The URL can be used to link to this page

21321 93RD PL W.PDFlill . iiiiiiii 9080 21321 93RD PL W STREE7 FILE CITY OF EDMONDS 9 1 Cl Address of Construction: Property Legal Description (Include all easements): SIDE SEWER PERMIT Owner and/or Contractor: 1-47 0 C__ - A -71 State License No. Building Permit No. PERMIT N 23 8 2 C 4 EDMONDS 9<ingle Family Invasion into City Right -of -Way: eNo 11 Yes 0 Multi -Family (No. of Units—) RW Construction Permit No. El Commercial Cross other Private Property: 00No 0 Yes Public Attach legal description and copy of recorded easement A 6 Iq I certiTy thAl'h'ave read and shall comply with all city requirements Date as indicated on the back of the Permit Card. * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE.USE ONLY FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. Permit Fee: ;W lssued,�By --7-6 Trunk Charge:— 2,5- Date Issued: 6— lie - q0 Assessment Fee: Receipt No.: Lid No.: — Partial Inspection: Date —Initial — Comments Reason Rejected: Final Inspection Approved: Dat —Initial /e� Date —Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Rev,sed 3190 The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION [Er REPAIRS F LID NO.. � ................ ASMT. NO - ------_--------- OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. JOB ADDRESS -- ----- q,3 "' PC-* ------- I&(-. . .................. ----------- LEGAL DESCRIPTION: LOT NO . ......... ------------------------ BLOCK NO - ------------------------------------ __.,c 01�,K_\VA 5;:z Lff-L cto 0,4.p -------------------------------------------------------------------------------- ----------------------------------------- NAME OF ADDITION _------------- Q ------ �Al --- ----- ....... :�� ............. I---- c4q Approved: PWW-000 1 - 11/75 (R EV. 11/78) DATE ............ � By --- E D f,.,l 0 NI:ID S NT TREATMENT PLA_] (P,t 0 0 -k-- C-1 iL AD E, NOTICE: -N'0'W*ar-rant-Y---0T -a u Y. The -information on the attached Hed for use by the CitY Of map(s) was com ' p Edmonds., its Empl-oyees and Consultants. Th,..e City ofEdim.onds does ' not ' warrant the. these accuracy of anything set for.th on M a P ('s"). A n . y person or entity -requesting a ct an independent copyshould condu' I orm . ation shown-o inquiry regarding the infi I _tFe -map(s), including, but not limited to -er stub shown. Suc the lociation of any sew sewer stubs may or may not e.xist and may or may not exist at the location shown. Neitheir the City of Edmo'nals nor its e m p'- o-y e e-s o r o ffi -c e -r s -s h- a I- I b e 1--i a. b-If-e f o r t hE n on this map(5), nor for infor . mation g'v e' 'ded based any one representation provi upon said map(s). CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET NEW ASSET NO. El ADDITION ADDITION TO ASSET NO. 1-1 RETIREMENT DESCRIPTION IA SERIAL NO. LOCATION 2 1'� Y� Ptace, LAJI DEPT. NO. PURCHASE ORDER NO. PURCHASE ORDER DATE 0 COST PROJECT NUMBER W (f TS -�Z q PROJECT COMPLETION DATE COST I "TS� (n (o B.A.R.S. ACCOUNT NO. (10 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 G.L. ENTR REFERENCE DATE qlt�� VERIFIED BY PROCESSED BATCH NO. - kyp) INITI DEPARTMENT FILE TO: Permit Coordinator, Building Division FROM: Dan Smith, Engineering Inspector ADDRESS A- 4, 6_-x,�� OWNER la� V TLAN 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 Ci.ty 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 3 -7 & IPS zlqlx\l Ze-)l 7- Y Ilryl 370 i;: D MAR - PERMIT COUNTER "Y7 i� CITY OF EDMONDS V 1 1 116 CONSTRUCTION PERMIT APPLICATION OWI`011 K#WtINAME OkUDSINESS NUM ��4 IADDRESS P4,6?"f_V :a XCITY ZIP [JTELEPHONE NUMBER zi &.R_ 77t5 /-) 1404 )-7<1 741 V y CITY ZIP TELEPHONE NUMBER STATE LICENSE NUMBER /7 / b,,J4 Legal Descriptibn of Property - include all easements (show below or attach two copies) Tax Account Parcel No. ID"'N E W LF=7"RESIDENTIAL PLUMBING 1:1 ADDIALTER COMMERCIAL MECHANICAL ElREPAIR APT. BLDG. SIGN DEMOLISH EXCAVATE, FILL OR GRADE FENCE ( x _FT) REMODEL CARPORT GARAGE swim POOL ZI F—] WOOD STOVE1 F__j RETAINING WALL/ INSERT I I ROCKERY RENEWAL -1 (TYPE^Ug4USINE 7- _�UR ACTIVITY) EXPLAIN: NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) &de'1v4( 41 14e. E PERMIT NUMBER JOB SUITE/APT # ADDRESS ip,/ -e-10 - LEGAL DESCRIPTION CHECKI SUBD S ON NO, LID NO, � "7_ �3 ;�-3-81 zue //3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP EXISTING REOUIRED DEDICATION APPROVED BY PROPOSED C) Z RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 cr LU STREET USE PERMIT REOUIRED 0 W SEE ENGINEERING MEMO DATED REVIEW BY Z LU TER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ADB NO. ALLOWED I PROPOSED I COMPLETE i E I VARIANCE OR CU PLANNING REVIEW BY _rATE SETBACKS — FEET HEIGHT I LOT COVERAGE Z FRONT SIDE REAR f Z REMARKS CHECKED BY OF CONSTRUCTION CODE HEIGHT ITYPE \ _ /I/ _.Z �PECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REOUIRED GROUP LOAD 1-1 YES Uj NO R13 REMARKS PROGRESS INSPECTIONS PER UBC 305 Z FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE BUILDING PLUMBING Plan Check No. jl�� MECHANICAL This Permit covers work to be done on private property ONLY—. GRADING/FILL 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 WorR Is Started Within 180 Days "Aoplicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnity, defend and hold harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of Er < 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, waive 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 ed thereby, no pe son will be employed in violation of the Labor AUTHORIZES ONLY THE Code of the Ptate of Washington relating to Workmen's Compensa- WORK NOTED Insuranje. A A --tion I SIGNAT7 O� , DATE- NED INSPECTION DEPARTMENT -, XOR �GENT) i %�?� I Wj/0 CITY OF EDMONDS ATTENTION CALL FOR IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 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 200 OLYMPIC PLACI SECTION 25mT-27N.,R.3E.,� io CITY OF EDMONDS SNOHOMISH COUNTY,WASHIN( D TRACTS A L-DERWOO-D JM A JN D R IN 0, 9 PAGE J12 BLDCK 5' 7 VOLUME JO -PAGE (3 10 So WDo/ . . . . ............................... ,7j 0 0 �vor6 moNamiesrs vlolr�-o So /V ON 5-16-69 PC-,QCe �/Arg 4/A Y 3001 96260 7 -CA.)C kc) 20- 20' LA,5r- 4 is 0-- 88,56 ,Z) Lli ,j SZ) 526010 -4 L !�A,5r- 116. 00-, 0 4IT11 / 7,Y cj,�t < 115 oo—, I (Z) (Z) 10 N� 3 1 -cz, :,Z). q, N -o -'CAS I 7 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATI -L-1 ADI Z'2WSW 2r —/-/&7-W ADDRESS �� /P 6 C!fTy ZIP LJTELEPHONE NUMBER & AIR- 7r�§,!q j & _f9 )-7&*l 7K-9-"--Z ? NAME CITY:::�� ZIP TELEPHONE NUMBER ,07W STATE LICENSIE NUMBER -z--eve2�1C�_ AJIA,,_-A� /7 Legal Descriptibn of Property - include all easements (show below or attach two copies) U) aA 4 W 0 7_11U V49L. Is 'Pit Tax Account Parcel No. Q_`N Ew RESIDENTIAL PLUMBING EJADD/ALTER COMMERCIAL MECHANICAL REPAIR 1:1 APT. BLDG. El SIGN EXCAVATE, FILL EJ OR GRADE FENCE DEMOLISH (_ x _FT) CARPORT ET swim EIPOOL REMODEL GARAGE F WOOD STOVE I F__j RETAINING WALL/ INSERT El RENEWAL ROCKERY (T R ACTIVITY) EXPLAIN: (L a XUW W NUMBER OF STORIES Uj NUMBEROF 7LINITS DWELLING NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 451 61 ZONE NumBER 0 0 jQB �_UITE/APT 4 aDRESS EGAL DESCRIPTIOiT CH ��SION NO. LID NO. AV 7- �3 1 P-3-eq Z-je PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY EXISTING REQUIRED DEDICATION PROPOSED a: RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W STREET USE PERMIT REQUIRED 0 U) 0 SEE ENGINEERING MEMO DATED REVIEW BY Z REMARKS 17,-)Ak METER S E . F BUILDING SIZE E UNITS /SUPPLY REMAR)V .716 < SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXE MPT I I / SHORELINE # VARIANCE OR CU rLTNNING R�VIM BY DATF SETBACKS —FEET HEIGHT LOT COVERAG� Z Z SIDE :Z REAR!<— Z FRONT REMARKS _j I a. < CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD [] YES L: NO AEMARKS PROGRESS INSPECTIONS PER UBC 305 Z FINAL INSPECTION REOUIRED i VALUATION FE PLAN CHECK FEE BUILDING PLUMBING Plan Check No. 4/1 I A &� This Permit covers work to be done on private property ONLY, MECHANICAL GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCH,�RGE Permit Application: 180 Days Permit Limit: 1 Year - Provided WorN 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 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 DEPOSIT modify, waive or reduce any requirement of any city ordinance 0 nor I.imit 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 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 there no pe son will be employed in violation of the Labor ONLY THE Code of t � tate of Washington relating to Workmen's Compensa- WORK NOTED tion Insur n1e. A A I INSPECTION SIGNAT (0 R 0;� G E CIATE NED DEPARTMENT �NT) CITY OF EDMONDS ATTENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 -76 t8. 3 7_3 0 —2w 111-�3 11160 5V 1 /Zlaq 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. RE j 0,4 T E _3129A0 ELEASED BY: A IV A 19-11/ S/30 ORIGINAL File YELLOW — In PINK — Owner GOLD — Assessor