900809.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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NAME
J�P L4wb gN
ADDRESS
19314.
CITY
:IP TELEPHONE NUMBER
714'-37a% ;VM
'IP TELEPHONE NUMBER
L ., ,► C. LA-0 b6
ry
:P� TELEPHONE NUMBER
STATE LICENSE NUMBER
Legation of Property - include all easements
(show below or attach two copies)
Tax Account Parcel No,
IAL-N NEW LA1 RESIDENTIAL
CIADD/ALTER COMMERCIAL
REPAIR APT. BLDG.
EXCAVATE, FILL
DEMOLISH OR GRADE
CARPORT
REMODEL GARAGE
❑ WOOD STOVE/ ❑ RETAINING WALL/
INSERT anr.KFRV
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLF
w NUMBER OF STORIES NUMBER OF
o DWELLING
m O UNITS
�I NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
5'MA&TLM JQ-
I_ I PLUMBING
0 MECHANICAL
n
LJ SIGN
❑FENCE
( x —FT)
—� SWIM
RENEWAL
USE PERMIT
ZONE NUMBER VO9
JOB //��yy jj SUITE/APT #
ADDRESS
cwn� vco�MV 11viv L.ncl,n SUBDIVISION NO. LID NO.
16'/
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP
_ APPROVED BY
EXISTING �^ REQUIRED DEDICATION A
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED)q
STREET USE PERMIT REQUIRED (
SEE ENGINEERING MEMO DATED Of~W�/ C�
..-i-.. .
T&(W !hh/I'_
METER �/ BUILDING L(7LY SIZE FIXTURE UNITS
/( cci w
REMl,�J v 3
�//�l�J SIGN AREA ENV. REVIEW _qDf� NO.
ALLOWED PROPOSED COMPLETE EXEMPT IIIVI r�-
SHO E INEM
VARIANCE OR CU PLANNING REVIEW BY �f j DAT
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SETBACKS -FEET HEIGHT LOT COVERAGE Z
P'lFRONT Z SIDE 1U REAR 74 '7 <' 9 S G Z
REMARKS 6 5
V3,0" eavM lwA-4jr7 -
CHECKED BY I TYPE OF COI
Y
SPECIAL INSPECTOR AREA OCCUPAAS
REQUIRED GROUP n YES C: NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
_ F
FINAL INSPECTION REQUIRED
8 y PLAN CHECK FEE
yQ ,(� y BUILDING
• •A)1V6 /-�0 �rDS PLUMBING
Plan Check No, t (J MECHANICAL
This Permit covers work to be done on private property ONLY, GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc,) will require separate permission, STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work is Started Within 180 Days %J
I
"Applicant, on behalf of his or her spouse, heirs, assigns and
N successors in interest, agrees to indemnify, defend and hold
J harmless the City of Edmonds, Washington, its officials,
¢ employees, and agents from any and all claims for damages of
i 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 THIS PERMIT
state laws regulating construction; and in doing the work authoriz- 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
tion Insurance.
SIGNA RE (OWNER OR AGENT) DATE SI ED INSPECTION
DEPARTMENT
9 �v CITY OF
EDMONDS
ATTENTION CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-37,3
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
c`o naRER 3 ATE OF OCCUPANCY HAS BEEN GRANTED. UBC
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APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Dep , and des are pai �d recept is
a wledge in�Sp�yr, ided. //
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ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessors /
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CATCH BASIN W/ LID, I V L gyp,
PRECAST CONCRETE, v
AS.60. C840, OR EOUAL
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TOPOGRAPHIC AND PROPERTY
LINES ARE FROM SURVEY BY
L.S.A. DRAWING, DATED 2/5/90.
FILE NO, 2359. TO
BE SUBMITTED WITH THESE DRAWINGS.
-ISO DIA. ADS. SUMP
INLET W/ AD.S, COVER
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SITE PLAN APPROVED BY PLANNING
SCALE: 1• = 20'
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DETENTION WORKSHEET
UPPER
CATCH
BASIN DETENTION PIPE LENGTH COArrROL CATCH
(VTNTDA51t1'7 -
2' MAY. COVER
SLOPE-►
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SYSTEM CROSS SECTION
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OVTLCT
CONTROL
TO OUTLET
(N PRAP OR
RUNOFF
SPREADER) .-
2, s 2' a 0 DAP. A, 6" SPALLS (p4l6WL)
Vx 2' x 3" VEEP, '- CRUSHED POCK
RIPRAP OUTLET
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WASHED GRAVEL OUTFLOW TRENC"lp MIN 10' LONGS
TOP !r A' PERF PIPE TO DE LEVCL
FROM
OIIr6,ET
CONTROL r---'1
4 PFRF PIPE WITH CAPS
RUNOFF SPREADER OUTLET Au p
PERMIT COUNTER
FOOTING DRAINS SHALL NOT BE
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
for A,1119- ' J�rz
location ZLQ (O
plan by ����
phone
date ?T G 9 O
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area D94% Length Diameter
1.'Call Engineering Division (7710no3202)
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). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times. . .
CITY OF EDMONDS
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Beginning at the Southwest corner of Government Lot 1, Section 18, Township 27 North,
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Range 4 East, W.M. ;
THENCE East on the South line of said Lot 1, 301.1 feet;
THENCE North 100113711 East 590.64 feet to the true point of beginnings
THENCE North 8801512011 West 50 feet; jP
THENCE North 1404211011 West 100 feet;
THENCE North 43008150t1 West 161.09 feet;
THENCE South 6805713011 East 110.61 feet,
THENCE through an arc of curve to left having a radius of 60 feet for 84.5 feet;
THENCE North 3002014011 East 75.42 feet;
THENCE through an arc of curve to right, with a radius of 50 feet, for 56.5 feet;
THENCE South 8405415011 East 13.7 feet;
THENCE through an arc of curve to right, with a radius of 190 feet for 105.49 feet;
THENCE South 360331 West 308.13 feet to point of beginning;
EXCEPTING therefrom all that portion lying Northeasterly of a line drawn at right angles
from the Easterly line of aforesaid tract from a point which is North 360331 East 120
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feet from the true point of beginning of above tract.
TOGETHER WITH an easme t for a roadway over and across a strip of land lying Easterly of
a line which is parallel to and distant 15 feet Westerly of the Westerly line of the
tract above described.
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the insured claimant to the Company prior to the date such insured claimant became an insured hereunder; (c) resulting in no loss of -
damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (c) resulting in loss or damage which would
not have been sustained if the insured claimant had paid value for the estate or interest insured by this policy. r ;,
EXHIBIT A
Situate in the County of Snohomish, State of Washington.
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Ccam_itment No. 019787
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Date Sent To Engineering ,S� —/,? --�/
ENGINEERING APPROVAL FOR OCCUPANCY
MEMO T0: Permit Coordinator
Building Division
FROM: Lyle Chrisman
Engineering Inspector
DATE INSPECTED:
SUBJECT ADDRESS: 7/U G, U ( J )p
PERMIT HOLDER: j2?716u PERMIT # 906 g'8
i� PERMIT APPROVED FOR FINAL
PERMIT NOT APPROVED FOR FINAL, SEE REQUIREMENTS
Requirements:
1.
2.
3.
5.
Additional Comments:
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,_Y1 SETBACKS., �""� ' • G .; i
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,s t Pier/Porch .............
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_ Retaining Wail.
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saat"N� eALUMBING:
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Underground ..........
14
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HEATING:
Gas Test. 6 a 0 0 0 0 0 0 0 6 0
Gas Piping ........... .
Equipment.... • • • • . .. .
CF................•:.•
FRAMING ......... ..... - ^'r "(''•'�,". ' A�
SHEETROCK NAILING
SPECIAL INSPECTION .. .
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FINAL APPROVAL
14 v/44/O,� FOR OCCUPANCY . • .. • • . ✓��"
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