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6904 163RD PL SW.PDFv 871 6904 163RD PL SW V CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET VNEW El ADDITION 1:1 RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION '7/ 14�-13 DeT NO &�/ * * PURCHASE ORDER NO PURCHASE ORDER DATE COST *PROJECT'NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE 2� INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY E+ �DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE tnp INITIAL DATE A�r�- VERIFIED BY PROCESSED BATCH NO. DEPARTMENT FILE -:d- 00 CD (A a) W CITY .,of EDMONDS SIDE SEWER P, J T '#M For Inspection Call 771-32oaSTREET FILE PERMIT NO. IV ED IN 1W. Address of Constructi'on: 16.3 AL S��d — 4 0' Property Legal Description (Include all easements): r Owner and/or Builder: Contractor & License No: Single Family Residence Mul ti-Family (No. of Units LYNNWOOD Commercial. (No. of fixture Units Invasion into City Ri'ght-of-Way: No v' 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 Yes (If Yes,,easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK u 444� I c6i"'tify that I hav6)read and shall comply with & items listed on the back. Permit Fee: 2 P-00 Issued By: Trunk Charge:. Date Issued: Assessment Fee: Receipt No.:. Partial Inspection: Comments Date Initial Final Inspect.ion Approved: & Date Initial Rejected: Reason Date Initial PE-RMIT MUST BE POSTED ON JOB SITE Wh.ite Copy File Green Copy Inspector Buff Copy - Applicant Side Sewer Drawing The City of Edmonds EASEMENT NO - --------------------------- ................ NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASM7. NO . .................. V, I-N --?4A - OVrNER ..................... -------------------------------------------------------------------------- CONTRACTOR 1.K 5-s, ................... ........ PERMIT NO.07.?.L..kj. JOB ADDRESS --------- e- .... ?. D-- F � ---------------------- LEGAL DESCRIPTION: LOT NO. .—�3 --------------------------- BLOCK NO - ----------------------------------- 173�- 1\1 1p !K-r \A 1- 11/75 (REV. 11/78) NAME OF ADDITION -------------------------------------------------------------- -- ---------------- IL-Yl.\�N'V-!,'�00, Lt,\" " F7 Approved: ................. � By .... . ..... Ob"'TREET FILE , 890 . 199 CITY OF EDMONDS 250 - 5th AVE N. * EDMONDS. WA 98020 * (206� 771-3202 COMMUNITY SERVICES: Public Works e Planning * Parks and Recreation * Engineering April 29, 1988 Vikingstad Builders 12609 Blakely Place Northwest Seattle, Washington RE: Meadowdale Heights Lot 13 6904 163rd Place Southwest Please be advised the correct address for Lot is 6904 163rd Place Southwest. The job card reflect the correct address. Thank you, Z��k4� --'� Jeannine L. Graf Permit Coordinator LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR 13 at Meadowdale Heights posted at the site should 0 Incorporated August 11, 1890 * Sister Cities International — Hekinan, Japan CITY OF EDIVIO DS CONSTRUCTION PERMIT APPLICATION NA ME (OR NAME OF BUSINESS) 0 AM N (0 S R T A R M E 'I cc Vi k , nj��4 5'uu U It i,--s A LING '� A�DDRESSI z J,, P L. A) 0 IT CITY TELEPHONE NUMBER > Xj 1 1 3 (9), NAME ZONE N ADDRESS _(0 9 IG 3 Pz-. S- IA Ednf 64,: LEGAL DESCRIPTION CHECK SUBDIVISPN LID NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING _�� REQUIRED DEDICATION PROPOSED_!�,c k Vk" y V,61(4 pi's RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ADDRESS I SU 44� STREET USE PERMIT REQUIRED C: / / Z// & - sla- 74-,- z-f- Ax, SEE ENGINEERING D I cr < CITY TELEPHONE NUMBER NAME V q S4-o d, V--�; cc ADDRESS 0 jr CITY ELEPHONE NUMBER F- z 0 aw T STATE LICENSE NUMBER V1 X 46 15-117 Legal Description of Property - include all easements (show below or attach four copi s) 3 VM b uj Lie It 2 — y aae, 4.3 AL /4-r J -4 1, A REMA KS 7 DING SUPPLY SIZE REMARKS -(D 3h; 11 SIGN AREA I COMPENV. REVIEW VV ALLOWED I PROPOSED LETE i EXEMPT VARIANCE OR CU YARDS Vo/ V(, a PLA-r,5 1 �2 1 a i 2x1 j ;Y, � zu FRONT SIDE REAR REMARKS NEW RESIDENTIAL PLUMBING 4 El ADD/ALTER COMMERCIAL MECHANICAL "CAL REPAIR' RETAINING WALL El SIGN ]_ G REVIEW BY E UNITS ADB NO. SHORELINE # DATE HEIGHT I LOT COVERAGE L-1 EXCAVATE R FENCE BY TYPE OF CONSTRUCTIO ... EIGHT ' DEMOLISH EIREMODEL Li ET OR FILL PRE -MOVE INSPJ COMPLIANCE INSP. El (-X-FT) swim POOL tN3-A I . 7z__/V I 2-571 SPECIAL INSPECTOR REQUIRED 0 YES 0 NO AREA OCCUPANCY GROUP P-3 OCCUPANT LOAD WOOD STOVE/ F-] INS APT.BLDG RENEWAL REMARKS PROGRESS INSPECTIONS PER LIBC 305 NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) VALUATION 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, 2 employees, and agents from any and all claims for damages of < whatever nature, arising directly or indirectly from the issuance 62:0 MEMO TO: 'Building Division, FROM: Engineering Div is ion SUBJECT: V/ ?�-40 OC60 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. ndt to'-ex�e�'e'd -14'Q. 5) Sack water valve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. - 4 7) Builder/owner respon'si,bl'e''for containing al 1 temporary runoff and erosion on site and m'aY :no t ' impact neighboring properties, in any way. 8) Construction hours from i7:00 a.m. to 10:00 p.m. on we�e'kdays and 10:00 a.,-n. to 6:00 p.m. on weekends and holidays. 9 7. Id A14- Yl,'//'/�P PROJBCr RLvnV CHMM ST PRaJT= NAME P/ A/A < r,6 -PROJBCT ADDRESS: ?nIf-- /o/ APPLICATION MDCEIPT DATE: Revie 3.ni ial date) commum PLANNING WrR/SwR STREMT ENGNRNG FIM EU-ILDING Sn'XMX FAMILY/K)LTIPLE/CCMMEPCIAL - (Circle One) ////// ///////// S C1 - - - Piwining L11111 _�aE�/SETBACX ADJ- 7777777-77 -/T/7T/77 7T/7/7TR7 '-'ONDITIOMAL USr PM7ZMIT 7 T1 -77 //r///T/7 ///////// //////// -/7-/7/-7/-/ 2 3 77 T/7 7 -7-7 77 5 6 7 %DB REQUIREKMS CHBCKM YMER ZONING REQUIREMENTS 7T7777 ////// 7-77T/7 - TITI-11111 ///////// //////// —7—//////// 7 7 T1 7 7 77 7 77 7 7 777 1,1VIRONMENTAL F M-7URES 'aMSS SLOPF & VEHICLE ACCESS )-RAJNAGE PLAN (on site) FILE T7-7777 77TR7777777TI-177711TITI- ////// 777777 77777T17T ///////// 777777�7T ///////// ///////// ///////// -/7T/7/-/7 //////// TITFFI 777 T/ 7 TTF1 71-1 EGAL DESCRIPTICN VERIFICATION UIT CLAIM/DEDICATIONS ASEMENT - PUBLIC/PRIV, UMATE SB%TR CONNECTION IF NO [AT/SUBDIVISICN IGHT-OF-WAY CONSTRL)CTION PERMIT RD M REX FOR PUBLIC IMPROVFmDTrS �TER FIETB CHECKED TJMT PAVING REQUIRE �M AND Gfl'rER RBOUI DEWALK REMIRED RB CUT M-R DRIVE -WAY REET NAME SIGN REQD ![ER SIGNING REQD DE SEWER AVAILABILITY rSTING WIER MAIN SIZE rER I'MTER SIZE IVICE LINE SIZE )RANT REQUIRED )RANT SIZE EXISTING ISS CUMMON TNSPErrjaq pr= '01 MEnER MARGE RID 'IRE LINE CffAjrE REM - SPRINKLER FMT cur NIJQ-�-Ipt 1aTSTTNG 9 10 777//7 TITT= ////// ///////// ///////// //////// 12 T7-77// ////// 13 7T71-77 7TTFIT177 TITTITF7 14 /////7T/7 17771111 15 16 17 7- -/-7 7 F1 -7 ////// 7 77777 777T77777 777777777 19 IT17T 777777/7 T7TFITIT17 20 T177777TI7 - 21 7TI77TT17 7T77TT1177 - ///////// ///////// 22 77T71T17T 111111111.L11111111 23 -1 24 25 777/77 T1711111'7777777177 //////// 26 777TIW7 7TI777TR7 - 27 TTFITTITI-7' 28 TITITT 7� ////// //////// /////// // 29 777777 T/ T7-7 7-7-7 7 - //////// 30 /////T/7777T/7777 - 1111114W�11111 31 32 77T7TITI-7- 33 T 77 rT 53 O�O tx� 15 F'Al: L-7AT-7. V M AXI 1'�!. Q. M .......... - 2 A6 LA To Re- P4, 40- /* Vi IV Nt 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 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). MEMO TO: Building Division FROM: Engineering Division SUBJECT: 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 14%. 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 temporary runoff and erosion on site and may not impact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. a /V - —/'5�/7 Northland Horn6s nc. 310 00 0 I-O-F. 13 o, (v (lo -1 eb 44-vic/.('177 0 �v tl 107 2� looi- (5- A1 -1 P-,4. k <4 V PQ, 507 -164th SW-- LYnrrvvood,WA 98037 (206) 742-4141 .-- k PRWBCT REMV CTMMLIST pROJECr NAME: PMJECT ADDRESS: 1knnyTt'h#PTeW MIPTnm nhqw. /L F1 PLANNING Reviewed by: (initial/date) wrR/swR I STREEr ENGMG STREET FIRE TU—ILDM SINGLE MMLY/MULTIPLE/OoMMERCIAL - (Circle One) ///////// 11111M1 SEMAZKS CHECKED - Planning VARIANCE/SETPAM ADJ. T/77-7777 1 CONDITIONAL USE PERMIT '2 - //////77T77UM7/-//////// ADB REQUIREMEMS CHECKED //////// 3 - 7TTTff //////// IIIIT1777 OTHER ZONING REgJIRDOM jL111111 4 0(4F ENVIRONMENTAL FEATURES 1777777771 ACCESS SLOPE & VEHICLE ACCESS ///////// 777777T/7 ///////// 777,77 ////////1 1 6 111117111 DRAINAGE PLAN (On Site) a 777777777777/// ////// / / / / / /t/-/ ////// /// 7 7 STREET FILE /// -IL ///////// 8 77TR711 111111114 LEGAL DESCRIPrIoN VPRIFICATION ///////// ///////// IM1711 9 7TIRT17777TR7 ()UIT MIM/DEDMATIONS ///////// M/W/L 10 777111111 ///////// EASEMENT - PUBLIC/PRIVATE ///////// ///////// M11111 11 CAJORATE S n-M COOMMON IF NO LID# r777 7T777TI77 ///////// 77777T777 ///////// 1/////// //////// 12 111171 777777777 PLAT/SUBDIVISION REQUTREMEIM 13 [If/// ///////// ��-t RIGHT-OF-WAY CONSTRUCTION PERMTT. RK-0 ////// //////// 14 777TITIll 7777////' BOND REQD FOR PUBLIC IMPROVEMENTS 17777T ////// -17TIll ///////// //////// 1 15 SOILS CONDITIONS & GROUND WATER FIETD CHECKED - ///////!/ 177117 T ///////// //////// I / 16 7-1-ITIT 77777777/ STREET PAVING, REQUIRED ////// ///////// 17 RTTI-T T/7-77 7 7 7 7 1TW111 111111TM CURB AND GUITER REQUIRED 18 SIDEWALK REWIRED 19 777T/7 CURB CUT FOR DRIMAY REM --777////// -f77TTRT17' 20 STREET NAME SIGN REQD 21 17777T OTHER SIGNING REM 22 171111111 SIDE SEWER AVAILABILITY ///////// 23 EXISTING WATER MAIN SIZE 77TR7 17777777/ 7771771777 24 WATER HLIM SIZE 7R W ////// T1771-P ///////// 25 777U7 SERVICE LINE SIZE 26 71�111717 HYDRANT WIRED ///////// 27 HYDRANT SIZE EXISTING 711-111 -ITITfTTff ///////// 7TTRIIIII 28 17TI11111 IIIITIT97 CROSS CONNECTION INSPECTIM REQD ////),/ ///////// TffMTF 29 WATER mem 01ARGE REM a,1111111 30 FIRE LINE CHARGE REQD, - SPRINKLER LL STREET CUT .32 777T/7 77T[[117T OPEN DITCH EXISTING ////// ///////// 33 7-777777771� 7TWHP REQD ///////// ///////// -�-' 34 777T/T CULVERT REM 35 SIZE 7T/77TI7 ��M1117 36 CATCH BASIN REQD 7= WR77'MTMTR1 . .... I ...... ///////// 37 7TIT17 i7T/7T/ 7 7 M INDICATED ON SITE PLAN 38 SHOULDER DRAINAGE MAINTAIN TfM9 Jff/ T17TITTIT 39 SHALE OPEN RUNOFF MCI — .40 REVIEWED BY; 6k A 'pu"Mc ENGINEERING MGR. PMJU WORKS MGR. le PA i I IFI USE NW PERMIT NUMBER ZONER$_ CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION JOB ADDRESS _ t 0 1A NAME (C5R NAME OF BUSINESS) Z 3: 0 CITY 04 NPE Ow ADDRESS L) CITY NAME (0 ADDRESS 0 cc CITY Z 0 STATE �LICENSE Nt Legal Descripti ishow below or /V C_ LEGAL DESCRIPIION CHECK S BDIVISION NO. FTE-LEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING - 3�� REQUIRED DEDICATION 7 Y, PROPOSE6_?4-�2_ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 TELEPHONE NUMBER SEE ENGINEERING MEMO DATED ------------ REMARKS / I I .1e /111 T-ELEPHONE NUMBER METER SIZE IBUIL REMARKS Y SIZE FIXTURE UNITS cc W SIGN AREA S" ENV. REVIEW ALLOWED PROPOSED A LLOWED COMPLETE EXEMPT WLTI--� pert� incfude all easements ur copies) r� 77X V; ]FRONT OF CU ARIANCE OR PLANNING REVIEW By YARDS Y HEIGHT ILOT V) R S 1,151 ;2ttf V 0 T 2-�) SIDE L�'�REnAR REMARKS 40( ;7 8 M R'S k ftA I!fSI,NEW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN EXCAVATE DEMOUSH OR FILL FENCE x _FT) REMODEL swim P-OOL WOOD STOVE/ INSERT APT.BLDG RENEWAL NUMBER OF STORIES NUMBER OF LUDWIELLING TS WNITS NATURE OF WORK TO BE DONE (A ACH PLOT PLAN) .��j A) Ol ljeol _Jg��L_ I ,E 'HECKED BY TYPE OF CONST 'S 7y-/v SPECIAL I SP±ECTOR AREA REQUIRED 0Y S YES ONO -.1 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 ENERGY CODE Permit Application: 180 Days 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, agents from any and all claims for damages of employees, and whatever nature, arising directly or Indirectly from the issuance Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT of this permit. 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 ATTENTION information given is correct; and that I am the owner, or the duly 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 ONLY THE ed thereby, no person will be employed In violation of the Labor WORK NOTED CodSpMM-�tate of Washington relating to Workmen's Compensa- tiW nsu.ran q.. I NSPECTION DEPARTMENT KGNrURE (90VNER 08 AGENT) ATE SIGNED 11 -7 CITY OF 2" f EDMONDS 771-3202 VALUA ADB NO. IORELINE# DATE * iW I T,:-:> 0 ZZ CODE -Airs— OCCU NCY OCCUPANT GROUP LOAD 10 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 ATTENTION / I - 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 PINK — Owner GOLD — Assessor CHAPTER 3.