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21107 PIONEER WAY.PDF11111111111111 12831 21107 PIONEER WAY CITY OF EDMONDS ASSET INFORMATION SHEET IeNEW ADDITION RETIREMENT STREET FILE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION Z/,4_j SERIAL NO. LOCATION D EPA. N2�. PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. 4DESTIMATED LIFE INITIATED BY DATE I PROJECT NUMBER Zd= - PROJECT COMPLETION DATE COST "I /,o APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY [;KDEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE tnp INITIAL DATE VERIFIED BY PROCESSED BATCH NO. DEPARTMENT FILE .::J- 00 CD 0J a: CITY of EDMONDS. For Inspection Call 771-3202 S I D E STREET FILE S E W E R P E R M,I T PERMIT NO. 070000 EDMONDS Address of Construction: - Dl� 0 ((\ kL TREATMENT PLANT'. Property Legal Description'(In'clude all easements): 2 0 0 MV_ _S C- Owner and/or Builder: -u-) L Contractor & License No: 's 8' C- QJE 1 MY 9 Q Singl:e Family Residence(�Xof_u i AR 1987 Multi -Family 0. nits PUBLIC WORKS Commercial (No. of fixture Units,,-_-7) Z, 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 z Yes (If,Yes, easement. required, attach legal description and county easement number.) PLEASEJEAD THE ITEMS -LISTED ON THE.BACK fy that have read and shall comply Date with t e items i.sted on the back. Pe.rmit Fee: 0. 019 Issued By: t'7 Trunk Charge: too DatetIssued. Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved:, -3 - L9 -B7 Date Rejected:' eason Date, Initial PERMIT MUST BE POSTED ON JOB SITE'** Wh-ite Copy - File Green C,poy - Inspe ctor Buff Copy Applicant Side Sewer Drawing R The City of Edmonds EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION REPAIRS 0 LID NO - --------- -------- ASMT. NO - ------------------ OWNER -00-mes ------- ----------------- CONTRACTOR .... L-U.r-7--. JOB ADDRESS Z14-07 ------ PAOtWE, W ----------- LEGAL DESCRIPTION: LOT NO. q0e -------------------------------- PERMIT NO. -74A00 ------ ....... BLOCK NO - -- --------- EDM-ONf)S---- ----------------------- TREATMENT PLANT ------------------------------------------- E ------------------------- --d A�ME F ADDITION -------- S-EJ&,\14-0-0-j> Z110'7 PWW-"l -11/75 (REV. 11/78) 46' 98, 4� ,Dp Ic I q �T Approved: DAJ�V2V--- --------- By 4 --- --------- STREEI Ae% FILE m O"rocET FILE ia I nc; ';;� ZL t4W�Aa&oHT+2.lE�''= 47A NZOAL, i4EAloOT r 00 -it, 1-ch PROiJECT REVIEW CHECKLIST P ''I r,7-jlr—�A 0,72 c V PRIDITECT ADDRlM. TECT NAME PROC APPLICATION RECEIPT DATE: 113-LV-D�a' i RM by: (initial/da I 5�4 .�Reviewed ,WTR/SWR"I J�ENGNRNG /77777777 sn=.k rAmny/muLTmz/omsmRcxAL - (circia 7, A, SETBACKS CHECKED - Pra--min-g 17777777-TRIIIII VARIANCE/SMMCK AW. 7Tf///777T/7///T/ CONDITIONAL USE PERMIT 2 - 777TIT 777777777 777-77777 77777777T7 ADB, REQUIRDI CHECM ///////// 3 - 77T777/77 TTT17717 T/77777/77 OTHER ZONING REQUIR&ENTS /l/M 4 7T7777 ENVIRONMENTAL FEATURES ///// 5 Z- 777777T77 ACCESS SLOPE & VEHICLE ACCESS 6 7TT777TIT 7TI777TIT 77T77T/7 DRA.INAGE PlAN (On Site) 7 STREET FILE 8 IMIGAL DESCRIPTION VFRIFICATION J///// Y///// 777777TIT ///////// 777TI17T 111111il 1 9 QXJTT eLATM/DFMCATTONS 111117 771777177 10 EASEMENT - ll1JB14TC/PRTVAT0 777777777 TITTR77T 7TIT7777 1 11 CADCULATE S R-� M COM*XwPION TP NO LID# 77777 ////// 77777777 ///////// 77777777 ///////// 7777777 //////// 1 12 7777-77 -7 7TF1777 7777-7-7 77 PiAT/suEorvisTON RB--)UfREMRS 13 RTGIIT--OP-WAY CONSTRUCTION PERMTT R"- 14 777777 7T///7T/7 777777T/7 77771111 BOND REM FIOR PUBLIC IMPRDVPMWf'3 ///////// //////// is SOILS CCINnITIMIS & GROUND 7777777/7 WATER FIEM CHECKED ///////// 16 777T/7 7 F17TI77T 777717 STREET PAVING REDUTRED 17 777T7/R7 aM AND GU`MER REIQUIRED ///////// 18 777/7T77T/-/7T/7777777T/7 SIDEWALK REX)UIRED 19 CUM CUP FOR DRIVEWAY REOD �o 7 77777TI-7 -17777777 7 STREET NAME SIGN REQD 21 OTHER SIGNING REQD -17TI7 77777777T 777777T/7 117777777- 22 SIDE SEWER AVAILABILITY /77777T/7 23 EXISTING WATER MAIN. SIZE I= -77�� 777TRIIII 24 fl-TI77777 7777777TF WATER METER SIZE 25 SERVICE LINE SIZE 17777T -177777i7T 1111177TF 26 HYDRANT REQUIRED 27 7-77-77 177777-IT HYDRANT sin Exi8T3NG ////// ///////// 28 777/7 -177777TIl 777-777777 CROSS'CONNECTION INSPECTION REM fit 29 - MTER METIER CHARGE P= 777T/-//-/-/7 30 777777= FIRE LINE CHARGE REQD - SPRINKLER 31 STREET CUT! 32 OPEN DITCH MISTING 7T/777/77 33 REQD 77T/7 F7777777 34 CULVERT F= 35 IIIITTFIT7171-R711 SIZE 36 CATCH BASIN REOD 777T77 37 777777777 INDICATED ON SITE PLAN 38 SHOULDER DRAINAGE MAW, AIN T17711 SHALE OPM RUNOFF 39 T/ TF1 7-T 7 T/ 7 T1 TTI T 140 MISC: cf) REVIEWED BY: PLANNING MGR, ENGINEERING MGR. PUBLIC WORKS MGR. CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION JOB NAME (OR - NAME OF BUSINESS . — I ADDRESS 07 t )) M1 fl 's WC_ LEGAL DESCRIPTIZ)W—CHECK TELEPHONE NUMBER 77r-73(o �-Vlm ADDRESS CITY TELEPHONE NUMBER NAME ADDRESS CITY TELEPHONE NUMBER 72 V- 7263 ef- STATE LICENSE NUMBER 's e_&u_D [) Legal Description of Property - Include all easements (show below or attach four copies) Z— 6 -�- ?`�_ / / P/ A � 0 )�' Sod- U)o 0 4 9 NEW %__ MBING ADD/ALTER. �IANICAIL REPAIR ElDEMOLISH x _FT) EIREMODEL L_r P-.0"O"Z WOOD STOVE INSERT L APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING [UNITS NATURE OF WORK TO BE DOWE (ATTACH PLOT PLAN) __ 15 / ki 4; (4Z rez re Y i40' O/Z-- PERMIT NUMBER � �11?leer cd4l RIVISION NO. D NO. yo- � r PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. [EXISTING_ REOUIREDDEDICATION PROPOSED R I cc IGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W STREI )UIRED 0 Uj Z 0 SEE ENGINEERING MEMO DATED Z 1 /10 W METER SIZE , IBUILDING SUPPLY SIZE IFIXTURE UNITS cc W REMARKS 13: SIGN AREA I COMPENV. REVIEW I ADB NO. ALLOWED I PROPOSED LETE I EXEMPT VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT I LOT COVERAGE Z FRONT SIDE REAR IS 251 Z REMARKS 5 CL CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT db� 1 --7-/1/ 1 lqez i5-j SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT' REQUIRED GRO LOAD 0 YES 0 NO I I up R 3 PLAN CHECK FEE BUILDING PLUMBING MECHANICAL 0 Z Q,6�-C� r-�v tqs-?, LtBcl 0 jos =j 0c�,�� t4-� &_G, VALUAYION I FEE This Perm * It covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalkt, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: I 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 (u4i 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 PLAN CHECK DEPOSIT 0 modify,.walve 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 construction; and In doing the work authoriz- THIS PERMIT AUTHORIZES ed thereby, no person. will be employed In violation of the Labor ONLY THE Code.of the State of Washington relatlng to Workmen's Compensa- WORK NOTED t I o n k9—urin'bie. 'In A SI ATURE NEVR ATE SIGN D INSPECTION DEPARTMENT ;E�N CITY OF EDMONDS ATTENTION 771-3202 IT IS UNLAWFUL TVUSE OR OCCUPY A BUILDING OR STRUCTURE leel'001Z UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-78 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 RELEASED BY: DATE ORIGINAL — File YELLOW — inspector PINK — Owner GOLD — Assessor MEMO TO: Building Division FROM: Engineering Division SUBJECT: '09 6) 7 fl'"VE6­9 WAI After review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work.on City property... 4) Driveway slope not to exceed 14%. 5) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum., 7) Builder/owner responsible for.containing al,l temporary runoff and erosion on site and may not impact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and in -no A-m- tn 6-00 D.M. on weekends and holidays. 40-00. rl-OT 000 -0, + + �-.f 61106 15514 �,W. glaWT i z5'. +Z4 k-TOAL, qEltpW 7-0.-00 cr MCI -71 Od bc-4z4 'IVA 3-Nipm '10W DN.INKV7d xq, camim :Osnq ov TE daORM Kido �s NTV.T,t4m bMd ELLIS NO CIELLVDI 8E ....... aOM NISW H3LV3 TE YLUZLL HZIS ///////// ILLLLLL SE ILLLLUL cm 6Fa,—)m �follawdo ILLLUL ILLLLLL ZW-LLLLLL -FE ILZLZLL ZLLLU-LLL ///////// LLLLI LL- 1ILLLLIL 00 - -- . UOM NOI HdSiff NOI SS= TZ JF E)N,,Lsixa azis amam TZ UaHl 99 amam TZ gjjLLLZjLjLVLLLL uiLgj-LL flILLLLLL 111711 TZ IILLULLL ///////// LUZLLLLL LLLL-IL // Zzig jUVR-M--J,-W4 �%UJSDN //////// LLLLLLL IL rdMS EIGIS cz TZ ILLLLLLL DMINDIS HEW TZ LLLL= �� /) LLLLLLL ///////// ///////// UOM NDIS mm maws TZ 9ILLLL LL1LLLL.LLLL11L ///////// ///////// 111T11 (mumimmu Uod Jw 9TIO, LLLLLLLL 1LLLLLU-j1LLLLW- ///////// ///////// uauirmH xTegais TT- FT LLLLLLLi- LLLLLL ILLL IMM &VAM CW 9HW T-11111111 LLLLLLLL ///////// JILLLILL ///////// ////// inOm DRIAW J-'EgHJS Ll T, ILLLLLL ///////// LUJIUL ///////// ////// — aDmo criaid usum aNn(xg I st\yoilicmm SIMS TT 111111LL1LLLLLLL mou a omHi zioa 0= GN09 7/—////// ///////// iLLLLLL LILILLII-Ij—1 iLLLU- T-XM Limmd NoIjznu.LsiZ5--7,vm-ao--amrd TT 1111111L //////// ////// // ////// #Girl ai NOIaZONNM Ust-us sLyroTio FT OOIN TT 11111111-LUILILLL 7T SNOI-LVOICOG/WIYM LIM 6 TI-OlartraA Noiadiwma iV.791 1 .1 1 a7id a-14RULS T //////// LILLLLLL 11111"QL (9:jTS UO) NVId ZDVNIWG :., I I.. 1111111ZL.L11111 acials sauuvaa -xjN2KNOHIJ%�m LL NOZ ua= uj 1111111[L smewmIWERI RGY: z LLMI-1111 asn iLiaNm ZLLLL11-1-LL HNUMS/30mvim T buTumTd SXDV=S LLLLLL1-ZL Vo rinwa alotus 11111ILL ///////g Hula DmcNa aams /WA ONINNVrId Acqf (aTep/TVC TA91d :ELLva adimau NOLLYDrlddV warudd asrDrum MIAMI J=Wd CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) MAILING ADDRESS C). TELEPHONE NUMBER CITY "Seec�R(e NAM�� RESS' TELEPHONE NUMBER _ao NAME -S (!!-" C) ADDRESS -? , CITY TELEPHOP NUMBER ,�) Qet�4 e TTATE LICENSE NUMBER 'Seq a- L,-) 6 (x5V U76al Description of Property - Include all easements' (show below or attach four copies) Z1NEW �9 RESIDENTIAL R PLUMBING E] ADDIALTER 0 COMMERCIAL 1:1 MECHANICAL 1:1 REPAIR E] RETAINING WALL SIGN DEMOLISH REMODEL EXCAVATE OR FILL PRE -MOVE INSPJ COMPLIANCE INSP. FENCE I- x _FT) swim POOL WOOD STOVE/ INSERT APT.BLDG RENEWAL 5 NUMBER OF STORIES NUMBER OF -2 [DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) , S /* ^ C, I-e- ; I V r(:E� % 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 Permit Limit: 1 Year - Provided Work Is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns anck successors In Interest, agrees to Indemnify, defend and hold u0i harmless the City of Edmonds, Washington, Its officials, i employees, and agents from any and all claims for damages of cc < whatever nature, arlsing 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 0 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 USE NWPERMIT ZONE NUMBER JOB ADURF5S 2-110-7 Lloff e-ele WAY LEGA� DESCRIPTIQN CHECK[ SUBDIVISION NO. I LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING DEDICATION PROPOSED 10=� RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 SEE ENGINEE��MEMO TE REMARKS METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE I EXEMPT VARIANCE OR CU REVIE W BY I NO. ELINER DATroF Uj Uj Z 0 Z W Ir Uj YARD.� 5;' HEIGH�.�LOT COVERAtE OF Z FRONT REAR BY HEIG SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES ONO I I I I PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE n f I Van I Orma t 1 0 n g Information given Is correct; and that I am the owner, or the duly 'r' Or t he d U'y ATTENTION a u t ho"z ad a ant 0' Wit h c ity and authorized agent of the owner. I agree to comply with city and g S ta te law s e u 'a z_ state laws regulating construction; and In doing the work authoriz- g n ' 'Vork a h r THIS PERMIT AUTHORIZES a d t he re n 0 a rS I of t he Labo ed thereby, no person will be employed in violation of the Labor by r p r ONLY THE Code of the State of Washington relating to Workmen' om p S I s Compensa- WORK NOTED tign. In u nce. _Surance., j 4ATTNTION iNSPECTION TURE (0 NER OR Sr IGNED SIGNED DEPARTMENT 7AG JDATE -7 CITY OF 01� X EDMONDS 61 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUREJ UL UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-78 VALUATION APPLICATIO This applic signed b De t ack, DFFW�\ RELEASED _L ORIGINAL PINK — Own�e 0 Z a _j D co J 1 -86 MEMO TO: Building Division FROM: , Engineering Divi�i( SUBJECT: aq� L,!97 lz'olt�6--Xe- akV After review of the subject building permit application, we have the following cam-ents: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any %urk on City property. 4) Driveway slope not to exceed 14%. 5) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff and erosion on site and may not in -pact neighboring properties in any way- ��A#�Mws - � v"y -7!0 zli� co mo HN6oHT -11 -co .(Ozii Tu- ODD M -TM