18221 85TH PL Wiiiiii iiiiiiii
15424
18221 85TH PL W
0 0
TAX ACCOUNT/PARCEL NUM13ER: Oe 776.2 007 00
1qg1_6-756
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [-] Conditional Waiver Ej Study Required [-] Waiver
DISCRETIONARY PERMIT #'S: P_6_�315
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER): �03_:�a�glfff /&&4"
PLANNING DATA CHECKLIST DATED:
g q
SCALED PLOT PLAN DATED:- (__ I
SEWER LED FEE $:- LID #: I S I
SHORT PLAT FILE: P_ 15 - �6 LOT: BLOCK:
SIDE SEWER AS BUILT DATED: -SIDE SEWER PERMIT(S) #:
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
LATEMP\DST's\Fomis\Street File Checklist.doc
IV
d
REF1 RLE
CITY OF EDq,07D SIDE SEWER. PERMIT
11890
PERMIT 8341
Address of Construction: V/
Property Legal Description (include all eas ements): L
EDMONDS
wner and/or Co P T--M EtALD +AL-kA C- S �'Q C--.,
0 ntractor:
PO4 D
State License No. Building Permit No
P(Single Family
�O Multi -Family (No. of Units
El Commercial
0 Public
Invasion into City Right7of-Way X-No 0-Yes
RW Construction Permit No.
Cross other Private Property: X No 13 Yes
Attach legal description and copy of recorded easement
I Pertify 1hat I have read and shall comply with all city requirements Date RECEIVF-.D
as indicated on the back of the Permit Card.
OCT 1 4 1991
CALL DIAL -A —DIG (1-800-424-5555) BEFORE ANY -EXCAMTKMK6 DEPT.
OFFICE, E-6,NLY�1.
* FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. *
Permit Fee: 130
Trunk Charge:
Assessment Fee
Lid No.
raffia, InspeCLIon:
Comments
Is sued.By
Date Issued: -
Receipt No.:,
Date "I Initial
Reason Rejected: Date Initial
FinalInspection Approved: Datelk� 4-.(-. lnitial-,�Ik-
'PERMIT MUST BE POSTED ON JOB SITE **
White Copy; File Green Copy. Inspector Buff Copy: Applicant
Re�jsecl 3190
0
T.he City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------- ............
NEW CONSTRUCTION B/ REPAIRS F-1 LID NO . .................. IASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO
JOB ADDRESS ---- ---- — --- — ------------------------ LEGAL DESCRIPTION: LOT NO - --------- 7 ------------------------- BLOCK NO - ------------------------------------
----------------------------------------------------------------------------------------------- ------------------------------------------------------------------
NAME OF ADDITION ............................................. ......................... ---- -- -------------------------- - ----------
EDMONDS
TREATMENT PLANT
e-to
't e-G,.
Approved:
PWW-0001 -11/75 (REV. 11/78) DATE
77
.......... By 4� ... e�� - — -----
NOTICE:
-N:o---w-a r-ra T-UMC
The information on the attached
map(s) was compiled for use by the GtY Of
Edmonds/ its Employees and Consultants.
Th,,e City of 'Edmonds does not ' warrant the
accuracy of anything set for.th on t ' hese
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
tRe -map(s), including, but not limited to,
th'e lociation of any sew-e r 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
empl-o-yee-s o-r office-rs -sh-a-'I*l be 1--ila-b-IFe for the
information given on this map(s), nor for
tation provided based
any one represen
upon said map(s).
44111FDATE RECEIVED L.J 7 1 ti
PERMIT EXPIRES 4`114 L
ZONE PERIMIT
CITY OF EDIVIONDS NUMBER
CfONSTRUCTION" PERMIT APPLICATION JOB SUrrE/APT#
OWNER NAMI�NAIJIE OF BUSINESS ADDRESS )02,-2
P T NAME/SUBDMSION L6T,.NO. LID NO.
st�a U-0— o if
LID FEE $
MAILING ADDRESS TESCP Approved
.,ATIO
ZONE
Nt
JOB
AD RESS
P AT E/Sl
H
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use Pernift Req'd
CITY TELEPHONE EXISTING PROPOSED Inspection Required
Zip I I � q Sidewalk Required
REQUIRED OEDICATION� FT Underwound
'q?0c2(ol 4/;5 Q Widn g required
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I I YES 13 NO 13
M S
ADDRESS REMARKS
0 OW /Co TS
WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
ZIP I TELEPHONE
NAME CBL #
ADDRESS
CITY
TELEPHONE
STATE CENSE NUMBER E
�ROPERTY TAX ACCO PARCEL NO.
60 -) -7 0,6 000
0 NEW RESIDENTIAL
ADDITION COMMERCIAL
REMODEL MULTIFAMILY
REPAIR GRADING CYDS
DEMOLISH 0 TANK
oGARAGE RETAINING WALL
gARPORT IJ ROCKERY
OR ACTIVITY) EXPLAIN:
NIJMBER NIJIJBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
Ll
PLUMBING / MECH
COMPLANCEOR
CHANGE OF USE
SIGN
F NCE
( E — X
0 OTHER
F RE SPRINKLER
FIRE ALARM ,
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU SHORELINE OR ADB# I INSPECTION I BOND
REO'D POSTED
OYES 13NO $
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED
III
It
0
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
z
z
PARKING LOT AREA I PLANNING REVIEWED BY DATE
REO'D I PROVIDED
Fri I REMARKS
el.4
6
15
KED BY
ITYP
T OTION
'PA
CU 1p�
CRIfICAL
AREAS
NUMBER
SPECIAL INSPECTION
REQUIRED [] YES
AREA
7
fGOQRO'
OCCUPANT
L AD
P-16 �70
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAIL INSPECTION REQrP 3
00,
VALUATION
$
klult_ -
Description
FEE
Description
FEE
Plan Check
State Surcharge
LofSLOPE %
I e -
Build Permit
; !L�
City Surcharge
veltrfiin-I'Aamir 7
,
/)A
1p= 4!�17
OIL)
Mechanical
THIS PERMIT AMOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO
t:
a
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBUC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t:
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISO DAYS
PERMIT IUMM I YEAR - PROVIDED WORK IS STARTED WITHIN-1180 DAYS- -
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
!APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
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 WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0
x
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed Oy the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLIW10WOF THE LABOR COMD-,OF T13t STATg OF WASHINGTON RELATING TO
IN
WORIGIgN-VOI�PgNSATIO 13 RCWA8.271
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
, . 'P I _j_
SIGNAT=U' �f 40M5��?' L/I
DATE SIGNED
1A9 )
%_TA'5
OFFICIALS_6gaKURE DATE
-1
5 M/03
771-0220
B DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL IN$PECTIQN HAS BEEN MADE AND APPROVAL OR A QERTIFI-
ORIGINAL jFI YELLdw - INSP"ECTOR
*-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINP 51 GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
CITY OF EDIVIOITUS--
USE PERMIT
;ZONE NUMBER, IN
U7, 07Nj<>
CONSTRUCTION PERMIT
APPLICATION
-F
jo --"/"
OWNER NAME/NAME OF BUSINESS
ti E
ADPSS
8C921 4 � )',
LEU e5��
Tom Kuntz
LEGAL DE RIPTION CHECKI SUBDIVISION NO. LID NO.
Cl
W
MAILING ADDRESS
,z,
23120-102nd Pl. W.
0
CITY —T—TELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
APPROVED BY
Edmonds
542-8986
EXISTING �-.REOUIRED DEDICATION
PROPOSED
,NAME
Design Consultants
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED. cr
LU
UW ADDRESS
STREET USE PERMIT, REQUIRED:- Uj
tm:
P 0 Box 1306
E
0
CITY ---
a: —EPHONE NUMBER
L
REVIEW BY Z
SEE ENGINEERING MEMO DATED
ALG
<
ITE
Mukilteo 98275
745-6569
REMARKS
NAME
rdell,
Pacific Emerald Homes
Inc.
cr ADDRESS
6*111AAf 10117A&-
o
9225 Olympic View Drive
-
V1-
a: CITY 1.�
5 16
LEPHONE NUMBER
METER SIZE BUI LDING SUPPLY SIZE FIXTURE UNITS
a:
LU
�z
Edmonds
0
.11771-2381
REMARKS
STATE LICENSE NUMBER
PACIFEH090KZ
SIGN AREA ENV. REVIEW ADB NO.
Legal. Description of Property - include all easements
ALLOWED PRO POSED COMPLETE EXEMPT
(show below or attach two copies)
SHORELINE III
Z
2
/X
0.
a:
VARIANCE OR CU PL IN BY E
L)
-----------
SETBACKS — FEET HEIGHT LOT COVERAGE
Z
FRONT 19 SIDE' 0 REAR ?,9 Z
TAY ACCT
REMARKS CL
1!1 ff] F]
NEW RESIDENTIAL
PLUMBING
ElADDIALTER 1:1 COMMERCIAL
MECHANICAL
IT)
1:1 REPAIR Ej APT. BLDG.
El SIGN
EXCAVATE
E] F-1
FENCE
CHECKED B . Y TYPE OF CONSTRUCTION CODE HEIGHT
DEMOLISH OR FILL
F
I— X FT)
CARPORT
REMODEL El GARAGE
swim
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
POOL
REQUIRED. GROUP LOAD
n YES C. NO
WOOD STOVE I F7 RETAINING WALL/
INSERT ROCKERY
RENEWAL
REMARKS.
Z
0
PROGRESS INSPECTIONS PER UBC 305
W NUMBER OF STORIES NUMBER OF
a
2 DWELLING
1
M
0
UNITS
NATURE OF WORK TO BE DONE (AT7ACH PLOT PLAN)
Construction of single
family res.
VALUATION FEE I
PLAN CHECK FEE
'71 r< - 60
26 71 Ko 70
lln5- 60
BUILDING
PLUMBING
e)6
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL�T.10-1-74%to,,�,,.,,,,,,,,.,
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.. STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Wo rK is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and i� C R-
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
2 employees, and agents from any and all claims for damages of 114WMW pft�,
a: .
< whatever nature, arising directly or indirectly from the issuance
T of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
lop
/ OK
670,00
modify, waive or reduce any requirement of any city ordina
0 nce
1: nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
0-1,371 SZ)
I hereby acknowledge that I have read this application; that f e
information given is correct; and that I am the owner, or the d ATTENTION
u 'A
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with c ' y anck, THIS PERMIT
state laws regulating construction; and in doing the work althoriz- AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE
signed by the Building Official or his
Code of the State of Washington relating to Workmen's Compensa- WORK - NOTED
Deputy; and fees are paid, a�nd feipt is
_tjL@pqnsurance. I
INSPECTION
acknowledged in space provii
TURE (OW ERJR ��T) DATE SIGNED DEPARTMENT
OFF Y��Sj �E /ATE
0�',
7
YIGN
.
CITY OF
EDMONDS
WELtAW BIIL�0, DATE
ATTtNT16—N 771-3202
IT'IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-87
00
C, i Q:t = C-
ITREET- FlkE
110. kl�
ID
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