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500 8TH AVE Niiiiiiiiiiiiii 14790 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) MR. & MRS. BLOOM MAILING ADDRESS 614 DAYTON ST. CITY TELEPHONE NUMBER EDMONDS WA. 775-4899 NAME JAY BEHM ADDRESS 201 5th AVE. CITY TELEPHONE NUMBER EDMONDS WA. 774-8000 NAME HOMEWORKS CONSTRUCTION ADDRESS Isr 67? -qgo 6730 148th ST.SW. M4 CITY TELEPHONE NUMBER EDMONDS WA. 745-2208 STATE LICENSE NUMBER HOMEWC*127B5 (shoaw below or attach four copsInclude all easements LOT #2 ALOHA PLACE EDMONDS WA. aNEW " RESIDENTIAL El PLUMBING ADD/ALTER 0 COMMERCIAL Eln MECHANICAL REPAIR RETAINING WALL L.J SIGN EXCADEMOLISH OR FI/LLTE (( FENCE x-FT) ❑ PRE -MOVE INSPJ COMPLIANCE INSP. El POOLREMODEL POOL WOOD INSERTD APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING I 2- UNITS 1 NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN) NEW RESIDENCE This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year- Provided Work Is Started Within 180 Days r FiLE .• USE PERMIT ZONE`( 2. NUMBER JOB ADDRESS 5-00 Q'/4VE NUA LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. LvT Z fz _86._- TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY EXISTING A //A REQUIRED DEDICATION _ PROPOSED /A RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED REQUIRED 7. �/ STREET USE PERMIT y'�/� 7� REVIEW BY SEE ENGINEERING MEMO DATED q-2 7 SIZE BUILDING SUPPLY SIZE (FIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW I ADB NO. ALLOWED I PROPOSED COMPLETE I EXEMPT "VARIANCE OR CU PLANNING REVIEW BY DAT YARDS HEIGHT, LOT COVERAGE FRONT �,j ' SIDE ID" REAR ZS , ZC5',4 I1+ ;NECKED BY TYPE OF CONSTRUCTION CODE HEIGHT /V /47 zs� SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD ❑ YES C NO REMARKS PROGRESS INSPECTIONS PER UBC 305 TYI r-flM.4i_ WjZ11_ /Virg_ /M IW1 ,o!M?.di16 Y LD,OZ PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE .T5q�ewo.-✓ J eob VALUATION FEE W a 3 Z z Z 5 a "Applicant, on behalf of his or her spouse, heirs, assigns and successors in Interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, .,.....I^u. ane4 ananta from anv and all claims for damages of • ry CITY OF EDMONDS USE PERMIT zoNE2 NUMBER CONSTRUCTION PERMIT APPLICATION JOBA ADDRESS -00 el t�/� A"f llol? rH NAME (OR NAME OF BUSINESS) MR. & MRS . BLOOM LEGAL DESCRIPTION CHECK SUBDIVISION NO. - 86 LID NO. ZMAILING ADDRESS 0 614 DAYTON ST . PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY CITY TELEPHONE NUMBER EDMONDS WA. 1775-4899 EXISTING REOUIREDDEDICATION PROPOSED cv z NAME F JAY BEHM RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED,-,f�s/LJ / jam, w z ADDRESS 201 5 t h AVE. SEE ENGINEERING MEMO DATED REVIEW BY q-2 7 jy w a CITY TELEPHONE NUMBER EDMONDS WA. 774-8000 REMA S re NAME HOMEWORKS CONSTRUCTION cc ADDRESS A /Sr b (18O v METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS Cc Uj ° U 6730 148th ST . SW. M"M <¢ CITY TELEPHONE NUMBER 0 EDMONDS WA. 745-2208 REMARKS 3 STATE LICENSE NUMBER HOMEWC*127B5 SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADB NO. Legal Description of Property - include all easements (show below or attach four copies) SHORELINE# Z O P a LOT #2 ALOHA PLACE VARIANCE OR CU PLANNING REVIEW BY OAT N a EDMONDS WA. YARDS H''EIG``HT' LOT COVERAGE Z FRONT S ' SIDE 1EAR Z5 , G c g REMARKS a aNEW RESIDENTIAL PLUMBING ElADD/ALTER El COMMERCIAL MECHANICAL REPAIR RETAINING WALL El SIGN EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT / DEMOLISH1:1 OR FILL ( xFT) ii,'T�i /9�S ZS REMODEL SNSP. PJ Swim SPECIAL INSPECTOR AREA OCCUPGROUPANCY OCCUPANT COMPLIANCEVE POOL REOU RED ❑ YES GI NO R LOAD WOOD STOVE/ INSERT APT.BLDG RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 0 s i/IT� TA 6111— / x /1OC� ho L 401C m. cc U W NUMBER OF STORIES NUMBER OF o 2 DWELLING M O UNITS 1 NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) NEW RESIDENCE �fjL t 6elA4 6y dS 4) BUILDING PERMIT ATTACHMENT PERMIT # DATE: f 4-7 -W MEMO TO: Permit Coordinator, Building Division FROM: Dan Smith, Engineering Inspector ADDRESS: Jo0 S-r4 A/ OWNER: U400M After review of the subject building permit application, we have the following comments: 1) Construction hours are: WEEKDAYS 7:00am to 10:00pm WEEKENDS/HOLIDAYS 10:00am to 6:00pm 2) A Right -of -Way construction permit is required for any work on City property. 3) Connection to City water system required. 4) Connection to City sanitary sewer system required; obtain separate permit. 5) Water and sewer lines to be separated by 10 foot minimum. 6) Driveway must be paved a minimum of 20 feet back from City right-of-way; separate permit required. 7) Driveway slope not to exceed 14%. 8) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 9) Builder/Owner responsible for containing all temporary runoff and erosion control on site. Construction may not impact neighboring properties in any way. 10) No burning of construction refuse without approval from Fire Dept. 11) Street to be kept clean of debris, dirt, mud, and construction materials. Contractor responsible for dust control. 12) Inspection required on drainage system, catch basin installation, driveways, and sidewalks. A final engineering inspection is required prior to the building division granting occupancy. 7'i4/#T L 11w 7`a 5'1 �O Pilo dim EQ IA" -Iv W C0,2Ntr, e— Gi0 1407.1 L�) (�NpFs'iZ,�j/10dNd G�/��Nq /2Ei�li�'6D_ • PRO7E = REVIEW CHECXLIST to 'R Fer NAME _ .rt �F;GUD/l�l,. r PKITECT ADDRESS: �,3y�.! p %r�► APPLICATION RECEIPT DATE:- Reviewed by: (initial cig PLANNING W.I'12/SM STR= ENGNRNG FUZE BUILDING %%%TT / / / /1177111111 SINGLE FAMILY/MULTIPLE/caVEECIAL - (circle, One) SETBACKS CHEUM - Plan27.3ng� ! / VARIANCE/SETACK AU7. I Ill 1 1711717717 MNDITIONAL USE PERMiT //1/1! ///////// //////// /////1I/!/ 2 !/ f// 111 11 %JI !// I ADB RDQttIREMErrrs 1/!1// I/////f// /I////// ////////!/ 3 OTHER ZCNZNG RWJIREMENM 1////! ///////// //////// /_//I///// 4 r 111171 /! // / M111 1 - FNVIRCNMEWAL FM- TUREa ----,, /1l11e //Il///// ////!/// 5 ACCESS SLOPE. h VEHICLE ACCESS O fllf////1 //1////// 1///!/// 6 1 DRU14A E PLAN (on Site) j✓` /!/!!! � ix ;s 71/1J11/ STRFXr FILE11/1i/ /el//%1// //I1J!!/1 /Il!/1// 8 LEGAL DESCRIPTICN VF,RIFIC•ATION 9 QUIT C.IAIM/DFDICATIONS I1//1I lffl,f�11J /1IlJltlf /f/!//!I B0 FASEMEIV-`PiIFLIC/PRIVATE C'AT.C=TE SWER CONNECHON IF NO LTD .* /fI/ //!le J/I1 II///f/11 //////// 12 PLAT/SUSDIWSICN MQUIREMEMIS /I/J11 f/J/!!!t! 1 1/ /I/// 13 RIG T-CF -WAY CONSTRUCTION PEMIT REMr �// fl ft t l T 111 eo!/// //�////// � 14 / BMD REQD FOR PUBLIC IMPROVFPERM 15 solLs C=ITICNS s GROW/ WATER FIEW 0MCKED / 16 _ 771117711 STREET PAVING REWIRED ////// ///////// /////_//// 17 7-77777 / / .T CURB AND GUTPER REQUIRED ////// ////!//// ///////// 18 111777 / SIDE41AUX REQUIRED_ ////// ///////// ///////// 19 CM FOR DRYVEWAY REM ////1/ ///////// ///////// ////////// 20 /7 7 7 / S`!`RxET NAME SIGN REQD 21 O`r ER SIGNING RED !/.//// ///////// ///////// /!/////!// 22 SIDE SEDER AVAILABILITY ////// ///////// ///////!/ //////// 23 WATER MAIN SIZE ////// 77TEXISTING ////y / �.11r //////// /////// 24 WATER MF`I�2 SIZE_- ////W// /%/% 25 SERVICE LINE SIZE !///// ////!//// J � //////// ////////// 26 HYDRANT REQUIRED ///////// ///////// //////// ////////// 27 � // HYDRANT SYZE EXISTING 28 CROSS CONNECTION INSPMVICN READ ////// ///////// //r///// ////////// 29 WATER METER ////// ///////// �D)De9 //////// ////////// 30 FIRE LINE CHARGE READ - SPRINKLER / /!///// ////%// ///////// 31 STREET CE?r L111111111 32 w��-.as •-�.--n --—«+..+.�.--�......� a s ) i 4 A •/ tr I tr I i/ R • s) I tr l s I tr .... REEa. IC, WORKS ?.zs I Wit ,7s 1659 '57 O a v ERGY. CODE, ALS) FALS) VA It- Lu w U) I.L. O 0- 0 U) m U Q U J O r Q U 1 w Z J Y U Q m F- DOF N G ABOVE 'o 25' SETBACK LINE l rl r vwu� &Izr4 6U H I P(pf H0Uy 10 5'5 7F -�- 171Z1 .-2 1 rhiPct.ILS o $ gF To%l• : .1°I83 SF k 2000) NOTE: CONTRACTOR SHALL VERIFY LOCATION OF UTILITIES AND COORDINATE SERVICES CONNECTION AND INSTALLATION Cori o,tz a = 1, + CoF-N5-r- p = 1' cop4 ErZ C = 1e -TOTA L Al,l_oi.-lnr5L.E N� ----------------- vn/oyloul OUlLa