6801 157TH PL SW.PDF806
6801 157TH PL SW
In
DATE: /a -9 W
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRES.S: -7
OWNER:
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection -to City sanitary sewer system required; Obtain separate
permit.
5) Water and sewer lines to be separated 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%.
8) Back water valve required if downstairs Plumbing is below
elevation of upstream manhole.
9) Builder/Owner responsible f0'r containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10) No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
pERM
.IT COUNTER
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CITY OF EDMONDS
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1:1 ADDITION
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ASSET INFORMATION SHEET
STREET FILE
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
Dr._%OZ
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY
DATE
-�7
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
'0/'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
wp) INITIAL
DEPARTMENT FILE
VERIFIED BY
PROCESSED
BATCH NO.
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CITY of EDMOND SIDE SEWE.-R P E'R, M 4T
For Inspection Call 771-320 TREET FILE PERMIT NO. 0796 2
Address of Construction: 15 7
Property Legal Description (Include all easements): Z0 _r 5711 oZ1,,_1
Owner and/or Builder:
Contractor & License No: C /37 Z
Singl:e Family Reside nce y ?0 7S 8
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No' -te Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No X Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ TH ITEMS L ED ON THE BACK
RECEiVED
I c Ifv t
fy thae I ha,�e read and sha " 11 comply Date
with the items listed on the back. \NORY%S
Permit Fee:
Trunk Charge:
Assessment Fee:
30-
25 .,
Issued By-
iDate Issued: �39
Receipt No.: �9&5-
Partial Inspection:
Comments Date Initial
Final Inspection Approved: _,::� 4W�
Date Initial
Rejected:
Wh-ite Copy - File
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Green Copy -"Inspector Buff Copy - Applicant
I
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
tol the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
4 #
The/dt,
of Edmonds Side Sewer Drawing
NEW CONSTRUCTION /_
OWNER..... Jq-.* ------ --------------------------------- ------------
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JOB ADDRESS --- &D-1 ----- =A-S7 .. ...
Me
ALL 0�0 CA�?s �1,0
aox
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EASEMENT NO - ---------------------- ---------------------
REPAIRS LID NO . ........... ------ ASMT. NO - ------------------
CONTRACTOR --- - — -------------- --------------------- .... PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ------------ I --- --------------------- BLOCK NO - ------------------------------------
---------------------------------------- ---------------------------------------------------------------------------------
NAME OF ADDITION ---------- 7��k rl--V'jl ----------------------
---------------------------- --------
r--- --�.
LYNNWOOD UN8
-rA Approved:
........................
PWW-0001 -11/75 (REV. 11/78) DATE ......................... ------- By
STREET FILE
fr.
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USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME (X0RA,6.0 OF BUSINE
I `51�a 17 FX —S c1J.
/ "i LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
MAILII`�G'ADDRESS
P-
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�Pe,
TESCP
CITY
EPHONE NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
APPROVED BY
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EXISTING _4V REQUIRED DEDICATION
NAME'
_r
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED:
ADD RIESS
STREET USE PERMIT REQUIRED L"
SEE ENGINEERING MEMO DATED
REVIE
CITY
TELEPHONE NUMBER
_azF::4-_
REMARKS
NAME /�
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cc ADDRESS
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cr CITY' TE
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STATE LIC NSE NUMBER
��,et '7-H(? /123 -7 -'A
Ledal Description of Property - include all
(show below or attach four copies)
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MEIER SIZE jBUILDIN(3 SUPPLY SIZE IFIXTURE UNITS o
NUMBER
REMARKS
SIGN AREA ENV, REVIEW ADB NO.
nts ALLOWED PROPOSED COMPLETE I EXEMPT
VARIANCE OR CU
YARDS
FRONT SIDE REAR
REMARKS
NEW RESIDENTIAL PLUMBING
ADD/ALTER COMMERCIAL 0 MECHANICAL
ElREPAIR RETAINING WALL E] SIGN
REVIEW BY I DATE
I HEIGHT I LOT COVERAGE
DEMOLISH
REMODEL
R
EXCAVATE
OR FILL
PRE -MOVE INSP./
COMPLIANCE INSP.
FENCE
x _FT)
swim
POOL
CHECKED BY TYPE OF CONSTRUCTION
SPECIAL INSPECTOR AREA
REQUIRED
0 YES 1-1 NO
REMARKS
CODE
HEIGHT
OCCUPA��
GROUP
OCCUPANT
LOAD
WOOD STOVE/
INS
APT.BLDG
El RENEWAL
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2 PROGRESS INSPECTIONS PER UBC 305
1-
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WO NUMBER OF STORIES 7 116
NUMBER OF 16X1 17L -1///- 4
DWELLING
co UNITS
0
, I NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided WorR is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
In successors in interest, agrees to indemnify, defend and hold
V)
W harmless the City of Edmonds, Washington, its officials,
.i employees, and agents from any and all claims for damages of
a:
< 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, waive or reduce any requirement of any city ordinance
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
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no p6rson will be employed in violation of the Labor
ONLY THE
CodeoftheStateof ashingtonr Ing to Workmen's Compensa-
WORK NOTED
tiQn Insurance. 7
INSPECTION
SIGNATURE (OWNERAAGENT) JDATE SIGNED
DEPARTMENT
ATTENTION
EDMONDS
771-3202
VALUATION FEE
- 10V 11-3 �,,o
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
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3:
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-87
P REVIEW CHJXXLIST
OJECT NAME: PRDJBCT ADDRESS:-
?PLICATION RECEIPT DATE:
by: (initial7date)
CCNVDM
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PLANNING
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FU-ILDING
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71-1711177T
)NDITIONAL USE PERMIT
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