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5935
24012 74TH AVE W
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0
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE): 202901110
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver El Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
,5 /?/Y.
SHORT PLAT FILE: �z LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'l7s\Fomis\Street File Checklist.doc
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41 c. 1 16') -
City of Edmonds PERMIT NO: 1111
PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction: C� 3" Z-!Z �,,Z LED #
Property Tax Account Parcel No.
Attach copies of all access and utility
Owner and/or Contractor:
��Verified and Approved by
atv,fz, bwl W�-:5
Contractor License #: !Sot,�4yk offo �)U) Building Permit #: -
$_Single Family Invasion into City *Right -of Way: F� Yes Z�No
F� Multi -Family (No. of Units *RW Construction Permit # A I A—
R Commercial (No. of Units Cross other "Private Property: El Yes 2'-N-*o
r-1 Public "Attach legal description and copy of recorded easement.
DfA Owner/Contractor
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled
1�7�ide Sewer Specifications, and shall comply with all City requirements outlined therein.
W.
9 CALL DIAL -A -DIG (1-800-42q 5555) BEFORE ANY EXCAVATION 9
V FOR INSPECTION CALL 425-771-0220 extension IQl*&
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS
Permit Fee $ — Repair Fee
Issued By:
Trunk Charge Date Issued:
Assessment Fee $ Receipt No: C:
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
t FINAL INSPECTION APPROVED: Date: Initial: ffA.. '.........As-builtto Street File:
t� PERMIT MUST BE POSTED ON JOB SITE t-�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
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24014
CITY OF EDMONDS SIDE SEWER AS- BUILT
ADDRESS SCALE
24012 - 74 AVE W NTS
HOMEOWNER CONTRACTOR
-SOUNDVIEW HOMES
DATE JDRAWN PERMIT
01/31/2005 BY SIBREL NO. 9640
SO
150 LF 81-._
SIL T
----------
t DRIVE WAY
0
tn
X�G'ARAGE
0.005
---�_,J,WHED FLOOR 0 308
LOT 2
307. A
- - - - 7uil..
DECK
307.0 jt�==f r
SILT —
FENCE
EXIS 7ING ROCKER Y
.... 1 -1- ........... ......................... ............. ......................
�a -
2512
— ----- ------------
----------
HM I CPHT cCALC.-.
A 307.5
B 307.0
C 307.0 WA TZRi
D 307.5
TOTAL 1229.0 + 4 307.25 LOT I
LOT 2
cr.,LAlGtMNcr�M 4 JANM a0"ImMLT
SHOIRT PLAT
w PLAT NU�-Mr=Fk
TREFE Ta BE FZEMOVEI:;�
.0
30 E
12 a 10 15 25 !k>
9-F=l—F==ll
APPROVED BY PLANNING 9 1 TM PLAN
at= sepamoNA. Holms
S
iEw
DRIVE WAY
4z
F fj
12-Orl-02 RO
adi.
co
w
11
0
Fal 0
av
'��op_,b
an"
70.00'
11 -.1. IkA
SD —
SILT
FEW= ---------
cn
DRIVE WAY
� I-, 61,--npA
AGE
F
0308
307.0 C
IDT 2
307.5 _A_j
307.0
ACCEPTABLE TIGHTLINE
SDR 35 MATERIAL
SCH 40
SILT N- 12
FOW HANCOR
FENCE \
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
APPROVED AS NOTED
By ENG�A�IEEER�IN�
Date:
"o
lz
�- . � A
Lo� 190/0
_ss
m uja
a. >
En aEui
< cui
08.
—SD
FIRE AND AID ADDRESS SIGN REQUIRED
HIE-16PHT CALC,.
A 307.5
B 307.0
C 307.0
D 307.5
TOTAL 1229.0 -1- 4 =1�25
IDT 2
C,LAR.r=Nar= 4 �JA�
SHOMT PLAT
Pl-AT NUMOMM
TREE TO E3:
LA
STREET FILE
ROUTING SLIP
NEW SERVICE INSTALLATION
s:
LOCATE REQUEST NUMBER
,:S
DATE CALLED:
AN/CREW LVICE: NO_
ENTS
NG
.: I
I BORE: - . CUT:
[jaCK-_ DATE: x) - t-7
INITIAL: r.?
'vv,ZSS0t4L4
ACCOUNT: 57/&o -743
ROUTE/SEQUENCE -5-0_3 -Z/ 7.14C>
SHOP
SUPPLJER:S6A
TREATMENTPLANT
IAN
(D L T
',AN
INITIAL: DATE:
.Y
TAP CARD
METER SHEET
APPLIEATnION/
DISPATCH
:G
L'i Pk 5 A L-
c)r---c- 2oo 2-
Dis�ct
City of Edmonds — Water Department
TAP CARD
Reading: noapk— Date I-C,> - 7- - L
i Meter {No. M Tap No.
ISiz .341, - { Size
Mfgrs. No. :51Z.D-AZc�6 —Style!5;ns, I
Purchaser:- b 5 16 n+ wil+11yt,
Serv. Add. Z40 (Z 74th A LY W
Lot No.
Add.
Residential:
'i Other:
Blk. No.
Meter Location I-\"
bx .4 w), o)
Service Material': C gwAl-
I I
Pressure — lbs. Test %
'Date of Work
VS c,,? Foreman
Guar. Voucher No.
j-Proj. No: NIUZ160144
,Remarks: f3111TU 7-MZ�C61b.—
OUTGOING index- Reg. -Route Bk. Stencil- Card -
INCOMING Index- Reg. -Route Bk.- Stencil-Card-
I . . 0
UTILITY SERVICE ORDER
Today's Date Account Number Pulled Meter
III, FRI. " 14 a , Mi. �191FFTJ
Service Address
R_e4ie_Vt&&8y
Water Service Date
Tum-On—
Turn -Off C/13 Read
Reread Reread
Location of Meter
Leave D/H Edit/Cust.
Current Read Date. Current'Rea'd Previous Read Date 'Previous Read Consu*Mption
77
Read By Date
Notes WS 50 59
-Closing Bills Sent TO:
\
Name
Street
Address
city State Zip
Date New Meters Installed
Si ze Lock 0 Unlock ed
R
, osidential
Apartment Units
office Units
Commercial Units
Spriinkler
Other
Sew er Avail. Unavail.
Meter -Charge 7�,
FS Connection $
H20 Connect 07PR $
Street Cut $
Total 7707— $
Z
Receipt. . 7
Permit
Screen I ***Tenant InfOrmation*** ***Owner Information"*
01 Name
09 Name
02 Care of
10 Care of
03 Addr 1
11 Addr 1
04 Addr 2
12 Addr 2
05 city
13 City
06 State 07 Zip
14 State 15 Zip
08 Phone
16 Phone
33 Meter #:
36 Acct Setup Date
34 Location
Screen 2
**Misc Codes"
***Rate Codes***
**Units**
01 status
14 Water
15 0.00
23 Meter #:
02 Type
16 Surcharge TAX
17 0.00
25 Type M A
03 Cycle
18 Sewer RSEWR
19 0.00
26 # Readings
04 In/Out
27 Meas. Code HCF
07 # Tenant
28 Install Dt.
08 # Owner
30 Route
09 Respon?
31 Sequ.
32 Codes
Mu0svordAvord
PLANNING DATA
NAME: DATE:
SITE ADDRESS: 77-77z4 AV PLAN CHK#:
PROJECT DESCRIPTION:
REDUCED SITE PLAN PROVIDED?: (Yes / No
MAP PAGE: CORNER LOT: ffen� FLAG LOT
.:�. (Cyes�uo
ZONING: F5�V-G -CRITICAL AREAS DETERMINATIONM
U Studv Reauired:
4jWLalv:eDr
�on`dltional Waiver
SEPA DETERMINATION: MA
Fee
LlNY6 list w/ notarized form
500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks: Left S
Street, 9_r� ide: Right Side: Rear:
Actual Setbacks- a ' a' I
Stre - 9- Left Side: _70' Right Side:_-71 Rear:
Street map chocked for additional setback required? (Yes / No DNA)
DETACHED STRUCTURES:
ROCKERIES:
FENCES/TRELLISES:,
BAY WINDOWS / PROJECTING MODULATION:
STAIRS I DECKS:
PARKING: Required: Actual:
LOT AREA- Ggcz�tq
LOT COVERAGE
Calculations:
BUILDING HEIGHT:
Datum Point: Datum Elevation:
Maximum
A.D.U. CREA
Height:
SUBDIVISION: 4 — Le;� C- 0F L.:�:W- �5- MS-7 --19 �
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No
OTHER:
Plan Review By:
NewBPPlann.ingDataForm.D0C
',DATE REcE!yEq
0z
[PERMIT
EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE K `6 NUMBER
CONSTRUCTION PERMIT APPLICATION
OB SUrWAPT#
ADDRESS r
OWNER NAME/NAME OF BUSINESS
PLAT NAME/PUBDIVISION NO.
S-97-.21
LOT NO.
1 9�1
LID NO.
LID FEE S
MAILING ADDRESS
goa
PUBLIC RIGHT OF WAY PER OFFICIAL STRE& MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
SUM V" Pwmk R@Wd
kopwoon PAqL*red
Sid " PAquired
UndwWound
wffmg mq�
'
CITY
Uwovid6
ZIP
OA VC201
ITELEPHONE
I-L 0;-j 3W-j 3
NAX) 0��, I
—ADDRESS
mEirER SIZE
LINE SIZE
NO. OF FIXTURE
2_
Pfl V AEOUIRED
YE X NO C3
r
.0
REMARiS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP
TELEPHO E
q70- 17
S
NAME
ivy_"
EERING
ENGIN REVIEWEDtDATE
ADDRESS
goa
-7
FIRE REVIEWED BY DATE
PITY P
TELEPHONE
STATE LICENSE UM
5o LAUV
EXPIRATION DATE
I
Loo GN
CKE
VARIANCE OR CU
SHORELINE OR,ADB#
INSPECTION
E3Y REG
ES
1 BOND
POSTED
SEPA REVI EW
COMPLETE , EXEMPT
XP -,
E I x
G
81, N AREA
A�qwfo PROP19SED
M, I � �
HEIGHT
-ALLOWE PROPOSED
V-81 I
;I
!01
PROPERTY TAX ACCOUNT -PARCEL NO
0 0 0&66 os
00'NEW RESIDENTIA�L' SING /MECH
e.--m <101
ADDITION 0 COMMERCIAL COMPLIANCE OR
CHANGE OFUSE
.
C VERAqE,.
ALLP ED, 'dP
REQUIRED, SETBACKS, (Fr.)
FRONT� SIDE -RFAR
It",
PROPOSED SETBACKS (Fr.)
FRONT I �,R, JSIDE R,FAR
t"7- I
PARidNG
REO'D PROVIDED
2
' L L OT-AREA,
N EW 8 DATE
rc
REMODEL [3 APARTMENT SIGN
REPAIR o FENCE
CYOS X
DEMOLISH 0 TANK [3 OTHER
o RETAINING WALL
400CARPORT ROCKOM RE
OWE OF USE. BUSINESS OR ACTIVIM'EXPLAIN:
- K
j
REMARKS
EL.04N(2 L�ar
:ZX2,RAGE
A"Lt,
CHECKED BY -ITYO
E. OF CONSTRUCTIO
OCCUPA
GROUP)7
NUMBER
OF
STORIES
NUMBER OF
DWELLING,
UNITS
CRITICAL
AREAS
NUM,ERr- A JG
C P,
k
SPECIAL INSPECTOR
REQUIRE D
1:1
AREA61 mot 144a
;
1
OCCUPANT
LOAD
t) V pea, I
DESCRIBE WORK TO BE DQNE- 4- ' .., I -
rvk
REMARKS.
PROGRESS INSPECT16NS PER QjBC 100/01NAL INSPECTION RE010
R,n�
on-
%A1-D
10514� 2A91 koser-/7120h
VALUATION
Dilisicription.
FEE
DescrIption
FEE
Plan Check
&
Z�§OURCE NO% - IN T
0 Building Alzv
P11 S yq
PLAN CHECK NO: A—N VESTED DATf' Plumbing
Mechanical '70
THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLZ AM CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, Grading
ETC.) WILL REQUIRE Recording Fee
SEPARATE PERMISSION.
. Engr. Review City Surcharge
PERMITAPPLICATION: 180 DAYS - 0
AL PERMIT UMM. I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS Engr. Inspection State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS I FROM ANY AND Fire Review Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Total Amount Due
0 NOR LIMIT IN AN
I NOR LIMIT IN ANY WAY THE CfTTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION! Landscapelnsp. Receipt #
HE E A OWL'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
G N IS C ORREC�
GIVEN IS CORRECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
I J' BY 7j
I
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a perrrdt until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL, Building Official or his/her Deputy: and Fees are paid, and
[IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space prorvided.
WORKMEW NBATIONPAURANCE AND RCW 18.27.
OFF#IALS-81 NATURE DATE
SIG E (0 11 A DATE SIGNED (425)
- V"Abf
AtTENTION 771-0220 1 REk9hSEO BY DAtE -1
0 ff 1 X 20 3a
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CkRTIFI- 771-0221 ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 .,
10/01 FM PINK - OWNER - GOLD - ASSESSOR
iNritt6n dimensions on this droMng sholl hove prei�edonce over
sepoled dimensions. aontor-tor sholl verlN oil
a , f "wor efov-6'-pro eeding.
conditions, etc,.;, taining to th
notified of any vpriations from the
The ow4ner myst 01;:�
dimensions ondlor conditions shown on these cirpi4ings. Any
stich voricition sholi foe resolved " the Owner prior to
rroc�evdlnq bq1th the jvork, or the r;,ontroctpr sholl occopt
V, I responsibility for this 4:,ost to rect1fy some.
-oo-'
Z
.L-Li
W-1
0.
z
305.8
MAXIMUM HEIGHT - 25 FEET. MMURED
FROM AVERAGE ELEVATION OF UNCISTURBED
SOL AT PORNERS OF EXTENDED BUUINO
RECTANGLE. SUBJECT TO FIELD CHECK BY
BUILDING DEPARTMENT.
ALL NEW EXTENDS9,
RELQCAR'.6 ELECTFdCAL
SMM "LL BE PI.ACE
HE I C-7HT I
A
307.5
B
307.0
C
307.0
D
307.5 -
TOTAL
1229.0 4-
LOT 2
eHOR7 PL
PLAT NUM
TF
C.QC44 �Q-40;- 1'9
EXISTING ROCKERY * Main building shut-off required on wate
APPROVED AS NOTED * Pressure reduction valve on Main water I
BY ENGINEERING OWNER/CONTRACTOR IS RES", SIBLE by City code.
FOR EROSION CONTROL AND D" . 9 . E Expansion task required on eack hot wa
Date: Vent bot water task re1W valve directly
Uft# wa*Ar 1&&s*&r mmet ho 6014""Ilw see
Nritten d1menslon5 on this drov-dnq shall have pre-codonrse over
scaled d1men5lon5. Contoctor shall verify all dlmenslon5,
conditions, otr-., pertalnfnelto the, Nork before proceeding.
The Ovinor must be notifil- of any variations from the
dimensions ondlor r-ondition5 shoNn on these drav4ings. Any
such variation shall be resolved by the Ovqner prior to
pror-eeding v4ith the vqork, or the Contror-tor shall ocr-ept
full respon5lbillty for the� coet to re-r-tify same.
]IN-
0-,
0
0
0
001
canc:)o CD
EXISTING ROCKEI'?Y
LE67ENP:
C-11
00,00,00"
L: 00.00,
R: 00.00'
e- (-,I ^ 0 A r- 7 -7 1�1 j y r-
-r
01.5 APPROVED BY PLANNINd
012 5 10 15
I I L k,:;, I (9�,
25 V
Q 3 -:: ��, -
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F'F
0
SEE C-.7ENERAL NOTES StALE: I"
2512
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dcltC: 6-10-02
pe�rmit:
re,,viel,ons:
12-0-7-02 RO
RECEIVED
DEC 2 6 2002
PERMIT COUNTER
&rov4n b - SLF=
r,hoc,ke, by:
I - -
%*f)"TREET FILE
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