6808 162ND PL SW.PDF868
6808 162ND PL SW
Irr
00
C)
U)
CITY of EDMONDS SIDE SEWER' *PE,, RA 1 J..
For Inspection Call 771-3202 S"TREET FILE PERMIT NO. MUM-
,Address of Construction: �kdg'rl�,21vp, �04 5w
Property Legal Description (Include all easements): t(T
Owner and/or Builder: I/ Ell- A
Contractor & License No: CAODN _li:f z a 6 e
Single Family Residence
LYNNWOOD UK]
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. Call One-Call-Centler (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 READ THE ITEMS LISTED ON THE BACK
I cp'rt,ify that I have read and shall comply Date
wi t/t he items.listed on the back.
Permit Fee: hssued By� 9��2
Trunk Charge: IDate Issued: �Z_ -
Assessment Fee: Z2 916 Receipt No.: z Cl*,?, 2)
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Rejected:
ason
/- / 2,, �4 - t�" 0-
Datd _' Initia
PERMIT MUST BE POSTED ON JOB SITE
Date Initial
Wh-ite Copy - File Green Copy -�Inspector
Buff Copy - Applicant
� The City of Edmonds Side Sewer Drawing EASEMENT NO . ...........................................
NEW CONSTRUCTION REPAIRS F LID NO . .................. ASMT. NO. � ..............
OWNER-------- --------------------- ----------------------------------------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. ��-) - -----------
JOB ADDRESS
--- - --------------- LEGAL DESCRIPTION: LOT NO. -- ------------ ..................... BLOCK NO - ------------------------------------
NAME OF ADDITION
-7
q-" P.vr- e-jo
'**�<-- 1
33+'
t, rIvIc-
3, D e. . e-
(�v4 —IID I ' b r- (5 lLjoj_
llp Aec--
11D
�4 9�,R P, �D LATS
----------------------------------------------
D e-ey
C-4f To L' 0i:54M,
---7" @ -*— 17' ---1-
L.w�t
(,A t)ct it, 2, 1" k
(f" P-v-c- e4o
3' j)A-e,0 -
r-dj,jp 'To I' or- 50,AOL
PWW-000 1 - 11/75 (R EV. 11/78) DATE UL-1 .... q.D .............. Byc/e,
...........................................
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 accuracv 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).
DATE: A-2// V IfO STREET FILE
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS:
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 -for 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.
-71
IN,
00)
to
-to- I go
SCO04
1,4
10
vu
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS (ft6ovevA)
,�J'AIIW 8A+(!mVPJeA) 6,�J * it M
F5 me-6a6k)
CITY TELEPHONE NUMBEF
5A—a— t4c)& 132-1 &0
NAME f
ADDRESS//'
0
TELEPHONE NUMBER
C&A-4-d'olu- V463-229-
NAME I
cc ADDRESS
0
(t CITY
Z
0
0 STATE LICENSE NUMBER
/_?gpo
Legal Description of Property - in(
(show below or attach two copies'
Z
4P 1
NUMBER
all easements
12SI-NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
APT. BLDG.
SIGN
DEMOLISH
REMODEL
EXCAVATE
OR FILL
CARPORT
GARAGE
FENCE
I- x _FT)
swim
POOL
WOOD STOVE/ RETAINING WALL/
INSERT ROCKERY
RENEWAL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATU E OF WORK TO BE DONE (ATTACH PLOT PLANT
W)" A4wx- Cwyt,�
USE PERMIfW I I I&mLW I t-
ZONE e,5 020 NUMBER
JOB
ADDRESS
,0,0-0 I&Z
/Y
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
Zo 7_
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
APPROVED BY
EXISTING -1297M IREDDEDICATION
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED-0
STREET USE PERMIT REQUIRED:
SEE ENGINEERING MEMO DATED j AhWIE%
METER SIJE BUILDING SYPPLY SIZE, 7 FIXTURE UNITS
R7kV �QMO
SIGN AREA COMP ENV. REVIEW ADB NO.
ALLOWED I PROPOSED LETE j EXEMPT
VARIAN9E NNIN REVIEW BY VDA�YE
CU JPLAI q.L
I 1D.v50A*% a -to loy
SETBACKS -FEET HE G T I LOT COYERAOSE
-4 lbFRONT,2_5 SIDE /0 RE25 40 -7-0-S �Iet
CHECKED BY TYPE OF CONSTRUCTION CODE
A I =-/I/ 1 05
SPECIAL INSPECTOR AREA OCCUPANCY
REQUIRED GROUP
FIYES !.: NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
PLAN CHECK FEE
BUILDING
PLUMBING 6:7 L
M ECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewplks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit 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
w successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
2 employees, and agents from any and all claims for damages of
< 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
TOTAL AMOUNT DUE
0
x nor I . imit 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
4)de o�fl�E State of Washington relating to Workmen's Compensa-
WORK NOTED
tio h Insurance. ti
i
INSPECTION
DEPARTMENT
SICIN
,PTURE (OWNPPWO DATE JIGN�D
"/O/z M�X,/J
CITY OF
EDMONDS
ATTENTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
I/r/zw
Ht"im I /
121S
FCCUPANT
LOAD
Z
wal
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
ORIGINAL — File YELLOW — lnspe�
PINK — Owner GOLD — Assesso
0
W
W
Z
0
Z
W
CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET
NEW ASSET NO. za (4
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION C UA�
SERIAL NO.
LOCATION 'S (o
PLc
SO
DEPT. NO. 6,"
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER wm-s 0 37?
PROJECT COMPLETION DATE
COST 14OL4 - S-S--
B.A.R.S. ACCOUNT NO. t4 I i - (066 - 0 114 -S L4,�--(n 6
ESTIMATED LIFE �z s-
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
KDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
tnp INITIAL
DATE
4ut-
VERIFIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
450
4ZO
400
400-
-0 c
F-XlS7rlW6 GP-AOF--,,\
I I
PKOf ILE. A
PROFILE I B I
TO*rAL FILIL 34 t ca YDS
t= V I C---r I k I r� /-' V A r")=
lDKl\le-\NAlY
7'07'4z r&r 9A9 cel Vns
DKIVEWAY PKDFILE-
LOT Wo. 5 MEADOWDAL-E- HEIGHTSUDMORV� GRADING PLAN PKOFILE
11= I -T ,
5CALV,�, 1 2.0 \/E.Y, HC)FkL.
i
4zo
4-to
DKl\,./E-WA\e
4W
47-0
PKOFILF- I C I
9 W-21,
Off
z
DEC,
11FRIANT CTUL�TF