21905 96TH AVE W.PDFiiiiiiii lill
9437
21905 96TH AVE W
lip
9 0
STA-EE T*'Flr
CITY Of EDMONDS SIDE
Address of Construction:
SEWER 'PERMIT
PERMIT '��12 8349
Property Legal Description (include all easements): 37,36-62:�;2— 009- 0308
Owner and/or Contractor:
State License No. Building Permit No.
19,single Family
0 Multi -Family (No. of Units—)
0 Commercial
0 Public
Invasion into City Right-of-Way:&No 0 Yes
RW Construction Permit No.
Cross other Private Property:& No El Yes
Attach legal description and copy of recorded easement
0W6AW
t��Xwl Alz
I cc�tify that I have read aqdl' �v-6mply 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 *
zDFF1 C E U�t, ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: Issued By
Trunk Charge- Date Issued: h
Assessment Fee: Receipt No.:
Lid No.:- F-SX 19131 04 P ue_
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial -
Final Inspection Approved: Datk*4z�f Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy; Applicant Revised MO
fl
NOTICE:
n
Theinfor I matlon*shown on the attached
map(s) was compiled for use by the City 01
Edmonds/ its Empl.oyees and Consultants.
Th,..e City of "Edm.onds does ' n ot. warrant the
accuracy of anything set for.th on t. * hese
M a P ('s"). A n . V person or entity -requesting a
copy should conduct an independent
rm'atlon shown-c
inquiry regarding the info'
tT�e -rn a p (S) / including, but not Hm'ted to,
er stub shown, Su(
e otation of any sew
t h. I
sewer stubs may or may- not e.xist and ma�,
or may not exist at the location shown.
N ei -,I- h e Ir t h e City of Edmoin(JAS/ nor its
e M pto.yee-s o-r off icers -shal-1 be Vi a-b-Ife for th
information given on this map(5), nor for
any one representation provided based
upon*said map(s).
11
# The City of Edmonds
Side Sewer Drawing
EASEMENT NO - ----------------------------- --------------
NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
JOB ADDRESS ---- -- ----------------------------
LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK �NO - --------
cll?---------------------------------------------------------------------------------------------------- ------- ....
-\ NN
NAME OF ADDITION -----------------------------------------------------
F -I
7S"t
PWW-0001-11/75 (REV.11/78)
C�—
Approved:
DATE-- -------- By ............... ............................................
C6,
------------
�j 4
6f 8
99-0
73
A)OP T-N f A��
p"Inex3"Oh-5 al
eye,.
STREET FILE
PER.MIT APPLICATION REQUIREMWNTS
TO: Permit Coordinators Building Division
F11
FROM: Lyle Chrisman, Engineering Inspector,
OWNER: STREET.
PLAN CK #
ADDRESS: 7-1 C(4>C�p
DATE:
After review of the subject permit application,
the following requirements mustbe met..
I - Construction hours are: WEEKDAYS.
......... 7:00 A.M.-10:00 P.M. WEEKENDS
JHOLIDAYS.'; 10:00 A.M.-6:00 P.M:
2. A separate RIGHT-OF-WAy. Constlucti
..on Permit is required for all work on Pub.licpro'p eirty".: 00)
.(ECDC 18.'
3. Truck haul route plan mus be submitted
t and approved pri
or to permit issuance.
4. Builder/Owner is responsible for containing all
WaWrary runoff and erosion control
on site..
S. NO WORK SHALL BE DONE WrrHRV 15 FEET OF STRE"S
ANY CLOSED DRArNAdE'
NER IS REPSONSIBLE FOR FA CIL-
ITY BUILDERIOW OR 10 FEET FROM
IDENTMVG CONDITIONS ON Z=
DRAWING-�"*"(ECDC.I*.30.50G)'�'...
ER FABRIC
6. FILT
(ECDC 18.' NSPECTED PRIOR TO.
FENCE SHALL BE INSTALLED AND I
30) CLEARING AND CONS
7RUCTION.
7. INSPECTIONS ARE REQURIED
ON STORM DRAINAGE SYSTEM, TIGHILWES, FOUNDA I TION DRAINS
CATCH BASIN INSTALLATION. INSPECTIONS AND
REQUIRED PRIOR TO BAC1CF1LL1NG.'-,
(EC66 -j8
.30)
8. Repair or replace all defective exis
ting curb,
handicap ramp may be required. Con Butter, and sidewalk adjacent to the property. if
tractor shall meet th the gin intelteatiOn isinv,olved a'.
issuance of the permit. (ECDC 18.90) wi City Engineering Staff to determin� the f
extent.o.re,
pair prior to
9. Driveway slope shall not exceed 14 % without a ery
Waiver granted to waiv0r.'Ev attempt should be made toi kqep:'
------ (ECDC 18.80-060D)
10. Driveways must be paved from
property line to City IL kw
18.80.060C) RIGHT-OF-WAY. A separate perimi
t is req C
11. INSPECTIONS ARE REQUIRED ONDRIVEWA
(ECDC 18.30) YSAND SIDEWALKS PIRIOR TO AND AFrER- PO I URIN . G.
12. No burning of construction refuse without a Permit from the. Fire Department.
13. Connection to City water system is required. There is a Separate charge for the water in
eter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upst
ream manhole. (13667.2'0)'"'.
15. Water and sewer main lines should be sep
arated by 10. feet minimum. -(ECDC18.10)
16. Connection to the City sanitary r
,Ystem is
required. A separate.p
LID# ermi is requ
Fees paid: Yes No Charge*
;Rpr— (ECDC 18.10)
17. Underground wiring is required on all new
construction; and for additions, alterations, and rep at ex'ceed % of the total
assessed value Of the structure. (ECDC 18.05.010) airs th 50'
18. A FINAL ENGJNEERJNGrNSpE
C270NIS REQUIRED PRIOR TO THE BUILDING DMSION GRA . NTING-OCCU-
PANCY OF THE BUILDING OR STRUCTURE., (ECDC18.90)
19. n
20.
STREET FILE
#%or
zi i REET FILE PROJECT REVIEW CHECKLIST
PROJECT NAME: C L
PROJECT ADDRESS:
PLAN CHECK #:
RECEIPTDATE:
EVI
E
nta ate
PLAN.
r,1BLDG.
WATER
COMMENTS
FIRE
SEWER
STREET
ENG.
Setbacks/Variance/Setback Adjustment
1
Conditional Use Permit
............
..............................
..
.....................
AD13 Requirements
. . . . . . . . . . . .
.................
...................
... ....
. . .. ....
.. ... .... . .
. . . . . . . . . . . . . . . . . . .. .. ..
-1K.* .
.. .
.........
Other Zoning Requirements
. . . . . . . . . . .
Underground Wiring Required
.... ...... . . . . . . . . . . . . . .
Lot Slope 15%
...........
6
SEPA Environmental Checklist/Hydraulics Permit
'NA ........ ........
....................
7
Tree Cutting Plan
..... ... . .
. ......... .
Plat/Subdivision Requirements
. . . . . . . . . . . ..........
9
Legal Description Verification
....
........... . .......
... .........
Quit Claim/Street Dedications
- ---------
Easements - Public/Private
..... ..
A2'
Engineering Stdrm Drain Review Fee
....................
14
Engineering 2.2 Inspection Fee 2)
Drainage Plan (On-Pite)
.... .. ... .
Setback - Top of Bank, Stream, Water Courses
. . . . . . . . . . . . . . . . . .
. . . . . . . . . . .
Setback - Storm Drain Line INNIKON&
Open Ditch - Existing
F& .. . ..... ". k
ME
-7
Culvert Required
. . . . . . . . . . . . . .
19.
Culvert Size
. . . . . ..... ............ . .
'20:
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
-22
Driveway Slope & Vehicle Access
23
Sidewalk Required
Curb & Gutter Required
25
Curb Cut For Driveway Required
N
26
Street Paving Required
27
Right -Of -Way Construction Permit Required
. . . . . . . . . . . .
28
Street Name Sign Required
29
Other Signing Required -Fjp�, 1Ao 51"
. ... . . ........... ------
30
Bond Required For Public Improvements
31
FEMA Map Check/Water Table
-32
Side Sewer Availability -f605 laletmAelr CL>
.....
......
33
Calculate Sewer Connection Fee If No LID #
. . . . . . . . . . .
34
Create Street File
I ****, .. .. ..... ... .
. . . . . . . . . . . .
foU/71
Ot*
Existing Water Main Size
- - - - - - - - - - - - - - I . . . . . . .
Water Meter Size
7
Service Line Size
--38
Water Meter Charge Required
. .
-�� .
....................
.....................
..............
.......
... ..
........... ..
....
. . ....
Hydrant Required
-40
Hydrant Size Existing
.... ..
............
41
Fire Line Charge Required - Sprinkler
49
Street Cut
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ............... . . . . .
43
I Miscellaneous
. . .........
... ......... .
. . . . ..... ...
I
I I .... -----
.44.1
Reviewed By:
FIRE PLANNING
ENGINEERING PUBLIC WORKS
STREET FILE PUBLIC WORKS DEPT.
1-0 9b( , tt--q—
(a
,TR-F=
LE"010 HLE 0 be'P-)
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE
ZONE jq,5_3 PERMIT
NUMBER
OWNER NAME/NAME OF BUSINESS
11
771f fitj
ADDRESS 0-5- 76 5 U;Pj;Z
#
Z
e4- ew)
LEGAL DESCRIPTION U�IhUKI
SUBDIVISION NO.
LID NO.
119 1-
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING ----'REQUIRED DEDICATION
TESCP Approved 0
AW Pe -it Required 0
S116 10 PeZl,.Rdeq'd 13
0
CITY
S��'W;6ga
BER
)
56
PROPOSED
In. 'I.
P:"U . F
Sidewalk Required
NAME
.0
Z
REMARKS
W 0 FIRE /A10
ADDRESS
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AOXOS N44 k%Qi9.
CITY ZIP
NUMBER
ITELEPHONE
flLo~ jQ64CIA t FiroJ f4tqr WSP 1?6:�O
Lo.
0!94�
L)
'NAM
ENGINEERING MEMO DATED REVIEW BY
1,�1:24-1-lrj At"e-
ADDRESS
;Zs / V 2_ syy-w, al
METER SIZE
BUILDING SUPPLY SIZE
NO. OF FIXTURES
ZIP
W"y
TELEP149NE NUMBER
REMARKS
STATE LICENSE NUMBER
1n_rCAj,`rE,6L -1 9,7C I/
SIGN AREA
PROPOSED
$EPA REVIEW
COMPLETE EXEM
AOB NO.
T
Legal Description of Property - include all easement"/
Z
2
A10AYA 8TocSqqA 3b7 4ers Am . rr /;zo '�6,r
—
EXP I
SHORELINE
.&/ :rA 600V71-
oj
U
9 A040cA' 7- 0" it"'? RMP,
VARIANCE OR CU
NIN RE EW
V,
BY DATE
z
SETBACKS - FEET HEIGHT
FtO2 _C; SIDE J�/jRE R
LOT COVERAGE
5:b,!4'r4 71 OF
Z
Tax Account Parcel No. 37J&--00-001?- 0.708
Ra
REPAI
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
EJREPAIR 1:1 APT. BLDG. SIGN
GRADING FENCE
DEMOLISH — CYOS. I X—FI)
CARPORT
REMODEL GARAGE swim
STOVE/ RETAINING WALL/ POOL.
INSE I I ROCKERY RENEWAL
Ej WOOD FIT
CHECKED BY
TYPE OF CONSTRUCTION 1CODE
�3 �__ I
HEIGHT
SPECIAL INSPECTOR JAIIA
REQUIRED 0 YES
10
GROLIPANCY
OCCUPANT
LOAD
HFMARKS
0
ir
'PROGRESS INSPECTIONS PER USC 305
(TYPE OF USE. BUSINEPS PA ACTIVITY) EXPLAIN:
6d
NUMBER OF STORIES NUMBEA OF
D ELLING
0)1 lf- W m e-
UNITS
DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN)
e j,,"j
FINAL INSPECTION REOUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
;,W
-& C
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done On private property ONLY.
GRADINGIFILL
Any construction on the public domain (Curts, sidewolks,
STATESURCHARGE
riveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work 18 Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns an7
ENO. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
z
5
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
ZX;
modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any Ord I nanCe
provision."
TOTAL AMOUNT DUE
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
5 tate laws regulating construction; and In doing the work auth 0 riz- AUTHORIZES
ed thereby, no person will be employed In violation of the La bor ONLY THE
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
tion Insurance. INSPECTION
SIGP��TR;E OWNER OR AGENT) SIGNED DEPARTMENT
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
17-V CITY OF
EDMONDS C"Tor.
T F11 1;
CALL FOR ojlfAfft.L.
ATTENTION INSPECTION
f I I Illsolb DWE
IT IS UNLAWFUL TO USE OR OCCUPY A BUIL61NG OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202
A r`-OT-111- - AQ 011 -1.1
ORIGINAL - File YELLOW - Inspector
Al
ILI
----------
STREET FILE
-.1
PERYIT COUNT.El
Lv
-�k-
NW-1
4714
5
T---
.4
Edmonds
Rldff-O-OAYO'CONSTRUCTION
FIL&JAN 6 iphRMIT Permit Number: 9,2 - 00 IL
NGINEERING Issue Date: 1-3 —9
jc;�
A. Address or Vicinity of Construction: - 'Z I CA 0 5; 6t 6-r 14 Xy W
B. Tvne of Work (be specific): wsl-N" uw0(--(Zt,9.otp#qb
9 0 9 *"x I S'T I w (W V 0 Lf-- 'To 5,A-- ow t.)&� w
ywwr t-Aptw-vAt4
C. Contractor: F)U0 (0-70 - -&-Z 0-7 Contact:
Mailing Address: 2 to I 1*WA cvq Phone:
State License #: fb. UJA 4%.6 a z (.0 Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable�'
E. -rl Commercial El Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER),
F-1 Multi-Fan-iily �mgleFamily F-1 Other
INSPECTOR: YL-JE C KS
INSPECTOR:
4
F. Pavement or Concrete. Cut D Yes 05Wo G. Size of Cut: x H. Charge$
APPLICANT TO READ AND SIGN,
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmlessfirom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, thbi—maylkemade agfinst.the
Sgry %Edmonds, or any of its departments or employ-
i
ees, including or not limited to the defense of any legal proceedings including defense costs, and attornigfees by reason of granting this permit.
0
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA TERXLS FOR, A)�E' a" �. YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7FD RESTOR,47TON FEES WILL BE HELD UN77L THE FINAL S7REET PATCH IS COMPLE7ED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO,THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. At- 'W -
Street shall he kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS. f
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purpRes.
Signature: JV �4 Date: %2-- So -9
(Contractor,&.o�gent)/
CALL DIAL -A -DIG PRIOR TO BEGP041NG WORK
40
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
1476
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH
COUNTY
REV. 7/87
-LOCATION 2 k9os
9G7 0 k\j \NJ
co AREA
POLE NO.
r--1 E: 1/4 S -2 s T z -7
R --3
DATE 12--
-50-cl 'I
W.O. NO.
REASON FOR WORK S(z- C
�,A C.,
ENGINEER MA9-Tlr-4
D WG. N 0. 0 c�
uj P� ti 1) V:�lk
DRAFTER
U. G. N 0. -
LE -L C:>C>)
DATE WORK COMPLETED
APPROVED
I
DATE PRINTED
FOREMAN
ENVIRONMENTAL ANALYSIS
FEES REQ'D
0 EXEMPT
0 NOT EXEMPT
SUBSTATION
< c, v- V,3 c e- 5.
myEs
Cl NO
PARA. 18
ITEM
Q
PRIMARY OVERHEAD
O.H. U.G. COND.
KV
CIRCUIT NO.
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• RESIDENTIAL
ADD
CKT. FT.
PH
• COMMERCIAL
REM
CKT. FT.
PH
LEO#
/
NET
CKT. FT.
O.H. U.G. COND.
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SECONDARY OVERHEAD
BASIC FEE $_
ADD
CKT. FT-
PH
os $
-
REM
CKT. FT.
PH
METER/CONV. POLE S
Nr_ I
Cr, 1. r 1.
PERMITS (DATE GRANTED)
PRIMARY UNDERGROUND
0 TREE TRIM
• RESIDENTIAL
0 STATE
• COMMERCIAL BASIC FEE$_
0 COUNTY
LEU#
Ill CITY
s-
0
EASEMENTS
0 REOUIRED
D NOT REOUIRED
SECONDARY UNDERGROUND_
BASIC FEE $ -+-50
/0$ /=$
UNDERGROUND PLAT
DATE RELEASED
BASIC FEE $_
-It FT. 0 $-
FOREIGN CONTA.CTS
0 GTNW JPN#
STREET LIGHTING
FT. a 3
0 CATV JPN#
0 JOINT TRENCH
GTNW & CATV
WORK IN RIGHT OF WAY
0 JOINT BORE CT
W & CATV
0 PRIMARY
0
POLE STENCIL[
FROM
G
TO
0 SECONADARY
- tFT.0$__=S
MISCELLANEOUS FEES
TAKE OFF POLE
VAULT $
PRE-CONSTR. REQUIREMENT7,
PERMIT S
El TREE TRIM FRPUD LOCATOR
72onA
0 BACKHOE 0
S�-c
ga ONE CALL DATE
s I\ -7
#
POLES
PLAT
TOTAL DUE$ \\01
U-MAP
DATE PAID
C-MAPI
-z- 13
RECEIPT# -- ---
LOCATION MAP PAGE L7-z,6
NEW SVCE APPLICATION#
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220TH <�->7 S�,"
STORM DRAINAGE DETENTION SYSTEAf
developer Wtc4aLsokj
dateapproved.
address address
approved by
0
R
go/:,
p e
9�A w, V
'�kREET- Mr.
us E
CITY OF EDMONDS ZONE R PERMIT
._�, a NUMBER
'CONSTRUCTION PERMIT APPLICATION JOB -
OWNER NANIE/NAME OF BUSINESS ADDRESS Cl 015� 4:? .4p #
cr Z:�J-Vlel#- lW;cl�eZ,-oxi LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LI
W MAILING ADDRESS
Z
�: _
0 CITY 576/ /�'t 1)7z1 Cd PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
ZIP T L PH NENUMBER EXISTING "��ECUIRED DEDICATION RW Permit Requi4d
I wood Ayl Street US6 Permit Req'd 0
NAME Z.V4WIM Inspection Required Yk
Sidewalk Required 0
REMARKS
V-
W
L) ADDRESS \V (12( t-y— Peep 4 01 lk/ L0
--F Z
CIE w
< CITY ZI FHONE NUMBER
NAME VeAct, Fiml J091I It,)SP W-,po-
/7) ENGINEERIN�IM�*
0 DATED REVIEW BY
ADDRESS
METER SZE 1RUJUDING SUPPLY SIZ
E
< 0. OF FIXTURES
cr CT ZIP TELEZNE NUMBER ir
Z Lu
REMA
STATE LICENSE NUMBER
4 9 -7 C V SIGN AREA
SEPA REVIEW ADS NO.
easemen ALLOWED PROPOSED COMPLETE EXEMPT
zj Legal Description of Property - include a t§ Vf 7
0 AbAIA 93'OFSOatl -367 4ers 4ve;-r 1;?O'bF . ............. SHORELINE 0
7 -0�- 7PtlX-j EXP
ILL -5 L-T-g 6
M VARIANCE OR CU P
Q AO,4 o C,((' 7 J!;&�? ei, _�fNNING REVIEW BY DATE
W 4e 011
Co "Cepr,we,51- /;�o
SETBACKS - FEET
< 67F 1;�5 OF�Mq;� HEIGHT LOT COVERAG
w
Tax Account Parcel No. 001 FRONT:2.T SIDE REAR I.V'
-395&-oo;:7- ?-Ojog
CL
Non
NEW RESIDENTIAL PLUMBING
ADD/ALTER 0 COMMERCIAL MECHANICAL
REPAIR F] APT. BLDG, SIGN
ASP FENCE CHECKED BY TYPE OF CONSTRU TION HEIGHT
F DEMOLISH G; CYDS. I— X —FT)
CARPORT swim 1 �:7- �. V! Z-V
REMODEL GARAGE E-1 SPECIAL INSPECTOR JAREA OCCUPANCY OCCUPANT
POOL REQUIRED YES GROUP LOAD
F] WOOD STOVE/ F7RETAINING WALL/
I INSERT ROCKERY RENEWAL� REMARKS
Z
o
(TYPE OF USE. BUSINESSIOR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305
a: 6 d
LU
W NUMBER OF STORIES MBER OF 7h6fA*4 Z`641,4 'K
0 DWELLING 071 (f_
o,,,i e- UNITS
_jNU
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
VALUATION FEE
PLAN CHECK FEE
I 38-z
BUILDING
CPLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ON GR'ADING/FILL
Any construction on the public domain (curbs, sidewalks, Z3
driveways, marquees, etc.) will require separate permission. I
FEE
STATE SURCHARGE _0
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his of her spouse, heirs, assigns and ENG. INSPECTION FEE
w successors in interest, agrees to indemnity, defend and hold
w 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
X 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 1X47Y
I nor limit in any way the City's ability to enforce any Ord i nance TOTAL AMOUNT DUE I .. - - 1
provision."
I hereby acknowledge that I have read this application. that the
information given is correct; and that I am the owner"or'th.e duly ATTENTION APP156ATION APPROV4L'
authorized agent of the owner. I agree to comply w'ith,.city and THIS PERMIT
state laws regulating construction; and in doing the work iiiuthoriz-
ed thereby, no person will be employed in violation of th" AUTHOAZES This application is not a permit until
e Labor ONLY THE signed by the Building Official or his/her
Code of the State of Waihington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tiLn Insuran-ce. INSPECTION acknowledged in space provided.
Sl(:�N,AqURE tOWNER OR A ENT)
DATE SIGNED DEPARTMENT
OFF4,glAL'S SIGNATUJ�E
CITY OF D
EDMONDS
zo
Loqj, RELEAS BY
CALL FOR TE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BFFN MADE AND APPROVAL OR 771-3202
A CERTIFICATE OF OCCUPANCY BEEN GRANTED. UBC ORIGINAt — File YELLOW inspector
CHAPTER 3. - . . -1 1
PINK — Owner GOLD Assessor
A.r -7
K",
�Xr 0.
a wou i�
m
M
-------------- :&—Za
DETENTION WORKSHEET.
STANDARD DRAINAGE PLAN,
Uppap,
C A.-MV4
BAS%N DETENTION PIPE LENGTH COVrrROL CATCH
-T"
(VF-t4T) A
BASIN
6AAY�COVER--'
/P% 5LO
SYSTEM CROSS SECTION
OVTLr.T
10 CONT;toe
0
C
V
0
T
Lr
T
T
toL'
IRE
1 �M i
4'
S L-0 V'W ,7
'To 0LrrL-ET
(Pj P RAP OR
P,UNOFF
SP READ E:V-)
coun,
art
'. 2' . &�'DEM7?. 4t-1." SPALJ-S(0VLW0U^L.)
:C- 2' VC 3r IDEEP, %*- CRUStAED ROCK
C co
r�oo-�OIPRAP OUTLET
4:
L E"L\
OLrrFLOW RENCIA MIN 101 LONG,
-rof- t, PE-FLF PIPE -M BE L-P-VML-
FROM
CIVTLET
CON-rRDL
)L
4� PE F PIPE VVI CAPS
V
RU7NOFFSP - EADER OUT T
FOOTING DRAINS SHALL NOT BE
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
DETENTION SYSTEM
for
location
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-32021
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
�W-1 TT.Idi.
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CITY OF EDMONDS
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PLAN
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0 ova-c-
APPROVED AS NOTED
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Pamir COUNIR
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