Loading...
7011 176TH ST SW.PDFiiiiiiii lill 1150 7011 176TH ST SW CITY OF EDMONDS property of- AS S§Tf ffe HEET CITY OF EDMONDS N'/NEw N2 05356 ASSET NO. El ADDITION ADDITION TO ASSET NO. D RETIREMENT DESCRIPTION Z/ Aj SERIAL NO. LOCATION --2 -76 ,,1211 DEPT. NO. 4�2�z "PURCHASE ORDER NO. - PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE *PROJECT NUMBER PROJECT COMPLETION DATE COST INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY ODEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT - iG.L. ENTRY REFERENCE �p�" � �) INITIAL UP) DATE 6c VERIFIED BY PROCESSED BATCH NO. - DEPARTMENT FILE 4 1.* 00 C) V) CU a: CITY of EDMONDS For Inspection Call 771-3202 Address of Construction: RECEIVEQ S I D E k) D -.� A 1q9' Property Legal Description (Include all easements): S E W E R ,.#'OfERMIT NO. P E R M I T 07461 Owner and/or Builder: Contractor & L i cense No: Single Family Residence Multi -Family Commercial (No. of Units (No. of fixture Units Invasion into City Right -of -Way: No �< 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 X Yes — (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify t read and shall comply Date with the items listed on the back. Permit Fee: Trunk Charge: Assessment Fee: Issued By: Date Issued: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: Date Iniltiz-1, Rejected: Reason _75 t _e 7 n i —ti a I PERMIT MUST BE POSTED ON JOB SITE White 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). N Side Sewer Drawing The City of Edmonds EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS f-� LID NO. .164 ..... . ASMT. NO . ...... ........... . OWNER AtJ-o.a.QC,.RA,,V=-T -------- kok-'e-s .......................... CONTRACTOR Lu.T.z . ........ I- ...................... PERMIT No.7 ............. JOB ADDRESS .. 701-1 ......... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. '7 1 sT &%-4 e- \^/. NAMEOF ADDITION ...................................................... 0 ............................................................. S 7015 'T" 1 r7G cp IS C.Q. CAP r., OP. 14' 3- 4--c-O-WVC SlOp. 1.5 OP 10 0P PROP. C.Oft"gA 4?'C-G-WX 7011 PW W-0011-11175(REV.11/78) 5T 1'7517 71 a. %WSC c; X cV 1 4: WVc 3,0P. C.O.CAP -ro V*"- NOIRTVA- ;p., Approved: DATE&I ... 3, 1. Y. 8..(* ...... By, lia .. C5r . . .... ... . ... ................... USE CITY OF EDMUNDS ZONE gs-o CONSTRUCTION PERMIT APPLICATION joB NAME (OR NAME OF BUSINESS) AL)UhtbS 708 I -nc- jp 1\ V-T �A D yn E�s I t), 42, ILEGAL DESCRIPTION CHI .50 -3, -dITY TELEPHONE NUMBI /P j f? UME k,Al J(JAV--�I'w ADDRESS C'TYC.ij trio r)() 8 - (7(2 C, ITELEPHONE NUMBER NAME a,W1)CW,q,--r ADDRESS _32 A,0,4vy CITY TELEPHONE NUMBER -7 STATE LICENSE NUMBER WiD T) C14r19V Q Legal Description of Property - Include all easements (show below or attach four coDles) Ja/--3 139117-Z PllqT . (�a EW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL_ MECHANICAL REPAIR RETAINING WALL SIGN EXCAVATE FENCE DEMOLISH OR FILL ( x -FT) PRE -MOVE INSP.1 swim 11:1 WOOD STOVE/ INSERT [:1 APT. BLDG E] RENEWAL NUMBER OF STORIES NUMB"UP Uwt:LLINU NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) NUMBER / 76 ftt- -ST 5 W UBDIVISION NO. I LID NO, . . I I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. "N EXISTING 10 REQUIRED DEDICATION 69 PROPOSED­7,�. RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED A6 METER SIZE IBUILDING SUPPLY SIZE REMARKS RE UNITS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE I EXEMPT ADB NO. VARIANCE OR CU PLANNING REVIEW BY DAT IV YARDS HEIGHT I LOT CQYEaAg(E I FRONT14-1; SIDE REAR 8- 7-41 -61% I Ale "J C�71V-5 Aoe & C IV-41 I SPECIAL I REQUIRED 0 YES A By TYPE OF CONSTRUCTION I NSPECTOR AREA OCCUP T GROUP PLAN CHECK FEE BUILDING PLUMBING MECHANICAL R 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. 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, 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 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 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 tigginsurance.. I NSPECTION DEPARTMENT 3IGNATURE (OWNER OR GENT) DATE SIGNED CITY OF )Z4A4A4,e',j,0,,,—� 1,2 EDMONDS MENTION 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. 102-78 ly U OCCUPANT 4"') ILOAD 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 — Inspector PINK — Owner GOLD — Assessor 3: PFMECT REVIEW CHSM(LIST &dewit 14AWkm r �;6 57 5W, PROJECT NAME ppWECr ADDRESS: :710 Reviewed by:- (initial/date) COMMENIS PLANNiNG wrR/swR sTREEr I ENGNmG FIRE FUILDING 17TIM11 1177777711 SDME FAMILy/MLjLTI3nE/Ca4MrjAL - (Circle One) MMACKS CHEM(ED - Pl�—ming T1111111 11111T11U VARIANCE/SETPACK ADJ. XMITIONAL USE MVIIT 7ITrl7----- JaDB CHECKED 3 77T17TR7 77777777 77777= MMM ZCNING REQUIPTI-OM ///////// //////// 1111,t11111 4 777777 11TI—Tlw ENVIRMMMITAL. FEATURES 5 777777777 .bnCESS SLOPE & VEHICLE ACCESS 0� ///////// 6 I I . IIIIITFIT711111111 1117T17T : DRAI14AGE PLAN (On Site) 111)f11 ///////// ///////// //////// - V Y STREEr FILE 77TFIT711111111 777777777 8 11111111T LEGAL DEscRip-rim wRiFicATicy 9 77T77-7fl OUIT CIAIM/DEDICATIONS 10 EASEMENT - PUBLIC/PRIVATE 11 2ALCULhTE SEWER CONNECTION NO LID# 711111777777777 ////// ///////// 12 777777 7 T7777777 7TFI /777 ?LAT/SUBDIVISICN REQUIREMENTS 13 ////// 77TfHRI RIGM-OF-WAY CONSTRUCTIM PERMIT REQD 14 3= REQD FIOR PUBLIC IMPROVEMERM 3011S CONDITIONS & GROUND ,ATER FIEID 01ECKED - 111171 ////// 16 7TITff 111111171777777777 3TREE?r PAVING REQUIRED ////// ///////// ///////// 17 CM AND GU7vIW REQUIRED ITRII ////'// IlAro 1/// ////// 18 3IDEWkX REWIRED 771117 111171111 //////W ///////// - OV/ 19 7W// 111177W -AM CUT FOR DRIVEWAY REQD ///////// 20 7 T1 T17 T77 7777T9 T -:�AZ 1111177TF STREET NAME SIGN REOD ///////// ///////// A-�> 21 7TT17TR7 MM SIGNING RECD 22 SIDE sEwER AvAiLABiLm 23 Exismc WATER M*AIN SIZE ffTI7 ////// 7TR 7 7 7 7 7 ///////// Y 1,.P, I - //////t/ //////// 77MI1111 24 WATER METER SIZE 777T77 77P 7 7 7 Y ///////// TR1111111 25 11 T177 7TWI 777 SERVICE LINE SIZE ///////// 26 1111777777 HYDRAur REQUIRED 27 W. HYDRANT SIZE EXISTING --.7,7,777W 28 TITITITR 7 /7 CROSS CONNECTIM INSPBCTICN REQD 29 WATER MMIM CHARGE P= 30 1111111177 FIRE'LINE CHARGE PMD SPRINKLER STREET CUT 32 77 W7TIWII OPEN DITCH EXISTING 111/11 33 7=777777T f 34 77777 T 7T/77///7 1 CUL%7ERT, F= ////// ///////// 35 1111-7777TFITII SIZE ////// ///////// 36 77777 U V CATCH BASIN RBQD 37 INDICATED CN SITE PLAN 38 SHOULDER DMURAGE MAIN!rAIN SHALE OPEN.RUNOFF TIT111111 139 140 REVIEWED BY, PLANNING MGR. ENGINEERING MGR. PUBLICYWORKS MGR. 0-, 1 F'R;'%S7PM, ld.417h ve/Lo/lb c4eele DATE: �F e—.-- MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department 7all / -7� r';v / SUBJECT: " "Al After revie,.-i of the subject Building Permit 3PPlication, vie have the following cotrunents Connection to City water system required. 2, Connection to City sanitary sewer System req0red. I 3. Right-oF-way permit required For any work on City property. 4. Driveway slope not to exceed 14% 5. Backwa*er valve required i f downsta irs plumbing is below elevation oF upstream manho e. 6. Water and sewer 1 ines to be separated by 10 foot minimum. t I ?d � h, C� /11P I BO -6/82 % WN N CATC.H BA51X: -30(ok L- Or NG-rH WGUAL.) )111� "C " I .. � / 4-�L, 4F.IrILF pipw -rr= F- w/ 40Low, LF- "NktfA COVIM ........................... L1rVWL 77tWNC.N CAP SYSTEM CROSS-�SECTION MIRAFI .500X OK E!�IUIVF—LF4,41- - T 15 _ 0 15 LAYED oOKI lrvls�cw COVER 3/45- 0/2" WASUED GRAVEL 14�01AM F'F;tF PIPE J1 TRENCH CROSS+SECTION Ce W 0 U STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 for location'-7011- plan by 112/ke p"j,7V-�VjLA1V phone—'7,4,�- U..4,v date -- DESIGN DATA Trench Perc LF per Impem Trench Number Rate 1000 sq,,ft. Area Req. NOTES I. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floatinq material and sediment at regular intervals (at least twice per y r). 0 op TRENCH SECTION_ CNATIVE i3AC#<F-ILL -) 140 OR EQUAL ON TOP Or GfZAVEL 6" FIER F PIVC.M? 0-/. 7-L 'Y2"wA5p4Eo, TA 'INFILTRA-r/()N TRENCH C>ETAIL N-T5. e WRAP SUPAC e NR ON TOP AND 507TOM Or TEE AND SECURE WITH STAINLESS STEEL BAND S"RVC TEE NOTE: i��RAINAGE SYS-rEM -rO BE MAINTAINEP BY 1-40MEOK/NE;;Zs. CATCH E3A5ftJ SHALL- BE CLEANEP OUT PE R 100't CALLY. f 00