22828 102ND PL W.PDF1111111111
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22828 102ND PL W
PLANNING DATA
SITEADDRESS:- i�XIX&72�&�DATE:
ZONING: PLAN CHK#:
PROJECT DESCRIPTION: /vaj.�� I
CORNERLOT bl— _(Yes/No) FLAG LOT- A) (Yes/No)
SETBACKS:
Required Setbacks:
Front: 05-' -Left Side: 'IRight Side: Rear:
Actual Setbacks:
Front: Left Side: 41?�2 Right Side: Rear:
Street map checked for additional setback required?- A) _(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED -(Y/N)
LOT COVERAGE:
Maximum Allowed: ctual:
BUILDING HEIGHT:
Maximum Allowed: lc�27, 41 Actual Height:A�2�7, y,
Datum Point: Datum Elevation:
A.D.U. CREATED?:
F I I F
GIO
SUBDIVISION: 00
CRITICAL AREAS #: L�q - T's .�
SEPA DETERMINATION:
JR]
4.
City ofEdmonds
—JI-
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RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number-
Lisue Date:
A. Address or Vicinity of Construction: - 22828 - 102nd Pl. W.
--IMENW7 o B. Type of Work (be specific): GTE to place direct buried cabl,e along 102nd PI.W.
17 C.. at approximately 22828- 102nd Pl. W. Please see
'E—
a8hached prin
Contractor: - GTE NORTHWEST INCORPORATED Contact: L I NDA ALDEN, PERM I T COORD I NAT
Mailing Address: 2312C West Casino Rd, Everett,
WA 98ZU4-1440
State Licqr #:
D. Building Permit # (if applicable):
Phone: 425/710-0945
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. El Commercial El Subdivision E]"vCity Project R Utility (PUDk—GTE),W-N'G,�'CABLE, WATER)
Multi-Farriily [g, Single Family..,'.' Other'.' GTE W."O'.* 2100-9PO01GR372 23MM
INSPECTOR: INSPECTOR:*
F. Pavement or Concrete Cut: 0 Yes (NNo G. Size of Cut: x H. Chargq_$,
FIELD TECH: DOW BRANDLEY Phone: 425/710-4118
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit.
I
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSEDFOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings of proposed work required with permit application.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220..
Work and material.is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be 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 trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have vead the above statements and understand the permit requirements and the pink copy of the permit will be
available on site at all timesfor inspection purposes.,
Signature: 4. 9Q"— / —) Date.. 6/29199
Dave Hawkins, 1Wc1!i'dn— nago-F-Mcuss Uesi gn
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER S C 4 1 J DAYS
SPECIAL CONDITIONS:
RIGHT OF WAY FEE: 70 �, 4;PQ
DISRUPTION FEEIFUND I 11:
RESTORATION FEE:
T OTAL FEE: 00
RECEIPT NO.:
ISSUED
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng+*Div 1997
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diagram
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAE BY: Date:
6824
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PLACING DETAIL
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EXCHANGE
HALLS LAKE
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TITLE: EXT.CABLE
VIKING PROPERTIES
4 LOTS + FUTURE
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22828-102ND PL W
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22912 ------- ------- 112
22914 ----------------
DAG.901,IXD-903-925
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DAG.�-V-§6,5,2XD, 68-8
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TO FLD
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WKR
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CS-1051-1075
0
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0
0
25
0
N COUNT
50+
(WKR = WKR + DED)
IGS NOTE:COUNTS ON ALL CABLES CHANGED
TO CS COUNT ON 3FO01CV.
CONSTRUCTION NOTE:
SHEET 2 FOR PLACING DETAILU
CS-01-1450+4R3-02651-2700+
cs..1501-1800
-OKFIB-26 01-poo
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CS COUNT
WO # 3FOOICV
NOTE.-
WO#2100-3FOOICV PLACES
"CS X-CONN AND CHANGES THE
COUNT ON THE TERMINAL
THAT ARE SOUTH OF HERE ON
SR 104 AND 102ND PL W
MMC 7-10-97
USE FOR BULK WO ONLY
IN SERVICE DAT]C, 7-25-99
PERMITS
CONSTRUCTION
0 BLANKET
n STATE
0 COUNTY
DIAL. A DIG
FLAGGING
[@ CITY
BRUSHING
El NONE
SPECIAL CIRCUITE]
CAUTION
POWER El UG El AE
CUTS REQUIRED
ED YES NO
OTHER DUG DAE
TELCO 11 UG El AE
JOINT POLE
0 PUD
JOINT TRENCH
0 PSP&L
0 PUD
EICATV
0 PSP&L
0 GTE
DCATV
IX NONE
El GTE
FEES REO'S
POINT OF CONTACT
El GOP El LEC
EISPEC.CONST.
NONE
FIELD TECH. DOW BRANDLEY
PHONE NO. 425-710-4118
FACL.TECHBOB V.
PHONE NO.425-710-4144
FIELDED B9ERRY BEAR
MATERIAL
MATERIAL
ENGR
CONST
CODE
DESCRIPTION
EST
ACT
280450
AKF50-24
100,
280425
AKF25-24
200'
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EXCHANGE
HALLS LAKE
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TITLE: EXT.CABLE
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VIKING PROPERTIES
CD
4 LOTS + FUTURE
22828-102ND PL W
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NOTICE:
-N`0 ... W-a r.r a. n t. ... OT -a-cc-HT.r--
Theinfor mation'shown on the attached
Hed for use by the City 01
map(s) was compi nsultants.
Edmonds,-, its Empl.oyees and Co
Th,..e City of *Edm.onds does. not . warrant the
accuracy of anything set for.th on these
M a P ('s"). A n . y person or entity -requesting a
copy should conduct an.independent
Inform'ation shown-c
Inquiry regarding the
I I
-t-He -M a P (S) / including, but not hrn'ted to,
the location of any sewer stub sho\/Vn, SU(
sewer stubs may or may' not e.xist and ma\
he location shown,
or may not exist at t
Neitheir the ,-jty of Edmbnr11J-S/ nor its
h- a I. I b e 1--J a. b-11--e f o r
emp'fo-yee-s o-r officers -s I
this Map(s), nor for
information g ven on
'ded based
any one representation provi
upon*sald MaP(S').
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P.0 BON 1034 VIKING PROPERTIES INC. Phone 670-2711
Lvnnwood. WA 98046 Fax 774-6315
Building in the Scandinavian State Regis. VIKINP1137JO
Tradition of Quality
Residentipl/Commercial Building & Remodeling
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P.O. Box 1034 VIKING PROPERTIES INC.
Lynnwood, WA 98046
Building in the Scandinavian
Tradition of Quality
Residential/Commercial Building & Remodeling
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FOR LOTS I AND 2
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EX. 10'. ROAD EASEMENT
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EX. PRIVATE DRAINAGE
EASEMENT PER A.F. NO..
9812280219. TO BENEFIT
r- EASEMENT PER A.F.
LOTS 3 AND 4. AND LOT 1
NO. 9812280219. TO
OF CITY OF EDMONDS
BENEFIT LOTS 3 AND 4.
AND LOTS 1 AND 2 OF
SHORT PLAT S-98-64
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............................. ................. .
LA.
CITY OF EDMONDS
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SHORT PLAT S-98-64
RESTRICTION:
THERE SHALL BE NO
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Lo TO THE EX. INGRESS EGRESS
04
bi AND UTILITY EASEME T
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520.99' (MEAS.)
521.02' (PLAT)
PERMIT EXP! (11. a— oo
CITY OF EDMONDS
USE E PERMIT 980091
ZON
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS -7 e)
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OWNER NAME/NAME OF BUSINESS
4 a
LEGAL DESC IPTION CHECK
SUBDIVISION NO.
LID NO.
V1 vl,� 0
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING 61�REOUIRED DEDICATION
TESCP Approvedt:�
RW Permit Require
Street Use Permit Peqedl
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TELEPHONE
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Inspection Required
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PROPOSED
0-
NAPJE
MEYER SIZE
LINE SIZE
NO. OF FIXTURE S
REQUIRED
66fil*� far4 0�4 At
10
-YEPRV NO' 0
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REMARKS
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CITY ZIP
TELEPHONE
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NAME
ENGINEERING MEMO DATED REVIEWED BY
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FIRE MEMO DATED REVIEWED BY
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TELEPHONE
VARIANCE OR.CU
ADB
SHORELINE #
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
1
z LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS
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F_
EXP
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
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< PROPERTY TAX 'ACCOUNT PARCEL NO.
LOT AREA
PLANNING RVI. BY
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M-NEW RESIDENTIAL
X PLUMBING MECH
REMARKcf
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL APARTMENT SIGN
REPAIR GRADING FENCE
CYDS X FT)
bAnd
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CHECKED BY
TYPE OF CONSTR CTION
?1,7
OCCUPANTW
0 DEMOLISH TANK Cj OTHER
.
M)
IC
SPECIAL INSPECTam
REQUIRED YES
OCCUPAN�
LOAD
GARAGE RETAINING WALL
RENEWAL
CARPORT ERY
ROCK
[]
"(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
REMARi
Z-2
PROGR S -IN R URC 108
a,
U)
Lu NUMBER
NUM_ BER OF
CRITICAL
a OF
DWELLING I
4�lxa trAl
0 STORIES
UNITS
zF I I --WWI -T- IV V w I 1 0
I ') . , -ir . ).
DESCRIBE WORK TO -BE DONE
FINAL INSPECTION REQUIRED
IVALUATION FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING,% LOT SLQIFE BUILDING
cll�, � I J k?
,N/CH*ECK NO-,,- PLUMBING
VESTED DATE `*`
I
-
MECHANICAL
.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
9
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
73
DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.1 WILL REQUIRE
�2n
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
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CL
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUC
Ui CESORS
ENG. INSPECTION FEE
So
_1
2 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
cc EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
_1 D
0 EE MED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
x NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE 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 AUTHORIZEC� AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING'CONSTRUC-
CALL
This application is not a permit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL B E EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING TO
FOR INSPECTION'
Building Official or hisfher Deputy: and Fees are paid. and
WORKMEN'S COMPENSATION INSURANCE AND RCW`1f8.2T
receipt is acknowledgepl in space provided.
SlCr,NRE (OWNER 09�AANT) DATE SIGNED
(425)
OF.IUA NAT74 DATE
P�A
771-0220 -
r if 10� Iq
P(ELEARY OAT
/
ATTENTION
IOCCUPY
4(4
IT IS UNLAWFUL TO USE A BUILDING OR STRUCTURE UNTIL
L)
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
()4
CATE OF OCCUPANCY HAS BEEN 1314ANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK -OWNER - GOLD - ASSESSOR