21016 76TH AVE W.PDF111111111111
6123
21016 76TH AVE W
ADDRESS: A141,
TAX ACCOUNT/PARCEL NUMBER:— 19�9
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: F] Conditional Waiver [] Study Required [] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE$: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Fmm\Street File Checklist.doc
11�0
0
0
PLANNING DATA .
New Commercial / Mulffamily Proiects
SITE ADDRESS: 34 016 7� T4 -Ave W ZONING E'Al
USE(S) PROPOSED: f eTA711 - S'T-4ra 5T6(e ALLOW . ED?: Ye�
LEGAL NONCONFORMING LAND USE! DETERMINATION ISSUED /VO (Y/N)
CUP File: To Allow What Uses?:
ADB FILE #:
PARKING:
ft vv Use:
f41,C-,,j - cattecror 5Ta,%.,p
. No. Spaces Required: I pp'- -3'0-0
X ig&-o � 7 5 d,
(floor area, # employees, etc.) =
Use:
. "
No. Spaces Required:
X
(floor area, # employees, etc.) =
'0 YQ T
44-Use:
Ra' -bel- A04)
No. Spaces Required: 1 �11'400 Ik
-
OT
X #,oyc 5yJ bk
(floor area, # employees, etc.) = I e4ce
V"Ir Use:
No. Spaces Required:
.
X
(floor area, # employees, etc.) =
Total
Required; w4'CeT Actual Provided:
SETBACKS:
Required Setbacks:
Front. LeftSid Right Sid Rea
e'
Actual Setbacks:
S
Front: Side: ht Side: ear:
Ir
Street map checked for additional setback required? (Yes/W/)
MAXIMUM FLOOR AREA:
Maximum Allowed: Actual:
NO
C�'�e
BUILDING HEIGHT:
Maximum Allowed��� Actual Heigh
ig
Modulation Allowed?: —Modulation Heig
Datum Point: �:�Datum Elevation:
Elevato r Penthouse > 3 feet over height 11h*? If so,VAR#
/
LANDSCAPING:
Matches ADB approved:
Bid Provided? Bond Amount (100% bird):
CRITICAL AREAS #: MA
SEPA DETERMINATION: IV14
SHORELINE REQUIRED?:
Continued ...
1Afibrary\^P1andatNewComm.doc
F;
z
96
DATE: 711q I /o PLANCHKP
NAME OF BUILDING PERMIT APPLICANT:
TeAM7— 11 aravee,� -e. -r Vt
PROJECT DESCRIPTION. 1A -id,
em--md k-ea7te,— dvc.-f Add
ADB FILE #: OR DATE WAIVED: 7// q10
PLANS MATCH APPROVED PLAN:
SUBDIVISION: A/,
LOT AGGREGATION REQUIRED?: -/vo
REDUCED SITE PLAN (8.5X11) PROVIDED . FOR STREET. FILE? Ye f
OTHER:
2 ;q /0/�
I
PIanRevIewBy: (Feckkv
1AlibrarWPlandatNewComm.doc
0 �Al
3
_"07 20222
2OW2 '0 F,
8307 203RD PUSW h 20237 20232 203W
8308 ' V
.3311 8217 8209 2 20312
.323 20311
2M14
Edgewood it
0
201W Baptist
j
8020 0 Church
ng 8020 8012
204 H Sw 20330 20406
It 'w�
20404
20402
7
N 20406
7725 7717 7709 20407
20414 10" :1 20
2041ril pL. SW\ N
20419 20412 2W13 20416 20415 20416 20415 PLSW W 20415
20428 20426 20421 >
z 20414 20415 20422 20421 7726 T718 T710
C-4
cc 20423 20421 7: 2D41 9
k 3r 20424
20427 Up 20416 LU 20417 20430 LU 20429 — -J
8109 20430 > 20429 > > lL 2�0427 772 20431
205TH S <4 20432 X 20502
777 F —
20511 20504 .503
20610
8110 20504 20503 iz:
4 20503 w
it, 7731 2 PL 20505
20513 — C' — . . 20506
20512 20512 20513 20512 20508 — 1 0
20511 20511 205
— 20509 7724
20515 — — — 20514
Pine 14 20515 20520 20614 L) 2o518
20518 20517 205 20513
0 2052
0
528 20526 20525
20524 20525 20516
Ridge 2052
206M 206TH ST SW
o
Park 20608 20607 8006 8 7828 7818 7812
0
j 20616 — JU I
T
J.12
20617 20615 20616 20616 20615 7810 12 T22.20
LLJ —
20608 20622 20620 1
de
> 20625 20624 W 20623 20615 Cedar Gedar
on
< — 790l -8 22 Stone 11 Stone 11
20630 20628 790' 20620 5 20621
0 20631 20630 20629 206TH PL —
Z '. 1 20630 W>
" — 9 IV— - 20628 CL 20629 78M 20629 HarMton Court
1 20704120702 .0 20701 20704 cO 20703 20702 �7914 7: < 20632
20709 — — 20. 20704 X 20703
� '2
-2
2
'W —29
. 0
7 4 �7
':�710 20709 20710 f, 20707
207 3 — .15 7909 7804 20710 20709
- 12 l 7905 Murkin
20 20722 20721 20720 2OTrH PL 20il 1 �)71 20718 20717 20714
12 20726 79GS / 20724 20725\ 7802 Edmonds Dental
207218 2MO727 7916 79 0 20728 20727
2118TH ST SW
— 20728
2OW2 20805 =909
c
8304 5 2080 20810 20809 Kngswood
20800
LU
8302 20807
— > 20810 20811 20810 752
20900 2081 20814 208TH P SW — 20825 20816 20815 — (L
8310 3: 20818 20819 2081 f
8312 8314 UJ 20923 4 8132 8112 20820 _j 2D821 20818 208160 2081-1
w
20901 4 'L — 20829 4 3: 20a23 20825 20822
2DS31 8114 7 20(130
201825,� A-28 E 20827 20826 7911 w
20903 20904 2DSW 20901 Chalet Royale 20901
% 1 9 . 8 Is z ..
2090 20904 5 20902 79 209D4 X 2DB32 x
20912 20905 —
I
20905: .118
1 2�0907 20912 2091 20910 20912 2091C
2M7 21OD6 t� .\b 20901 20917 20916
_' 2 6 —15 —18
N. 0916 20915 20918 20916 209TH ST W 20921
8211 20909 C
21003, .79- N
7724
2092E
S 8 20924 20917 20928 2092 1 Edmonds
21010
1005 )2-0924 'qF 2025 Care Center
21004 -J 8218 a214 20-927 210106 20919 21002 2028
D_ 5 7903 ;40
8217 8213 20930 ?IITH 21001 7707 21109 21008
21018 _ L; 2100321010 21002
0 21006 N
0 21001 .0 8209 21010
3: 1. L' ITH P 21OD6 7910 7906 21015
0 2101521016 21016 21024 - 21021
'014
2loo3 21110 — 21121 1. 21 0�
21 21W;t 8216 8206 21018 VVISpy 21026 21027 21026 21 �O
21108
21030 Willow 211()3 21 2103
A V- 110 21113
21028 21026 21028 21104 uj 21110
P4 — > 21112 rbor
21032 < 21117 no
21118 7: —
21 4
7905 — OD
2
EB. 11
21116
21125 10
79M 21126 21117
0 7903 0
— — 21118 .1
2 14 10 79707
7901
21, WAVe 21130 rM 21120 21121
8226
21214
21222
a.
21207
21215
8104
21223
212TH ST SW
0
0
Date:
To:
From:
Subject:
MEMORANDUM
April 6, 1999
NoevnieOulyric Works Director
Jim Waite, Water/Sewer Supervisor
STREET ADDRESS F11-F,
SHEAR CLASS — Business at 21016 76 th AVE W.
Sewer crews have been out to this customers business three times during the
past year, each time trying to identify odors. Gas detectors were also used and
nothing was found. Our crews could not even smell any odors. The neighboring
businessman was talked to and he could not smell anything odd either. He
seems to think there is not a problem, since often times the customer asks him to
help her identify the problem, and after checking he concludes there is no
problem to identify.
The recommendation was made that the customers landlord may want to extend
the sewer roof vent a little higher, since maybe some sewer gases are being
smelled if the wind is right.
tjUL,
t", nit
-EUBL-10.
Complaint voiced by:
STREET FLE 40
DATE
CITY OF EDMONDS
COMPLAINT RECORD
Name:- Awe ll-,51 /x- 7
_5 /�Z/Z,
Address:
Property owner: Yes No X
Where Ael- Z29e,-,7 "o
Address of property P-d e-4411 7
to be investigated: -
Name of owner:
Address:
Description of complaint:
Phone:
741-
W-"-5 112, 1�—Ie�l
Result of investigation:
I au TC) vg&n2og=�� "G '57/.N j 0 'ThL47
Vx)-,xTx
1) 10 A49 7% W20 Ad Cr'=ET LAM S)
JAb1K)TE:-)QrSK)f-G Pa6Cxk-0('(\4 4G 25,610 T44�&-r
- TA L- 1 41.- to 4-'E�.!5/,) 10 j2=!,gr TW-G,
Q D44�M CD LVVC—W—
LQJ9,-V7-&r6
T-0 c
to z!6��
4o
149 WAS 46rAtiol—j
)T
-50 CV a I -r- A-I'j'
I)
40DATE RECEIVED
FPERMIT
EXPIRES
USE PERMIT
CITY OF EDIVIONDS
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS —lit jL11
0 WNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
Avftk *AMIF5
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
TESCP Approved E3
RW Permit Required E3
Street Use Permit Reqrd L3
inspection Required 13
Sidewalk Required 0
z
g
2�\o �6 hqf,\A)
CITY ZIP
TELEPHONE
REQUIRED DEDICATION— FT
Underground
Wiring required 13
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES C3 NO 13
ADDRESS
REMARKS
z
z
x
OWgR/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY Z177ELEPHONE
NAME
ENGINEERING REVIEWED BY DAT
Ae
x
ADDRESS
0
13
-4 :.. . " ik;L4-
FIRE REVIEWED BY D TE
CITY Z10
TELEPkbNE
0
'A
'VARIANCE OR�CW
1, SHORELINE OR AD INSPECTION
%, I
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
K BY
DRUfAm 6b013L_r OlLt -
.1
1471
�ES AND
$
LL SEPA REVIEW L ''' . 'L,
COMPLETE
jNjAREA�;-"
E2T LLOWE PROPOSED.,.*
HEIGHT
_,A'L LOWED PROPOSED
i
PROPERTY TAX ACCOUNT, PARCEL -NU.
oo 0 6ol
,
il�
i
EXP
NEW RESIDIENTIAL,::. E]
LOT COVE&GE EQUIREDRETBACKs (Fw
. '
ACLOW�6
-PROPOSED SETBACKS (Fr)
00%6S'6� FRONT SIDE' REAR
Y
FRON'�, UR SIDE REAR
COMPLIANCE OR
ri ADDITION COMMERCIAL
k —
1. ;C .0.
Z
z
CHANGE OF USE
2
G T EA
DMDED
REA '1"!SOT�T_
P NING REVIEW Y DATE
REMODEL MULTIFAMILY - SIGN
'19 El 11
,E',,
1:1 REPAIR GRADING c FENCE
REMAFF1ifA/
CYDS X Fri
1:1 DEMOLISH TANK [:] OTHER
Air
o GARAGE RETAINING WALL ci F2 SPRINKLER
Z
L
CARPORT ROCKERY F RE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
rx
(Wa k
CKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
0
I
_TD
I
GROUP
M
NUMBER
NUMBER OF
CRITICAL
PECIAL I ECTIO
AREA
OCCUPANT
0
OF
I
W ELLING
AREAS
0'
STORIES
Ul S
NUMBER
Eau YES
LOAD
DESCRIBE WORK TO BE DONE
RKS
0
r-RFSR IN-qPECTIONS, 1108/FINAL INSPECTION REO'D
a
-4ts AAJ� fo%c\
9
VALUATION
$
Description
r—,�EE
Description
FEE
Plan C!"ec,
N
State Surcharge
1�1
HEAT SOURCE G IN �SLOPE % ZI
c(AS, C""'. I I Building,Pqrmit City Surcharge
-
HECK NO: NESTED DAT
pE Plumbing- Base Fee
0 q
Mechanical
THIS PERMIT AUTHORIZES ONLY T WORK N01 'HIS PERMIT COVER
* T
r W T'
I= BE DONE ON PRIVATE PROPE NLY. ANY STRUCTION ON THE PUBLIC
S
2 Grading
DOMAIN (CURBS, SIDEWALKS, D EWAYS, M,\Al
I UEES, ETC.) WILL REQUIRE
V E P;A RNA PERMISSIO
Slo
Engr. Review
CC PERM' PPU
11 PPUC
Lu A N: ISO DAYS
\
EC IS
PERMIT III q1T I YEAR - PIRN)ED Wo IS STARTED WITHIN 180 DAYS Engr. Inspection
ACKOFPINK LM170FOILMORE INFORMATION
'APPLICANT, ON B LF OF HIS OR E, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGRE T
1 0 AND HOLD HARMLESS THE CITY OF
OFFICIA EMPL'
2 EDMONDS, WASHINGT ITS OFFICII EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection L
cc Receipt #
5
JNDEMNIEFEND
M 0
< _ _
ALL CLAIMS FOR DAMAG F WHATEV NATURE, ARISING DIRECTLY OR INDIRECTLY
WHATEV NATU
PERM I ISSUAl
X FROM THE ISSUANCE. OF S PERMI ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY4 WAIVE EDUC ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due
W�y T Cl To I,
0 NOR LIMIT IN ANY WAY THE Cl TO ENFORCE ANY ORDINANCE PROVISION.'
x
I Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLAT!ON 90,F_THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided..
WORKMEN S 21DMI`r�NSATION tW�CE AND RCW �11 8.27.
OFFICIALS SIGNATURE DATE
URE WNE
SIGNAT DATE SIGNED (425)
:111Af_ k 16 71004 771-0220
RELEASED BY DATE
A-11TENTIO—N Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
09/03 PRF-Q-q WARn _vnij ARF MAKINr2,d r.nPIFR