23925 104TH AVE W.PDFiiiiiiiiii
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23925 104TH AVE W
Setbacks/Variance/Setback Adjustment
Conditional Use Permit
...... ........ ...... ..... .
2
ADB Requirements
Other Zoning Requirements
Underground Wiring Required
f 5
5
Lot Slope 15%
6
SEPA Environmental Checklist/Hydraulics Permit
it
Tree Cutting Plan
Y
Plat/Subdivision Requirements
9
Legal Description Verification
0
Quit Claim/Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Fee
- - - - - - -
13::.
Engineering 2.2 Inspection Fee
-30
. . . . . . . . . .
Drainage Plan (On -Site)
Setback - Top of Bank, Stream, Water Courses
M.
Setback - Storm Drain Line
Open Ditch - Existing
17
18
Culvert Required
Culvert Size
... ............ 0
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20
Shoulder Drainage/Shale Open Runoff
- - - - - - - - - - - - - -
bmf W-.
21
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
p D
Curb & Gutter Required
.......... ....
25::�
Curb Cut For Driveway Required
Street Paving Required
A/0
.
-Required
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27
Right -Of -Way Construction Permit
...:.28
Street Na e Sign Required
�_29-
Other Signing Required
30 -
Bond Required For Public Improvements
4FEMA Map Check/Water- Table*
32
Side Sewer *Availability
. . . . . . . .
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�:::.33.:::
Calculate Sewer Connection Fee If No LID #
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01-10.0
Existing Water Main Size
Water Meter Size
Service Line Size
Water Meter Charge Required
Hydrant Required
40
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
,Street Cut
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. . . . . . . .
. . . . . .
..
44
........
Reviewed By:
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MAY ! , 298
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RW PERMIT # DATE ISSUED RECEIPT #
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31
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-PAID $ RECEIPT # DATE
33
SS PERMIT # DATE ISSUED RECEIPT #
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PAID $ RECEIPT # DATE
34
35
36
17
37
METER SIZE PAID DATE RECEIPT #
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38
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PLANNING DATA
NAME:
SITE ADDRESS:.Aa �DATE:
ZONING: a 9 PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT_,��(Yes/No) FLAG 'LOT -(Yes/No)
SETBACKS:
Required Setbacks:
Front: Left Side: 7��'f Right Side: Rear:
Actual Setbacks:
Front: _A'77 Left Side: Right Side: Rear
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED _(Y/N)
LOT COVERAGE:
Maximum Allowed: �i2 em�"2Actual: c;2- �7
BUILDING HEIGHT:
Maximum Allowed: Act4al Height:
4 (0
Datum Point: ea ZZ4�, eatdrn Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: - /ot
SEPA DETERMINATION: �JJA
r
LOT AREA:_8M
OTHER:
Plan Review By:
NJE
C.Wa%permid-plandadw
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
'4
r � D Sir
MAILING ADDRESS
I C"_1 01 — Z
t�o 7,14
NAME
4�- RoA) tic-
j Z le ly
V7
ADDRESS
Yor
ZONE
JOB
ADDRESS 'I
PERMIT
NUMBER
S E/APT 0
G I'T
rLID NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. '
TESCP Approved
.0
TELEPHONE NUMBER
RW Permit Required
1
tO
;
4f
EXISTING — REQUIRED DEDICATION —
Street Use Permit Req'd
j 13
11
------
Inspection Required
Sidewalk Required
0 cc
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
n1al L
I V11 1. 5777
_7
I
YES kANO
0
I-/ C, Z. KtMAHKb 9
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CITY ZIP PHONE NUMBER 7�1 �1/ 01- uj
TELE 7 4L. Lu
7" eC7 U
7AME
ADDRESS S-00o Z�
EMO DATED REV
�I�WED BY
CITY :Zip . [TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY uj
1z, M
STATE LICENSE NUMBER EXPIRATION DATE
VARIANCE OR CU ADB# SHORELINE #
----------
Legal Descripti6n of Property - include all ea,, m6ts/
SEPA REVIEW SIGN AREA HEIGHT
LOT- i- k w ILit 0 V J` 44-01 COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED ED
P X�
�PROPOS
EX I. _,i
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
�j
ALLOWED PROPOSED FRONT SIDE REAR FRONT. UR SIDE REAR
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Property _W7
Tax Amount LOT,6REA LAN I EV BY DATE
Parcel No.
:4&A
REMARKS
NEW
RESIDENTIAL PLUMBINGIMECH
COMPLIANCE OR
1:1 ADDITION E] COMMERCIAL D CHANGE OF USE
E] REMODEL 1:1 APT. BLDG. SIGN
GRn;Z2 FENCE HECI(EQ BY TYPE OF CONST UCTION COW OCCUPANA-ft
GROUP
REPAIR CYDS. I x —FT) WV_ X 1
DEMOLISH WOODSTOVE SWIM POOL SPECIAL 1NSPECTOR ;A2kE�AS I OCCUPANT
INSERT HOT TUB/SPA REQUIRED LOAD
GARAGE RETAINING WALL/ YES ,!�4 40, A.
CARPORT E] ROCKERY RENEWAL REMARKS a
PROGRESS INSPECTIONS PER UBC 108 Z
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPWN
f R
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS INUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
I`NSP C W D
-,L-I'ArX V4 );-.I iv 4 1_', r-Y) 4 1 E' TIO REQUIRE
Q1, cp S A." VALUATION FEE
:r- -1 111910 BUILDING CK FEE 1400
HEAT SOURCE: GLAZCN(9- /W&7.
%
PLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE A<m
Permit Application: 180 Days
- Provided Work Is Started Within.180 Days STORM DRAINAGE FEE
Permit Limit: I Year
"Applicant, on behalf of his or her s ARP se, hVirs, assigns and ENG. IN , SPECTION FEE
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successors in interest, agrees to ind#'ffinify: d and hold
qelen
harmless the City of Edmonds, Wa,hi its officials,
employees, and agents from any rid all clitl(ylor 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
nor limit in any way the*.City's ability to enforceigny,ordinance
provision." TOTAL AMOUNT DUE
I herebv acknowledne that I have read this annlication7 that the
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
Iinformation
state laws regulating construction; and in doing the work authoriz-
1
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid. and receipt is
-tion Insurance aria RCW 18.27.
1 NSPECTION
acknowledged in space provided.
t-SIGNATUREilOWNER OR AGENT) TE IGNED
DEPARTMENT
A� 1jV-
CITY OF
OFFI. I S DAT
EDMONI )S
ATTENTION
CALL FOR
INSPECTION
OELE�SED BY: DATE
I /./x
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR E
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
7711-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
10247
In, (: "
PINK — Owner GOLD — Assessor