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705 BIRCH PL
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TAX ACCOUNT/PARCEL NUMBER: mg, Weoopnmo
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BUILDING PERMIT (NEW STRUCTURE): I VII)OMbEK)
COVENANTS (RECORDED)
CRITICAL AREAS:- DETERMINATION: F] Conditional Waiver Ej Study Required �Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: �2 1 ajq�
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LOT: I BLOCK:
LATEMP\DSrs\Fonns\Street File Checklist.doc
PERMT "PLICAUON REQUMEWEM
TO: Permit Coordinator,
Lyle Chrismari, En�B�ding Division
FROM: g Inspector STREET FILE
OWNER. 4409,�-_ZeW 1,AW 19 3-111-
PI-AN CK #
ADDRESS:. DATE�_�,A
After review of the subject permit application, the following requiremen4 mustbe met.
I - Construction hours sim WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLMAYS ..... 10:00 A.M.-6:00 P.M.
2. A separitte RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul waft plan must be submitted and approved prior to permit
4. Builder/Owner is responsible for containing 91 temporary runoff and erosion control on site. (ECDC 18.30.030d)
S. NO WORKSHAU BE DONE WTJZW 15 FEET OFSTRE"S OR 10 FEETFROMANY CLOSED DRAINAGE FACIL-
M. tMWERIOMM JS REPSONSIBLEFOR MEN77FHNG CONDZ270NS ON THE DRAVaNG. (ECDC18.30.50G)
6. FXTER FABRX FENCE SHAU BE INSTALLED AND INSPECTED PRUOR TO CLEARING A16 CONSTRUC770N.
(ECDC-18.30)
7. RMFEMONS ARE REQUIRED ON STORM DRAINAGE SYSn=, TIGHILUM, FOUNDATION DRAI - NS, AND
CATCH BASIN INSTALLATION. INSPE ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)'
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the rope�ty. If an intersection is involved a
handicap ramp may be required. Contractor -shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every allemp . t should be made to keep the slope below 14
Waiver granted to�%. (EMC18.80.060D)
10. Drivew* must be paved from property line to City RiGHT-OF.WAY. A separate perimit is required. (ECDC
18.80.060C)
11- INSFECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALICS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. Them is a separate dune for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18. 10)
16. Connection to the City sanitary system is 'required. A separate t red.
Perlul As
LID# 0,W— 109 Fees paid: Yes No !Z1 (ECDC 18.10)
Chargt�.
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs th
at exceed 50 % of the total
assessed value of the structure. (ECDC 18.05.010)
18. A FINAL'ENGINBERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DrVISION GRANTING OCCU-
PANCY OF THE BUILDING OR STRUCTURE. (ECDC18.90)
19.
20.
STK�[_'T. FILE
RECF.IVED.
JECT: REVIEW CHECKLIS
TO
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"JEI�WME: PLAN CHECK #:
PUpWS)NO"K' DEPT. RECEI PT . DATE:�- 5h0A?3_
ECT ADDRESS:
... .
EVIEW
0 BY: (I
nitial/Da
PLAN.....
WATER
COMM ...........
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WER
STREET:
ENG
I 611-T I I= 7, kv= L �, &-im- TI, M v x. M M. L.— MOF
MA-111MME,
ED
Conditional Use Permit------
ADB Requirements M MO. ME
Other Zo__ ning Requirements I Fzffii,�.� I ERR
1=
'Undergrou d Wiring Required 11 �1. IN' M� Ell"
I R .7 T-9 R TMT
F-9 4:7211 =1 �14 I I �11 17ZA I s,=
Tree Cutting Plan
P4_1_1 Fj =Mom
Legal Description Verification
Quit Claim/Street Dedications
Easements - Public/Private
1:1151111471M
I =Ill, 1111741 Ill Mr. M !EM
LOS- - - W111, PAN'. Ir I MMM
Setback - Storm Drain.Une
�open-Ditch -Existing
Culvert Required "M
Culvert Size
P-1 N-71 R r7l PTFTTm, T1 M uZor-TI-3
Catch Basin Required
Sidewalk Required lUe-oveer
0 1 -
Iffi�-.1i.-WHEM-E MEMO
'Curb Cut For Driveway Require-d- MMISIMME11'",
Street Paving Required
I -In. mg
Street Name Sion Reauired
Bond Required For Public Improvements -to
FEMA Mag) Check/Water Table
61re F1 7t I
fopwm�� I 27-M I I r,72
Create Street File =mom
Existing Water Main Size lululmmm
Water Meter Size
re—rvice Line Size
Hydrant Size Existin
12T "_ M M I �AN, NASA W M K 0
RR7 =-Offilill
I ,,, fmn I M�, M.
Reviewed By:
FIRE PLANNING
L E
STREE R
ENGIVEERING
VX vi LIA ikr
PUf30C WORKS
CLI
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LOT.-j �COA-'STAL 'WATCH
CiTY.-oF EDmoNU)5
SMO.HOM 115H, C.O., WA.
i,",77ROVED
RECEIVED
MAY 2 8 1993
-A 4.71
PERMIT COUNTER
C H PL' CLA,551CO HOME-5
Iqly Epm<>-,j-o,3 �T, �J)mot4V5,%,4A.. IJ80;Lo
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NO H-0 M 1:5 H.. -510.. WA.
RECEIVED
MAY 2 8 1993
PERMIT COUNTER
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bTREET IFIL L -771-:7 8 2 (?
Critical Areas Checklist'
Site Inform:ation
Project Name: C�s--/-lq 4f�'9- 4�ermit Number
Sim Loca Zon:�.�'-
Property, Tax Account Number_
Approximate Site Size (acres or square feet): A
Have you filled out a Critical Areas Chocidist for a project on this site before?
General Site Conditions
1. Has the sitebeen)clearedor logged? Date of most recent action:
Soils / Topography
A
2. , In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe thp general site topography. Check all that apply.
I
—45��Flat less than 5 feet elevation change over entire site-
z/,�Rx)liling: slopes on site generally less than. 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet)
BE13r. slopes present on.sitr. of more than 15% and less than 30Yo a vertical rise
of 10 feet of horizontal distance)
Steep: grades of greater tharl 30% present on site.
comments
Hydrology/Vegetation.
4. Site contains areas of year-round standing water �)o
5. Site contains areas of seasonal standing water. --Approx- Depth: Z/—o
6. Site is in the floodway floodplain of a water course.
7. Site contains a cret or an area where water flows cross the grounds surface? Lflows-
are year-round? -4/L—Flows are seasonal?
8. Site is primarily: forested lvdaow j�� ;shrubs mixed
9. Obvious wetland. is present on site:
-WAIVER.-Critidal -ar,
.Determinatio� Number
'Rev 3127/92
d
s- -..require
areas�stuqiinot
iidd
Y -not required-
4TA-,
tr Re,�iewet-4
M14-
Planner Date
ki
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a%,
RECEwED
APR 2 3 .1993
PERMIT COUNTER
9
cft�'-of Edmon&
Critical Areas Checklist
The Critical Areas Checklist contained on
d1is fim is W be filled out by any person
preparing a Development permit
Application for the 4City of Edmonds prior
tO hMW submittal of a development permit
to the aty�
The Purpose ofthe Cheddist is to =able
City staff to determincwhethcr any potential
Critical Areas, am or may be present on the
subject PrOPCEV-Thc information needed to
'con
VICW the Checklist should be easily
ilable from observations of the site or
avat
data available at City Hall (Critical Areas
invcntories� maps, or soil surve:ys).
An applicaut� or his/her representative, must
fill out the checidist, sign and date k and
submit it to the City. Ike Citywill review
the checidist, =2 a Precursory site Visito
and make a determfimationof the mbsequent
steps necessary to complete a development
Permit application.
With a signed copyof this forna, the
applicant should also submit a vicinity map
of the parcel with enough deWil that City
staff can find and identify the sabject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or sttidics in conjunction with
this Checidist to assist staff in completing
their preliminary assessment of the site.
I havecomPleted the attached Critical Area Checklist and attest that the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below).
'Owner Applicant. -
Applicant Representative:
Name
Name
Tide
Title
7
sur,et Address
Street Ad ress
Y 7 C 1E
. WState, :1 Phone City, State, Zip Phone
"-70a- 51
Date Signature
Date
CITY OF EDMONDS SIDE SEWER PERMIT
PERMIT N 8498
Address of Construction:
Property Legal Description (Include all'easements): Pv�kk-
EDMONDS
11TIVIENT PLANT
__W - - 1444
MEET FILE PUBLIC WORKS DEPT
Owner and/or Contractor: hA -551 e H0&1e--S
Stat e Licens6,,,No. Building Permit No.
�Single am' ily Invasion into City Right -of -Way: 8"No Yes
C3 Multi -Family (No. of Units-)
El Commercial
El Public
RW Construction Permit No.
Cross other Private Property: No El Yes
Attach legal description and copy of recorded easement
1 certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
C!:3 — -I— ,_�
—.r-5 _J —,--
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
—A
FOR INSPECTION CALL 0M=&, PUBLIC WORKS DEPT.
7 7/-00�
Permiffee: Issued By JZ6
Trunk Charge: 257, 0 0 Date Issued:
Assessment Fee: /V/4 Receipt No 2,/)
Lid No.:
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: D4���Initia
el
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Greeri Copy: Inspector Buff Copy: Applicant
Revised 3!90
The City of Edmonds Side Sewer Drawing EASEMENT NO. -- ................ ------- --------
NEW CONSTRUCTION REPAIRS LID NO - --------------- .---ASMT. NO . ........... ....
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. N-q --------
-7 JOB ADDRESS LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
.. . ........................
— -- ---- --- -----
------------------------------------------------------------------------------------------------------------------------------------------------------------------
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,(ED- - --v\C4
PWW-0001-1 1/75 (REV.1 1/78)
NAMEOF ADDITION ------------------------------------------------------------------------ — ............................................
co ,
0-4? llbtt?,
4" ?.,J-e- c�o
fe
Approved:
DATE.................... .................... By
Er,) N.1 ON DS
'DS
TREA�-1 =i�iENT PLANT
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
�'N W5 1 A D6 A E'S9
USE
ZONE
ADDRESS
NUMBER
&V n--, 5_�
1 /�W/
r:fw 521;11
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REOUIRED DEDICATION
TESCP Approved
RW Permit Required
Street Use Permit Req'd
0
0
0
L.00r%_1
P
TELEPHONE NUMBER
7629
2Q� 77/
D
Inspection Required
Sidewalk Required
0 (3
REMARKS
x
Uj
Z
I nU
7'
Z
uj
p
TELEPHONE NUMaER
NAME
ENG INEERING MEMO DATED
ADDRESS
SF
METER S ZE
�V;
BUILDING SUPPLY SIZE
// I
1 7
0. OF FIXTURES
8-
city ZIP
PDN,indk
TELEPHONE NUMBER
771702-
1 2
REMARKS
STATE LICENSE NUMBER EXPIRATION DATE
0 W—M Ai�
SIGN AREA
ALL07:::EPOSED
SEPA RE V,IEW
COMPLETE
EXP 7
ADP
# /
Legal Description of Property - include all easements
SHOI`19YNI�#
Wr 1
-7`/-9/ 71(� �/Clc
VARIANCE OR CU
I
PLA IEW BY
-
611 eATJ
1 H 7
SETBACKS — FEET _4HEIGHT
ONT _'7 AR/
FR SIDE
L T CbVERAG�
prope�y___
"Tax -Account
Paniel No.- -
REMARKS
ij.
NEW RESIDEN
i2sj TIAL PLUMBING
ADDITION COMMERCIAL MECHANICAL
APT. BLDG.
1:1 REMODEL El SIGN
GRADIUQ FENCE
E] REPAIR IN ;�p CYDS. I— x _FT)
DEMOLISH WOODSTOVE SWIM POOL
1:1 INSERT HOT TUB/SPA
GARAGE RETAI I NING WALL/
CARPORT. ROCKERY RENEWAL
No r,=� 14�,Z:4
o7
7,
CHECKED BY
TYPE OF CONSTRUCTION
I /v
:7=--
CODE
C11
HEIGHT,
2,51
PECIAL INSPECTOR
SEOUIRED
0 yps
[Orl-6W
OCCUPANCY
GROUP
OCCUPANT
LOAD
71EMARKS
PROGRESS INSPECTIONS PER USC 305
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
1"de-1911 AaFe_ w/ V14
NUMBER -OF STORIES ___7NUMBER
AMC
OF
DWELLING
UNITS
DESCRIBE WORK To BE DONE (ATTACH PLOT PLANI
N-47-AWL ,SF
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
H� SOURCE:
AS
GLAZING
0
/0
PLUMBING
Plan Check No. 15- 7Z
MECHANICAL
This Permit covers work to be done on private property ON
GRADINGIFILL
Any construction on the public domain (curts, sidewlialks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Withl . n 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
Lu
Successors in interest, agrees to indemnify, defend and hold
armless the City of Edmonds, Washington, Its officials.
x
<
x
a
0
11
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
modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or th.e duly ATTENTION
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authorli- AUTHORIZES
ed thereby, no person will be am ONLY THE
, ployed In violation of the Labor
Code of th State of Washindt 9h1relating to Workmen's Compensa- WORK NOTED
tion Insurrn' _4
be INSPECTION
S' NATURT( WNEI OR AGE� SIGNED DEPARTMENT
JDATE
CITY OF
V
EDMONDS
J,
CALL FOR
TgNTION INSPECTION
INJIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
;V CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
/0-5-
42-
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt Is
acknowledged in space provided.
RE DATE
7
A E L E7_ a DATE
M
Uj
ORIGINAL — File YELLOW — inspector
PINK — Owner GOLD — Assessor