7107 180TH ST SW.PDFiiiiiiiiiiii
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7107 180TH ST SW
PLANNING DATA
SINGLE FAMILY 9SESIDEfiiT'IAL
.Name:* (_ oc>
Date:
Site Address: —7 i 6—j
Tax Parcel:
Project Description: Zo �Z
Plan Check #:
(c, _S —7
Reduced Site Plan Provided: "/ NO)
Zoning:
Map Page: '
Corner Lot: (YES /
Flag Lot: ES / NO)
Critical Areas Determination #: A 2of �ooZ
❑ Study Required
® Waiver
SEPA Determination:
® Exempt'
❑ Needed (for -over 500 cubic .yards of grading)
❑ Fee ❑ Checklist ❑ APO List with notarized form
Re aired Setbacks -
Street: /
Side ._ �; ` Z s:
Side: f/Z , j�
Rear: f /
Actua/ Setbacks -
Street:
Side: g — S
5
Side: l /9 O
Rear:
❑ Detached Structures:
❑ .Rockeries:
❑ Fences/Trellises: .
❑ Bay Windows/Projecting Modulation:
❑ Stairs/Deck:
6uildin Kei ht
Datum Point: -�(b� (, l ,��` 5�.
Datum Elevation: j (gyp
Maximum Height Allowed: 1 Z (Q r, `
Actual Height:
Other
Parking Required: Z
Parking Provided: Z i
Lot Area: (c� (—1 ��
Maximum Lot Coverage: 35% Proposed:-
Lot-CoverageCalculations: � o � s � }
ADU Created: (YES / NO
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / O
Comments
GAP (� C,. Gk V, 6p- �7
Plan Review By:�- �t
Planning Data Form 07-14-09
-.. ....:. .-. (. �'t N" .. y _.-.yam,..- �Yr. �. t,y- .. .. �J ... �. =�� ..a��.. .. .. .._t.r- .. .� �-. a .�N. .. •4 .....r.. .-. .. ..
'lie. 1S9-
PERMIT NO: 9386City of Edmondsv
SIDE SEWER PERMIT PERMIT EXPIRES L I
Address of Construction: 7/0_7
Property Tax Account. Parcel No. wo oy U
Attach copies of all access and utility easements Verified and Approved by
Owner and/or Contractor: l'e-jr 4u C
Contractor License #:
lding Permit #:
/ �ingle Family Invasion into City *Right -of Way: ❑ Yes PuNo
❑ Multi -Family (No. of Units _) *RW Construction Permit #
❑ Commercial (No. of Units ) Cross other **Private Property: ❑ Yes to No
❑ Public **Attach legal description and copy of recorded easement.
C�� Owner/Contractor
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled -
`Side Sewer Specifications, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE. ANY EXCAVATION 9
'i R FOR INSPECTION CALL 42_5-771-0220 extensions )_2,741
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
i
_.
I,
FOR OFFICE USE ONLY
Permit Fee $ Repair Fee $ `G Issued By:
FI
i Trunk Charge $ <3r Date Issued: _ V
I� Assessment Fee $ Receipt No:
i
City Permit Surcharge Fee $5.00 Total Fees Paid $�...-
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial:_2L_As-built to Street File: ❑
15, PERMIT MUST BE POSTED ON JOB SITE t�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bl dg forms;sspermitj lg4/00
f r
Side Sewer
4' to 5'
Deep
5'
ir
10
House
�I
6'
6'
Driveway
01
130'
21'
45
ol
19'
ep
180th
St SW
CITY OF EDMONDS
SIDE SEWER AS BUILT
ADDRESS
7107 180th
St SW
Permit Number
9386
HOMEOWNER
CONTRACTOR K & S
DATE 6-01-01
BRAWN
P. Lemcke
NO 215
Side Sewer 4' to 5' Deep
5'
17- House N
61
16 -I
130
4 5'
ep
180th St SW
Driveway
G�l
CITY OF EDMONDS SIDE SEWER AS BUILT
ADDRESS Permit Number 9386
7107 180th St SW
HOMEOWNER CONTRACTOR
K & S
DATE DRAWN ID
6-01-01 BY P, Lemcke NO. 215
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).
RESIDENTIAL DST
ROUTINGFORM lease ✓�f Uou are the Last
revoewer to SiOvu-off. O
Owner LnoyLe-,V Date`JAl tJ Plan Check # D201t.P -0* 77D
Address 6 (0 % 1 Pam` S+ Sr Type C--,ovalg�t
cKA 2-0 1 Le- 00 z�
PLANNING Target -4/To :5--- On`J Back Y Comments? EMail Fax Snail
l,sti�U.RESUB #1 Target -4I To�vn'On « Back �IZ ( Comments? I EMail Fax Snail
L I
,pp� RESUB #2 Target W110 To On 2 Back Comments? EMail Fax Snail
�.
ft'
�k i RESUB #3 Target To On eBaComments. EMall/Fax/Snail
BUILDING Tareet -qL-T To [ /r" On 4 Back ICI � `Comments? / EMS ail/Fahc/Snail
RESUB#1 Tar et14/ V
o &44On 1 1 Back "7r- Comments? Entail F x Snail
RESUB #2 Tar et To OW On 7/ Back S�O Comments? EMail ax Snail
RESUB #3 Target To Chk On Back 5 '76 'Amments? 4j _EMail/Fax/Snail
CONSULTANT Target To On Back Comments? EMail/Fax/Snail
RESUB #1 Target To On Back Comments? EMail/Fax/Snail
RESUB #2 Target To On Back Comments? EMail/Fax/Snail
ENGINEERING
On Back Comm
RESUB #1 Target To On Back Comments? EMail/Fax/Snail
RESUB #2 Target To On Back Comments? EMail/Fax/Snail
RESUB #3 Target To On Back Comments? Entail/Fax/Snail
RESUB #4 Target To On Back Comments? EMail/Fax/Snail
FIRE Target To On Back Comments? EMail/Fax/Snail
RESUB #1 Target To On Back Comments? EMail/Fax/Snail
RESUB #2 Target To On Back Comments? EMail/Fax/Snail
STORMWATER Target To On Back Comments? Entail/Fax/Snail
RESUB #1 Target To On Back Comments? EMail/Fax/Snail
RESUB #2 Target To On Back Comments? EMail/Fax/Snail
RESUB #3 Target To On Back Comments? EMail/Fax/Snail
COMMENTS:
LATEMPOST'sTorms\Routing Sheet Residential 2014.docl/4/2016
Setbacks
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Rear
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APPROVED B PLAN ING
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I'ep fmi ER/CONTRACTOR IS RE:
rOR EROSION CONTROL AND
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OWONTRACTOR RESPONSIBLE
-LOCATING_ALLLIN-SITE UTILITIES.
'REQUIRE SEPARATE PERMIT.
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