18821 88TH AVE W.PDF111111111111
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18821 88TH AVE W
TAX ACCOUNT/PARCEL NUMBER: Q0q zu U �Q 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 0 (4 &LUDEFTERMINATION: Conditional Waiver El Study Required m/waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 2� Lo I o
SCALED PLOT PLAN DATED:_'7161c)3
I
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: -
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
LID
LOT:
BLOCK:
SIDE SEWER PERMIT(S) #: q171'Vq
501
�r i7c. jg9,1
City of Edmonds
SIDE SEWER PERMIT
M1
Address or Construction:
Property Tax Account Parcel No
Attach copies of all access and,utility easements
Owner and/or Contractor:
Contractor License #:!Sv a
XSingle Family
F] Multi -Family (No
of Units
F� Commercial (No. of Units
F-1 Public
PERMIT NO: 9779
PERMIT EXPIRES V)61)�7 PE& IT'
LID #
�erified and Approved b
GTETOT
Building Permit #: ZO-3- 016 21
Invasion into City *Right -of Way: Ej Yes
*RW Construction Permit
Cross other "Private Property: El Yes 0
"Attach legal description' and copy of recorded sement.
Owner or contractor. signature and acknowledgement statement.\.�_� '
Py signing for this permit I certify that I have read the City's public' handout entitled
ide Sewer Specifications, �nd shall comply with alt. City requirements outlined therein
ow,L4
Date
W CALL DIAL -A -DIG (1_800-42��.5555) BEFORE ANY EXCAVATION W
W FOR INSPECTION' CALL 425-771-0220 extension i3i(off
HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE- INSPECTION FEE WILL BE CHARGED.
Job Site Ready:YES NO —DAte: ln.iti.al:
Partial Inspection: Pa,-�j Atejj'4o Atc ro- �6 114t.1 Z'a Date:/V/i:j/
MInitial:
Partial Inspection- A. Date: Initial:
FINAL INSPECTION APPROVED: Date:
uilt to Street File:
f� PERMIT MUST BE POSTED ON JOB, SITE t-
White Copy: File Green Copy: Inspector � Buff Copy: Applicant
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9773
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PRIV. DR.
CITY OF EDMONDS SIDE SEWER AS— BUILT
A
6 ADDRESS
tA 18821 88TH
HOMEOWNER
DATE DRAWN
10/15/03 By 1. ABILA
mIlOwn
CONTRACTOR
HELLEREN
PERMIT
NO. 9779
SCALE
NTS
51
wm
LLJ
00
00 1 1
2,5' Deep
E.Dj
PRIV. DR.
2' Deep
16,
CITY OF EDMONDS,��Wliy4�T��E,4,,R�,#LPIS�N�0,E�.fAS- BUILT
ADDRESS HOMEOWNER
18821 88TH AVE W HELLEREN CONST.
CONTRACTOR SCALE
NTS
DATE DRAWN WATERLINE
10/15/03 BY . 1. ABILA NO. 2003-0632
NOTICE:
nt"V! ... OT -d_ouk�
Wa r-r a
No...
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 �Edmonds does not. wa rra nt the
et forth on these
accuracy of anything s
Map(�-). An . y person or entity -requesting a
copy should conduct an independent
'e inform'ation shown on
inquiry regarding th
._.___tRe -map(S)i including, but not limited to, -h
th . e location of any sew-er stub shown. Suc
not exist. and may
sewer stubs may or may
at the location shown.
or may not exist
of Edmonds nor its
Neither the City
emp-l-o-yee-s o-r office-rs -shal'l be 11a-b-'Fe for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
X)
co
& (, \r� (3, Q to'-f—
OVVNER1'0O-NrrA.-"'.'FoH IS MERPONSIBLE FOR LOr RECEIVE:13
T CLAMOMINAGE
EROSION CON. R CITY oF ET3M JuL 2003 -
*" 0 1-4 OM 13 14 M.EET FILE PPQAArr
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T
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TRACT 999 ro r = :3 4 57.44
Ri"G.PGNSIBLE FOR
EROSION CONTRC AND DRAIN
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PROVED AS NOTED
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FOOTING DRAINS NOT
TO BE TIED INTO
DETENTION SYSTEM
SA. Li
LOT
CITY OF ET)M0jqVl5 f:ET
DATUM= C13 Li
TRACT 999
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FILE JUL - 8 2003
PERhflr coumrER
HEIGHT C&L.C15
3 V1.
's 4. G.
Tor&L.: 14 4,s.t 4 4,
+ Co
3?1.3 MAX
ABLE TIGHTLINE 371.8 0
MATERIAL
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OpROVED AS NOTE
r ENGINEERING
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'11WTV5W Date'
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C A L IF
PLANNING DATA
SITE ADDRESS: PV5-:�t-4 PLAN CH
PROJECT DESCRIPTION: ne.-w
REDUCED SITE PLAN PROVIDEDZn�N�o
MAP PAGE: CORNER LOT: Lye—SAQ)) FLAG LOT: LYes o
ZONING: CRITICAL AREAS DETERMINATION
L) Study Required:
0 Conditional Waiver
SEPA DETERMINATION:
L3 Fee
U Checklist
LJ APO list w/ notarized form
U fteded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks: or
Street:4-7 _Left Side: Right Side:— 10 Rear: 75
Actual Setbacks:
Street.-fe r;i. Left Side: 10 Right Side: Rear: 1211:5
Street map checked for additional setback required? (Yes / Nodl%-Al"�
U DETACHED STRUCTURES:
L] ROCKERIES:
FEN
C )rR�ELLISES:
- r'
S -b� en e-4 e-i
W P
BAYWINDOW PROJECTING MODULATION:
USTAIRS / DECKS: 0
PARKING:. Required:.Z- Actual: �5
LOT AREA:, 1
.Z-4000rh
LOT COVERAGE , I
BUILDING HEIGHT: J*
Datum Point:— not�h bms, P1 Datum Elevation:
Maximum AJlowed: Actual Height: ;�4' -7 1-a4i I.o"
A.D.U. CREATED?: (No / Yes)
SUBDIVISION: t
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (12§_/ No)
OTHER:
Plan Review By:
NewfPPea?annDingg�DD-ataFor�nLFD�WCC 07'7 5 2-6 75
RECEIVED
0
JUL - 8 2003 s51TE PLA,-.�,J
PERMIT COUNTER STREET FILE LOT i Dg-S.P#-
CITY OF eT3M0r4X75
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cl) CL TRACT 999
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\w PJSPECTIONS REM
9-3., 3 —�ALL 425-771-022a-VT. 1326
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HEIGHT C&L.C.5
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3746 96
80*M 04- �oolt�
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EROSI
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105Y
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APPROVED by v
F-A
CITY OF EDMONbs
U SE
'SE PERMIT
Zo NE
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATIOINjoB
SUITE/APT—#
OWNER NAME/NAME OF BUSINESS
ADDRESS OZC�Z_\ e
L EGAL ,
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO
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W
MAILING ADDRESS
1
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0
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 13
CC� ZIP
sjjd. Jqo,�Zo
ELL),) 611 j I
TELEPHONE NUMBER
q -7 '76 ��
EXISTING — REQUIRED DEDICATION
RW Permit Required 13
Street Use Permit Req*d 11
Inspection Required 0
',
-SED
Sidewalk Required
NAME -
d5s 65 6�
REMARKS Cr
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WK
W
ADDRESS
to:
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CITY ZIP - -IT
LEPHONE NUMBER
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qZ 5 - 7 q!�-. b��
NAME
G MEMO DATED
E EERI FIEVIEW
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ADDRE7
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METEF!_�LZE BUILDING SU7,PLY SIZE
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still!
0. OF FIXTUAES I
CITY Zip
TE EPHONE NUMBER
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REV
STATE LICENSE NUMB ER
FXPIRAT ION DATE.
'04Q6R,9
rv&7 it) �ler o t, 6.1;) C,
081.)31 .
SIGN.i"EA�,.:
'PROP
SEPA REVIEW
ADB NO.
Legal Description of Prope. inc WaIV66semont'
ALLOWE D
I OSED
COMPLETE
EXEMPT
Z
&67 ()V
SHORELINE 0
EXP
VARIANCE OR Cu
JLANNIN G REVIEW PY
DAT
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uj
71
7 2,
_j
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SETBACKS — FEET,;ZJF4S2 ft> '25 IptlEfIGHT]
LOT COVERAGE
Z
Lim
:S
FRONT IDEIOVJ 6AR
&4x Z
u.'
Properly
Tax Account 0 Q
REMARKS Q.
Parcel No.
ONEW -
RE *Sit . jENTIAL
..,PLUM
Ej
2ME6 C
ADDITION
COMMERCIAL
HANI I A L
E]
El A5,BLDG.
Lw4
REMODEL '.SIGN
-:NCE,;
REPAIR CYDS X_ FT)
CHEC KE D BY
CONSTRVCT'ON,
HE
WOODSTOVE, sWIMP60,L"r
DE - INSERT I 'HOTTUB/SPAr
SPECIAL,INSPECTOR
REQUIRED
A
A . RE :b
ICCUPANCY
GROUP
ic
OCCUPANT
LOAD
��LISIH
0 Yis�r'.
ARIGE ETAINING,WALL/:
'AOCKEAY NiiWAL'.
eftiltrarri! 0 RE,
REMARKS, r.
Z
0
(TYPE OF USE, BUSIN ESS ORACTIVITY) EXPLA
PROGRESSINSPECTIONS PER VEIC 305
Ren)d
NUMBER OF, ]'CRITICAL -N
LS
u....
13
NUMBER
OF 2—
�
DWELLING r
Or
[A EAS
03
0
STORIES
UNITS
N
DESCRIBE WORK TQ 89 DONE (ATTACH PLOT PLAN)'
1(� �A
fINAL INSPECTION.REOU
IRED
VALUATION
FEE
PLAN CHECK FEE,
HEAT'ST)URCE:
I -GLAZING
%
UILDING.
12
C_3�5
itim, Ir
PLUMBING
Plan Check No. 0 r
MECHANICAL
r,
I
GRADINGIFILL
f92 9
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewolks,
0,
V
driveways, marquees, etc.) will require separate permission.
STATE SURCHARG
5�d
, V
/V
Permit Application: 180 Days
f
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
u)
successors in interest, agrees to indemnify, defend and hold
'WA
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
<
whatever nature, arising directly or indirectly from the issuance
PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed to
0
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
a157—
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
' ' ' u
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
Ut
state laws regulating construction; and in doing the work authoriz-
S t a I
THIS PERMIT
AUTHORIZES
T.his application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ed I
Code of the_.,%tkte of Washington relating to Workmen's Compensa-
CDC
ONLY THE
WORK NOTED
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
t I n insurarn6e
La
I NSPECTION
acknowledged in space provided.
SIGNATURE YWN I OR AGENT)
DEPARTMENT
CITY OF
SIGPATURE DATE
LL�R aivu,,t
EDMONDS
OFFICJA,�'S
0
ATTENTION
CALL FOR
INSPECTION
WE I:E D E
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YFI 1'0VV Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
X / 3 3S
CHAPTER 3.
PINK — Owner GOLD — Assessor