6906 163RD PL SW.PDF872
6906 163RD PL SW
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CITY of EDMONDS S I D E
For Inspection Call 771-32oSTREET FILE
Address of Construction: 910 (6 3
E W E R P E R M I T
PERMIT NO. 07822
P rope rty Lega I Des cripti on (Inc 1 ude, a l I easements): O—W rd
Owner and/or Builder: 4-S 4zt4 )Fj�dz-ew 7 87�2�/,
Contractor & License No: V14 0A / S_ /27—
Single Family Residence &0.10
Multi -Family (No,. of Units LYNNWOOD LINE].
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Ll Yes (If Yes', Right -of -Way
Construction Permi,t 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 nu.mber.)
PLEASE READ THE ITEMS LISTED ON THE BACK
ZEE
I certify that I ave read and shall comply Zate
with the iltpms listed on the back.
Permit Fee: 0 Issued By:
Trunk Charge: IDate Issued:
Assessment Fee: Receipt NO.: a-7:7
Partial Inspection
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
son
** PERMIT -MUST BE POSTED ON JOB SITE **
Date 'Initial
White Copy - File Green Copy -,Inspector
Buff Copy - Applicant I
Side Sewer Drawing
The City of Edmonds EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION M REPAIRS Fj LID NO - ------------------ - ASMT. NO - ------------------
OWNER ---------- ------------------- CONTRACTOR ----- -- ------------------------------------------------------------- PERMIT NO. D.7-11 A.
JOB ADDRESS --- 91.. ? .
------ ....... > ---- W ------------- LEGAL DESCRIPTION: LOT NO. JZ) - ---------------------------- BLOCK NO - ------------------------------------
d-X0 Q—"5, Tb C QP �
I PWW-0001 -11/75 (REV. 11/78)
NAME OF ADDITION
�N:-\ r--' -s�, 'N% 0 W t,. -
.......................................... Z ----------------------------------------------------------------------------
LYNN 001) LINE]
Vx
10 Approved:
DATE ------------------- ...... 4�t .......
N OTICE:
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
RN E W
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO. ct�
ADDITION TO ASSET NO.
DESCRIPTION Z"
SERIAL NO.
LOCATION DEPT. No.
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
0
*PROJECT NUMBER 4-2-2�—n-5 117�
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 66 .6.3
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
UKDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT —
0 G.L. ENTRY
REFERENCE
DATE
Az�-
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
(yp-)
DEPARTMENT FILE
PRO= REVIEW CHIDCKLIST
(oqD ?,L-Stk)
pRDJECT NAME: V I rj Q, 0 CL PROOBCT ADDRESS:
v,nny-rt-tfpTr#j RR-ETPT nATEi 591
Reviewed by: (initial/date)
PLANNING
WIR/SWR Sn= ENGNRNG
-/FIRE
BUILDING
171-171-TITTII-f777T71-71-11-FllI
SINGLE FAMY/MMTMz/Ca44ERCIAL - (Circle OnO
SETBACKS CHEUMD - Planning
177TTFIT
VARIANCE/SETRACK AW.
////////
1
777777777
7777777777
CONDITICNAL, USE PEFMTT
/////////
2
7T/777-
7111IT11F
ADB REOUIRE14ENTS CHECKED
3
'77777
7777TM 7
oTHER ZCNING REQUIREMENTS
4
///T/7--
ENVIROMMEMAL FEATURES
5
ACCESS SMPE & VEHICLE ACCESS
11111111T
6
11111111T
DRAINAGE PLAN (On Site)
7
MIUMT FILE
TITFIT
//////
T/7=
/////////
/////////
TITITTIT
////////
8
LEGAL DESCRIPTIM VFJIIFICATION /0�
/T/T/T
/E
TR11111
9
QUIT C7AIM/DFDICATICNS
10
EhSBMH - P(MLIC/PRIVATE W11,
-17TIRTIT
11
CAIrMATE SEWER CaMMION IF NO LID#
7TMI
//////
12
TTTT1-1
ITITU111
PLAT/SUBDIVISION REQUIREMENTS----
13
T/7T77
RIG1fr-0E-WAY CONSTRUCTION PERMIT REOD
//////
/////////
/////////
14
/ / / / IT
7TITI-1711
7 7 17 7 7 7 7 7
77777TI7
BOND REQD FOR PUBLIC IMPROMMM
//////
/////////
///////// -
////////
15
SOILS CONDITIONS & GROUND
WATER FIETD L-IfECKED
77TITf
//////
777777777
/////////
16
STREEr PAVING REQUIRED
7 RTIT
1777 7 7T/7
77177T11
Z)
1
17
7
CU1B AND GUTTER REQUIRED
18
111117111
177TI1111
SIDEWMLK REQ)UIRED
19
CURB CUT FOR DRIVEWAY REQ)D
20
7TRT777T--j
771-11717
STREET NAME SIGN REQD
21
-
7777TT7777
OTHER SIGNING REQD
22
-[[1W-ffT117T17771Tf1f11
SIDE SEWER AVAILARILI . TY
////////
-
23
EXISTING WATER MAIN SIZE
PD. 1,
111111"7TU711111
24
WATER METER SIZE
25
SERVICE LINE SIZE
///777'////////7
26
111711111
HYDRANT REQUIRED
27
777777'777777"//
HYDRANT SIZE EXISTING
28
-
7TF17777T---
7 777TR7
TIT 7 7 T777
cRoss cumwrim rNspEcTim RE(p
////////
29
WRTER MEM CHARGE REQD
c,1111117777TI-1-11-TI7
��23,.j5�-rlllllll
30
77T
17111171
FIRE LIM CHARGE REQD - SPRINKLER *I
///,31
STREEr ayr
32
111777
11[177TII
OPEN DIICH EXISTING
33
REOD
34
CULVERT RE M-
35
111117777[[117T
SIZE
//// //
/////////
36
77777777TI7777
111111TF
CAICH BASIN REQD
7A
37
11TRTTR111-17
TURHII
INDICATED ON SITE'PLAN
//////
/////////
/////////
_
�(U
38
SHOULDER DRAINAGE MAINMIN
7 717
77 7 TTF1 T
7/7 TF1 7 7 7
39
SHALE OPM RUNOFF
11111117T7777T[Ill
MISCI
40
REVIEWED BY:.
PLANNING MGR. ENGINEERING MGR. PUBLIQ:�MRKS MGR.
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT:
After review of the subject building permit application, we have the
following coments:
1) Connection to City water system required.
d.
2) Connection to City sanitary sewer sy,stem require
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.
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
N—A—ME (OR NAME OF BUSINESS) .
V, kf n 4,4ad_' 6 44�
USE 'qW' PERMIT
ZONE NUMBER
JOB
ADDRESS Jirjo& PL, Stu
LEGAL DESCRIPTION CHECKI SUBDIVISION NO. 7LID NO.
-10—C I
W MAILING ADDRESS I
Z
0 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING 30 REOUIRED DEDICATION
PROPOSED 50
CITY TELEPHONE NUMBER
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED
STREET USE PERMIT REOUIRED 0
Uj1 ADDRESS
oc-- "2o
SEE ENGINEERING MEMO DATED
7
cr
< CITY
TELEPHONE NUMBER
-7-IJ-4f I q5-
REMARKS
NAME V,
cc ADDRESS
0
R PL
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
cc
Z CITY JA-t__ZW- '7 �1 7 7
0
TELEPHONE NUMBER
30-
REMARKS
STATE LICENSE NUMBER
V1 V_10!3 / y-/,.,77 keg
SIGN AREA
ALLOWED PROPOSED
I
ENV. REVIEW
COMPLETE I E E MPT
ADB NO.
Legal Description of Property - InclOde all easements
(show below or attach four copies)
SHORELINE 0
L or /p,
8� 4XL
VARIANCE OR CU PLANNING REVIEW BY DATE
YARDS HEIGHT ILOT COVERAGE
FRONT SIDE REAR I
rvi
LfN,NEW
ADDIALTER
REPAIR
DEMOLISH
REMODEL
ESIDENTIAL
COMMERCIAL
RETAINING WALL
EXCAVATE
El OR FILL
PRE-MOVE INSPJ
COMPLIANCE INSP.
PLUMBING
MECHANICAL
SIGN
FENCE
L.— x _FT)
SWIM
POOL
CHECKED BY
_7Wfi-
IREMARKS
SPECIAL INSPI
REOUIRED
0 YES
FWOOD STOVE/
-I INSERT
APT.BLDG
RENEWAL
NUMBER OF
NUMBER OF STORIES
DWELLING
[UNITS I
NATUR OF WORK TO BE DONE (ATTACH PLOT PLAN)
�'oe J A 14 If I
TYTCONST LICTION Cc(
'TOR AREA
OCCUPANI
0 NO GROUP
101A' 00
A&_
EEEEE_:� VALUATION I
PLAN CHECK FEE
BIJILDING
PLUMBING
MECHANtCAL
This Permit covers work to be done on private property ONLY
GRADING/FILL
Any construction on the public domain (aurbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require sepa�ate Qqrmissl6n.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started With�in 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and '
n successors in interest, agrees to IndeTnify, defend and hold
Q harmless the City of Edmonds, Washington, its officials,
j
E employees, and agents from any and all claims for damages of
C 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
nor limit 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
Code Of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tign Insurpince.,
I NSPECTION
DEPARTMENT
r'ITV nC
SIGNAT (OWNER OR PENT)
�7, 1 /1 1/'. . / I
DATE SIGNED
EDMONDS
ATTENTIOW 771-3202
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0.
iE HEIGHT
OCCUPANT
LOAD
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FEE
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
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — InsQector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78