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440 12TH PL N.PDFlill 111111 671 440 12TH PL N VO4 �6 vlk -SOLID I -ID 05 SLOPE 244 CMIP. AL. 411PIP6 Sin- STREET USE 1-ry E: l7n" kin ZONE CONSTRUCTION PERMIT APPLICATION NAME.(OR NAME`OF BUSINESS) 6��e" Vorl MAILING ADDRESS ,:24, 0 1 � -- 7 cl r1-1 W, CITY - TELEPHONE NUMB?R 4) 7_3 ADDRESS CITY ITELEPHONE NUM13ER NAME ADDRESS CITY I TELEPHONE NUMBER STATE LICENSE NUMBER PERMIT NUMBER WE= JOB ADDRESS 7" LEGAL DESCRIPTION CHECK SUBDIVISION NO, LID NO e-,S /e 7- ff— TESCP PUBI -1 RIGHT — WAY P APPROVED BY EXISTING REQUIRED DEDICATION PROPOSEU,�_ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRE[) STREET USEPERMIT REQUIRED: ­ SEE ENGINEERING MEMO DATE REMARKS METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS N SIGN AREA ENV. REVIEW ADB NO. Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT (show below or attach four copies) SHORELINE Z cr VARIANCE OR CU PLANNING REVIEW BY DATE 467- j-,f- No, 4- W A J 7-,-, PY L_ I- iA j e i-- j0I &lTl JOW. P YARDS HEIGHT LOT COVERAGE 4 AOCZ. Of— 4,A V FRONT SIDE REAR REMARKS InJ NEW RESIDENTIAL PLUMBING 0 ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN EXCAVATE DEMOLISH OR FILL FENCE (__ x _FT) CHECKED BY ; 7? TYPE OF CONSTRUCTION 1 CODE Pe. 1. /Iffs_ HEIGHT 2_--.:�- PRE-MOVE INSP.1 REMODEL COMPLIANCE INSP. swim POOL SPECIAL INSPECTOR REQUIRED Fi YES NO OCCUPANCY GROUP Jn - OCCUPANT LOAD WOOD STOVE/ F-1 INSERT APT.BLDG RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 i NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) FA 171i�41119 Z- j__A1S11Z_ fi�f� VALUATION PLAN CHECK FEE BUILDING PLUMBING 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 Permit Application: 180 Days ENERGY CODE Permit Limit: 1 Year - Provided Work is Started Within 180 Days I "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnity, defend and hold harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of a: 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 nor I.imit in any.way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the 0 & - 100 18777 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 city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no p�rson will be employed in violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance. INSPECTION acknowledged in space provided. SgURE OWNER OP AGEN IDATE SIGNED DEPARTMENT -7 OFFICIAL'S SIGNATURE DATE CITY OF A EDMONDS ATTENTION R _k71ZW?92,-- 0 RELEASED BY: DAIE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE cc W Uj Z 0 Z W aw a Z Z Z UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORJQN 1988 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC , CHAPTER 3. PINK — Owner GOLD — Assessor 102-87 PERMIT COUNTER Pln= REVIEW CH]XXLIST 41 A, i -77 --7 PROJWr NAME Ic PROJECT ADDRESS: //7 APPLiCATION RECEIPT DATE: COMMEM MAMM PLW= Reviewed WrR/SWR E C, Eulu)= W01//01 //l/1"t. " �, *'j, sn;mz FAmrLY/muLTiPLE/cm4cpc= 10 ;1,1141AII, SETBACKS CMXKED - PIAT)ln *77A 4A VARUMCE/SEIRACK ADJ.�O,,-yk PERMT. OntOrTIONMA'AM, A ilk 7Tr[Trf7T7 lmw- 777777 111111117 1177711 7111111111 7TI711 -ZCNTNG FX=REMENTS UMMMENTAL FEATURES ACCESS SLOPF & VEHICLE ACCESS 11711111 DRAIN7=- PLAN (On Site) 7T/T/7 77T77TITI- 77TR/ 7 7 7 17T17-17TTT171T71-F17771771 -STREET FILE ////// ///////// ///////// JFP-AL DESCRTPTION VrRTrICATION 1/�rr I T777- -""77177 7777777/7 7777777T 777777777 111171111 77777-F777 QUIT CTAT.M/DFDTCATIONS yt H 777777777 77777T/7T 77111111 FASEMENr - PUBLIC/PRIVATE &/V 11 CALMATE S W-ER CONNECTION IF NO LID&WW --- r - T/7T/71//////// ////// ///////// 77777T/7— //////// I 1� //f/r/ -/7/7/-7T/7T/7/—//// PLAT/SUBDIVISIOU REQUIREMENTS 1 )'(TGJIT-OF-WAY CONSTRUC?ION PERMIT RE(_n 14 171711 711111111 -ITTFITI-17 TFITITI-1 BOND REM rnR PUBLIC lMPROVEVffi2%M. //////// 15 SOILS CONDITIMIS & GROUND 7FI77TIT WKPER FIETI) Cliff-I(ED 16 T17-117-17TITT17T7777177T SM= PAVING REQUIRED 1� 117111 CIMB AND GITITER REQOTREX) ////// 18 TI-17TI 7ffrlrl-fl7 7TR77TIT SlDEUlALK RECUIRED ///////// ///////// 19 /7/77-7/77 CURB CUT FOR DRIVE -WAY RE(V) ///////// 20 7-1777M77 - S7`REE7r NAME SIGN REOD 21 ////T/7/7777777T/7— 1711111171 -- n.ST(NTNG REQ0 22 . 11117TI77 777777777 EVER AVAILARTLI TY ///////// ///////// //////// 23 RTT17 -177777777 7777777777 STYNG WPER MATN SIZE �/ 24 1117il- -//-� ////////'77T/7/-7T/7 WATER MP-M SIZE ////// ///////// //////// 25 7F/T/7 T//7 P 77 11711111 1111171111 - S01VICE LTNF SIZE ///////// �,4711 //////// 26 H11DRAN'P REr-)UTRED 1111111IT771111111 ///////// ///////// 71111117 //////// 7777777777 - 27 771TIT ///////// /j , r 11711TIT17 - HYDRANT SIZE EXISTING ////// ///////// -6-14' 28 7 TI) 7 T1 TPTR T -TITI-7TTR7 - CROS,S CONNECTION INSPOCTION REQD 29 kATER METER MARGE RFk)D TFfF17 T TF1 7 7 —77 -171-1111-111 30 FIRE LIM CHARGE REn-D - SPRINKLFR 1111111AI 1111111177- 31 STREET CUT 32 DPEN DIMi EXISTING 33 77 7 T1 7 77 7 77-/ 7 1-77 -77 7 7 TR 7 REQD 34 777T/77777777// 77777777 CULVERT REQD ////// ///////// ///////// 35 771-17 -17771-1-1-IT 777-777/77 SIZE 36 777TIT 77777-/T/T 77777TIT CAMI PASIN REQD AV 37 INDICATED ON SITE PLAN 38 SHOULDER DRAINAGE MAINTAIN SHALE OPFN RUNOFF 39 MISC: O�W-,-,omegn- ega. ////i//[/-/777T 40 11 a -�v 0 1 IV-5 " i � J'a Ivor 49 o"I Sp S/0, AN 0 REVIEWED BY: 9!z�/z PLANNING MGR. ENGINEERING MGP. PUBI,;C WORKS MGR.,, WORKS BASIN LENGTH COWrROL CA-17CH (VF *,TEmTON PIPE MIN MAX COVEP, % SLOPE --,- SYSTEM CROSS SECTION C0,4TROL! 4' ro OLIT"E"T (Pj PRNP OR P,L)NOFF SPREADEV.) K SEE PAGE 3 FOR OUTLET CONTROL DETAIL �10' LONC-a'. VIA"HIED Cv."VEL OUTFLOW TRENCIR, MIN - -rop P E-fkF PIPE -M SE L-mvim 12 M M +4 FROM OLMLET CONTROL 4� PEIRF P%pE WITH CAPS RUNOFF SPREADER OUTLET RF-CE14" jum 2 3 1988 PERMIT COUNTER STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I OF 3 for P- 4 &-s . 116 d 6t)6d wT locationl4:1:0 — plan by Pr H b- phone date c� DESIGN DATA System Imperm Pipe Pipe Orifice';., Number Area Diam Length. Diame e.r,, Jeo. ":W MEMO TO: Building Division FROM: Engineering Division SUBJECT: IZITII &46r 141. After review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work on City property. 4) Driveway slope not to exceed 14'�. 5) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff And erosion on site and may pot inipact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and 10:00 a.im. to 6:00 p.m. on weekends and holidays. 9) No burning of construction refuse withn-ut -apprinsrAl hy Pi -re Dept. L44& I'm Zoo, cl v .-Wool, YA 1 is I M"- A 11 wjvlw� As T' fix Q-I W MAN", "W" TW Too of np, "T Wl AM- 4z, "M MY 'zr "Ps no "W_ n-al ;' k: CAI: Q-. VIA All us NOW �ttlits MA �"�; 1", _0 SIDE SEWER. PERMIT CITY OF EDMONDS 8 q 0 . 1 9 PERMIT 'NO 8 6 4 1 EDMONDS Address of Construction: T-t;IP A :F F q P IT-ftANT T nts)': Ix", 0 -0 0, Property Legal Description (Include all easeme It A CrC A/o ''006 —00 RF-CF-IVED 000 C) 1(4 6006- Owner and/or Contractor: State License No. A6ngle Family El Multi -Family (No. of, Units El Commercial 13 Public V./OA-) NUV 115ilt PUBLIG WORKS [)Ep I _14— Building Permit No. 9 V 0. Invasion into, City Right -of -Way: 1.!�kl\lo 0 Yes RW Construction Permit No. Cross other Private Property:'p No� El Yes Attach legal description and copy of recorded. easement I certify that I have read and shall comply with all city re�uirements as indicated on the back of the Permit Card. Date CALL DIAL -A -DIG (1-80,0-424-5555) BEFOREANY EXCAVATION OFFICE USE ONLY FOR INSPECTION CALL 771-3M PUBLIC WORKS DEPT. Permit Fee: Issued By, Trunk Charge: :g 5 Date Issued: Assessment Fee: Rec'eipt No.: Z T73 Lid No.: - Partial Inspection: Date-Initial- Comm'ents Reason Rejected: Date -Initial - Final. Inspection Approved:, Date//_-k-__-�_c_(InitiaI1-_ PERMIT MUST BE POSTED ON JW SITE White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 0 The City of Edmonds Side Sewer Drawing EASEMENTNO . ............................................ ' NEW CONSTRUCTION REPAIRS E] LID NO . .................. . ASMT. NO . .................. OWNER................................................ ................................................ CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS .... 4.49 ... ...... -to- -;R- - - ..... ..... .... .. ..... . .............................. W ......... PWW-0001 -11/75 (REV. 11/78) LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - ------------------- ................ ............................................................................................................................... ......................... NAMEOF ADDITION ........................................................................................ i I I )j"A ?(- . .14 e-0-4 Peef - mare;-- DATE .//72L..9fY ............... !�� .... 4�.�z WA-mm SeRv%c& Drawing The City of Edmonds p%-r EASEMENT NO. - --------------------------------- R`Et: i FILE NEW CONSTRUCTION C�S REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ------------------- OWNER----------------------------------------------------------------- ------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO - -------------------- -440 IZT"' PL. No. JOB ADDRESS --- - ------- ...... ---------------------------------------------- -------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ I d( PWW-0001- Appp 7- '93 DATE ............................................ By - ------- - 1* -------- / ---------- 'F MRF Vitv Af FAMand4z -1 RIGHT-OF-WAY CONSTRUCTION q,5 PERMIT' Permit Number-. Issue Date: /0 A. Address or Vicinity of Construction: 71 AV B. Type of -Work (be specific): 890 oo .of JAe W C. Contractor: Contact: o9X le-r tI&V 6701f&X* Mailing Address: Phone: 7 f— 66 7_3 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable) 11�� Side Sewer Permit # (if applicable): E. [3 Commercial E] Subdivision El CitYProikt 0 Utili D, GTE, WNG, CABLE, WATER) 0 Multi -Family 2[ Sinkl . e Family [:J Other ly, 57. INSPECTOR. INSPECTOR: 5) F. Pavement or Concrete Cut Yes []No G. Size of Cut: K-ZIx, H. Charize-$ A APPLICANT TO READ AND SIGN�> INDEMNITY. Applicant u.,�.Itands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, thdi may be made against the City of Edmonds, or any of its departments or employces, including or not limited to the defense ofany legalproceeding8 including defense costs, and attorney fOes by reason ofgranting thispermit. THE CONTRACTOR IS RESPO�S�I_BL!E-FOR-WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YiAll FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTILTHE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. 44 Constructilon- araw'ing 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 b6kept 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. ve read the aboyustatements and understand the permit requirements and, the pink copy of thepermit will be I I ti available on s es for inspectio rpos S. Signature:, Date: Aor or enT (Coritra CALL DIAL -A -DIG PRIOR TO BEGINNING WORK i6i &TY—JLS'l�,0' NLY at APPROVED BY- RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS 'DISRUPTION FEE/FUND 111: 7. SPECIAL CONDITIONS: RESTORATION. FEE - PERMIT FEE: bAY9 SO al_d- TOTAL FEE: COMMENTS: RE16EIPT FEE. Z_L11 1W DATE: — I .,.ISSUED BY: '744 NO WORK SHALL BEGIN PRIOR TO PERMIT IS'9UANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diaaram.: (Fund 111 - Route copy to Street Dept.) 'N I CONTRACTOR CALLED FOR INSPECTION YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: