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621 6TH AVE N
PERMIT N06.
City of Edmond&
PERMIT EXPIRES.
C. I o" SIDE SEWER PERMIT.
r
Property Tax Account Parcel No. 2 4 7, '703 20
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor:
Contractor License 26491af 061 _57- 1 *0 Building Permit 00.787
Single`�Family -Invasion into City *Right_�of Way: RK Yes El No
El multi -Family (No. of Units *RW Construction Permit
Commercial (�qo. of Units Cross other "Private Property: E] Yes 'JR No
n Public **Attach legal description and copy of recorded -easement.
Owner/Contractor
Owner or contractorlig'nthture and ecknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled
Side Sewer Specifications, and shall comply with -all City requirements outlined therein. W)MONDS
TREATMENT PLAfR
CALL DIAL -A DIG (1-800-425�6555) BEFORE ANY EXCAVATION 2
7
.9 FOR INSPECTION CALL 425-771-0220 extensionL__7Ar/(,�9f.5'
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
.. . ........ ............ FOR OPFICE USE ONLY
....... .. . . ......
.......... ....... ... . .... .
Permit'Fee $ 36) - Repair Fee $ Issuedl3y:
$ S-1 L)
Trunk Charge
Assessment Fee $
City Permit Surcharge Fee $5.00
Date Issue d:
ReceiptNo:,. /,10(01/
Total Fees Paid $ 0 - Ov
NOTE: -IP JOB, SITE IS NOT. READY FOR INSPECTION WHEN
INSPECTOR ARRIVE$ A $45 RE-INSPECTIOWFEE WILL BE. CHARGED..
Job Site Ready YES Date: —Initial:
Partial Inspection:
Partial Inspection:
�'WsAlg c/03Date:Lft�LVO%itial: .99Z
Date: Initial.
FINAL INSPECTION APPROVED: Date: 1— /7 — 0 1 Initial: As -built to Street File:
PERMIT MUST BE POSTED ON JOB SITE t�.
White Copy: Pile Ore6n Copy. Inspector' Buff Copy. Applicant
L;temp;bldg;forms;ssperinitjlg4�00
et
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The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION X
OWNER..................................................................................... .... - ...
JOB ADDRESS ...... Ave../V ................................
..... .... . ... ...... ........... ...
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EASEMENTNO . ............................................
REPAIRS LID NO . .................. ASMT. NO
malduvia 4Ato-PERMIT NO.
CONTRACTOR M ....................... ........
LEGAL DESCRIPTION: LOT NO . ................................ ..... BLOCK NO - ---------------
........................................................................................................................ . ........... .. ...............
NAMEOF ADDITION ----- ------------------------------------------------------------------------------------------------ ---------------
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M-b4Nk-& Q
Approved:
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PWW.0001.11175 (REV. 11/78) DATE )..-AT!7-0.( ................... BY -----------------------------------------------
.;uz 24.May.01 04:01 PM From: UnknownSender To: 50132508050
MAY-24-01 01:57 PM
BURY REQUEST
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NAME
ADDRESS (0
CITY ,
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PHONE
ACCOUNT#
LOCATOR
DEPTH
FAULTSINLINE
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SIDEWALK
GARDEN
ROCKERY
DRIVEWAY
�AWN
GRAVEL
HARD SURFACE FOOTAGE
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RIGHT OF WAY
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FOR FAULT LOCATOR USE ONLY
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RECEIVED
AUG'3 1'2000
BUILDING DEPT.
FIjr
,,IiT.OF.WAY CONSTRUCTION PERMIT
AND INSPECTION REQUIRED
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OMENCONMOTOR IS RESPONSIBLE F
conginu rnNTROL AND DRAINAGE
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PERMIT EXPIRES, 7 M L
CITY OF EDMONDS
USE -PERMIT
ZONE
3( 00
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
0000 — 1.5
LID FEE $
Cc
MAILING ADDRESS
L U
0
,7 313 d;-r,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved G,
RW Pennit Required 0
Street Use Pennft Req'd (3
CITY ZIP
TELEPHONE
EXISTING PROPOSED
Impaction Required 0
Sidewalk Required 0
46^-io.,jas 4?862o
1425-771-6-4o.5
REQUIRED DEDICATION— FT
Underground
Wiring required 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
0
PRV REQUIRED
AecWlrec ra xloRro��Z-
YES �( NO 0
uj
3
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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1499�5. 142 A Ile /re- /0 0:
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PITY ZIP
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NAME
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ADDRESS
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- CITY ZIP
TELEPHONE
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VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
RE(ZD
IPBOND
OSTED
STATE LICENSE NUhiBER EXPIRATION DATE
CHECKED BY
map —Is
0 YES XNO
144^9 e-cr 0 co a/0
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SEPA REVIEW
SIGN AREA
HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
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a4Z70,3206Z0c)09
EXP I
,
1 24,S'
NEW RESIDENTIAL PLUMBING / MECH
LOT COVERAGE
ALLOWED PPOPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
_261
PROPOSED SETBACKS (FT.)
FRONT URSIDE REAR
ADDITION C3 COMM ERCIAL COMPLIANCE.OR
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CHANGE OF USE
REMODEL Ej APARTME T SIGN . .
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PARKIAG
REO'D PROVIDED
LOT AREA
PLAN71 G REV EWaEDY�.J. ATE
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171
0 REPAIR GRAJJING - FENCE
CYDS X FT)
REMARKS
MUS-T MANTAN -51r)F_S�TP_-,,ACKS-
DEMOLISH TAN K OTHER
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RETAINING WALL
WARAGE OC Y
A RENEWAL
RPORT 0 R KER
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED11Y
TYPE OF CONSTRUCT N
OCCUPANT'
LL
x
15 14'R
ICTI
GROUP
7
NUMBER
OF
4E-7
NUMBEROF
DWELLING
AREAS
I CRITICAL
uj
SPECIAL INSPECTOR
REQUIRED
AREA 101 (0 OCCUPANT
-
0'
STORIES
UNITS
NUMBER
o YES
619 LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D
40_4s Irac 4 re4f i�l'eeiCe_: 0"
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recor.(";e y.F00006-0?3-00-s /s'.no. C.
MEEME* M- =M
VALUATION
FEE
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PLAN CHECK FEE
HEAT SOURCE GLAZING,% LOT SLOPE % BUILDING .000'
PLAN CHECK. NO: VESTED DATE PLUMBING
MECHANICAL _70
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY.ONLY. ANY CONSTRUCTION ON THE PUBLIC —00
GRADING/FILL
DOMAIN (CORBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
t:
STATE SURCHARGE
W PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
to ON BEHALF�OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 4' -
u )
W .;APPLICANT.
_j N INTEREST. AGREES TO INDEMNIFY�. DEFEND AND.HOLD HARMLESS THE CITY OF 1!14 153
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM. ANY AND
ALL CLAIMS FOR DANIA jxr-, k CA� n?
GES OF WHATEVER.,.NATURE, ARISING DIRECTLY OR INDIRECTLY
I RECEIPT
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE P
LAN CHECK DEPOS14
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 167 I/Ij
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
TOTAL AMOUNT DUE RECEIPT
/ &Z �-) -I_ �s L4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT.AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO'COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by - the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BEEMPLOYED Building Official or his/her'Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR 60DE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknomiledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND R, CW 18.27.
OF IALS SIGNARME DATE
SIGNATU RE COWNgiNR AGENT) DATE SIGNED (42 5)
LSIG
.
T-70
C931,13
771-0220
BY DATE
ATTENTIOR EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_
. 0RIGINAL-FlIF YELOW-INSPECTO'R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER GOLD - ASSESSOR
5/98
1: - I City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT
A Address or Vicini of
Permit No: a001-0111 7
Issue Date:— 412
B. Type of Work (be specific): hac(hoper, 61 firtick
C. C on
tra�tor:,- 7e ez��I/gt C-51S26�,f 5 Contact:
Mailing �L.ddress:C;W// 4 '16 /0 i Phone: 6033
State License #:— (ZAT Liability Insurance: Bond: $
D. Building'Permit # (if applicable): W144 Side Sewer Permit # (if applicable):, -
14. AA 1AAA iff , A IJ 1.11 A 11 IA-.* rA
E. F-1 Commercial
Subdi�ision
CityProject EUC (PLJD, -GTE, PSE, CHAMBERS, OVWD)
F. 1 Multi -Family
Single Family
Other
INSPECTOR
F. PAVEMENT:
JK YES
F�NO
G. SIZE OF CUT x H. Charge: $
CONCRETE CUT:
E:] YES
WO
1-N
IDEMNITY. � Applicant understands by, hislher�`§ignature to this application helshe holds the City of Edm9n.ds.harmless from injuries,'
damageq"Or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any o �o
.�its departments ',rSTp1oy!?,es' Vincludim but not limitedto the defense- 9� any legaL�rocle�editT including defense costs and
attorngyfei�s,by r'edson ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERJALS FOR. A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES'WILL BE HELD UNTIL, THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICHTIMEA DEBITOR CREDIT WILL BEPROCESSED FOR -ISSUANCE TO THEAPPLICANT.
T
- fi;ltfi'�City'kngineei, Every
Ity r'
li' safety shall b n ac n C egulations as required
Traffic control and pub e i cor ce 'wi �ation v
flagger must be trained as required by (WAC) 296-155-305 and must have certific �ri�ying completion of the.-
-required training in their possession.
Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to th : e end of the workday — NO EXCEPTIONS.
Three sets of consitructJon drawings of proposed work are required with the permit application.
I HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQUIREMENT"V AND ACKNO WLEDGE
THATIMUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE ATALL TIMES FOR INSPECTIONS
re:
or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIORTO BEGINNING WORK
FOR -CITY USE ONLY
114
b- , J Right-d-way Fee:
Ap,proveld" +
r C1 Disruption.Fee/Fund 111:
Time.Au,1.110,
'$peciaI.C-ofidJti6n,i:.,R 'Pow, P&W Aliv Restoration Fee:
_i�_010D,49bc PKviiier, blis'lue—'ay:), Total Fee: 2!C
Tot 44xr,ox, IXA'gcomip, aa�Mi_ Receipt No: r - /7. 4
1k, dbrn i�i s s uie d y
louyw PA'JELL, MAIA F &M, d"'!Y
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
toll lid
FINAL APPROVAL Of PERMITTED WORK, "TW61" 111FAA
INSPECTbAk'�S SIGNA TURE DATE: U11 of
For inspection requirements see Engineering' Information, Hanaout.
NO WORK SI-IAI,I, BEGIN PRIOR TO PERMIT ISSUANCE
NO.
CA.
Critic a-l"A"i-e"'as
----------------------------------------- ---------
Site Information (soils/topography/hydrolOL"f/vegetiiibfi) 1— ell
6'
L Site Address/Location: 6 /0
2. Property Tax Account Num r.
3. Approximate Site Size (acres or square; feet):
4. Is this site currently developed? ��-yes; — no.
If yes; how is site developed?,
5. Describe the general site topography. Check all that apply.
V1- Flat: less th a*n 5-feet elevation change over entire site.
Rolling: slopes on site generally less than. IS% (a vertical rise of I O-feet over a
horizontal distance of 66-feet).
Hilly... slopes presen t on site of more than 15% and less than 30% ( a ver tical rise of
I O-feet over a horizontal distance of 33 to 66-feet).
-greater than 3 0% present on site (a vertical rise of I O-feet over a'
Steep: grades of
'h I distance of lessithan 33-fiet).'
onzontiL
er cscn
lo
G 'I -
A t
. 1"'d'Wq
6. Site con��tns areasotyear-round,standi
PS Water: /0 Approx. Depth:
7. Site contains areas of seasonal standi . ng . water,: Ab Approx. Depth:
What season(s) of the year?
8 Site is inthe floodway floodplai of a water -course.
9. - Sitec'ontams or an area where water flows across the grounds surface? Flows are year-
round? VA . Flows are seasonal? (What time of year?
-CA-Cwdw- P" IWMM
J,
.�CiV 04'Edmi" onds
.,-NW CRITICAL Axy%'-'rv-jA- _S CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, *
or
may be ' present on the subject -property. The
information needed to complete the Checklist should
be e4sily available from observations of the site or
data available at City HaU (Critical Areas inventories,
maps, or soil surveys).
An applicant; or his/her representative, must fill out
thb checklist, sign and date it, and submit it to the
City. Ile City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a devel'opment
permit application.
Please submit a vicinity map along with the . signed
copy of this form to assist City staff . in finding and
locating the specific piece of Property described on
this form. In additiop, the applicant shall include
other pertinent information (e.g. site plan, topogmphy
map, etc.) or studies in conj�;;�on with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checkl
ist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
OW4
Owner/Applicant:
27� 4 J
- e de4q
/'� 7 7564�
Name
i�_/6) 7W A/_
Street Address
��& 0 409 �5
city State Zip
91v�' - F��-1740
Te"one
S i Vra6e
Date
Applicant epresentative:
1441G_ ;��Apx)
Name
�2110c) Caw 4c/
Street Address
city StaCe
TeleplIPM
Signature
Date
::rcccpdonV&mkwJ.dm (over)
ED-4f 0
CITY OF EDMONDS
SINGLE FAMILY ADDITION/ REMODEL COVER SHEET
Directions: Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only).
This cover sheet must accompany each building permit application for a single-family residential add ition/re mode I project.
PLAN CHECK#
APPLICANT—.
DATE RECEIVED
PROJECT ADDRESS
PROPERTY TAX ACCOUNT PARCEL # --IY D�-7
DESCRIPTION OF WORK
0 W N E R Z�:Lrr-, Q_ y- LM ry PHONE
C-,,
CONTACT PERSON
PHONE 42,5-774-1o,321_Z-13-(2q-f.
E-MAIL FAX .4257- -774- /0,3.Z
MAILING ADDRESS -73
FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS
BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO
COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I
UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT
MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY
DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE( L==gZ DATE
/cz)
ZONING INFORMATION
ZONE LOT AREA
NUMBER OF DWELLING UNITS EXISTING DEMOLISHED PROPOSED
DISCRETIONARY APPROVALS CA_aj--2 j<"Determi nation SUBDIVISION qM-/ CU
VARIANCE SHORELINE SEPA Expires OTHER
LOT COVERAGE INFORMATION
EXISTING SF PROPOSED SF TOTAL SF %
HEIGHT CALCULATION INFORMATION
D
DATUM 114 C11h _�"AX A B C
MAX
AVE ACTUAL
SETBACK INFORMATION
REQUIRED FRONT :�?-Z SIDE SIDE REAR
PROPOSED FRONT '--24 aO' ...SIDE ZZ G' SIDE REAR Z.3'
m7-
0R.LOT YES NO. FLAG LOT []YES [E]NIO ST. DEDIC, YES "NO FT.
Kn
ADU STATEMENT REQUIRED YES UPO RECORDING #
STAFF COMMENTS:' 0 N V---,
DRIVE . WAY SLOPE % _1 GRAD - ING CYDS �R C)", 'EAS . E . M - ENTS . 4 . ,�
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 ----------- SQ.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE - _'; S I'E-- SQ.FT.
(CItyUseOnW
SIDEWALK REORD []`YES.[] NO. DRAINAGE PLAN REO'D [][YES NO
LID#
UNDER GROUND W!R . ING RE01D W YES Lj NO STREET DEDICATION FT.
STAFF COMMENTS:
BUILDING CONSTRUCTION INFORMATION
CODE EDITIONS
DESIGN CRITERIA
1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS
WIND EXPOSURE B WIND SPEED_
Floor Live Load 4-0 Roof Snow/Live Load ;2 5:
Floor Dead Load 10 Roof Dead Load- jo
NUMBER OF STORIES BASEMENTS
80 MPH
LOT SLOPE % 5. 4 1yo SOILS REPORT PROY)DED
k�4
FLOOR AREA (measured to face of exterior wall)
Existing Proposed Total
Living Space --;;t I L5 ;111 t15
Garage 7--"50 -1*3D
Carport
Deck/Cov. Porch Ll 2- 112-
Other
SEISMIC ZONE 3
Balcony Live Load
Balcony Dead
FLOOD ZONE
n YES NO
(City Use OmW
Ceiling Insulation 1-40 Window U-Value -(pS
Wall Insulation it - tj Skylight U-Value (y'S
Floor Insulation PC- I? Glazing % 2- 1
Door U-Value - '40 Slab Insulation ?_-10
Energy: wrescriptive El Target 0 Systems
Whole House Ventilation System Req'd SlYes 0 No
Any request for modification, variance or other administrative deviation (herinafter "variance') must be specifically called out
and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a
variance has not been specifically identified, requested and considered by the appropriate city offical In accordance with the
appropriate provision of city code or state law does not approve any Items not to code specification.
PERMIT ISSUANCE APPROVALS (City On
PLANNIN . G R . EVI EW & APPR OVAL 6 ATE 9
CONDITIONS OF APPROVAL:
ENGINEERING REVIEW & APPROVAL DATE4i64��
CONDITIONS OF APPROVAL:
BUILDING REVIEW & APPROVA� j— _7) A4.4, -d— DATE
CONDITIONS OF APPROVAL: g
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