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1105 8TH AVE S.PDF111111111111 8666 1105 8TH AVE S USE ZONE �' r PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB dOWNE"AME/NAME OF SuSINESS ADDRESS S- SUITE/APT I � C � � LEGAL DESCRIPTION CHECK SUBDIVISION NO. ': LID NO, ' PUBLIC.RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP Approved RW Permit Required D O ZIP TELEPHONE NUMBER 7130 ZO EXISTING REOUIRED DEDICATION Street Us Permit Req•d D PROPOSED Inspection Required Sidewalk Required O O E —�-� METER SIZE LINE SIZE NO.OF FIXTURES PRV REQUIRED YES O NO ❑ C' REMARKS - 7 P )cr-lk-5 /Z v S SS Lc.) r ZIP TELEPHONE NUMBER 1,M I-331-5- LICENSE NUMBER J-5, Ay EXPIRATION DATE /6(, L../R I(', Description of Property - include all easements !'"en Gv f TeX Aceount / ,. O/ O -, 6v p Parco1 No. W �r—y��� El NEW LJ RESIDENTIAL PLUMBING ElADDITION El ❑ COMMERCIAL MECHANICAL APT. BLDG. REMODEL1:1 LJ SIGN a GRADING 2REPAIR O FENCE CVDS. I_ x _Fn TOVE DEMOLISH OODSSWIMPOOL ❑ INSERT HOT TUB SPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL TYPE F US; " E. B S ESS OR ACTIVI V) EXPLAI ex� H (UIv��,Efi•r' NUMBER OF CRITICAL N )P° DWELLING /7Alf AREAS /14 MORIES UNITS (//I�i NUMBER )ESCRIB�RK T07 THE (AT CH PLOT PLAN MEMO DATED SIGN AREA SEPA REVIEW ALLOWED PROPOSED COMPLETE EXEMPT �'EXP' V/ ' FRONTCK �i F`7 SIDE I V 'REAR (/� HEIGHT LO7 �43F D I� BY REGUIREO I YES .7.�V (Q I LOAD ❑ �\ EMARKS PROGRESS INSPECTIONS PER UBC 305 v OA GG FINAL INSPECTION REQUIRED VVVV 6 VALUATION FEE --.= PLAN CHECK FEE �7 VC� BUILDING Si4-vim\ ILJJ IIJJ l.) HEAT SOURCE: GLAZING d/0 ' PLUMBING Plan Check No. �/ - / 9 MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE v 5v Permit Application: 180 Days Permit Limit: I Year - Provided Work 10tarted Wlthln:.180.Days STORM DRAINAGE FEE "Applicant, on behalf of his of'hei spouse, heirs, assigns and ENG. INSPECTION FEE N successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington• its officials, x 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 c i modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's to q sU ability enforce any ordinance TOTAL AMOUNT DUE 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 APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; 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 State of Washington relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is tion Insarimals and Pro1 INSPECTION acknowledged in space provided. (GNAT (OWN AD 1 DATE SIGNED j, .. I ^y V DEPARTMENT CITY OF TURE //��� E / EDMONDS ZMW ENTIO CALL FOR INSPECTION ELEA �Eb a-, i DATE ` ( �' ✓ 7 -, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE .', y,U UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� _O�wo 1 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CITY v -C(OPY SEP 0 s 1994 Efl�" COUNTER r APPLICATION The Cityof Edmonds for SIDE SEWER PERMIT NEW CONSTRUCTION ❑ REPAIRS ❑ EASEMENT No ........................................... 107-08100 OWNER......... F®---A,--•B j.41'i sen------------------------------------------------------------- -- CONTRACTOR.........------------------------------......---.................---.............................. PERMIT No....................... ADDRESS..... 1.1.0--rJ---- --- 8th... Avenue ... S-s------------------------------------------------ J 40 LEGAL DESCRIPTION: LOT No ............................................... BLOCK No............................................. NAMEOF ADDITION...................•--------••-•---•---------•--------...----..............--•--.......------............................................ DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ By --..................•........ g-r vn NLy, =s ?D l vS�.DG6 c>�JYIIr i RC OE1VED PERIe�(i Li ZONE a5 - 1 /� SETar"%CKS: FRONT SIDE 91O REAR OTHER — HEIGHT G1 CITY OF EDMONDS BUILDING DEPARTMENT WORK le - ADDRESS OWNER _ ✓%w�4L-s�,C�.f APPROVED DATE: BLDG. OFFICIAL - PERMIT NUMBER 95QC),38 w t.'... .. .:,wt ... '.. . .. . Tl. _ ...TY... v. F:..?� ... �. 'a., .. .... ... .. '.'. :,:. �.:.'.... i.. i:jiS.... :. ... ('ti �+i ..J� .'(... ... ..." ...._ .. . t.. ., s. ...4 )4. ., . .:. ... ., t. .».. � .... e , ....v....I .... .n. .. .. .. .. Y. .. The�City of Edmonds APPLICATION for SIDE SEWER PERMIT 0YA" � NEW CONSTRUCTION �[] OWNER ----- ------------- - - --------------------------------------- JOB ADDRESS -j,LCD'�-::> . ............................................. -------------------------------- • • EASEMENT NO- -------------------------------------------- REPAIRS LID NO. ASMT ....... CONTRACTOR SEWER ER ...... PERMIT NO. LEGAL DESCRIPTION: LOT NO . ............ I -OP -------------------- BLOCK NO. Approved: , DATE . . . ;Z" . .. ............ �.(e By ............... .;477�4 "4',The. '-Ci'Edmonds" ty of .,— .0" :ER 0-41� — -------------------------- -jOB:'ADDRM. J: ------------------- ---------- APPLICATION for --------- - ------ E ---------- SIDE SEWER:. PERMIT''NEW 'CONSTRUCTION"'[] REPAIRS LID NO. ------------------ ............ ------------------- CONTRACTOR --------- a�,------------------- PERMIT 0 ------------------- LEGAL DESCRIPTION: LOT NO. ------- ---------------------- BLOCK NO. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ L/ ,9,,�-"'\NAME OF ADDITION --------------- Ja-0 ------- /-0-5-f ........ A Q s / Approved: AN . .......... 7`1 ----------- CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER. DEPARTMENT ` PERMIT _ 1 _ K '{ Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.� ADDRESS LOCATION OF CONSTRUCTION__... •• - PROPERTY LEGAL DESCRIPTION ...... V-)I"�' ft� � ^ � — m . ;,. ......................."...................... .... _...................... __ _.................. - - ..............................� ._.......---..__._—............... . . r �______________ . -------- ---------------------- OWNER AND/OR BUILDER...... 1 1r��iF ?Q i lid a o .......... :••-•--•-- --•- 'S NAME &ADDRESS. �e7, -- ... _ .................................. ACTOR n... -------- t> e7 Permission Is granted.. c - r u_._ �__ 19� � for re --- Fs/{/\ in accordance with City oftEdmonds ordinances. ' � and/or connection Of a side sewer to the city sanitary sewer A ION Is CA •- - .. - LLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside side sewer in street area. Do not cover a Property line. A licensed side Sewer Contractor must be employed to construct NOTE No. 2—All work any portion of sewer before it has been inspected. >_ .5;• performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. _ NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. _ r r NOTE No. 4—Tap of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in sharper than % will be permitted. grade work which may develop within one year of completion. NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper - _ NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appurtenances except to in- sert the pipe into the wye. 'i DISAPPROVEDDate, ❑ ..__......._... BY •- '-----------------•--- ...-----•----- Date. ' • �� By..._..•--•_-.... Date-------------------••----•--••_-•__ BY APPROVED Date__._ ......... l' :��.. Fx -B '�" Remarks:..---•--�oll �(��;Q�?--------•---='-fir^1e•R.----��,-�P-•a ------ ------------------- ----------------- --------------- BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — V �tlhereby certify that the side sewer installation constructed under this permit wiu installed (Owner in with all governing ordinances of the City of Edmonds. Dated this ............... -. , day of__...._ p d V Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ d --- -,r.,hl-1 v�a•„r+• .: •.. n.v`� ,•w.,.; y:�irv-•. `k�r�Yd!ittt niw-:7'-•a,..r•y"+w.�wk.+�y,�'µ�r�v^"T+yli1'VK'lr'^$•Srr4.Yrtr �?-��.•ws,y..,v...:-y. A' City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. 3 - ..`' ... Issue Date: A. Address or Vicinity of Construction: 1105 8 Av. S . (93204109 j 8 Q� B. Type of Work (be specific): Install New Service 90 19 C. Contractor: Washington Nat'l. Gas Co. Contact: Frank Swan Mailing Address: 815 Mercer St. Seattle,Wn. Phone: 224-2278 State License #: Hill Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial' ❑ Subdivision ❑ City Project ® Utility.(PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: W 1 VV l{- ( F Pavement nr r-nnrrete t`ut - nYPc nNn Cl- S17E of nIt- (2) 2 x 4Ctt t•R H_ Charae t - - — — (1) @Tie In ,(1) @ Water v APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands and by his aignatur`e tom his application, afire to Id the City of Edmonds harel 9'0m�samages, or claims of any kind or description whatsoever, foreseen or uhfopseen, that may 6e ma a against the City of Ede s, or ts defartments or employees, including or not limited to the defense of any legal proceedings including defense costa, and attorney fees by'reason of granting this permit. THE CTOR IS BLE FOR WORKMANSHIP D MATERIALS kA PERIOD OF ONE THE INSPECT/ON AND ACCEPTANCE/OF THE WORK ESTIMATEDNRESTORATION FO Ii ALL BE HELD UNTILATFTEO 'N L,kTREET PAI TCH R 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. r 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 rggulations as requirediby the.City, Engineer. All street cut ditches shall be patched with asphalt or City approved material prior tathe 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 purples. Signature: Date: „d... , `41 July 9. 1993 � (Contractor or Agentf-4-�;"' CALL DIAL -A -DIG PRIOR TO BEGINNING WORK SFOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER 3 DAYS DISRUPTION FEE/FUND 111 , SPECIAL CONDITIONS: tJ A RESTORATION FEE: PERMIT FEE: y TOTAL ,FEE: COMMENTS: RECEIPT. FEE: DATE: ISSUED BY: 1. NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES Comments:' (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: I Addendum to City of Edmonds Right of Way Permit Application Submitted by: Guyla Connors Engineering Aide Washington Natural Gas 521-5248 ilc U&VS q 3204 td WNG to window Water main depth unknown ." gas main, - . -, I 2 (2 x 4) Gu7s O QC7C7p e t,4 0 GUI < 1`1 E C, C� SS4t2_� l TO U-r l L_.1Z,E OLD SEI� ICE,_--_ _-- Key• -w- water -g- gas - -ss- sewer $ water hydrant O water valve 815 Marco St. (P.O. Box 1869), Scattk, WA 98111 (206) 622-6767 PUBLIC,:WORKS.DEPAR CHECKLIST BUILDING PERMIT REVIEW AN F. A ss 4e Street Right -of -Way Exist' Q REQD z, H Access Easements Existing `&).Q'g,. :REQD ,. Utility Easement Existing e) fjigr REQD w Lot Per Subdivision '�`' Plat Assessor w Site Plan Checked for Accuracy___ . z Underground Wiring Reqd: ' H U Check Accuracy of Legal Description -79B z Review by . Date w Existing Water Main Size Wat in Required Service quired Hydrant Size Exis c� Hydrant Reqd Per Fire . - Size w Detector Check Meter Reqd. Cross Connection ction H Fire Dep t Comments 3 Water Meter Charge Reqd. Review by Date Septic Tank Design Approved Date tic Tank Permit Reqd. Permit No Sanit Sewer Availability Pro' Drawing No. File No Side Sewer Avai ility w Sanitary Sewer Connec . Fee Reqd. 3 Review by Date w Open Ditch Existing Regd. Culvert Reqd. Size 04 - Catch Basin Reqd. Indic e on Site Plan Shoulder dra' maintain collection on swale open runo H ole eqd. Indicate on Site Plan Conditions and Ground Water Field Checked 2eew by Date Avised: lv10-1977 Page 2 + St t Paving Regd. H Curb and r Reqd. W Sidewalk Reqd. W Curb Cut for Driveway Req . � :Right -of -Way Construction .Pe Req !���� E, Band Reqd.,for Publ' rovements Street N ign Reqd. er Signing Reqd. A Pre Site Inspection made on z f� BY: SEWER E-+ w W WATER a U) r-+ z STREET H ENGINEERING Special Requirements listed in menu to Comramity Development Department, Building Division BY �A10 Date o All items filled in on Building Permit Application l a BY ��� Date ` a' Drawings Stamped and Notations.Made as BY Date Approved by Public Works Department Revised:,`.ly 10-1977 DATF:—:Jamt 9. 1976 HErn TO: Harr\, llhitcutt r,Ll,i I di no Official FROI-1: Richard .11. Mon Assistant Citv Fn(iin(.,Pr SUBJECT: Ruilding Permit Application for Frank, Leifer at 1109 Sth Ave. S. After revien,., of the ,W)jpct huildi.nn nermit anplication, wo have the fol - lowing comments: 1. Connection to sanitary sewer renuired. 2. Lot drainage contained on site or directed to City storm sewer system. 3. Right-of-way Invasion Permit requirpd,for curb cut and driveway. 1 j,%jrj #je. 1% A*"ft*Jb"b cum& PLker W/.TTP cvAls RHA: mj r y Date lq6 BUILDING PERMIT REVIEW ENGINEERI Instruction: Check Accuracy of Legal Description Check Against Assessor's Map.for Lenal Subdivision Does it conform to City Approved Subdivision? Reviewer's Initials 1. This lot included in 1�uhdlvisio 2. Site Inspection made on: 'sf ffilm-A ..... i &_,. DEPARTMEi1T CiIECK LIST 4. bite Drainage Checked? 5. Storm Set -ter Avai 1 abi 1 i tv: Sht. �of [10.1 ro•iec Roadside Ditch Ki 6. Grading & Final Contours: 7. Septic Tank System Design Approved: 8. Sanitary Sewer Availahility Sht. of rh•,g. No. S. Project ) Side sewer availability: ) 9. Sanitary Sewer Connection Fees? 10. Uater Mains A Fire Hydrants (Indicate Size 11ain)6"Mf4*M, zuUc111J� Check Fire Dept.'s Comments 11. Sidewalks: (Site.inspection shows conditions..of sidewalks as follo:•is) 12. Curbs: Curb Cuts/.riveways (Check driveways for safety, location, grade and width, _Die .13. Underground Mring:_ y __Street Lights: ---� 14. Street Right-of-way P, I,ldq. setbacks: �_*t.f official Street Map. I 15. Existing Utility 1G. Access Easements: 17. Site Plan checked 18. Special Requirements listed in Memo to Bldg. Dept. 19. Commercial & Apt. RegUirements,form completed? _ 20. Drawings stamped & notations made? 21. All Items filled in on Bldg. Permit Application? 22. Bonds posted for site work?__� 23. Right-of-way Invasion Permit required? VV COMMENTS: 11 d