19727 88TH AVE WUSE PERMIT
CITY OF EDMONDS ZONE T-k NUMBER
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"CONSTRUCTION
PERMIT APPLICATION JOB
ADDRESS
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N ;ME (OR NAME OF BUSINESS) I C
HOMELAND HOMES INC. LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
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MAILING ADDRESS
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24024 84th Ave_.. W.
FF]]WAY PER OFFICIAL STREET MAP.
CITY TELEPHONE NUMBER PUBLIC RIGHT OF
1775-2033
Edmonds EXISTING�REQUIRED DEDICATION.
NAME PROPOSED-te Z
Charles C . Lee RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1:1 ¢++
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STREET USE PERMIT REQUIRED Cl
ADDRESS Z
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loth St. SEE ENGINEERING MEMO DATED w
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CITY TELEPHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST D ED
Mukilteo 745-6569 REMA
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NAME Q
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Same as Above
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ADDRESS
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METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
Same as above
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CITY TELEPHONE NUMBER 2
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REMARKS 3
Same as above _2033
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STATE LICENSE NUMBER CITY LICENSE NUMBER
HOM MI174KE SIGN AREA ENV. REVIEW ADB NO.
Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach four copies) SHORELINE #
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Bjorback Lot C. In a portion of N.E. VARIANCE OR CU PLAN G EVIE Y DATE
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Edmonds, Sno. Co. Washington YARDLS LOT COVERA ?
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6rFRONT /Z SIDE AS REAR O /� Q
REMARKS a
aNEW R ❑
RESIDENTIAL PLUMBING
❑ ❑ ❑
ADDIALTER NON-RESIDENTIAL MECHANICAL
❑ ❑ ❑
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
❑ ❑
DEMOLISH OR FILL ( x_FT)
❑PRE -MOVE INSP.1 sWIM SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
COMPLIANCE INSP. POOL REQUIRED GROUP LOAD
YES I ; NO
C ❑ REMARKS
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SIDE SEWER WATER LINE V
2
❑ ❑ ❑
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NUMBER OF STORIES NUMBER OF
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DWELLING
Tri-level uNlrs (1)
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
Construction of new home
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
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.
Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in Interest, agrees to indemnify, defend and hold
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:harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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DATE: 2 7 E3L--
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TO: Building Division
Planning Department
FROM. - Engineering Division
Publ is Work s DO Pa rLme n't
SUBJECT:
Y '.After review of the subject Building' Permit application, we have the follow
comments: ing
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Connection to City water Sys tem required.
2.
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Connection to City Sanitary sewer system required.
3.
Right-of-way permit .required'for any work on City property.
4.
Driveway slope not to exceed 14%
S.
Backwater valve
1 ve re uired if downstairs Plumbing is below elevation of
upstream inanho e.
6.
Water and Sevier lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for containing all te
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o n site a n d ma
y n o t i mPI-c—nLl 9 110 ria-cLM0-29.-?!C1-e s J n—la"-dy,
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6 /82
PUBLIC WORKS DEPA M1ENT CHECKLIST
BUILDING PERMIT REVIEW Iq 7,22 0 0
(addresse
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Street Right -of -Way Exist' REQD sC
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Access Easements Existingg�a
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REQD
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Utility Easement Existing
— /— REQD
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Lot Per Subdivision Plat
Assessor Map
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Site Plan Checked for Accuracy
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Underground Wiring Reqd.
Check Accuracy Legal Des ption Q1G-
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Review by
Date
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Existing Water Main Size
Water Main Required —
Service Line Required
Hydrant Size Existing 1 i _"
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Hydrant Reqd Per Fire Code N/A
Size
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Detector Check Meter Reqd. --
Cross Connection Inspection
Fire Department Conments
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3
Water Meter Charge Read. f>._n,
Review b Y �1
Date
Septic Tank Design Approved 111h,
Date
Septic Tank Permit Reqd.
Permit No.
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Sanitary Sewer Availability
Proj,
Drawing No.
File No.
Side Sewer Availability j( /
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Sanitary Sewer Connection Fee Reqd.
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3
Review by
Date
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Open Ditch Existing—,Reqd.
Culvert Reqd. j7�� /J PPROU GO
PC-/Jll)Size
x
Catch Basin Reqd. • <
'. ( Indicate on Site Plan
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Shoulder drainage maintain collection on
swale open runoff
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1 bnhole regd. t
• (Indicate on Site Plan
Soil Conditi and Ground Water Field Checked
Review b
Date 127 Y._
.";Revised: 1v10-1977
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SLOT P,LA/,/
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/02- 00
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SETBACKS:
rRQINT
CTH�ER _
HEIGHT
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2 7 IV. i�• -/£. WM C/Ty OF EZMOn/L-..
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102- oo _.__
cc£Ss 0—/L1Ty LrgS,{,�£,VT
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is SITE PLAN, SCALE:
NOT USE INFILTRATION SYSTEM
:S OVER 15 PERCENT (15
E; PER 100 FEET HORIZONTAL
STANDARD DRAINAGE PLAN
CATCH 5A51N:
A 5 0I530(OR. TRENCH LorNGTH
"UAL �
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'T1«NCH COVER
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!.` T1C. L.►NC L[v1lL TRCN"
!.` PER)= viva CAP
6 TF—E W/ (." LONG LEGS
SYSTEM CROSS—SECTION
TRENCH .COVER -
3/4•— 1,�21 WASHED
GRAVEL
6" DIAM PERF PI
L_.., 2' - 0'____.1
TRENCH CROSS—SECTION
INFILTRATION SYSTEM
PAGE I' \OF 2
for
location--- Or C- I
plan by ��-
phone
date_'�c-1 lS - k0.Y,-z,
DESIGN
Trench Perc
Number Rate
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DATA
LF per
1000 sq.ft.
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Imperm Trench
Area Req.
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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). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
I EIL�
CITY OF E®NiONDS