20420 88TH AVE W.PDF111111111111
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20420 88TH AVE W
PROJECT REVIEW CHECKLIST
PROJECTNAME: PLANCHECK#:
PROJECT ADDRESS:--M4 RECEIPT DATE.G 3
REVIEW DB
pitial/Date)..
e:
PLAN.'.: WATI�R
M ENTS
T. '-f j
IRE-.1
BLDG.,-SEWER
STREE G-":
EN
Setbacks/Variance/Setback Adjustment
- ----------
Conditional Use Permit
. . . . . . . . . .
MEN 5, -Rf 9 i't
........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADS Requirements
-
- - - - - - - - - - - - - - - . . . . . . . . . . . . . . . ........... . . . . . . . . . . . .
Other Zoning Requirements
:4.
Underground Wiring Required
X.11 I
Lot Slope 15%
..................
.'6
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
.9,6,
Legal Description Verification
Quit Claim/Street Dedications
.......... - - - - - - - ........ . . . . . . . . . .
...
Easements - Public/Private
42,
Engineering Storm Drain Review Fee
Engineerin 2.2 Inspection Fee
9 IZC)
[,.:14
Drainage Plan (0-n-Site)
Setback - Top of Bank, Stream, Water Courses
MoX....
17::,
Setback - Storm Drain Line
Open Ditch - Existing
1.8:
Culvert Required
Culvert Size
............
201::
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access < le IP6
Sidewalk Required A-)o
Curb & Gutter Required
Curb Cut For Driveway Required
Street Paving Required 5-17� I zs
. . . . . .
27
Right -Of -Way Construction Permit Required K)rD
Street Name Sign Required
.29.
Other Signing Required
Bond Required For Public Improvements
FEMA Map Check/Water Table
MA
Side Sewer Availability
............ ...
Calculate Sewer Connection Fee If No LID #
Create Street File
Existing Water Main Size
Water Meter Size
Service Line Size
Water Meter Charge Required
Hydrant Required
Hydrant Size Existing
M . 7
Fire Une Charpe Required - Sprinkler
A)/A
Street Cut
.
Miscellaneous
. . . . . . . . .
Reviewed By:
FIRE PLANNING
ENGINEERING
P,
� I UA
R E C 0 R D OF C 0 N T A C T S
21
2
22
3
23
4
24
5
25
6
26
17
27
8,
28
RW PERMIT i DATE ISSUED RECEIPT #
29
.0
30
31
32
�l
PAID $ RECEIPT # -DATE
PAID $ RECEIPT 9 DATE
33*1
34 1'
SS PERMIT DATE ISSUED��'Y/9 -gECEIPT # 4?097
35
36
37
METER SIZE - PAID $'37S- 0:9DATEE' /"/9,rRECEIPT # Ar�?De?7
38
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39
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INVOIN
JUN 2 3 IS98
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APPROVED AS NOTED
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H 0194
JUN 2 3 1998
F'Aks t
kow
ilk"
CITY OF EDMONDS
8 9 1 9"
1\
Address of Construction: O� L0
Property Legal Description (include all easements)
PW'O A1JVV#A"
/_'A RM / 7- , . r--'X P E, S '�O Dl �,YS
SIDE. SEWER
PERMIT N2
V4110
PERMIT
3957 -
Owner and/or Contractor: a
4
State License No.
Building Permit No.�
0 Single Family
El Multi -Family (No.. of Units-)
El commercial
El Public
Invasion into City Right-of-Way:-o No 13 Yes
RW Construction Permit No.
Cross other Private Property: V No El Yes
Attach legal description and copy of recorded easement
Xo;05;e-�.
I cAify that I have read arZs'hall comply with all city requirements
as indicated on the -back of the Permit Card.
g4 4//��
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE U0E':6N''LY,.
FOR INSPECTION CALL W44.*02, PUBLIC WORKS DEPT.
77/-OA35
Permit Fee.: L Issued By
Trunk C harge:A5-,o(9 Date Issued:
Assessment Fee: R ece i pt N o.: 09 7
Lid No.:
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial -
Final Inspection Approved: Date Initial
PERMIT MUST BE POSTED ON JOB SITE
White Copy; File Green Copy; Inspector Buff Copy: Applicant
Revised 3190
t
The. City of Edmonds
Side Sewer Drawing
EASLMi�NT NO. . ........... ............
4
NEW CONSTRUCTION 2- REPAIRS F� LID NO . .................. AsMT. NO . ..................
OWNER......................................................................... ...................... CONTRACTOR ............................................................................. PERMIT NO.
JOB ADDRESS .... ;Z () ly 2- 0 8 8 A VF— - W.
......................... ..................................... .................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
PWW-000 1 - 11/75 (R EV. 11/78)
NAMEOF ADDITION ..................................................................................................................
e 2--pVc P4^-Z*4
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4 * 0. k
Approved:
..............
DATE .......................... 'y .......... Zum�.., ...............
NOTICE:
Y
N'o---wa r-r a n - y ... o - -a'
The inforrnation'shown on the attached
map(s) W3S c0m piled for use by the city of
Edmonds/ its Employees and Consultants.
Th,e City of Edmonds does. not. wa rra nt the
t these
accuracy of anything set for. h on
Map(s�. An . y person or entity a
opy should 'conduct an independent
inquiry regarding th'e information shown on
--the -map(S), including., but not limited to,
-er stub shown. Su&
the lotation of any sew
sewer stubs may or may* not e.xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
emp-l-o-yee-S 0,r c)ffi-ce-rs -shatl be l-Ja-b4-e for the
information give-n' on this map(5), nor for
any one representation provided based
upon said- map(S)o
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r4 coicu (a� LOT 3� 'Z-F
c.Lry o;r
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APPROVED AS NOTED
Ak
AN JUN 2 3 7998
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JUN 2 3 1998
WM=m
STRtkT-.FILE
PLANNING DATA
NAME: Z��
SITE ADDRESS: elftle -DATE:
Z/1 9
ZONING: e
5 -1 -Z, PLAN CHK#:
PROJECT DESCRIPTION: 2VA2 5C-_L
P� I MN
CORNER LOT —A—/ —(Yes/No) FLAG LOT A) (Yes/No)
SETBACKS:
Required Setbacks:
Front: 96- Left Side: M Right Side: Rear:- ,F57
Actual Setbacks:
Front: 426 Left Side: Right Side: Rear: 14
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: 46
B UILDING HEIGHT: '9 .
Maximum Allowed: Actual Height:__
Datum Point: N
AIZ�K Datum Elevation: 0' 5126.
A.D.U. CREATED?: Al
SUBDIVISION: 2 - 7A
CRITICAL AREAS
SEPA DETERMINATION:
4e Aakg
LOT AREA:
OTHER:
Plan Review By:
c.Ti1es\pcffnit\^p1andALdoc
117 1. Isou
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7
F/F40 Tee- H
City of Edmonds A1.1 T /z/ C - kll,-
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
L-sue Date:_0
RR Tfi AVF
A. Address or Vicinity of Construction: —r.VOY,20
B. Type of Work (be specific): OPEN 112.QVCH -?,P S C - Tc.
.5 /'0 C 'C F C W.
C. Contractor: /,_7r Ni9fZ7'k1w,6,(T JIVC. Contact: /)lt4 - ZAIIN h1QXW&RF_1q —CC0120M Tt&
'�Lac' V-;. CA111ye j2.1). ( . 0
Mailing Address: _'. 0.1 A—= = .. I I Phone: 41oly �21C-01-"
State License, #: 'V_ W J rW H 9zPQ 6 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
E. n Commercial --[)A Subdivision
0 Multi-Famili 0 Single Family
INSPECTOR: a,4� 411
F. Pavement or Concrete Cut 0 Yes "'No
1p
Side Sewer Permit # (if applicable):
El City Project [Z Utility
E) Other V". 0. *0 f
INSPECTOR:
G. Size of Cut:
PUDC_QLE
.,)WNG, CABLE, WATER)
C.0 - qpgo V/ & 1,2 -.90 6-
A c c 7. .2 112 2, Ic
x H.
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen. that may he inade 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 and attorney.fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT Wit L BE PROCESSED FOR ISSUANCE TO THE APPLICANTRECEIVED
Two sets of construction drawings of proposed work required with permit application. OCT 14 1997
A 24. hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at comple1ion. U,1101NEERING
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 re4uired by the City Engineer.
All street cut trench work shall -be patched with asphalt or City approved, material prior to the end of the working day;
NO EXCEPTIONS.
I have read t1p f oveltatlinen
available oil 4?e t al tim for
Signature:
understand the permit requirements and the pink copy of the permit will he
Date:
or
A -DIG PRIOR TO BEGINNING WORK
FIELD INSPECTION NOTES
I Comments:
I* Diagram
I - .
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES EJ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
. m
FOR USE WITH CITY OF EDMONDS PERMIT AFFLICATION
GTE W.O. 2100-9FOOIGR205*
GTE TO OPEN TRENCH ON ROW WEST OF SIDEWALK
FROM ENTRANCE OF NEW PLAT SOUTH TO EXISTING
BURIED COMMUNICATIONS CABLE
GTE.TO PLACE AND MAINTAIN COMMUNICATIONS CABLE
IN THIS LOCATION.
V3
14
P-4
P3
21' TO C/L
PROPOSED NEW
BURIED CABLE
(36" DEEP)
321'
BEGINNING OF JOINT
TRENCH INTO PLAT
ROW
FENCE
�, I DIRT
2+47 2+40 61 SIDEWALK 0+72 0+60 0+0d
-J.1 CURB 01�SD AT CURB 0 0 SD AT CURB
EXISTING � 00 SEWER .3'
0 0
F-- PWRITEL A C' FROM CURB r,--)l
uo
- — - — - — - — - — - — CIL-
88TH AVt. W.
ma
EXCHANGE
HALLS LAKE
COUNTY
SNOHOMISH
TITLE: PLACE CABLE
HELLEREN'S ADDITION
4 LOT SHORT PLAT
0
20420 88TH AVE.W.
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APPROVED BY
DATE
;D
0
T. 27N R. 4E SEC.19C
SHEET
NO.: I OF
Ul
FIELD TECH:
DOUG HOLFELD
425/710-4109
09-26-97
Water Sorvice Drawing EASEMENT'NO . ................. ......
The City of Edmonds 1,110 NO . .................. . ASMT. NO . ..................
CONS-14RUCTION 0 REPAIRS 0
NEW -
owNER. ................................................
JOB ADDRESS ... TC> ...................
to
to
C)
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V F� Ix
.................
cONTRACTOR, ..................... BLOCK NO . ....................
LEGAL DESCRIPTION- LOT.NO . .. ....................
.1 .............................................................................................................. ..................... ........ ..............
NAME or- ADDITION .....................
0
13
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1 81
Sa '15
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Approved: t2.2 a
ATE ............
pV4�,4.00ui-W75 (REV.1 V78)
CITY OF EDMONDS
USE
ZONE PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
joB SUITE/APT #
ADURL55 49cxlgo F 84� Ae tj
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OWNER NAME/NAME OF BUSINESS
411m� AW(I-1 r1r,
LE9AL DESCPIPTION CHECKI
:� Is
SUBDIV
LID NO.
?_ 1 4-
MAILING ADDRESS
P.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
TESCP Approved
RW Permit Required IN/& 11
Street Use Permit Req'dvl.� 13
Inspection Required )O�F50
Sidewalk Required #Vv 0
cr
W
CITY ZIP
L-11
TELEPHONE NUMBER
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NAME
Le e
ER SJJE
LINE SI;
NO. OFF TURES
1A
� I
PRV REQUIRED
YE NO 11
3:
ADDRESS
00, (3c)G
EMARRS
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CITY ZIP ITELEPHONE
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NUMBER
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1�� I A) C_ C_77 U eig-C2
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NAME
0
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ADDRESS
A o'
ENGINEERIN MEMO 13ATED REVIEWED BY
4) 7 tr le-
CITY ZIP
4�04 _eG?6j
TELEPHONE NUMBER
IlIff
IRE MEMO DATED REVIEWED BY
LCC E
_,LN S,�l
LIT
BER EXPI ATION TE
10-1 K b 5 Lrq
VARIANCE OR CU
ADB#
SHORELINE #
Z
0
P
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Legal Description —of Property - include all easern I
SEPA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
?(YC60ZS7()O
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
Z
Z
Property
Ta Account
Pa=ell No.
A
I REVIE
5/7
ONEW RESIDENTIAL PLUMBING(MECH
REMAT3KS
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
FIREMODEL E] APT. BLDG. SIGN
HECKED BY
TYPE ONSTRUCTION
70V
CODE
OCCUP
GROU
0
FENCE
X_
E] REPAIR CYDS. x —IFT)
DEMOLISH WOODSTOVE SWIMPOOL
INSERT HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
SPECIAL INSPECTOR
REQUIRED
b ES
&AE
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
(TYPE OF USE, BUSIt4ESS OR ACTIVITY) EXPLAIN:
to
Lu
0
Mo
NUMBER
OF
STORIES
NUMBER OF
DWELU NG
I UNITS
CRITICAL
AREAS
INUMBER
A!)
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAA)
FINAL INSPECTIA
REQUIRED
VALUATION
FEE
CHECK FEE
�(J(e V_
ING
i4q ?2
HEAT SOURCE:
rr 0k
GLAZING
PLUMBING /
J
P
FIan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs,'sidewplks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application- 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
5d
" Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
2
harmless the City of Edmonds, Washington, its officials,
2
Ix
<
0
x
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
nor limit in any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge thit 1,have read this application; that the
information -given is Correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
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 This application is not a permit until
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion InsuranpWarict RCW 1_8.27. INSPECTION acknowledged in space provided.
IT WNE DATE SIGNED DEPARTMENT
SIGNATUR 0 = OFF 9 Pf dNA A DATE
CITY OF
061-9-7At EDMONDS
RELEASED 0
CALL FOR , Y: DA/rE
ATTENTION INSPECTION 7//
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — InSpecto
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 771-0220
SECTION 109 PINK — Ow,e, GOLD — Assessor
102-AT - I /,�, r rt ry i /'