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23631 78TH AVE W.PDFIIIIIIIIIIII 6621 23631 78TH AVE W PROJECT REVIEW CHECKLIST PROJECT NAME: PROJECT ADDRESg:Edl-4Df2 I ]]gt &C-0 PLAN CHECK #: qK--Qo� RECEIPT DATEq�q (ny— L U AFR 1'^' 111M PEVIEW D BY.( nitial/D e, 1 PLAN. W ATER =kfSl)EPT,- r 1. FIRE BLDG. SEWERISTRI='=: S i ENG Setbacks/Variance/Setback Adjustment Conditional Use Permit $ 2 ADB Requirements Other Zoning Requirements Underground Wiring Required . . . . . . . . .... ..... 5 Lot Slope 15% 6 SEPA Environmental Checklist/Hydraulics Permit . . . . . . . . . . . . . . . ........ 7 Tree Cutting Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....................... ...................... ................. .............. ........... .......... 8 Plat/Subdivision Requirements 9 Legal Description Verification X . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - -10- Quit Claim/Street Dedications ...... . ... ........... . . . . . . . . . . . . . . Easements - Public/Private --------- ---- - 12: Engineering Storm Drain Review Fee Engineering 2.2 Inspection Fee N - 14- Drainage Plan (On -Site) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Setback - Top of Bank, Stream, Water Courses ........... . . . . . . . . . . . . . . . . . . . . . . ........ ... ........ . 1 .6 Setback -- Storm Drain Line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Open Ditch - Existing ................. AV --I Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff 21 Catch Basin Required Driveway Slope & Vehicle Access 23- Sidewalk Required . . . . . . . . . . . . . . . . . Curb & Gutter Required . . . . . . . . . . . . . . . . . :.:25-..., Curb Cut For Driveway Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . Street Paving Required . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - ................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........... 0:2% Right -Of -Way Construction Permit Required ....................... . . . . . . . . . . . . . . . . . . . . . . . Street Name Sign Required ------ - --- - - .............. . . . . . . . . . . . . . . . . . . . . .......... Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water Table ......... ............ Side Sewer Availability . . . . . . . . . . . . . . . X:X., . .......... X,.. X. Calculate Sewer Connection Fee If No LID # Create Street File Existing Water Main Size Water Meter Size Service Line Size 89 ... Water Meter Charge Required 39', Hydrant Required 4o Hydrant Size Existing M.% . 4 . j . Fire Line Charge Required - Sprinkler ............. 42 Street Cut X Miscellaneouv" .1 ......... 44] Reviewed By: F RE PLANNING ENGINEERING PUBLIC WORKS \,j APR 10 1998 mo R E C 0 R D OF C 0 N T A C T S 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT # 9 29 10 30 11 31 32 13 PAID $ RECEIPT # DATE 33 SS PERMIT # DATE ISSUER!� RECEIPT # 14- PAID $ RECEIPT # DATE 34 15 35 16 36-F 37 METER SIZE PAID DATE RECEIPT # 18 38 19 39 261 40 Q-60 PLOT PLAN I ,;CALE : V=16-0" 'ACCEPTABLE TIGHTLINE MATERIAL N-12 ADS Sch 40 PVC SDR 35 (ASTM D3034) HEIGHT CALC5 FOP, 236531 78TH WE5T (361.80+359.21+3ro5.58+3(o-3.77)/4= 362.59 DATUM POINT: EX15TING MANHOLE ON 77TH WE5 CUL PE 5AC CTK CHANNEL 323.16 Pw 54 T2 b.310 50 Fl� 7 01 0 0. r, L-rM Lo Fwce- PEYL 5 Ro Zr P�L 4 1 49.6, r—1 L-0 Lao" B y NNI APR - 9199-8 CITY Copy 4 LVVE TABLE LEGEND NO. BEARING DISTANCE 0 SET 112' x 24' REBARICAP WSI 16916 L I N 46*32'17" E 21.00 (A� FOUND kONUMENTICASE A CMVE TABU VV FOUND kfONUMENT DEL TA RAD WS L EWTH (C) CAL CUL A TED c 1 90,00,00, 10.00 15.7 . I (P) DATA PER PLAT OF BE-HEKi (voL. J'7. -PG. 28) C2 WOO '00' 20.00 31.42 WASURED - C3 90*00'00* 20.00 31.42 PROPERTY LINE C4 90*00,00, 10.00 15.71 X, 7v-- FENCE LINE BSBL BUILDING SETBACK LINE 236TH Sar SW FOUND CONC. MONICA-SE S 88'3751" E(k) 665-27 (A4) WTH LEAD AND TACK S 88'37'007 E(P) (OCTOBER 1994) "Oil s HEE, E IL CN 20' STREET EASEMENT PREOOUSLY DEDICA TED FOR RICH T- OF- WA y VACATED BY CITY OF EDh4ot�DS PER A.F. NO. 8706250,189 c� S 883326 E 20S. 71 — ---------- Q� L 0 T "B" N 883326' W'' SP '0. S-56-7.9 A.F. NO. 800214 007, BSBL (T V . N= 9,349 SF 10' DRAJNAGE EAsEwENr G= 70,325 SF (TO &ENEnT LOTS LOT "A' I AND 25 SP NO. S-56- 79 A.F. NO. 80 * I CD in — — — 70-.ol Lo 15-11 Q-9 Q-0 2 co N=8,3io sr G= 8, 732 SF 3 7. N= 8,16 7 SF C..) ACCESS G= 10, 0 71 SF UTILITIES EASEMENT 25 t7; C'o 10' U77LITY EASEMENT (TO (TO BENEFIT LOTS , I Z� BENEPT LOTS 1. AND 3) C, 1, 2 AND '3). -113.68 - 5.0.3 J 88-3376" 198.7 1 10' U77LITY EASEMENT (TO BENEFIT LOT 3) 10' U71LITY EASEMENT A.F. NO. 9712030,5157 . rl 4-5 (PI / If 4 c, 5 � 10 D,4 /V5 CITY OF EDMONDS 8 9 0 1 9 SIDE - SEWER PERMIT PERMIT 8932 2 Address of Con�truction: cR Property Legal Description (Include all easements): "'Is M AY I POBLIG WOMS DEPI Owner and/or Contractor: State License No. Single Family El Multi -Family (No. of Units—) El -Commercial Public VIA 13ALLINGER Building'Permit No. 1791 �O 7 Invasion into City Right -of -Way: QV No D'Yes 7 RW Construction Permit No. Cross. other Private Property: 'P No 11.Yes Attach legal clescription and copy of recorded'easement I certify tPaYl have read and shall comply with all city requ.irements as indicatefd on the back of the Permit Card. Alee; /w v Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY. EXCAVATION.,* OFFICE USE, ONLY FOR CALL "I-3M, PUBLIC WORKS DEPT. Permit Fee: Issued By Trunk Charge- Date Issued.:. A N Assessment Fee: Receipt No.: //5 7�'7 I WHOM Partial* Inspection: Date Initial Comments Reason Rejected: Date —Initial Final Inspection Approved: Date -71131W Initia'l--!W— PERMIT MUST BE POSTED ON JOB SITE White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3!90 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 requesting 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 emptoyees or officers shall be Iia-b-le for the information given on this map(s), nor for any one representation provided based upon said map(s). 9 t The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION Et-' REPAIRS F-� LID NO . .................. . ASMT. NO . .................. OWNER................................................................................................ CONTRACTOR ..... M .. .......... ........................ PERMIT NO. 19 JOB ADDRESS .... Ave ..... W ... ................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ........................ ........... ... .... ...... .......... ..... . 1-�! tU14 Mop Ile ,rr t e. --------------- * ----------------------------------------------------------------------- -------------------- ** ------------- * ---------------- * .............. NAMEOF ADDITION ........................................................... .......................... ................................ zz <— 7- 8 ' 4 H h9h, a PWW-0001-11175 (REV.11/78) DATE ....... / 7. 4T..- -.1 457 ............. By AQ.Ot ... 6A--*.AY.!A ...................... 4 F,(f I& City of Edmonds I C -OF-WAY CONSTRUCTION Lj',�,s -7icD q 169 PERMIT Permit r4umber. Imue Date: or Vicinity of Construction:Q_;�(,'�) (A j6 u). ­rr,�n \A)r' B. Type of Work (be specific): Re ry pl'e (2 ce Ck e2v-. i � C n -7 "Y-) VE 1 C. Contractor: AJ L nC Contact: coop-b Mailing Address: re"S" -\.) ?/ Phone: 4-25 - 111) -4 1 State License #: c- t't Jr— C-i t'��c 4 Liability Insurance: Bond: $ D. Building Permit #. (if applicable): Side Sewer Permit # (if applicable): E. E] Commercial [:] Subdivision El City Project El Utility (PUDrG�9, WNG, CABLE, WATER) Multi -Family Single Family EJ Other �+ c� 1,jpp INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: 0 Yes 4No G. Size of Cut: x H. qhargc� $ 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 Edinonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorney./ees by reason of granting this permit. 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 PROCESSED. FOR ISSUANCE TO THEAPPLICANT 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 cl'ean'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 read the above statements and understand the permit requirements and the pink copy of the permit Will bi available on site at all timesfor inspection purposes. Signature: Date: 4WIldle A? ZYI& ((7ontrA-tor or Agent) C A1.1. 'nT A I_ A -nlC- PR MVP TO RF.C_INN_FNC_ WOR K FOR CITY USE ONLY APPROVED BY: I N11-V TIME AUTHORIZED: VOID AFTER �PAYS ri fk RIGHT OF WAY FEE: ' DISRUPTION FEE/FUND I 11: RESTORATION FEE: T OTAIFEE: RECEIPT NO.: ISSUED BY:_ NO WORK SHALL BEGIN PRIOR'TO PER -MIT ISSUANCE Eng. Di� 1997 FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.) Comments: Diaaram CONTRACTOR CALLED FOR INSPECTION YES NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: UTILITY POLE JOINT PUDIGTE ROAD CROSS SECTION 23631 78TH AVE W LOOKING NORTH UTILITY POLE JOINT PUDIGTE I GTE REPLACING 6 AERIAL DROPS WITH I 25PR CABLE ".55 INCHES IN DIAMETERO USE CITY OF EDMONDS ZONE PERMIT —5 NUMBER 19 P02LIT CONSTRUCTION PERMIT APPLICATION JOB SUITE/A T # OWNER NAME/NAM USINESS ADDRESS In' LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO. Lu MAI'LIN ADDRESS Z .2 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved.S P 91' 0 5�7 e�:, (,j - CtTY ZIP TELEPHONE NUMBER EXISTING 19 /4-- REQUIRED DEDICATION RW Pe,.It Requi,.,d,,%(, 0 42T.7*41411 Street use Permit Req*dA/60 vIlt, w e?�-;gd I Inspection Required yo 8— — NAME I_ PROPOSED — Sidewalk RequiredS. 4. 0 cc M W ETER Iff, �Lvq SIZ JIFIES RE UIRED F­ u0i ADDRESS YE ;,RWNO 13 — 0 X REMARKS < CITY ZIP TELEPHONE NUMBER Lu lk , 40S /"!S/ e -1,IV ,,aL /_,CP _­11A-277_ NAME m ADDRESS 0 ENJIN ERING MEMO DATED REVIEWED BY _7LEPHONE NUMBER X�/ cc CITY ZP Z FIRE MEMO DATED REVIEWED BY 0 W 0 cc STATE LICENSE NUMBER EXPIRATION DATE VARIANCE OR CU -ADB # SHORELINE # Legal Description of Property - include all easements ...... Z SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED 1PROPOSED CL EXP X cc L) (n LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) W ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR Z Lu Property Z Tax Account 0 N Parcel No. Im REMARKS 91M [WNEW RESIDENTIAL PLUMBINGIMECH X N. COMPLIANCE OR ADDITION 1:1 COMMERCIAL E] CHANGE OF USE REMODEL E:1_ APT. BLDG. SIGN [] GR/= FENCE X HECKED BY TYPE OF C TRUCTION CODb OCCUPA14M REPAIR CYDS. (_ x —FT) GROUPq WOODSTOVE SWIMPOOL I I DEMOLISH INSERT PECIAL INSPECTOR E tpC7teZ. ;? F HOT TUB/SPA REQUIRED OCCUPANT 4F LOAD GARAGE RETAINING WALL/ E3 YES C 1:1 ROCKERY RENEWAL REMAR­ 42:2. (TYPE OF USE, BUSINESS OR ACTIVITY) EXPIL I AIN: PROGRESS INSPECTIONS PER UBC 108 Z 1 1)) L �4 e4:*<M2LA::5F—,_ NUMBER I J'CRITICAL W If A2 1 NUMBER OF *rxx� 7a y 4g&aL&1 0 OF DWELLING AREAS W TORIES UNITS NUMBER 0 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) I . - �xa— NOV '51 IV-2 br- I I V ja�o ;FINAL INSPECT1104 UlIiED RE�' VALUATION FEE PLAN CHECK FEE 644n BUILDING HEAT SOURCE: LAZING /7 PLUMBING Plan Check No. MECHANICAL This Permit covers -work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE I J Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or,her spouse, heirs, assigns and ENG. INSPECTION FEE ,n successors in interest, agrees to indemnify, defend and hold 'WA harmless the City of Edmonds, Washington, its officials, 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 modify, waive or reduce any requirement of any city ordinance 0 :r norl . imit I I n any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision. I . L-1 �jo > 1 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 ci .1 iy * and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the workautho�iz- AUTHORIZES ed thereby, no person'will be employed in violation- of the Labor ONLY THE signed by the Building Official or his/her Code ql�the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion J:6sorance aria RCW 18.27. INSPECTION acknowledged in space provided. S11 ATU E (OWNER 0 A �,r 7 DATE SIGNED DEPARTMENT OFF) C -SIG pRE DATE CITY OF DMONDS 4 E - "A' REL A CALL FOR E�� D BY: ATt ATTENT�ON INSPECTION r! )� K _1 1' 1 Sj, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE I UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 6RIGINAI — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC 771-0220 ' - 1i SECTION 109 PINK — 0%�met GOLD — Assessot PLANNING DATA NAME: — SITE ADDRESS: -DATE: 49 ZONING: PLAN CHK#: PROJECT DESCRIPTION: CORNER LOT___Lj_(Yes/No) . FLAGLOT (Yes . /No) SETBACKS: Required Setbacks: f t Front: - a Left Side:_1 Right Side:- Rear: 45- Actual Setbacks: F '�E Right Sid ront:_ e - Left Side: . e Rear:_f� �110 Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE. DETERMINATION ISSUED —(YIN) LOT COVERAGE: a Maximum Allowed: �6 Actual: 0 BUILDING HEIGHT: Maximum Allowed: Actual Height: C�vi .-efeVation: Datum Point: 7 tlal u Wm E 11 A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #: qq SEPA DETERMINATION: LOT AREA: ----- OTHER: Plan Review By: ,.,0' � ^71 %6 \ 041aftermi0plandudoc Water Service Drawing The City of Edmonds EASEMENT NO . ............................................ NEW CONSTRUCTION Ig REPAIRS [_1 LID NO . .................. . ASMT. NO . .................. OWNER ................................................................................................ CONTRACTOR ................................ ................................................... PERIAIT NO.T, 367 ........... JOB ADDRESS .2-.3(0.31 ...... 7e'!� ... LEGAL DESCRIPTION: LOT NO . .......... ........................... BLOCK NO . .................................... NOME NO WARRANTY OF ACCURACY. The irdonnallon shown on do .............................. ... ab6hed-map-was oompiled -for- -m -by-the -Oty-ol- Edmondai- -lb- *Mpleym and consultants. The City of Edmonds does not warrant the accuracy of NAME OF ADDITION ...saybng-set.1bfth= the. map.- -.Any persca or.m4ty - requesting. 4 -00py ition sto on rer stub shown. iot e)dst at the fees or offioars ir for any oral Id, ....................