920118.pdf01
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
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NAME
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ADDRESS
CITY
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ZIP TELE
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ZIP ITELEPHONE NUMBER
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USE
ZONE PERMIT
ZONE
S- / a NUMBER
JOB J /�
ADDRESS /
.tGAL UtSGHIPTIUN GHLUK SUBDIVISION NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING REQUIRED DEDICATION
PROPOSED G D
NAME y�� /
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ADDRESS
9 W3 �� vE OCITY ^�',/�(�oZIP TELEPHONE NUMBB�+G1/'�i�/-� 5 / /t� �O �� feQ
STATE LICENSE NUMBER
Legal Description of Property - include all easements
Tax Account Parcel No frOj. 5R# I/O?/ w 2 3 f
NEW � RESIDENTIAL PLUMBING
ADDIALTER El COMMERCIAL El MECHANICAL
ElREPAIR . APT: BLDG. El SIGN
DEMOLISH GRADING CYOS. ❑ FENCE X_FT)
CARPORT SWIM
REMODEL GARAGE POOL
F1 WOO INSERT L_ I anr.KIFRV WALL/ RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES NUMBER OF
DWELLING D�L
I UNITS
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D SCRIBE WORK TO BE DONE (ATTACH PLOT PLAN);z i
MALAC
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LID NO,
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TESCP Approved
❑
RW Permit Required
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Street Use Permit Req'd
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Inspection Required
❑
Sidewalk Required
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REVIEW BY
NO. OF FIXTURES
SIGN AREA SEPA REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE N
EXP
VARIANCE OR CU PLANNING REVIEW BY DATE
SETBACK cFEET " t� x �$ HEIGHT LOT COVERAGE
o REAR FRONT) SIDE
REMARKS
CHECKED BY TYPE OF CONSTRUCTION I CODE HEIGHT /
SPECIAL INSPECTOR AREAp/�
GROUP// OCCUPAN,�Y OCCUPANT
REQUIRED BYES LSOS LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 305
PLAN CHECK FEE
r ez y BUILDING
PLUMBING
Plan Check No. 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
Permit Limit: 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
J harmless the City of Edmonds, Washington, its officials,
5 employees, and agents from any and all claims for damages of
iwhatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT
0 of this permit. Issuance of this permit shall not be deemed to
�j modify, waive or reduce any requirement of any city ordinance
o nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
1 hereby acknowledge that I have read this application; that the
information given is correct; and that 1 am the owner, or the duly ATTENTION
authorized agent of the owner. 1 agree to comply with city and THIS PERMIT
Ledthereby,
s regulating construction; and in doing the work authoriz• AUTHORIZES
no person will be employed in violation of the Labor ONLY THE
the State of Washington relating to Workmen's Compensa• WORK NOTED
rance. INSPECTION
WNER O TI DATE SIGNED % DEPARTMENT
CITY OF
EDMONDS
ATTENTION CALL F
INSPECTIION�i
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 77�-3•ZIJ�
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
CHAPTER 3.
102.87
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.
OFFICIAL'S S!qAATURE 00 DATE
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RELEASED BY: DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor ,
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ti DE18ENTION WORKSHEET
ATGH " ,
BASIN\ DETENTION PIPE LENGTH CovrrnoL CATCH
(PENT )� gA51 tJ -�
r r- II MIN 2* MAX COVER
% SLOPE-►
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SYSTEM CROSS SECTION
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FROMOLITLET
CONTROL
OUTLET
cONTaOe
4"
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TO OUTLET
(RI P RAP OR
RUNOFF
SPREADER ...
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pERtAIT COUNTER
21 x
2'
a &o'E)=EP,
4=(0"
SPALLS 6LLPO I-)
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DEEP,
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CRUSHED RocK
RIPRAP OUTLET
WASHED GRAVEL OUTFLOW TRENCH MIN 10' LONG,
TOP 4 40 PERF PIPE TD BE L,EV6L
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CONTROL ►`J-�►j
4" PERF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
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FOOTING DRAINS SHALL NOT BE
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
for lc,�,A- Si -weWs5b4
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location
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plan by
phone ' a
date 'L
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
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NOTES
1. Call Engineering Division (771-3202)
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. , ,
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CITY OF EDMONDS
LARRY S. NAUGHTEN
> u ;r;'. MAYOR + /
250 - 5TH AVE. N. EDMONDS, WA 98020 • (206) 771 3202
COMMUNITY SERVICES: PETER E. HAHN
j
o Public Works • Planning Parks and Recreation • Engineering DIRECTOR
OR
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CITY COPY
j
January 8, 1992
Ken Stevenson
j K. A. Stevenson Construction kj
18403 - 72nd Ave. W.
Edmonds, WA 98026
Re: Driveway slope waiver - 17512 Olympic View Drive
i �t
Dear Ken,
1 have reviewed your request for subject waiver and found no adverse �. .
firtpacts to the City or neighbors. Therefore, your request fora
driveway slope waiver to 16% is approved.,
j
If you have any questions, please call me.
Sincerely, ,
1
1 ADDISON L. CHRISMAN IV
Engineering Inspector
- i
ALC/sdt
c: Sharon Nolan, Permit Coordinator r
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