Loading...
21313 93RD PL W.PDFiiiiii iiiiii 9078 21313 93RD PL W CITY OF EDMONDS -7 OF ASSET INFORMATION SHEET NEW ADDITION RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION Uw WaL4 SERIAL NO. LOCATION PLace- DEPT. NO. PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBER WOT.3077� f f PROJECT COMPLETION DATE COST 17,r,-, co B.A.R.S. ACCOUNT NO. . IM - 0 1 q , 3 q ��- , Q Q ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 0 G.L. ENTR REFERENCE DATE ftt- VERIFIED BY PROCESSED BATCH NO. - t(p) INITI DEPARTMENT FILE 1�zr co CD Ln CITY of EDMONDS S I D E' S E W E V P E R 4 IJ For Inspection Call 771-3202 PERMIT NO. Address of ConstrucWREF/T-3F/6F_ Property Legal Description (Include all easements): Owner and/or Builder: d 114p, Contractor & License No: Single Family Residence vl_� EDMONDS Mul ti-Family (No. of Units TREATMENT PLANT Commercial (No. of fixture Units Invasion into City Right -of -Way: No._j,,,f� 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.) PLEW'EREA TH'E EMYSED ON THE BACK I certify that I have read and shall comply Date with the items listed on the back. Permit Fee: �Issued By: Trunk Charge: 2? 57 iDate Issued: Assessment Fee: ES-X 112, Receipt No.: 12—,57 2— Partial Inspection: Comments Date Initial Final Inspection Approved: /,,21� Z' 4 �-- Date Initial Rejected: Reason --Ta-te _5_itiaV ** PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy -,Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------- ................ NEW CONSTRUCTION Zf-" REPAIRS F-1 LID NO . .................. . ASMT. NO - ------------------ OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ---------------------------------------------------------------- PERMIT NOD-K1.3-9 JOB ADDRESS -Zi --- . ......... W ------ LEGAL DESCRIPTION: LOT NO. ..q ------------------------------- BLOCK NO - ------------------------------------ ----------------------------------------------------------------- ..... .... . -------------------------------------------------------------------- NAME OF ADDITION ---- (-> - ------- ............. --------- ---------------- ----- ------------------------------ EDM -rREA T� OfVDS P-rREA 1 M E fNV 7TV �p, MlvT '3's a Wf To I' o P PWW-0001 -11/75 (REV. 11/78) "A /j /utie, 9 'Dezq ,5 tL4p'c- Avvroved: DATE--------- ByL - — - ------------------------------------------------------ fl NOTICE, '0"Wa r n t-y---C)T N r The -information on the attached Hed for use by the City of map(s) was COM ' P mpl-oyees and Consultants. Edmonds/ its E Th,..e City ofEdrn.onds does ' n ot. warrant the these accuracy of anything set for.th on map('�_). An'y person or entity -requesting a copy should conduct anAndependent 'ation shown, o inquiry regarding the inform imIted to/ tRe -map(s)/ including, but not J -er stub shown. Suc the location of any sew sewer stubs may or may- not exist and may or may not exist at the location shown Neitheir the �jty of EdmoncJs/ nor its ice-rs'shalrl be 1.-ia-164-e for thE empto-yee-s 0-r off I n on ffs map(5), nor for information g ve d entation provided base any one repres upon said. map(S). NOTICE: N`0­Wa r.ra n-Ly ... U I The -inform ation'shown on the attached for use by the City Of map(s) was cOm ' Piled nd Consultants. Edmonds/ Its Empl-oyees a Th,.e City of 'Edmonds does not warrant the accuracy of anything -set for.th on these r entity -requesting a rnap(�_). Any person o copy should c:onduct an independent i nf orm-ation shown- o inquiry regarding the -m(,3p(s),, Including/ but not Jimited to, th . e lociation of any sewer stub shown, Suc sewer stubs may or may- not exist and may or may not exist at the location shown. r-ity of Edmoinds nor its Neit-heir the %.. i -c er s -s h. a I- I b e 11 a. b-1--e f o r tL h empJo,yee*s O*r off' this map(5), nor for Information g Ven on 'ded based any one representation provi upon said map(S'. r� SZ 12 # . 112/1 12; b . .......... YZ -.2'" ZJ -17. C4 "'It'noo 111183d C. cy o-Y r-) oe 70,17 �ya IQ7 I TO: Permit Coordinator, Building Division 77-7 —�O FROM: Dan Smith, Engineering Inspector ADDRESS !20,zo-" OT OWNER R, li?W, PLAN CHECK # After review of the subject building permit application, we have the following comments: 1. Construction hours are: WEEKDAYS ........... 7:00 a.m..to 10:00 p.m. WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m.- 2. A Right -of -Way Construction Permit is required for any work on City property. 3. Connection to City water system required. Fees paid. 4. Connection to City sanitary sewer system required; obtain separate permit. Fees paid. 5. Water and sewer lines to be separated by 10 foot minimum. 6. Driveway must be paved a minimum of 20 feet back from City right-of-way; separate permit required. 7. Driveway slope not to exceed 14%. 8. Back water valve required if downstairs plumbing is below elevation of upstream manhole. 9. Builder/Owner responsible for containing all temporary runoff and erosion control on site. Construction may not impact neighboring properties in any way. 10. No burning of construction refuse without approval from Fire Dept. 11. Street to be kept clean of debris, dirt, mud, and construction materials. Contractor responsible for dust control. 12. Inspection required on drainage system, catch basin installation, driveways, and sidewalks. A final engineering inspection is required prior to the building division granting occupancy. 13. Repair or replace all defective existing curb, gutter, and sidewalk. If intersection is involved, installation of wheelchair access may be required. BLGPER/TXTFORMS ZONE 11�45� F CITY OF EDMONDS NUM6E'Ay EF� E 0 1 CONSTRUCTION PERMIT APPLICATION JOB OWNER NAME/ AME BUSINESS AUUHt:bS LEGAL DESC CHECK SUBDIVISION NO. LID NO. MAILING ADDRES .Vrz ��e / /X /I - CITY ZIP LfiPHONE NUM06"Adill ;7 D IV,6�5_ A/ L�3"VVI-fZ 7­� Z� �lrl rr e.) , (/ ZIP [TELEPHONE NUMBER C�l 0 <` 1 -7 4 c--Z C NAME P (,_� , A ADDRESS 3 /1-XI L'�_ CITY ZIP TELEPHONE NUMBER ST,gE LICENSE NUMBER YA / / I- c - - 4 A -- / - 7 > Legal Description of Property - include all easements (show below or attach two copies) Tax Account Parcel No. "NE W Lk:J-RESIDENTIAL 9--P-LUMBING ADD/ALTIER 1:1 COMMERCIAL 1:1 MECHANICAL REPAIR 1:1 APT. BLDG. El SIGN EXCAVATE. FILL FENCE DEMOLISH OR GRADE ( x _FT) CARPORT swim REMODEL GARAGE POOL F WOOD STOVE/ r7 RETAINING WALL/ INSERT 11 ROCKERY E] RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF STORIES NUMBER OF DWELLING I IMITQ NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) I nFIfe'sIdewq- I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP EXISTING *0 REQUIRED DEDICATION APPROV90 DY PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED V1=4EW ZUZ—Ly C_ REMARKS / / I IZE REMARKS PPLY UNITS T # a: W SIGN AREA ENV. REVIEW 0. ALLOWED PROPOSED C OMPLETE EXEMPT I NE# VARIANCE OR CU PLANNING REVIEW BY DATE SETBACKS — FEET HEIGHT ILOT COVERAG� Z FRONT 2,5' SIDE 1;'Z-1 REAR 3��/v Z REMARKS AD UHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT / e I -\J- _& 61a 2-5 SPECIAL INSPECTOR AREA OCCUPANCY - OCCUPANT REQUIRED GROUP LOAD M YES C NO REMARKS PROGRESS INSPECTIONS PER UBC 305 Z 15Z11,91 _Z;K411- / -7 tgOelt /47& FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING 'PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGWILL Any construction on the public domain (curts, sidewolks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Worl� 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 20 harmless the City of Edmonds, Washington, its officials, i cr .Z 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 acknowle;—ge 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- ed thereby, no person will be employed in violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of (he State of Washington relating to Workmen's Compensa- WORK NOTED t ion Insutance. ?AGENT) S GNA PR I WNER 0 E)AWTESI EYD INSPECTION DEPARTMENT 70 CITY OF EDMONDS ATTENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. to^ I: - 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 STREET FILIj CITY OF EDMONDS USE ZONE NUMBER CONSTRUCTION PERMIT APPLICATION OWNER NAME/�)AME Pf BUSINESS joa SUITE/APTn ADDRESS cc LEGAL DESC RIPTIO UHLGK�� SUBDIV ISION NO. LID NO. g MAILING ADDRESS Z7 e�n�c 113 0 7,�e_ ,7_�L-aLee CITY ZIP A Zc/ MBER' WLEPHONE NU _F/ PUBLIC RIGHT QF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY P?14165. 172 e -/;V,77 EXISTING REQUIRED DEDICATION 0!!::k NAME 11-4 PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED El ADD ESS STREET USE PERMIT REQUIRED 0 Z LU, t: X 2, Ise& r SEE ENGINEERING ME EW BY MO DATED - a Z �z CITY ZI TELEPHONE NUMBER _7L / 7 _ 11,qZZI ,E 7,9 REMARKS NAME 17 �7 V, bV161 Cr ADDRESS 5�t/ 71y 1 F141-el- ef-441� - Z-�,//7z)WA�s 0 -­3 CITY ZIP MBER METEa-SLFE I/ -5/-17/ BUILD12 �VPPLY SIZE IXTURE UNITS a: I'_ TELEPHONE NUMBER /_S a: Z 0 REMARKS, STgE LICENSE NUMBER ITC )/ SIGN AREA ENV. REVIEW PROPOSED COMPLETE EXEMPT ADB NO. I-,- Legal Description of Property - include all easements Z (show below or attach two copies) ELINE # Ze v VARIANCE OR CU PL�NNING REVI U, 0 4-- 3-6 9­1 5 SETBACKS - FEET EIGHT LOT COVERA 7 G 0 W FRONT 7 REAR SIDE' _Z_ JK -e-Y Z Z < Tax Account Parcel No. REMARKS -1-1 1 : P-NEW 0--RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL El REPAIR APT. BLDG. El SIGN EXCAVATE, FILL FENCE 171 CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT DEMOLISH OR GRADE I- x _FT) CARPORT swim REMODEL. E] GARAGE E] POOL SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD FWOOD STOVE/ [-] RETAINING WALL/ -I INSERT RENEWAL El YES NO REMARKS Z 0 ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 Z Cc 0 Cn NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (AT"TACH PLOT PLAN) FINAL INSPECTION REQUIRED 5,F VALUATION FEE PLAN CHECK FEE BUILDING Z 4, C2 n,--) 4- PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curts, sidewelks, driveways, marquees, etc.) will require separate permission.. STATE SURCHARGE 4— 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 and successors in interest, agrees to indemnify, defend and hold (Wn harmless the City of Edmonds, Washington, its officials, 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 I)EPOSIT 0 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 APPLICATION APPROVAL 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 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 Codeo he State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is - _ns tance. I INISPECTION acknowledged in space provided. SGNA R I INNER 0 AGENT) OATE SYNEO DEPARTMENT CITY OF OFFICLAUS SIG ATURE DATE ?; EDMONDS ATTENTION CALL FOR EASED BY: nATF INSPECTION 14 ;Zf _6 �/ 0 j IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202 _y) UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-87