621 WALNUT ST.PDFiiiiii 11111111
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621 WALNUT ST
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RECEIVED
JAN - 7 2003
PERMIT COUNTER
20"
STREEIFILE
PLANNING DATA
NAME: - vAr"A'k !b'LA It` DATE: 3 /a3
SITE ADDRESS: (0 ?,1 'j so,. PLAN CHK#:-03- oag
PROJECT DESCRIPTION' 10r rbr- " //- 2- X e'_ - , / 119
rM_ 10--Olit r%14J i 0. 0 �^._ '. :-:_ ILI�ME4f_
REDUCED SITE PLAN.PROVIDED?: Q(es)/ No
MAP PAGE: CORNER LOT: FLAG LOT: 11ye—SA&
ZONING: P-S CRITICAL AREAS DETERMINATION #:
L3 Study Required:
13 Waiver
U Conditional Waiver
SEPA DIETERMINATIOW
Fee
U Checklist
U APO list w/ notarized form
El (Needed for 500 1 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
UrExempt
SETBACKS:
Reciulred Setbacks:
Street: 2_0' LeftSide: Right Side: Rear:
Actual Setbacks: ti
StreeF_J!��Lheft Side: Right Side: Rear:
Street map checked for additional setback required? (Yes No DN
DETACHED STRUCTURES:
LJ ROCKERIES:
L3 FENCES/TRELLISES:
U BAY WINDOWS / PROJECTING MODULATION:
0 STAIRS /DECKS: ev'v_ 1h wIlk,
PARKING: Required:'Z Actuak.-IL.V,
LOT AREA: 6,;z a
LOT COVERAGE ito 3,7-
Calculations: 2� Z- 6Z
LO &
BUILDING HEIGHT:
Datum Point:- COV, 6-1;� Datum Eleva I tion: (00
Maximum Allowed: -Actual Height: W�- L*=
A.D.U. CREATED?: Do Yes) b." ;j
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No
OTHER:- 19 5'5'
RojovL 19S& dt46L, g
Plan Review By:
NewBPP1anningDataFor*m,D0C
ALBERT H. COHEN DESIGN COMPANY Ps.- Residential Architecture
rON STREET a SUITE 6 a EOMONOS, WASHINGTON 98020 w f2061 776-7373
Attn: Sharon Nolan
City of Edmonds
Planning Dept.
7/22/92
7 P,
ILE
RE: Johnson Remodel permit Permit # 578
Dear Ms. Nolan:
'A14 9 7 19
9
Please close,out the permit application as the Johnson's have
decided to abondon the proposed project.
Thank you,
/a C.O.
AL Cohen, Architect
Agent for the Johnsons
W
USE
CITY OF EDMONDS ZONE PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION jog SUITEIAPT 4
OWNER NAME/NAME OF BUSIN ADDRESS 41a F .511-cep e
P(q () 6 d. a 62 Is
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO
Lu MAILING ADDRESS
Z
3: ljtl-r .577
0 '1
PUBLIC RIGHT OF Y PER OFFICIAL ET MAP. TESCP Approved 0
CITY ZIP TELEPHONE NUMBER RW Permit Required C3
'C>S 7S�b 2-v 7 7/ & 0 .3 EXISTING REOUIRED DEDICATION Street Use Permit Req'd 0
cp�_DM,OWA I inspection Required 0
PROPOSED
NAME Is Sidewalk Required 0 0
cz Ile -Ai REMARKS M
W
W
ADDRESS Ai Z
AJ CZ3
TELEPHONE NUMBER
L)
t� CITY
zip
49AJ)�) _S 2-v 7.7&
NAME
/JoA's 9jE>s,10,06u ENGINEERING D TED EW By
ADDRESS
0 1 1A
I- Z0 o 1�_ 1+V,6 Xi'llE, METER SIZE BUIL SUPPLY SIZE I NCJ FIXTUF%
0
CITY ZIP TELEPHONE NUMBER
3" Lu
Z REMARKS
8 STATE LICENSE NUMBER
IIJ //:0 DA A A SEPA RE ADB NO.
LLOWE RO D COMPLETE EMPT
Legal Description of Property - include all easements
L :;I
4X E MP SHORELINE#
Z
2 3,131, j3+"
% EXP
VIE
PLANNINGOWE DATE
51 EPAI_�V S. ZIL4
W
< S, KS — FEET HEIGHT IL6TItERAGE Z
0 Z
FRO SIDE':, RI [A Z
Tax AdC,ount1,earcelxNo4 CLJ
91z" �b 9! 4 "'0* 3 .6,01
NEW I&Jj"RESIDi N'TIA`L' PLUM[BI.
MECHANI
ADDIALTER COMMERCIAL
BIL
REPAIR
PT SIGN'
T
-GRADING FEN YPE OF CONS T TION I CODE HEIGHT I
DEMOLISH FT)
CARPORT IM, JAREA OCC
REMODEL GARAGE UPANCY OCCUPANT
ROUP LOAD
.'E3 YEJ
WOOD STOV6 IRETAININGWALLI,,-�, �;- I I _
EN
INSERT FIQCKERY,;: 17
Z
u— (TYPE OF USE. BUSINESS OR ACTIV,ITY),IEXPLAIN. FS01 p VBC 30 Z
RQGR IONS P 5
M
NUMBER OF STORIES NUMBER'OF,
DWELLING"
U1111
0
DESCRIBE WORK TO BE DONE (ATTACH PLOT: LANj"
45A�,- L.40$
-'FINA'L INSPECTION REQUIRED
'4�1 M40j, /Jev "e AAF VALUATION FEE
'PLAN, CHECK FEE'
.� I . 1
AJFW I BUILDING
AenF 6lu PLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be donelkrivate pro ty ONLY. GRADINGIFILL
Any construction on the public dom ur a wolks,
FE
.E
driveways, marquees, etc.) will require Ission. STATESURCHARGE
Permit Applicatiom, 180 Days
Permit Limit: 1 Year - Provided aLork Is Started In 180 Days STORM DRAINAGE FEE
"Applicant, on behalf of,hi!* r spounsie sgdssigns and ENG. INSPECTION FEE
re s
successors in interest, ag . �em t�%rf and hold
of Edmonds,_T__
harmless the City ftingtoll its officials,
employees, and agents from any an arrIlliftQffor damages of
cc
4 whatever nature, arising directly or indirecfl?Wo-m the issuance
:r of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
0
, I modify, waive or reduce any requirement of any city ordinance
0
norl . imit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision." /Zo
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 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 T . his 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
tionInsurance______ INSPECTION acknowledged in space provided.
SIGNATURE JOWNER OR AGENT) DATE SIGNED DEPARTMENT
'? OFF AL'S SI NATURE DATE
CITY OF
�11'
EDMONDS
CALL FOR Z.1'RELE-SEHY: DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTERA. PINK — Owner GOLD — Assessor
1- 34 -15
6tY OF EDMONDS"'.*.
Permit No.
COMWUNITYSERVICES DEPARTMENT OCT 0 9. igql
eRIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date 0._9 - 9
ENGINEERING
A. Owner: Washington Natural Gas Company B. 0 Contractor:
kfi$lercer Street Name
Z
0
W
V)
U
C4
0
W.
Mailing Address
Seattle WA= 98111
City State Zip
1 1 .4
ef . 11�5
Ly -
State License Number Telephone Number
C. * Address or Vicinity of Construction: . 621 Walnut Street
Install New Service
Type of Work to be Don
Mailing Address
City 'State Zip
D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects
0 Commercial 0 Multifamily Kx Utility
E. 0 Pavement Cut: N Y 0 N F. 0 Size of Cut: 2 X 4 01) @ Water
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his. signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or cdaims of, any kind or description whatsoever, f6rseeir!W unforseen, that may
be made against the City.oif Edmonds, or any of it-s -departments or, employees, including or not limited to,the defense
of any legal proceedings including defense costs, court"costs, and att6rne� fees/by reason of granting this permit.
4,
y 1) 1 (_.) '. t
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AKD MITERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
J
nal street patch is completed(by' City' forces' at which time a debit or credit will be
Estimated restoration fees will be held until the fi
processed for. issuance to the applicant.
9 A 24 hour notice is required for inspection; Please'call Engineering: 771-3202
STF. Z7_��A FILE*
e Work is to be inspected during progress and.at completion.
.0 Restoration to be in accordance with City Code.
0 Street to be kept clean at all times.
9 Traffic Control to be in accordance with City regulations.
* All street -cut ditches must be patched with asphalt. or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: .Date: October 1, 1991
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:
tru/
Time Authorized: Void after days-.
Special Conditions: IVA
PERMIT FEE:
Restoration Fee'.
Receipt No.:
Fund Il 1 Fee:
Street,Cut Dimensions: x
RELEASED BY.\k Date INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE.
Date
Eng. Div. March 1989
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to Street Deet-i
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
j�
Washington -
Natural Gas
A WW-gton Er-w Cowarry
Addendum to City of Edmonds
Right of Way
Permit Application
Submitted by: Kerry Walsh
Engineering Aide
Washington Natural Gas
71 Vv'& L�\! U-1— 622-6767 x2761
pager 995-6914
w%I
Wa
uin
Flo,
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815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
k' . .
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION C] REPAIRS 0
105-04000
OVVNER........... C....U....Hak4kings .............................. ................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS 62.1 ... 14-alaut-Street ------- ______ _ --------- ---_-_-_---- LEGAL DESCRIPTION: LOT No.._. ......................................... BLOCK No . ..... ......................................
NAMEOF ADDITION ........................ _ -------- ................................................
DYE TESTED ON, SEWER
JULY, 1972
Approve&
DATE........... ...... ............................. By ......................................................................
621 Walnut
October 31, 1979
M E M 0 F 0 R R E C 0 R-D
The following is a list of calls received during the
heavy rains during.November of 1978 and March 1979. Some
were only for covered inlets, others for plugged drains and
creeks. During the week of October 22 to October 26, 1979
all of these addresses were checked for possible plugged
or trouble problems. Nothing was found to cause a problem.
These addresses were checked by Leadman Bill Stroud.
Eobby Mi-r-1s
Street �oreman
RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER C>JA�S
CONSTRUCTION PERMIT APPLICATION
IOB surrE/APT#
ADDRESS 6
c5f_
OPER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
6
MAILING ADDRESS
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Pennit Required
z
30:
V4 112
VT
Street Use Pemdt Rec(d
CITY ZIP
EXISTING. BED
Inspection Required
Sidevralk Required [3
�Am
[TELEPHONE
77f"
REQUIRED DEDICATION- FT
Undargiround
0101A 02,0
wiring required
NAME
METER SIZE LINE
SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 1:1 NO 13
z_
Lu
t
ADDRESS
REMARKS
z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
z
la
CITY
TELEPHONE
NAME
ENGINEERING REVIEWED BY DATE
ADDRESS
ic
0
FIRE REVIEWED BY DATE
W
CITY 012
TELEPHONE
it
0
U.
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REOk
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
[3YES No
$
SEPA REVIEW
SIGN AREA
HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
0j
ul
,
, 0
S , NC
EXP
1
NEW *RESIDENTIAL PLUMBING / MECH
LOT COVERAGE
ALLOWED
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
REAR
PROPOSED
FRONT SIDE REAR
FRONT URSIDE
NX4
COMPLIANCE OR
E] ADDITION COMMERCIAL CHANGE OF USE
367.
'S'
,
43
z
REMODE L MULTIFAMILY E] SIGN
z
5
PARKING
RE11D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
I NG
$t
FENCE
;ff,.REPAIR GRADING CYDS X FT)
REMARKS
gw;w A keri-
n
DEMOLISH E] TANK ar;ER
RU6P.4i,-
GARAGE o RETAINING WALL FIRE SPRINKLER
13 FIRE ALARM
z
CARPORT ROCKERY
(TYPE OF USE, BUI,!,NESS OR ACTIVTM EXPLAIN:
ME
CHECKED BY
ITYPE OF CONSTRUCTION
CODE
19?7
OCCUPANT
GROUP,
a/
V_/V
w
NUMBER
NUMBER OF
SPECIAL I NSPECTION
JAREA
OCCUPANT
OF
DWELLING
o,
STORIES,
UNITS
REQUIRED 0 YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'.0
ski qf,&
4 M! �k �eW
JA&Au,e 014f voo/
is
eC)--VC4.ek L4/,4//
VALUATION':
CW4 ertfl
Description
FEE
Description
FEE
Plan Check
tz
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHEC 0, VESTED DATE Plumbing "7
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT/COVERS WORK TO
ft BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIOWON THE PUBLIC
2 Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS I MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS..
PERMIT ILIMM,11 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOFfMORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE,'HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITSOFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
j1 q
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY eg
FROM HE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY Landscapelnsp. Total Amt. Due 7-
ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
x j; -A
Recording Fee Receipt i
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPROVAL
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 BE EMPLOYED Building Official of 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 provided.
WORKMEN'S CO��SATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DAIE
R (OW R G&az -�j DATE SIGNER (425)
NM :3
771-0220
E, -DATE
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YE,Iowf,�
CATE OF OCCUI�ANdY HAS BEEN GRANTED. UBC SECTION 169
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING