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515 3RD AVE S.PDFIIIIIIIIIIII 4984 515 3RD AVE S ADDRESS: TAX ACCOUNT/PARCEL #: BUILDING PERMIT (NEW STRUCTURE) #: W� COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: Conditional Waiver E] Study Required E] Waiver CRITICAL AREAS M DETERMINATION: F1 Conditional Waiver Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATEd- EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: -7//7 97 SEWER LID FEE $: LID M SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: 72 01,-*�/ 3'/ GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT#: FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist'5-14-08.doc It S E 'SEWER PERMIT CITY of EDM DS V I For Inspection Call 771-3202 PERMIT NO. Address of Constructioni 615 _3 k4( Uj Property Legal Description (Include all easements): A,�tq LC c - I .1 ! V - W Owner and/or Builder: n� 1981 Contractor & License.No: L LU PUBLIC WORKS — Single Family Residence W EDMONDS Mul ti-Family (No.. of Units T. T P NT [TIREATMENT =PLA Commercial (No. of fixture Units Invasion into City Right -of -Way: No L,-" Yes (If Yes, Right -of -Way Construction Permit required. Call One, -Cal 1 -Center (1-800'-424-5555) before any excavation.) 4 Cross other Private Property: No Yes — (If,Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I ce'rtify that I have Head and shall comply with the items listed on the back. Ddte Permit Fee: -Issued By: Trunk Charge: 6te Issued: Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: �J Date initial 00 Rejected:, Reason Date Initial a) PERMIT MUST BE POSTED ON JOB SITE Wh-ite Copy File Green Copy - 'Inspector Buff Copy - Applicant Side Sewer Drawin ut The City of Edmonds EASEMENT NO - --------------------------------------- NEW CONSTRUCTION U� REPAIRS R LID NO - ------------------ - ASMT. NO . .................. ------- - ----------------------- CONTRACTOR ------------------------ OWNER ------------- �AC> C,-�5 ------ --vo c - - -------- ------------------------------------- PERMIT NO. �9 JOB ADDRESS ---- ----------------- A .... 0 --- q ------------------------------------- LEGAL DESCRIPTION: LOT NO. ------------------------------- BLOCK NO. ------------------ 0 ......................... -------------------------------------------------------------------------------------------- b Zm� 14-6,v tol �lj I- L LU U 4" P. 0. c- 4 w.,t -k, 19 gtwo el IRS Q NAMEOF ADDITION ---------------------------------------------------------- - -------------------- Approved: I. EDMONDS TREATMEN*r PLANT .4 PWW-0001 -11/75 (REV. 11/78) DATE ............. By 0, A RTPFPT 1:11 M CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) w MAILING ADDRESS Z 3: 1 Z Q. 7- ?_ 06 0 CITY� U,�4-,,A CA,(-c,U ADDRESS CITY NAME Tf TELI Ljtk,-) I .- NUM NUMBER DDRESS A �ZqFe ' /A I CITY TELEPHONE NUMBER o"L. tul - I sl%_ I&IIA-cl- STATE LICENSE NUMBER 1-� t� ZL:�)g L--� Legal Description of Property - include all easements (show below or attach four copies) - (7,r'! - 6LIQT i - �_it 4- USE __p4f, - PERMIT ZONE (0 NUMBER JOB AUUHESS 5 1!3 S .EGAL DES CKI SUBDIVISION NO. LID NO. 52, PUBLIC RIGHT F WAY PER OFFICIAL STREET MAP. EXISTING 0 REQUIRED DEDICATION PROPOSED-(,V- ?9 RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED METER SIZE IBUILDING SUPPLY SIZE fFIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE I EXEMPT VARIANCE OR CU PLANNING REVIEW BY I I I I - YARDS I / FRONT X SIDE REAR .31 NEW F\7/ RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOLISH EXCAVATE OR FILL FENCE ( x _FT) CHECKED BY \,Q-SA TYPE OF CONSTRUCTION I 17:_7 N PRE -MOVE INSPJ REMODEL COMPLIANCE INSP. swim POOL SPECIAL INSPECTOR REQUIRED 0 YES E AREA WOOD STOVE/ INSERT APT.BLDG F RENEWAL 7R..MARKS a-C Q LO NUMBER OF TORIES rNUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) T111AJ ()(CA-L- PLAN CHECK FEE BUILDING PLUMBING (A MECHANICAL This Perm * lt(cbvers w&k t�be done on private property ONLY. GRADINGIFILL Any construction on thf public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days ENERGY CODE Permit Limit: I Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and w successors in interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, m 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,.walve or reduce any requirement of any city ordinance 0 nor limit 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 information given Is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and �ERMIT THIS state laws regulating construction; and In doing,the work authoriz- AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Wo ATTENTION I NSPECTION DEPARTMENT CITY OF EDMONDS 771-3202 VA a: W ADB NO. 3—RELINE # DATE _7 LOT COVERAGE (.;UuL HEIGHT 16IS5 OCCUPANCY OCCUPANT GROUP a -,� LOAD VALUATION —10D - 1-72-7-1 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE 0 Z IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE I ___U UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector Icto A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor ST REVIEV CHECKLI -'b PR03ECT NAM i PrOJECT ADDRESS: _NT APPLICATION RECEIPT DATE: CMEWS FI1T- Sn,1G[Z FAMILY/KMTME/COMKMCIAL - (Circle One) PLANNING Reviewed by: (initial/daE�F WTR/SWR I STREET I ENGNMG TUILDING W/0M 17777777 111IT71711 SETBACKS CHECKED - Planning VARIANCE/SETBACK ADJ1. A11111111 7T777777 //////// 7T7177777 i CONDITIONAI, USE PM4IT T -777 T111 //////// 1111111117 2 ADB REQUIREMEMS CHECKED 77TTTTFI-I ///////// -ITIT[71-1 //////// -7777777777 3 01MM ZONING REQUIREMENTS 7TTITITIT'11111117 111A111011 4 ENVIRMMEN'TAL FEATURES 5 ACCESS SLOPF & VEHICLE ACCESS orti 1111111177TTFIT177 6 DRAINAGE PLAN (On Site) 77/77T7 W11111 STREET FILE 777777 ////// 7777TI777 ///////// 8 LEGAL DESCRIPTION'WRIFICATION 777777 TI-IT1777 9 WIT CIAIM/DEDICATICNS 2ZZAal/ 777777777717 ////// ///////// 10 I If /7- FASEMENT - PUBLTC/PRIVATE . 777777777 ///////// 77777777 //////// - 11 MICULATE SEWER CONNECTION IF NO LID# ITRII ////// 77T17TM ///////// TITTIT17 //////// 1 12 PLAT/SUBDIVISION REQUIRE11ENTS 7717 77T= ///////// 13 RIGfJT-OF-WAY CONSTRUCTION PERMIT REOD 111111171777777777 ///////// ///////// 1487 14 BOND REQD FOR PUBLIC IMPROVEMENTS 777TT171 /T777 77T /7717777777 -77T ///////// //////// is SOILS CONDITIONS & GROWD WATER FIETD CIMCKED 111771111111111111 STREET PAVM REQUIRED 777777 777777777 V 17 CURB AND GUPM MQUTRED 7111117777777/7 ////// ///////// ///////// 18 SIDEWALK REQUIRED 777777 777/77177777777777 19 CURB CUP FOR DRIVEWAY REQD 20 STREET NAME SIGN REQD 1111111177TITfTT17 ///////// ///////// 7TTT177TF 21 OTHER SIGNING REOD 7777777777111 ////// //////// ITITTfTTF 22 SIDE SEWER AVAILABILITY 7TI-111 ////// 111111117 ///////// 77777777T ///////// 77111111 //////// 23 EXISTING WATER MAIN SIZE 111711 jr 77T= 77777TT77 - 24 WNTM ?1ETER SIZE 7717775 25 SERVICE LINE SIZE 7Trff T 77T7TIT17 5111' 7/77/77777 26 HYDRANT REQUIRED 711111111 11111117 7777777777 27 HYDRANT SIZE EXISTING 77777 28 CROSS CONNECTION INSPECTION REOD -T 77//////// ---- -- 29 A"M MEM CHARGE REOD 7 TR 7 7 TfF1 Tf7T 7 T/77T/ 111171TTR FIRE'LINE CHARGE REQD - SPRINKIM ro 31 ,STREET CUT 32 OPEN DITCH EXIST= 117711 777777777 33 REM 7 7 7 7 7 7 WTI= TITITITF 34 'MVERT F= 35 SIZE 36 CATCH BASIN REOD 77T17T77T=1 Q/ 37 .1 . . - I '� INDICATED ON SITE PLAN -ITTIT-1-17TTITIT 38 SHOULDER DJWMGE MAINTAIN SHALE OPEN RUNOFF 39 7 1 TfTF 7 T ­7 40 MrIEWED BY: PLAMING MM. ENGINEERING MGR. *UBLIC'WORKS MGR. MEMO TO: Building Division FROM: Engineering Division SUBJECT: 15— 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 14,10. 5) Back water valve required if downstairs plum'bing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for'containina all temporary runoff and erosion on site and may not impact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on we�ekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. CITY OF EDMONDS ASSET INFORMATION SHEET NEW ADDITION RETIREMENT RLE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION DEPYNO PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE INITIATED BY DATE Q *PROJECT NUMBER. PROJECT COMPLETION DATE COST APPROVED BY' "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE ttnp INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO.- NORTH LINE SEC. 26 EXISTING CASED MONUMENT 0 HOWELL WAY \,BENT REBAR B I C N CASE DATUM CITY OF EDMONDS: MLLW LEGEND M MEASURED C CALCULATED P PLAT CO CLEAN OUT CB CATCH BASIN GL GUTTER LINE M- I SET REBAR X 6�' K) 00 W/CAP No. 4561 00 K-� aill 1-:K1 r)O'P Rn q7'r EXISTING FENCE 0-4! N. LO 54.30 Z CB GL All — CUT SEE-DETAI I WEEPHOLE C6 013 413 \56.25 3 0.80,GL CUT WEEPHOLE W -"PROPOSED_ 18b RESIDENCE r013 IL 3293 SQ. FT. It PP 1 00 k,3 X CQ FIN. FLOOR ELE 59-00 U) B cts EE DETAIL m U') IL it CO C� 5 --Z-/ Z 0 7.49 44 LF 4 PVC -CO- 60 LF INT. DRAI (SEE DETAIL) 131.00'P liO.97'C I FOUND LSA REBAR --RBEN DR. PINE ST EXISTING CASED MONUMENT ,SET TOP AT FINISHED PAVEMENT 58.90 t OF EL. 58.13 0 4"ABS PIPE PE 6.5% 5 6 0 0] IE 56.00 HOLE TO WEEPHOLE IN CURB C\J 11'.!E N 3/4" SHARP EDGE P C\j z ORIFICE 11 �t C.0;�� 5 i�4 SET REBAR W/CAP No. 4561 ---,J — 60.34 0 C.O. NOTE: ALL DOWNSPOUTS SHALL BE TIGHTLINED � TO DETENTION SYSTEM CATCH BASINS. 26 LF 16 GA. HEL. AL. e DETENTION SYSTEM DETAIL NO SCALE FIELD SET FROM DOWNSPOUTS (TYPI IE 56.13 TYPE I-L CI3 OR EQUAL (TYP) P 1�- C� C\J (0 CL U) 0� C\J (0 FOUND LSA REBAR 0.08's. 8 1. ' All construction shall conform to the "standard specifications for municipal public works construction" and standard plans as adopted by the City of Edmonds, and any requirements established at City hearings on this project. 2. 71id contractor shall notify the City of Edmonds Department of Public Works 24 hours prior to and during work and obtain all required permits prior to construction. 3. The contractor shall notify the Cit� of Edmonds Department of Public Works prior to backfilling utilities. 4. Existing underground facilities have been shown on these drawings for the purpose of assisting the contractor in locating said facilities in the field. The contractor shall be responsible for checking actual locations in the field and checking with appropriate agencies that may have underground facilities within the project limits. The contractor shall be solely responsible for any damage to underground facilities'resulting from his operations. 5. A copy of these approved plans must be on the job site whenever construction is in progress. 6. It shall be the responsibility of the contractor to clean, flush, disinfect where applicable and obtain satisfactory approval from the City of Edmonds regarding the quality and integrity of existing water lines, sanitary sewer line, storm sewer line, retention system etc. Written acceptance by the City of these procedures must be transmitted to the design engineer. 7. The interceptor drain shall be placed a minimum of 6 inches into the inpermeable layer of the existing soils. NATIVE BACKFILL 2 LAYERS OF UNTREATED PAPER PLASTIC SHEETING 4" ADS PERE PIPE WRAPPED W/MIRAFI FILTER FABRIC SLOPE TO DRAIN 7/8" WASHED ROCK C,10 INTERCEPTOR DRAIN DETAIL NO SCALE t/A P R I N T E D 1987 DRAINAGE PLAN FOR P ID -�Zgof r HOFTO HOMES IN THE NE 1/4, NE 1/4, SEC. 26, T27N, RK, W.M. CITY OF EDMONDS. SNOHOMISH COUNTY. WASHINGTON 7 71 STR nogl- ) /V�b if 1, , lot , j! �! I 7 19, NORTH LINE SEC. 26 \\EXISTING CASED .MONUMENT HOWELL BENT REBAR IN CASE 0 00_)i 00 cp 54.30 CUT GL WEEPHOLE 0 OD PP IN > C15 m U-) 00 C� c0 \56.25-\ Z 0 GL 0 0 30.00 CUT WEEPHOLE 4"ABS PIPE TO WEEPHOLE IN CURB 3/4" SHARP EDGE ORIFI'CE DATUM CITY OF EDMONDS MLLW 11 GENERAL NOTES 1. All construction shall conform to the "standard specifications for L EGEND municipal public works construction" and standard plans as adopted by the M MEASURED City of Fdmonds,,and any requirements established.at City hearings on C CALCULATED W E this project. P PLAT 2. Tfid contractor shall notify the City of Edmonds Department of Public CO CLEAN OUT Works 24 hours prior to and during work and obtain all required permits + prior to construction. WAY CB CATCH BASIN GL . GUTTER LINE S 3. The contractor shall notify the Cit� of Edmonds Department of Public Works prior to backfilling utilities. SET REBAR W/CAP No. 4561 ­_ 131.00'P 1,30.97'C 55.14 I r. /�, CB / 4P " B SEE DETAIL SET REBAR W/CAP No. 4561 EXISTING FENCE 0.4! N. SEE-DETAI_ 1,P"PROPOSED RESIDENCE 3293 SQ. FT. /FIN. FLOOR ELEV. 59.00 z ,1i7_4q 44 LF 4" PVC `F'O­U N D LSA REBAR __RBEN DR. I _PINE ST EXISTING CASED MONUMENT 17T TnP AT PAVFMFMT 5 5 C-0. 60 LF INT. I)RftE (SEE DETAIL) 131.00'P 130.97'C C.0,:.� le__� rA Ica NOTE: ALL DOWNSPOUTS SHALL BE TIGHTLINED TO DETENTION SYSTEM CATCH BASINS. DETENTION SYSTEM DETAIL NO SCALE TYPE I-L CB OR EQUAL (TYP) (0 CL LO 0� cli (D —ve - FOUND ) LSA REBAR 0.08's. 68 4. Existing underground facilities have been shown on'these drawings for the purpose of assisting the contractor in locating said facilities in the field. The contractor shall be responsible for checking actual locations in the field, and checking with appropriate, agencies that may have underground facilities within the project limits. The contractor shall be solely responsible for any damage to underground facilities resulting from his operations. 5. A copy of these approved plans must be on the job site whenever construction is in progress. 6. It shall be the responsibility of the contractor to clean, flush, disinfect where applicable and obtain satisfactory approval from the City of Edmonds regarding the quality and integrity of existing water lines,. sanitary sewer line, storm sewer line, retention system etc. Written acceptance by the City of these procedures must be transmitted to the design engineer. 7. The interceptor drain shall be placed a minimum of 6 inches into the impermeable layer of the existing soils . NATIVE BACKFILL 2 LAYERS OF UNTREATED PAPER PLASTIC SHEETING 4" ADS PERF PIPE WRAPPED W/MIRAF1 FILTER FABRIC SLOPE TO DRAIN 7/8" WASHED R06K vziacs it 1) P R I N T E D [JUL -16- 10987 DRAINAGE PLAN FOR %., HOFTO HOMES IN THE NE 1/4, NE 1/4, SEC. 26, T27N, R31E, W.M. CITY OF EDMONDS. SNOHOMISH COUNTY. WASHINGTnN j JUL m 1-1, C.0 p /