19303 86TH AVE W.PDF111111111111
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19303 86TH AVE W
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NOTICE:
Ko---Wa r-ra rity- OT -a'UU
The information on the attached of
map(s) was compiled for use by the City
Edmonds/ its Employees and Consultants.
Th,.e City of �Edm.onds does not - wa rra nt t] IK-_
accuracy of anything set for.th on these
Map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
.....___tF�e -map(s)l including, but not limited to,
th . e loc*ation of any sewer 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
empl-o-yee-s o-r office-rs -sha-H be Viab-'F-e for the
information given on thj5 map(s), nor for
tation provided based
any one represen
upon said map(s).
CITY of E DM ON DS IDE SEVER Pt R- �M.11 T
For Inspection Call 771-3202 STREET FIL9 PERMIT NO. .08012
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Builder:
Contractor & License No: bl�_
Sing'le Family Residence
,-?Wc 7710^)
Mul ti-Family (No. of Units EU)"'AONDS
TREAVVICN-V PLANf
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No L-� Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement -number.)
PLEASE READ E EMS LISTED ON THE BACK
lei
1 cel'ify that I Mve read and shall comply Date
withV the items listed on the back.
Permit Fee: 3D_
Trunk Charg e:
Assessment Fee:
Issued By:' -J>
6te Issued: (0 -
Receipt' No.: o S93
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Lffiitial
00 Rejected:
CD
Reason Date _Tn-itial
Ln
PERMIT MUST BE POSTED ON JOB SITE
..Wh.ite Copy File. Green Copy -`Inspector Buff Copy Applica . nt
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------- ------------------------
NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ ASMT. NO. - ................
OWNER CONTRACTOR ke�--torZ PFR MIT NO D %10 k Z-
--------------------------------- ---------- -------------------------------------------
JOB ADDRESS ------ -- ---- -41 .......... :Y� -------
0-to
a
eWW-0001-1 1/75 (REV.1 1/78)
- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
AME OF
----------------------------------------------- .................................................................
'Ve-
EMAONDS
TREATMENT PLANT
LVVV(2,,C,l,p S'D e--e-� ,
Approved:
DATE ......
---- By( ............
NOTICE:
-N:o---w`arranty ... 0 T -a`U-, U.J.:d �,:Y_ ached
The information'shown on the att
Map(s) was compiled for use by the City of
Edmonds/ its Employees and Consultants.
t the
The City of �Edm.qnds does not * warran
t forth on these
accuracy of anything se
Map(�_). Any person or entity -requesting a
copy should conduct an independent
0 'ation shown on
inquiry regarding the inf rm
F�� -m a p (s), Including, but not limited to,
th . e lociation of any sewer stub shown. Such
sewer stubs may or may* not exist and may
at the location shown.,
or may not exist
Neitheir the city of Edmbnds nor its
emp-l-o- ee-s o-r office-rs -sha]] be 11a-b-lfe for the
Y
n on this map(s), nor for
information give'
any one representation provided based
upon . said map(s).
. CITY OF EDMONDS Z)
CONSTRUCTION PERMIT APPLICA1
OWNER NAME/NAME OFUSINESS
MAILING ADDRESS
Z
-2 q;
CITY TELEPHONE NUMBER
F_ -) 7
INAME
4DDRESS
CITY ITELEPHONE NUMBER
NAME
a: ADDRESS
0
1
L)
4
cr CITY TELEPHONE NUMBER
I
Z
0
U STATE LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach two copies)
�Mk�
J0_,x PICCA
D�l N EW
9— RESIDENTIAL
PLUMBING
E]
1:1
ADD/ALTER
COMMERCIAL
MECHANICAL
1-1 APT. BLDG.
El
REPAIR
SIGN
DEMOLISH
EXCAVATE
F�
FENCE
OR FILL
x _ FT)
REMODEL
CARPORT
swim
GARAGE
POOL
WOOD STOVE/ RETAINING WALL/
INSERT
ROCKERY
RENEWAL
a:
U
(n NUMBER OF STORIES
NUMBEROF
DWELLING
1
0
UNITS
NATURE OF WORK
TO BE DONE (ATTACH PLOT PLAN)
"S/ 4*411ce
PERMIT
NUMBER
JOB
ADDRESS
_3L/)3 0/- /17� hl
�EGAL DESCRIPTION CHECK I SUBDIVISION NO. LID NO,
�4,027�,>
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
APPROVED BY
EXISTING REQUIRED DEDICATION
PROPOSED-M,d A,
lryw
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED
SEE ENGINEERING MEMO DATED REVIE
REMAY(S
METER SIZE ]BUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA I COMPENV. REVIEW ADB NO.
ALLOWED I PROPOSED LETE I EXEMPT I
VARIANCE OR CU PLANNING REVIEW BY I DATE
__W_ZHT I LOT COVERAr
SETBACKS —FEET E 3E
I FRONT SIDE REAR
CHECKED BY ITYPE OF
HEIGHT
r-5— 12-s--
a
Z
Z
0
Z
W
a:
Z
Z
SPECIAL INSPECTOR AREA OCCUPA�� OCCUPANT
REQUIRED GROUP LOAD
n YES
REMARKS
Z
PROGRESS INSPECTIONS PER UBC 305 a
%I
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
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
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
TOTAL AMOUNT DUE
nor limit in any way the City's ability to enforce any ordinance
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
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating c S.truction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
,p
ed threb no p'" willlbe employed in violation of the Labor
-
L
ONLY THE
Codi of t h S tat &Washington relating to Workmen's Compensa-
WORK NOTED
,
tion Insurfirice./" I
INSPECTION
DEPARTMENT
�IGNATURE t ER OF�, NT)
GNED
SIT
JOATE
CITY OF
EDMONDS
Keli W/� IW4 6
VALUATION FEE
13MOMS M_
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 provided.
OFFICIAL'S SIGNATURE DATE
NTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
R. J.'/y
77
A,
CITY CLERK
EXHIBIT B CIVIC CENTElcZ
F-01VIONDS, WA 9ao2o
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AUl'110RIZED
FOR
I"I.F-CORDING
Cl-l'Y OF EDMONDS
By
P,
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, pe Of
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8810130115
CITY OF EDMONDS
P. W. DEPT. ENGINEERING DIV.
EXAMINED
BY ��DATE
REMARKS,
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410
DATE:
MEMO TO: Permit Coordinator, Building -Division
FROM: Dan Smith, Engineering Inspector
ADDRESS:
OWNER:.
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required . for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary sewer system required;.obtain separate
permit.
5) Water and sewer lines to be separated -by 10 foot -minimum.
6) Driveway must be paved a mtnimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed.14%.
f
8) Back water valve -required if downstairs -plumbing i-s below
elevation of upstream manhole.-
9) Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction.may not impact neighboring
properties in any way.
10) No burning of construction refuse without approval'.from Fire Dept.
11) Street to be kept clean of debris, dirt, mud,.and construction
materials.- Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin:installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.-
r
CITY OF EDMONDS, WASHINGTON
SHORT PLAT FILE NO
LOT 2
Commencing at the S.W. Corner of' said subdivision; thence N 89"39'29" E
along the South line of said subdivision 113.77 feet to the POINT OF
BEGINNING; thence North parallel with the -West -line of said subdivision
89-32 feet; thence N 89042'23" E parallel with the North.line of said
subdivision 2.18 feet to a point of curve to the right whose center
lies N 89042'2311 E 20.00 feet distant; thence N.E.'ly along said curve
through a central angle of 9,0000'00" an arc distance of 31.42 feet to
a point of.tangent and a point that lies 20.00 feet South of the North
line of said -subdivision; thence N 89042'2�11 E 83.91 feet; thence
S 5014'02" E 109.63 feet to the South line'of said subdivision; thence
S 89039'29" W 115-99.feet to the. POINT OF BEGINNING.
VOGETHER WITH a 113 undivided ' interest in an Easement for ingress, egress,
atilities and maintainence, over, under and across that portion of said
.'3ubdivision described as follows:
3EGINNING AT -the N.W.,cornlar of said subdivision;,thence N 891,42'231, E
along the North line of said subdivitsion 135-75 feet; the ' nce S 0017'37" E
20.00 feet to a point of curve to the left whose center lies S 0017'37" E
?0.00 feet distant; thence S.W.'ly along said curve through a central
angle of 90000'000 an arc distance of31.42 feet; thence S 891,42'23" W
?0.00 feet to a point of curve to the left whose center lies S 89042,23" W
20.00 feet distant; thence N W 'ly along said curve through a central
-angle of 90000'00" an arc distance of 31.42 feet to a point that lies
20.00 feet South of the.North line of said subdivision; thence
'23" W 75.85 feet to the West line of said subdivision; thence
89042
lorth 20.00 feet to the POINT OF BEGINNING.
R 1 " �; 1:� 0V �,_ --'
0��
JAN 2 3
L AIA'D
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PROJB= ST
RWECT PROJBCT ADDRESS:
PPLICATIQN RECE- IPT DATE: f- Z W
Reviewed by: (initial/date)
M44ENTS
PLANNING
WfR/SWR I STREET ENGUNG
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N= FAt-frLY/KjLTIPLE/CO94ERCIAL - (Circle One)
TBACKS C1MCKED - Planning
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ENGINEERING MGR. PUBLIVrWRKS WM.