20418 92ND AVE W.PDFiiiiiiiiiiii
8900
20418 92ND AVE W
RECEIVED
JAN 0 5 1992
Criti Areas Checklist
Site Information
Project Name: PCTE9-&)tJ Permit Number:
Site Location: 92 �VA 06, 0 Property Tax Account Number:
Approximate Site Size,(acres or square feet).: 0
PERMIT COUNTER
Have you filled out a Critical Areas Checklist for a project on this site before? At 0
General Site Conditions
1. Has the site been cleared or logged? /00 Date of most recent action:
J
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 41
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over e ntire site.
---Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
Hilly: slopes presdnt on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.)
Steep: g-rades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: 0
5. Site contains areas of seasonal standing water: - � -0 0 Approx. Depth: NJ P
6. Site is in the floodway V-"D floodplair,----O-,2—of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? jJD flows
are year-round? Flows are seasonal? tJ Z)
8. Site is primarily: forested meadow ;shrubs _;mixed 1-1-z
Re V- 3127192
&90 .194 -
City of Edmonds
Critical Areas
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a developmo
to the City.
The purpose of the Checklist is to enable
City staff to determine whether any poteni
Critical Areas are or may be present on thi
subject property. The information needed
complete the Checklist should be easily
available from observations of the site or
data available at. City Hall (Critical Areas
inventories, maps, or soil surveys).
hecklist
An applicant, or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The. City will review
the checklist, make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Are� Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill �ut the appropriate column below).
Owner / Applicant
PAVO
Narne
Title
.:2-0+19 -
Street Address
�2 A!,,D AVE
CDMOWO-S o1A I fo
City, State, ZIP
Signature
Applicant Representative:
ALBERT C-Dh4e7iQ
Narne
A-Pl-
oea�fh 7?--7�7-
Title
3 AY-M rJ S 7
Street Address
r-DA40ADS1 11VA - ',726r-0- 2-o
City, State, ZIP /?6 -�3 73 Phone
Z5-
/15
Signature Date
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
Ub. PERMIT
ZONE /�L- NUMBER 930286
,,a S I /Al
ADDRESS 120-11/5 C/2-416 A/Y— X-55.
OWNER NAME/NAME OF BUSINESS
DAV I D FETIE R501`I4
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
1
LID NO
MAILING ADDRESS
2 0 4-13 2. �L-D AVe, W
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — REOUIRED DEDICATION
PROPOSE1
TESCP Approved, .0
AIN Permit Reciu.4d 0
Street Use Permit Req.d 0
Inspection Requ'r 0
Sid...'� .".i,.:d 0
CITY ZIP
EDM otJD-s ?o2.o
TELEPHONE NU�PR
778- 2
NAME
AL Coi4E7&1
REMARKS
ADDRESS
4
CITY ZIP
t
TELEPHONE NUMBER
T—
_7 76-7373
NAM�r _C>EUN4
ENGINEERING MEMO DATED REVIEW BY
ADDRESS
0 0 1
METER SIZE
BUILDING SUPPLY SIZE
7"7
ES
CITY
P,e-PM0?jr> 42
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER EXPIRATION DATE
10 P A,
SIGN AREA
ALLOWED I PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
EXP
AGO NO*
I
Legal Description of Property - include all easements
SHORELINE11
-/O,U,r
li-
F-Aes oki I r-,4 -L-aAAL,
,--4-,7-
0 1-,
Property
Ta. Accourt' 003- 0 0
4 30- OCO
Pa,.. N.
2
NEW
Z RESIDENTIAL
PLUMBING
ADDITION
El COMMERCIAL
MECHANICAL
APT. BLDG.
REMODEL
SIGN
El
GRADING
FENCE
REPAIR
CY"S
I x —FT)
0
W OODST VE
SWIMPOOL
or
:MOLISH
INSERT
HOT TLIB/SPA
RETAINING WALL/
F
E:]GARAGE
CARPORT
L-J ROCKERY
RENEWAL
NUMBER 2 NUMBER OF CRITICAL 17-5-5,
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLA
14N pf;� I rr
`- �;r IJ00le-
i4eM 13'1 A
VARIANCE OR CU G REVIEW BY DAE
SETBACKS -L�ET Ej�
:,,t.� 'JOT,POVERAdE
REAR ZZ,
iPECIAL INSPECTOR AREA OCCUPANCY I occu
REQUIRED C3 YES Z5-Z GROUP R3 I LOAD
REMARKS
PROGRESS INSPECTIONS PER.UBC 305
xi�i&AMAE -DV-WL10,-tZ /9`9 1 W—S—Fe—
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
HEATSOURCE:
A S ff/ltn
GLAZING
PLUMBING
Plan Check No. , q,7 — 417
MECHANICAL
GRADING/FILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 * 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
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
2 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
modify, waive or reduce any requirement of any city ordinance
or nor limit in any way the City's ability to enforce any ordinance
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
'71
h971
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
authorized agent of the owner. I agree to comply with city and
ta laws regulating construction; and In doing the work authoriz-
d lehereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workman's Compensa-
tion Insurance.
SIGNATURE JOWNEH UK AV-1) DATE SIGNED
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit until
AUTHORIZES signed by the Building Official or his/her
ONLY THE
WORK NOTED Deputy: and fees are paid, and receipt is
INSPECTION acknowledged in space provided.
DEPARTMENT FMIATURE DATE
7_icl
CITY OFS 0
_
EDIV ONE) F �
ATTENTION
TE
CALL FOR GPELEASE48V
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
1' -0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 ORIGINAL - File YE . LLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
OINK GOLn - Assessor
CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENTSTREET FILE
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. *Owner: Washincrtbn Natrual Gas
Nam
865-156 AV NE
Mailing Address
—B-Allevue WA 98007
City State Zip
9 Address or Vicinity of Con
Type of Work to be Done:
B. 0 Contractor:
Permit No. &) 0
Issue Date I? - 2'F
Same
Name
Mailing Address
City State Zip
�$tate License Number
tio �2 AV W
"C' T ' " - - ') J
w qas service installation
Ap—n7on
Telephone Number
.. i - .... , - . . .
Work in Connection With: 0 Sub or Plat El Single Family 11 City Projects
0 Commercial El Multifamily utility
< Pavement Cut: 0 Y 0 N
U
APPLICANT TO READ AND SIGN
< INDEMNITY: Applicant understands and by his signature. to this application, agrees to hold the City of Edmonds
>-, harmless from any injuries, damages, or claims of any kind or description whatsoever,, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
.-1 THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
0
U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a-,ddbit or credit, will,be processed for issuance to the applicant.
0
H * A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no ex6eptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature:
Date: 8-30-88
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
>� ISSUED BY: �—rl )
�4
Z Time Authorized: Void after�. 100 days.
0
Special Conditions:
Amendments:
U
0
r-
PERMIT FEE: too 0o �4 A C'C
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
x
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 11 YES 11 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
� I
Eng. Div. July 1985
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Z0114
STREET FILE
CITY OF EDMONDS
250 51h AVE. N. * EDMONDS, WASHINGTON 98020 0 (206) 771-3202
COMMUNITY SERVICES
L
Ike" 5W
mq —'t -r
January 9, 1986
Resident
20210-92nd Ave. W.
Edmonds, WA 98020
Dear Resident:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City of Edmonds Water Section has recently installed a water
valve to help improve the water pressure and fire flows in your area.
Since some of the residents on top of the hill have had low pressure in
the past, the new valve will eliminate this problem.
Currently, the pressure in the area is 35-40 P.S.I. and now will
range from 95 to 105 P.S.I. The City does require a pressure reducer
valve at the house, however, since some of the existing houses may not
have a pressure reducer valve, you are required to install one to
protect against possible leaks due to the change in pressure.
This is a relatively inexpensive item (between $45-$50) and it may
be adjusted to control the pressure in your house. The pressure
reducing valve should be installed prior to April 30, 1986.
If you have any questions, please feel free to call the Water
Section at 771-3202, extension 293 or 291.
Sincerely,
2
A.-EH:IE BRENA
Water/Sewer Section Supervisor
AB/ml
21—J—
ILLS DT 4HIIHLA DT MA CH OT
PUBLIC WORKS
0 PLANNING 0 PARKS AND RECREATION 0 ENGINEERING
NOTIC�:
0 . -a'
- I
The -inform ation"shown on the attached
for use by the City Of
map(s) was co.M.Piled d Consultants.
Edmonds/- its Empl.oyees an
Th,..e City of *Edrn.onds does. not. warrant the
accuracy of anything set for.th on t. * hese
rn a p (�). A n . y person or entity -requesting a
copy should c:onduct an independent
inquiry regarding the info'rmation shown or
-rnap(s), including, but not limited to,
the lotation of any sew-er stub shown. Suc
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neitheir the City of Edmoinals nor its
ernpl-o-yee-s o-r office-rs -shal] be lIa-b-1--e for the
I n on this map(5), nor for
information give'
any one representation provided based
upon . said map(s).
NOTICE:
r
o--W'ar-ra nT.—y...-.0t. a--GC_u--
ttached
The -information shown on the a
map(s) was coM . piled for use by the CitY Of
Edmonds/ its Employees and Consultants.
Th,..e City of *Edm.onds does- not . warrant the
set forth on these
accuracy of anything
rnap(sl An . y person or entity,requesting a
copy should conduct an independent
inquiry regarding the infcbrrn-ation shown- or
-rnap(s), including, but not limited to,
er stub shown. Suc
the lotation of any sew
-not exist and may
sewer stubs may or may
or may nc)t exist at the location shown.
Neither the city of Edmonds nor its
ernp-l-o-yee*s o*r office-rs -sh-a-1-1 be l--ia-b-'1..e for the
information given on this map(5), nor for
'ded based
any one representation provi
upon said map(s).
APPLICATION
for
T�he oily of Edmonds SIDE SEWER PERMIT EASEMENT NO - ------------------ ------- -------
NEW CONSTRUCTION REPAIRS LID NO . ..... - ------- - ASMT. NO.
OWNER ----- F ------ -------- -------- I ----------- CONTRACTOR .... ------- �V —=\ P- 3.. PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - ------------ ------ ............ BLOCK NO.. ----------------------------------
NAME OF ADDITION -------------- E M. 1 C.--= W L -C. D. � ........ �.-. A- \- --------- - —:.�; --------
kpproved:
:)ATE .......... ------ ---------------
-7! B y ------ ..........
1512
P f
I DE E IT;.,
V
,.W/A�TEP,�-SEWER,%DEPA�RT-MEN- —:1
.'A
4
ERMIT"
0 4 3'.
C 11 '775�, e, seN�e�,.jnpqctions w� F*OR r
2,525 for sid E oviiflng.' any�. e9qIon of the, cbngtructio�.j,�
Sun.,, or holiday inspq4ions:
c prov'1�4'W`ithtn- 2�.h(
pi�cti �vffl 'b ;urs after.'r us
on- 1� '1`0
T
11V -V
D'RJE. SPO��A CTIOM..-
RU ...................... ............. ........................................................................ ....... ................. .......
ition,
lot 14q,- .3',Ej eraW
I M 11 s,.Add
:"�'PROP,ERT�Y'L�Ed,kt',-�'PESCRIPTION ........ ..................................... ......... ............
............ .........................................................
................ .... ........
.................... ........................ .............. ........... .......
............... ..................................................
1, 11 . . . . ..J - I ': ..........
............ ......... .......
ER ANWORBUILIJ R ........... ............ .................. ................ .......................
E- FAULTRITZ�_('-�', .............................
......................... ........... ............... . . ...
LynnWood: sek*�,& construction 4214 Mar)le Rd. � Lvnnwo6d:. lik,
E,'&. AD S ...................................................... ................................ ...... ............... W ............................... ..............
Iin
I t
or'6onnection of. a side,:sewer' to, thel;
Pe .......... 'My 5, '191 for�rcpalr and/ ality,:�&ei%y. r
R, - ................................................ :. ��, . V
ss -of- Edmondsrord[nances-.,.,
t,Mk,�ny.. i
systi�myln� d i�ithVU�y
q- j
I` -�,&,Tj6�-ISj-CX�'LED'TO �H-E,FOLLOW-ING.:
T
oi the property �may obtaini a permit to 'construct sewer. inside prope�ty.'Ilne. k,licensed Side Sewer Contractor inust.' employe. construct.,
'side sewer- ih*lstreet area. Do -not cover of sewer,,before, it has� been inspected.
ri,�ity Vght-of-way requires an Inva.9ion, of RIght-of-Way Rermit obtainab
worOMiormed' I le fr6m.,the City Engineer's offle
N6TkVo., 3L;obial rfl�full -in formati6n, regaxiiih g. Ord lnance 11.16.030,,and Regulations 'governing side sew.ers.when you get permW
t. 30,:inches, coverage be
must have.at, I eas at property 4ine and 12 inches Inside property lind;.minimum,,gradb-of,2'%,,,:No, n s In; grade
sharpei�� tff�:n� 'Al will *be, permitted.
'Improper'
I': NOTE No. '5—Trenefies zfm�str�et mu9t,be Water',settled' and' surface of itreet restored. to original condition. Contractors shall be respogsible for failure due t(4
work :%�hicff may develop, witbln . one 'year,'of completion.
�NOTD No.-'6�11. Is. unlaw I ful 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-.
sert. the fi�e into 'the; wye. i
p
............ By!:-. ...............
DISAPPROVED ...................... ..... Date: ..... ........ .. * 'BY ... .......... M. Date .......... BYI�17---'�
�By .. . ..........................................
ij,
APPROVEDI, . ...... ..... ....... ..... ... ...
7
maxks:;4�.: .............. . .................. ... ............... ..........
Roei .............................. ................................. ... .. ...............
- ------- .....
.... .... ... ...................... 7 ....... : ..................... ......... .........
. ........ ............................. ....... : ............. ................. ........... ............... ...... ........
';Construction- PRIOR To� Request Fonjnspec ion:
BOTH Permit, Copies MUST.13e'Signed By'Owher of Firm. Performing
t h cte& '�r
-nd
side seiNr,6i7'in�ta;llv�tibn-.'c6n!itiu 'u A-his,peirmit-
.4 hereby c6r, ify thatj e
...........
g Fi_�_ Y. ming Constructton),�
:(Ownbr.�of'Contractin_ __�;,m
in i �crfrr
vp q installed, in, accordance with all-goVerning ordinance&.of the City -,of Edmonds.,
4.
day
Datedl4hI& ........... T.. ........... - .4
. .........
Ch�W'BEFORE -y d . Ig for:� Wite "Power;:E]; se Qt er
..r .,Telep4one. Ell YVeK; 01
i�ll APPUCATION
the City of Edmonds far EASEMENT NO - --------------------------------------------
SIDE SEViElt PEWIT
NEW CONSTRUCTION F1 REPAIRS E] ASM O�>Z-D&jiL
E:
Ile"
'F
OWNER --------- .......................... CONTRACTOR Se wg/� ----- ... PERMIT NO.
JOB ADDRESS --- 1-Y-12 ------------- ZA .... ------ LEGAL DESCRIPTION: LOT NO. ---y ------------------------------ BLOCK NO - ------------ -----------------------
.................. ............................................. .............................................. ; .............. �; -----------------------------------
NAME OF ADDITION ------------- ---------------------------------------
D
74
A V 6 KIF- 5 Approved:
DATE---------------------------------- --------- By -------------------
I
C)
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STREET FILE
CITY OF EOMONOS
ovc UNTIA . fowo�[,& W�3-�Glo- wo
S IN . GLE FAMILY NULTIPLE CO, /qcI A L
PRDJ I C I
ADDR[iss
ACCESS SLOPE AND VEHICLE ACCESS
DPLAIKA(�[ PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DIVICATIONS
CASEMENT - PL)OLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LID I
STREET PAVING REQUIRED
CURB AND GUTTER REQUIRED
NOINEERING &
P R 0 J E C T
C H E C K
PUBLIC WORKS
REV I EV�
LIST .,
CONTACT la'1( & TELEPHONE NW ER
1 6", 1 J//� Xf.,) I , �,r�deOe -171fV hil" A11,1
I
I i" - A I -J Z,26, 1,5�61A'r
SIDEWALK REQUIRED klov-
CURB CUT FOR DRIYEWAY.REQUIRED Al
RIGH7-OF-WAY CONSTRUCTION PER1417 R4R[b
BOND REQUIRED FOR PUBLIC 111PROVEMENTS
STREET NAME SIG.?i REQUIRED
OTHER SIDiING REQUIRED
(A.DDITIONAL COKIIENTS ON I
(XISTINC WATER MAIN SIZE
WAI[R M IN REQUIR[V
SERVICE LINE REQUIRED
Lo 11TORAUT SIZE EXISTING
HYDRAJIT REQUIRED PER FIRE CCV)f 4� //4 SIZE
CROSS CONNECTION INSPECTION
WATER )IFTER LHARGE REQUIRED
REVIEW DATE 25;:�:75— (AMITIOILkL CC*KNTS, ON
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2
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S)AIIARY SEWER DVJJIMG IILOI.BER
SIDE SEWER AVAILABILITY
FILE W11BER
SANITARY SEWER CO'411ECTIOII FEE RZOUIRED
OPEN DITCH EXIS1111r, RMIKED
p
CULVERT REQUIRED" C-:P- A F-PPC)OF-Z) 'UL PLA SIZE
DICH 5mim uQUIRED ( k I i,_ I \- "\ INDICATED (A SITE PLAN
ShOULDCR D.UIMGE )VINTAIN COLLECTION ON SHALE OPEN RUf*fF
K"mou REQVIRED INDICATED ON SITE PLAN
SOIL CONDITIO0 590 QR�00 VATER FIELD CHECKED
2EVIRINMEM R&Mwmimma
USE -4WPERMIT
CITY OF EDMONDS
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
joB
ADDRESS
Oq 16 /0
1,0,qL 7- 4,4,1
LEGAL DESCRIPTION CHECKI UBDIVISION NO. LID NO
MAILING ADDRESS
Z
OA&
':
0
CITY TELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
N A
X
E IST114G
RM
Z
ir
0 /j D 1 A/
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W
LU
LOJADDRESS
STREET USE PERMIT REQUIRED El Z
0
t:
Z
SEE ENGINEERING MEMO DATED_Svjo_)��
a: FELEPHO NE NUMBER
CITY
SEE PIW DEPT. REVIEW CHECK LIST DA ED
F,
REMARK
NAME
�7 61
Cr ADDRESS
0 OZ/6
METER SIZE G SUPPLY SIZE FIXTURE UNITS
a: Crrl� TELEPHONE NUMBER
Ir
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7
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REMARKS
STATE LICENSE NUMBER CITY LICENSiE NUMB&
SIGN AREA ENV. REVIEW ADB NO.
Legal Description of Property - include all easements
ALLOWED PROPOSED COMPLETE
(show below or attach four copies)
SHORELINEN
Z
2 �4
fl,�(-A'zomep /M 3,(o)c 1111141y5
VARIANCE OR CU PLAN NG REVIEW BY
YARDS -4 11 J.LOT �OVERAAE/
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ON S
T SIDE REARI
REMARKS
NEW RESIDENTIAL PLUMBING
ElADD/ALTER El El
NON-RESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
El
CHECKED BY YPE OF CONSTRUCTION CODE HEIGHT
DEMOLISH OR FILL I— x _FT)
I
PRE -MOVE INSPJ swim
SPECIAL INSPEC OCCUPANCY OCCUPANT
COMPLIANCE INSP. POOL
REQUIRED GROUP LOAD
El
0 YES I
REMARKS
SIDE SEWER WATER LINE
0
El
cr
NUMBER OF STOR 7Es N MBER OF
_Tu,,u,'11.
D
tLLINU
ca 16
0
'I NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) —
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFILL
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.
Permit Application: 180 Days
fermit Limit: 1 Year - Provided Work is Started Within 180 Days
"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 o!
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
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
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
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State df Washington relating to Workmen's Compensa-
WORK NOTED
tioln Insurance.
INSPECTION
316NATURE (OWNER OR AGENT)
DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
VALUATION I FEE
-/_^.S_0
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
771-3202 [DA T E
A TTfkf_10 N
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 0, ��ORIGINAL - File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 3 ��A
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78
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max,
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FIR— too,
MAC, I
STANDARD DRAINAGE PLAN
CATC44 BASIN:
A.M * IS-30(01L
WGUAL)
I
,� -nc.W�UWK
4FEILF F%ps --,
TEE W/ 4"LONG LEGS
MAR 191985
TRUNCW LWwG-rH
a of
3
"TIkKkCW COVIM ;k
.... ..................... . ..... ....
&XVIII'L. 7XWN"
CAP
SYSTEM CROSS-SECTION
M I RAff I r_-0 0 X
<_*_ L-Lk) tj IV L_ L-W-4—
TO 15fF_� Lj_��ELI) (f
TkF-Ncw COVER
3/4"- 11/2" WASWED
GRAVE I
4�01AM P'E$ZF P
TRENCH CROSS-SECTION
INFILTRATION SYSTEM
PAGE I OF 2
for fIR, AuDI? WALTARt
61.23- i9j" S.W. toowJ03. Wa.
location ZC,"pWp,�_U/j%, I
plan by
phone
date 1-11-65
DESIGN
Trench Perc
Number Rate
1. 10 1
DATA
LF per
1000 sq.ft.
3 2 4t,
Imperm
Area
Ili% 5
Trench
Req.
45 ft
.3 2 +t.
'1645
bb4t
30 4-t.
Vil 5
28 +t
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floatinq material and
sediment at regular intervals (at least
twice per year).
1!!�_ It at 11 1% L'T t It N P'. 7 N -J
W"T" 3 - o" VA
z(ve. 2 Z-k & vvl-.,
CITY OF EDMONDS
S.,
A
%n
N.
tolk WfLy
001,
SITE PLAN. SCALE: 20
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL)
PEXIL TL%T MD%.t
onk
,a-
; MAR 191985
CATC.H BASIN:
&M 6IS-30(ok TREP4CW L-KP4GrH
WSUAL.)
'TVkK%r_W COVIM-i,
A ...................... . ...... . .........
16cvffL 71kWhIC.N
P%PV.,/
TIME W/ 4 Low-, LEGS
SYSTEM CROSS-SECTION
MIPW:�l
<-.> L-Ud
TO
-TP,F_HC" covrmp-
3/46- 0/2" WASIAED
GRAVEI
4!OIAM F'WqF P
TRENCH CROSS-SECTION
A cc
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for AR, fkVD1f WAL-TAKI,
5(.23- 1641, S.W. WA
location 204I4,-12'4AVz.VJ- Z014QW"_WA-
plan by - CARL V.C.69"a"
phone lbs- 146';
date
DESIGN
DATA
Trench
Perc
LF per
Imperm
Trench
Number
Rate
1000 sq.ft.
Area
Req.
10
V/
3z 4t.
114 15
45 ft
1%
-b 2 +t.
11645$
bb4t
30 ;t.
40t 5
2
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
ts , 0
F
P
92
PElLf. TE%T Mott 0 1
SITE PLAN, SCALE: 1" = 20 f
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL.)
NT TIME OF
NSPECTION
0 N
1
LY
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ince or other
alr "variance")
identified. Ap-
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ind for which a
identified, re-
)propriate city
)riate provision
)rove a y items
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SETBACIKS:
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REAR
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HEIGHiT
0
cl�lfl&AL APA 4
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ole
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e,L 100,0
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or ,
BUILD!
WORK - An
ADDRESS ck�6
OWNER
APPROVED DAT
BLDG. OFFICIAL
P E R A