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1005 CAROL WAY.PDF11111111111111 10496 1005 CAROL WAY ADDRESS: TAX ACCOUNT/PARCEL NUMBER: UO () 5q Z, C) m o 10 C) BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS:. lea ®�I ®� ®li DETERMINATION: ❑ Conditional Waiver ❑ Study Required %Q Waiver s� DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA EASEMENT(S) RECORDED PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED:1 SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: S I Z I (Q OTHER: LID #: LOT: BLOCK: L:\TEMP\DS'l7s\Forms\Street File Checklist.doc 0 PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET FILE . Name: hm �� 9-k Date: a -I 6 - a-c)/ 0 Site Address: p p S-- Cc,",- 0 �Ja Tax Parcel tqO S 91-7 NO pOO 10 v Project Description: �a� aid' �'©� Plan Check #: q Reduced Site Plan Provided: (YES / ld) Zoning: Map Page: Corner Lot: Y / NO) Flag Lot: (YES / Critical Areas Determination #: A oo oa l �tudy Required Waiver SEPA Determination: Exempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks St�ree.: Side: Side: 10 Rear Actual Setbacks Street: Side : Side: dear: 19 Detached Structures: s ❑ Rockeries: 0 Fences/Trellises: en %a L � ❑ Bay Windows/Projecting Modulation: ❑ Stairs/Deck: Buildin Hei ht Datum Point: ,ti. r ;ti Q` _._ Datum Elevation: I D v Maximum Height Allowed: a Actual Height: Other Parking Required: Parking Provided: Lot Area: la Gq p Maximum Lot Coverage: 35% Proposed: a Lot Coverage Calculations:l`) 10%lad t ADU Created: (YES / r Subdivision: Legal Nonconforming Land Use Determination Issued: !(YES / Comments `1 ��� • �-q CC��f' p d J'� �O L� S iL17� 1MoSt.`� ��� Plan Review By: Planning Data Form 07-14-09.doc FIRE Ar wo,A 41 ,a- rc�oSS 0 c is az• Zone l� 1.1z `C . °backs Required Front W-- Sides N) 0 ° -- Other a HdWit= — 6X5�( VLF X 14� 7 Actual Cd� FEntCC ip ys Jo . 0 ( `Q Ex \A( ALK EXIS"rs, 1Z' x `ta/ Cc�Nc. PAST oIj _ �o$. ? o.N• V-xks -r i N c-� 1•koc9S E, f3wt_ % 9 6 � ri 3a'• 'F C�'�7G�1�D ro s _30. °v I, i m.a:01\NN . i� a a Se . s-s-• � 3 st .fzTf, W. AA1 P90? W14k-r (fL--% FLA'-r) S-TEVE i /KkS-- Y AL.S E- A "A - too' RECEIVED 1 oo S- cA;?Lai- W A'' IV' _ koo' FEB 0 4 2010 F�.o,J c go' W 9 Sd20 a L' 4_ (off "O— (vo DEVELOPME�► SEPRVICES CTR. �RY OP EDMONDS il4�C 0 0 S `i2T o n 0c)v 1 dO '`oatAL = 4�' �y = %00 Li�AL Sc,wSST AcZ�CS MAA. K`r = 100 U" =!ZS � ko-'r ACTUAL = 11 o-Gl' iDAT%AAA — VJAZ pn�T = k0 IPyZs.F.VZQERv1ov.S qu.rxtSY��✓�: rt �t S -- I& s•F G9i_ADI1QgCA s Cu.VAVvJ 'P!t%% c/FA-r' 0/4.0.- f j-7 3 o S F I �Ioa� CALmaa 0 PLANNING DATA i t� Street FJIe SINGLE FAMILY RESIDENTIAL Name: cjteve, & w5ty m ei eth RevIeW Date: 01. 01. 2 010 Site Address: 1005 r a rol Way Permit Number: g (,DI-O 10 0 854 Project Description: z -o Q d d 1 t1• 'S5 (,onxe d pore Zoning: Comp Plan: ex n g le fa1m; rt sw rce... Corner Lot: (YE)/ NO) Flag Lot: (YES 00) Small Site Plan: (IYo ADU Created: (YES NO) (YES(NO) LLA: CUP: Variance: Shoreline: Subdivision/Legal/Recording Number: Legal Nonconforming Land Use Determination Issued: (YES /C Critical Areas Determination #: ❑ Study Required GWA 1--0 0 q 00 9 1 A waiver SEPA Determination: .gX.eYy�P� L. %5p p Ox d e7 g r a d ivi 9 (15 Ly 5 Required SetbacKS Wtilt 'y5 ° nomn 1 �Street: Side:' S AST 10de.' Sn r Actual Setbacks Street: Side: D Side: ela Rear -?we IsInAtIl Detached Structures • Rockeries/Retaining-Walls • Fences7ft1lises/Arbors Sn Bay-Windows/Pr-ojeeting•ModulatloFi • > 30=Stairs • Covered-Deck/Porch • > 30=Eaves M- m- ney/Freplace • Uncovered-Unenclosed <-30"-DecK/Porch/Patia eX. I1011,44K.! CAVPOrr &#C4.7 wo+ MCO ?C9° 5Mcet e,ctl�PaCk-5 •• Parking Required: 2 Parking Provided: tj+ Coverage Required: 35% Coverage Provided: �� •�• Lot Area: o.'%q 0.exk5 Lot Coverage " ZI (P M Af Calculations: W Did Building Height Datum Point: W a+w Yyu- -t, , Datum Elevation: 10 p Maximum Height: 25' ( 1 by Actual Height: C 1 t • (p� 1 LP , (p q ! 9rAd,t, = too • 00 Plan RevleW By: Gina Coccla, Associate Planner ,. r�.+Y3 •r�e,.r i ,.-..--"----•�• .! � (� , `� � � � plc' , ,,L , e r" .1 J � Nt',�'1 0�.. 4z�`w,'.±!`J tl3 }y r Ct . ( y he _ r J _ - ' ' '^{t. S r•, r 1.� F - c z,{"`•�{'Y� j ) t Mt - .' � - � j �.. s . r< <� •�/l•�,, J�J� �� r�4Mi��,t'�` '�JJ YA��I,IC�TIO�R ,��fd.tj�� PERMIT (� �, AppLrNo F �—=i� f ^ �1� C v n F �, �sr✓�a �y :nE .lamp. one-,Y ±� ,•'- ,y-`r-ti'¢' qv r ClY OF OAROWD5 sundlag �e�artmBs4 i work; m accordartx wtth'the atxom < i„, i t`"7A �inw��, � LdCA�� is y;�,y permit to oons*stct.the following w , made fora yr < x (ans and specifi=tions. Two sets are,attbmttted herewtth for approval. ' : K as 5„t�=t i panYig P . f new alter' � �c c—�t_�--.................................. grL "' OfS .....-..-.. ��.......:....................__...Pvrlan Work adun -pair ........._-..... .ur; f , xr :. Const. type .............. Use zone-...�� �+ jJzx�' »fr� Occupancy ...... ............ !� ;;Sfai� -< .—..Lot..-... ../ Blk ri.''x�R Addn •• , Address.../..C?.�? ,.3 ... I .-. /n� X-•-: G..... Septic. tank Lr. frontage ................................. Area .......... �.. r. side .............. . (- 1. side........-............... ..�. .. Bidg set backs — front........::.....7.......... r No.. �r . _ y�9 Tel 44P Y C.`, zz ,•cam_<l(< oAddress:.. Owner..-..../....:.L-..:.....--. t rf :. ........f.. Tel. No Address ................................... 1............jBuilder............. lg ~� Add J Ness..: ...................... _........ Plans by --- _............. ...................... . mv- ...................................................................... ....... _ ............ -r. Remarks ......................... p _..........r t I - 4: Thc.abovc is a correct state, el' : I agree to comply with all applicable Codes and:.State laws regulating thts work ................ Date,? a Address-------'--...... Signed .Owner/Agen-.. ` !'(, " •-kt,tdk s "'9 ' a roved, subjece to the above conditions, and to compliance with the ap ".: r � t' " PERMIT for the. above work is hereby PP N t yi cations a d Building Department notations thereon. • g per' plans and �j2/ Reed. by.../:. �G�• �q 4� el� �Vi Permit few ........................._ 1 ;''= vl r. Valuauun". sa aztment, BY .......-_ :........................... I ` Bwlatng Dep r to Nag Zhu prnnit does not cover plumb r.q, sewer, or electrical,iTtstaliations no+dots It petmu y�worl(ito be VFW — done in the. Right of •Way areas. Driveways and u alkways mist be planned to mat the off 'nal ades of ztirettsl c f� ; �� ' and'alkys, and plans for future sidewalk development. ,i ' APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION 0 REPAIRS 0 116-06300 OWNER........... Kiac.h.....W.illiam..K . ................................. ....................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ........ 1.005 --- C.a.ro I ... Way .............................................................. LEGAL DESCRIPTION: LOT No. .......................... I .................... BLOCK No. ............................................ NAMEOF ADDITION ........................................................................................................................................... DYE TESTED ON SEWER, 1972 Approved: DATE................................................ By ....................................................................... MeterNo .............................. Tap No ......................................... Size.............................. Size........................................ 'Mfgrs. No......... ,.. .......... Style........ For.......................:�%��� ............................ , .......... ..........................................................................................................................._.............. ......................................................................................_........................._......_....---.-,_.. LotNo ........................................... Blk. No.................................................... Add........ ------. Service Location��.. ....... ....... ......... MeterLocation....................................................... .................. ................ Make Tap Pressure..............................lbs. Test ..................................... o 1 Send Bills to................................................................................_....................... .......................... �.........._....... _....... �.............. Date of Work.....-. . ... ..... ;, . ............................ ........... ...... ........ ................ ......................... ................................................... �creman Guar. Voucher No ...........................................$........... :........... ....... It Remarks: ......... _................................................................................. ................ ..............................................................................................................................., . . ...................................................."_-_.. _ _ OUTGOING Index .......... Reg ....... Route Bk ........Stenciler INCOMING Index Index.......... Reg ....... Route Bk......... Stenc ,.—.Card,.-..-.. ;d Mater'---`` Chargeable to Installation Metei No. I SIZE DESCRIPTION RATE 11 AMOUNT Meter....... .............................. .............. ......... Meter Box .... .......................... .............. ... -- ..... Meter Plate ---------------------------- .............. ............. .......... .......... Check Valve ......... .............. .......... .............. ......... Pipe, Galv. Screw .................. -------------- ......... 0 ... .......... ............. ...... I ... Nipples ------------------------------------ -------------- - ------ ­* ---------- ............. I ......... Bushings ---------------------------------- -------------- ----- 0 ....... .......... ----- Plain Ells ... ---------------------------- -------------- ............ .......... ...... --- St. Ells -------------------------------- --- -------------- ............ .......... .......... Tees ----------------------------------------- -------------- ............ ....... " ...... ' t 0 ... 7 ........... ................... ...................... ....... ... . .. . . . ........ ........... .... ... . . .......................... ........ 0 ..... .............. ..... ....... ...— ...... ............. ............ ...... .......... .......... ... . ... - ...... ---- ................................. ---------- .... ............. ....................... ............... .............. ............ ......... . ......... ......... . ... .. .... ... ... ... ................. . ......... . ... .. .... ... . ...... ....... . ........ . .... .. ....... Material' Chargeable'7to Taps Connected No. SIZE I RATE I AMOUNT _, .............. I.-----..._ —DESCRIPTION Pipe, Black Screw .. ................ -------------- ------------- --------- Pip"Galv. Screw .................. .............. ............. ......... .. .......... Lead Connections .................. .............. ............ ......... Curb Cocks ............................ .............. ............ ......... .. T:--J ........... ....... Corp. Cocks ........................... .............. ............. ........0 ........... ... ...... Unions ------------------------------------ --------------- ------------- ---------- .......... Saddles .... --------------------------- --- -------------- ....................... ............... .......... Nipples ..... ------------------------------ --------------- .......... . ......... ---------- ... ......... Bushings ----------------------------- ---- -------------- ....................... .......... Plain Ells ................................ ............ ............. .......... .......... ....... — Street Ells ... Tees .......... .... 4 .......................... ............... ......... . . ......... ......... .......... Curb Boxes ............................ ....... ...... ------------- --------- S. O. Extensions -------------------- -------------- ------------ --------- ...... .......... Gates ---------------------------------------- --------------- ------------ --------- ..W Plugs ----------------------------------------- -------------- ------- . ... ......... Couplings............... a ---------------- --------------- ------------- ---- -- . .............. .......... ... .......... ... ............... .............. .......... .......... .......... .......... .......... GateBoxes ---------------------------- ........................................... ......... ...................... ......... .................... .......................................................... ........................................................... ........................................................... -------------- .............. ............... .............. .............. .............. ............. ............ ............ - - --------- ............ ............. ...... ......... ......... --------- ........ . ...... ........... ...... ...... .............. ............... .............. ........... .......... .......... .......... .......... .......... ................................ ............... ......... . .................................... ...................... ........................................................... ........ ................................................. ........................................................... .......................................................... Hours Time —Day Men .. ...... ... .... ............ i.. ---.......... ............... .............. ............... .............. ............ .1.1 ........ . ............ ............ ............ - I .......... ............ ........ ........ ........ ........ ........ ........ ........ .......... Time —Monthly Men .. .............. ------------ -------- Hours urs Time —Auto ------------ --- -------------- ............ ........ ------ --- Superintendence ---------------------- -------------- ............. . ...... .............. il - Total ------------------ 1- ............. I ............ .... =