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225 4TH AVE S (2).PDFlill lill lill 5060 225 4TH AVE S MEMO TO.- Building Division FROM: Engineering Division SUBJECT: Af ter rev i ew of the subjec t bu i I d ing pe rm i t a pp I i ca t i on , we have the following comments: I ) Connection to City water systen, required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work on City property. 4) Driveway slope not to exceed 14'*. 5) Back water valve required if downstairs plumbing is below eleyation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff and erosion on site and may not, imp,2c,' neighboring properties in any way. 8) Construction hours from '7:00 a.m. to 10:00 p.ai. on w6ekdays and . 10:00 a.-i-ii. to 6:00 p.m. on weekends and holidays. 9) No burning of construction refuse wit-ho-ut apprairAl by Eire Dept. APPLICATION for The City of Edmonds S11DE SEWER PERAUT EASEMENT No . ............. ............................. NEW CONSTRUCTION 0 REPAIRS OVYWER---- MOOM-4 ... Arnold ...................................... ---------- CONTRACTOR ..................................................................... . ........................... PERMIT No . ...................... A 7 V GAL DESCRIPTION: LOT No . ... .......................................... BUDCK No . ..................... .a ADDRESS ....... ....... .................. ............ ........... NAMr, OF ADDITION .................................................................................. ....................... A, ............................... W� uj -j M."N" U. uj uu co Ju na 19V Dva, TQ.S*.d On Sawax Approved: DATE................................................ By ................................................. .................... CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION,' NAME (O"AME OF BUSINESS) �'IoA. 1-77S-03'72,- .��10 3ynsef Ave_ FI—Ty TELEPHONE NUMBER i7ndi- 1(,14. 1-776 - i/ 7 ;TAME I ADDRESS CITY I TELEPHONE NUMBER STATE LICENSE NUMBER Legal Description of Property - include all easements (show below or attach four copies) Z 0 CL &.I ri (f / -:2:257— 4t4 Ave, Js'o� W4 - 19-NEW g—RESIDENTIAL PLUMBING ADD/ALTER 171.,' I " COMMERCIAL MECHANICAL REPAIR RETAINING WALL El SIGN DEMOLISH EXCAVATE OR FILL FENCE E] REMODEL PRE -MOVE INSP.1 COMPLIANCE I— x _FT) swim INSP. POOL WOOD STOVE/ [:] INSERT APT.BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) PERMIT NUMBER A?RESS 4 ve. So, ��14�ev ZQSU 01rd-C "SION LEGA� BDIVII NO. LID �O PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, EXISTING — REQUIRED DEDICATION &2 PROPOSED - RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 41-11, STREET USE PERMIT REQUIRED Z SEE ENGINEERING MEMO DATED 0 Z LU REMARKS METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA I COMPENV. REVIEW Ace NO. ALLOWED I PROPOSED LETE i EXEMPT I VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT LOT COVERAGE Z FRONT SIDE REAR C;,-, Z REMARKS C C -3 '-7) _i�r �7 CHECKED BY rTYPE OF CONSTRUCTION CODE I HEIGHT -_ kvITIq LiL , Z �; 8��_ -C�121S SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED I GROUP I LOAD EIYES [:NO K REMARKS 6 PROGRESS INSPECTIONS PER LIBC 305 EZ t PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and u) ow successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, m Cr 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 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 AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance. I NSPECTION DEPARTMENT CITY OF EDMONDS SIGJILATURE (OWNER OR AGENT) '74nu_� DATE IGNE I V I—/ 7/;70 43 VALUATION I FEE .46-0 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 SI _QNA DATE x— ATTENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 BY: TE ORIGINAL — File YELLOW — Inspector PINK — Own(j-r GOLI-) -- A:i-se:;sot P REVIEW CHSMIST PROJErr mAmE ROJECr ADDRrSfb p APPLICA7T-ION RECEIPT DATE: Reviewed by: (initial/date) COMMENTS PLANNING wrR/swR I sT= I aKwrm FIRE BUILDING /////7T/7-/-/-/T/-/7TT/T/7TR// -SrN= FAMILY/MULT-TPLE/CQW4ERCIAL - (Circle One) SETBACKS CIM= - pl&6-i - -ng VARYANCP,/SF.TMCX AW. 77T/77 1711111 CONDITIONAL USE PERMIT ////// //////// --7T777 ADB RE=REMENrS CIMCKED ////// 7T777-77771-7-111 aTMM ZCNTNG REQuIREmENTs ENVIRCNMFMAT, FPA79URES 11117777777777R7 117717-IT17T ACCESS sLopF, & VEHICLE ACCESS *A 77777T/7-/7777777// DRAINAGE PLAN (on Site) aa, Z:�� ///////// ///////// 07TI-1 77- T17TTI-17T 7 7 7 7 / 7 7 7 .MT(EEV FILF ///////// ///////// //////// I -Fr -AL DESCRIPTICN vr.RrFICAT.TON f/ff/7/777T77/777 ///////// //////// C)UIT CIATM/DFI)ICATIONS ,;11,2 717TR ////// //////77T77/-///// ///////// //////// 111IT7777 11111111777111111 FASEMENr - PUnj,IC/pRIVhTE CAIMATE sr..wm comwT.Trm IF NO LTD#- Zo q -/T/777777 ///////// 71111111 //////// 7/-7T/-/ 111711111 T/-////// PLAT /SUBDIVISION REn-UTREt*:7,4TS 77777 7r77T= 711 ff 171T S[J5 R-TGJFr--OF-WAY 0 ON.-3rRWPIO1q PERMIT PT-Y_D flom REM FOR PUBLIC IMPROVENWFS SOILS CONDITIMIS & GROUND 717117 -11--1T1T17TfR11)-17-Tm1111- WATER FIETD CIIECKr-D 777777 777777777 STREET PAVING, REQUIR M- ////// ///////// T/-/77-/-/-//77/--/77 CUIM AND M�K-VER REQUIRED, ////// ///////// 11illml 7T/-/T// 177177 111111171-PI SIDEWALK REMIRED 1! 7-///// -17TTIT77T 111111117 CURB CLYP FOR DRIVE -WAY REM 2( fRTFI-Tff 9MEE7r NAME SIGN REQD 21 17777771-799�� 1711111111 - CMrER STGNING REM ///////// ///////// - 2: 11117111111711 777777T/7777/7777 SIDE SEWER AVAIIAR11,11"I 2: EXISTI?4G WPER I MATN SIZE IVI-17 ////// 77777/7777 24 . P7777777 rr 7/7777777-7 - WATER MM-'FM SI ZE ///////// 'A 2� 777T/7 TI-ITR-77 TPTT17 7TTTT17777 - SE31VICE L7-NF SIZE //////// 2( IfYDIVWP RO-')UIRED 777777T777711,1"7 ///////// //////// 2 T/ TF/7 f 7 T1 TTT1 7 /1 r --� T// 171TI-177 HYDRAN!T SIZE EXISTING ////// -'/ 'Y 21 77777777 1111777TI7 - CROSS CONNECTION INSPECTI(W RBQD 29 T/7777 7T/////7/ 7/////// 777/777/77 1%%TER METER CJW<GE REW- ///////// //////// 30 777777777- 11�4g 1771 - FIRE LINE CHARGE REQX) SPRINKLER 1111111A 31 STRUT CUT 32 OPEN DI70i EXISTING 77777T 33 7T/7777-777-77� RECD ///////// �% 34 777777777 C(JLVFRT REr_n ///////// 35 777777 ///////777/-/-/-/777 SIZE' 36 -.9f V1, CA701 BASIN REQD 7t'\ 37 IMICATED CN SITE PLAN 38 SHOULDER DWUMGE MAINTAIN 77T/77 7777T7 -777 T/ 7 7 7 7 7 7 7 SHALE OPFN RUNOFF ) F //////// 39 11111117T' MISC: 40 a Now I 7 L REVIEWED BY: PLANNING MGR. EN rNEERING MGR. PUB= WORKS MGR. Db 7VC;12 . MAP, 3 o Ages VERMIT COUNTER G-- cc� I -or CovaQ.Ac.G 22-07 = 40. 5400 5XIS-r 81-061. 7o'3E REmOVEP = 1235 S.,c, rRo vive ---IV T6" p 0#4 bp"mo-��--BAS.W- - W/ Wvzf f c rop. 4n. Mu�r F-4 ,SE-Tmc,k - fk-� /J. W. 51,51149 RE5 I-P c- Iq c c- A vs. --,�o. M OuDf WA I?y g. #A,�kl.�OAJ -77(,-4.-74& 1 U.j .j LL LU LLJ FZZOIBG RECEWED MAR 3 0 198� PERMIT COMER -- --------- --- 0 'POF -:r-tGmr- 120.o' __We W-RES(De 4Z-L-r- � OF /6 N tA PATIO c,. -DRO -f(o-o 7 ------ WAI (7 4 "* Pra. P, I fj 1-40.0, I-oT- CovaQAae. 2207 = 40. 5400 EX1577 &061. 70,,3r- )?EmO05!�, = 1235 S.F, r--#-�KFERATCj5 wl LO-'kL TxlcrOR m -4- -�ramci> Or 9. #A�Jzlropj -7 7 6 - �,74& 1 . . -31- t fv,8 8