21810 82ND AVE W.PDF111111111111
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21810 82ND AVE W
PLANNING DATA STIWET=FILE
SINGLE FAMILY RESIDENTIAL
Name: 0066,90 OoQ 0 60o)
Date:
Site Address.
Plan Check #: 05;? 0
Project Description:
/4&6� + f
Reduced Site Plan Provided: (YES / fqD
Zoning:
Map Page: c-�,
FCorner Lot: (YES PO
Flag Lot: (YES
Critical Areas Determination #: Z
Study Required C)
Waiver
SE15A Determination:
flT-Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
St t:
Side:
Side: -7�
Rear:
ActualSetbacks -10
rw
Street:
Side. '7-
Side:
Rear:
El Detached Structures:
11 Rockeries:
El Fences/Trellises:
El Bay Windows/ Projecting Modulation:
01-Stairs/Deck: 4 5�-j q
�-vot Building Heiqht
Datum Point: A4
Datum Elevation: 72-
02.
Maximum Height Allowed:
A c t 441 04e i'glh't�
offier Aalw
Parking Required: Z,
Parking Provided: 2_ev&0S �7'
Lot Area: -7
Maximum Lot Coverage: 35% Proposed:. -2
Lot Coverage Calculations: V4- orc,h 7. /1-63 (6 4-4'0(d,1
ADU Created: (YES / NO)
Subdivision: 3
to �6 it �5e 00 (,Yj- �rk
Legal Nonconforming Land Use Determination Issued: (YES
A— rJc 5 Comments
I I VC/1A,// T
A- 110 q-7-5-5 ov,� C)P. I-)
q -7. 'S - 2, ADU
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Plan Review By:. 6 4AA7:,� / rN Planning Data Form 04-11-06.doc
The City of Edmonds Side Sewer Drawing
(5', NEW CONSTRUCTION F� REPAIRS [:]
A
EASEMENT NO . .........................
...................
LID NO . .......... ....... ASMT. NO - ------------------
OWNER ----- A-e ----------
Lo..k .... M- A. . ..................
CONTRACTOR .7�2..M ...... B. ............. PERMIT NO. G-35,5
-W JOB ADDRESS --- ------ ---------------
LEGAL DESCRIPTION: LOT NO . ....... --------------------------
BLOCK NO - ------------------ -----------------
2-1 � T H
PWW-0001 - 11/75 (R EV. 11178)
NAME OF ADDITION .............
..........................................................................................................
c . ....... as -
-o ..............................
..............................
1 0
, .11 ,
(-s,Ar-p) T�,X(lvvz VV,+tl
op
c\1
00
A roved:
M9 bc7uG�
DATE.... ........ ----------- ------------- By ------------ * -----------------------------------------------
A'CITY OF EDMONDS
FOR INSPECTION CA
PUBLIC WORKS -DEP #MENT Permit
SIDE SEWE'R'PERMIT. '775-2525 Ext.- 220 . Issue Date
PEP -MIT MUST BE POSTED ON JOB SI
TE
1. Address of Construction
2. 'Property Legal Description (include all easements)
+ _77;_ - __1 PC 'log eL-
3. Single Family Residence V1, Multi -Family No. of Units
Commercial _T
4. Owner and/or Builder LO&N. -, /
- a p _ / :r4osd 4
5. Contractor & License No. R E— L 7-- r—_ -7 'd/ 9- - L 7
6. Invasion into City Right -of -Way: No po�-' Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWT.NG AND SIGN:
04
a4
4 a. Property owners must obtain a permit to install side sewers on
�H their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
�4 C. Commercial establishment requires a minimum of a six inch (6")
P4
z side sewer line.
.0 d. Side sewers may not be installed closer than thirty inches (30")
U to any structure.
W 0
M e. Side sewer lines must be laid at a minimum grade, of 2% (1.15
0 and maximum grade of 100% (45o). 0 -
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines -
through other than granular soil.
.i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
.due to poor compaction of fill.
I ' k. Side sewer must be left uncovered until inspected,and approved
by the City.
1,. Inspection during normal working hours only. Two (2) working
days notice red.
DATE: a
I certify that -I have read
and shall comply With the above
PERMIT FEE:--.-/,o DISAPPROVED BY: Date:
00 B Date:
CONNECTION FEE Date:
APPROVED By:
Pr4 PERMIT MUST BE POSTED ON JOB SIJ*
._X
PUBLIC WORKS DEPARTMENT CHECKLIST
I
0
Street Right -of -Way Existing
1
REQD_
Z
�ccess Easements Existing,
REQD
g4
Utility Easement Existing,_��
REQD
Lot Per Subdivision
Plat—L-cj- Cn Assessor
Site Plan Checked for Accuracy
Underground 14iring Reqd.
r-
Check Accuracy of Legal Description
Z
Review by_
Date -
Existing Water Main Size
'D. 1.
Water Main Required
Service Line Required
Hydrant Size Existing_
Hydrant Reqd,Per Fire Code
—Size
Detector Check ]Meter R6qd.
Cross Cormection.Inspection
Fire Department Coninents
Water �Meter ge Req
4,4'A
Review b- .0 raw,
)a St
Septic Tank Design Approved Date �jl t,
Septic Tank Permit Reqd.
0 Permit No. N
Sanitary Sewer Availability
Proj.
-r-,
Drawing No.
uej\To
P4
Side Sewer Availability
IPA -
Sanitary Sew-e! - Conne'q:;'on Fee
Reqd._ e__ eam's
:3:
Review by
Date
V)
Open Ditch Existing_,,V
ak
Reqd.
Culvert Reqd.
Size
6L
.r4
Catch Basin Reqd.
Indicate on Site Plan
CD
0
Shoulder drainage maintain collection an swale open runoff
1�1-ffffiole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked -
Review by
Date
C)
E3
Revised: lvlO-1977
IOU
:.1-7
"tsar
'ONE E I?
DING DIVISIO
"? I
Applicant Fill
�413
P's—se
PERMIT APPLICATIO
Inside Heavy Lines
JOB
NAME JOR NAME OF BUSINESS)
ADDRESS
Copts.Trv'CT"e),.j Tcf.c
I.EGAL DESCRIPTION
SUBDIVISION
SHORT SUB NO.,
I
W
MAILING ADDRESS
z
3:
0
0
PUBLIC RIGHT OF WAY PE R' OFFICIAL STREET MAP
CITY ELEPHONE NUMBER
%-- k Ufa S
3 3 3
EXISTING
PROPOSED
NA E
DEFICIENCY OF RIGHT OF WAY
U
W
PUBLIC IMPROVEMENTS REQUIRED
ADDRESS'
t
x
DRAINAGE IMPROVEMENTS REQUIRED El
0
U
IX
CITY
ONE NUMBER
DRAINAGE PLAN REQUIRED
U
UNDERGROUND WIRING REQUIRED
0
NAME
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D NO.
0
ADDRESS
ELEVATION OF PROPERTY CORNERS
I-
U
& FOOTINGS REQ'D
M
CITY TELEPHONE NUMBER
I-
z
-3
SEE ENGINEERING MEMO DATED
01
7 (f3 -3 -L
U�STATE
LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
0 - & 8 - L I - 2. .2 a
Liaim"
Legal Description of Property (Show Below or Attach Four Copies)
METERISIZE
Y
BUILDING SUPPL SIZE
-e ',s
!2 ILI
M
W
a - s � - f ) () ,,, 4 Q
-t�l 7-
1.-
� -
REMARKS
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6
zo
P
SIGN AREA
ENV. REVIEW
ADB NO.
I
Ke eo PIC
ALLOWED
PROPOSED
COMPLETE
EXEMPT
r C7
SHORECINE #
W
.2
REMARKS
W
iy�,
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS ILOT
COVERAGE
2'.-. 1 W
2'*R�SIDENTIAL
I
GAS
LINE
FRONT SIDE REAR
D15 is
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
. El NON-RESIDENTIAL
SIGN
ICODE
I
'R 6
F� ADD
RETAINING
E] DEMOLISH
SPECIAL INSPECTOR
OCCUPANT.
WALL
REQUIRED
JOCCUPANCY
GROUP
LOAD
ALTER A VATE FENCE
ZORCF.LL X—FT)
YES NO
PLAN CHECKED BY. THIS SITE IS LOCATED IN THE CITY
PRE -MOVE swim
El
OF EDMONDS. LOCAL SALES TAX,
REPAIR
INSP. Ej POOL
SHOULD BE CODED 31.04.
REMARKS
Z
NUMBE OF STORIES I
NUMBER OF
I-
0
DWELLING
Z
UNITS
W
NATURE OF WORK TO BE DONE
U
�
0
11
/1/� 114
W
IL
F
Id
0
I
Y,
" 0T PLAN
PLAN CHECK FEE
VALUATION
FEE
Z
W
BUILDING
0
PLUMBING
J
W
MECHANICAL
Id
FENCE
Z
En "A'pplicant, on behalf of his or her spouse, heirs, assigns and
0
III
.J successors in interest, agrees to indemnify, defend and hold harmless
2 the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature,
i arising directly or indirectly ftom the issuance of this permit. Issu-
01 ance of this permit shall not be deemed to modify, waive or reduce
J
0 any requirement of any city ordinance nor limit in any way the
T ';,:',, "
SIGN
RETAINING WALL
0
SWIMMING POOL
U
I
i
PUBLIC WORKS DEPARD= CHEC1<LIST
Ir-Tillon"emZ101531605 I
(address) ate)
0
Street Right -of -Way Existi-ng
1
:�- �. �'_REQD
Z
Access Easements Existing_
--"-I REQD
C4
Utility Easement Existi
-n REQD
lot Per Subdivision
Plat_ L-a4- Assessor
Site Plan Checked for Accuracy
Z
Underground 14iring Reqd.
F4
4
0
Check Accuracy of Legal Description 3%
Z
Review by_ A4
Date
Existing Water Main Size
1.9:� It
Water Main Required
hs.
Service Line Required
Hydrant Size Existing_______��.1/4-
P4
Hydrant Reqd Per Fire Code
Size
Detector Check �16ter Reqd.
Cross Connection Inspection
Fire Department Con-ments
Water �leter�= Reqd.
Review b
Date
Septic Tank Design Approved
Date t-,
Septic Tank Permit Reqd.
L) 1b, Permit No. N f',
Sanitary Sewer Availability
Yroj
Drawing No.
File No. -
Side. Sewer Availability
-:=1b-ngah&,PU47
Sanitary S Connection Fee
Reqd. ---4m- - 0 lk"1114
�3:
Review by
Date
Open Ditch Existing__,44,,,
Reqd.
Culvert Reqd.
Size
P4
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection an swale open runoff
-A:,,-,<
V/
Manhole reqd. X1j&e
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked- CA,"
Review by
Date
P
Revised: lvlO-1977
Page 2
Street Paving Reqd.
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
Right -of -Way Construction Permit.Reqd..
Bond Reqd. . for Public In-pravements—
Street Nam Sign Reqd..
Other Signing Reqd.
Pre Permit Site Inspection made on
z
0
BY: SEWER
WATER
P4
H STREET
P14 ENGINEERING
Special Requiren-ents listed in me= to Com-mmity Development Departnent,
Building Division
> BY Date
o All items filled in, on Building Permit Application
94 BY Date
P4 Drawings Starrped and Notations Made
Pq
BY Date
Approved by*Public Works Department
Revised: 1v 10-1977
0
ME"110 TO:
DATE: LIC71 — I (:�) — 71�1-,
Building Division
Community Development.Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of'the subject building permit application, we have
the following comments:
I
6
cArLI-I A& =9:4:Q pyr- (ny-A n C'4z -
1W - Ir=M --) ()I d -
A It r-�
USE PERMIT
ILDING DIVISION
Applicant Fill
70NE ER
P's—S
PERMIT APPLICATION
Inside Heavy Lines
.108
ADORES
NAME JOR NAME OF BUSINESS)
PO Ob /e 4 (0 T,10 C
01W0710W
I- E G A L D E Ve�% �FTl 0 fill VS7111 V
W
It ITC4
MAILING ADDRESS
-n
z
3:
�) g /V/w-
0
03
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY
ELEPHONE NUMBER
j s
3 3
EXISTING -
NAME
PROPOSED
DEFICIENCY OF RIGHT OF WAY
U
W
t
PUBLIC IMPROVEMENTS REQUIRED 0
ADDRESS
DRAINAGE IMPROVEMENTS REQUIRED
0
?:
M
CITY
ONE NUMBER
DRAINAGE PLAN REQUIRED
U
UNDERGROUND WIRING REQUIRED
NAME
CONNECTION TO SANITARY SEWER
CL
IVA
SEPTIC TANK PERMIT REQ'D 0 N C;.
0
ADDRESS
ELEVATION OF PROPERTY CORNERS
U
& FOOTINGS REQ'D
M
CITY TELEPHONE NUMBER
I-
z
Y,3-3
SEE ENGINEERING MEMO DATED 91
0
U
STATE LICENSE NUM13ER
CITY LICENSE NUMBER
CHECKED BY
00
Legal Description of Property (Show Below or Attach Four Copies)
METER/SIZE
BUILDING SUPPLY SIZE
-)-e 's 10
REMARKS
z
0;
Q0 r CL 0
SIGN AREA
ENV. REVIEW
ADB NO.
IL
U
Ke ec, 4 Vo I? e
ALLOWED
PROPOSED
COMPLETE
EXEMPT
r tj 4
SHORELINE
, '1� Re
j2Q
o, -e a.
REMARKS
13
III
J
oo 0 yl�\
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS I I ILOT
r) Yc;)
COVERAGE
W
RESIDENTIAL
GAS
F�
;311S FRONT SIDE JE REAR
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
NON-RESIDENTIAL
LINE
SIGN
ICODE
ADD
D ISH RETAINING
EMOL
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
WALL
ALTER Mo2CAVAT
OR FILL E FENCE
F OR. I— X—FT)
REQUIRED
0 YES n 140
GROUP
I
LOAD
PLAN CHECKED BY THIS SIT E IS LOCATED IN THE CITY
PRE -MOVE swim
El
1:1
OF EDMONDS. LOCAL SALES TAX
REPAIR
INSP. POOL
SHOULD BE CODED 31.04.
REMARKS
Z
NUM 0 E OF STORIES
NUMBER OF
0
�
DWELLING
Z
/7
J
UNITS
W
_,�L�
NATURE OF WORK TO BE DONE
U
IL
0
111
0
R
b,:R (��A e ±e
PI OT PLAN
PLAN CHECK FEE
VALUATION
FEE
Z
W
BUILDING
0
PLUMBING
J
W
MECHANICAL
0
FENCE
I-
z
"Applicant, on behalf of his or her spouse, heirs, assigns and
W
J successors in interest, agrees to indemnify, defend and hold harmless
2 the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature,
permit.
I arising directly or indirectly from the issuance of this Issu-
alance of this permit shall not be deemed to modify, waive or reduce
anN requirement of an), city ordinance nor limit in any way the
SIGN
RETAINING WALL
0
SWIMMING POOL
U
e4 c
.0.
NOTICE:
N-o
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The city of �Edm.qnds does not . wa rra nt the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an Independent
inquiry regarding the inform'ation shown on
t Fe - m a p (s), Including, but not limited to,
b shown. Such
the location of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-to-yee-s o-r office-rs -sh-a-1.1 be lJa-b--11--e for the
information given on this map(s), nor for
ion ov'ded based
any one representat' pr I
upon . said map(s).
C.
�-'�'Pr varnants in City
rul. �A,,,'.ndards thnit Ls cauz%,30.
rrnitted projc�,ct,
TAt5 - 'rFERS/DOWNSPOUTS
3 U
TO CONNECT"M EXIST SYS""
'Ira
.00 ------ %Via
7777ff�� a 1^ 1 .1 IF P9 10
Not approved for an
Accessory Dwelling Unit
"Nothing in this pennit approval process shallbee
iktierpreted as allowing or permitting the
�;�nance of any eu -ently existing illegal.,
nonconformiug or unpermitted building, sumetm
h is outs,'
or afte condition whic i de the scopi ofthe
pmit application, regardless of wlether such
ki,liding, structure, or condition is shown on tho
8ite plan or draA-.:t g. Such building, structum.i"?
condition may be the st�,jec.'. wnare�s
enforcem-cnt.
MYNEN-GUNTRACTOR RESPONSIBLE
FOR LOCATING ALL ON -SITE UTILITIES.
RELOCATUMSION TO ANY UTILITIES
MY REQUIRE SEPARATE PERMIT
OWNER/CONTRACTOR 13 RESPONSIBLE
F 0 14 E R 0 8 10 N C CO N T, 8 0,11, 11 N 0, D RA I jNj'A C-!,-
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Zone Comer Flag. —
Setbacks &eguired
Ac-t-maL t-
Front N
le Sides w
Rear 5'
Other
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APR 2 6 2016
DEVELOPMENT sEnVICES
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