21227 SHELL VALLEY RD.PDFIIIIIIIIIIIIII
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21227 SHELL VALLEY RD
PRD= REVIEW CHECI(J.IST
jp j
PRDJECT NAME: PRwEcT ADDRESS: Z 2- Vq4 /le-.y rc
APPLICATION RJDCEIPT DATE:
Reviewed by: (initial/date)
COMMENTS
PLANNING
wrR/swR STREET ENGNRqG
FIRE
FUILDING
/77777777
Sn4GLE' FAMILY/MULTIPLE/CU40RCIAL (Circle One).
SETBACKS CHECKED - Planning
.77
--T
777 71 /7
7 7777TI7
T
T/ 7 T/77T/ 7
VARIANCE/SETPACK ADJ.
17TI1111
77777777/7
CONDITIONAL USE PERMIT
2
ADB REQUIREMENTS CHECKED.
3
7 T7 TTT17 T
7 7 7 T1 TIT
7 T771-1 77
OTHER ZONiNG REQUIjmo?r§
4
77/777
El ?VIF4NMENTAL F M-TURES
5
Xxms� SLOPE & VEHICLEACCESS
///////7777T/77///
6
777777-77-
DRAINAGE PLAN (On Site)'
7
IITFIT77TI77771
STREET FILE.
8
7T/777/77
ur.AL DESCRIPTION VFJ1IFICATION
//////
I /////////
9
777777777
QUIT CIAIM/DEDICATIONS
/////////
10
77777T777
7777T/777
777/777T
EASENENT PUBLIC/PRIVATE
777777,
77777T
CA1.CULhTE SOM CONNECTION IF NO LID#"./6`/`
//////
/////////
12
77777
T
PLAT/SUBDIVISION REQUIREMENTS
1
13
RIGHT OF -WAY CONSTRUCrION PERMIT REQD
777777
777777777
?//I-/y 4(41
14
//////77/
77
-777T
BOND REQD FOR PUBLIC IMP R , OVEMENTS
15
SOILS CONDITIONS & GROUND''
WATER FIETD CH1XXED
16
T7717
-17TFITRT
77TITTFIT'
STREET PAVIM REQUIRED
17
7777777777
CURB AND an -MR REQUIRED
18
SIDE$Q.LX REQUIRED
11IT17
19
7T
CURB CUT FOR DRIVEWAY REQD
20
*W77UU
STREET NAME SIGN REQD
21
OTIIER SIGNING REQD
TITF17
777TITIT
7TI777TI7
7TI7777177'
22
SIDE SEWER AVAILNBILI . TY
23
EXISTING WATER MAIN SIZE
17TR7
7TM11111
24
7T/T/777///////
WATER MFMM SIZE
25
7777/7777
177TIT17
SERVICE LINE SIZE
26
HYDRANT REQUIRED
77777TRI
27
IT177TITF
HYDRANT -SIZE EXISTING
28
TfI777
771TIT77
CROSS'CONNOCTION INSPECTION REQD
/////////
29
WATER WM CHARGE REQD
30
FIRE LINE CHARGE REM - SPRINKLER
1111111171
31
STREET CUT
32
OPEN DITCH EXISTING
33
CITY OF EDMONDS ZONEK5,_8 NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESSI ADDRESS Ju
144
LEGAL DESCRIPTION CHE SUBDIVISION NO,
W vl-�
W D
z MAILING ADDRE$S J :1
0
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
Z
J
A
L
0
0
D
EG
N
B
D
A
E
R
L
PUBLI
E XI REQUIRED DEDICATION 69
XISTING
PROPOSED -&-,61-
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIREDO""
I
ADDRESS STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
CITY ITELEPHONE NUMBER
-7 —Z �_ _e6
e
':�z, Liz -
77
REMAR S
NAME
cc ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
0
0
<
cc CITY
TELEPHONE NUMBER
z
0
REMARKS
STATE LICENSE NUMBER
SIGN AREA
ALLOWED
PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADS NO.
Legal D scr pti n of Proloerty - include all easements
SHORELINE N
(show i four copies)
VARIANCE OR CU
PLANNING REVIEW BY
D
L__
LLJ
0
.j
YARDS
HEIGH�
LOT COVERAGE&
LD
14
FRONT SIDE
REAR
SrNEW
NrRES,DENT,AL
PLUMBING
1:1 ADDIALTER
COMMERCIAL
MECHANICAL
E] REPAIR
RETAINING WALL
E] SIGN
DEMOLISH
REMODEL
EXCAVATE
0 OR FILL
PRE -MOVE INSP.1
COMPLIANCE INSP.
FENCE
( x _ FT)
swim
POOL
WOOD STOVE/
INSERT APT.BLDG
RENEWAL
3 NUMBER OF STORIES NUMBER OF
DWELLING
[UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
CHECKED BY
TYPE OF CONSTRUCTION CODE HEIGHT
15�-N_ I / (�Xf 2, 25-
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUPf�P LOAD
0 YES 0 NO
REMARKS
Ataqw-
rr1,ot-A-6)!5LS . 'Mspirnmws pre- U/St: _316
VALUATION I FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
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. STATE SURCHARGE
Permit Application: 180 Days ENERGY CODE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns an
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]
0
z
a:
z
C
z
U
q:
3
E
24 -97r,,
, "M
mHm TO: Building Division
FROM: Engineering Division
SUBJECT: -7 Ei4e-tt- L) /I tte-Y eo,,1- 49
After review of the subject building permit application, we have the
following ccnvents:
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 responsible for containing all temporary runoff and
erosion on site and may not impact neighboring properties in any
way.
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BIDGREVW/TXTFORMS
CATCH SA31X:
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STANDARD DRAINAGE PLAN,
INFILTRATION SYSTEM
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