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1019 SPRAGUE ST.PDF1019 S P RAG U E ST TAX ACCOUNT/PARCEL NUMBER: `- BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: --i2� DETERMINATION: ❑ Conditional Waiver ❑Study Required aiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR:_ PERMITS (OTHER) SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMITS) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATEDD::� OTHER: P- 6. ZID /—6 — L:\TEMP\DSTs\Forms\Street File Checklist.doc Critical Areas Checklist' Site Information Project Name: �Q.� rn : Permit Number:, Site Location: Ibiq A ramg.4T Property Tax Account Number: -'13 Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions 1. Has the site been cleared or logged? Soils / Topography 14% Date of most recent action: V.4,0-f.% cta 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply. 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.) c 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: 5. Site contains areas of seasonal standing water: 14 b Approx. Depth: 6. Site is in the floodway `�o _ floodplain X/b of a water course. 7. Site contains a cre�et or an area where water floN js across the grounds surface? A flows are year-round? F0 Flows are seasonal? N6 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: O 11. Critical Areas inventory or map indicates any Critical Area on site: For. City Use Only Rev 3/27/92 • • • • 890.199- 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 submittal 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: Applicant Representative: Name Name Street Addres G-:0 MV.j d.1 W1�4- li 9 -tt3b City, State, ZIP J Phone 1%—T-it Date Title Street Address City, State, ZIP Phone Signature , Date Critical Areas Checklist Site Infox-matiotn Project Name: e3Q1.•e Permit Number: Site Location: IbI4 S&C&mC,4 C Property Tax Account Number: Approximate Site Size (acres or square feet): i 3'Z1 Have you filled out a Critical Areas Checklist for a project on this site before? yjq;1 -oq3-u33-d0cj6 14n General Site Conditions 1. Has the site been cleared or logged? ��""� Date of most recent action: Va&Af& otva Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply. %t 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 HydrologyNegetation 4. Site contains areas of year-round standing water: 5. Site contains areas of seasonal standing water: M O--Approx. Depth: 6. Site is in the floodway )Jb J' floodpWn 'r ' of a water course. 7. Site contains a tree or an area where water fi vys across the grounds surface? A- flows are year-round? jY0 Flows are seasonal? W b 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: 11. Critical Areas inventory or map indicates any Critical Area on site: _ For City Use Only a 9p.19*1 City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person r.. 1- I The purpose of the % neckiist is 'to enavic City staff to determine whether any potential `---__-`-- _ -_ _ _ o.i ■Time arc eiec;:iariia. iiHd uii;. An applicant, or his/her representative, must fill out the checklist, sign and date it, and Cater. The City will review Ya.aaaaa• aarraavaaaana. With a signed copy of this form, the applicant should also submit a vicinity map 1 have completed the attached Critical Area Checklist and attest that the answers provided are sarhaaa an One ait-cr nr my xnnwaf-Au& a Name I AIA S-�- Street Addres &o t4^4,.t A Who- 72 9 -Tr3b City; State, ZIP I Phone -Narne Title Street Address City, State, ZIP Phone Date Signature Date * 0 PLANNING DATA NAME: � /is sir SITE ADDRESS: SP ;sue DATE: ZONING: PLAN CHK#: ip - 3 sv PROJECT DESCRIPTION:S--��°�-- CORNER LOT 0 (Yes/No) FLAG LOT /110 (Yes/No) SETBACKS: Required Setbacks: Front: 00 Left Side: 5 Right Side: Rear: s Actual Setbacks: / , 3 Front: -ZZ- Left Side:Right Side: 5 3 Rear: q� Street map checked for additional setback required? a✓�� _(Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: ` Maximum Allowed: 5 Actual: 3 3 BUILDING HEIGHT: Maximum Allowed: 2 S Actual Height: 17 Datum Point: Datum Elevation: /oa A.D.U. CREATED?: &u SUBDIVISION: CRITICAL AREAS #: Vc- ` Z'0 z' L''A, vL�' SEPA DETERMINATION: LOT AREA:� OTHER: Plan Review By: 1 14,S nv 1-rt%Gcrrl 1 ) ;- 74-P jZ o 4/o -7 v\filcslpern itl^plandat.doc loc. 18c10 i CITY OF EDMOl DS BARBARA FAHEY 121 STH AVENUE NORTH EDMONDS, WA 98020 • (425) 771-0220 •FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant January 6, 1999 Jay Grant 1019 Sprague Street Edmonds, WA 98020 SUBJECT: Request for Waiver of Underground .Requirements Permit Number 980853 Dear Mr. Grant: Waiver of the requirement to underground the electric power service line can be granted for Permit No. 980853. The requirement can be deferred with this permit since there is no additional impact created with retention of the existing line. Please call me at (425) 771-0220, Ext. 327, if you have any questions regarding this decision. Sincerely, )-a%z e-�� JAMES C. WALKER, P.E. City Engineer JCw/cmc c: Raymond Miller, Development Services Director Jeannine Graf, Building Official C:\My Documcnts\Engsec\DEVELOP\UndGrdWaver.Gr t.doc • Incorporated August 11, 1890 • • Jim Walker Engineer City of Edmonds 121 5t' Avenue North Edmonds, WA 98020 Dear Mr. Walker: Jay B. Grant 1019 Sprague Street Edmonds, WA 98020 Tel:425-778-5530 Fax:425-778-4621 RECEIVED JAN 5 - 1998 ENG INEEMAIG I�eo51 JA N 8 4 1999 C04141 iITY SERVICES In reviewing our approved plans, permit number 780853, I found that the city had stamped a requirement that I place new electrical underground. As I mentioned in my phone call to you the amount of remodeling we are doing is relatively small and we feel the unexpected expense may not be worthwhile. I hope a wavier would be issued so in the event we feel the expense is not warranted that we could continue to have our electrical service continue above ground at this time. Sincerely your, Jay B. Grant USE PERMIT CITY OF EDMONDS ZONE � NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# OWNER NAME/NAME OF BUSINESS ADDRESS /6)/ 9� 0'161,44W LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w 2 MAILING ADDRESS O �, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved&//'4t ❑ CITY ZIP TELEPHONE NUMBER RWPermit RequiredA/0 ❑ EXISTING ©Z"'"'- REQUIRED DEDICATION Street Use Permit Req' o ❑ 6��I ► I M PROPOSED Inspection Require NAME - Sidewalk Required /- ❑ .4-1 116 (I(• METER SIZE LINE SIZE NO. FIXTURES PRV REQUIRED W ADDRESS ,q YES NO ❑ 3 U 4 0(,J " %I, 1,q � / , _ REMARKS a CITY W ZIP TELEPHONE NUMBER 0vG'1•) e t, ie,85- P70 C o A 4_4)4. c� �'//-f �A'A/ w NAME / % !TVN"E.. litl ETC Z !/ •�� �EafJ[J,y� W ADDRESS O q ENGINEERING MEMO DATED REVIEW Y ° Cs X // 0 101 9 CITY a ZIP TELEPHONE NUMBER 2 U 9 G Z ..� .t. g �+ FIRE MEMO DATED REVIEWED BY O 6z Y W O STATE LICENSE NUMBER EXPIRATION DATE �= A S l y R '1,,2 L /f- !J , r' ' VARIANCEsj}} CU ADB # SHO E # Legal Description of Property - include all easements ",•+'—^ "` SERA REVIEW SIGN AREA �..�' HEIGHT 0 + 07C/Gr .3i? 3y COMPLETE ExEMPT ALLOWED ?,ROPZJSED ALLOWED I PROPOSED ! EXP I o / # Q LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) p,ry�•�_� ALLOWED PROPOSED FRONT SIDE REAR FRONT JR�S✓I,DE REAR t7 �f tt/ A u ee jC-�J . j .f (:� s ! �j z '� i .� j� z J rProperty Tax Account �e s� �r LOT AREA P . NNING VIEW BY DJIT a Parcel No. "T " f! `' �CaC� v D / UtI �ItrGt-(t� �U / REMARKS NEW I RESIDENTIAL PLUMBING(MECH COMPLIANCE OR In ADDITION COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. SIGN GRADING FENCE CHECKED BY TYPE O UCTION CODE -a GR(:AOCCUPAN PAIR �. CYDs. L_X_FT)1. GR: INSERTPI WOODSTOVE SWIM POOL TUB/SPA SPECIAL INSPECTOR. AR DEMOLISH a HOT �/ OCCUPANT REQUIRED �-g�� LOAD .'GARAGE RETAINING WALL/. 0 YES d' CARPORT ROCKERY �' RENEWAL. REMARKS ° (TYPE OF USE, BUSINESS 0 ACTIVITY) EXP�AIM:` PROGRESS INSPECTIONS PER UBC 108 = o J_ Q tm 7 NUMBER NUMBER OF CRITICAL totilia m o OF B DWELLING 1 AREAS m STORIES UNITS g NUMBER O DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE y 7 BUILDING I 7 HEAT SOURCE: GLAZING !✓' a/p PLUMBING / Plan Check No. 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 Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE rn successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its officials, m employees, and agents from any and all claims for damages of < whatever nature, arising directly or indirectly from the issuance1 ? = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any r,e"quirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the informationgiven 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 • AuiHORlzes This application is not a permit until ed 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 Compensa- WORK NOTED Deputy; and fees are paid, and receipt isr• tion Insurance aria RC 18.27. INSPECTION acknowledged in space provided. SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT � f"^" "�OFFICIAL'S SIGNATURE DATE EDMONDS -.-� %514M �r �'" J � CITY C / CALL FOR RELEASED DATE 1 ATTENTION INSPECTION 1�% IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE, UNTIL 'A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771022o ORIGINAL — File YELLOW -Inspector Lj A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK — Owner GOLD — Assessor .�--v-+..r✓.;f`kv<-...'H •,�.. ......(•••t. „ ..,i'ati.,vY�1C...-,.i,., ✓4rv..�`'1.e.�'.,,-.,n.. �..... �. � ti...n�: .y� i.- ' .��..-��,�--r.,�y �'.�;'�.-.. �i1"�..•:-. . , ...�..ycr: �.�`h�•''..:••_r rUy.-..� +^4^ V „` 1 N''r +C'..a�l;•t�,,,tl•.,r�.-{ �r'1(}' i"•" •Yr'�i . City of Edmon 890 "0- RIGHT-OF-WAY CONS TR CTION PERMIT Permit Number. �'•,.•,Z ' .� G e� Issue Date: A. Address or Vicinity of Construction: 1019 Sprague Street B. Type of Work (be specific): Install New Service, 41 C. Contractor: Washington Natural Gas Company Contact: Frank Swan Mailing Address: 815 Mercer Street, Phone: 224-2278 State License #: Seattle, WA 98111 Liability Insurance: Bond: $ D. Building Permit # (if applicable):' Side Sewer Permit # (ifi�l II 88 E. ❑ Commercial ❑ Subdivision ❑ ' City Project Rk Utility (PUD, GTE, WNG, CABLE, TER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ® Yes ❑No (2) G. Size of Cut: 2 x 5 H. Charge $ APPLICANT TO READ A 'GN (f , INDEMNITY. Applicant understands and b his signature to this application, a rees,r ld the Ci o Edmonds harnif..s ft.4,inj rce, ad ina es, or PP Y g PP g� tY f fr J 8 claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its deparmients or employ- ees, including or not limited to the defense of any legal proceedings including defense •costs,°and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FO$ A,PERIQDtOF ONE YEAR FOLLOWING Tf/E FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH 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. A 24 hour notice is required for inspection; Please call the Engineering Department Work is to be -inspected during progress and at completion. �'9=®��® 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 regulations as eequiredaby the City'• Engineer. .a All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements underst el the permit requirements and the pink copy of the permit will be availa*'le on site at all times for in lon pup Signature: �/ Date: September 28, 1992 r (Contractor or Agent) t FIELD INSPECTION Comments: Diagram: (API I I - 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: Eng. Div. Jul <, M M AV-0 fin509YCDTMW 10 1'�) 5 ira':�u C- -ar • Addendum toy`, s ) City of Edmonds Right of Way Permit Application Submitted by: �k' -AQD Engineering Aide Washington Natural Gas 622-6767 x2761 pager q( - ico8�o z(2CAS �-rQ II II 22�- ZZ�Z Water main aepLn unknown 2 gas. main -� Key: -w- water -g- gas -ss- sewer $ water hydrant p water valve 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 *ERMIT APPLICATION REQUIREMENTS To: 6reAJ% �''➢ � od'��.✓ From: Gordy Hyde, Development Services Engineer Applicant Address: i0i9 sP,ea��E' ST-• Plan Check Number: .98 3So Pursuant to issuance of a building permit, the following requirements must be met: -1. Construction hours are 7:00 am - 10:00 pm on weekdays and 10:00 am — 6:00 pm on weekends and holidays. (ECDC 5.30.110) �. A separate right-of-way construction permit is required for all work on public property. (ECDC 18.60) Truck haul route plan must be submitted and approved. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) fs. No work shall be done within 15 feet of streams or 10 feet from any closed drainage facility. Builder/owner is responsible for identifying conditions on the drawing. (ECDC 18.30.50G) Filter fabric fence shall be installed and inspected prior to clearing and construction. (ECDC 18.30)1FWkzm--AeY ,IA Inspections are required on storm drainage systems, tightlines and catch basin installation. Inspections are required prior to backfilling. (ECDC 18.30) --8Repair 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% without a waiver. Waiver granted to allow %. (ECDC 18.80.060D) 4Vs�r•���. • -TO. Driveways must be paved from edge of pavement of existing roadway for a minimum distance of 20 feet. A separate permit may be required. (ECDC 18.80.060C) —T11. Inspections are required on driveways and sidewalks prior to and after pouring. (ECDC 18. --t'l. No burning of construction refuse is allowed without a permit from the Fire Department. . Connection to public water system is required. There is a separate charge for the water meter. (ECDC 7.20) A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) -+s Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) -•+fr. Connection to the public sanitary system is required. A separate permit is required. LID e7(1s77,,v4 Fees paid: Yes No Charge (ECDC 18.10) 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 18.90) 48'. A final engineering inspection is required prior to the building division authorizing occupancy of the building or structure. (ECDC 18.90) PRMTAPP DOC �` F------------------- I davN�X- �OO,✓siBCL�"" 7n Goi✓7�� ,er�.�o�F �ya/� PATU H PT Wig I, L C'O PC-, I' -Ott FF6H 6-09-1" 7N : 100. ` 1- VE BY -7 15 .t 2 L1 1C�i" i GRANT RESIDENCE Lee Kirk 1019 Spra cue Street Architecture ■ Planning 800 Main Street, Suite D. Edmonds, WA 98020-3079 Site Plan V= 20' 10/12/98 north (426) 771 2378 ■ (208) 825 9229 ■ fax (426) 774 7803 ADDITION EXISTI /T . A� NG HOU&E TT ql UnC 0 q I wSce—,- SITE PLAN 3UILDING DEPARTMENT .D DATE: FICI 'ERMIT NUMBER LEGAL & TAX NO. ra__r, 4-- 'rw E Ily r Ec_,-L-*-c b"L_-4vkx+ 11:17wjme 6; _-" 4.�t% j ccup-ty, 61A. '�L� RECEIVED 0 PERMIT COUNTER z