657 WALNUT ST.PDF11111111111111
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657 WALNUT ST
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET=FILE
Name: 1�o o d.(Iv ( �i LT 0- 00�? LI 2 0�(40 Z /0,D)
Date: Y� ( �(S—
Site Address: 6 S- -�
Plan Check #:dL,,0
Project Description: ' &
'60
Reduced Site Plan Provided/ OYES NO)
Zoning:
Map Page:
I Corner Lot: CV)/ NO)
Flag Lot: (YES
Critical Areas Determ' t' in -q 4 !—) 0 L10
El Study Required
WWaiver
SEPA Determination:
K Exempt
El Needed (for over 500 cubic yards of grading)
El Fee 0 Checklist 0 APO List with notarized form
14a
Required
Street:
Sid
sip
C)
ActualSetbacks
Street: Z-V 4-
Side: -5-3
Side:
-37
El Detached Structures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Omer
Parking Required:
Parking Provided:
Lot. Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: UL/ e- 4-- cv- (,�,5 -4 0QL1< q f
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comments
Plan Review By: tM 5 VU'\
I
Planning Data Form G4-11-06.doc
STREET FILE
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SITE PLAN
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City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. 'A r 1 - a (0 1�
Lssue Date: —A-1 — 'An
A. Address or Vicinity of Construction: &�51 WALittJU:1
B. Type of Work (be specific): ?LLAQ KET aff(?Ari we'vCy'O"
C. Contractor: Poe, G't'- su�3 F'un I Contact:
Mailing Address: Phone:
State License #:
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial []Subdivision E] City Project K Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family El Single Family E] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: 0 Yes []No G. Size of Cut: X_ H. Charg(�_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA AISHIP A ND MA TERIA LS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINA L INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings 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 be kept 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 trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on site at all timesfor inspection purposes.
Signature:
Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS:
RIGHT OF WAY FEE:
DISRUPTION FEEIFUND I 11:
RESTORATION FEE:
T OTAL FEE:
RECEIPT NO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
0
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
105=04400
OVVNER ----------- Hearlatta ----- Capi-etta ------------------------------------------------- CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS....... 65.7 --- Jja-jfij;jt ---- St-reet ...................................................... LEGAL DESCRIPTION: LOT No . .............................................. BI.0CK No . ............................................
NAMEOF ADDITION .................................................... ....................................................................................
_71
DYE TESTED W SE14ER
JULY, 1972
Approved:
a
0
DATE................................................ By ......................................
USE
CITY OF EDMONDS ZONE
PERMIT
NUMBER 0,9
CONSTRUCTION PERMIT APPUCATION joa SUITE/A
OWNER NAME/NAME OF BUSINESS ADDRESS '4; F S-7-
0 V< e g. LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
MAILING ADDRESS
6o,5- 7 \A*,Wr S PUBLIC RIGHT OF WAY PER I OFFICIAL STREET MAP. TESCIP Approved 0
CITY ZIP TELEPHONE NUMBER RW Permit Required 13
45�D�44IAAD_5 2LOZOIZZ 4417`71 EXISTING — REGUIRED DEDICATION Street Use Permit Req'd C3
MME PROPOSED Inspection Required 0
Sidewalk Required 0
AL 60 h1ed REMARKS
DRESS I - __
-3 37- -Ale
CITY ZIP TELEPHONE NUMBER
t�,*l IPAQ '9,fO 2-0 17 7 47 -7 -3
NAME
— /V 04 4
ADDRESS
00 714-T-1 AVE,
CITY ZIP TELEPHONE NUMBER
STATE LICENSE NUMBER j"j Q0
N OX S K R // /) M'A.
Legal Description of Property - include all easements
ENGINEERING MEMO
METER SIZE
3 § REMARK
Tax Account Parcel No. A2,11
7:;)-l-2 -0
0 oo
NEW
RESIDENTIAL
PLUMBING
ADD/AILTER
COMMERCIAL
MECHANICAL'
REPAIR
E1__ APT.BLDG.
SIGN
DEMOLISH
GRADING
CYDS.
FENCE
REMODEL
CARPORT
GARAGE
I— x _FT)
SWIM
El POOL
WOOD STOVE/ F7RETAINING WALL/
INSERT I I ROCKERY
0 RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Pkw.
�EVIEW 61
0.
SUPPLY SIZE I NO. OF FIXTURES
SIGN AREA
SEPA REVIEW
ADS NO:��
ALLOWED
PROPOSED
COMPLETE
1EXEMPT
SHORELINE -A
EXP
X
VARIANCE 0 U
ir- -
�imlw
I
P5�NNING REVIEW BY
DATE
-
SE113ADS -FEE1 10
4PSIDS
REAR*_
HEIGHT
� A W
LOT C6VER
REMARKS .077-7�77
-10
q
8L 06,
CHECKED BY TYPE OF CONSTRUCTION
HEIGHT
CODE
E 0 lb /-S-1
S C,
PECIAL INSPECTOR AREA occu Y
P L L 2,4 GROUP OCCUPANT
OUI I AR I LOAD
[REOUIF ED
I
S
EM RK
P P
ROGRESS INSPECTIONS PER UBC 305
10
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
PLUMBING
-Plan Check No. 47 *M
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewpiks,
STATE SURCHARGE 4
driveways, marquees, etc.) will requirp §epajate permission.
Permit Application: 180:Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
'0 S uccessors in interest, agrees to indemnify, defend and hold
U)
/V �-&c k/
%0%_^-,
w harmless the City of,. Edmonds, Washington, its officials,,
m employees, and agents"(ro'm any and all claims for damages of
X
< whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0 modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
r nor limit in any way the City's ability to enforce any ordinance
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
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
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
tion Insurance.
INSPECTION
DEPARTMENT
CITY OF
SIGNATURE (OWNER OR E N:T
DATE SI NED
_11LZ 4A
EDMONDS
FEE
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
C;A0 SIGNATURE j DATE
Ir
ui
a
Z
Z
Z
(L
ATTENTION - CALL FOR
IT IS UNLAWFUL TO USE OR OCCU'PY A BUILDING OR STRUCTURE INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER'3.
102-87
r7s _2ylo�x) DATE
- J/ 111:�_Al
" ' T-7—
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor