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9930
205 9TH AVE S
City 6f Edm6nds.,....
RJGHT-OF-WAY.�'CONSTRUCTION
PERMIT
Permit Number, 0_-2�
r Issue Date:
A. Address or Vicinity of Construction: 205 9 AVSS (9607171)
890 Q5 B. Type of Work (be specific): Install Service
C. Contractor: - Washington Natuml Gas Contact: Hariamme KLqgabMa
Mailing Address: 1122 75 St SW Everett Phone: 356-7500 ext 7596
State License #: 98203 Liability Insurance: Bond:$
D. Building Permit #.(if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision [:1 City Project EJ Utility (PUD, GTE, VING, CABLE, WATER)
Multi -Family El Single Family E] Other
INSPECTOR: NSPECTOR: I A S=AJ
-J,
F. Pavement or Concrete Cut Yes No G. Size of Cut: X-1. H. Chargq_$
'o/
APPLCA TOREADANIISIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, 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 legalproceedings including defense coqt��, afui attorney fees by reason ofgfunting
-iftispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY. CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
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 completion.
Restoration is to be in accordance with City Codes. CA�,
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 ofthe working day;
NO EXCEPTIONS.
Ihave read the'above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at all times for inspection purposes.
Signature: Date: 09=08-96
��ntractlo� or A�e�)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: tdo 'A (;(x
COMMENTS -
DATE:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND Ill:
RESTORATION FEE -
PER . MIT FEE. '5(d aq
TOTAL FEE:
RECEIPT FEE:
ISSUED. BY:.
3MIM
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES (Fund I 11 - Route copy to Street Dept.)
Comments:
Diagram.:
0
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
. .. ................
AU lkno v
wwwwomwwwwwo
Nat"Gw
AVVa9-9WEr*WGMPffV
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Marialwe Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
6T
Key:
Vatermain depth -G-
-SS-'
gas main
0
t3&o-7 1-71
Water
Gas
Sever
Water hydrant
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
.112 C. 1 sq�'
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-022i
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
October 19, 2000
Teresa L. Simanton
205 Ninth Avenue South
Edmonds, WA 98020
SUBJECT: ORDER TO CORRECT —
Fence at 205 Ninth Avenue South
Dear Ms. Simanton,
GARY HAAKENSON
. MAYOR
A final Engineering inspection has been made at the site address listed above. It has been
determined that the section of fence. placed at the comer of Maple Way and Ninth
Avenue South is blocking the sight of drivers and pedestrians.
In a location such as this, the City does not allow the fence'comer to be placed in. the line
of sight. If a permit had been applied for prior to installation of this fence, review of the
plans would have noted that the fence was not to create a sight distance hazard.
The section(s) of fence creating a sight hazard at the comer of Maple Way.and Ninth
Avenue South need to be removed and replaced in a manner that does not block the sight
of drivers and pedestrians. The fence will need to be angled back so that a clear- sight
zone can be obtained. If no attempt to correct is made within ten working days of receipt
of this letter, a Notice of Civil Violation will be posted and monetary penalties will be
assessed per ECDC 20.110 (copy enclosed).
Once the requirements have been met, please call 771-0220, Ext. 1326, for an
engineering inspection. If you have any questions regarding these. requirements, please
contact me at 771-0220, Ext. 1338.
Thank you.
JEANIE MCCONNELL
CIP Specialist
JM/cmc
Enclosure
c: Development Services Coordinator, Permit #200592
C: \My D�.Litvirnrq\Enc�cc\TRAFFIC\205NintliOrArC]cneorporated August I 1, 1890
I;iq
. . tpr Clitti - Hpliin;;n JAnAn
, The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------------- - --------------------------
NEW CONSTRUCTION REPAIRS R", LID NO - ---------------- .- ASMT. NO - ---------------
OWNER----------------------------- ------------------------------------------------------------------ CONTRACTOR ------ ---------------------- PERMIT NO.
c
JOB ADDRESS ---- Vx.05 ------ ....... lbr0r:� ------- '�;-M -------------- LEGAL DESCRIPTION: LOT NO - ----------------------------- -------- BLOCK NO - -------- ---------------------------
fit) tz.-r 14
i
PWW-0001-1 1/75 (REV.1 1178) Ct -T L-k 4V e sto
------------------------------------- -------------------------------- -----------------------------------------------------------------------------
NAME OF ADDITION ------------------------------------------------------- --------- FD.tAQRQ-S ---------- -------
TREAl
P-MENT PLANT
0-
Approved:
DATE � --------------- By
ZZ,
Z
0
Z
0
ZD
0
CITY OF EDMONDS W Wit No. e90 6 7
PUBLIC WORKS DEPARTMENT Issue Date
RIGHT - OF - WAY CONSTRUCTION PERMIT WREET HLE
A. *Address or vicinity of Co-ristruction Permit Issued To:
Owner: Type ofWork to be Done: e�1e.1,'Altel
Name
b,,- A" C_ IIL-. 1AJ1. t 1;, 114 1 1 1/
Work in -Connection With
Mailing Address 0 Sub or Plat e�—Single Family
0 Comm]. / Ind. 0 Apt. Condo.
City, State, Zip Code Pavement Cut: El Yes F-1 No
Contractor:—,'
Name
Mailing _�kdclress State License Number
,5 c-61
City, State, Zip Code Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMIT"Y: Applicant undei'stands 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, 'foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court co�rs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times:
Signature:—_
Owner or Agent I I
te
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By!,
Time Authorized: Vold after days
Special Conditions:
Ammendments:
2 _4_17
Permit Fee:?�
Security Deposit: —
Receipt No.: 0 6
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECTION MWKES (Fund 111 - qMKe cony to Street Dept.
rt-NmMiar%* C ..
Diagram:
Contractor called for inspection NO
I Bv: Date:
Nork Disanaroved By: Date:
Work Approved Bv: Date:
Inspector:
Ena. Div. Decer�ber .1978
APPLICATION
for
The City of Edmonds SIDE SEWER PERNaT
EASEMENT No . ...........................................
NEW CONSTRUCTION 0 REPAIRS 0
lo2-oofto
Wier, Roy W.
OVVNER.......................................... ................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
20,5 gth Ave. S.
&DDRESS .............. I ................................................ ............................ ............ LEGAL DESCRIPTION: LOT. No . ................. ............................ BLOCK No . ............................................
NAMEOF ADDITION ............................................................... I ... ........................................................................
40
0
Dye Tested On Sewer
June, 1972
Approved:
DATE................................................ By ...............................................................
�4
CAFILENO. q9-(0q
Critical Areas Checklist
----------------- --------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: oot� 471"- &Z, 15 ,
2. Property Tax Account Number: 4512-ac-1- 0zD/—LV4Q ---
3. Approximate Site Size (acres or square feet): /�e Aaro Zi
4. Is this site currently developed? yes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3' ) to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: UO Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway A) D floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
meadow shrubs mixed
10. Site is primarity, ------- --
u
,�n landscaped (lawn,shrubs etc)
btTgRMINATtON
^u_chk.doc; Rc� 10103/97
City of Edmonds
RECEIVED
APR 161999
DEVELOPMENT SERVICES
11�W CRITICAL AREAS CHECKLIST
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 development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, 'or
may be, present on the subject property. The
information needed to 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).
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.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor mation (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
)::�n' +�, J TffeS 2- -S,'AIU,-�A
Name
2,o 5 dl-�- A")e
Street Address
city State Zip
L406)7-75- 700,15-
Telephone
Signature
Date
Applicant Representative:
; E � d. r-,,4,
N�me
— f&s 5 7-
Street Address
aM,,,4AJS WA ffi�27-V
city State Zip
-7 -7b -
T
. / 4 Ll�'
Date
c:recepdon\jana\cac1.doc
(over)
007 4
Rick Anderson
935 Daley Street
Edmonds, WA 98020
Subject:
Dear Applicant:
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
May 6, 1999
Determination regarding Critical Areas Checklist # 99-108
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
I 6RTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS"DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMEENTAL CHECKUSI OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific deteffnination not a
project -specific determination.
moo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
cc Keith & Teresa Simanton
205 9th Avenue
Edmonds, WA 98020
Architectural Design Board
C:ReceptionUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development perrnit applications.
Thank you.
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
CITY of EDMON DS
For Inspection Call 77,�-2,,32okl I', T F � L E=-,
1
Address of Construction: ;L 0 6-
Property Legal Description (Include all easejnqnts):
S.1 D E S E-W`E R P I RA, U
PERMIT NO. 07996
A-t,4� S.
or-- ��Xls-T-7NC,
and/or Builder: L
Contractor & License NJUSS_S0)-h4Sot4 tuyx,61146
KUS5
Singl:e Family Residence
_t�
TMENT
LTREAL PLANT
Multi -Family (No. of Units
CommAcial (No. of fixture Units
Invasion into City Right -of -Way: No 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 THE TEMS LISTED ON THE BACK
ii r_'L; E i V E D
W1 Ay 15 '19 8 9
I-c6rtify that I have read and shall comply Date
with the items listed on the back. Ir ORKS)
Permit Fee: Issued By: J_
Trunk Charge: �Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date 'rn i t i a 1
00
Rejected:
C:) t _e Initial
Reason
a)
Ln
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green Copy -'Inspector Buff Copy - Applicant
8>
I 10.00
SaP-2'
corcrctc
250.7 PGCh
A
250.0
24- a�" TYP
5
Dos"
250.9
8
Cencrec 0� Wmy
<
+r 246.1
D
243.9
5=d-�k - Oty OF
cd�
110.00
9th Avenue
Site
Plan
1" = 20'-Olv
fmcEi v ED
APPROVED BY PLANNING
JUN 0 1 11999
DEVELOPMENT SERVICES CTR.
L/
CiTy OF EDMONDS
PLANNING DATA
NAME:- '51manto,-,
SITE ADDRESS: ?,05' -9 '4�e - S - —DATE: //5-/79
ZONING: —PLAN CHK#: 99-15-1
PROJECT DESCRIPTION: �Pr��
J.
CORNER LOT- Yf-s —(Yes/No) FLAG LOT /VQ (Yes/No)
SETBACKS:
Required Setbacks: 1111�)Iv"
9r', - Front: 7,o' Left Side: 24' Right Side: 5 Rear: 5-'
Actual Setbacks:
Front: 34' LeftSide:-06' RightSide: 33' Rear:
Street map checked for additional setback required?-Y,% _(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED W.
(Y/N)
LOT COVERAGE:
'090 �- � 7/ A ;Le , t-( 5-,,, 7 ) = 24 3 �
3 5 *47- :25-2
Maximum Allowed:- —Actual:
BUILDING HEIGHT:
Maximum Allowed: 7-5' —Actual Height: 25,
DatumPoint: Datum Elevation: ?-4-,-;. .1 -7
06V 1., 6-,
A.D.U. CREATED?: Ng b6�,—
SUBDIVISION:
CRITICAL AREAS #: - 99 - 10,ff
SEPA DETERMINATION:
LOT AREA: goo
OTHER:
Plan Review By:
4 Avz,,--
Ckfi1C1kPfffnit%^P18n&LdW C/
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER
ADDRESS --'905- q41A -AX
IMPERVIOUS AREA
-,2 -7&57 �
� 14-W, Pat- 30001a�)
FINISHED
CALC BY:
PHONE:
DATE: -
*****DESIGN DATA*****
PIPE DIA
I f" 1,
PIPE LG
-4zI
I DETENTION PIPE LENGTH LOCKING LID
V.(TYPICAL)
r4L MINIMUM I
ORIFICE
�UR&PRRDAMCfop or
TIG!HTL E 6UM
CONC BOX OR RISER
.5% TO 1% SLOPE
ED OUTLET
FDUTLET CONTROL
2MU I
MIN.
UPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
W.
2'X2'X6' DEEP, 4-6- SPALLS OR EQUAL
FROM CONTROL CB 2'X 2'X 3- DEEP: 3/4' CRUSHED ROCK CXISTING GRADE
r
P.
S
CONTROL OUTLET FWASHED R07CX
I
",oCuRTrLDW TRCNC
P B� MIN 10' LdNG.
PIPE TO LEVEL
� PERr PIPE W/ END CAPS
'<TRENCH SHALL BE LINED WITH MIRArl
RIPJZAP OUTLET PRIOR TO PLACEMEN or WASHED DRAIN ROCK
RUNOFF SPREADER -TRENCH
FOOTING DRAINS SHALL NOT BE CONNECTED YO DETENTION SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the '
responsibility of the property owner. Material accumulated in the.storage pipe must be flushed
out and removed from the catch basins to allow proper operation. Ile outlet control orifice DATE
must be kept opm at all times.
City of Edmonds Permit No:
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: 101Z519
A. Address or Vicinity of Construction: -205 - 9711467
B. Type of Work (be specific): e-o-11y�Fg-roAl 7b if ;-I 5719�elV ��Iet"y DEr&;Vr742,,V Zv_5r�p-,,Af 9j;,4
_!gIlUbig- t7W41il Af)DO.7�V
nrcmVED
OCT 2 5 1999
1901- Contact:
C. Contractor-T��__ L L
Mailing Address: i _Y_- Phone:
State License #Y f", lie, 19 _S Liability Insurance:— Bond: $
-D. Building Permit #(if applicable): Side Sewer Permit# (if applicable):
E, F-� Commercial Subdivision E] City Project F� EUC (PLJD, GTE, PSE, CHAMBERS, OVWD)
Multi-17mily Single Family F� Other
INSPECTOR- 1V4;'-ytt1-r7—
F. PAVEMENT: YES NO
CONCRETE CUT: F] YES F-1 NO G. SIZE OF CUT x H. Charge: $
_J Pi, A A/
IDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or empl�yees, including but not limited to the defense of any legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKAIANSH/P.AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICHTIMEA DEBITOR CREDIT WILL BE PROCESSED FORISSUANCE TO THEAPPLICANT.
+ Traffic control and public safety shall be in accordance'with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the,
required training in their possession.
+ Restoration.is to be in accordance with City codes. All street -cut, trench work shall be patched with asphalt or City-
approved'material prior to the end of the workday -*NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
NiqnatureC-Q-� <�
Date:
(Contractor or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
JL!%.FK%1%_.&1x A
Appro.ved by:
TimeAuthorized: Void After /0 Iao
Special Conditions; PER 4A-,Is T'7ys;r�_s
KONLY
Right-of-way Fee: -70
Disruption Fee/,Fu'n-d I I I:
Restoration Fee:
Total Fee: ':7T-D —
Receipt No:
Issued by:
4,11) A__4,04�
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK:
INSPECTOR'S SIGNATURE DATE:
For inspection requirements see Engineering Information Handout.
NO WORK SUIAIA. BEGIN IIRIOR TO PERMIT ISSUANC
USE 15 Itl!, 10'75:5
'CITY OF EDMONDS ZONE PERMIT
L�, � NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT #
ADDRESS
OWNER NAM �/AME OF BUSINESS J -'J",
-C tl- 61"N' - ,
I"%) LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO,
MAILING ADDRESS
Z
0 PUBLIC RIGHT OF WAY PER OFFICIACEiTREET MAP, TESCP Approved)/_j� G3__
CITY ZIP TELEPHONE NUMBER P RW Permit Req ired >1d Gl_�
L) REQUIRED DEDICATION C*2 Street Use Permuit Re4 11
EXISTING
i: . NAME PROPOSED Inspection RequiredVP CL. I
oioewalK Required
ZX cc
LINE SIZE NO. OF FIXTURES I W
METER SIZE PRV REQUIRED
<
LOU ADDRESS YES X NO
5r ;7�7 _S Z70
U M
cc CITY ZIP TELEPHONE NUMBER III
W
Z
NAME
W
.h j
_5�:a
ADI�l ss .
0 ENGINEERING MEMO DATED REVIEWED BY
c
cc TELEPHONE NUMBER
IZ ng FIRE MEMO DATED
��, ly.1 REVIEWED BY
0 1 1 1 . I C/ r-ld W
U KLICENSf NUM R
S AT BE FIRATION DA
VARIANCE OR CU ADB# SHORELINE #
4izlgal Tn4d—e all �ea'semefitg P , - '. -- — ---
SEPA REVIEW SIGN AREA HEIGHT
_-Z Lvg�,I� 4�,z (1,;41 COMPLETE � EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED
EX
0 Lot LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
Uj
ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR
Z
Z,5 q. -2-0' 5' Z
31', Z
C� "v
w. Property
Tax Account LOT AREA PLANNING REVIEW BY DATE
Parcel No.
C)
FINEW RESIDENTIAL IYPLUMBINGIMECH REMARKS
COMPLIANCE OR
E�/ADDITION 1:1 COMMERCIAL CHANGE OF USE
1:1 REMODEL _0 APT. BLDG. SIGN
'HECKED BY TYPE OF CONST CTION ]CODE OCCup
FV-1 GES., CYOS. FENCE X GFIQ�ANT.
E] REPAIR LrAd 1— x —FT)
I � f-- AT
SWIM POOL SPECIAL INSPECTOR OCCUPANT/
INSERT 11�i 111?4v, Z
DEMOLISH WOODSTOVE F HOT TUB/SPA REQUIRED LOAD
DaRAGE RETAINING WALL/ YES
ICARPORT ROCKERY 1:1 RENEWAL REMARKS
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS I P:C1rIONS PIER U13C 108 Z
D
U) NUMBER NUMBER OF CRITICAL
LLJ zl,/t
0 OF DWELLING AREAS
STO UNITS NUMBER ilk
RIES
DESCRIBE WORK TO BE. DONE (ATTACH PLOT PLAN)
Z FINAL INSPEC'TION REOUIRED T1 .
VALUATION FEE
PLAN CHECK FEE
4
.- � I - I) Al BUILDING A/
HE)(T _S6URCE: GLAZING x
I. V11 /VA6�_ PLUMBING
Plan Check No. MECHANICAL
j
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curLs, Sidewplks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE 4- s—n
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
26 harmless the City of Edmonds, Washington, its officials
.2 employees, and agents from any and all claims for damages oi I ve
a:
< whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall hot be deemed to PLAN CHECK 6E�OSIT
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 9
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 J. ATTENTION A*PPLI.CATIO'N AOPROVAL
authorized agent of the owner. I agree to comp!y 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
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'tion Insurance aric RCW%1.8.27. INSPECTION acknowledged in space provided.
E IGNATU!!5, (OWNER E T; OATZ 540:iED DEPARTMENT
OFF CIA J4fS1 NA7 I LrRE
CITY OF
7
EDMONDS
C,
RE 'ErA'SEO L
CALL FOR
ATTEN'TiON 1W 1'.11-
INSPECTION
IT ISIUNLAWFUL TO USE OR OCCUPY A BUILDING Cz S T A T U Z E
UNTIL A FINAL INSPECTION HAS BEEN IMADE A�.D C::
A CERTIFICATE OF OCCUPANCY HAS E-EE;. C.aL!.T;:1% 771-0220 `,�,O R I G 1; L — F
A
L?a5m
10 1-011
New imemoo area -
2765 sq. ft.
Impervious Area
lit = 201-Off
!!�i iiiii FA
Farcel No. 4342-0&13-001-0003
Leeal Description: Lot& 1,2 4 3, block
Cit� of Edmond,5, Val. 2, flaee 3S, fReaorde
OF snahomfeh C'Ount�' waehineton
CLuner/Developer
Keith 4 Teresa 51manton
205 'Bth Avenue
Edmonds, Washineton 13a020
(425) "115-1005
Architect
Rick Anderson
C335 Dale� Street
Edmonds, Washineton 13a020
(425) Ila-2005, (425) Ila-1510 fax
rcajrepremierl.net
141 Site Plan
A2 First Floor Plan, Cabinet Elevations
Fv&rjlj c. D R-A o,3:i To 6� 16 5 E P-'qrJAAT-V A3 Second Floor Plan, Window -Schedule, Enere� Code Notes
Fgo&t P00 F DOLALO:5 A4 Elevations, Details
A5 Elevations
14(0 5ullcline Sections, Details
Al Foundation Plan/15asement Floor Plan
Aa Second Floor Framine Plan, Shear Wall Schedule, Hold Down Schedule
14 Ci Roof Framine Plan
Alo Lateral Framine Details
All Notes
D()J/3m /CD A)TXAC-T'64— ts. &465P6&)5t6L6
909- E)Zbsto*4 cvo,)-17z&—
AS Aloigt>
ECEIVED
OCT 2,'0 1999
PERMIT
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ProjectNo: 9901
Date: 5/26/9
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