635 PINE ST.PDF12778
635 PINE ST
CITY OF EDMONDS
2/NEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER wn 7 307(o
PROJECT COMPLETION DATE 1-30-(97
COST z 5 �-b s �?-
B.A.R.S. ACCOUNT NO. � I I - -:>�5- 00(03
ESTIMATED LIFE a�ms
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
IR /DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
(tnp INITIAL
DEPARTMENT FILE
d.A,
VERIFIED BY
PROCESSED
BATCH NO.
.ql-
00
C)
OTY of EDMONDS S [D E' 1W .,E I P E R M I T
,S- E"
STREET FILE 'PERMIT NO.
For Inspection Call 771-3202
Address of Construction: (f
Property Legal Descri'ption (Include all easements):
Owner and/or Builder: fif/-7
f
Contractor & License No: CC n I Ct L)
Single Family Resi'dence
EDMONDS
Mul ti-Family (No. of Units TREATMENT PLANT
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One-C611-Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes A (If Yes, easement required,
attach legal description and county easement number.)
P E READ THE ITEMS LISTED ON THE BACK
R L
AUG 2 81989
I cer ify thft I R—a ve read and shall comply Date
wit the items listed on the back. PUBLIC WORKS
Permit Fee: 30 1ssued By:
Trunk Charge: 2� �Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments 1-2 Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason --ga-te Initial
** PERMIT MUST BE POSTED ON JOB SITE **
0
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION R� REPAIRS F-1 LID NO - ------------------ - AsmT. NO
OWNER----------------------------------------------------------------- - ----------------------------- CONTRACTOR ---------- I — ------------------ PERMIT NO.
JOB ADDRESS 1,3S ?I S-T- - c BLOCK NO - ------------------------------------
----- --------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO - ---------- ;� ------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION -----------------------------------------------------------------------------------------------------------------------
1
I
V 7
t
Approved:
PWW-000 1 - 11/75 (R EV. 11178) U-4 PoE S% . DATE ....
- — ----------------------
DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: AW6- -S-7- -
OWNER: -J/4P VC- 11-51le4,V 4�194/57
After review of the subject building permit application, we have the
following comments:
r i
1) Construction hours are: WEEKDAYS 7:00am to JO:OOpm
t WEEKENDS!/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
13
3) Conne'ction to City water system required.
4) Connection to City sanitary sewer system required; obtain separate
permit.
5) Water and sewer lines to be separ�ted by 10 foot minimum.
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%.
1�
8) Back water valve -required ifdownstairs plumbing is below
elevation of upstream manhole.
9) Builder/Owner responsible for,containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way. eAzo-t C4%7v*d,�4� 490ft
IA24 10"' r
10) No burnin g 0 f con'truction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, a nd construction
materials,.- Contractor responsible for dust control.
12) Inspection required on drain . age system, c.atch basin -installation,
driveways, and sidewalks.; A final engineering inspection is
required prior to the building-,di.vision granting occupancy.-
7/7
DETENTION WORKSHEET
STANDARD DRAINAGE PLAN
C A.-rCH
BASkN DETENTION PIPE LENGTH COKMOL CATCH
(VE:t,4T) SAS I N
) r-- I' MIN, 2' MAX COVER --I �7
OLrTLr.T
CONT;kOe
% 5LOPE--
4'
70 OVI-LE"T
(N P RAP OR
P,UNOFF
SPREADER)
SYSTEM CROSS SECTION
2' . 2' . G" DOMP, 4t- 16" SPA.U-% 6. wou^L-)
17s 2' x V" 101 EE P, V4'- CRUSHED Rocr,
FPCIM 7
CILFTLET
CON-rFLOL
RIPRAP OUTLET
WA3"ED &PLANEL-) (-OUTFLOW TRENCH, MIN 10' LONG9
TOP 4 4' PERF PIPE -M BE L.P-VeL
FROM . L-r
0 Lrr6. ET
CON-rRDL
'L
4!' PERF P%PZ WITH CARS
RUNOFF SPREADER OUTLET
FOOTING DRAINS SHALL NOT BE
DETENTION SYSTEM
'n
for eb.
location Vj� rve—
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice.
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
A*11
CITY OF EDMONDS
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
� I a.. r\,
43
Zs
w
CITY 0 9up DIA N
CONSTRUCTION
NAME (OR NAME OF BUSINESS)
sitve ijelieren construction
MAILING AD olyr
,1pic vie, DR.
5
ITY Edmonds
AME Design Consultants
kDDRESS 731-2nd St.
TELEPHONE
,iTY MuXilteo 7456
qAME Sigve Helleren
ADDRESS 9225 OlYmPic view Dr.
CITY Edmonds
LICEN!gP8VMJC208MN
. . ....... �tionoj'13roperty-inclu ealleasements
Legal Descrip ch four copies)
(show below or atta
USE
ZONE
PERMIT
NUMBER
DRESS
DRESS
E:�__
LI D N 0
IEGAL DESCRip I ION 11 N NO. LiD NO.
lor Z S
TESCP
APPROVED By
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP,
REQUIRED DEDICATION
EXISTING REQUIRED DEDICATION
P RO P 0 S E _-4,rl—
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED C'
EVIEV,
G M E M 0 7A3
SEE ENGINEEFtIN x
Lot 2 File No. S-3-89
(see attached)
RESIDENTIAL
PLUMBING
NEW
COMMERCIAL
MECHANICA"L
ADDIALTER
El
RETAINING WALL
SIGN
REPAIR
EXCAVATE
OR FILL
FENCE
(_ x _FT)
DEMOLISH
PRE -MOVE INSP-1
swim
r--j
INSP.
L_j
REMODEL COMPLIANCE"
WOOD STOVE/
APT.BLDG
RENEWAL
INSERT
V1)111*,0;1],q _1CW1
SIZE FIXTURE UNITS
METER SIZE I
REMARKS,
— E V. REVIEW
N
PROI
SIGN ARE
ALLOWED *OSED COMPLETE I EXEMPT
I
'ReJA6
ADB NO.
It
W
. PLANNIN G REVIEW By DATE
VARIANCE OR CUE. .
HEIGHT LOT COVERAGE
IREAR
E
Z
YARDS
Z
5
SIDE REAR
ONT SID
FRONT
R
CL
M, S
R E RK
CHECKED BY TYPE OF CO ;7TION CODE -,GHT
oeo I "I
2_571
AREA OCCUPANCY OCCUPANT
SPECIAL INSPECTOR GROUP LOAD
REQUIRED
0 YES 1 0 NO
0
REMARKS
INSPECTIO NS PER UBC 305
Z
5
-2
PROGRESS
:D
T"/Mj 71YWL AM
r) I N MBER OF
- NuMBER OF STORIES
IL" DWELLING
a 2 UNITS
0 TO BE DONE (ATTACH PLOT PLAN) —
NATURE OF WORK -Ir
fiWAL atUAKIVI _44& -177P��
7ALUATION FEE
saa
HECK FEE
BUILDING
PLUMBING
MECHANICAL
c0w�ejs Nork to be done on priva e pr o erty ONLY.
GRADINGIFILL
This Permit
Any construction on the public domain (curts, sidewolks,
permission.
STATE SURCHARGE
driveways, marquees, etc.) Will require separate
Permit Application: Itiv ays
ENERG Y CODE
Permit Limit: 1 Year - Provided WorK is Started Within 180 Days
"Applicant on behalf of his or her spouse he rs, assi and
agrees to indemnif , defend and hold
,� interest,
successors i ton, its officials.
harmless the City of Edmonds, Washin
s for damages of
employees, -and agents from any and all clai
whatever nature arising directly or indirectly from the issuance
shall not 'be deemed to
PLAN CHECK DEPOSIT
of this permit. IiIsuance of, this permit
modify,. waive or reduce any requirement of any city ordinance
any ordinance
TOTAL AMOUNT DUE
nor limit in any way the City s ability to enforce
provision."
I hereby acknowledge that I have read this application; that the
I the owner, or the duly
ATTENTION
information given is correct; and that am
I agree to comply with city and
THIS PERMIT
authorized agent of the owner.
Ig the work authoriz-
state laws regulating constru(,tion; and in doir . abor
in violation of the L
AUTHORIZES
ONLY THE
NOTED
ed thereby, no pbrson will be employed
Washington relating to Workmen's Compensa.
WORK
Code of the State of
INSPECTION
DEPARTMENT
ti n insufance. DATE SIGNED
SIGNATURE (OWt �IER OR AGENT I )
CITY OF
EDMONDS
771-3202
ATTENTION UPY A BUILDING OR STRUCTURE
IT IS UNLAWFUL TO USE OR OCC
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
0
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.
DATE
OFFICIAL'S SIGNATURE
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — owner GOLD — Assessor
Review--d by: � (initial/date),
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