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1036 3RD AVE S.PDF1036 3RD AVE S TAX ACCOUNT/PARCEL#: BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS(RECORDED)FOR: CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER - list permit Vs): PLANNING DATA CHECKLIST DATED: �q SCALED PLOT PLAN DATED: :71- SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: /� SIDE SEWER PERMIT(S) #: a GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT M FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc City %f EdmondEdmondWater Service Drawing The r EA,'7jE-MEI\TT NO . .......... .. ...... - . .,. . . ........ NEW CONSTRUCTION REPAIRS LID NO . .................. . ASM7. NIC. OWNER CONTRACTOR -3AN ..... �A.F— RC-►t�.......... .............................. PERMIT NO. 94Pt78 JOB ADDRESS ..... 103.r4, ...... .. SO., ............. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. .................................... I .......... ..................................................... : .... .. ......................................................................................... NAMEOF ADDITION ......................... .................................................................... 103G S R D "',,J E- 2 2 T1 — 1 V/47 4op P r. m 9 14" SUPERLON :PE, 160 I-S.I. w1,rf%A,CjaA, wilte. 31p" -D AN F- - Sa - PWW-0001.11175 (REV.11/78) Y4'IMTR. WO'R-r FV- M31-- Approved: Oc .D94DATE .)... .... .. ... ...... ' `^4 `-7+ .ice-�Mi '1' Yt 4•i:E l�"f^"1�7�'' .�-, ,..�� tfJ�'�'t� ... ,�.. ,�•y �,� .�,, (}v'rps �p,�� �r'�j.:r,+�Fy+-�"�,,`7^a' CITY OF EDMONDS SIDE SEWER PERMIT . '9y0.,9q° PERMIT N2 86•07 . Address of Construction: rw Q I Property Legal Description (Include all easements): Slb rf- d v S 13 �aMONDs R gC E�fVE D LANs 2 6 1994 PUBLIC WOR" EPr Owner and/or Contractor: State License No. � Building Permit No. 47L/ O�fl �J ti ¢SL Single Family /❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-W y:)N No ❑ Yes RW Construction Permit No. Cross other Private Property: No ❑ Yes Attach legal description and copy of recorded easement I certify that/have read and shall com)6f with all city requirements as indicated on the back'of the Permit Card. Date *. CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL .771-3202, PUBLIC WORKS DEPT. Permit Fee: '30 Issued By------t�s Trunk Charge: cq6Date Issued: -7 Assessment Fee: �, v,1Z� Receipt No.: /864 / Lid No.: S- Partial Inspection: Comments Date Initial Reason Rejected: �� GJfi Date Initial Final Inspection Approved: Date'/ ��c=�f—Initial ' ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant rV . Revised 3!90 x The City of Edmonds Side Sewer Drawing EASEMENT NO- ............................................ NEW CONSTRUCTION L3" REPAIRS F� LID NO ................... ASMT. NO................... OWNER..................................•-----..............--..........--------•------............... CONTRACTOR......---....................--................-----------•------•----•----------... PERMIT NO. EU -. - JOB ADDRESS ..!. v.-.... `i�:?.-^...-- -----------•-----•-l'............... s I h 6W-0001-11175 (REV.11/78) C -'- ric 1, D Sur i--*► e. LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .................................... NAMEOF ADDITION----------------------------------------------------------------------------------------------------------------------- J Ll 5��1 i C . i FE io Dv, — -4,"?%I.C. 37, ` 't'I ? �(• c t o % b 3 o, YLO S. z �-�— l y --�, p❑ � N p i 3� - Pncq� S 1 o E 0141..1L nn� 3RD ��. s• I E -7 a.' i Approved: �� DATE 1..�.�C-.- ...1.. .......... BY �✓-- • 0 HEIGHT CALC7'5 1-3.1 �jc�:�r� eec SITE PL/!6.M fat"ace-t- 'Is' of -JT-- 81.7 To CITY OFC97 MON L?!5 9jL.0 for^," K 0 H 0 " t 117. 0 --41--, ACCEPTABLE TIGHTLINFE46ATERIA N-12 ADS 40 PVC SDR 15 (ASTM D3W4). ow e w F APPROVED AS NOTED Is A�%� 711-315v. WATER. So "VICE INSP %(IkLe' 1-=-k0*-0 pi,,,quculou-, SuOi4-ce- wcje,— 4- EST IMi REMM,'... UL L: 77142 3pI%J SCWO-R- M/H l:3ATV*A T*r- 9f#0 7'W'ahageeq R�CE I'VED I Z'Y 2, S'?(b"' Jul" 1 3 PtRMIT COUNT&E-:R, STANDAf0 DRAINAGE DETENTI91 SYSTEM ' WORKSHEET OWNER �t°/1IC12V t e101a 9 c.. CALC BY: ADDRESS bVAI Mg4HONE: T�-S "7� - d 040 4d'1�'s - & AX DATE: - *****DESIGN DATA ***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH y� WASHED GRAVEL OUTFLOW TRENCH, MIN 10' LONG TOP AND 4`PERF PIPE TO 6E LEVEL RIM ELEV I'MIN COVER 6'MIN SPACE 2-MAX COVER RIM ELEV FROM CONTROL t L OUTLET I+ au. �,,, T c 4' O MIN 1 4'PERF PIPE W/CAPS .5% M SLOPE 4' 0 PIPE MIN. t 2 i� 2 � • ORIFKE RUNOFF SPREADER OUTLET INV ELEV INV ELEV LRPCR CATCH BASIN CONTROL CATCH BASIN a 2'K 6` DEEP, 4`• 6` QUARRY SPALLS a2k3- DEEP, 3/4-CRUSHED ROCK SYSTEM CROSS SECTION FROM CONTROL + OUTLET RIPRAP OUTLET ACCEPTABLE T!rHTI N1E (MATERIAL N-'? ADS ,;OR 35 !ASTM 03034) FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection 6 before backfiiling'and for final inspections., APPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the � /g�9775;0 responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. Pave 6 of 6 9 HEIGHT C&LCS to 8 7. 7 Tor& jfe8.0 �±- y _ 9A,o KEAW W SCALE: 1�=?.J�c7 90 3 S O Sr\ a o � �� �� n�slorr�►cE ° � 6 1 I I CrA2 i j 135.0 O 1 0 60�0 tl �2 \ �a d A h � AV Iry fort I vft T� 4-2 ►14.0 SITE PLA M' (3/srLCi= L 'Fi` OF -jP 4' CITY aF E17MONV5 SNOHO"lbt} C..O.; Wta. S,NO 5 F Wert. N/N n Ary m -r r. - � V! Uj Q� 7E4 STREET PLANNING DATA SITE ADDRESS: /0, jAw Ayp—�- 5 . DATE:_ i ZONING: PERMIT#: PROJECT DESCRIPTION: SETBACKS: Reauired Setbacks: Front:2._ C) Left Side:_ Right Side: Rear: Actual Setbacks: Front: _Left Side: G Right Side: Rear: 2 �% FLOOR AREA: LOT COVERAGE: o Maximum Allowed: 35 Actual:��> �J BUILDING HEIGHT: i l ' Maximum Allowed:-7 (245 / Actual Height:2 2Li .2 ) SUBDIVISION:_ I _ ` CRITICAL AREAS #: 932 2,e; SEPA DETERMINATION: LOT OTHER: �.ti - � � s .,�: 5%nt+.N.»~ Fa _`,. _n.+�. c� •.l.�� �. .+n%�• .,, �r.d .. , .... ... -n... City of Edmon RIGHT-OF-WAY CONST CTION F PERMIT .; Permit Number — Issue Date: A. Address or Vicinity of Construction: ID k f, S B. Type of Work (be specific): �' _;Z C. Contractor: '��afZ�—�%tl &n Contact: ,�/C [_ Mailing Address: 2/n 1 . S fly 9q_ Phone: 474- 32-1!!:2 $ State License #: 9IDrN 071I05 98 2/e Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project R Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes JVNo G. Size of Cut:- CS - x - O - H. Charge $ O APPLICANT TO READ AN GN INDEMNITY: Applicant understands and by his signature to this application, agrees to • the City of Edmonds harml&r� Cn,j es, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma e a inst the City of Edmonds, or any of s epartments or employees, including or not limited to the defense of any legal proceedings including defense coats, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS -FORM PERIOD OF ONE YEAR�FOLCOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FF;� WILL BE HELD UNTIL THe INAQ!S�'REET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BWPRbrESSED FOR ISSUANCE TO THE APP)%_' 1 NT. Construction drawing of proipgsel „work,req.,red wi,�h ,pe 1Qapplication. A 24 hour notice is required for inspection; Please call the Engin2ering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy-bf he permit will be available O ite at all ti for , sp ction purposes. j (7 Signature. Date: (Contractor or nt) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK .FOR CITY "USE ONLY APPROVED BY:-R` RIGHT, OF' WAY DEPOSITC— TIME AUTHORIZED: VOID AFTER 40 DAYS DISRUPTION FEE/FUND" 111:- SPECIAL CONDITIONS: Int .� L7Vftc- W A i� � t �J �.M► COMMENTS: — RESTORATION ,FEE:. fr r PERMIT FEE: TOTAL FEES RECEIPT FEE: DATE: ISSUED ' BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 U 0= N ST-A-Lc- 3 '' S c� � � 5 � - Trz c.�-+ 3' w e Sr - T30 E (Zo A-C� 33'-S7- /J IN Sn4-t.L P�� i4 5 Sna �t� . 4Uj 3SO I -CM F•iaav� T2A-,JF Pc D / � CntiT1NutruS pvC. L � L-55 3-S 0-50-50/ 2' ' el-74 1-55 I � ! I r © E-18260 1 3L 3181 X �i R-5306-S co A 8101 I m 1-56 M Ln A-13610 P 12035 X A 10306 ' 3 0 N-184,17-X 50/ 8 0 P-1713-X 2 ; 0 L-5570-S 1 72 P 1-58 A 8102 I 1�42 1 51/0 50/08 2 4 1-71 Q N-3899-S 30 P-101 87 2 1-59 ; 71 .1 - _..... 1 -18-18102 :..;.{ .... ; r f :. l l..t. { r I - _ t i � i :f , «.l.� i1.y,_j s- Y--g••.�..-T— - -'-{-' }-i-'y �-e -r '.-e.•�+-r- {-'� !•-t-•y err--r•-•a i-Eir i I. t !. _ :. -t _ _ .f..; �.. - .. --t.�. y '- �y, „{._!. f } , .-'f f..."r..y. t t r Jr ,.a , i- . _j _ j x _f•--..�..... 3 _�_.y c_-�' 'r ^F' '{c Y';i •.z- �dr-•.�..• y.. r:,. L {.. t- _ i l ; f ■ i,.• j ....y r;• ,_ i—. 1 I _r i �i� � � x i i �.a,.a '-a-� }. > 3. �{ .,i..4 Mew ¢ ,� x—• 0 1476 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87 Q3io 3 AREA LOCATION A) 1/4 S 2iv T DATE f7�. W.O. NO. 3z POLE NO. _ FOR WORK WVALL A -A) l_ ENGINEER A-f D CYV'I_ DWG. NO. / 0 %yZ'j REASON pobt`r i-}-C_ �f3-/L %> 00M&sS /�l.L�DRAFTER Q...iLI� /1 U.G. N0. _ _l�% SCALE —L= I oo • — DATE WORK COMPLETED APPROVED DATE PRINTED FOREMAN ---- FEES REQ'D RYES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO#. /®$ SECONDARY OVERHEAD BASIC FEE $ METER/CONY. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE $ _ LEU # /®$ /=$ SECONDARY UNDERGROUND BASIC FEE $ 'Y2_S •°' 3 /®$ 15-f =$ `IJ.K o0 UNDERGROUND PLAT BASIC FEE $ It FT. ®$_ �_ $ STREET LIGHTING tFT.®$ /=$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONADARY tFT.®$__ I=$_ MISCELLANEOUS FEES VAULT $ PERMIT TOTAL DUE DATE PAID RECEIPT# _ NEW SVCE" APPUCATION# ENVIRONMENTAL ANALYSIS ® EXEMPT ❑ NOT EXEMPT PARA. 18 ITEM C O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT.. PH NET CKT. FT. PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ❑ CITY rEASEMENTS ❑ REQUIRED ❑ NOT REQUIRED SUBSTATION CIRCUIT NO. 12"40 J PHASE DATE RELEASED FOREIGN CONTACTS ❑ GTNW JPN# _ �03 ❑ CATV JPN# _ ❑ JOINT TRENCH GTNW & CATV ❑ JOINT BORE GTNW & CATV ❑ _ 10q POLE STENCILING FROM _--__ TO TAKE OFF POLE PRE-CONSTR. REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR V, BACKHOE ❑ FLAGGING. " '` k0 ONE CALL DATE )O z Gil z oa u � f3 P� -rR la INDEX POLES PLAT LOGS U-MAP a XFMR C-MAP : i . i y` riL6LO '' UP LOCATION MAP ; PAGE yS�F 7� t �1101 �~�r#^,)){}y .iJ9 �'-.d...a :V-g-1'"^)`� a ". � _. ... �-1--� '. i f"jtj •<<•;f l� •n.•1'...} �..L�t'0�:�.:.4L j r +►,1 2 3 T►2eyltFl 3' •y ...E+1.;5w"t ,s.,ti A* .�' /,tom" '%.-tillo'v4�r{�Y,",k����j •.r' vl�r.n+{r...R?`"'.. .: •A J• r°'.ub'k:� ����... Fk,x .",.. ...r,..,rtr� .• �. t','+•..., ,t,,,t�,,. .�`r�':1$" rF�� `�� x%"'�(��'(�"7•?'.tSC,y"! � � h _.-A--^., �'c;�,.-4z.;.,w'ic;,i�'��:.. i City' of Edmons RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number: Issue Date- A. Address or Vicinity of Construction: /o.36 3 &6we s . j 8 9 0 1 9 B. Type of Work (be specific): Ae/moUj (Yf S"►C)2211.1fTL��''� _ t 1 Pe C. Contractor: �1W\PA'iy, 4))MI S 1�;Q , Contact: 3Ch Mailing Address:, e.d • QGx .���I �T Phone: State License #: /��� �,(—`N -� i D /� ! > Liability Insurance: Bond: $ D. Building Permit # (if applicable): Q 1q 0 Lr+97 Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi=Family JWSingle Family ❑ Other INSPECTOR: �LC- INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes V0 G. Size of Cut: x ' H. Charge $ APPLICANT TO READ AND SIGN . INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR- FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK: ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. . Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. Signature: (Contractor or Agent) Date: CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: v RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID "AFTER DAYS DISRUPTION FEE/FUND.111: SPECIAL CONDITIONS: COMMENTS: DG A0WI-! 4-lo DATE: RESTORATION FEE: Q D PERMIT FEE: v` TOTAL,,FEE: 93� RECEIPT FEE: ISSUED. BY: NO WORK SHALL BEGIN PRIOR. TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: . �':ti'p«- r•� : 471,+,..',•et�,l^-'S+'1QV R^+.'y.i.p.-./Gw,:.•..�s'�rirk'�a„(5-.�1;'3•••�1:-+i�,riNl..-.+i.ivn.(i;v��.,=.f%iryT�:d^;nii'1•TN'N�'""ID�"'�Ts1+ ."la<V1•.,t.: ,,...._�.r� : t +v-+�4i •1. r .. a City of Edmon(a RIGHT-OF-WAY CONSTRUCTION PERMIT ,� � .� • Permit Number. a -• Issue Date: -�� A. Address or Vicinity of Construction: 1036 3 Ave S ( 9425562 ) " j 8 90-19 C B. Type of Work (be specific): Install New Service .. C. Contractor: Washington Natural Gas Company Contact: Frank Swan Mailing Address: 815 Mercer Street,Seattle Phone: 224-2278 State License #: WA 98111 Liability Insurance: Bond: $ D: Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project N Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: U041 i 40 off F. Pavement or Concrete Cut : M Yes []No G. Size of Cut: 2 x 4 H. Charge $ APPLICANT TO READ AND G INDEMNITY: Applicant understands and by his signature to this application, agrees to hold. y of Edmonds harml fro fur s, amages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made a ainst,the deity of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, a d f ttorney fees by reason of gr ling this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION,'S E HELD UNTIL, THIN//``�� S T PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME DEBIT OR CREDIT WILL BE PROCFSSSF.� FOR ISSUANCE T&THE.APPL�NT. Construction drawing of proposed work required with permit application. A 24 hour notice is_ requlred-for inspection; -Please, call the Engineering Division, 771-0220. Work and material is to be inspected during progress and,4t d mpletion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. (% Traffic Control and Public Safety shall be in acc _r j�nce with City regulations as required by the City Engineer.,: All street cut djit!Aies shall be patched 't asphal�'or City approved material prior to the end of the working day; NO EXCEt I 1 PAS. �,r I have read the above statents and IAd stand thepermit requirements and thepink copy of thepermit will be available on site a all t sfor cn eion purposes. Signature: Date: 08-10-1994 ontra.ctor or gen .J CALL DIAL -A -DIG PRIOR TO) BEGINNING WORK FOR CITY iU4 AMN APPROVED BY: W61 r TG-I' -ikfG,HT OF WAY DEPOSJT I _N rir ( C, 4 .. y , / y - i t L, f t TIME AUTHORIZED: VOID AFTER p YS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: C " rj j� f RESTORATION FEE: (� "-'PERMIT FEE• i TOT � fi COMMENTS: CE PT FEE: ­4 DATE: r �✓ ISSUED. ,BXI t• ,. 0 .,a tt NO WORK SHALL BEGIN PRIOR O PERMIT ISSUANCE Engrg. Div. 1991 r -c f I j r IN • Addendum to s City of Edmonds ' .Right o , Wa1y Permit 'Application Submitted by: MITCHELL S. • LANKFORD • Engineering Aide. • Washington Nat ural°Gas � •521-'5246 UT W ter main depth 0 G�- •' gas main FCey: -w- water -g- gas -ss- sewer water hydrant O . watc-Z valve ?IS ,Acrccx St. (I n, I-L, 18a9), ScAtdl-, `•VA S 4111 (206) 622.'.76? �ERMIT APPLICATION REQUIREME1 0 To: Applicant From: Lyle Chrisman, Engineering Inspector Owner. A� k0n&) t `lomeeS Plan Check No: Address: 10 3& �A)& 5 Date:_ -7,40 4- After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M.-10:00 P.M.WEEKENDS/HOLIDAYS —10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 1830.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1&30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair.or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to %. (ECDC 18.80.060D) - 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connectio to the City sanitary system is required. A separate permit ' required. LID# ✓� Fees paid: Yes No Charge �J� (ECDC 18.10) 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) P"""Q`°°T STREET FILE -- 33HI USE PERMIT ZONE _ NUMBER 9Q-64 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT p ADDRESS OWNER NAME/NAME OF BUSINESS w LEGAL DESCRIPTION. CHECK SUBDIVISION NO. LID NO 7 MAI ING ADDRESS 00 7103 Z 3: 0 ' 0. TESCP Approved PUBLIC'RIGHT OF WAY PER OFFICIAL STREET MAP. w � EXISTING REQUIRED DEDICATION RW Permit Required CITY -- ZIP TELEPHONE NUMBER • • % Street Use Permit Req'd O Inspection PROPOSED &4:3 Required NAME - Sidewalk Required ❑ cr J�eSo v,,Co vi, S tj I ajK METER IZE LINE SIZE NO. OF FIXTURES PRV REOUIRED < ~ w ®'/ I YES NOO 3 O ADDRESS :,, , i G REMARKS ? V ae, (,���p ���� � ��(% % � Z , ZIP TELEPHONE NUMBER TTY NAME ADDRESS ¢ ENGINEERING MEMO DATED REVI WED BY O Rox ¢ CITY ZIP TELEPHONE NUMBER ~ o O? -2�31 FIRE MEMO DATED REVIEWED BY ul 0 u- STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA I SEPA REVIEW A01140. e /r Z tP 92 ALLOWED. PROPOSED COMPLETE E;, /T . '' SHO LINE a Legal DescrlptlOn Of Property - Ir1CIUde all Basemen S Z O O� /� ///j , / EXP VVV VARIANCE PFCU G V BY DAT cr ;> i'; . o SETBACK —FEET HEIGHT LO E. Z T✓ f�� O w FRONT SIDE REAR I i 5 Property '"' REMARKS a Tait Account Parcel No. NEW RESIDENTIAL PLUMBING v ?• ADDITION COMMERCIAL MECHAN 1:1APT. BLDG. REMODEL LJ SIGN CHECKED BY TYPE OF CONSTRUCTION ( 771 OCCUPANT GR ltG FENCE REPAIR ® CYDS. ( x_FT) WOODSTOVE SWIM POOL DEMOLISH ❑ INSERT HOT TUB/SPA SPECIAL INSPECTOR AREA IN OOCAOUPANT REQUIRED YES GARAGE RETAINING WALL/ RENEWAL REMARKS ,CARPORT ROCKERY PROGRESS INSPECTIONS PER UBC 305 C (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: " w A _ ,NUMBER• NUMBER OF CRITICAL /�/tJ O OF DWELLING AREAS m0 STORIES LUNITS NUMBER J DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) <.P lov. CA -93'7s1 "/—' FINAL INSPECTION REQUIRED - VALUATION FEE CHECK FEE BUILDING P HEAT SOURCE: GLAZING % i PLUMBING Plan Check No. MECHANICAL This Permit covers work'to be done on private roperty ONLY. GRADINGIFILL 1� Any construction on the public domain (curbs, sidewalks, dr 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 349. ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and w successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of iwhatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 0 modify, waive or reduce any requirement of any city ordinance ° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." r I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is lion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. ' SIGNATURE WNER R. ENT) - DATE SIGNED DEPARTMENT `/ OF OF I IA ;SIG TURE TE CITY DATE ATTENTION CALL FOR INSPECTION _ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE O2ZO UNTIL A FINAL INSPECTION HAS 'N MADE AND APPROVAL OR 771 e ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANC \S BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 10247