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A. PERMIT LIMIT'. I YE W ITHIN 160 DAYS
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ENG. REVIEW FEES
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'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AN
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ENG. INSPECTION FEE
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IN VIOLATION F THE LA OECORZTHE STATE OF WASHINGTON
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771-0220 RELEASED BY
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IT QJUNIAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR�: UNTIL
771-0221 INSPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
109
ORIGINAL L - YELLOW
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5,98
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STANDARD DRAINAGE
WORKSHEETF"-�V-71-1
OCT 2 6 1999
DEVELOPMEbIl SFAV1,112.9
OWNER CALC By - VITY OF EDMONDS r
ADDRESS G-9 oL - -Lq e-r . -:5. V— PHONE- 45' —74�2- 'S.SS5
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IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES:
1. Call Engineering Division (771-0220) for a tigbiline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2, Resporusibility for operation and maintenance of drainage systems on private properTy is the
responsibility of the property owner. Material accumulated in the storage pipe must be flus
out and removed from the catcb basins to allow proper operation. ne outlet control orific=e DATE
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NOV-03-99 10:41A Breakwate� Development 742 1333
Breakwater Development, Inc.
15906 24th Court S.E.
Mill Creek, Wa 98012
-5555 or (425) 338-1155
(425)742
FAX - (425) 742-1333
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#BREAKD1077RS
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FAX MEMO
DATE: November 2, 1999
Engineer Bus 425-775-7744
TO: Gordy Hyde
OF: City of Edmonds Fax 425-771-0221
q,
FROM: .. . ...
RE: C._176'13 - 76th Avenue West, Edmonds
oday on the phone.
Enclosed in this fax is a revision of the driveway as we d* cussed t
(We have reduced the, width of the driveway t ou, sing pavers in the area
a 12 feet) in excess of 900 square
indicated on the drawing should reduce the impervious rea
1V 35D feet -) is this enough to bring the total below the 5,000 square feet?
0 P -ro &/ �'�
Please give me a call at your earliest convenience.
Th nk on.
A Family Of Conlraciors since 1925
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OCT 2 6 1999
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'rAj A"'bil L�L-- 51 -000 c:
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PROJECT REVIEW CHECKLIST
PROJECT NAME:
PLAN CHECK
PROJECT ADDRESS
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RECEIPT DATE:
D BY:
�EVIEW
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Setbacks/Variance/Setback Ad*ustment
Conditional Use Permit
ADB Requirem ants
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SEPA Environmental Checklist/Hydraulics Permit
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0
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Easements - Publicif-rivate
127
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Engineering Storm Drain Review Fee—
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Engineering 2 2 Inspection Fee—
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Sidewalk Required
1.:24
9 En
Curb & Gutter Re uired
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Curb Cut For D way Required
Street Paving Required
"M "t-Of-Way Construction Permit
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Water Meter Cha a Required
391,
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Fire Line Charge. Required - Sprink
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IMIscellaneous
IMMMISM uL41
1.44�1
Reviewed By:
FIRE PLANNING
&ME'LRING PUBLIC WORKS
7
R E C 0 R D OF C 0 N T A C T S
21
22
23
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6
26
7 27
28 RW PERMIT 00'�—LA3 DATE ISSUED S—'+-6DRECEjPT #
9 29
10 30
11 31
12
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13 PAID $ RECEIPT # DATE 33 SS PERMIT 'I tS DATE ISSUED '3 —2:TRECEIPT #
34
14, PAID $ RECEIPT # DATE
1� 35
36
37 I_METER.SIZE5)-4"PAID S.1- DATE �7q;��6EIPT il
38
39
2' b 40
ji1NAL PROJECT APPROVAL FORM
TO:-
DATE: -
MEMO TO: PERNUT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE-
-ENGINEERING DIVISION DATE__qNL_Z1
PLANNING DIVISION DATE-
f
PROJECT H,
I L/
SITE ADDRESS. noa-AvL
40 ADB# DATEINSPECTED
PERMITIt
PECTED
DESCRIPTION OF WORK TO BE INS
A field inspection was conducted to determine imal compliance with approved plans. Final approval,
denotes dint there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy ofCONDMONS given to owner/contrartorby inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
c3 Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign-
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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EXTERIOR SHEATHING
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INSULATION ....................
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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EXPIRES
PERMIT
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PERMIT
CITY OF ELWONDS
NUMBER
CONSTRUCTION PERMjT APPLICATION ZIR T�(j SUITVAPTI
ADDRESS k:n Oj
CIDi hcr fz,_�n 1C
PI -AT NAMEISUODIVISION NO, LOT NO".- LID NO.
LID FEE S ast?
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PUBLIC RIGHT .1 W.Ay PER OFFICIA STREET MAP ---
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ZIP TELEPHONE
ft�S 41,�� L2V �(
EXISTING PROPOSED
RE QUIREDDEDICATIO- FT
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METER SIZE LINE SIZE NO OF XTURES P RI E.UMED
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REMARKS
ADDRESS OINEWCONTRACTOR RESPONSIBLE FOR E OSION CONTROUDRAINAGE Yr-5
TELEPHONE
CITY
CITY
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NAME
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ADDRESS
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FIRE REVIEWED—ey DATE
CITY LEPHONE
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ORCU SHOR LINE OR ADBN INSPECTION BOND
STATE LICENSE NUMBER C�iwllc,�N RATE qHECKED By
VARIAN
A) A N 0 YREO ' O� P TED
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PROPERTY TAX ACCOUNT PA RCELNO/
SEPA REVIEW IGN AREA HEIGHT
MPLITI ElEMP ALLOWED PROPOSED ALLOWED -PROPOSED
P 2
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PLUMBING I MECH
LOT COVERAGE REQUIRED §ETBACKS (FT,) PROPOSED SETBACKS (FT.)
ALLOW PFOPD E IRCI�T SIDE REAR FRONT UR qDE FEAR
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72 X /0 71� 7_<
CO. RG'A COMPLIA
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NUMBER N MBER OF CRtTICA
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VALUATION FEE
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VESTED DATE
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MECHANICAL
7�%,ERMIT AUTPRo,RIZES.QNLY RE =FK NOTED. THIS PERMIT COVERS WORK TO
E ON VA STRUCTION ON THE PUBUC
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GRADINGIFILL
'Q?MAIN (CURBS. SIOEWA IEWAWI� MAR UEES. ETC.) WILL REQUIRE
S�E
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STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
P. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES 50.0o
SLEPACK OF PINK PERMIT FORMORE INFORMATION
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In 'APPLICANT, ON BEH . ALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
0
ENO, INSPECTION FEE
IN INTEREST AGREES TO, IND EMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON ITS OFFICIALS EMPLOYEES. IkND AGENTS FRO. ANY AND
LANDSCAPING
INSPECTION FEE
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ALLCLAIMSFORDAMAGE�OF WHATEVER NATURE.ARISING DIFECTLYOR INDIRECTLY
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RECEIPT
CHECK DEPOSIT
FROM
1. EDTOMCDI NCE OF THIS I AN A OF ANY CITY ORDINANCE
EM THEISSUA QUIREMENT
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PLAN
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0 NOR LIMIT IN ANY WAY T,�E.Ty �AG Ll�T . NlOFCEANIORDI.ANbE PROVISION.'
RECEIPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE ONF.FM 'ON
APPLICATION PPROVAL
GIVEN IS CORRECT. AND THAT I Am THE OWNER. OR THE DULY AUTHORIZED AGENT OF
,nI,igl.dbythl
T NEI IJREET WITH CITY AND STATE LAWS REGULATING CONSI RUG
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F THE LABOR
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771-022 RELEASED By
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EXT 333
A�16N
Nr FULTO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
,;ZE
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFl-
I RI,.,�,NA_G LE YlLllW - NIPEITOI
EF COLD - ASSESSOR
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