21516 73RD PL W.PDF111111111111
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21516 73RD PL W
U IC WORKS DE'PARTMENT CHEM* Date
M IG PEI;2-11T REVMW
STREET FILE. 1�q' !4,AV&es
Street -Right -,of -Way Existing %-7e Qi REQD
A' �2
Access Easements Existing LkQ o REQD
Utility Easement Existing 00 REQD
Lot per Subdivision Plat Assessor Map
Z Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal D�scription
Enviroimtally Sensitive Area
94
Environmental.Checklist Reqd.
Z
Flood Hazard Zone
U Shoreline Management Area
Z Slope, Soil, Vegetation
Strearn, Creek, Drainage Basin foo
E-
Existing Zoning Per Ccde--.-
Amenities Design Board Approval Reqd. ADB # Approval
Board of Adjustment Ap7oval Reqd.
Review Bv: Date:
Existing Water 'Main Size
Water Main Reqd. —AA�
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code VAj,, Size
Detector Check Meter Reqd. Jdue)
Cross Connection Inspection
Fire Department Camnents
Water Meter Charge Req
Review bv - Date:
cu
U
Septic Tank Perinit Reqd. Perini t No.
Sanitary Sewer Availability Proj.
64
Drm,ring No. File No.
Side Scn,,er Availability
Sanitary Scmer Connection Fee Reqd.
Revia,i By: Date:
0
BUILDING DEPARTMEN17 ApplicantFill
Inside Heavy Lines
PERMIT APPLICATION
NAME JOR NAME OF BUSINESS)
Dever Construction Company, Ind.
W MAILING ADDRESS
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3: 17724 - 4th Place west
0 -el _TY ELEPHONE NUMBER
Bothell, t . 1A 98011 745-1211
NAME
Disign Consultants
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W ADDRESS
19 - 172nd PI SW
U
Tr=LEP�E NUMBER
It -FLE,
M CITY
Bothell,, WA 98011 745-9418
NAME
Same as owner
0 ADDRESS
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M CITY TELEPHONE NUMBER
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U -EFT—ATE LICENSE NUMBER CITY LICENSE NUMBER
DE-VE-1*1-289-cp'
Legal Description of Property (Show Below or Attach Four Copies)
Lot 14 Luschen Tracts Div. 3
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2 Snohomish*xW2t County, Washington
U City of Edmonds
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III
USE
ZONE
JOB
ADDRESS
(2 1�;A -?3
SUBDIVISION NO.
PLAT NAME
SSESSOR MAP
6-,6::? V
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—7
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
EXISTING RIGHT OF WAY
PROPOSED RIGHT OF WAY
DEFICIENCY OF RI . GHT OF WAY
CD
STREET/UTILITY WORK REQUIRED
YES
NO
PERMIT FOR WORK IN PUBLIC R/W
YES
IYES
El NO
UNDERGROUND WIRING REQUIRED
YES
ONO
CONNECTION TO SANITARY SEWER
NO
SEPTIC TANK PERMIT REQUIRED
OYES
It NO
SEPTIC TANK PERMIT NO.
SEE MEMO DATED -K-l. Z
REMARKS
CHECKED BY
R
4
Y SIZE
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED I PROPOSED I COMPLETE I EXEMPT I
REMARKS
A A CE OR C
VARIANCE OR CU
V R N
PLANNING REVIEW BY
DATE
Y A R S
YARDS FRONT
FR ON'
SI . DE REA RILOT
COVERAGE
R NEW
ADD
ALTER
REPAIR
El
RESIDENTIAL
NON-RESIDENTIAL
DEMOL . ISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
GAS
LINE
SIGN
RETAINING
WALL
FENCE
I— X—FT)
swim
POOL
11
Z N .
FIRE ZONE
I R E 0
TYPE OF CONSTRUCTION
CODE
HEIGHT
EC.A L-NSPECT
SPECIAL INSPECTOR
REQUIRED
E_U. RED
0 YES 1:1
Y . S
AREA
OCCUPANCY
GROUP
1
OCCUPANT
LJOAD
P N C H.CKE
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
NUMBER OF STORIES
Two
NUMBER OF
DWELLING
UNITS Five
NATURE OF WORK
construct
TO
new
BE DONE
PLAN CHECK FEE VALUATION FEE
PROPOSED USE
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PLOT PLAN (INDICATE BUILDING SETBACKS.
ABUTTING STREETS) BUILDING
u
W PLUMBING
P
P
M See attached.,with plans MECHANICAL
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FENCE
SIGN
RETAINING WALL
WIMMING POOL
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-TO J:
TUWAY %sour% EET ILE
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SUBJECT: Bel DATE
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DATE:
SIGNED
SIGNED
CASCADES Ll-C2375
PRINTED IN U.S.A.
SENDER: DETACH THIS PART AND FILE FOR FOLLOW UP.
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06/10/20ft U�J:bd 42!)ZJt)UbU1 NW1NbVt-M-"/ bt-LAMAMU t-kk-Ar- UZ
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northwest inspection engineers
� .. INIER AVE. N.. SUITE 101 / RENTON, WASHIN43TON 90055 - TELEPHONE (425) 220-5975
June 9, 2008
Mr. Mark Johnson
Pacific Northwest Realty
P.O. Box 1044
Edmonds, WA 98020
Re: 21516,21520, & 21524 73"' Place West, Edmonds, WA
Dear Mark:
This letter is to confirm that the weather resistant envelope design for the subject property
complies with the requirements of RCW 64.55.005 and 64.55.090. Sheet 6 of 6 of the drawings
applies to the envelope design.
Sincerely yours,
STREET FILE
RESUB
JUN 12 2008,
8"W'a�'=&ENT
REAL ESTATE INSPECTION 13Y REGISTERED PROFESSIONAL ENGINEERS
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NO WARRANTY OF ACCURACY The Information c-1 V-0
mn�"' ' ' "'to
wans compiled for use by the City of Edmcn�^,, 1'3 cmp!ay—a,
L- The City of Edmonds does not warrant tho ot
fcrt-� or. ilia map. Any person or entity requesVi,.q a cr4yo
c—;r- �n inkl-endent Inquiry regarding the Inforridtion shown cn
t r.. L, �. i:, , not limited to, the location of any so-wcr stub
n' bi� E
VIC- ma y cr may not e)dst and mayor rr,--y rct c,-,�--1 at!
the louai,,�;i Nc'.'.icr thc City of Edmonds not it3 ori
olficers shall b,� licb-la for thu inlonmation given on this map, nor ior cxv ord
: tj
representaton provided based upon said map
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The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 0
It � -. ( 'tru c
-- ----- Zovtc - f
- ----------- J034 ....... ......
OWNER
Rib
JOBADE�L E-SS- ....... ------------------------------------------------------- --- W ......
E�fl -4AN SINGLE RESiDIENTIAL
-bt�4ER TI
conclo
..................
EVIA BALLINGER
LIFT STATION
9EASEMENT NO.
REPAIRS [:] LID NO - -----
jl�
------------------------------------
ASMT. NO - ------------------
CONTRACTOR ... R-4-m --- ��OLCA 1-5 -------------- PERMIT NO. —G.4-0�
..... ... ...... ----- ........
LEGAL DESCRIPTION: LOT NO - ------- i . . ..................... BLOCK NO - ------------------ -----------------
NAMEOF ADDITION .......................................................................................................................
6" ?V.C. S;iAe Sewer CSck--3o34) .. 4.
4 " Xks tectiovi Tee- ( I o�d cep)
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tn
7 PL
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Approved:
=VIABALLINIGER
STA-1 Nfl
LI " S L '( 1999 By DPV(7
LIFT TA�1�"C DATE.0c.t..23.4. .........
.. .... ........ ----------------
1 5
ITY OF EDMONDS
-1 0,
FOR INSPECTION CA
Permit INO 06:05
PUBLIC'WORKS DEP&ENT 0 . - . . . I
. 4 J0 IL
775-2525 Ext. 220 Issue Date
FS'I',bE' SEWER PERMIT
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P4
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PERMIT MUST BE POSTED
ON. JOB, SI
1 .:. Address of Construction PL.
2. Property Legal Description (include all, easements) LOT -d
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
,5. -Contractor & License No. R E - Lr -r-,E -3 q=8 L-1
6. Invasion into City Right -of -Way: NoAz"'Yes (If Yes Right-of-
way Construction Permi�, Required - Call Dial Dig (342-5344) before
excavation).
7. Cross�io r private property: Yes No
W Easement required
attach legal description and county eas:e'ment number.
READ THE FOLLOWING AND SIGN:
a. Proper,�-- ,A��ners must obtain a permit' to install side sewers on
er -ractor must be employed to
their pro ensed side set4 -.-..con+-
construct s i d e - 'n.,s , e"w'", e ;"!,'in the public' right- f-way.
wo
b. The siJd6-sq, r��contractor assumes full reponsibility for each
installation ior on" year
C. Commercial stablishment requi eq a minim S* 0(in h 6")
side sewer line.
48 HCUR�
m c es
d. Side sewers ay not be install t1an t (30")
to any structure W16 W
wrts Q 5 ".. 0
e. Side sewer nes must be laid t a _U 9 aWL019
0
and.maxim'um grade Jt100%.(45
.f. No turn in s'.'de s8wer greater h ben
CIP
1 90 turns must
between cleanout. Al
bend) and Wye wi-�h r movable cap .
14
.g. No.down spouis, footing drains ted
to-side'�Isewer systemT
h. Pea gravel is required for bedding when installing sewer lines
�:hrough other than granular soil.
i. Cleanouts are required at-,30"-60" -from each plumbing exit 'line
and at minimum intervals of 1001 along ewer, 'line run.
j. Trenches-wi,thin City right-of-way mustberestored to original.
conditions. Contraftors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
Inspection during normal working hours only. Two (2) working
days notice required.
ATE:
I*vc6rtify that I have read
Z4 and shall comply With the above
PERMIT FEE: _;� K". Q-2 I / ()
CONNECTION PEE:
PW1T
W 11:1 S APPROVED BY: Date:
Date:
APPROVED By: Date: t'UIZ3,1M
3)T BE POSTED ON JOB SrXTE
0
9
41.
NOOCE
T( OWNER
E] PARTIAL APPROVAL
gVIOLATION
,ZCORRECTIONS REQUIRED
PERMIT
NUBMER
JOB ADDRESS S -73 "o P&
NO PERMIT — STOP WORK REMOVE CONSTRUCTION OR OBTAIN
PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
CONSTRUCTION IS NOT IN ACCORDANCE WITH "PROVED PLANS
D AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS AND PERMIT OR REMOVE IT.
0 STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOIL
CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN
BE APPROVED.
E� WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED.
CONTACT INSPECTOR AND RECALL FOR INSPECTION.
ARRANGE FOR APPOINTMENT. k
c
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED F --- O-?iR�ilN----SPECTUONS CALL: 775-2525.
BUILDING DIV.
INSPEMOR PUBLIC WORKS
CITY W F] FIRE DEPT.
EDMONDS DATE 0
POWER- F ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORN EY(S)-I N -FACT'
KNOW ALL. Mk'* 'T46F 1111f JHAI I tit' #INA (,A51 IAI 1 4 AND '5011f (Y C(AAHANY; d Jilly (q0.111ifid 1111(101 1110 I'm 01 ills
lc�ut: and having its principal office i
State of C6nneci n the City of Hartford, County of Hartford, State Of COoo(rrtiUll. liith made. rx)nstituled a.nd appointed. arid
does by,,:thbse presents make, constitute and appoint Thomas J. Jochums,, 0. Della Bradley,, Lori Whittled or Kenneth
'D,, 40 Z
oi Soattle,� Washington, its true arid lawful Atlorneys-in-Fact, with full power and authorilv hereby cord erred to sign.
'area
execute and' acknowledge�,.� at any place within the United. States, �)r, it the following line be filled . in, within the there designated
the following instrument(s):
by,his;`sole �iona' bt, any and all bonds, recognizances. contracts of indemnity, and other wrilings obligatory in the nature of%a bond; recognizance, or con-
di.t.ional undertaking, an(i "'any and all consents incident thereto
and to bind THE kTNA'tASUALTY AND SURFTY COMPANY, thereby as fully and to the same extent as if thq same were signed by the. July duthorize,d officers"
of T T SUALTY� AND SURETY COMPANY, and all the acts of said Attoi neys-in -Fact, pursuant to the authority herein qr� off, are hereby ratified -and con-
H ' E� A ��CA
firm'
ad.
I This �pp&�ti�eri.i is made,under and by authority of the following Standing Resolutions of said Company which Resolutions are now in ful.1 force and. effect:
.4
W. VOTED: That, each of the following officers: Chairman, Vice Chairman, President, Any Executive Vice President, Any Senior Vice President, Any,Vice President.
Any,Assistant Vice President, Any Secretary, Any Assistant Secretary, may from time to time appoint Resident ViLe Presidents, Resident Assistant Secretaries,
Attorney s-in-Fact,, and Agents to act for and on behalf of the Company and may give any such ap�uintee �;uch authority as his'cert.ificale of authority may
prescr ibe to: sign�- wit'h' the Company's oar I ne and seal with the Company's seal bonds, tecognizances, contracts of indemnity, and other Writings obligatory in the
f 6g:"ance, or conditional undertaking and any of said officers or the Board of Directors may at any time remove ally such appointee and
nature o ' a bond: rec6 niz
-revoke the power !arid authority given him.
VOTED- That any bond recognizance, contract of.indemnity, or writing obligatory in the nature of a bond, recogniZZInce, or conditioiial undertaking shall be val.id
and'bindirig ypon 'the �company when (a) signed by the Chairman, the Vice Chairman, the President, an Executive V ice Presiclent:� a Senior Vice President. i Vii�e
President, an Assistani Vice President or by a Resident Vice President, tiuisijani to the power prescribed in !hu certificate of a'uthoritY Of Such Resident V ice
President, and cluly'altested !and sealed with the Company's seal by a Secretary or Assistant Secretary or by a Resident Assistant Secretary, pursuant to the power
Res ' cribdd.ih th ' 6 'certificatd of authority of such Resident Assistant Secretary, or (b) duly executed (Lincier Se�)J, if required) by one or more Attorneys -in -Fact pui-
so' power Orescribed 'in his or their certificate or certificates of authority,
ant to the
Th.is.Power of- Attorpo and Certificate of Authority is signed and'sealed by facsimile under and by authority of the following Standing Resolution -voted by the.
eBoord-of-Directbi-s'of THE�.,ETNA.CASUALTY AND SURETY COMPANY which Resolution.is how in full force and effect:
'i'tHe signature of each of the following officers: Chairman, Vice Chairman, President, Any Executive Vice President, An
VbTED: Thd y Senior Vice Pil"sident, Any
Vice -President, Any Assistant.. -Vice President, Any Secretary, Any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any'power of
t ertl , fkat a relating thereto appointing Resident Vice, Presidents, Resident Assistant -Secretaries or Attorneys -in-Fact for. purpdpli; only of
orney, gr to any,c
'Iv,le qiu0ngond',atftest' gj��ncls'and�undeftakings and, other -writ ings, obligatory in the nature thereof, and any such p or certificke 66aririg,s�ch fac-
-In
o.wer of attorney
sirffile' ur' i;imi 0 s�oa s a -valid and 6indin upon the Company and any such b uch Jacsimile signature an ac
".4j': I I'be
si�p p,Qr,,:fa( power so executed and certified V s
9
L� valicl�,ilfncl,�bjnicling upon the Company ih'thei�future with respect to.any bond r undertakirr!6 to which it is attached.'
sIM 0
4N,., IT ES. e PE9,�,,,"T E' )ETNA CASUALTY* AND SURETY COMPANY has caused this instrument to, be signed by its.
vy-
day cl
and. its corporate seal to be hereto affixed this lst �4ay
iC P
THE T A CASUALTY- AND
SUR`ET
4'.
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I INN
By
............. 13V
do
nnecticuti Secretary
'State o
Hartford
'C(ounl[,V)�i;Haitf6fd
M
d y of ay
1978 VINCENT A. WAISH
s before me personally came
Secretary. of
to me'knQwn - Vh being b e is
!o, y rT!e duly sworn, did depose and say: that h
THE 4TNA CASUALTY AND SURETY COMPANY, the corporation described in arid which executed the above instrument; that he know the seal of said cor'
fion;,that.th seal,affix:ed to the 4d instrument is such corporate seal; and that he executed the said instrument on behalf of the corporation,by'ap!6oritV of hi�q
hoer the Standi n g.*R esolut ions, thereof
.4'5
0 4.9
4-
Notary, Pubi ic,
M V commission ir S arch 31, 19
-CE� IfICATC!
IT
I- ihe'underlighed, Assistant Secretary of THF k.TNA CA'SUALTY AND SURETY COMPANY. a stock corpora!ion of the State of
'604�E Y' 'ER �.Y f going and. off 'hod Power of Attorney and Ce�tificate of'Au'thority remains in full forcu and has'hot been iuvokod,
,Conniecticut,' 8 C J.1F. that the ore ac . . 1.
31;4`f�rth6irricir e�' I hat. the: Stari4irig Resolutions of the Board �.f Directors, as set forth in the Certificate of Authority, are now in force
'gn
�d,�'oncl: S6�,led at,the Horfle. Office of the Company, in the City of Haillord, Slalc of Ccinno0c,ul Dated this
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My c., ms ..... *,,a,,: h
",On
CONN
B
Assistant Secretary,
i�,J922-DI"fW-11'Z-12 PHINIFI)AN,USA.,� .