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10705 226TH ST SW.PDFiiiiiiiiiiii 3531 10705 226TH ST SW ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE):�� COVENANTS (RECORDED) FOR:_ CRITICAL AREAS:. rill — F J DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA' SEWER LID FEE $: LID #: SHORT PLAT FILE: 's ^ ( l — ' 151-:s LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: ITV GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: �s� E 1r7e�r1.l .Sti orb- � LATEMP\DSTs\Forms\Street File Checklist.doc `1)C. 1 %9- 1 City of Edmonds PERMIT NO: 10063 SIDE SEWER PERMIT PERMIT EXPIRES � Address of Construction: 10 ? 0 5 2-1 0- 2 D . - LID # Property Tax Account Parcel No.,i .2 7o Z 1 f-- O 01—t0 0, 00 Attach copies of all access and utility easements Verified and Approved by Owner and/or Contractor: 0 W ejlA� uC.�r' 'i �� L -L Contractor License #: �. �' Z- O D �=- Building Permit #: /1(I - `0 6 4 / . Single Family ❑ Multi -Family (No. of Units ❑ Commercial (No. of Units ) Invasion into City *Right -of Way: ❑ Yes ❑ No *RW Construction Permit # Cross other **Private Property: ❑ Yes ❑ No ❑ Public **Attach legal descriptio' and copy of recorded easement. Owner/Contractor ® 261"5 Owner or contractonfsi a re and acknowledgement statement: D, to By signing for this Wrmit I certify that I have read the City's public handout entitled �ide Sewer Specifications, and shall comply with all City requirements outlined therein. 2 CALL DIAL -A -DIG (1-800-417D BEFORE ANY EXCAVATION. 2 W FOR INSPECTION CALL 425-771-0220 extensaion`;I3a f�' 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION`REQUESTS •p City Permit Surcharge Fee Total Fees'Paid $ i -- NOTE: IF JOB SITE' IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A $45 RE4NSPECTION FEE .WILL'BE CHARGED. Job Site ReadyXFS� NO Date: Initial: Partial Inspection: _' # , . Date: Initial: Partial Inspection: Date: Initial: FINAL INSPECTION APPROVED: Date: 20 'LPG I f� PERMIT MUST BE POST' White Copy: File Green Copy: Inspector L;temp;bldg;forms;sspermitjlg4/00 -y-o Nso IMF►' I , 6mdf As -built to Street File: ❑ UON JOB SITE t- n,Buuff(Co�py: yApplicant Ww 1 V// JVI *YMVJL GJ, M r S LP ,� 1 ,1 QOQ wk �p okRD 1� cw`,� - Pvc.� L, LOT�, a: S S �,rnn i� IOoCa �1�l�ns �U) a� C S - vo a'x&� —lee, � t� 7" p� G' o 1'71 Ss" rimer DcvRT OW h� by ovwse Zone r` —(e, C©rnern/ Flag/y Setbacks Recniired Actual, FfGK ' EIS to lICLLi�:^/ !• l5'-10" 31'-O" TEd-1 Other — — — _ N_OI.10'21° E 226.66, — Heiht 5 I ay — — — A -• -ri- '7_��" +51 10,521 So. FT. g — — — — —------- — — L& p — +5135' +514b1' / I ���--- ------------- -- - P,F�O D B PLA NG t�; oRlVewnr, T 84l SF 1 PPOPOSW %ARAGE 1f— COV — — — — — — — ' f— I 129 5F COV PORCH'= � I 6PO 9 5FH 156 5F. �s Arl ; ADOf �G ElDHO DS A, gr sx 411 PROPOSED 20 ry TAX Accr. NO. zto52oa5-lo�oo / I _ RESIDENCE ?' I{ 10 o�RlPnow LOT I OP sNORr PUT r os-15. As I§ P2110 LA14 4 MAIN REC.OFOW UNDER AIUOMORS� FILE 4=00C L 1 11 I 1923 SF. UPPER L O ' Z FIN. FLR. MAIN o 513.90' ry PROPOSED — I m VEtTIC'.AL DAME, A551Rt® RESIDENCE rJ I 1 I iQ PLAN 3145 1 I ; L I �lGN1AfdC. 50000 POET ON TOP OF f.ONGF>fTE MON. MGAS® AT SOUiW'EsT GM OF SECTION 25-27-a. 309 5F RM I 5RE EBIGIlMRIC. — SET 5P11a: IN NOF OF eV 5OUTH 5 AST ` >> TELITY r h11� I PROPERTY C 14M (tom ELEVATION • 51461' +5125' ry alaS OF EF.ARIN6, PLAT OF YEST6ATE E5TATE5, VOL. / OF: 01- 4 HELD PLAT �IRIN6 ?- N 01. FINE WrYALO. 101 0 — — AIS SHOW 81B FIND. M6. NMTH AVE YL I - �IVEWA= IOXU SGUARE FEET c L--- — �� —---- R ---- S zONNs. l2 ZONINS z I PROPOSED I �� I / / _ _ 2Y BEIM FRONT G ARAGE — — IO, OWL, 51M REAR• I i / ' — — (•PH2 SHORT PUT APPROVAL) LOT COVBU 1 L — J (PROP05M) IID_ = 'z RESmEY.E 21IO 9GUAiM FEET E -LISTING STRUCTURE _P-am �'� FEET cFJ COV.ORu® TO BE REMOVED 5� Sa � TOTAL =41-w ul � I LOT - / I LOrcoV1Riee N m 13122 5O. FT. I N I w O I © R1PE2VIOIFS AdiEAs e Q I / PROPOSED RESIOEY.E 5777 5GU/RE FEET I RESIDENCE bV W "I- K PLAN 3189 Z PATIO 120 5OUARE FEET p a I PROPOS �T 61 SaWm FEET ry z LOT RAGE ORWE+AY 641 SGAWW FEET 12,b3G SO. FT. r_ I TOTAL s611 s".1m MEET (4661sU / mI ISfA4T LALf�IU�Tk]N - LOi 1 4.2 — 2 5.6/ B• 703' C• 512-V P- 50.4' 2%19?.A - 9LSA0' WAJXI 6E EAST. 6R/1DE• WbA MCTUAL4 d1LLD1115 HEK*E36W-. 1"ba " �J OI ° n'S5" E 226. — — — — — AGTiMl EUN.D11Ys HE6Hf• 53760' g�2 SITS PLAN �� R E C E t V E D a � - "'� "'"'_' '' • '�"' NE TO sx 5F43 - 312D'. 29' 12 I r� D 2 TO�Mxumelw F� • 1.4% SIDPE SEP PERMIT COUNTER /lr. T S , /D�ah c% e c L # Oq - S Ask �� DATE RECEIVED J_tj PERMIT EXPIRES I ZdZ& CITY OF EDMONDS JSE ZONE �' / NU B R CONSTRUCTION PERMIT APPLICATION ADDRESS b7b� SUITE/APT# '08 16 O );JER NAME/NAME OF USINES jj �. ,, 'fu I �.�. . L L . c_ PLAT NAME/SUBDIVISION NO. 7� LOT NO. LID NO. LID FEE $ MAILING ADDRESS 7 1 fry L �/ r ;5 , .:' • ` L• , v PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT TESaP Approved qW perms Required Street Use Permit Req'd Inspection Required Sidewalk Required N���a yui°ed CITY ZIP ( / TELEPHONE erJ 6 NAME ( '�i /1 J�'! f��� �.? METER SIZE LINE ✓ i� SIZE `� NO. OF/FIXTURES �/ PRV OUIRED YES NO ❑ W �Iui C V ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z u CITY ZIP T LEPHONEMet!1' NAME Se f!M-(fit A^ ``: CBL # ' . ` aj ! S W ENGINEERING RE VI WED BY „VDATEI¢ ,, , .iV( f, ADDRESSr'V�/lJ ]/// / •,t �(i V Cam... / v 'r` jr'- D ©�^ .- FIRE -REVIEWED BY DATE w ¢ CITY ZIP, TELEPHONE L :VARIANCE OR CU s SHORELINE OR ADB#' ^ ; INSPECTION •;RE 'D OYES NO BOND POSTED $ STATE LICENSE NUMBER EXPI TION'DATE'" �r alto ,.0 KED BV' SEPA REVIEW - COMPLETE EX�E[MPT SIGN AREA ALLOWED PROPOSED - A HEIGHT -,ALLOWED PROPO ED G PROPER TAX ACCOUNT^PARCE 'NO NEW RESIDENTIAL;,; .; PLUMBING/MECH ❑ ADDITION .. ❑ COMMERCIAL ❑, , CHA. NNGE OF USE , • REMODEL ❑ MULTIFAMILY El SIG N GRADINr .. FENCE ❑ REPAIR �� . 'YDS ❑ ( X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER LOT COVERAGE .. ALLOWED, 'PROPOSED .. a" , , �QUIREQ SETBA¢ICS (FT)"' }'Fl9�iT ale£""01 ' ' "' ""� to PROPOSFSETBAE S (FT) T t �"� O if t, z a PARKING R O'D PR VIDED LOT AREA CO I, :.. VNNING:REVIEWID-PY DATE �/� //��///} to 'v' T " REMARKS C GARAGE RETAINING WALL .. - FIRE SPRINKLER CARPORT ❑ ROCKERY' ❑ FIRE ALARM Is - (TYPE OF USE, BUSINESS ORL IV qXP IN:EMISSION CHECKE12 BY e f CCC�lFF^�� TYPE OF ZUCTION COD Q1 OCCUPANIP GROUP NUMBER OF STORIES { UMBER'OF.' DWELLING ' UNITS CRITICAL" AREAS Nu SPECIAL INSPECTION REQUIRED ❑ YES AREA OCCUPANT LOAD Z 9 DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081,15C109(JRC109 FINAL INSPECTION REO'Dftach g m V '1 IV t) VALUATION 9 Z3 b— ,:' Description ,FaEE Description FEE ?` Plan Check ` State Surcharge , HEAT SOURCE GLAZING % LO 'S4OPE % ;,Building -Permit City Surcharge PLAN CHECK (�Q: VESTED DA i Plumbing Base Fee C//G"/ Mechanical THIS PERMIT AUTHORI S ONL THE WORK NOTED. THIS PERMIT COVERS WORK TO t_ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. 9 � Engr. Review G PERMIT APPLICATION: 180 DAYS IL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due = NOR LIMIT IN ANY WAY THE C17Y'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # READ THIS APPLICATION; TT THE INFORMATION GIVEN HEREBIS CORRECT, AND THAT I AMVTHE WNER, OR THE DULY AUTHOR ZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Olricial or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. FI LS SIGN TUBE DATE SIGNATUR ( ER AGE DATE SIG ED (425) d 4 771-0220 R D BY TE ATTENTION EXT 1333 w IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL ORACERTIFICATE OFOCCU- ORIGINAL -FILE YELLOW- SPE OR PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK . OWNER '. GOLD -ASSESSOR 09/03 nne-e►^ a s A r %r% %1^1 1 A nETT 1118 A vst►sn w n�nslen PLANNING DATA NAME: Q,-,k &"JT-, DATE: l0 d-olo l SITE ADDRESS: 107o5 )a b Z- Sw PLAN CHK#: 61Y '0'I PROJECT DESCRIPTION: NSFR REDUCED SITE PLAN PROVIDED? js / No MAP PAGE: CORNER LOT: es No FLAG LOT: es No ZONING: CRITICAL AREAS DETERMINATIONM ❑ Study Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) AExempt SETBACKS: Required Setbacks: ,/'Street: dS EV Side: �d WIOMSide: aS �. O / Actual Setbacks //Street: 5 j. Side: 10 Side: 2� 5 ( 0 Street map checked for additional setback required? es / No DNA ❑. DETACHED STRUCTURES: ❑ ROCKERIES: ❑ FENCES/TRELLISES:. / ❑ BAY WINDOWS / PROJECTING MODULATION: —0 K ❑ STAIRS / DECKS: 0 LC - PARKING: Required:_LActual: LOT AREA: t d� 3 X l LOT COVERAGE Calculations, 73S 3 /10 IX I 3 3 060 BUILDING HEIGHT: N. f�(Q of vi,r'/ �'G o Datum Point: "Y- 35 *d df $ E (! s! - Cdr f,`Datum Elevation: S K• , Maximum Allowed: 8-S �-Actual Height: ay 6r1 A.D.U. CREATED?: No Yes SUBDIVISION: LOT t of 03 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: ffies f4ol OTHER: Plan Review By: RAJ) u'u NewBPPlanningDataFormDOC .'� � \ �,�,/ � �i AN 2005 PERMIT COON' r STREa-. FILE.