6803 161ST PL SW.PDFiiiiii lill
860
6803 161 ST PL SW
CITY OF EDMONDS Qor ASSET INFORMATION SHEET
o i REff FILE
EYNEW
1:1 ADDITION
F-1 RETIREMENT
0
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPf. NO.
* * PURCHASE ORDER NO
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE f/Z
COST
B.A.R.S. ACCOUNT NO. --7Z11 -0 00 - 19
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
-SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SLIBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
D/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
(tnp INITIAL
DATE
VERIFIED BY
PROCESSED
BATCH NO.
DEPARTMENT FILE
CITY OF EDMONDS,
OZNEW
ADDITION
RETIREMENT
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPt N_O.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION'SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
EVDDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.-
ktnp INITIAL --.-
FINANCE
.::I,
00
-1
C)
a)
Ln
C I T Y o f EDMONOS
For Inspection Call 771-320;
Address of Construction:
,EET FILE
3
Property Legal Description (Include all easements):
V E -�'P E RA IT)
S I D E S'E� R,
PERMIT NO.
�,Oj V4:�P_
Owner and/or
Builder:, HQAWS
Contractor &
License No:
/Ste 3
Single Family Residence
['�YMWVOOD LINE
Multi -Family (No. of Units
Commercial (.No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of* -Way
Construction Permit required. Cal 1 One -Cal 1 -Center (1 -800-424-5555) 'before any
excavation.)
Cross other Private Property:.
No Yes
(If Yes, easement
required,
attach legal
description and
county easement
number.)
PLEASE RE D T
TE I'S4D ON
THE BACK
shall comply
PUBLIC. \NORKS
Date
I 1,certify
�i'th th items listed on the back.
0 /rZ,/
Permit Fee: a 6 . i
Issued By:
Trunk Charge: dD bate Issued:
Assessment Fee: Receipt No.:
Partial Inspection: . Comments Date Initial
Final Inspection Approved;
Date Initial
R6jected:
eason
Date Initial
**,PERMIT MUST BE POSTED ON JOB SITE
White Copy File Green Copy -'Inspector Buff Copy Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION R/ REPAIRS F-� LID NO . .................. ASMT. NO - ------------------
OWNER --------------------------------- -------------------------------------------------------------- CONTRACTOR ......
.................... PERMIT NO. ag-P-0-9.
JOB ADDRESS 14-.B.D-3 ------ ........ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
luz�l
tl?ve- &,, -e-i: C-0,,Awje,� �-,O - �-:,Vke.
G(Ts ?c t 5
. PWW-0001-11/75(REV.11/78)
T%TAMF OF AnnITTON
Ll
-A- 31
k Le � 5-1. � (-, - \� \N( -
-------------------------------------------------------------------------------------------------------
Approved:
--- ....... ..
DATE . ................................... By -----------------
i CITY OF EDMOrTDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME /NAIVE OF BUSI E
c-) (--
.0 MAILING ADDRESS
Z
10 4�- 9
CITY ELEPHONE NUMBER
NAME
AUURE55
/,/, y 5�� '7'
CITY TELEPHONE NUMBER
NAME
IER
ADDRE�S
/eo
CITY TELEPHONE NUM
BER
STATE LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach two copies)
T&* &-C6,T 4�-
FV_1
L.41 NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
APT. BLDG.
SIGN
EXCAVATE
FENCE
DEMOLISH
OR FILL
x _ FI)
REMODEL
CARPORT
GARAGE
swim
POOL
WOOD STOVE/ RETAINING WALL/
INSERT
I I ROCKERY
RENEWAL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS 6
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
USE PERMIT
ZO N Eg:5
NUMBER
JOB
ADDRESS
_EGAL DESCRIPTION CHECKI SUBDIVISION NO.,,,7 L I D NPO/.e
PUBLIC RIGHT OF WAY PER OFFICIAL STREET IVIAP` TESCP
EXISTING REQUIRED DEDICATION APPROVED BY
PROPOSED_�& ------ e-9.
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED:
SEE ENGINEERING MEMO DATED
REMARKS
METER SIZE
Y
SIGN AREA ENV. REVIEW
ALLOWED i PROPOSED I COMPLETE i EXEMPT
VARIANCE OR Cu PLAt
SETBACKS — FEET
FRONT SIDE REAR
UNITS
ADB NO.
I SHORELINE N
NING REVIEW BY DATE
---F—HEIGHT I LOT COVERAGE
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
9,
0 6
Me—i
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY- ..
GROUP
OCCUPANT
LOAD
E)YES ":NO
REMARKS
PROGRESS INSPECTIONS PER LIBC 305
-7 CA, V4 6,V eOl), 1: r
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
ENERGY CODE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
a:
4 whatever nature, arising directly or indirectly from the issuance
X 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
0
nor I.imit 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
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
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 Insu.ran-c.e. jA 1-11
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
FAGNATUREiO ERfiR,7��
DATE SIGNED
771-3202
7TE TION
T IC
I IT 1 u
T I UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
L W
U u IL I L
IL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
'r7-
VALUATION FEE
.200
tel
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
0
Z
cc
W
U)
Z
0
Z
Uj
RELEASED BY:
DATE
ORIGINAL — File YELLOW — inspector
PINK — Owner GOLD — Assessor
NAME:
______YRaJE)CT ADDRESS:
APPLICATION R IPT DATE:
C
PLANNING
Reviewed
W`rR/SWR
by:. (in
- STRELr
itial7da te)
SINGLE FAMILY/KILTIPLE/C
17717T717
777//T/7
—//T/—/—/7//
SETBACKS
VARIANCE/SF.TRACK PW.
/1/07
17TF117TR
COMITI USE PJMWrT,.
2
AD6j' PDWM
7777777//
77'
�3'
7
77-777777/7
(71NER"ZONrM REQ()j t1MNTS
7777f
4
V�77
EWIRU,NWAL'F M-TURES
///7//
ACCESS SLOPE &-MEH'1612 ACCESS
6
11111"77
�//////)7
DRAINAGE PLANt (0�1 Sj te
11117"ff
7
TITUT
////"77
TmAL DEscR.Tr-r:rCN VFRI��F�I�j�
ikc�
Lill
1177777777717T
—IT177TR
9
QUIT CIAIM/DFDICATION§
111117177
10
77TITTR7
77777777
-T
FASEMENT -_IIUBLIC/PRIVATE
2AMMATE SEWER CONNWPIU4 IF I'M LID'#
111117
7TI777777
12
T17TIT177
/////
-
ITITI
-7T-
////////
. .
MAT/SUBDIVISICN REQUIR EME2M
7
13
77771/71
UT
977777
M
0
UGHT-OP-WAY CoNsTnuCTTCN pERM IT REQ6
///If/
777777777
14
//77777
AJILS LCMITIONS
2k2
15
IIIIflTff
1111117
IATER FIELD CHECKED
16
)'f?JMP PAVING, REQUTRED'
ITB—AND GIMER REX)UTRED
T/7777777
;IDEWALX ROCUIRED
7T
T// 17flV1117
'18
7T
17T/777
.
1111f1Tff
14 WORKS
URB CUP FOR DRIVEWAY REQn
TITfITIM
20
TREfff NAmE SIGN REr
UT
///7/ /7
—
1117T77777
/////////
21
--
22
fnW STGNM REW
77TR7
IR777717
III-;T;7-;7777
TDE SEWER AVAI1MILI117
23
11171
7TI777TI7
7R=1TR77=
XISTING WI!ER MATN SIZE
24
NTER MRTM SIZE.
25
11111Tff
MVICE LTNE SIZE
7UR7
7TITfFR7
&
j13�
TfT7TR7 77777TT177
—
26
)(DRAmr REguiRED
777777717
TIT177777
7TT=
7777TI7777
—
27
(DRAW SIZE EXISTING
—ITTITITR
TITIT177
////////
28
T17T77TI77
-CSS CONNECTIM INSPECTION REQD
29
�T I ER MER C1 . JAR%GE REQD
TflT17
772111111
30
—
FI �E LINE CHARGE REQD - SPRINKLER
111111Tff
11T
7TTITR
31
MET CUT
32
ff[777 111111117
IEN DITCH E�CISTING'.
33
3.4
35
REQD'il.
1LVER`r REQD
7/7r/7
SIZE
//T/77777
36
-TCH BAS±N: REQD
-1
111111777
37
INDICATED�. CN SITE PL . AN
T1 T1 TTI T T/
T1 =7
0ULDER D MumUZ -MAIMMIN
36
SIMLE OPIN." RUNOFF
39
SC:
40
-VI5qED BY:
V.
PLANNING
ENGINEERINaMGR.
19BLEC. WORKS MGR.,---,
11
DATE. -
MEMO TO: Permit
FROM: Dan Smith,, EallgIM
ADDRESS:
OWNER:
After review of the sj*j*Ct bgj1djaq jowit application. we have the
following comments:
1) Construction h&M &r,&: bjt%MTS 1:00an to 10:00pm
Uttjtj*VM. $VATS, lo:own to 6:00pm
2) A Right-of-U4y ConStrWtioe p"Wit is wq irvd for any work on
City property.
3) Connection to City w*W sytive rvqvjmd.
�4) Connection to City umitAry vvwr systen required; obtain separat&
pervii t.
5) Water and sfter lims to be separetv4d by to foot minimum.
6) Driveway must be pavw a nins of 70 f"t back from City
right-of-way; separate pot It wvqulrvd.
7) Driveway slW not to excood 14t.
8) Back water valve requirvd It down%tairs plumbing is below
elevation of upstroan senholt.
9) Builder/Owmr mponsibla for containing all temporary runoff and,
erosion control on site. Con%truction may not impact neighboring,
properties in any way.
10) No burning of construction rvfute without approval from Fire De�t.!
11) street to be kept cloan of dc-bri#.. dirt. mud, and construction
materials. Contractor rv%ponsible for dust control.
12) inspection requirvd on drainage system. catch basin installation,,
driveways. and sidt-walk%. A final engineering inspection is
required prior to the building divi#,ion granting occupancy.
dZ
.0,
"Z-
DETENTION WORKSHEET
STANDARD DRAINAGE PLAN
C A-TT-H
BASIN DETENTION PIPE LENGTH C0Vrr%k0L CATCH
(VENT) 1 5 74
) r-- I' MIN , 2' mt'x COVFK --I I
% 5LOPE--4-
oLrrLr.T
10 COV4T;toL�
c IS 4'
2 SL-*
TO OUTLET
(FJ P RAP OR
q71 PUNOFF
SIPREADE:R)
SYSTEM CROSS SECTION
2' . 2' V'CP2=P, At-16" SPALLS (61Lr0..1)
If x 2' 3r DEEP, VA*- CAUS"ED ROCK
W offl�'
I
FROM
OLITLET
CON-I-ROL
W^3HED &fL&.,iE
WrLer
CONTROL
RIPRAP OUTLET -
OUTFLOWTRENCIR, tAIN 10- LONG,
'TOP 4 4' PE*FkF PIPE -r0 BE L-P-Vel-
I
4" PERF P%PF- WITH CAP-%
RUNOFF SPREADER OUTLET
DETENTION SYSTEM
for
locationA
plan by
phone
date
DESIGN DATA
System ImperTn 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.
aIA4�4ad- 4w� ' ' —
-77
MAR i -
CCUNTER
CITY OF EDMONDS
Page 9 of 9
A�l
Z.
6!
---7L:t
4.1 IB,
:3 E I �,Pplm
Te
+";Z, I!) F.F
90 lu
V)
NOrT-H . Tr- 2.'
4 K
I-
Q13
00,
-cuL 4
—H'::VoHT cAL -ATIOt i
A=
--e>z
Cz -75