23232 76TH AVE W11111111111111
15146
23232 76TH AVE W
ADDRESS: 2' 0;5a ' -71Q
TAX ACCOUNT/PARCEL NUMBER: 00
BUILDING PERMIT (NEW STRUCTURE): �7_CU `7 'OFD
COVENANTS (RECORDED)
CRITICAL AREAS: "l 2" ( ✓ DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT FILE:.J`--1 ' �� LOT: Z BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMMI)STsTormAStreet File Checklist.doe
ShELTONS LAKE McAI_F_Fl
u 5 11CF',E l-FACTS
(VOL. So PG. 29)
i a P
�. N . EX. ASPN. ORWY.
0 — — — — — —
A x ■ x x
IDO
I
C
0
r
I
-7'f6"
LOT 2 _
ICI
PLAN a840-
00
� GAi2A�aE I
7.5' DRAiNACE
EASEMENT I ( I '
1 C'X t O' POWER ESM'T
r4 A
L91 EX. 15' ROAD M !
F. 0
rIR5.00 R-16.00
L_
12.00'
Zone R5 Corner Al Flag Y,(J
Setbacks R uired Actual
Front 7 a q «
Sides
�/ L-I3 _ 3d'-3 `r
Rear
Other
Hei t aS w•uX, �(
PIR D 6 PLANNING
gq�s mac._
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VWQ04- 4M
9epee. �ve��ee �—wa M7
PROPOSED
20'INGRESS, EGRESS
— — — — T do UT11lll' EASEMENT — — — — _— — —
EX. ASPH. I
CS
STREET FILE
fY ?N k®
OCT 1,' 2004
PERMIT COUNTER
100
'0
Zone S- Corner N Flag*f. (AJPP,ROV BY PLANNING RECEIVED
Setbacks Re ui ed Actual aft (`�� g/ 7 0q716re TRHFILEJUL 2 2 2004
Front ,, 1�7 30.3 j� EX. AS H. DRWY.
ides l��
7
Rear
- l K
_N LOT 2
0 I 8,001. S.F.
ATIO �—
'NAGE —�I I—
T� i I
iT I=��
I. O m
N —N
PLAN 2g 2—
I
RA, E
IUE
`n EX. 15' ROAD —
A. F. 8609,'
LITY ESM'T
COVE
ENTR1
PERMIT COUNTER _
CCJ(_'
BSBL
FFL.
i o3.v
S
z'-5"
Rve+r
sa
f6t!t a,, U-) rek q'
'
LOT GOVERA6E
J
(PROPOSED)
EX� rnff TO REMNN
RESIDENCE
6ARA6E
GOV. AREAS
1,4i4 SQUARE FEET
667 SQUARE FEET
144 SQUARE FEET
TOTAL
2,245 SQUARE FEET (25.6%)
N
35% MAXIMUM
LOT GOVERA6E
N
IMPERVIOUS AREAS
(PROPOSED)
O
ED Op r-
RE51DEWE
(W/ OVERAHN65)
.2,611 SQUARE FEET
DRIVE Q WALK
546 SQUARE FEET
11 Al
TOTAL
3,201 SQUARE FEET (40.0%)
100,0i
O
100,0 o `
PROPOSED
LO
20' INGRESS, EGRESS
& UTILITY EASEMENT
Pive� ----- —�'
— 303.1 7 EX. ASPH. DRWY. APPROVED AS NOTED
C8 LL WMEEKIN
,.
i
PLANNING DATA
NAME: J o ,�F -rv(e DATE: T/12 0
SITE ADDRESS: M k3 k 76 ve. W. PLAN CHKX: OH - 3y 3
PROJECT DESCRIPTION: A/ SF R
REDUCED SITE PLAN PROVIDED?: es NoU—
MAP PAGE: 56 CORNER LOT: es No FLAG LOT: 6s / No
ZONING: - CRITICAL AREAS DETERMINATION t/: q,Z - 130�
❑' Study Required:
AWaiver
❑ Conditional Waiver
SEPA DETERMINATION:
❑ Fee
❑ Checklist
❑ APO list w/ notarized form
❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
- /Vorf
..Required Setbacks: � � r � „ ! �,
Street: 7� Left Side: 7 Right Side: 7 Rear: 7l
��
is It
Actual Setbacks: 21 3-/6,c
Stnset: X'* 1 W
SCT.(j�) I(V',3�,(�
Left .Side: Right Side: �` Rear:
Street map checked for additional setbackrequired? es / No NA
w` jU//Y`dK
❑. DETACHED STRUCTURES: `
❑ ROCKERIES: l'b P�U aI e v
❑ FENCES/TRELLISES:
Q. BAY WINDOWS / PROJECTING MODULATION: O
lAn/4"� S = f O
❑ STAIRS / DECKS: -
1D ?
PARKING: Required: )- Actual: J
LOT AREA:
LOT_ COVERAGEa, �6 soo = a 7
Calculations: .
BUILDING HEIGHT:
Point: S5/'Atf %1 too
/
F4lcf
I
Datum Datum Elevation:
Maximum Allowed:_ Actual Height: a li
/ 'I Sao-(
A.D.U. CREATED? No Yes
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es No
OTHER:
Plan Review Bv, S) (?eC L ` V
NeAPPlanningDataFornLDOC
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer 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
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
fnC. 1 g9'J
CityOf Edmonds PERMIT NO: 9191
SIDE SEWER PERMIT PERMIT EXPIRES
ArlArPec of rnnctnirtinn t / �9�VP"�✓ LID #
Property Tax Account Parcel No. s I G I — 1!� a 017 — o 6
Attach copies of all access and utility easementt_' Verified and Approved by
Owner and/or Contractor: S o �f1�Vl PU) wto_ U r, e,;p —1kic -
Contractor License #: 55U+r j1 V kDO fO !111k) Building Permit #: a -O(g D
Single Family
❑ Multi -Family (No. of Units
❑ Commercial (No. of Units )
Invasion into City *Right -of Way: ❑ Yes No
*RW Construction Permit #
Cross other **Private Property: ❑ Yes
�j No
v
❑ Public **Attach legal description -and copy of recorded easement.
add Owner/Contractor
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled
�ide Sewer Specifications, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1-800-42 '5555) BEFORE ANY EXCAVATION 2
9 FOR INSPECTION CALL 425-771-0220 extensionx3es
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE-INSPECTIOEE WIL42BJE CHARGED.
Job Site Ready YES : p �INS Date: Initial:11
Partial
Partial
Date:lb '0 164 Initial:I ij
Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial:__f�As-built to Street File: ❑
1� PERMIT MUST BE POSTED ON JOB SITE ` - i
White Copy: File. Green Copy: Inspector Buff Copy: Applicant
L;temp;bl dg;forms;ssperm itj lg4/00
10
ED 0
1 �
76 AVE W
CITY OF EDMONDS SIDE SEWER AS- BUILT
ADDRESS
23232 - 76 AVE W
H❑ME❑WNER CONTRACTOR SCALE
SOUNDVIEW HOMES NTS
DATE DRAWN PERMIT
12-09-2004 BY SIBREL N❑. 9891
Aw u—)
/ Zone �S Corner Al Flag YPR V BY PLANNING
Setbacks Required Actual 8 f 7 V
RECEIVED
Front '
7 �� �; P� Ex. ASPH. DRwY. JUL 2 2 2004
a �a
Sides . a CITY
T Rear 74 17 — — — — — PERMIT COUNTER _
L Other = ,� = — x x
x x
100 x x x
N89'29 03 E
_ -IN _
�- LOT (.
� I L 2 �'- FF C'� �a�
N
B BL 0 _I 8,001 S.F. BSBL �- i a3,c�
woio'IeC LQrqt 2_w
LOT O 44 Za
� 1 W ✓ �� � u�
(PROP05ED)
�4 J
RESIDENCE 1,4iq SQUARE FEET a
�L A N 2 g TREE To RerwN GARAGE bbi SQUARE FEET
COV• AREAS 14q SQUARE FEET
W 7 _ TOTAL 2,2115 SQUARE FEET (28.6%)
35% MAXIMUM
N I I N p LOT COVERAGE
IMPERVIOUS AREAS
d t� .. (PROPOSED)
O I \ I O RESIDENCE 2,61I SQUARE FEET
GO�/E ED p (W/ OVERAHNG5) ` t
ENTR ( U) DRIVE 6 WALK 5qb SQUARE FEET
WAGE -- �--
R E TOTAL 3,201 SQUARE FEET (ao.o%)
T N�; �
o s �h, 10010,
W9'
1 T I = �� «o� - �� I g I G-a o PROPOSED �jkW►Q�
20' INGRESS, EGRESS_
m -IN F-,IVE O. 9 %� & UTILITY EASEMENT7r�a_ __q
en Auvo-erl� T -:7-T I'Vl�rl�t-
1 M-9-5
303.1 '/
1n EX. 15' ROAD- ILITY ESM'T EX. ASPH. DRWY. PPRQMED AS NOTED
.F. 8609 �91 .9 CB BY ENGINEERING
n
9
a3nz Ib� Apt\VJ
100
SKELTONS LAKE McALF_F_{;
1
EX. ASPH. DRWY.
LOT 2 b„
_.... — ——8.0013`A — F3L_ r�.asmnn.
M II
i
282�
a I
PLAN
i
r cove
e1VTR
am a
�
6Ai2A�E
PROVED B CANNING
co��.Q
Zone Corner Al Flag t S
Setbacks Required Actual
Front 171T
Sides ? �� �L- Lf
Rear
Other
Height
twi nve e,�raae_
V
e�ci"ai{'�w''�
awe aa. rr• ix • «s ea �.
wrN. ax emwe ra►
raaea� a
iww sewer rmr
enGONE rwr
��
W4GOLMMFM
tGVL
37el�V(irase
Ef
li re
5
Dw MO
eeaoers
aee eerwe ow
�ver�ee arose• a
W000WS +
tea+
a" s YV"
yea edaw pw
TWAL
Am saws MweeaAw
0c 7.5' DRAiNACE
L EASEMENT
Q I PROPOSED
1 C'X 10' POWER ESM T i `I I v� I I 20' INGRESS, EGRESS
dt !liAW EASEMENT —
'0r
L
87.
,
17
u! . H canon r rr F SAIT IX. ASPH. ORWY
rIR
15.00 Rw16.00
12.00'
RfCe['VED
OCT 1 V2004
PERMIT COUN T k R
ItPATE RECEIVED
64 PERMIT EXPIRESSE PERMIT
""TT
CITY OF EDMONDS ZONE KS' $ NUMBER
CONSTRUCTION PERMIT APPLICATION ASUITE/APT#
DDflESS i -�� ..•-�/�I � •�
OWNER NAME NAME OF BUSIN SS
�''_ '
45 .Jt O t t1 V QIa�'�`r� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
a M�LING ADDRESS
w i LID FEE $
= T♦t( r' TESCP Approved O
3 0 L. 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP pW permit Required [o'
O Street Use Permit Asq'd
CITY ZIP TELEPHONE EXISTING "" PROPOSED Inspection Required p
T J Sidewalk Required
(�
�. V11DV1�� l) �� ram✓ �X� � 19 -� / REQUIRED DEDICATION FT �T Underground
equired E3
NAME 614METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
u L\ �.J O (V_1'7tAd NWr�tT 3 'Y / I G. YE NO ❑ W
ADDRESS REMARKS z
�;fill/ OW ER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE i
llf I{CC W
CIT1( ZIP TEL ON / I l -T tl CI 4 t �% • LS G/.I
i,.\�c� ��o?3; :, la`s-� 117 �, , N s� p �: K 'NfY/ C d< y: s,OLE
t NAMES r. CBL # i,�Q�% ! 1 C` 1
r�G��lr✓\e�) t V0 S - s�I�r�l I N L
t E INEERING REVIEWED BY DATE
ADDRESS
f IRE REVIEWED BY DATE Lu
CITY ZIP TELEPHONE
STATE LICENSE N MBER EXPIRATION DATE Y VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
RE 'D POSTED
SOi/(1 V %-^O• YES NO $
SEPA REVIEW SIGN AREA HEIGHT
PROP TY ACCOUNT PARCEL NO. COMPLETE EXEM T ALLOWED PROPOSED ALLLOCWED PROPpSED
P.� ' " -a0�-o —O EXP aV 6 11
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
NEW RESIDENTIAL PLUMBING I MECH i
ALLOWED PROPOSED FRONT SIDE REAP °9nNT� _ UR�gIDE REAR
COMPLIANCE OR G / A / /! I,) fr /• V e" ?
❑ ADDITION ❑' COMMERCIAL ❑ CHANGE OF USE 3 5 t� cj7 90 7 76 7v� �T 3.. d 3 1
❑ REMODEL ❑ MULTIFAMILY ❑ PARKING LOT AREA P NING REVIEWED BY DATE g '
SIGN RE� I PRQyIDED
❑ FENCE S I �e& � 710
❑ REPAIR 9AIDwIN�
CYDS ( X FT) REMARKS
❑ DEMOLISH ❑ TANK ❑ OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
_ CARPORT ❑ ROCKERY ❑ FIRE ALARM.
O
(TYPE OF USE, BUSINESS OR ACT•Nw
r 5 L CHEC D BY TYPE OF =NSTRUCTION CO OCCUPANT
ze
rJ r GROUP
u� NUMBER NUMBER OF�aV`�' CRITICAL
O OF DWELLING?o:A AREAS; SP CIALINSPECTION AREA OCCUPANT
O STORIES UNITS NUMBER Z— 2,REQUIRED LOAD
DESCRIBE WORK TO BE DONE ❑ YES `-
REMARKS O
Z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 9
T�f
�` - :- ' S L� C J j% VALUATION
�" Q — {, (p� (� Description FEE Description FET�ES.-��
YQ .Y P•, tin �C�i L-I -7 Plan Check 7 State Surcharge L1 T..�
HEAT SOURCE GLAZING % LOT SL i
O �Q . Building Permit City Surcharge
PLAN CHECK NO., T L a VESTED DATE Plumbing r � Y Base Fee
Mechanical �)
THI&PERMIT AUTHORIZES•ONLY THE WORK NOT,F,D. THIS PERMIT COVq WORK TO
t At_ DONE ON PRILATE 0AC PERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
s Engr. Review
W PERMIT APPLICATION: 180 DAYS
d PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 Fire If1SpeC110n Receipt # 2-
Q ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
S FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape lnsp. Total Amt. Dug 7,11 V
= NOR LIMIT IN ANYWAY THE C17Y'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL ..
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided.
WORKMEN'S C
RMekNSATION INSURANCE -AND RCW 18.27.
OFFICI LS SION RE DATE
SIGNAT R ( OR AGE DATE SIGNED ' (425)
�.. jJ ''7--oq--o /
771 -0220 RELEAS BY/ dAT ±
ATTENTION EXT 1333 1,t:?
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL, OR A CERTIFI oRICINAL • FIL YELLOW - INSP�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PwK:owNER GOLD - ASS'
os/os PRESS HARD -YOU ARE MAKING 4 COPIES '"