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7010 172ND ST SW.PDF11111111 1 11 997 7010 172ND ST SW Z 0 U 04 0 V. CkTY OF EDMONDS.. COMMUNITYSE1tVIgES DEPARTMENT nTrIEET FILE RIGH I T-OF- . WAY CONSTROCTION PERM1011n Permit No. ' * Issue Date . ' ' �\ (A,/\PS�-= e Owner: B. 0 Contractor: C_ N In e T_ "To "�'Ov Mailing Address N4ailing Address 'N C� kj"6LL City State Zip City State Zip I uc-_ IiN LA �'(Csc'o State License Number Telephone Number C. o Address or Vicinity of ConstTuqtkpn,% S?'-AaC2E 4---m o k 0 Type of Work to be D. 0 Work in Connection With: E. 0 Pavement Cut: 0 Y '91 N APPLICANT TO READ AND SIGN 0 * Sub or.. Plat 0 Commercial F. 0 Size- of Cut: 0 Single Family 0 Multifamily _X_ 0 City Projects V Utility INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including.or not limited to the defense of any.legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection;. Please call Engineering: 771-3202 • Work is to be inspected during progres s and,at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit must be availaPle at the job site for inspection purposes at all times. Date: Signature: Owner or Contractor This"Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: 0 days. Time Authorized: Void after Special Conditions: RELEASED BY: Date PERMIT FEE: Restoration Fee: Receipt No.: Fund I I I Fee: Street Cut Dimensions INSPECTED BY NO WORK TO, B.. EGINTRIOR. TO PERMIT ISSUANCE. Date Eng. Div. March 1989 V D vs i CITY OF EDMONDS r"or o EET FILE Ill ASSET INFORMATION SHEET 12<NEW 1:1 ADDITION El RETIREMENT A-�- ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION �7 DE-f NO PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBER PROJECT COMPLETION DATE COST A 5 _Z; 7 B.A.R.S. ACCOUNT NO. -0e), 40 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 5KIDEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO. A 1, i % CITY OF EDMONDS % COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT A. * Owner: Washington Natural Gas B. 0 Contractor NWB%_ 156 AVNE Mailing Address Rel - 1 e1rue, TJA Q8007 City State Zip 0 Address or Vicinity of Type of Work to be IC Work in Connection With Z < Pavement Cut: 0 Y 0 N r ) AnlgiructionJ4;, 'New gas APPLICANT TO READ AND SIGN Permit No. Issue Date Samw Name Mailing Address City State License Number t) JI) — _L /_ ocr nVy service installation State Zip 447-0700 Telephone Number El Sub or Plat 0 Single Family 0 City Projects 11 Commercial 0 Multifamily IM Utility INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 0 U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed by City forces, at which time a debit'orz.Oedit will be processed for issuance to the applicant. 0 • A 24 hour notice is required.for inspection; Please call Public.Works: 771-3202 • Work is to be inspected during progre�s and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at alltimes. • Traffic Control to be in accordance with City regulations. All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; no exceptions. Z 0 U Ix 0 110 I understand the4ove-and that,�hj�� mu$� available at the job site for inspection purposes at all times. Signature: Owner or Contractor Date: 11-23-88 This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: PERMIT FEE: ac/ _A10— Time Authorized: Voiga ftver �Z n —days. Security Deposit: Special Conditions: Amendments: Receipt No.: . Fund I I I Fee: Street Cut Dimensions: X NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: IF, CONTRACTOR CALLED FOR INSPECTION 0 YES 1:1 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 OD ms is I?Ll W AA� sga -9/5, 0 Oa Pd .v/5 ms 0 In 0 E MIS 5: Pi 2t CIA 13 N,94-- '56, 0 %%,'Lt JOIK m 0 '0 3.6 .7K All r OGPk§ v ro DNMd V, C. v w NI 'IWS r4.z a I M�.z -�'OZ t <Ofg 9.-K S.VT blas Z Is Ul i -A, CM I,- DErAiL- "A" - 1!:?-4—* 159.70 .466W FOOTAGE BY TYPE TRAN&---- stw: SUPPLY--- stw: DISTR.---- Stw: St.. p9:28cil c I: Sw 2- 158.070 NW 8-27-4 Z9 P, 09 IV in Way zo 4 NJ 0# It In -n %n W1 ILI U:On, I r p 7—�X 1, V W41- �z -i4 z A L%b 01 pn Os L 9.9 too 0 0 5 og C14 f 0111 ck cy T. C4 - . — — . ;a' , !Y-� I -, -11h,��NSI A 10 X, ra oil CIL CIN all 30 CH -.7 IV 17� Ln 04 th C\J. 01 i9r, (D ff. 9 C"4 lose 9t scv, ct) w; I VL 02 ON CK) - 4D W1 11-s- eds ILI A 0 d) 0 v L4 010 L UGL 0 2 w -M 3AV HIL9 ON U G 0 3-1 n U 6 'ON Ln NV -1 on 7 2 2 M—r- 11 09 —IM M, 43 'A7 f- VC) c 12 ty ev 0S 0 w1rr., ;2 cm rn .9 Cc Ln 00 C,, UM 7r, Q b tn UPS cn M IV3010 1 1 ir.-TVA - I A4-� —Z I ON I I W tZ PL — — — — — — — — — t 1vNcy0 0-18 1 11 IV -q d -i ON A I—OLOv- i W I Q( ul/v or cli w CL 19 3': SL CIS it Oil Is" 2* 3 Al 5, 1. 1 s- — -GN Zk il '-r OPEN 00 CD V) cu 4��_ -C-ITY of EDMONDS S I D E SEWER PtR111T ;.�, I 1� -#; - For Inspection Call 771-3202 STREETA L. E 7t, 0 - 77- Address of Construction: 5 Property Legal Description (Include all easements): 7 -7 1:;?/4 OAII�> 51 / / &� / 6 // /' Owner and/or Builder: R,,WA- L _5AIA--�;e6r_ Contractor & License No: 5�VA 172— /-- 0 Singl-e Family Residence Multi -Family (No. of Units [��NNWOOD LINE Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One- Cal I -Center J 1 Y800-424-5555) before any excavation.) Cross other Private Property: No Yes,'.(6' (If Yes, easement required, attach legal description and county easement number.) 1W;E IV �-O PLEASE AD THE ITEMS rSTED ON THE BACK Nov A988 PUBLIC WORKS I cLyrtify that I have read and shall comply Yate with the items listed on the back. Permit Fee.: Trunk Charge: Assessment Fee: 30-00 Partial Inspection: Issued By: -_�06 z �'Date Issued: //?— qlo< 9 Receipt No.: 62,3 Comments Date Initial Final Inspection Approved: I . C�/ Date Initial Rejected: —Ua— _Fn i —ti a 1 Reason te ** PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy -'Inspector Buff Copy - Applicant 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). The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- 4 t* NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ ASMT. NO - ------------------ 0WNER ... ---------------------------------- --------------------------------------------------------- CONTRACTOR 3�-)!�,J� ----- - ------ I ------------------ PERMIT NO. - ----------------------------------------------- JOB ADDRESS --- 7-01P ------- S-u) LEGAL DESCRIPTION: LOT NO. -.---7 ----------------------------- BLOCK NO - ------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAME OF ADDITION ----- ,5 ........ � A .. C-1 ...................................... 0. j c- cjlt) A, - -..— 1 -1 -)\"" 51. -S. \il -- PWW-0001 -11/75 (REV. 11178) t civ- �2AV-�, d13 EYNNWOOD LINE E� I r t - . 1�7 1Y � Al V Approved: t Y DATE .... By ------------------------- - vt CITY OF EDMONDS CONST-RUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) A)/wz c 6o oi e2 r e= ill_rl MAILING ADDRESS Z 0 CITY TELEPHONE NUMBER 4N_jZ c I �) & d 1 -&&q �, I'_ ESS PHONE NUMBER USE ZONE JOB ADDR ESS 7 LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID 0. O;r 72 TESCP PUBLIC RIGHT OF,�NAY PER OFFICIAL STREET MAP APPROVED BY EXISTING DEDICATION PROPOSE 'r 6��_ e_z� RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED. STREET USE PERMIT REQUIRED SEE ENGINEERING MEMO DATED NAME cr ADDRESS 0 L) METER S IBUILDING SLrPLY SIZE RE UNITS 4 cc CITY TELEPHONE NUMBER Z 0 I REMARKS) STATE LICENSE NUMBER SAJ4/Z 67 C I SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADB NO. Legal Description of Property - include all easements (show below or attach four copies) SHORELFE-0 Z 2 eL)'r -7 Z-_QMIDA)P� Alel6H7_5 VARIANCE OR CU PLANNING REVIEW BY I LU YARDS HEIGk LOT COVERAGE FRONT Z SIDE /0'14.5 REAR 29 NEW r%71 t�J RESIDENTIAL V PLUMBING ADDIALTER COMMERCIAL El MECHANICAL ElREPAIR RETAINING WALL SIGN DEMOLISH EXCAVATE E] OR FILL PRE-MOVECINSP./ FENCE El L_ x _FT) SWIM REMODEL COMPLIAN E INSP. E] POOL FWOOD STOVE -I INSERT APT.BLDG RENEWAL NUMBER OF STORIES NUMBER OF -2, 1 DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 5 IF R tF'� ) 0 FW<� L�_ CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT /Vl/ I 116C,5- 2sl SPECIAL INSPECTOR AREA JOCCUPANCY OCCUPANT REQUIRED 1PROGRESS P LOAD I CIYES NO REMARKS INSPECTIONS PER UBC 305 PLAN CHECK FEE BUILDING PLUMBING �.MECHANICAL This Permit covers work to be done on private property ONLY. :'GRADING/FILL Any construction on the public domain (curbs, sidewalks, 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 successors in interest, agrees to indemnify, defend and hold ow harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of a: < 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 TOTAL AMOUNT DUE 0 x 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 p�rson will be employed in violation of the Labor ONLY THE Potle the State of Washington relating to Workmen's Compensa- WORK NOTED /tion surance. INSPECTION DEPARTMENT CITY OF SIG ATURE (OWNER R � �NT) ____jDo 7TE',,IGNED EDM0mDS 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 VALUATION FEE �-/Oc) I -011�0 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 a Z tr Uj Uj Z W M Uj 0 Z Z Z 5 ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor revnw �ime PRWECT AMRESS: PL f 7- 2,0 - asviTTt� jbp. Unitial/da OOMMEWS PIANNM, WrR/SWR, Jf� STPIMT 94RMG BUIMM, FIJT, //77T/7777777777// (Circle One) f1771711 77777777 lanning 1Sr-MVtCX AW. uSP PEPMT 1111711111 3 IMM ZCNING REQUIREMENTS 77"77 111711171 77TIT-17T7TI77TI777 4 .qWRON-UMAT, FrAIURES 5 XESS SIDPF & VFMCM, ACCESS 777/77777 ///////// 11111111f ///////// 6 WNAGE PLAN (on site) -7TT177TTIT1717 11111117T ///////// 7 777/77// IdMT FIIF ////// ///////// //////// 8 rAL DESCRIMIM VFRTFICAT 1p 7T /R//// IIITI-lTff 7T/7777T 9 ITT CIATM/DFI)TCATICNS 77/-7T/-T/7 10 SF14FM - lIU13LTC/PRTVATE ilO�t 7T/777777 ///////// 11 WMATE Sn.,%ER COMffrPION TF NO LIDO //- ;7- 11111111T ///////// 12 111117 V- 7 771ITlU 77T/77T/- AT/SURDTVISTCtJ REQUTREMM 13 Gifr-OF-WAY CONSTRLI--PICN PERMIT REro A� 777W ////// 11711 ///////// 171111 7-7 ///////// 14 ////// 7T/////// ND REQD M-R PUBLIC IMPROVEMEMS V///// ///////// 15 ILS OWnrrims & cRoLm 777717 11711111 7 7 7 7 77-7-77 77 f[I-111 '11-M FTEID CHOCYM h1111 ///////// ///////// 16 TfIT17 T/ -1fTrl77 7 7 7 7 7 7 7 7 'REET PAVIW, REQLITRM- ////// ///////// ///////// ;// 17 11"i�n 7 RR AND (AYPPER REQUTREn ////// 18 171117 DEWALK REMIRED 19 177-17Tfff 117111111 t RB CUP EUR DRIVFWAY RE)QD ///////// ///////// 20 11171111 171111111 1171111111 - TUWr NAM SRN RECD ///////// ///////// 21 111177-177TUR77771-TTff 111111"71 - JER SICNING REQD 22 17TIV 111111711 7TTR7777 77111111 DF SEVM AVAIIARTLITY 23 I-[l-lfl7T 777777777 ISTING WFER MATN SIZE 24 77T7-77-77-77 - TM MP.M SIZE 25 T/T/77 TPT11111 11117111 RVICE LWE SIZE 26 DRARr REQUIRED 777TTT17 ///////// 777/7777 27 )RAUr SIZE EXISTING. 77777 ////// TITITITR ///////// -ITTI-7TITR - 28 -SS TfT1W -TT17TTFIT 7 TF1 77 TI-7 - CUNEMON rNSPECTICN RBQD ////// 29 77TTIT -ITFI 7 7 7 7 7 - TER MUM CIIARGE REQD 375 41.r 30 FIRE LrNE CHARGE REQD - SPRINKLIM W/WMAL, 31 17777/7 J= cur 32 EN DITCH EXISTING 33 IT17TITF REQD 34 TITIT WERT REr-D ////// ///////// 35 777777 777T/7T/7 77T/77777 SIZE ////// ///////// ///////// -7377 36 ,VT11 BASIN REQD TfI77/ ////// ///////// ///////// 37 DMICAIIM CN SITE PLAN 1111-1-f -ITf7TITff ///////// 77TIT177T ///////// 38 p,WER DwamGE RAMAN -177T= ;,Sj= OPFN RUNOFF 3T, &0 R KMO TO: Building Division FROM: Engineering Division SUBJECT:, -21)10 1,2;?.AO Sr Se"v 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 responsi-bl'e for �ontainino all -temporary runoff and erosion on site and may pot imppct neig�boring properties in a*ny - way. 8) Construction hours from 7:00 a.m.,, to 10:00 p.m . on wdekdays and 10:00 a.im. to 6:00 p.m. on weekends and holidays. 9) No burning of construction refuse -wifhnii-t -a=rhuaI-b*__F_ire Dept. 77 -5. r,>A-Tkl,& o o W./. A�Mli4&HT To. FKISTIO& f)9?Ajt-),A6E SLOALt: APP&x 6-o 1?6-5 7- 4 4,(p Z(' IN b IA. *-Iva K—I f X pu 1A) y /for 170 r, C2- Zall, ol bv, 051