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1027 SPRUCE ST.PDF11111111111111 13296 1027 SPRUCE ST MEMORANDUM Date: April 12, 2002 To: File # V-01-92 From: Star Campbell, Assistant Planner✓" Subject: Garage Addition at 1027 Spruce St. I recently reviewed a building permit for a garage addition at 1027 Spruce St. See attached site plan. The proposed garage is shown as having a 20 foot street setback. During my review I determined that the Official City Street Map shows a proposed right- of-way width of 50'. See portion of Street Map, also attached. The edge of this proposed right away extends 5 feet north of the existing south property line of the subject property. The street setback is required to be measured from the edge of this proposed right-of-way per ECDC 21.90.130. Consequently, the garage only has a 15' street setback. However, review of the Variance file (V-01-92) led me to determine that the proposed street setback for the project is adequate. This is because the Hearing Examiner's decision allowed for a modified location for the carport. In addition, the decision was to allow a 13-foot street setback from the existing property line (edge of existing right-of- way). This translates into an 8-foot setback from the edge of the proposed right-of-way. The proposed 15' street setback for the garage is obviously within the scope of what was approved with the variance. C: Street File, 1027 Spruce Street City of Edmonds cQ Planning Division ! 1' I ,a L i l l 1 1 1 i l l l 7 I I I I I I I I l 'R, ST �3Tj BOUNt 19 r72)1 ' • I i '' I - -- .mom - ---- 19 I I I I I I I I s I 60 — (CEDAR , r� '' ST a i i 13l 45 I >. STo '' t• ♦ I 2 • "v 4 2U. 3 �.,. 4 -'�. � � �:.••,. '' GIs •:, , �•`'' :r I I AY a SPRUCE �d o0 5 g— — -- - - — I tn � in��. �LO LEAN E ''• `) o I 6 5 4 3 p95T 13 v - 1 -2 - 5-7- 8 �••� 10 12 f •• � i.•="' I 7 LAURELnLANE 17.:T GLEN- . 3 4 `.'` I e 9 10 11 55 •: '•+' 3= I I — — -- — — LANE s° ' ' 16 _ 60 8 ;r l 15 d 1 t 10 •'I 16 g I t� T6 D = 2 9 > m 21-4T H P L. S .W,� 3 5 6 _......__6 �} r-,�_2157 H_ 7 2 I ' - o s-T s . w . .21 G 6 3 14 Ji ----- i 215 TH PL. S.W. 13 12 11 I ORQ2793 DED. S-I -61 4 LLj1 i __ ZONE all -co PL 60.0' SETBACKS: ' 61 I SIDE s REAR i T IOTHER'10- J -o ► - w 2 HEIGHT_a' PL I PL 168.01I 1168.0' I I I I. I I .------------- -------- ------ ---}------. APPROVED AS NOTED BY ENGINEERING T . Date: Miv of &I&V wnt of 1-Jot ADD GUTTERSIDH WN�KS AND SPLA i ; 4v*-JlY6Pe7v 7-S Tf� , I pyVBERICOMACTOR IS RESPONSIBLE fOR o • — — — — !!. 4;' EROSION CONTROL- AND DRAINAGE '•�I/Ii Imo. , � • WstJ/w R Ar R7is RECEI Vl �'-------`='�--5=z---------- MAR 19 2002 I I PL 168.0'l I I PL 60.0' I I I I 'gad: /,, &9; 4,t� ZONE c"a-2 SETBACKS: ' 2 0 1 c3,s=x�,-r„Jc, �cc,a Fc FROVT ' SIDE REAR OTHER**- V-o ` —w 2- HEIGHT amp PL APPROVED AS NOTED 168.0' BY ENGINEERING 7- 6rw5ugr Date: 3 2'Z 02 *m of &.I&Vm wt st plpt ADD GUTTERSIDH ��KS MD SPLAS --- i., f,Lb'✓�YS P�>>v T�� I ' owNERrcoN'rRACTOR IS RESpONSISLE FOR EROSION CONTRA- AND DRAINAGE Brlstli , aw AWaW Att~ a rWt !3'6 x X o Exlstl� re»fcls Qta wt Ab" WstJnyr MAr fblo levity *Wxg avwmi RE=CEIV FILE MAR 19 2002 BUILDING DEFT. BOUNDP 73 t� 72 I I ! 2 60 19, r ( 60 — - ---- _ C5 45 S T CEDAR ,.. ' ST '� I 2 •,',; elo •� I j I- s .- I 3 . ,. 4 50 ' 115 3 4 I .. FRUC SPRUCE q < o < • 9� '. •' N I 2 I 7:..% a 14 — t• _ LEAN E °' O6 o I 6 5 4 3 h95T 13 I 2 S-�-e IO 12 �'• %� 7 LAURELnLANE _ 17' �T GLEN— . - i 3 q `• I 8 9 10 I I 155 f•i 16%�• 3 I I LANE so 9 — - e a — -- — 15 d I 10 9 16 8 � .r1 , 9 H 214TH PL. 5.Wfl 3 r. l p) 5 6 215 T H % 2 j 4 ST. S . W. 14 IF CID 6 3 215TH PL. S.W. 13 12 11 -- DED. S-1-61 20 ORQ2793 _. Lij r PLANNING DATA NAME: DATE: 18 - O z SITE ADDRESS: l0.'A--7 �; ,c �oT . PLAN CHK#: Oct- la PROJECT DESCRIPTION: C a k if-T To SDI'• REDUCED SITE PLAN PROVIDED?: e / No ' K)2�T M ^C�L-e' MAP PAGE: CORNER LOT: Yes /_Q FLAG LOT: Yes / o ZONING: PG - Co CRITICAL AREAS DETERMINATION M ok - 4' ❑ Studv Reauired: VWaiver ❑ 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) Exempt SETBACKS: Required Setbacks: Street:0-o' Left Side: SRight Side: '�� Rear:��� Actual Setbacks, Street. Left Side: Right Side: I L1 Rear: 102 St et ma c cked for additional setback required? e / No / DNA ❑ DETACHED STRUCTURES QJ,�1���►sCr R .O• �� To �3L- � f��T� ❑ ROCKERIES: ��� ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: PARKING: Required: 2 Actual: _> 2 LOT AREA: 10, O A o for BUILDING HEIGHT: Datum Poir - •D--T o �-osLo C j9-a.---c I rj Ofo Elevation: Maximum Allowed: Actual Height: A.D.U. CREATED? N / Yes) SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes 8� r_fe-o­­ � D 12-o vO cx;� Y . A kA-CX',TV71 cLlc> NewBPPlanningDataForm.DOC t Critical Areas Checklist CA File No: G14 0 I C1, Site Information (soils/topography/hydrology/vegetation) • Site Address/ Location: 10 a -7 S:p r U C e. St E A M o n 2. Property Tax Account Number: a, ba 7 o 3 - (0 0 Q Io f)A r G 21 270 3 0010 J 7 Co 3. Approximate Site Size (acres or square feet): 1 D _ a R 0 4. Is this site currently developed? X yes; no. < < 0 Z a L1 o to P- r-S7 If yes; how is site developed? 0 Yl C CAS l )a% 5. 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). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: 1) 0 ; Approx. Depth: 4iSite contains areas of seasonal standing water: h 0 ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway R n floodplain - C) of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? n c, Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) V 11. Obvious wetland is present on site: Pl O For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? Rb - 3. SCS mapped soil type(s)? V D L-6AM d - $ 7, 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5. Site within designated earth subsidence landslide hazard area? DETERMINATION RE R /� WAIVER Reviewed b . Date: Critical Areas Checklist.doc/3.19.2001 1 of EDjV o� City of Edmonds o Development Services Department Planning Division Phone: 425.771.0220 "no lggo Fax: 425.771.0221 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 the application 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). Date Received: -7h-1 1 c t City Receipt # : 1-i q !aq Critical Areas File #:cRco/ ._�-c)n93 Critical Areas Checklist Fee: $45.00 Date Mailed to ADDlicant: 7 a/ , A property owner, or his/her authorized 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. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. - • By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT Cl DATE % //5 Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. SIGNATURE OF OWNER orn_mL� 1 \ RJ41,,N DATE PLEASE PRINT CLEARLY Owner/Applicant: L, A u i? A S i' P,i7s Name 10 a`7 -Sp r U G Q, S� Street Address f-d m©nds VYA 2Man City State Zip Telephone: 1-15 -7 75 — 8 d D!" Email address (optional): Applicant. Representative: Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Check] ist.doc/3.19.2001 • Sl utc. I"r zo, ♦ f ♦ � 1 w �s 0r0 , 600 -0 Q, PLO- PLA1J )02-7 W VMMG-L I4-omi�7S cn m r— m CITY OF EDMONDS""., BLDG. DEPT.-- CONDITIONAL PERMIT WORK - a" d-ec-A ADDRESS-2 7 OWNER- S APPROVED DA!'E. I Zo - 63 BY BLDG. U1,71FICIIAL KEEP THESE STAMPED PLAN"S, C;,N J03SITE FOR ALL lN:'-,'PECTJ0NS PERMIT NO. SHEET (97300?5 17 OF JAN 14 1983 do/)E ' 4ne1asg 2X/5�7 rCn �.• mow. �i MOW A- G. E4.1 • �� of. rlash;4�f��l• e : �/S�i/� �i'-n�.�ed �- e. �►ie/os4fr Ilk ,ofeR ionak. Alan m APPLICATION for The City of Edmonds SIDE SEWER PERMIT OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ 7- OWNER .......... - �r ` -------------•---............. -- • TRACTOR ------- ` _..�• CON STREET HOUSENo - -------- ---------------------- � -----------------------------••--------- •-------•----- AVENUE LOT No. NAME ADD. ---------- 1 Date BACKFILL WORK ORDER ISSUED ..................... SEWER WORK ORDER ISSUED --------------------------- CARD No. ------.--. EASEMENT No. .......... ..----•----..%.".----•-•-------------•--•---------.....--------•------........-------- PERMIT No... ------1-- ----� ------•------------•-•-----------------•--•---------•--------..-. BLOCK No. -------------------- -------------------------- --•-----------------------•---•----------.......---------••-•---....-•--------•--•--•----••-------•-•-•-....---•-•--•--------.....-------- i DEPOSIT, $ --------------------------------------------- � / ��%G�=`'✓d//';/i DATE.--- .........................�.... y ..-// --...._.......�-.E---•--..--....:- Al Critical Areas Checklist CA File No: 6A of Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: 10 a 7 SiR r u C. e- S' Ed M C» A W A 2. Property Tax Account Number: a -Sa 7 0 3 - ) -p 17 - O 0 0 /n �A r r_ Q, .270 � 041017 OO 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? )� yes; no. t t el 0 o f h d U s .0- If yes; how is site developed? D!'9 V 5. 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). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: n 0 ; Approx. Depth: 7. Site contains areas of seasonal standing water: b 0 ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway ► t o floodplain hC_ of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? n O Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) ✓ 11. Obvious wetland is present on site: rl O 1. 2. 3. 4. 61 For City Staff Use Only Plan Check Number; if applicable? . Site is Zoned? F"s (D , SCS mapped soil type(s)? Critical Areas inventory or C.A. map indicates Critical Area on site?� Site within designated earth subsidence landslide hazard area? 140 WAIVER Critical Areas Checklist.doc/3.19.2001 E City of Edmonds Development Services Department _ Planning Division Phone: 425.771.0220 /4C. I890 Fax: 425.771.0221. 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 the application 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). Date Received: '711-t / c I City Receipt #: 1-tq�G Critical Areas File #: aont-- (Do _9� Critical Areas Checklist Fee:_ $45.00 Date Mailed to ADDlicant: 7-02! --O 1 A property owner, or his/her authorized 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. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and convect to the best of my knowledge and that I am authorized to file this application �o_nn the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT C�mon A L��J nn DATE 7 Jr Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. SIGNATURE OF OWNER (:falx t2A DATE 'PLEASE PRINT CLEARLY Owner/Applicant: L, A u i?'A S i b e;ns Name 10 a`1 -5V r U C, E �� Street Address f.d m ©n d 5 ao City State Zip Telephone: ` 9,5 715 — ? n D Email address (optional): Applicant Representative: Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Checklist.dod3.19.2001 Critical Areas Checklist CA File No. GA 0 1 Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: 10 r u c P_ V1 A 2. Property Tax Account Number: a, 5a 7 a 3 - ) �O 17 - O 0 0 /� �A l^ C 2� -4- Z70 ,3.-L5001 C 7 0C 3. Approximate Site Size (acres or square feet): 1 0 _ a R 0 s a % 4. Is this site currently developed? �_ yes; no. t 19 0 o f If yes; how is site developed? I cs V1 a s L DLa t &:4 5. 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). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: R 0 ; Approx. Depth: 7. Site contains areas of seasonal standing water: 1)0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway 1'1 0 floodplain _P�� of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Ci 0 Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: - h O For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? cj — 3. SCS mapped soil type(s)? LOAM b - 8 0 4. Critical Areas inventory or.C.A. map indicates Critieal'Area on site?, 5. Site within designated earth subsidence landslide hazard area? NQ. DETERMINATION AWFUDY RE R X WAIVER Reviewed b Date: %" ol. Critical Areas Checklist.doc/3.19.2001 U. 7 City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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). Date Received: III-, / 01 City Receipt #: I-ict',�q Critical Areas File Critical Areas Checklist Fee:_ $45.00 Date Mailed to ADDlicant: A property owner, or his/her authorized 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. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based, ;in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized tto�efiille this application Qo�n� the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT C WXrZQ SL11QX)'C1Y1,L1 DATE 7//5 Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. SIGNATURE OF OWNER a—giim -kaJ] DATE PLEASE PRINT CLEARLY Owner/Applicant: Applicant; Representative: Name . 10 a`? r Li iZ, S� Street Address ' City State Zip Telephone: tL15 -776— $�)W Email address (optional): Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/3.19.2001 PL 60.0' I I I ZONE P—� _ c0 SETBACKS: FRONT �' 1 �' ��i$� ► �r��� SIDE REAR OTHER'S HEIGHT� APPROVED AS NOTED PL BY ENGINEERING i68.0' 6r(-j2ER7— Dater q oZ. AIW of &I&Vm vt st ript ADD GU TERSIDOWNSPOUTS AND SPLASHBLOCKS ,I I OWNER/CONTRACTOR IS RESPONSIBLE FQN EROSION CONTROL AND DRAINAGE 0 AwAw Att&)w 4rwt !3's x cv'0 Wstim 1'doicif AW*!lw s d7rsay NOW f9rxv Wst,/W.AbAr '�bll UJt!»ty .kresdt Or�arad EC70V Copy MAR 19 2002 BUILDING DEPT. DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS )° flv�A MAILING ADDRESS 1 0 zo S Y' U CITY ZIP TELEPHONE Edmonds q$04 y-'25 i�r�-840 NAME ADDRESS CITY ZIP NAME 1 1 PERMIT EXPIRES USE PERMIT ZONE NUMBE JOB ADDRESS S SUITE/APT# ADDRESS , CITY , ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CtjECKED BY 1. t 1 A PROPERTY TAX ACCOUNT PARCEL NO. Z-Z 33 o 500 I D 1 7 00 ❑ NEW RBI RESIDENTIAL F❑� ❑ PLUMBING / MECH ADDITION COMMERCIAL ❑ COMPLIANCE OR CHANGE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN ❑REPAIR G ING ❑ CYDS ❑ FENCE ( X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER GARP RETAINING WALL ❑ .R CKER Y ❑ RENEWAL I(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLM: 0 NUMBER NUMBER OF CRITICAI.(r,�t//"r/!��/5c>. m OF DWELLING / AREAS °G V 1� STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE 1 I ti r- HEAT SOURCE. GLAZING % LOT SL PLAN CHEC N VESTED DATE THIS PERMIT AUTHORDMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC i DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. i j PERMIT APPUCATION: 180 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF i EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ! NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S _GWENSATION INSURANCE AND RCW 18.27. —Ie, ®mm ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 10/01 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S ES PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T RW Permit eqCPitReqApproved uked Street Use Permit Wd EXISTING — PROPOSED itlapecdo" Required Sidewalk Required REQUIRED DEDICATION Fr IV"da`Womd WIMP requited METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES O NO REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE *LSP077atJS RML)jfEDAERastoN &)FIrJAi C7 z uQl z z ENGINEERING REVIEWED/DATE FIRE REVIEWED BY DATE to VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND -► a — C� �, REO'D [3 YES [3 NO POSTED I SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXE PT ALLOWED PROPOSED ALLOWED PROPOSED :XP LOT COVERAGE REQUIRED SETBACKS (FL) PROPOSED SETBACKS (FT) ALLO,�WEEmD/ PROPOSED .,FROIff SIDE REAR FRQ UR *Ipt REAR PARKING LOT AREA PLAtiNING REVIEWED BY DATE IL REO'D PROVIDED 2 10, C80 �/ 11 o REMA ^ O l— 9 2 P1,".0er W F-T. T131a E 20t"Maot-L.9-yi7 CHECKED BY TYPE OF CONSTRUCTIO OCCUPANT t�-- GROUP SPECIAL INSPECTOR AREA OCCUPANT REQUIRED ❑ YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 9 s m VALUATIQN $ i Description FEE Description FEE Plan Check Building Plumbing Mechanical Grading Recording Fee Engr. Review z=A"— City Surcharge Engr. Inspection / �� ^ State Surcharge S� Traffic Mitigation Plan Chk Deposit w Fire Review Receipt # Fire Inspection Total Amount Due Landscape Insp. Receipt # APPLICATION APPROVAL CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. OF IALS SIGNATURE DATE (425)Alt Kom ay 7 e%1-0220 RELEASED 13 dATEf EXT 1333 bhV 771-0221 ORIGINAL - FILE • YELLOW- INSPECTO FAX PINK - OWNER • GOLD - ASSESSOR