215 2ND AVE N.PDFIIIIIIIIIIII
4784
215 2ND AVE N
CA FILE NO. CA -OD -(p-T
Critical. Areas Checklist
----------------------------------------------------- ----------
Site Information (soi.Is/topography/hydrology/veg.etation)
1. Site Address/Location: Z I �;- T-AW 4VE- . JIQ
2. Property Tax Account Number: — 4(30&1 0// 003 666/
3. Approximate Site Size (acres or square feet): -7s-6.0 5,P F7-
4. Is this site currently developed? V�
—yes;_ no.
If yes; how is site developed? :5r1ov6-t,6 r-Pt.&Ui&,7 12eF-S-eV&-A1CF
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
1.0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feetover a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: A10— Approx. Depth:
7. Site contains areas of seasonal standing water: A /0— Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.— A10 —
9. Site contains a creek.or an area where water flows across the grounds surface? Flows are year. —1vo —
round? Flows are seasonal? (What time of year?
10. Site
ILprimarily: forested meadow ;shrubs mixed
je-'u'rban fand—sca—p—ec-Ulawn,shrubs etc)
11. Obvious wetland is present on site: A10
MET-MMINAT109
AG�_ChLdoq Rev IUMM
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File #: '�� -- 00,(
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:
CityReceiptN6: 19,7_7(c
Date Mailed to Applicant: d
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is An applicant, or his/her. representative, mu fill out
st
.to be filled out by any: person preparing a the checklist, sign and date it, and submit it to the'
Development Permit Application for the City of City. The City will review the checklist, m . ake a
Edmonds Prior to his/her sub I mittal of . a development precursory site visit, and. make a determination of the .
permit to the City. subsequent steps necessary to com lete a devel
P o ment
permit. application. p
Please submit a vicinity map, along with the signed
The purpose of the Checklist is to enable City staff to copy of this form to assist City'staff in finding and
determine whether any potential Critical Areas are, or locating the specific piece of property described on
may be,. present on the subject - property. The this form. In addition . , 'the applicant shall include
information needed to complete the Checklist should -other pertinent information (e.g. site plan,. topography
be easily available. from observations of the site or map, etc.) or studies in conjunction with this Checklist
data available at City Hall (Critical areas inventories, to assist staff 'in completing -their preliminary
maps, or soil surveys). 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: Applicant Representative:
Name
Name
Street Address Street Address
'7,F6 2-6
city State. zip Chy State zip.
-t-f 2- S- -7 -7
Telephone' Telephone
Signature -------------
Signature
"o 00
Date
Date'
d:rweptiortlanatCACLHandoLit.doc
Reviw viwm
9"IMMEMIC "M M "110 E
B-ting Top ofmanbole cover at ft imsss=tion of
FM MMRANT M and e A� Nordi
Located at the comer 34
of2ld6andBell �,4
GENERAL NOTES
R, LN.
V Py.
Edmonds, WA 98029
1-206-226-2315
Contact-
As above
Ind
Descrintion:
Los #3 Block 11 Plat of'
Edmunds
Tim ED: �
.4344-011-003-OMI
Zonizw.
I RS-6
Lot " FIL
7,5W
Pad Ares.
1,477
Lot Cov'rg
28%
ExErea Floor
052
New Floor
132
Beat TM
on
CAsuffloor
25%
DedgwLoad
Roof ISM 25 LL
Floor IODL 40 LL
Wind
Exposure B 80mph
Selsok
Zone 3
Son
Co.—
M5 PMSI A 29 days
RA.f. Steel
Grade 40 Bars
Lumber
Grade
ShA&Momfitcofstnuctura
FWW-d
Soms Indes
Roof-24/0
Floor & All$.— M6
ft table 23-11-13-1
Pefar to shoot WS
R2:cz,VZM
JUL 2 U, 2090
DEVELOpMENT S
OF E EF?VIC
CITY DMON ES CTR.
DS
Building Wback Line
B foot side
Existing
121 aq
SAME=
ding Pad
529 sq, ft.
K AL
A.
13025
SldeWRl
Eyisling
0 ESEDENCE
949sq. ft.
BuilcUng Pad 0
Endu
SidewAlk
Existiall
MY
1,500 sq fk
—OMWI Buildinu Setback TA--
01
.6"XA5&r "0144UTMgs ra evv.
AS NOTED
fy �4, 4L,
I
,sk
away exissing I story
sectinnofiseiistin bodroom.DemolitimWill
b.fromasisfin floorsbeathi, UP. '
. To am an extended now bedroom and
laundry wom in ft same wm
Sa.e
MU46 '- 'o;
Zia WELDING DLSCRWnON
Occupancy goup; R-3
T�pe ofcoustmenon; VN
B (80 MM
FILE
N
TABLE OF CONTENTS
IM
Site Plan
218
Founded= Plan
2w—
1&—f Floor Plan
418
Upper Flow Plan
SM
RoofFraming Plan
&S
Building Section0etails
7/8
Ele-vations
I WS
I General Specificatim
PLANNING DATA
NAME:
SITE ADDRESS: -Z15 gpdAVAI DATE:
ZONING:— PLAN CHK#:
PROJECT DESCRIPTION: Ao�00io7t, .
CORNER LOT_--4[jO—(Yes/No) FLAG LOT M (Yes/No)
SETBACKS:
Required Setbacks: J*
. ,
Front*-20" LeftSide: RightSide: 45 Rear: PS7 doei; via-f-
Actual Setbacks:
Front: Left Side: Right Side:. Rear: btpmi. s e4b k-s
Street checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N
P-e5 14-2 jq*7,7
LOT COVERAGE: PftA 17-1
Maximum Allowed: b4 Actual:
BUILDING HEIGHT:
Maximum Allowed: Actual Helaht:
Datum Point: k71A-r7h01e,,1 6" Datum Eleiiation: 4-100
A.D.U. CREATED9.- A10 ,
SUBDIVISION:
CRITICAL AREAS
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:
cAfi1es\perrnit%Ap1and8Ldoc
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works * Planning * Parks and Recreation o Engineering
8 9 0 . 199 -
April 4, 1991
E.G. Sant
215 - 2nd Ave. N.
Edmonds, WA 908020
CERTIFIED MAIL ST13EET FILE
RE: Problems with venting of your plumbing fixtures
Dear Resident:
LARRY S. NALIGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City's sewer cleaning records show that the home at this address is
experiencing problems with the venting of some of your plumbing fixtures
when the City crew is conducting cleaning operations of the City sewer line
in front of this address.
The City's cleaning operation is essential for both you and your
neighbors. It cleans debris in lines to prevent plugs, prevents corrosion
and potential future collapse, and achieves a better flow characteristic in
the public sewer lines. We need to do this often -- perhaps even 3 times a
year -- in some critical areas. The City's cleaning operation typically
involves the utilization of a high pressure water jet.
The problem which occurs at the home is the result of a high pressure surge
through your internal plumbing system. A properly constructed plumbing
system is designed to easily vent this additional pressure without any
visible impact at your residence. An undersized venting pipe (or not
having enough vents) cannot handle the pressure surge, and the only release
that's available is then through your toilet (or another fixture). The
Uniform Plumbing Code typically requires a 211 vent, and further requires a
separate vent for each plumbing fixture which is connected to the sewer (a
toilet, a sink, a shower). Your home clearly does not have an adequate
venting system (you either have a 1-1/411 vent, or not enough of them), and
you therefore may continue to experience the pressure surges.
The City does not have a choice as far as discharging its responsibility in
cleaning the public sewer line. It is therefore up to you to take
corrective measures as to how to properly vent your own plumbing system.
The City has come up with two options that will remedy your problem:
Option 1: Upgrade stack vents for toilets and other fixtures which
are experiencing problems to required sizes.
* Incorporated August 11, 1890 0
Sister Cities International — Helkinan, Japan
M
Page 2
Option 2: Install a clean -out outside of house per attached
specifications. Enclose box so it can vent properly when
excess pressure is put on house lines. This option would be
the cheapest and simplest way of correcting this problem.
At the same time, it would allow access to sanitary sewer
lines if stoppage should occur. This vent clean -out would
allow a place for backup in lines to go before entering your
house and causing costly damage.
The City would appreciate your expeditious cooperation in this matter. The
City must continue proper maintenance of its sewer lines, but we obviously
do not,wish to see continued problems occurring on your property because of
poorly designed vents. It is your responsibility to correct these
deficiencies.
We cannot keep notifying you each time we come out to clean the line. It's
up to you to have a plumbing system that conforms to code. Option 2 is a
relatively simple one to construct.
Should you have any questions on these options, please call Everett Akau,
Scott Highland or myself at 771-3202, extension 317 or 318.
Sincerely,
�L GA "Q
Ron Holland
Water/Sewer Supervisor
Enclosure
SEWERVEN/TXTSEWER
t
Siole S-f-e-3 M A+,e.--Nt ( S '-
x -Pv C- r; �k AsVe")
F, v
Pi bj C.41,p P k
-%YvC -J�, C---JC-
Ll Ll " pvc +, C4 "C',
C At OR�r cc if
Li "C��
3/te/ql
;K rN 4-
C, aw t� 0 C-1 V%i %7tj -76 Ar� '5-RT V,
rs �( 5,3
?V,L ?\Q� le-Ap
o-%
a 40
D,;Il 1/,j-'14v1,--S fo Vemt-
rXe_575 Atr
4
The City of Edmonds Water Service Drawing EASEMENT NO. ..... ..........................
NEW CONSTRUCTION 0 REPAIRS Z LID NO . .................. . ASMT- NO . ..................
OWNER MARA. 14. Pl-tj
... . .............................................. CONTRACTOR
JOB ADDRESS ........... PERMIT N0960,A.5
A NO
... .... .... i LEGAL DESCRIPTION: LOT NO'.-'.* ......................................... BLOCK NO . ...............
.....................
rl-13
z
a
PWW-0001 -11/75 "1' %', 1 1/7b)
NAME OF ADDITION ..: .........................
2.1514 lmo Av. No.
3afr 3/V
cop &
34,44"VA, Vc-
2mo Av. No
11.5
SS �S
— - - - - - I
3/4 v P FE .
F,xls,t .3/4" VAL-Vt
IGO P.S.I. PF-. ul
3WICappelz IR& j
A
0 0
A.poi�,ved: PhsvrlAl. 46-14-9(o
F I t4AL.
DATE ........ G..-Tr7 - 9 G
........................ E, ...........
Z
:1�
U
0
U
Z
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity oCConstruction
Owner:
Name
Mail , ing,Address
6
City, State, Zip Code
I -
e Contractor:— Z , If d: 1 k -0 A n. e N C rl O'A
Name
/kl 7-AV"
Ma�ling Address
L,,e4
City, State, Zip Code
Permit NO. — 'R I - 1..8
Issue Date 7
0 Permit Issued To:
Type of Work to be Done: r6p Al Pc X
&
o rk' i' Connect"oopn /1�&
n I W,
El Sub or Plat JFQ' Single Family
El Comml. /Ind. 0 Apt. Condo.
Pavement Cut: D Yes F-l' N o
/ o - 4 " -A,) & - r V 6;,� r-S
S&Ze Licen"se Number
-? ? 11- a 4;�,q 7
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands 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 costs, 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.
1 understand that this permit must be available at the job site for inspection purposes at all times.
Signature: li Z - /-/
Owner or Agent
N
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
Spec.ial Conditions:
Ammendments:
Permit Fee: -4 o ,
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. December 1978
FIELD INSPECTION NOTES Mind 111 - Rotite conv to Street Dept.)
Comments:
F� am C E I V ED
AU G 6 1981.
rr:% m
Dii. ui Public Works
Diagram:
M
Contractor called for inspection . Yes . NO
Work Disapproved Bv: Date: Bv: Date:
Work Approved By: <Z: D a
Inspector:
EnQ. Div. December 1978
I
CITY OF E0M10N!1",t"'' '
200 DAYTON ST. - EDMONDS. WASHINGTON 98020 - (206) 1
DEPARTMENT OF PUBLIC WORKS
iMarch .16, 1981
HARVE 11. HARMSON
M. AY 0 i i
P14
Dear Resident:
On February 17, 1981, the Edmonds City Council passed'
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A puhlic hearing will he held
in'the Council Chambers at the"Civic C:ent(--,r on April 21,1981
at 7:30:P.m. You are invited to.attend hearing.for
h is
discussing ions of det I e io bd
r rat si'dewalk
abutting ou �,p operty.—T e—im'p'rovement o "C3—w- lks in
y h f si e
need of repair at the expense of the abutting propertv
owner is provided by City Ordinance, Chapter 7.20 and
Revised Code of Washington, Chaptor 3.5.68.
The areas needing repair have heen marked in paint on
the sidewalk adjoining your prOT)erty. Reconstruction and
repair of these sidewalks must he (_r)[11plot-ed on or before
September 1, 1981. In the event linnt-nvements are not
completed within the above specifir�d the City will
perform and complete the improvci,,ient..!:,, (-it, i_-he cxpen!Z!,0. of the
abutting property owner.
This action is in response to many citizen requests
and pedestrian falling accidents which havo been increasing
in recent years as a result of sidewalk deterioration and
increased pedestrian traffic.
S I
incerely,
P R F: 1) T,-' . If ERZ BE: RG
Director of Public Works
APPLICATION
for
The City of Edmonds SIODE SEWER PERNUT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
113-02100
OWNER........... E ...... G ..... S-an.t ------------------------------------------------------------------------- CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
ADDRESS ------ 215..2ad..Ave...-.N ------------------------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
"It
i
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
10
CITY OF EDMONDS
S E
USE
U
0 NE
ZONE
Z
PERMIT
NUMBER 9
CONSTRUCTION PERMIT APPLICATION
j 0
jOI3
B
ADDRESS SUITE/APT #
R E SS
5
0 NAME /NAME OF BUSINESS
0\
TADD
LEGAL DESCRIPTION
CHECK
SUBDIVISION NO.
LID NO�
t
ir
uj M%ILING ADDRESS
Z V
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
TESCP Approved 11
AW Permit Required 0
Street Use Permit Req'd 0
0 C71
CITY ZIP
1� /
4,
TELEPHONE NUMBER
e4l
P p OPOS
ROPOSED
inspection Required 0
Sidewalk Required 0
cc
NAME
METER SIZE
LINE SIZE
W
PRV REQUIRED
YES 0 NO 0
WO ADDRESS
L)
REMARKS
ui
Z
cr
CITY ZIP
TELEPHONE NUMBER
3
Z
W
NAME
v
/V
Cr ADD?qSS
ENGINEERING MEMO DATED
REVIEWED B�Y
0 L_�
�_ 2-
0
CITY ZIP 7FIELEPHONE
NUMBER
I( I/-
7 001 -1 L:
7 41
FIRE MEMO DATED
REVIEWED BY
§
_'L
W
!E
STAYE LICENSE NUMBER EXPIRATION DATE
SIGN
ALLOWED
AREA
PROPOSED
SEPA REVIEW
COMPLETE
ADB NO.
Legal Description of Pwoerty -.include all easements
Z
1EXEMPT
EXP
SHORELINE I
VARIANCE OR CU
PLANNING REVIEW BY
DATE
I
ASETBACKS — FEET
FRONT SIDE
Property
Tax Account
Parcel No.
el-;LUMBING
EINEW
RESIDENTIAL
1:1
1:1
Ej
ADDITION
COMMERCIAL
MECHANICAL
1:1
E] APT. BLDG.
El
IREMODEL
SIGN
El
GRADING
FENCE
REPAIR
- CYDS.
I x _FT)
FIDEMOLISH
WOODSTOVE
SWIMPOOL
INSERT
HOT TUB/SPA
RETAINING WALL/
EGARAGE
] C
ROCKERY
0 RENEWAL
�TYPE OF USE. BUSINESS OR AFTIVITY) EXPLAIN:
Lc
BY ITYPE OF
REAR
I _AZ_ - 11 \f
SPECIAL INSPECTOR AREA
REQUIRED OYES ' I -
REMARKS AL
PROGRESS INSPECT&N/S PER'
NUMBER NUMBER OF CRITICAL
U 47
1 DWELLING AREAS
OF
0 STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
_. I I - " � ( C .
- �_ 1"! )e.:t !,-( f
FINAL INSPECTION REQUIRED
tA
Y,
VALUATION
HEIGHT I LOT COVERAGE
V X_3
OCCUPANT
LOAD
7-9
.4"
I FEE
ec
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
IN)
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewelks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
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
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
1,,4
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
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
tion Insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGN . A -TYRE (OYVNER OR AGENT) IGNED
DEPARTMENT
JDATE
CITY OF
OFFICIAL'S SIGNATURE DATE
EDMONDS
_7
ATTENTION
CALL FOR
RELEARF() BY: DATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
.. .......
PINK — Owner GOLD — Assessor
a
Z
Z
Z
ATE R CEIVED
tk� PERMIT EXMRES 2f/2 d/6 L
CI-N. OF EDM6`ND!§�
ISE P�PMIT
ZONE
NUMBE
CO
F-C NSTRUCfION. PERMIT APPLICATION-
JOB SUITE/APT#
ADDRESS
)�k k)
Yrl tAs�
OWNER NAME/NAME OF BUSINESS
PLAT NAMF_/tUBDIVI SION NO.
LOT NO.
LID NO.
c,
LID FEE $
w
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCIP Approwed
RW Permit Required 0
w
I
0
Street Use Pennit Req'd E)*
EXISTING PROPOSED
Impaction Required 0
Sidewalk Required 0
CITY ZI
TELEPHONE
1-31
REQUIRED DEDICATION- FT
Underground
w
NAME
METERSIZE
LINESIZE I
NO. OF FIXTURES
PRV REQUIRED
a
z
YE S C1 NO
x
C CilkiO
w
I w
A0111AESf"
REMARKS z
9
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0
z
-56 Wew T7w--(, egsr, ik)o, _<i3A&q61Cu_1
CITY Z777
EPHONE
w
i
'NAME
ENGINEERING- REVIEWED/bATE
AD7DRESS
FIRE REVIEWED BY DATE* w
cc
CITY 21P
l`-
z
0
L)
r��
. VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
.
STATE LICENSE NUMBER EXPIRATIONDATE1
CHECKEDBY
REC%r
POSTED
0 YES 0
SEPA REVIEW
SIGN AREA
HEIGHT
Lu
ES4�CCO C C
P,4
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWEQ4& PROPOSED
ly 't
q
_j
EXP
-62R
NEW ESIDENTIAL PLUMBING I MECH
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SEYBACKS (FT.)
R SIVEAR
ALLOWED PROPOSED
'OF�RON
DITION COMMERCIAL o COMPLIANCE OR
0
0 ;,
Z
z
CHANGE OF USE
P�ANINING
F] REMODEL E] APARTM I ENT E] SIG N
PARKING
REO'D PROVIDED -7-0
LOT AREA
REVI�WED'BY
I
e-l"
I
E]. GRADING FENCE
C3 REPAIR CYDS 0 X FT)
R MARKS
OT15p
[D DEMOLISH C3 TANK
J�e
)RENEWAL
E3 GARAGE RETAINING WALL
z
CARPORT ROCKERY
.
(TyxF USE; BUSINESS OR ACIIVt TY).EXPLAIN:� a-11: 411,.,�..i,
CL
Fx
CHECKED BY
TYPE OF CONSTRU TION
ICqE OCCUPANT
GROUP
u`
w
0
ffi
NUMBER
OF
NUMBER OF I
v.1
DWELLING
CRITICAL
AREAS
S ECIAL INSPECTOR
RP
AREA OCCUPANT
f4 Rmie., 1CV LOAD
0
STORIE S
UNITS
NUMBER
EQUIRED YES
RIO"
DESCRIBE WORK TO BE DONE
REMARKS' z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
&iLlcn 7
1 Lwu TM ma/v AQ,
Yx-) OL nc
07(� QS—fwt'� F.- rj C r
AoD 2eeLAciP1 FLAT-
VALUATION
FEE
T
PLAN CHECK FEE
HEAT SOURCF_� CAAZM.% OT&pk% BUILDING .14 1.0 1 `51-7
40
6a
PLAN CHECK NO.: VESTED DATE PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GR ADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:3 SEPARATE PERMISSION.
STATE SURCHARGE
U
cc PERMIT APPLICATION: 180 DAYS
w
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS.
w IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
_j
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
M
4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY . RECEIPT
x THE ISSUANCE OF THIS PERMIT. ISSUANCE OFTHIS PERMIT SHALL NOT BE
FROM PLAN CHECK DEPOSIT
a DE CTO
EMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
i
0 CITY'SABILITYTO ENFORCE ANYORDINANCE PROVISION.'
I NOR LIMIT IN ANY WAYTHE
IRECEIPT
TOT I AL AMOUNT DUE 4-4//
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 histher Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE TE'OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
il"kU 18.27.
EN'S COMPENsATidNi RANCE A;?RC
0 F NAT DATP.
=1ALI
A(YENT)
AT 1 (425)
�hD
771-0220
LEASED AT
RE;,5E4
it J(
E TION EXT1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION, HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUkNCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD - ASSESSOR
5/98