1058 6TH AVE S.PDF1111111111115385
1058 6TH AVE S
PERMIT APPLICATION REQUIREMENTS
TO: Permit Coordinator, Building Division
FROM: Lyle Chrisman, Engineering Inspector
OWNER: J. /44. Ll'Pl-AY ` PLAN CK #
ADDRESS: IC J am- (--7-�zi 4 C"C- S DATE: 4 Z- 9 Z.
After review of the subject permit application, the following requirements mustbe 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 Publicproperty. (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 18.30.030d)
5. NO WORK SHALL BE DONE WITHIN IS FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACIL-
ITY. BUILDER/OWNER IS REPSONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G).
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKEOLLING. (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 Y without a waiver. Every attempt should be made to keep the slope below 14 Y .
Waiver granted to (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit 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 7.30)
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. Connection to the City sanitary system is required. A separate permit is required.
LID# Feespaid: Yes •/ No Charge (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 18.05.010)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU-
PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
19. 51,1
L---,a fe2l9eJ'NT
20.'hl'.S
I V E. D
PROJECT REVIEW CHECKLIST
311A 133 His
PROJECT NAME: -;5FY�, jm
'I�H I -
PROJECT AD*DRESS:--/O` 93 K7* Atle, 'Sol,1771 RECEIPT DATE:
...........
REVIEWBY' (Ibitial/Dat
PLAN. WATER
COMMENTS
FIRE
BLDG. SEWER
STREET
ENG-11
SetbacksiVariance/Setback Adjustment
....
....
...
..... .
..............
...... ....
.....
Conditional Use Permit
.... . ....
ADB Requirements
............. ..
Other Zoning Requirements
.............. .
...........
Underground Wiring Required
z
Lot Slope 15%
.. ... ........ . .............. ...............
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
Legal Description Verification
. .
..... ...
Quit Claim/Street Dedications
Easements - Public/Private
... - ------
Engineering Storm Drain Review Fee
.........................
Engineering 2.2 Inspection Fee
Drainage Plan (On -Site)
Setback - To of Bank, Stream, Water Courses
.......... ...
Setback - Storm Drain Line
-
- - - - - - - - - - - - - - - - - - - - - - - -
Open Ditch - Existing
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
.
. .. .
..... .
. ...... ... .
Driveway Slope & Vehicle Access
Sidewalk Required
Curb & Gutter Required
Curb Cut For Driveway Required
Street Paving Required
Right -Of -Way Construction Permit Required
Street Name Sign Required
......
....
Other Signing Required
Bond Required For Public Improvements
FEMA Map Check/Water Table
Side Sewer Availability
Calculate Sewer Connection Fee If No LID #
... ....
Create Street File
. .....
...........
..
. ...
.
Existing Water Main Size
---------------
Water Meter Size
Service Line Size
Water Meter Charge Required
...... ...
.. . ...
. ....... ....
Hydrant Required
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
.............
Street Cut
Miscellaneous
Reviewed By:
FIRE
PLANNING
ENGINEERING
4
'41
8
4
10
irf
17
29 �
PUBLIC WORKS
USE PERMIT' z..:,_ �,�,� F�
CITY OF EDMONDS zoNE
CONSTRUCTION PERMIT APPLICATION. ,/NUMBER a1)a%� t!
ADDRESS �.jy ,/r SUITE/APT e i +
OWNER NAME/NAME OF BUSINESS V I ,! Y
AI_SI bN C0NSU LI-AfJITS
,DRESS
g505 kci AVE Sc
'Y ZIP TELEPHONE I
GVH2ET, q!?Z06 1 745-
✓
IS //- %V
&_S2 25_
PUBLIC RIGHT Qg WAY PER OFFICIAL STREET MAP.
TESCP Approved D
/�
RW Permit Required 18
EXIST INO REOUIRED DEDICATION
Street use Permit Req'd D
PROPOSED
Inspection Required &-a
Sidewalk Required D
REYIARKJ r . _ A
_ _ f
Allkv
u
NAME
A. M, M U R,? H y INC..
GINEERING MEMO DATED REVIEW BY
— Z — Z
ADDRESS �j
I -7 30 8 �p Avc W-:+^�`"""'.
�.1ETE E �f
, / .
BUILDING UPPLY SIZE
/,�
NO. OF FIXTURES
/b
=
8
CITY ZIP ." TELEPHONE NUMBER
L f` rJ LJ1j00b 98OS-7 745-1878
STATE LICENSE' NUMBER
J M MU W1 * M4 N G
REMANV P66
SIGN AREA
ALLOWED PROPOSED
SEPAREVIEW'
COMPLETE JE/%`EM'PTOLvT
Y
/�`
E%P
AD N0.
SHORELINEe
0
Legal Description of Property - IncludGe all easements
7- SP S-II� 1O AS
A O 2 p - Z J Z4
`. VOL.2403
`T 7 P. LT
VARIANCE OR CU
-�
NNING REVIEW BY
DATE
3 3/
o
J
A
I'll/ b IT 01a5 *1, CI 01 7-3101 G13
SETBACKS — FEET
FRONT SIDE T REAR J
HEIGHT LOT
SI
COVE AGE
Tax Account Parcel No. Z52703'Z� 19t O00/
M
Im NEW ® RESIDENTIAL 0 P,I'UM"
" O ADDIALTER O COMMERCIAL MECANICAL
EDREPAIR El APT. SLOG. El SIGN
GRADING FENCE I,
❑ DEMOUSN CYDS. (x__FT)
REMODEL GARAGET O SWIM
POOL,
'WOOD STOVE RETAINING WALL/.,
INSERT ROCKERY1:1 RENEWAL
Se;7- tS ALaC.e (Si'C-'GA2AGE . Epve5
Ad M
IET
- • ~; ��
CHECKED BY TYP OE F CONSTRUCTION
Tj(f�r N/
CODE
88
HEIGHT
SPECIAL
REQUIRED INSPECTOR •,
❑ YES
AREa\, / OCCUPANCY
,+, . GROUP
.'
1 D3 ...
n
OCCUPANT
"LOAD'. .,.,
R MARKS'
PROGRESS INSPECTIONS PER UBC 305
0—
a
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN;
SINGLE FAMILy KE61DO-JCIFy
"" �L XA<WZ_ �H l71DWEL
m0
NUMBER OF STORIES
L
NUMBEROF ^
UNITS
-'
DESCRIBE WORK T98E DONE (ATTACH PLOT PLAN)
1'rN
FINAL INSPECTION
REQUIRED
S Sim lk d rrl�/ /_ `G
L 1�
VALUATION
FEE
' O O�7���
PLAN CHECK FEE`
BUILDING
/V/'
a Q✓7
�- m IJti
PLUMBING
19
Plan Check No. �� 61-42 od
MECHANICAL
i
This Permit covers wor'k� tto'bbedone on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curCs, sldewPlke,
driveways, marquees, etc.) will require separate permission..
STATESURCHARGE
Permit Application:180 Days
Permit Limit: I Year • Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
—�
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENGANSPECTION FEE
30
"
successors in interest, agrees to indemnify, defend and hold
0.
harmless the qfy, of Edmonds, Washington, Its officials,
from for
a
5
employees, and agents any and all claims damages of
whatever n ture, arising directly or indirectly from the Issuance
of this pbf It. Issuance of this permit shall not be deemed to
de
PLAN CHECK DEPOSIT
9�0
°
0
modify, w Iva or reduce any requirement of any city ordinance'
nor limit any way the City's ability enforce any ordinance
TOTALS AMOUNT DUE
`�; l
provisio .'
L
1 hereby acknowledge that I have read this application; that the
In format iontpven i orrect; and that I am the owner,'or the duly
ATTENT N
lP
APPLICATION APPROVAL
authorized eg pp OWnaf. I agree to Comply with City and
THIS PERMIT
state laws regu a gLo6na,ruction; and in doing the work authoriz-
AUTHORIZES
This application Is not a permit until
ad 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 Compehsa-
WORK NOTED
Deputy; and fees are paid, and receipt is
Ilion Insurprit:9.
NSPECTION
/ acknowledged In space provided.
SIGNATURE WNER OR A ENT)
DATE SIGNED
DEPARTMENT
3 �3
CITY OF
OFF EIGNATURE DATE '
EDIVONDS
A ENTION •
CALL FOR
ELEAS Y. DATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
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.
10247
���'�tEi FILE
690.199-
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her subniittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
subject property. The information needed to
complete the Checklist should be easily
available from observations of the site or "
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An applicant, or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review
the checklist, make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
.44"- Z • aejv400 on -
Name
Title
Street Address
Ji�P4&awFss, N4 %7WO 7)(-OZza
City, State, ZIP Phone
Signature Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature Date
Critical Areas Checklist
Site Information
Project Name: d/A1.re44'J Sim. Permit Number:
Site Location: 1405$ G,BsJrF .S' . Property Tax Account Number:
Approximate Site Size (acres or square feet): 6 --2r-'4AP4*4r XX-'
Have you filled out a Critical Areas Checklist for a project on this site before?
-15Z -? 03 - -2 1°1 a: 1
No
General Site Conditions
1. Has the site been cleared or logged? Vey Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? E4,*E72677- blue&? ry
3. Describe the general site topography.. Check all that apply. S9rv+7/ 44WA4
Flat: less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: AdO
5. Site contains areas of seasonal standing water: A.AO Approx. Depth:
6. Site is in the floodway A.iO floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? A010 flows
are year-round? A10 Flows are seasonal?
8. Site is primarily: forested ; meadow ;shrubs ; mixed
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site: 100
11. Critical Areas inventory or map indicates any Critical Area on site: A"
STUDY REQUIRED: Critical areas study is required.
COND 40NAL WAIVER: Critical areas study not required if specified conditions satisfied.
�AAIIVER: Critical areas study is not required.
Determination Number: C.A `q2 • —74 Reviewer 2!
/*anner Date
Rev Y27/92 /
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51�R
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Murphy Construction, Inc.
17308 — 36th Ave. W.
Lynnwood, WA 98037
(206) 745-1878
70.00�
L 0. SQS-II-qO
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PA(,C 2-17-4
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:AIL E ";
rvt - CITY OF EDMONDS SIDE -SEWER . PERMIT
PERMIT
890-19� 6:,'.-
Address of Construction:
64
Property Legal Description (Include all easements):
Stif �t PL#T VQ, S- / I
Owner and/or Contractor: ! /z; —
State License No.
Single Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
EDMONDS
N*r' PLANT E,IVED
!A M 1992
PUBLIC WORKS C
Building Permit No. !7.2 Q -2 76
Invasion into City Right-of-Way:)q No ❑ Yes
RW Construction Permit No.
Cross other Private Property X No ❑ Yes
Attach legal description and copy of recorded easement
apI ertify that I have read and shall comply with all city requiremen
s 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: 3O' cro Issued By
Trunk Charge: s ' Date Issued:
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date —Initial —
Comments
Reason Rejected:
Final Inspection Approved: Dat Z Initiak�r
Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3/90
The City of Edmonds Side Sewer Drawing EASEMENT NO- ----------------------------- --------------
NEW CONSTRUCTION 0--' REPAIRS ❑ LID NO- - ----------------- ASMT. NO......-------------
9-9
OWNER----------------------•------------------•------------------•---.....------•-------••--••--•---- CONTRACTOR----•---••-----------------.....-------------------•----•--------------------------- PERMIT NO. ---------
JOB ADDRESS .. �-. � 5 � - I P T H----4UF------ 50 ' LEGAL DESCRIPTION: LOT NO. ......... BLOCK NO.
cl
NAMEOF ADDITION----------------------------------------------------------------------------
I _,
Appr .
PWW-0001-11/75 (REV.11178) DATD(.::��� �i---------------- BY
Cl
•
ASSET
CITY OF EDMONDS INFORMATION
FINANCE DEPARTMENT . EDMONDS, WASHINGTON 98020 • (206) 775-2525 SHEET
ASSET NO. S �/g
STREET FILE BATCH DATE
ACTION: Q(NEW ❑ ADD ❑ TRANSFER ❑ RETIRE
CATEGORY CODE: _H_
DESCRIPTION:
SERIAL NO.
I LOCATION:
N'
F * "L" - LOCATION CODE: _N
O R ACCOUNT NO -(I -()(JU -10 3`fS-00'U
M
A DEPRECIATION CODE: K-1Y ❑ N LIFE OF ASSET: Z YEARS
T
O WARRANT/PROJECT:
N NO.
INITIATED BY _..
DATE: OS3Il- COST
APPROVED BY
TRANSFER DATE
TRANSFER FROM
TRANSFER TO
T
R
1
A
N
2
S
F
3
E
R
4
R ACCOUNTING USE ONLY
E
T RETIREMENT DATE
I
R RETIREMENT METHOD
E
M RECEIPT NO. _ _ TOTAL DEPRECIATION
E
N GAIN (LOSS)
DEPARTMENT FILE