19204 76TH AVE W.PDF6262
19204 76TH AVE W
-411.3 — Or76, 1/0
WEP, LIST
...... . .........
S tree t.. Pdr,11SET"K T2jnD OVA)
Access Eascments Existin,
ik 1.
Utilitv F-asemint Existin� RFOD
Lo t Pc r S imdiv,.F.Jon4�- V-- Assessor 1:ap
Sitc Plan (1c&(,d for Accurac',
u
:j, Plizier,ormind "cod.
row tp-,?
),Ltc
F x is t i I If, 1*1'ater si.-C 11"OAJ .7 61 At.JF_ A.)
1:atcr "ain !,(,m!irCd jpt."
-od r
\.Cr I W �ize
r
Pctector 0,.ccl. -Cter i�cciiircrl 14 00C)f4s-
C(
K,,�q
!jqptic Tzm!: j! Rite
sc�p t 3' C 11. Peouired !'C'mit �,O.
Swiitary !�cl.x—
"'o. File '.'o.
-.-cr
Slfcle �;C\
C(-):,.,.wct.;1(,I1 Fue PCquired—
i1vort PCIcuircd -C
C)
Catch Pc-alired 111(lic.ite oil !7itc,Man
n i
�Imihole I-v(tilired Indictite oil Site 111m
Soil Condition.s Ground Field 010c,"ed
Rite
BUILDING DEPARTMENT Applicant Fill
ktfflir APPLICATION Inside Heavy Lines
USE PERMIT
ZONE NUMBER
08
ADDRESS
I? �
NAME (OR NAME OF BUSINESS)
w
z
o
MAILING ADDRESS
5,311
a
LEGAL VLOTES
YES
Y NO
LOT AREA
TO ad IS-1-7-7
SUBDIVISION NO.
-7
REET R/W
EXISTING STREET R/W (00 FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. 0 FT.
CITY
ELEPHONE NUMBER
77 &?— I
NAME
REMARKS
I-
!. . -
It
III
U
W
ADDRESS
CHECKE12 BY
U
M
-C
CITY
TELEPHONE NUMBER
I
STREET AND/O UTILITY WORK
REQ'D. WYES ONO
R/W PERMIT REQUIRED
C1 YES 0
z
W
NAME
UNDERGROUND
V
WIRING REQ'D. WYES No
I
0
I-
U
ADDRESS
TYPE CONNECTION
ANITARY SEWER KIES
No
VERIFIE Y
z
CITY
TELEPHONE NUMBER
SEPTIC SYSTEM El YES
APPV'D BY CITY ENG.*
0 NO
PERMIT NUMBER
0
U
ENSE NUMBER
CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or Attach Four C
METER SIZE
BUILDINfj!jSVPP�.Y SIZE
W
RE A KS
z
0
SEE �q-rTAC 66:� -k)
A4-,i4 AA
SIGN AREA
ENV. REVIEW
ADB NO.
U
W
ALLOWED PROPOSED
COMPLETE EXEMPT
J
REMARKS
W
J
VARIANCE OR CU
A
10 71?
YARDS
FRONT SIDE R EaJLOT
COVERAbE
d
GAS
NEW RESIDENTIAL LINE
U�j
FIRE ZONE
TYPE OF CON ON
HEIGHT.
ADD NON-RESIDENTIAL SIGN
EI
ElRETAINING
DEMOLISH WALL
El ALTER EXCAVATE FENCE
OR FILL I_
E]
REPAIR PRE -MOVE swim
MINSP. POOL
ICODE
T'7
'341
SPECIAL INSPECTOR REA
REQUIRED
YES NO �3
4�
OCCUPANCY
GROUP
1 . X
OCCUPANT
LOAD
PLAN �COHEC D��/THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
RKSd
z
III
NUMBER OF STORIES
I
i
UMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
W
PLAN CHECK
NO.
VALUATION
FEE
z
2
z
W
PROPOSED USE
U
W
0
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
kl�
I
CL
0
J
W
>
PLUMBING
4r
40
HEAT & GAS LINE
r6o
FENCE
z
SIGN
3
ALL
0
U
SWIMMING POOL
4
a
APPLICATION
The City of Edmonds for
loc'"I"REET SIDE SEWER PERMIT EASEMENT NO - ------------------- ...........
FNUONSTRUCTION REPAIRS 0 LID NO - ---------- ASMT. NO.
-------------
OWNER------ ------------------------------------- CONTRACTOR --- ................................................... PERMIT NO.
JOB ADDRESS -322-2c=�--4
. ....... -------------------- LEGAL DESCRIPTION: LOT No - ------- ------------------- .. BLOCK NO - ------------------------------------
................. -------------------------------------------------- ----------------------------------------- - -------------------------------------------
NAME OF ADDITION -------- --IH3
Approved:
DATnE
.......... ----------------------------------------
11/75
- -- ----- -- - 1w,
J-.3
V,
T
774
A�
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
'0
Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction,
7 . ...............
(Inspection will be provided within 24 hours after requat. No Sat., ctio
Sun., or holiday inspe ns.)
ADDRESS LOCAT701V OF CONSTRUCTION.
..............
. ...... . ...... .... ...........................................
PROPERTY LEGAL DESCRIPTION.
..............
............ ........ ::f7 jj.S�_Ie:-ti� ...........................................................
.............. ---------- ------ -- - ----------------------- ----------------------------------------------------------------------------------------- ---------------------------------------------------------------------------
...........
. . . ....... . ....................................................... OWNERJAIWOR BUILDM ...........
��NTRACTOR'S NAME ADDRESS: ------------------
..............
'k. 11� on'IS granted ............ .... -------------- 119.2
Jr-1-4 r repair and/or connection of a side sewer to the city sanitary
sysvem in accordance with City of Edmonds ordinances. sewer
ATTENTION IS CALLED TO THE FOLLOWING:
rw
NOTE No. 1—The owners of the Property may obtain a permit to construct sewer i ide Property line. A licensed Side sewer, contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work Performed In city right-of-wav requires an Invasion of Right -of -Way Permit obtainable from the City
NOTE No. 3 --- Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get per gngineevs office.
mit.
4 NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade
f sharper than % will be Permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due
work which may develop within one year of completion. to improper
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on
sert the pipe into the wye. the,maJn sewer or its appurtenances except to in-
%
DISAPPROVED Date...
. ...... .... By ................ Date
..............
------------------- -------- 7 ----------- --------- BY ................ Date ............... . ........ By
-----------
APPROVED Date .... -------------------------------- By
------------ - -------------------------
--------------------------------------------------------------
Retnarks: ........ . ...... . .......................... . .. . ......................................
.................... . ...................................
... . .............. ........................
............................
...........................................
............ ........ . .................................... .............................................. . ................................... .......................................................
BOTH Permit Copies
MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I.......................................................................................
hereby certify that the side sewer installation
(Owner of Contracting Firm Performing Construction) constructed under this permit
was installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ---------------------------- day of ................................................................ 19 .........
7.
V Check BEFORE you dig for: Water Ej, Gas Ej, Telephone[], Power E]p Sewer 0, Other E] VV
33"
Aa
T'
APPUCATION
I
I
The City of Edmonds for EASEWNT NO - ------------- ------------------------------
SIDE SEWFM PEItMff
NEW CONSTRUCTION [:1 REPAIRS E] LID No. ---------- - ASMT. NO - ------------------
OWNER ------ ------------------ ---------------------------- CONTRACTOR -- - ----------- ------------------------- PEILMIT NO.
JOB ADDRESS ........ - ------------- ----------- LEGAL DESCRIPTION: LOT NO - --------------------------------- ---- BLOCK NO - ------------------------------------
---------------------- -----------------------------------
NAME OF ADDITION ...............
?
41.i
Zz
4c�
Approved:
DATE------------------------------------------- � Dy --------------------------------------------------- fi7yg
S
OCT -Z 4- 11 YI
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department.
SUBJECT:
After review of the subject building p-ermit application, we have
the following comments:
(1) Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor.
(2) The contractor is required to keep the abutting streets cl ean-
ed of -dirt and debris caused by the construction.
(3) A "Right -of -Way Construction Permit" is required, from the
Engineering.Division of Public Works, for a * ny work within
the Public Right -of -Way or public easement.
-(4) Driveway slope not to exceed 14%.
L# -zo 00 PD S -rW WJ P, r—O 4-
PW 5/77
.I.
to
?46 YA
fll�-EDATE: 4,
MEMO TO: Building Division
, Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: 7(,
After review of the subject building permit application, we have
the following comments:
(1) Coordination of the location of'any structure with respect to
utilities, streets, property lines-Tan—d—c7rTiveway grades is tile
responsibility of the contractor.
(2) The contractor is required to keep the abutting streets clean-
ed of dirt and debris caused by the construction.
(3) A "Right -of -Way Construction Permit" is required. from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to exceed 14%.
(!t_r) < 41,
La _-�, 'P' � L MJ f>f-1IQK- 097' Jlde-
L Q. C- Pr-M A
J&C),JP L*_'Z000 9IT&J J90 S TW P, r--O A_
PW 5/77
PUBLIC WORKS DEPAR isr
BUILDING PX*V4T.T R-ASIM
/0 � 4-77
(address) (date) — I
Street Right-of-14ay Existing
REQD
Access Easements Exist'
g4
Utility Easement Existing,
REQD
W
Lot Per Subdivision Plat
Assessor.
Site Plan Checked for Ac
Z
Underground 14iring Reqd.
Check Accuracy of Legal Description
Z
Review
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code.
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comme nts
Water Meter Charge.Reqd. 5�0
Review by,
Date 4--
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
Proj.
Drawing No.
File No.
Side Sewer Availability 1-7-7-7)
..V6'S'
Sanitary Sewer Connection fee Reqd.
�3:
Review by
te -14-
Open Ditch
Culvert Reqd.
Size
C4
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection an swale open runoff
Manhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Revised: 1v10-1977
:Page 2
Street Paving Reqd.
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
Right -of -Way Construction Permit"Reqd.
Bond Reqd. for Public Iuprovenmts.
Street Nam - Sign Reqd.
Other Signing Reqd.
Pre Permit Site Inspection Tnade on
0'
�4 BY: SEWER
WATER
PL4
M
z STREET
ENGINEERING -
Special Requiren-ents listed in me= to ComTunity Development Department,
Building Division
> BY Date
c) All items filled in an Building Permit Application
P4 BY Date
P4 Drawing s StaTrped and Notations Made.:
P4 BY Da . te
Approved by Public 'Works Department
44
Revised:1v 10-1977'
- - - - - - - VW
Mr
BUILDING DEPARTMENr
Applicant Fill
USE
ZONE ��FERMIT
NUMBER
PERMIT APPLICATION
inside Heavy Lines
JOB
ADDRESS
NAME (OR NAME OF B.USINESS)
-7r?/0,0.4 S r
LEGAL
-
LOT AREA
SUBDIVISION NO.
MAILING ADDRESS
P`YES 0 NO
Z
i
STREET R/W
.
0
EXI STING STREET R/W
COMP. PLAN ST. R/W
FT. DEFICIENCY THIS PROPERTY
FT. 0 FT.
CITY
TELEPHONE NUMBER
_229-
IIIIIREMARKS
I-
U.
W ADDRESS
CHECKEO BY
U
M CITY
TELEP HONE NUMBER
JM B E R
STREET ANDWI UTILITY WORK
REQ'D.
R/W PERMIT REQUIRED
4
1
Y ES
ONO
El YES 0
NAME
UNDERGROUND
L
WIRING REQ'D.
VIIES
El NO'
'5 Ay-t
0 ADDRESS
TYPE CONNECTION
KY ES
ED Y
SANITARY SEWER
IVER11
NO
IX CITY
TELEPHONE NUMBER
SEPTIC SYSTEM
E) YES
PERMIT NUMBER
I-
APPV*D BY CITY ENG.
Pik-
I
Z
I
op
ol
U STATE LICENSE NUMBER
[CITY. LICENSE NUMBER
REMARKS
ption of Property (Show Below or Attach Four Copies) 0 METER SIZE I BUILDING SUPPLY S
Z
0 SEE 3)
SIGN AREA
ENV. REVIEW
ADS NO.
tALLOWED PROPOSED
COMPLETE EXEMPT
U
(A
W
VARIANCE OR CU IPLANNING REVIEW BY [DATE
Z
0
I.-
U
0
YARDS LOT COVERAGE
FRONT SIDE 16'REAR
FO NEW RESIDENTIAL GAS 1HEIGHT
I I IF LINE FIRE ZO PE OF CONSTRUCTION ICODE
ADD
ALTER
:1 NON-RESIDENTIAL
E] DEMOLISH
EXCAVATE
R OR FILL
SIGN
RETAINING
WALL
FENCE
I — X —FT)
—j—
SPECIAL INSPECTOR
REQUIRED
0 YES 1:1 N 0
PLAN CHECKED BY
REPAIR
R
PRE -MOVE
INSP.
El
swim
POOL
REMARKS
NUMBER OF STORIES
NUMBER OF
BAST-,
DWELLING
UNITS
NATURE OF WORK TO BE DONE
ABUTTING STREETS)
PLAN CHECK
NO.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
I hereby acknowledge that I have read this application; that the in- TOTAL AMOUNT DUE
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
NOTE: Permit Limit One Year(Except DEMOLITIONS and FILL ONLYTHE
PERMITS without conditional use permit, which shall be completed in 90 WORK NOTED
days; MOVED -IN BUILDINCS) shall be completed in six months.)
SIGNAT NT) DA/TESI NYE INSPECTION
URE (OWNER DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee 775-2525
AREA OCCUPANCY OCCUPANT
I GROUP I LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
APPLICATION APPROVAL
This application is not a permit
until signed by the Building Official or
his Deputy; and fees are paid, and
receipt is acknowledged in space pro-
vided.
DIRECTOR'S SIGNATURE
0
Z
W
W
Z
0
Z
W
M
IJJ
3:
I.
Z
W
CL
W
w
0
j
W
IAJ
Z
D
0
U
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
ORIGINAL - File YELLOW - Inspector
GOLD - Assessor PINK - Owner ,