18824 SOUNDVIEW PL.PDF11111111111111
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18824 SOUNDVIEW
PL
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: El Conditional Waiver E] Study Required f--j Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
7, 262
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:_
SIDE SEWER PERMIT(S) #: A��
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Fomis\Street File Checklist.doc
The City of Edmonds
OWNER ........
ADDRESS
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APPLICATION
for
SME SEWIM PEZMff
NEW CONSTRUMON A REPAMS Q
EASEMENT No . ...................
CONTRACTOR Y6--Y ... -9�� ------- PERNaT N�
LEGAL DESCRrPTION: JOT No. j ...... ...................... ......... BIA:)CK No . ...............
NAME OF ADDMON,/., ...............................................
APProved:
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CITY OF EDMONDS
CaJ1 PRospeet 6-1107 when work
CMC CENTER — WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) 2962
SIDE SEWER PERMIT
18824 Sound View Place
ADDRESS......................................................................................................................... . .............................................................................
. .......................................................
OWNER --------------- N.G. Norwood --------------------- commAcToR ------- D .. . .... --- D...-Lons-truction _---------_--
Permission is granted --------------------- M��y ...... X_, jq.fi.8., for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do nut cover any portion of sewer before it has been inspected.
N 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
12 inches inside line; minimum of 2%.
NO— No. 3—Top of side sewer must have at least 30 inches coverage at property line and property grade
No bends in grade sharper than % will be permitted.
NOTE No. 4 —Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful 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 appur-
Itenances except to insert the pipe into the wye.
City' of Edm'o
FILE
RIGHT-O.F.-WAY CONST CTA
PERMIT I'lu
IT
Nmber:
Permit
Issue Date:
I 5-ci
18824 Soundview Place
A. Address or Vicinity of Construction:
Install 2" PE IP Mah in Soundview Place
8 90 1 9 C5 B. Type of Work (be specific):
from 3721 South to 572' South centerline.Wharf Street. Per
Attached Drawing: 920-048 (m 6043-3 (1)
C. Contractor: -Washington NAtural Gas Company Contact: Gary Swanson —
MailingAddress: 815 Mercer Street, Phone: 224-2080 R . 9 EIVED
State License #: Seattle, WA 98111 Liability Insurance: Bond:$
NOV 0 5 i99t
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
ENGINEERING
E. Commercial E] Subdivision E] City Project g]. Utility (PUD, GTE, WNG, CABLE,VVATER)
Multi -Family [:] Single Family F� Other
INSPECTOR: INSPECTOR: SW
f, I% v.. r-im- Mrz 2 4 TJ ru.- It
APPLICANT TCNAVIND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harrnless from injuries, damages, or
claims of any kind'or description whatsoever, foreseen or unforeen, that may be made against theYCity 4ftEdmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit.
4'( ' FO�ZPERIOlbbFL(OkE YEAR FOLLOWING THE FINAL INSPEC77ON
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS
AAD ACCEPTANCE OF THE WORK ES77MA7ED RESTORA77ON FEES'WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PR66ESSED FOR ISSUANCE TO THE APPLICANT
Construction drawing of proposed work required with permit al�pliGaiton.
A 24 hour notice is required for inspection; Please call the Engineering Department- -771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
Signature: A4EMdae,44 Date: *October 24, 1991
(Contract6r`Jr_A:gei�t)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
...... ......
FOR CITY USE ONLY
.......... ...........
..................... ...........
APPROVED,BY::: .:RIGHT::OFWAY.DEPOSIT:-:;:
.......... .. ........... ...... . .... ......
T9AE:AUTHORIZED: VOID AFTER:,JAW_ .... 1)AYS.: ::.::.DISRUPTION: FEE/FUND. I.I.I.: . .....
�..COMMENTS:. REC.EIPTNO.:,.,. ... ......
D :4, ISSUED BY:
ATE
NO WORK SHALL BEGIN PRIOR TO. PERMIT ISSUANCE
Engrg. Div. 1991
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Date /2zL4zJ,7 To
Lawrence Hirsch
From - Subject Job#
REFERENCE: (Contract No. or I.R. No.) Address: P4.
Your, assistance in expediting this pe=it application would be
.greatly appreciated.
Thank You
- 17JL ,
2-6767 ext 2588
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CITY OF EDMONDS
USE PERMIT
ZONE NUMBER 95():25.3
CONSTRUCTION PERMIT APPLICATION
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OWNER NAME NAME OF BUSINESS
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY ZIP
TELEPHONE NUMBER
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EXISTING — REOUIRED DEDICATION
Street Use Permit Req'd 0
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PROPOSED
Inspection Required
Sidewalk Required 0
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NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
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YES 0 NO 13
ADDRESS
REMARKS
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TELEPHONE NUMBER
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STATE LICENSE NUMBER EXPIRATION DATE
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SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
ADS NO.
Legal Description of Property - include all easemdrits-
SHORELINE 0
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PLANNING REVIEW BY
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SETBACKS —FEET
HEIGHT LOT
COVERAGE
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REMARKS
Tax Account d
Parcel No.
NEW RESIDENTIAL PLUMBING
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ADDITION COMMERCIAL MECHANICAL
APT. BLDG. El
REMODEL SIGN
CHECKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
GROUP
GRADING FENCE
CYOS. I X
REPAIR _FT)
4 4.
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
SPECIAL INSPECTOR
AREA
OCCUPANf
REQUIRED
13 YES
LOAD
EGARAGE RETAINING WALL/
] RENEWAL
REMARKS
CARPORT ROCKERY
PROGRESS INSPECTIONS PER UBC 305
(TYPE OF USE. BUSIN ESS OR ACTIVITY) EXPLAIN:
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NUM13ER
NUMBER OF
CRITICAL
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OF
DWELLING
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INUMBER
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STORIES
UNITS
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DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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FINAL INSPECTION REQUIRED
0 0 C,�LA —f e,-
VALUATION
FEE
PLAN CHECK FEE
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BUILDING
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HEAT SOURCE:
GLAZING %
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 160 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
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successors in interest, agrees to indemnify, defend and hold
26
harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
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nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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provision.
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 tha 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
is
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt
tion Insurance and RCW 18.27. - INSPECTION acknowledged in space provided.
SIG TURE IOWNER OR GE T DATE SIGNED DEPARTMENT OFFICIA DATE
CITY OF 4s.SIGNATURE
e/h EDMONDS
CALL FOR RELEASED BY DATE
ATTENTION INSPECTION I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ORIGINAL — File YELLOW — Inspector
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER 3. PINK — O�Aner GOLO — Assessor