6805 157TH PL SW.PDF11111111 - 11
807
6805.157TH PL SW
C I T Y of EDIVION DS SIDE SEVER PER,ill-t
PERMIT NO.
For Inspection Call 771-3202 STREET FILE
7'
Address of Construction: �3
L
Property Legal Description (Include all easements)
I
Owner and/or Builder:
Contractor & License N
Single Family Residence -VX L 8 198
Multi -Family (No. of Units PUBLIC WORKS LVA11VVV00L)
Commercial (No. of fixture Units
I nvasion into City Right -of -Way: No 'Yes (If Yes, Right -of -Way
Construction Permit -required. Call One- Cal-1 -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: N o Yes (If Yes, easement required,
attach legal description and county -easement number.)
PLEASE READ TH ITEMS L STE ON THE BACK
I ce fy thq,4 h
read and shall comply Date
with t e items listed on the back.
0
Permit Fee':.
Issued By: 6
Trunk Charge:
757. CD
1, '7— Z 7—
Date Issued:
Assessment Fee:
Receipt No.:
Partial Inspection:
Comments
Date- Initial
Final Inspection�-Approved:
00
-
Rejected:
Date
.1-nitial
C)
Reason
—5a t _e Initial
PERMIT MUST BE POSTED ON JOB SITE
Wh ite Copy File
Green Copy
Inspector Buff Copy - Applicant
I
I # The City of Edmonds Side Sewer Drawing EASEMENT NO . .............................. — -----------
NEW CONSTRUCTION [j�' REPAIRS F-1 LID NO . .................. ASMT. NO . .................
CONTRACTOR ------ ------------------------ PERMIT NO.
OWNER --,.�-Q>AA -Q -------- ......... ................................
S -rR P L—
JOB ADDRESS (e. - --------- tz��-.-7 --------------------------- -3 ---------- W --------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
ILYNNWOOD LINE I
Atl akt Q�VLU —Lb t 0 V 0-0
4�1
v. e- 0-�o
Te
Vq 41 4-;L a -c Fu, 60,
Approved:
T'i
, I -
PWW-0001-1 1/75 (REVA 1/78) DATE ...... F ----------------------------------- I
............. ............. . .......... ..........
4
4 �08//"0/86
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
to, 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).
CITY OF EDMONDS ZONE Y_ — UTHEff F11
CONSTRUCTION PERMIT APPLICATION JOB tc?-5- ��
7AME (OR NAME OF BUSINESS) ADDRESS g0_5- /
�� M IDI
_j0"_11/ 12)_j_0 er-af-.V�
MAILV4G ADDRESS
4201 2,36 #1�2,06`
CITY TELEPHONE NUMBER
M7-ZW rE_XfAff_
NAME I
ADDRESS
TELEPHONE NUMBER
NAME
r_1011 45 4,-;n 411 e-11
ADDRESS 49,5_5 8 -�� -5)'
- wew�::� "
CITY TELEPHONE NUMBER
_�3o -r-tAts�� WA-
TTATE LICENSE NUMBER
7-hl< /3 7
7egal Description of Property - Include all easements
(show below or attach four copies)
— Z0 7- Z ,
Or
2. NEW
RESIDENTIAL
PLUMBING
ElADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
RETAINING WALL
SIGN
DEMOLISH
EXCAVATE
OR FILL
FENCE
I— x _FTj
REMODEL
PRE -MOVE INSP./
E] COMPLIANCE
swim
El
INSP.
POOL
WOOD STOVE I [:]
INS APT.BLDG
RENEWAL
NUMBER OF STORIES
NATURE OF WORK TZ
NUMBER OF
DWELLING
UNITS i
BE DONE (ATTACH PLOT PLAN)
- / CD 7:-
LEGAL SCRIPTION CHECKI
SUBDIVISION NO
P
LID NO.
PUBLIC RIGHT Q,� WAY PER OFFICIAL STREET MA
EXISTING REQUIRED DEDICATION
PROPOSED -10—
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1:1
STREET USE PERMIT REQUIRED C
SEE ENGINEERING MEMO DATED
REM S
METER SIZE
BUIII DING SUPPLY SIZE
FIXTURE UNITS
REMARKS
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
SHORELINE#
VARIANCE OR CU
PLANNING REVIEW BY
I
DATE
I
YARDS
FRONT
-
HEIG
;W
LOT COVERAPE
RKS
%;;'?- �L/M—
CHECKED BY
TYPE OF CONSTRUCTION
I
CODE
HEIGHT
2-S-
SPECIAL INSPECTOR
REQUIRED
0 YES 0 NO
AREA
OCCUPANCY
GROUP
R-2
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER LIBC 305
-971 -5 9=�_6
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewnlks,
driveways, marquees, etc.) will require separate permission.
_�ermlt
GRADING/FILL
STATE SURCHARGE
Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"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
whatever nature, arising directly or indirectly from the Issuance
LV. I iLPN I r-tt
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: vl&— -57--cl
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for any work.on City property.
4) Driveway slope not to exceed 141%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all tempor I ary runoff 'and
erosion on site and may 'not impact neighboring properties in a'ny
way.
8) Construction hours from ;7:00 a.m. to 10:00 p.n,. on wdekdays and
10:00 a.im. to 6:00 p.m. on weekends and holidays.
9) No burning of construction refuse'Withn-u+-.annrhN7A I by Pire Dept.
/J
PROJECT REVIEW 01OClUaST
lWBCT NANQ-�' PROJECT ADDRESS: /oz.
?PLICATION RECEIPT. DATE:,'
Reviewed by:,(initial/date)
PLAMING
wrR/swR sTREer ENGNMG,:
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BUILDING�
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CITY OF EDMONDS
[�KNEW
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 /-2
PROJECT COMPLETION DATE
COST — �:A -7�
B.A.R.S. ACCOUNT NO. —eg le'l ego. 6-3
ESTIMATED LIFE al�
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
PrDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
k�np INITIAL
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE