1045 2ND AVE S.PDFIIIIIIIIIIII
4831
1045 2ND AVE S
CITY OF EDMONDS
EJ NEW
❑ ADDITION
❑ RETIREMENT
ASSET INFORMATION SHEET
FILL-.'
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
A-1
SERIAL NO.
LOCATION
DEPT. NO. .
" PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER 4�-4Lz�,2 / U
PROJECT COMPLETION DATE
COST c� D
B.A.R.S. ACCOUNT NO. -�i�� DUG —o/�z , DU • 6,c--3
ESTIMATED LIFE 5
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
"SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
9/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
b P INITIAL
VERIFIED BY
PROCESSED _
BATCH NO.
DATE
DEPARTMENT FILE
CITY OF EDMONDS
El NEW
L�J ADDITION
❑ RETIREMENT
0
ASSET INFORMATION SHEET
8 L��
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
G
LOCATION
o ys- s.
DEPT. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY
DATE
*PROJECT NUMBERd
PROJECT COMPLETION DATE ,
COST
APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
b P INITIAL
DATE
iz_,,
VERIFIED BY
PROCESSED
BATCH NO.-
DEPARTMENT FILE
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: /"9 ".(J
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) 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%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer. lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff and
erosion on site and may Inot impact neighboring properties in any
way.
8) Construction hours from '7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
C�
.s''.
sty of r Edmond
W
INTER.OFFICE CORRESPONDENCE
' r.... .r r - .. ... ... ..��,^'3VMRr ,yT.•'`rp:1"?1hp'T{,y
7^ '+PAP!ta�a�p�!c'°�iiP4"4'�'•�.''PaR"1�
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CITY OF EDMONDS
USE
ZONE n�/
l�
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS.'
NAME (OR NAME OF BUSINESS)
-ay L''o 'k-i, —
LEGAL DESCRIPTION CHECK
lam/ 7-
SUBDIVISION NO.
LID NO.
MAILING ADDRESS
CITY TELEPHONE NUMBER
NAME le
ADDRESS
TELEPHONE NUMBER
NAME
)ow,_ \-W-Q w--ems Co ►. s A
ADDT70 ^
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER
JAPJ�AkcYII
Legal Description of Property - Include all easements
(show below or attach four coDies)
PUBLIC RIGHT F�WAY PER OFFICIAL STREET MAP..
J
EXISTING `� REQUIRED DEDICATION_
PROPOSED
OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED C
SEE ENGINEERING MEMO DATED
METER IZE�/ BUILDING SUI
3
REMARKS
SIGN AREA
ALLOWED I PROPOSED
Y SIZE
/ . C
E UNITS
3 W
W
3
ENV. REVIEW I ADB
COMPLETE i EXEMPT
VARIANCE OR CU
PLANNING REVIEW BY
DAT
YARDS
HEIGHT
f
�/ r f
f
ILOTCOVERAQe�Z
FRONT ( SIDE J
REAR 5(
25
O Z
g
REMARKS
a
NEW
ADD/ALTER
REPAIR
REMODEL
RESIDENTIAL
COMMERCIAL
RETAINING WALL
EXTE
CAVATE L
PRE -MOVE INSPJ
COMPLIANCE INSP.
PLUMBING
1:1MECHANICAL
El SIGN
' FENCE
El I- X-�
SWIM
POOL
IREMARKS
CHECKED BA 7DEMOLISH
`
SPECIAL INSPECTOR
REQUIRED
0 YES C NO
❑ WOO
INSERT
a. APT BLDG
RENEWAL
NUMBER OF STORIES NUMBER OF
I �( DWELLING
J UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ley
OF CONSTRUCTION
CODE
HEIGHT
IZ /KI
l 9�s
!
2s
AREA
OCCUPANCY-
OCCUPANT
GROUP
LOAD
a
PROGRESS INSPECTIONS PER UBC 305 Z
J
�E/1ry1�1L ,l/YS�1L f�IZ /9�(a � by �qDE
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,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
n successors in interest, agrees to Indemnify, defend and hold
o harmless the City of- Edmonds, Washington, its officials,
E employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify,.waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
SIGNATUR (OWNER OR G
DATE SIGNED
TY OF
DIMONDS
ATTENTION 771.3202
Sivs�aecncw Re4,b
VALUATION I FEE IN
--100.00 17176?
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE r
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
'Reviewed by: initial date:
COMMENTS
PLA*ING
WI'R/SWR I STREET ENGNRNG
FIRE
BUILDING,.
Sn)= FAMILY/MULTIPLE/OC)MMEF;CTAL : '(Ci ,dle One) %/%///
/%%//`///%
////////.% ////%///"
SETBACKS CHECKED'- Planning
VARIANCE/SETAACK AW.
7 ,.
//
JONDITIONAL USE. PERMIT..
/%///'/ •,
/////////
//%//,//:/' .///..///////
2
PUBLIC WORKS
ADsREQtrIRFI�SE%rrs:,CiiDCl�1). �`_"-'//
3'
_..'-r?
////
////////
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4 '
//// ` %' �/'
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5
ENViRot 04tAL. FM- WRES _,
/%////
.".
ACCESS SMPF. & VEHICLE'' ES$. f .... ..,..
///////%L,
/.
6
TR,17777
DRAINAGE PLAN '(OnSite) ., ;
%'/////
////%////
//%/%////,
///%%//% :
7
STREET FIL'- I.
//////
%////////'/////////
///%////
8
LDGF�L DESCIt7PTICN VFJtiFICATION "
/%////
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////T////
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9
LXIIT'C7AIM%AL:DICATIONS ��.' : ��'- �� �: ,,_i
%/'//////'///%%//
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10
�, ,
F-ASEMEN'P * �iPUBT.IC/PRIVATE 'oC. lgl� � .
'.
/////////
//�///////;
///Y�/'/// �
- _
11
CAUCUI�ATE SEWER CONNECTION IF NO . ID# _.... .
//////
///'//////,
///////.//.
//////%/
1-2
77777/
77777777
PLAT/SUBDWISICN ,REOUTRO-ItRPSf
//////
.'
/////////
/'///////
_
13
RIC�IfT-OF-WAY CONSTRUCTION PERMIT, RECD,.:.
/////////
- T v�
14
fiUND RDQD' PCR PUBLIC.IMPROVE7VSFNTS .. .. .: ..
IN77
-
/////////.
t/%///'%/SOILS•CONDITIONS
& GROUND.WATER:FIETD CIiDCFCkI1
/// M//
-/%/%
16PAVING
REQUSTREEP IRIS �. �
- r17
CURB AND 'GIfI JftOIR®
//////
%%/%%/%//
/'/////%L/
//////////
18
SIDEWALK.'REX?UIRID .I ,
///'%//
%%/%/•%///
/////%///,
l
19
;.
CURB .CUT :FbR iDRIVEWAY RE D:.I
'///%//
/////////
//////1n,
.
//%////.///
20
STREnrt. NAME SIGN fRECD'
21
/771777-777
anhI R, SIGNING REM"//,////.
//////%//
///%/////
22
SIDE.SEbdER AVAILABILITY,- -....
//./'///
/////////
/////////
////////
.
23
EXISTING -PlA'L'ER MAIN: SIZE
//////`
////.//%//
C, t
/////%%%
//////.////
24
RATER'METm SIZE
/%/'///:/%///////AMIE,
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25
:777W
.SERVICE- LINE .SIZE.. _ _
//:/�///
//%%'/%///
:.�y
r
///%///%
//'//.//'//%/
26
HYDRANT REQUIRED- ._.
//%//////
//%////%/
,'27
HYDPANT SIZE EXISTING
28
CROSS_CbNNEC:TICN INSPECTION 'RE(ZD
/%////,
/%/,//////
_._
///%////
29
.WATER METER CHARGE RDCD_
///777777777
/.///'/%%/./,/'/
777
' O•®
. �.
30'
7777777777
FIRE LINE CHARNKGF�tGE REQD.- SPRI
//G%/////
,
31
STREET CUT.
///
'%///
32
OPEN DIT i EXISTING �_.////'//./////////
///%/////
.__• ,.
33
READ
34'
CULVERT IREQD
//�/.///'
/////////
/////////
..
35
36
777777777
CA1Cfi BASIN. READ _.
//%///'/////////////
Al
37
a
CATFD ON SITE PIM,
;, r , ., .t• ;
38
SHOULDER DRAINAGE' MAINTAIN
�� ^r �qy°� :.3s• _.i '•
�i•n'
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/////////////��/t
r 'tz
- 1 V'41�..+
3ri'.•Mr'T}
S.:
39
r3`-ifg::,f:.'i'�t'ay"a�
SHALE OPEN RVIYVC C'' l�f:
40
I
STANDARD DRAINAGE PLAN
UPPER.,
C ATC H
BASIN DETEKTIOH PIPE LVNCTH C01iTAC'L LATCH
(VT.NT), - I -
DAStN
II MI4 , 2' max CLIVER —1
? '17 5LOPE-�
I
�S
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL_ DETAIL
-OUTLCT
co*rrROL
TO OLrrLET
(NPRAP OR
RUNOFF
SPREADER) ._
V a 2' i G"DI=P, 4=6" SPALLS (OIL CIOUAL
i'. 2' < 3" OEeP, '_ CRUSuED ROCK
F'rZQM •
OLrrL fT :
CON-ROL
RIPIRAP OUTLET
riA]wE� �RrvE:� Obi 7LOW TRENCH, MIN 10' LONG,
TOP 4 q' PEPIF PIPE TD 5C LEv¢L•
t
e r
.'1
C L' -:-7
4 ?T;Rr P%PE WITH CAPS
RUNOFF SPREADER OUTLET
JAN 1.9 1988
nE,T ZP !Cn'i�!TB
DETENTION SYSTEM
PAGE I OF 3
for
location-
planby
phone — Z
date_ 1r 4 1
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (111-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resoonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all tim s.
lam%
J.
1
CITY OF EDMONDS
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DEC 3 11987
PERM-111T C0T'-lTr!?
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SHORT PLAT FOR ALFRED VALENZUELA
L
ile fro. 60-I14A
December 10. 1980
CITY CLERK
cin: cW'W
Comwds, Wasnmptdn
DIVISION OF THIS PROPERTY SUBJECT TO THE CONDITIONS SET FORTH' IN CITY OF EDMONDS SHORT SUBDIVISION FILE .9S-28-80.
Found Noll
PINE STREET
30, 1 n
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CITY OF E-rJt.4Ot4TD'j
J A N 19 108Jo
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DEC 3 11987
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CITY of - EDMONDS
For Inspection Call 771-3202-
SIDE SEINER PERMIT
PERMIT N0.
Address of Construction: /(J��S� �'`� cue �: B9CF��EQ
Property Legal . Description ( Include al l easements) :
NJBUC wow
Owner and/or Builder:
Contractor & License No: F-C- * I `� t�'
Single Family Residence EDMONDS
TREATMENT PLANT
Multi -Family (No. of Units )
Commercial (No. of fixture Units' )
Invasion into City Right -of -Way: No. Yes (If .Yes, Right -of -Way
Construction Permit required. Call One-Call=Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement.required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE' BACK L�-,k�
/Z
I certify that I have read and shall comply. Date:
with the items listed on the back.
Permit Fee: 30.00 Issued. By: G
Trunk Charge: Z.S•6)0. iDate Issued: 3 /y V.
Assessment Fee: Receipt.No.: ;76
Partial Inspection:
Comments Date Initial
Final Inspection Approved: :r7-
Date Initial
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy -Inspector
Date Initial
Buff Copy - Applicant
VW 11#
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- ------------------------------ -------------
c.
NEW CONSTRUCTION REPAIRS F-1 LID NO - .................. ASMT. NO. ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR XNA ...... M-12 ..................... PERMIT NO.
JOB ADDRESS ------ ----- Aqg' ------ -,'So ------------------ LEGAL DESCRIPTION: LOT NO. ------------------------------- :: ..... BLOCK NO. -----------------------------------
-
------------------------ .................................................................. ----------------------------------------------------------------------
NAMEOF ADDITION .......................................................................................................................
EMIONDS
TREATMENT PLANT
Approved:
PWW4Ml-11/75 (REV.1 1/78)
DATE ....... t ................. .........