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23603 76TH PL W
OqJYLIIC .1NORKS DEPARTt�UM' CHEI Date
BUILDING PER= REVIS
i 22-6 - M;
21,
STREET FILE
Street Right-of-WaVi,."Existing. REQD
Access Easements Existing d:E&�:j
Utility Easement Existing DEC
REQD
Lot, �Subdivision Plat
AssessorMap
4 Site Plan Checked for Accuracy (42-n
C-
Z
-P��
Underground Wiri ng Reqd.
Check Accuracy',of,Legal De�6ription
Environmentally�'Sensitive Area
Environmental Checklist Reqd.
'Flood Hazard Zone
Shoreline Mana-en-eint Area
CD
Slope, Soil, Vegetation k)
Stream, Creek, Drainage Basin—,
.Existing_ �oning Per, Code
Amenities Design Board Ap�roval Reqd.--. p. ADB # A) Itt, Approval
Board.of Adjustment Ap.proval Reqd.
7 Date:
'.A4- Exi��-td-fig�'Water 144in Siz
.."'Water Main Reqd.
AIIA
-Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code &ZZ Size
4 Detector Check Meter Reqd. &LA
Cross Cormection.Inspection
Fire Department Comments
Water Meter Charge Reqd.
Reviev7,- - �y:. Date:
A
Septic Tark Design Approved Date:
f Septic Tank Permit Reqd. Permit No.
Sanitary Sewer AVailability 6j
Drawing No. /;'--)T--,File No.
Side Sewer Availabili
W Sanitary Sewer Cormection Fee Reqd.
ReviL-w By: Date:,,--
NO 2��
F4&AAAA"
Op'M D.L*z't d I Existing
Reqd
Culvert Reqd. ize
.�'V4 Catch Balsin-Reqd. dicate on Site Plan,
Jrl
SlIoUlder drainajc mintain coll-oction on cmale-open
1--U110ff
En t
"k-Ulhole e/�rrecjd' Indicate on Site Pi
Soil Conditions and Ground. Water Fj. e Id. Checked
by a., tei.�
SLreet, Paving Reqd.
Curb and Gutter Reqd.
Sidcwalk Reqd..
rXI Curb Cut: for Drivew-ay Reqd.
Riglit7Of-I'l��1Y..ConstrLicti.on Perndt. Reqd:
i gondi Reqd. for Publi6l Improvc-ii-Qui t s
Stre-et Nau)c Sign Reqd. X/ w 7
'COcher Signin- Rc�id,-',* 41A
�'Pre Permit Site Inspection mcle on
0),
"tt' 13y: SB,.IER
W,%TER
S'IM:ET
aGINEERING
Special Roquirein-ancs listed in to Co',miln.ity DO-,,,e1.opi-,-m-t, Deparore'llt,
Buildinc, Division
Z
13Y Date
o �,All it= filled in on Building Peimit AI)pl,.icdtion
By Date
PLi
Drawinq;s Staii-ped and Notations 1-1-ide
BY Date
K
<
1) P, 1)1*
1..J Approved y U J.& vkwks Dc"16al-Cmu-it
Revised: Iv,10-1977
ii�
DATE: C--�. — I z - —I ,>
14EMO TO: 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:
4-1,,,4-
0
FE
NAMI
W MAILI
z
g V
0 .0�4
I NG DIVISION Applicant Fill ZONE NuMaLk
Inside Heavy Lines JOB / —
APPLICATION ADDRESS r
NAME 0 F BUSINESS) �)— r�) (_0 GJ
V )p LEGAL DESCRIPTION 1 5 U13DIVISION SHO
i-
U
W ADDRESS
u
M CITY
E INAME
1'.
z
0
U
ESS
-,z-
"Z&
n6ription
7
NO.
i:;� I Aw�
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
NUMBER
[ElLEPHONIr
EXISTING
PROPOSED_
DEFICIENCY OF RIGHT OF WAY
(n
PUBLIC IMPROVEMENTS REQUIRED
0:
DRAINAGE IMPROVEMENTS REQUIRED
0
DRAINAGE PL . AN REQUIRED 1114
TELEPHONE NUMBER
UNDERGROUND WARING REQUIRE
CONNECTION.TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D NO.
ELEVATION OF PROPERTY.CORNERS 0
,z).
& FOOTINGS REQ-D
TELEPHONE NUMBER
SEE ENGINEERING MEMO DATED
C ECKE9 B Y
CITY LICENSE NUMBER
METEZRIZE BUILDING SUPPLY SIZE
iw Below or Attach Four C
W
REmARkS
�x
z
2
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
IL
i
SHORELINE
W
13
.j
REMARKS
.j
VARIANCE OR CU
PLANNING REVIEW BY
YARDS
Q5FRONT V.) S I D E IS REAR]
LOT COVERAGE
-r—
RESIDENTIAL
GAS
IDLINE
FIRE ZONE
YPE OF CONSTRUCTION
ICODE
HEIGHT
:1 NON-RESIDENTIAL SIGN
ADD LEI 1:1
0 RETAINING
11 DEMOLISH WALL
ALTER EXCAVATE FENCE
OR FILL I— X—FT)
j-
SPECIAL INSPECTOR
REQUIRED
11 YES NO
PLAN CHECKED By
REPAIR PRE -MOVE swim
INSP. POOL
REMARKS
z NUMBER OF STORIES NUMBER OF
0 DWELLING
UNITS
NATURE OF WORK TO BE DONE
cr
u
(A
W
M
PLAN CHECK FEE
PLOT PLAN
7
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
0 "Applicant, on behalf of his or her spouse, heirs, assigns and
W successors in interest, agrees to indemnify, defend and hold harmless
I the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
cr from any and all claims for damages of whatever nature,
agents
<
x arising directly or indirectly from the issuance of this permit. Issu-
a, ance of this permit shall not be deemed to modify, waive or reduce
j ordinance nor limit in any way the
SWIMMING POOL
0 any requirement of any city
I City's ability to enforce any ordinance provision."
.
�kMOUNT
j!j;jj tile it, -1T0TPL,
All
AREA OCCUPANCY OCCUPAN
GROUP LOAD
LOCATED IN THE C�11
THIS SITE TH
T
OF EDMONDS. LOCAL SALES
31.04.
SHOULD BE CODED
/ P
3
VALUATION
IV
Zd
low
04
V
4�
foT--Bi W-iA(I
moil
. .........................
ZONE
SETBACKS:
L F R C T
THER
01
HE K' 33 H T
L Ci—TY
BL ' DG.
!L-
POT
CONDIT(10f-� A C P I T
"-Z
DATE: Cg� — 11- 79
MEMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT: bL 22
After.review of the subject building permit application, we have
the following comments:
1-5 121VIS1041 g E-n U &-sis :3VA�r- -- -THIF— SIAI&K-7—
R6;,A)L4 IT— IV01— P-,Iv-- ISS UgQ U &17-11-. A AL
A I? j2JZA-I"A&GF- g2LA A' Is 47C 57 L/ 012 Y
Y6U 9- .6FEICE
k,
r
PUBLIC .1�.M<S DLPAML',1TM CHECKLIST
BUTILDING PfMaT REVIE14
STREET FILE
Street Right: -of -Way Existing
REQD.
Access Easements Existing
REQD
Utility Easement Existing REQD
I Lot per Subdivision ilat —,e— Assessor Map
Site Plan Checked for A
ccuracy
Underground Wiring Reqd.
Chcd,, Accuracy of Legal Descriptioni.
Environmntally Sensitive Area
Environm-ital Checklist Reqd.
Flood Hazard Zone
— I Date
U FJ� Shoreline Manaaement Aa-ea
CD
4 Slope, Soil, Vegetation tj
Stream,'Creek., Drainage Basin
Existing Zoning Per Code
Amenities Design Board App.roval Reqd. P ADB # A) ApprovaluIA.
�-I.Board of Adju.�=6nt Approval Reqd.
4 RevLew Bv:
Date:
-dsting Water Main Size
Water Main Reqd.
S'_
rvice Line Reqd.,
w i�' Hydrant Size Existing
Hydrant Reqd. Per Fire Code &ZA Size
.<c kf
4 Detector Check Mleter Reqd. NZA
Cross Connection Inspection
-nent CaTments
Fire Departi
e,
1�o Water Meter.Charge Reqd
Review by: air
--L 1Z
V_
le'( Septic TYH,, Msi&-i 6ate:
I Septic Tank Permit Reqd.
Permit No.
1) 61
Sanitary Sewer Availability
Proi.
. P4 Drm,7ing No. File- No.
14
Side Sewer Availability�'-
Sanitary Sewer Connection Fee Reqd�
Review B Date:,,,—,�71�_l
y
C=
BqlLf__i�G DIVISION Applicant F ZONE NUMBER
l ill
PERMIg APPLICATION Inside Heavy Lines JOB
ADDRESS
Mt��NAME. OF BUSINESS)
—ISHORT SUB NO.
ILEGAL DESCRIPTION I SUBDIVISION
J>
Ir
W
z
il:
0
71
AL-15Z
rcrry-f N U M B E R
I.- d;;;2z�
U
W ADOR
t
x
U
0: CITY
NAME
LEPHONE NUMBER
0 �k ESS
M CITY TELEPHONE NUMBER
z
0
STATE LICENSE NUMBER CITY LICENSE NUMBER
on
or Attach Four
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING
PROPOSED
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED
DRAINAGE IMPROVEMENTS REQUIRED,
DRAINAGE PLAN REQUIRED
UNDERGROUND WIRING REQUIRED
I-t 14
CONN ECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D NO.
ELEVATION OF PROPERTY CORNERS
Cl
FOOTINGS REQ'D
SE E ENGINEERING MEMO DATED
CHECKE9 BY
METER�FIZE BUILDING SUPPLY SIZE
.2
z
�F SIG N AREA ENV, REVIEW ADO NO
ALLOWED PROPOSED COMPLET EXEMPT
J SHORELINE
J REMARKS
J ____F.ATE
VARIANCE OR CU IPLANNING REVIEW BY
YARDS - __7 V.) SIDE . tE—REAR LOT COVERAGE
. Q 5FRONT I
NEW RESIDENTIAL GAS RUCTION E
11:1 LINE FIRE ZONE PE OF CONST 1HE
L
N61NI-RESIDENTIAL
1:1
SIGN
L
EJADD
SPECIAL INSPECTOR
DEMOLISH
DWALL
INING
RETAINING
REQUIRED
DALTER
EXCAVATE
OR FILL
R
FENCE
(_ __r,.)
0 YES N 0
PLAN CHECKED 13Y
REPAIR
PRE -MOVE
INSP.
swim
POOL
REMARKS
Z NUM13ER OF STORIES
OF
0
7UMLL.R
_W. NG
7�(/�
U
i:
NATURE OF WORK TO
BE DONE
U
M
0
EPLAN CHECK FEE
40
BUILDING
PLUMBING
IMECHANICAL
FENCE
0 "Applicant, on. behalf of his or her spouse, heirs, assigns and SIGN
0
W
j successors in interest, agrees to indemnify, defend and hold harmless
I the City of - Edmonds, Washington, its officials, employees, and RETAINING WALL
agents from any and all claims for damages of whatever nature,
I arising directly or indirectly from the issuance of this permit.. Issu- SWIMMING POOL
a ance of this permit shall not be deemed to modify, waive or reduce
J
0 aily requirement of any city ordinance nor limit in any way the
7: City's ability to enforce any ordinance provision."
!Ve Ilvo ! " - thi% applicalion. thm file ill-JITOTAL AMOUNI
OCCUPANCY. OCCUPAN
GROUP LOAD
1 7
THIS SITE IS LOCATED IN THE Cll�/
OF EDMONDS. LOC, AL SALES T
111L
4�
SHOULD BE CODED 31.04.
x
ty
VAL
, 4�
%
0
M
3 4
j1z
4'x
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity reque sting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Side Sewer Drawing VIA 183ALLI GER
The City of Ed LIFT EASEMENT NO - -----------------------------------
TATION
"Eff FILE SgE --------
NEW CONSTRUCTION REPAIRS El LID NO.
TO ------ - ASMT. NO - ----------
OWNER ------- Rovs-e, ------------------------------------- CONTRACTOR ....... 7 _6A.- ... e>-' k -V-
I
PERMIT NO. -g 7
_XJ-P ------------------------------
Z.-
---6:s -------
DD-RESS
JOB A ------ LEIAL DESCRIPTION: LOT NO . ....... ----------------------
BLOCK NO - -------------------- ---------------
O.C. Water serv. Uvte- pboct Of Re k
----------------- ..... ....
45oP-S -3: +J' u. pip&_ . ...................................................
-----------------------------------------
NAME OF ADDITION ........................................................
Za-
�jg -,r, 01
Z
x �Aey- serv. M cley
2-j F: 4" R. B s -
.0. ( 3 J-'a
2-
4"AV-c- Sicte Ce-vue-r
1�5 Cluncrete- -S+Ulo
-F—
J- +k
4
7 -,r
R
VIA BALLINGEJ Approved:
LIFT SLTATION
PWW-OWl-11/75 (REV-11/78) DATERI... By -bOU, :j6 vi-sc
-------------------
.4ITY OF EDMONDS
FOR INSPECTION C2$
PUBLIC*WORKS.DEATMENT Permit
DE. 775-2525,Ext. 220 Issue Date -7 c7
7suill I.. SEWER,,PERMIT
PERMIT MUST BE*�POSTED' ON,JOB SITE
l.. i'Address, of ''Coni:.truction �Z_j &03 --7 t> P1 - W 2-6)
2. Property, Legal Description (include all, easements) LOT# 2
P/al R" e-k
3. Single Family Residence Multi -Family No. of Units.
Commercial
R_e W�Hvu"
4. Owner and/or Builder
5. Contractor & License No.ZTP)�n umrlel
6. Invasion into City Right-of-way: No y"'Yes (If Yes Right -.of -
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E-4 7. Cross other private property: Yes No Easement required
attach legal description and county easement number.
�4 READ THE FOLLOWING AND SIGN:
04
P4
F:4 a. Property owners . must obtain 'a permit to install side sewers on
>4 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 requi -,,a minim
P4
side sewer line..
RIAW
0 d. Side sewers may not be instal c a '4'8 R, 19 es (30")
RS
to any structure. &,FTr2 % 0
e. Side sewer lines must be laid aAt m r� (1. 5
and maximum grade'of 100% (450). U
0
f. No turn in side s8wer greater h 8,bend.. i a low d
between cleanout. All 90 turns must
bend) and wye with removable cap SNOH
g. No down spouts, footing drain drmp* ected
.,to side sewer system. 1 6 COUNCII .
. h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil..
i. Cleahotts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
A. 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.
k. Side s.6wer must be left uncovered until inspected and approved
by the City.
Inspection during normal working hours only. Two (2) working
days notice required.
JZ-,DATE: 4
I/ ertif at I have read
y tH
shall comply with the above
(00 /09) Lak� 6A
ev, Hv�_A zZ,
PtR�4tT FEE: t 'aj k1r,"i DItAPPROVED BY: Date:
�, I ernyl�)
%.00 - Date:
CONNECTION FEE:
P4 APPROVED By -Date: Q�(O/
0. y
44 PERMIT MUST -BE POSTED ON JOB-SI E,*
TUWAY MES
A
vr g; i rlLt FROM
GASCADE0 Ll-C2375
LSENDER. DETACH THIS PART AND FILE FOR FOLLOW Up.
PRINTED IN U.S.A.
- - - I
! 0
40' v
MOO
ATREET FILE
'Po &o,%* 4$ Pool H --r L I K) �Z-
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lot"
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ME
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PRA
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I
.1 P/
ING
CIT-Y.6F EDMOND9� ENGI Rl DEPT.
SIP
Examined by j
Date Ile,
Ck.
Remark�.--
&P R ru S',
'09
0 d\,
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An CA
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