH-E'FOLLOWING:
ustbe�-employedl'to, construct
Noi I —The, owners',of the, property May obtain a, permit t construct sewer inside property line., A licensed' Side Sewer Contractor m
0
side sewer: In, streetarea., Db�not �over any�,poftion,�of -sewer before, It has been inspecte&,
NPT-R N - 6. *2—AIIL work performe& In city rljht-of7�va�y'�requiies an; Invasion of' Right -of-Way Permit obtaiinable from the City Engineei's offl I ce.,
NOTE"No�� 3—Obta-in f6ll'�'information, regaxdt , ng Ordinance'll'.MOX,and, Xegulations govern�ing side sewers when, you, get permit.,
NOTE N04 4—�Top, of, --side sewer musi, have,at lea-9t,'30' I nches,coverap iLt property line, and; 12, inches Inside property line; minimum,,grad . e of, 2 No �bends in, grade
sharperlthan, : lhl� , will,'be. periiiitted. shall be responsible . for I failure, due to improper
NOTE, No. 5--TrenchesAn'str . eet must be watensettled- and -;surface of street -restored to originalt condition. Contractors:
work which, may develop within one- year of completion.
6--It is,,uniawftil, to alter or -do, any other.work than Is' provided"for in the permit,'or to do, any work,on, the main sewer �or, its appurtenances except to in -
NOTE No. he wye.
sert,the pipe, into, I
-By .....
DISAPPROVED E]� Date ......................................... ........ ....... Date ........... .................. Aie", Date;
............................................................
.... . .... .....
D ...... . ...... .......
APPROVVED� at, ....... zy ..... ...............
........ .................... .............................................................. .............. ..............................
ReniArks:: .................... ................................................ .
................................................... ........................................................
...........................................
.................................................................................. : ...............
bnstructibn PRIOR To- R6quest For Inspection
BOTH Permit, Copies MUST' Be �Signed 13Y Owner of Firm P�erforming 'C
hereby certify that, ithe,,side4sewer,iristall'ation,constructed,,under this� permit
(Owner of Contra
'i"N Cc fon),
in, accordance, g
NTF.-r
wit V verm Ord ces,,ofAhe,City of Edmonds.
.................. ............. 191.7
Dated, thi ............ !"y Of .........
'Clic�k,BEFOR-E:yoii',digfor:.Water� 'Gas' El, Telephone) E], Power - Sewer Other
1�1- Al�
cr
---�:7- 7
11 d.
tj
o a
A/ -o
77S
CY
Ei --C
Ld
AN