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1028 7TH AVE S (2).PDF11111111 lill 6932 1028 7TH AVE S --. 1 01 City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: /h CITY RECEIPT #: 710 - - Critical Areas File #: Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT: 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/or 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. I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate colurnn below). I Owner/Applicant: Name io2,k -r- Street Address L'JA qewo city State Zip Telephone: Signature Date: Applicant Representative: Name Street Address city State Zip Telephone: Signature Date: G:\Share\Library\Planning\Forrhs\Public Handouts\ Critical Areas Checklist Doc/ I - 16-2001 Critical Areas Checklist CA File No: _1001 -Z(,, Ate Information (soils/ topography/ hydrology/vegetation) 1. 2. 3. 4. Site Address/ Location: Property Tax Account N Approximate Site Size.(acres or square feet): %.), k tt Is this site currently developed? jZy-e-s; — no. If yes; how is site developed? S: (1'4&LE PAt--�t i-Y 440_,,�F 5. Describe the general site topography. Check all that apply. L--� 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): % Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: No Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain — of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested — ; meadow ;shrubs mixed urban landscaped (lawnshrubs etc) 11. Obvious wetland is present on site: No G:\Share\Library\Planning\Forins\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 it 6164 at 6t 61616164 if 6104 It 64 Il 64 If to ;l if b 0 4 3 did 61 Of i 1 4 1 6,� I'l 6 1 I'd 0�., E I 1 6 f I f, f 5 b t" 6 4 1 1 61 li � I O'l 4 4 1 1 A 4 s I( 'o If 4 .1 "1 q if of :4 1 If 614 +1 0 & 1 4 y tog 411 1 4 9 4 6 4 Ig 1 6 1 � I C. li 6, 1.6 0 d,4 i '6'401 34--�� 5A 4 kn .F 'I 4,f -of F �i I 6 f, 4 I'd 4 Sold 414 4 4"y'l 1 too Ci 1 4 q 9 4 1 4 N 11 6' 1, No, 4*0 C"'To 4 1 0 4 4 1 1 1 e" v"'s I f 4 4 4 t 4 4-y'l 1"4 618-00V 46 1 6 6 6 64 �A , t 01#14 (IY 4 1 If 6.6. 4 It It 14 11 It _Z3 , *,ZA - Ft, (ji F I A CITY OF EDMONDS 10""NEW 1-1 ADDITION El RETIREMENT FILE ASSET INFORMATION SHEET ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. V ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 9-- 'DEPR EC IATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE ktnp INITIAL DATE e4,� VERIFIED BY PROCESSED BATCH NO. City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: CITY RECEIPT #: I-M7102 Critical Areas File #: Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT: 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/or 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. I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Name (02,k -�-' Aux-- . ,trd Street Address S bJA gfw-o- City State Zip Telephone: t✓��� 777 Signature Date: 3 - Applicant Representative: Name Street Address City State Zip Telephone: Signature Date: G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account N 3. Approximate Site Size (acres or square feet): v k c 3%- t-t;- . 4. Is this site currently developed? L.-fes; no. If yes; how is site developed? SIK&-L E PAr..,t t-Y t4ct,, r 5. Describe the general site topography. Check all that apply. ✓ Flat: less than 5-feet elevation change over entire site. CA File No: 1001 `Z(,:�' 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: ap ; Approx. Depth: 7. Site contains areas of seasonal standing water: Ho ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. & 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? 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: Nov G:\Share\Library\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 a S ve Na a of Applicant or Business: Mai lv,n4 Address: .71 Cee # 97-2_0 ICATION Date Recei ved Date Issued Permit No. 0I-2- e 9.9 Telephone No: %�>6 '-,2,qYS Addre of Public Use: / $ 7` A,,e- Scurll ******************************************************************** 1. DESCRIBE THE PUBLIC PLACE 0 PORTION OF PUBLIC PLACE TO U UTILIZED: I�'e5�- o A vess. Se e o - D ALLEY Attach an appropriate pot plan or elevation view. 2. SPECIFY THE TYPE OF USE DESIRED: 0n idd fie- Ia A. Ile u , hd fr-t 6 rays d ;1 a, 3. SPECIFY LENGTH OF TIME FOR USE The issuance of this permit is understood by he app icant to be of a temporary nature and that no vested right is granted. INDEMNITY: The applicant understands and by his signature tothis application, agrees to hold the City of Edmonds harmless fx°r ny injuries, damages or claims of any kind or descripti er, foreseen or unforeseen, that may be made agains �pp scant or the City of Edmonds, or any of its departments �Ifes, including but not limited to the defense or any legal pro ngs including defense costs, court costs, and attorney fees by reason of granting this permit.' In addition the applicant understands that the City shall be provided a certificate of insurance to indemnity and hold harmless the City of Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18 of the Edmonds Community Development Code, and s/he understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter. Page 6 of 8 1/89 0 CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering April 20, 1990 Bruce Ballard 1028 7th Avenue South Edmonds, Washington 98020 RE: Street Use Permit #88-2 Fence Street Use Permit #89-2 Fence LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR Thank you for your inquiry regarding your street use permits. Since both permits are approved for fencing in the alley, it is logical to combine the permits and charge only one yearly renewal fee. . In the future, please reference permit #89-2 as your street use permit. For your information, the billing period has been changed from the November 15th billing date to the calendar year. The next billing will be January 2, 1991, with the renewal fee due within 15 working days. Also, renewal fees will probably be increased to $25.00. If I can be of further service please feel free to call me at 771-3202. Thank you, rkft�f /C/ Jeannine L. Graf Permit Coordinator • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: I C Public Works • Planning • Parks and Recreation Engineering 8g0-19 April 20, 1990 Bruce Ballard 1028 7th Avenue South Edmonds, Washington 98020 RE: Street Use Permit #88-2 Fence Street Use Permit #89-2 Fence LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR Thank you for your inquiry regarding your street use permits. Since both permits are approved for fencing in the alley, it is logical to combine the permits and charge only one yearly renewal fee. . In the future, please reference permit #89-2 as your street use.permit. For your information, the billing period has been changed from the November 15th billing date to the calendar year. The next billing will be January 2, 1991, with the renewal fee due within 15 working days. Also, renewal fees will probably be increased to $25.00. If I can be of further service please feel free to call me at 771-3202. Thank you, r4p� `/(/ Jeannine L. Graf Permit Coordinator • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • Street Use Permit Application Page Two SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS When applicable; if the street use proposal is for utilization of City right-of-way that may directly impact any adjacent business or private property owners, the applicant shall obtain written approval from the neighbors. (This requirement will be evaluated by the City after initial submittal of the permit has been made by the applicant.) SIGNATURE PRINTED NAME ADDRESS DATE ********************************************************************** DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY City Council Approval Date A/14 - ADB Approval Date 4111f. Certificate Of Insurance Posted y&5 Bond Required /Yfl • SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE Fire Department —Date Date Police Department l Date .27 ,� Engineering Dept Date Building Official / ✓l/9 Date Public Works 9.¢6 'e V,;*" Date 2-- -1y— Fry REMARKS/COMMENTS: Fxww4i set-- .44-dg4W //.wee lco -' A!Fsr of e9sr dire 00C gcI-fy YU6Rr OF WAY 7hl15 01W4441r ISSW,O gyp. /#fZy: USE OF �uUZy X 16Hr- DA kMy PERMIT NO. 89 Z DATE OF ISSUANCE�� RELEASED BY TI,6 RECEIPT NO. /032/B BUILDING PERMIT NO. 2857- • Page 7 of 8 1/89 Ak('r\ to,,-q A Sure ��C�vE�T �D �4�ICIc.0 P_k157 �t� TL'ItGC Ok f�'i -)/�, A It r✓��y�_- p-L ,Or"ti�C'.l^y-V7� �Xi''P_4tJ• % � le o"l` ts� �� �0 Q•�'lS�rat�C e��ce_ j l2 �(ey �y R60 t !_ • �\-� Ex15��tiJt ncP 1-3 F �1 I ^aJ �p 5 fi "I 1o3o 24, r- i Ave- �d 6 5- i r l tI� iL ✓V .i �i l�('T J 1 S`t ✓'2Q "t" US � �� ✓' � r -t-- ��C G��s' �'v � Q�%v,�-ft �/` t/l A l 6e Jo h (s �°lMJ • MEET LISP #e Z 8 S0287 CITY OF EDMONDS DATE RECEIVED .'AJW ZS /W COMMUNITY SERVICES DEPARTMENT 250 5th Ave N DATE ISSUED 771-3202 PERMIT NO. APPLICATION FOR STREET USE PERMIT Name of Applicant: Bruc,-e- b Qa ffa d`d Mailing Address: Telephone Number: Date: Description of Public Place or Portion thereof desired to be used: (exhibit may be attached) S e o a -tt-a ch e, cd E vcA', L -f Type of Use desired to be made of Public Place: Fe.v��e �Dlacc� _ f acylil O h A /`DUAU If applicable, attach plans and specifications for any utility or structure to be erected and/or maintained on the Public Place: 1J1y59t,4Ld /0,*TPI44/ . TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe or shall not be constructed, maintained or used in accordance with the provisions of this title, the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this application is for a specified period of time, the terms of said application is: aLNe e >� / &Wd A//cosAC o r�i✓c� lean ova/ �►f 64& ee—'? � INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its department or employees, including but not limited to the defense or any legal proceedings including defence costs, court costs, and attorney fees by reason of granting this permit. In addition, applicant understands that the City shall be provided a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damage, naming the City of Edmonds as an also insured. APPLICATION OF CHAPTER 18.70 OF THE COMMUNITY DEVELOPMENT CODE: Applicant warrants that he has read, or had the opportunity to read, Chapter 18.70 of the Community Development Code, attached herewith, and understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter of the Edmonds City Code. App is s Signature Date 'Caty•df Edmonds, Community Services Department APPLICATION FOR STREET USE PERMIT - - Page 2 Approval (and Agreement, if applicable) of Abutting Property Owners: SIGNATURE PRINTED NAME ADDRESS DATE DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (if appl.icable)(Attach Minute Entry): ADB Approval (if applicable)(Attach Minute Entry): Building Official Approval (if applicable): ignatur Date Provision for Indemnity: (�R,Tnlofzi�- OF-TV<*PfW4-,'` �% �P t %TYSu,�q✓le� 144-d jl,? f8g Terms and Provision of Performance Bond, if applicable: PERMIT AUTHORIZATION BY: Sig ture Date PERMIT NO. Date Issued: 3 8/u Permit Fee: &2s00 RELEASED By RECEIPT N0. d'ZZS BUILDING PERMIT # SSOIZ-7 Remarks/Comments: FIRE DEPARTMENT APPROVAL Ay DATE POLICE DEPARTMENT APPROVAL /;//h DATE ENGINEERING DEPARTMENT APPROVAL �ie/ DATEIV �Q a a/e 21Vg fr o Xr ,0--r �0 U Re �esr �'o �la�e ex�sf�vi��� 0k Po"^t�i r act O� �`��r�Ji eXrte��G l � �e ert (v��`D ij llec�l A*.V QcJacevi!- v • CITY OF EDMONDS 250 5th AVE. N. • EDMONDS. WASHINGTON 98020 • (206) 771.3202 COMMUNITY SERVICES February 3, 1988 Mr. Bruce Ballard 1028 Seventh Avenue South Edmonds, Washington 98020 RE: Street Use Permit Application Fence City Right of Way in Alley LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR A cursory review of your permit application for the installation of a fence in the alley way behind your home has revealed a specific concern. At this time there is a four lot subdivision on file with the City on property located to the southwest of your lot. The City believes that once this area is under construction part of the alley way may be subject to construction activity. To grant your request to fence in the alley way at this time may be premature if the fence has the potential to be damaged by building activity. Although others in your neighborhood have applied and been granted permits for essentially the same request,the City feels that it would be in the best interest to wait until the adjacent lot of this subdivision is developed before processing your permit request. If you have any comments or requests please submit them in writing so that they may be incorporated into your file. Thank you, Jeannine L. Graf Permit Coordinator PUBLIC WORKS 0 PLANNING 4 PARKS AND RECREATION • ENGINEERING BUILDING FEB - 31988 MEMORANDUM February 2, 1988 TO: Jeannine Graf Permit Coordinator FROM: Bobby Mills 41* " Public Works Superintendent SUBJECT: STREET USE PERMIT - 1028 - 7th AVENUE SOUTH After my field inspection, I feel it is inappropriate to issue this request at this time. A new building is in the process and may request the use of the alley. Once the building and new owner is in, I would reconsider. A request to vacate this alley would be appropriate. Remember we had a conflict just north of this address because of tree planting. Any questions, please call me. - BM/ 1 k Pto+- Pra n Tor 5 -r---e-7f Use PQrm fl- '• r�eIV�sf 7--o Bar'(4 �rce rh AIley u/.M or ay.� exfar.-A q Sovt-h verovh, e,o4(sfr�� � � �rrt Fin c � �ro v►ti IVQ�/i 6®rim `�' - d I � �-- (o + /� �Xcs-hi Fe„ce P Ig 3 � v cI,15 a I EX s VZ) O Nod sew _f ="-��..rw..r.��r 1 '"%-Ndwi O 8 9 0- 19 CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering April 10, 1990 Bruce Ballard 1028 7th Avenue South Edmonds, Washington 98020 RE: Street Use Permit #88-2 Fence LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR According to City of Edmonds building division records, you have been repeatedly notified that the renewal fee for your street use permit is due. • Chapter 18.70 of the Edmonds Community Development Code requires that renewal fees be paid in a timely manner to the City and failure to remit fees can be a reason for the City to revoke and remove the fence at your expense. Please remit the renewal fee of $10 within 15 days of the date of this letter. Failure to do so will force the building division to turn the matter over to the Code Enforcement Officer for possible legal action. eannine L. Graf Permit Coordinator �q��v • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan CITY OF EDMONDS LARRY S. NAUGHTEN • _ 250 • 5TH AVE N. • EDMONDS. WA 98020 • (206) 771.3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DIRECTOR January 12, 1989 Bruce Ballard 1028 7th Avenue S. Edmonds, WA 98020 Re: Street Use Permit #88-2 Yearly Renewal Fee and Insurance Certificate You were notified by letter, dated November 15, 1989 that yearly renewal fees were due for Street Use permits. As of the above date, we still have not received your $10 renewal fee and a current Certificate • of Insurance in order to keep your Street Use permit active. Please remit the fee and appropriate insurance papers by 2/1/90 or we will consider your permit inactive and take necessary action through the Code Enforcement Officer to cease and desist all current use of City right-of-way. If you have any questions, you can contact me at 771-3202, extension 257. Thank you, • Jeannine Graf Permit Coordinator JLG/sfn PLSPAYST/TXTJLG52 • Incorporated August 11. 1890 • Sister Cities International — Hekinan. Japan • • .�.. 8g0_lg November 15, 1989 CITY OF EDMONDS 250 • 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering Bruce Ballard 1028 7th Avenue S. Edmonds, WA 98020 RE: Street Use Permit #88-2 Yearly Renewal Fee LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR According to building division records, yearly street use permit fees are again due. This payment is for 1989, the renewal fee is $10.00, please make your check payable to the City of Edmonds, Building Division, 250 Fifth Avenue North, Edmonds, Washington, 98020. Please enclose a current certificate of insurance with your payment. If you have any questions please feel free to call me at 771-3202. Thank you, Jeannine L. Graf Permit Coordinator STREEUSE/TXTJLG52 0 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • A + x Y 1�9p-19�o January 18, 1991 CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering Bruce Ballard 1028 7th Ave. S. Edmonds, WA 98020 RE: Street Use Permit 89-2 LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR According to Building Division records, Street Use Permit renewal fees are due. As you were notified on the November 1989 billing, street use renewal fees are now collected in January for the current year. No fee was collected for 1990, therefore, total fees now due are $20.00 - $10 for 1990 and $10 for 1991. Please remit fees within 15 days date of this letter. If you no longer utilize the portion of City right-of-way under the subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times, you may want to check expiration dates with your insurance carrier. If there are any questions contact the building division at 771-3202. Thank you, Jeannine L. Graf Permit Coordinator fed 1349-2-- • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • • CITY OF EDMONDS 250 - STH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering March 19, 1992 Bruce Ballard 1028 7th Ave S. Edmonds, WA 98020 Re: Street Use Annual Fee LAURA M. HALL MAYOR PETER E. HAHN DIRECTOR According to our records, we have not received the $10 annual renewal fee for your Street Use Permit as requested in our letter of 1/15/92. If you no longer utilize a portion of the City right-of-way please notify the Building Department in order that we may cancel your permit. If we have not received payment by April 3, 1992, the Building Department will take that as notification that you no longer require the Street Use Permit and will cancel your permit and schedule an inspection to determine that the City right-of-way is no longer being used. If your permit is cancelled and you are still utilizing the right-of-way it will require a new permit application, with a $25 fee. Also, a current Certificate of Insurance is required to be on file with the City at all times. If you have any questions you may call me at 771-0220. Thank you, Sharon Nolan Permit Coordinator cc: Building Official • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan CITY OF EDMONDS LARRY S. NAUGHTEN •¢ 250 - STH AVE. N. EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN l o Public Works • Planning • Parks and Recreation • Engineering DIRECTOR 8g0 19C) January 15, 1992 Bruce Ballard 1028 7th Ave. S. Edmonds, WA 98020 RE: Street Use Permit 89-2 According to Building Division records, Street Use Permit renewal fees are due. Street use renewal fees are collected in January for the current year and are currently set at $10. Please remit fees within 15 days date of this letter. If you no longer utilize the portion of City right-of-way under the • subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times. Please check expiration dates with your insurance carrier and include a current copy of your Certificate of Insurance with your payment. The City Council will be reviewing Building Department fee increases during the next few months and it is possible that Street Use fees, both original and renewal fees, will be increased for next year and reflected in the billings for 1993. Ll If there are any questions contact the building division at 771-3202. Thank you, Sharon F. Nolan Permit Coordinator STREETLT/TXTDOS62 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan ' CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT 1 ter/' p Public Works . Planning . Parks and Recreation . Engineering 890 19C) December 28, 1992 Bruce Ballard 1028 7th Ave. S. Edmonds, WA 98020 RE: Street Use Permit 89-2 LAURA M. HALL MAYOR According to Building Division records, Street Use Permit renewal fees are due. Street use renewal fees are collected in January for the current year and are currently set at $10. Please remit fees within 15 days of the date of this letter. If you no longer utilize the portion of City right-of-way under the subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times. Please check expiration dates with your insurance carrier and include a current copy of your Certificate of Insurance with your payment. The City Council will be reviewing Building Department fee increases during the next few months and it is possible that Street Use fees, both original and renewal fees, will be increased for next year and reflected in the billings for 1994. If there are any questions contact the building division at 771-0202. Thank you, (/' 116 � � Sharon F. Nolan Permit Coordinator STREETLT/TXTDOS62 vl Ov • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • • �St. 1890 CITY OF EDMONDS 250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering May 19, 1997 Bruce D Ballard 1028 7th Ave. S Edmonds, WA 98026 Re: Street Use Renewal Fee Permit #89-2 BARBARA FAHEY MAYOR As required by City Ordinance #2972, Street Use permit renewal fees are now collected every three years instead of yearly. The first effective billing date was l/1/96 however, due to staff shortages, the City was unable to send out this billing for the period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 to the City of Edmonds, c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds, Washington 98020 within 15 days date of this letter. If this permit is no longer applicable i.e., you no longer utilize that portion of the City right-of-way granted under the street use permit; please notify the Building Division in writing so that we may cancel the permit. As permit holder it is your responsibility to inspect the permitted use for safety hazards on a yearly basis. Note, with the payment please include a current Certificate of Insurance since the insurance policy on file with the City has expired on 10/01/96. If you have any questions please feel free to call me at 771-0220. Thank you, Vivienne Myers Permit Specialist • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan i • • rnc.189v CITY OF EDMONDS 250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering June 25, 1997 Bruce D Ballard 1028 7th Avenue South Edmonds, WA 98020 Re: Street Use Renewal #89-2 BARBARA FAHEY MAYOR This is a follow up letter regarding your Street Use permit. Renewal fees are now collected every three years instead of yearly. The first effective billing date was 1/1/96 however, due to staff shortages, the City was unable to send out this billing for the period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds, Washington 98020 within 15 days date of this letter. If this permit is no longer applicable i.e., you no longer utilize that portion of the City right-of-way granted under the street use permit; please notify the Building Division in writing so that we may cancel the permit. As permit holder it is your responsibility to inspect the permitted use for safety hazards on a yearly basis. Note, with the payment please include a current Certificate of Insurance since the insurance policy on file with the City has expired on 10/01/96. If you have any questions please feel free to call me at 771-0220. Thank you, - x 1 / � Vivienne Myers �� Permit Specialist 0 Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan -USP Deluxe 'Renewal Coverage Summary CNA For All the Commitments You Make` 40 INSURANCE PROVIDED BY CONTINENTAL CASUALTY CO 40 • CITY OF EDMONDS 250 5TH AVE N EDMONDS WA 98020 POLICY NUMBER: US 200348992 POLICY PERIOD: 10/01/95 TO DESCRIPTION OF VEHICLES 1. 89 PLY VOYAGER 2. 92 MERC SABLE RESIDENCE DESCRIPTION 1. 1028-7TH AVE S COVERAGE MOTOR VEHICLE LIABILITY P.O. Box 16020 Reading, Pa. 19612-6020 NAMED INSURED: BRUCE D BALLARD & P M KETTNER 1028-7TH AVE S EDMONDS WA 98020 AGENT: MUMMA ASSOC./GENERAL INS STORE 11811 NE 1ST STE 307 BELLEVUE WA 98004 PHONE: 206-451-8447 050-061685-0000 10/01/96 12:01 AM STANDARD TIME VIN/SERIAL NUMBER 2P4FH25KXKR29591 1MECM55U5NGG06384 EDMONDS WA PERSONAL LIABILITY VEHICLE(S 1, 2 UNDERINSURaD MOTORISTS - BODILY INJURY VEHICLES) 1, 2 INCLUDES $ 50,000 PROPERTY DAMAGE PERSONAL INJURY PROTECTION OPTION I APPLIES VEHICLE(S) 1, 2 MOTOR VEHICLE OPTIONAL COVERAGES COMPREHENSIVE COVERAGE - VEHICLE(S) 1, 2 DEDUCTIBLE $ 100 EXTENDED TRANSPORTATION COVERAGE RENTAL REIMBURSEMENT - VEHICLE(Sa 1, 2 AUTOMOBIL TRIP INTERRUPTION COVERAGE - VEHICLE(S) 1, 2 TOWING - VEHICLE(S) 1, 2 COLLISION COVERAGE - VEHICLE(S)1, 2 DEDUCTIBLE $ 250 HOME LIABILITY RESIDENCE(S) 1 PERSONAL LIABILITY MEDICAL EXPENSE USP DEC 008771286 DRIVER EFFECTIVE NUMBER DATE 01 10/01/95 02 10/01/95 EFFECTIVE DATE 98020 10/01/95 LIMIT LIMIT $ 500,000 $ 500,000 PER ENDORSEMENT LIMIT $ 30 PER DAY $ 900 MAXIMUM $ 100 PER DAY $ 500 MAXIMUM $ 50 LIMIT $ 500,000 $ 5,000 Chairman of the Board Secreta� G88205-A (Ed. 7/83) AI 1214 PAGE 01 OF 03 USP Deluxe Renewal Coverage Summary CNA . For All the Commitments You Make`, INSURANCE PROVIDED BY CONTINENTAL CASUALTY CO POLICY NUMBER: US 200348992 CONTINUED FROM PREVIOUS PAGE: HOME PROPERTY COVERAGE RESIDENCE 1 THE LIMIT SHOWN REPRESENTS 200% OF THE RESIDENCE VALUE OF: $ 210,000 THE LIMIT SHOWN IS THE TOTAL AMOUNT OF INSURANCE ON YOUR RESIDENCE, TANGIBLE PERSONAL PROPERTY AND OTHER STRUCTURES FOR YOUR PRIMARY RESIDENCE NAMED INSURED: BRUCE D BALLARD & P M KETTNER LIMIT $ 420,000 THE COVERAGES AND LIMITS SHOWN HERE ARE SUBJECT TO THE RESTRICTIONS. CONDITIONS. AND EXCLUSIONS OF THE POLICY AND ITS ENDORSEMENTS. PLEASE READ THIS ENTIRE PACKAGE CAREFULLY AND CONTACT YOUR INDEPENDENT CNA AGENT IF YOU HAVE ANY QUESTIONS. SUBJECT TO THE FOLLOWING FORMS AND ENDORSEMENTS: *G-15335-C P-94 -93)),*G-18534-A ((09-93)),*G-18536-A (09-93) , *G-18538-A -93),*G-18540-A (09-93),*G-22590-A (11-94), *G-22591-A ,*G-22592-A 11-94 ,*G-22594-A 11-94 DEDUCTIBLE $ 250 PLEASE READ THE ATTACHED IMPORTANT NOTICES CONCERNING YOUR POLICY: *G-15038-A 09-89 AUTO INSURANCE CARD *G-16353-A R-90� IMPORTANT INFORMATION FOR OUR WASHINGTON UNIVERSAL SECURITY POLICYHOLDERS #G-18541-A (01-93) KEEPING YOU FIRST - YOUR NEW PERSONAL INSURANCE PROGRAM *9-23210-D (09-93) RENTAL CAR COVERAGE NOTICE THE FORMS MARKED WITH tt*tt OR 11#1' REFLECT REVISED OR NEW FORMS INCLUDED WITH THIS COVERAGE SUMMARY YOUR UNIVERSAL SECURITY POLICY HAS BEEN GIVEN: APPLICABLE TO YOUR ENTIRE POLICY: A 5-YEAR LOSS AND ACCIDENT FREE DISCOUNT APPLICABLE TO MOTOR VEHICLES: A PACKAGE DISCOUNT APPLIES A MULTIPLE CAR DISCOUNT - MOTOR VEHICLE 1, 2 A LOSS FREE DISCOUNT - MOTOR VEHICLE 1, 2 A PASSIVE RESTRAINT DISCOUNT - MOTOR VEHICLE 2 APPLICABLE TO HOME: A PACKAGE DISCOUNT APPLIES USP DEC 008771286 IF] 0 ri AI 1214 G88205-A (Ed. 7/83) PAGE 02 OF 03 USP Deluxe ` Renewal Coverage Summary INSURANCE PROVIDED BY CONTINENTAL CASUALTY CO 1 • CNA For All the Commitments You Make' POLICY NUMBER: / NAMED INSURED: US 200348992 0 f BRUCE D BALLARD & P M KETTNER CONTINUED FROM PREVIOUS PAGE: YOUR UNIVERSAL SECURITY POLICY HAS BEEN GIVEN: APPLICABLE TO HOME: J4N A NEW HOME DISCOUNT RESIDENCE 1 A PROTECTIVE DEVICE DISCOUNT - RESIDENCE 1 A RENEWAL DISCOUNT - RESIDENCE 1 CLASS VEH. TERR. SYM SEX M/S R/L CODE 1. 22 07 M M P 814320 2. 22 05 F M P 814320 DRIVERS 1. BRUCE D BALLARD 2. PATRICE M KETTNER RESIDENCE LEGAL NAME 1. BRUCE D BALLARD & PATRICE M KETTNER RESIDENCE TERR FIRE DEPT MILES PC FT/HYD CONST YR 1. 22 EDMONDS 1 04 100 FRAME 87 INTERESTED PARTIES VEHICLE 2 U S BANK LIENHOLDER INS SVC CENTER PO BOX 580802 SEATTLE WA 98138 RESIDENCE 1 CITY OF EDMONDS ADDITIONAL INSURED 250 5TH AVE N EDMONDS WA 98020 CNA'S PERSONAL INSURANCE . CONTINUING OUR COMMITMENT TO GIVE YOU THE MOST COMPREHENSIVE COVERAGE AT THE BEST POSSIBLE PRICE. FOR ALL YOUR INSURANCE NEEDS, CONTACT YOUR INDEPENDENT CNA AGENT. USP DEC 008771286 AI 1214 G88205-A (Ed. 7/83) PAGE 03 OF 03 ,r CITY of EOM ONDS _�Y ,��, For Inspection Call 771-3202 X ,q� R PERMIT 4: �PLVNO. 07611 Address of Construction: '' I U 7_ `._. EDMONDS TREATMENT PLANT Property Legal Description (Include all easements): Owner and/or Builder: AA 1J Contractor & License No: �,✓�1 I t'1. `,• Single Family Residence DEC 0 31986 Multi -Family (No. of Units ) .PUBLIC .WpR�. Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No r' Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: Now Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I have read and shall comply with the items listed on the back. Permit Fee: 0 06..% Trunk Charge: O(� Assessment Fee: Partial Inspection: Issued By: Date Issued: Receipt No.: Comments Final Inspection Approved: ���j IT IV Date Init' 1 Rejected: Reason ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Date Date Initial Date Initial Buff Copy - Applicant pf W Side Sewer Drawing The City Of Edmonds EASEMENT NO_ ________________________ -------------- NEW CONSTRUCTION REPAIRS ? � ❑ LID NO. 74__-_:.... ASMT. NO_ __________________ OWNER_AMER.IC-AN-..... 71B-4-4-menaf........... CONTRACTOR---Q.W—NjgR-------------------------------------------------------------- PERMIT NO. _rT_-G1_►..... J09 ADDRESS ........ '7 T:H-____A11c ___-S7-_,............... LEGAL DESCRIPTION: LOT NO.-__-__-___--V- 5.3 BLOCK NO. _ --------- €a+noNaS--.. TREATMENT PLANT ------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ------ ---------------------------------------------------------------------------------------------------------------- 2 4"co.wy� � 4..,� all A 'L .0 fd'T T. • �--""�� 10"GONG. MA►�t 5.5'DP. d V' % 10" SADDLE COw1N . OWW-0001-11/75 (REV.11/78) Approved: DATE;61-. .. .I98�- By �a '--- --- --------------------- _ f .. 1 1 .. ' 1 1 890-194 STREET FILE CITY OF EDMONDS LARRYS. NAUGHTEN 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DIRECTOR April 20, 1990 Bruce Ballard 1028 7th Avenue South Edmonds, Washington 98020 RE: Street Use Permit #88-2 Fence Street Use Permit #89-2 Fence Thank you for your inquiry regarding your street use permits. Since both permits are approved for fencing in the alley, it is logical to combine the permits and charge only one yearly renewal fee. . In the future, please reference permit #89-2 as your street use permit. For your information, the billing period has been changed from the November 15th billing date to the calendar year. The next billing will be January 2, 1991, with the renewal fee due within 15 working days. Also, renewal fees will probably be increased to $25.00. If I can be of further service please feel free to call me at 771-3202. Thank you, Jeannine L. Graf Permit Coordinator • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan STREET FILE M E M O R A N D U M February 2, 1988 TO: Jeannine Graf Permit Coordinator FROM: Bobby Mills Public Works Superintendent SUBJECT: STREET USE PERMIT - 1028 7th AVENUE SOUTH After my field inspection, I feel it is inappropriate to issue this request at this time. A new building is in the process and may request the use of the alley. Once the building and new owner is in, I would reconsider. A request to vacate this alley would be appropriate. Remember we had a conflict just north of this address because of tree planting. Any questions, please call me. BM/lk t� +► r'p� �' F C! � OF E Mo�cn CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 o PHONE: (425) 771-0220 - FAX: (425) 771-0221 �c. 189 STATUS: APPROVED ENG20130152 Permit Number: ENG20130152 Address of Public Use/Encroachment: 1028 7TH AVE S. EDMONDS 1028 7TH AVE S EDMONDS, WA 9802040IS fence encroaching into unimproved alley (originally permitted in 1989) STREET USE. Placement of any temporary or movable objects in any portion ofpublic space or City right-of-way shall meet all code requirements as set forth in the following chapters of the Edmonds Community Development Code. ENCROACHMENT. Permanent structures encroaching upon any portion of public space, City right-of-way or easement area shall meet all Code Requirements as set forth in the following chapter of the Edmonds Community Development Code. CODE APPLICATION.- Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms of the adopted ordinance are incorporated herein as if set forth in full and this permit therefore is subject to the terms of those chapters. FOR THE TERM IN WHICH THIS PUBLIC USEIENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPL Y WITH THE PERMIT CONDITIONS SET FORTH BY THIS PERMIT. NOTE. The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21st day of January. INDEMNITY. The Applicant understands and agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court cost, and attorney fees by reason of granting this permit. In addition, the applicant understands that he/she shall provide and continually maintain during the term of the permit a certtfficate of insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. �7 Printed: Friday. April 12.2013 RELEASED BY DATE FILE COPY INSPECTOR COPY APPLICANT COPY STATUS: APPROVED ENG20130152 • The proposal will not adversely impact public space open to vehicular or pedestrian travel. • Architectural Design Board Approval has been granted or the process has been administratively approved. • The proposal will not unreasonably interfere with the rights of the public. • The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city street) or is an accessory structure such as fence normally associated with residential use of the property as fully complies with the requirements of criteria above. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance provision. INSPECTIONS • None PRW=,T REVIEW CHECKLIST P P NAME :1f LCeir✓//'iL.l�C� PRCa7E7CT ADDRESS. /�G"�"7/2"i1/LLe i �i aPPr.TrA1ra �rc�RHrF r r ru► �' / • �f ? j . �. oo .� ,. � 2 1 UT — Reviewed by: (initial date COMENTS PLANNING igmisWR I STREET I ENGNRNG FIRE BUILDING SINGLE FAMILY/MULTIPLE/CC CIAL - (Circle One) SETBACKS CHECKED - Planning / 1 111/ / 71/ vARiANCE/SETBACX ADJ. ///////// //////// ////////// 1 / I I r ///// / /// / 7TTT1177TI CONDITIONAL USE PERV= ////// ///////// //////// ////////// 2 _ 1// /// / / / ,/1//// ADB REQUIRFME271"S CHECKED ////// ///////// //I//l// /////1//// 3 / I // / 1 / OTHER ZCNING REQUIREMENTS 4 /11//!/I ///r1//1 Z// ENVIRONMEWAL FEATURES 5 ACCESS SLOPE & VEHICLE ACCESS C% ////1//// T11111/// 1//////// //////// 77'7 _ 6 DRAINAGE PLAN (On Site) ,'.�i2�•;�/ J ,1�p�/L^�-' ////// _ // // // ! STREET FILE � /////l /////rl// ///////// I/////J/ 8 � "4 LEGAL DESCRIPTION UF,RIFICATION %1 ////// //////J// /////// //////// 9 / QUIT CIATM/DEDICATIONS ,• G�" ✓l//// ///////// ///////// ///r//// 10 RIT1777717TI11T EASEMENT' -- PUBLIC/PRIVATE; ///////// ///////// //////// 11 OATiC[iLATF: SEWER CONNECTIOIJ IF NO LID# - ////// //1/1//// ////r//// I///J/Ir 12 11171111177777777 i PLAT/SUBDIVISION REQUIREMENTS — 13 // j RIGHT--OF-WAY CONSTRUCTIM PERMIT REQD ////// ///////// ///////// 14 BOND RECD FOR PUBLIC IMPROVEMENTS Jtl//I i 15 SOILS C GNDITIONS & GROUND _ � 7777717 of WATER FIELD CHECKED ////// ///////// ///////// ///,//`/ 16 _ /// // / / STREET' PAVING REQUIRED ////// ///////// ///////// 17 11 17// / / , — /7777777 CM1B MM GUTTER REQUIRED ////// /////11// 1/1/////d r"` JrJJJJJJ/J 18 SIDEKT" REMUIRETD ////// ///////// ///////// /� 19 //1/ J !i/% / CURB CUT FOR DMOMY REQD ////!/ ///////// /f/////// /////////I 20 ///////// STREET NAME SIGN REQD ///////// ✓/ 21 /1 -777-777777 OITIER SIGNING READ ////// ///////// //////l/I ////////// 22 /1/ TTT SIDE SEWER AVAILABILITY ////// ///////// ///////// //////// 23 ;EXISTING WATER 14ATN SIZE ////// ///////// Z . //////// 1/ 24 1 //I1 ,, ///// 17TFIT177 WATER METER SIZE 25 //�� ,, SERVICE LINE SIZE; /// //l////// ./ "/ ///////I /f///////I 26 HYDRANT REQUIRED ///////// ///////// //////// lI/!/ll/// 27 HYDRANT SIZE EXISTING ////// /////////ri //////// /////ll/// 28 111117 17T7T777T1Tfi CROSS CONNWTION INSPECTION REQI? ////// ///////// ///J/!!/ //ff//I✓/J 29 MTER MAR MARGE REM 171111 ////1t TF1111111 /I///f/// p o � �� / !/1 J 11111I ///// " //J////// 30 7777 FIRE LINE CHARM REM -� SPRINKLER / 31 'r STREETCJT rrlriii#/' /l% 32 OPEN DITCH EXISTING ////// ///////// !i/////// l, 33 77T717 1/// t l 77 // 77777 READ 34 CULVERT RED •.�.� . 35 r/ l //77 // SIZE ////// //!/1//// ///////// 36 CATCH BASIN REQD fI///I ///I.�t/// I//////// ? 37 J1 17� / 11 INDICATED ON SITE P,L,A ? /l/1// 11/////// /1t/////J 38 SHOULDER DrOU24AGE MAINTAIN SHALE OPIN RUNOFF ///J/r I1/I///// //J!//f// 39 MISC: //I/I//// JJ/JJrrJJlj 40 ENGINEERING MGR.. PUBL RKS MGR. DATE MEMO T0: Building Division Planning Department FROM: Engineering Division Public 'Works Department SUBJECT: After review of the subject Building Permit application, vie have the following comments: 1, Connection to City water system required_ 2. Connection to City sanitary sewer system required. 3. Right-of-way permit required for any work on City property. 4. Driveway slope not to exceed 14`; 5. Backwater valve required if do,.ins to i rs plumbing is bel o,:t elevation of upstream manhole. 6. Water and se-aer lines to be separated by 10 foot minimum. GO 6/82 ?:: .�,. •: .'Y, s�; vtil5.. r ,.y.. .,e.,y ... ...Rl W,`.'�h v' i'�` k ''N.,- , �.. rl.t Si y CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) ANireti.4w P,46' jre- kt i1_%t� TELEPJHOONENUMBEERR TELEPHONE NUMBER 67ew6e- Y6twb CITY I TELEPHONE NUMBER STATE Ion of Property - include all easements ,attach four copies) LI-1 NEW LJ RESIDENTIAL lJ PLUMBING ADDIALTER ® COMMERCIAL MECHANICAL DREPAIR RETAINING WALL D SIGN EXCAVATE NCE ElFE(-X_FT) DEMOLISH ORFILL PRE -MOVE INSPJ ❑ SWIM REMODEL ❑ COMPLIANCE INSP. POOL [� WNI L_f SERTVE/ APT. BLDG RENEWAL i NUMBER OF STORIES NUMBER OF i DWELLING .� [UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission, Permit Application:180 Days Permit Limit: 1 Year- Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and successors in Interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, s employees, and agents from any and all claims for damages of iwhatever nature, arising directly or Indirectly from the issuance 0 of this permit. Issuance of. this permit shall not be deemed to o 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 I 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 construction; and in doing the work authoriz- ed thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmen's Compensa- DATE SIGNED ATTENTION USE ZONE JOB ADDRESS /�O Zy 4///,Z PERM NUMf S, e -71 SUBDIV' SS PUBLIC RIGHTOF WAY PER OFFICIAL STREET MAP. EXISTING. REQUIRED DEDICATION_ PROPOSED r� G c7 z RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED O STREET USE PERMIT REQUIRED 0 2 SEE ENGINEERING MEMO DATED n z Z W /7 �� � REMARKS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS rL W H REMARKS Q 3 SIGN AREA ENV. REVIEW ADB NO. ALLOWED I PROPOSED COMPLETE I EXEMPT VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT LOT COVERAGE FRONT SIDE REAR CHECKED BY ITYPE OF CONSTRUCTION SPECIAL RE UIRED INSPECTOR O NO I AREA I GROUPOCCUPANCY I LOADPANT YES TION PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT I I . 60- ©,> l q% .-' TOTAL AMOUNT DUE ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit until AUTHORIZES ONLY THE signed by the Building Official Or his WORK NOTED Deputy; and fees are paid, and receipt is acknowledged in space provided. INSPECTION DEPARTMENT OFFICIAL'S SIGNATURE DATE CITY OF EDMONDS 771-3202 'RELEASED BY: DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCOWPANCY HAS BEEN GRANTED, UBC CHAPTER 3, ORIGINAL — Fite YELLOW — Inspector PINK — Owner GOLn — Aocc. Anr CATCH 9A.5:4: ALiS 4IS'30(0R TRr.NCN LGfwr--rH W*vAL m a � TP1S►tCH COVQA ip ............................._.._...-.......... ti 4° T1G uN� LICVr -L TIMNGN 4�/ERF ►lvta GAP TEE w/ 4" LONG LEGS SYSTEM CROSS-SECTION w O U TIiE.NCN COVER 3/4' - 0/2" wASUED a :°. GRAVEL 4aDIAM PERF PIPE e 0 '-0� TRENCH CROSS-SECTION j ° o lQistet9� .! ..0�1 INFILTRA'T1<CW Sy�TTj .� ' ` PAGE 1 OF 2 for -� 2.�CtA-aA S -rb f=Ff-km,R, -, . location 1030 mac'"• SdVn� plan by phone date date DESIGN DATA Trench Perc LF per Impern Trench Number Rate 1000 sq.ft. Area Req.z" 2`i 221 Zl,p 8 7 NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Prevertive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). / r CITY OF E13MONDS SHORT SUBDIVISION FOR --- - H � F f j 0 H N IN NW I/4 OF SECTION 25.T.27 �� EDMOND S, L ,�,,., x,,o,�olit-�rsu®rlrar►� � Aam®esio8�� oDKLucTArira • r VDS38 EDMO►�D& WA. . P"O" Z3103 IWIN AVE. W. A>aWY CHI KM CGW(- 8 -II _ �rl/ ._ _ ��Ap�w'.,�-'t.�Y�T^.V^�°'..�-.r,n-.s,......•, ,..P.,.-,,,.,.�q,,;�',.�',�'.^".^"'!"�"".F"^i:i��h'. '"'�I. -'�� l� .I 125.00, (05' A 65250 8175 � W `0D � S z C, lU v (05' ( 1D u v uj" /25 00' 1 20' 41 h4' N oil m j uj 301 LEC7AL DE$CRIPTION LOT 3, BLOCK 5, YOST'5 1`IRST ADDIT4N TO EDMONDS, ACCORDIN6 TO THE PLAT THEREOF RECORDED IN bOL UME 8 OF Pt AT&. ON PAeE 6, RECORDS Of 5AlOHOM1SH COUNTY, WAS441NOWN. SLR. 9' " s` 40 a SHORT SUBDIVISION FOR J H NISTOFE S®N IN NW I/d4 OF SECTION 25.T-.27 N., R.3 E., W h EDMONDS. WASHINGTO. r W" YOAS DEVE1•C)haE1:t COP&u"ULTMlTS • /UgNlfffRc'J 23101 100TH AW. W. • EDMONDS WA lF902p • ►fR7 77>f-1600 KM=--e -I/- 83 1' •'R/' 0.J 3 -1439 i5a.: I �i55. � ► N fai "-188 T s �71LJ g�o H" ol M- iq$5 p EJ-.-,. a 6n w (o�oS . --- S_1 � �-.�� ^--------�---- - - - �� -� -- - - - ►�, -`ate � -; ro0 .I ► _5:1��. G%- .. _t5.1b�1(-�- ------ �'i25{'' �: h I `�16t.1. �"o -�- F- edv,e AV bJll M a _ �- wt tE �- 54ME Lower` 1 T�4�t �x i s�i►�_ � 51� 741 ,� -- = RB IL. r -- I�iiuc- FROMT MN Lon- AWk q`9 41. o� EDM CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET Directions: Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a single-family residential addition/remodel project. PLAN CHECK # -e % APPLICANT _�(� DATE RECEIVED PROJECT ADDRESS PROPERTY TAX ACCOUNT PARCEL # DESCRIPTION OF WORK OWNER%�'1 F�.F PHONE �(Z�' CONTACT PERSON PHONE E-MAIL -fit-,c,�n Cat—,- FAX MAILING ADDRESS 1 (WAL -7y- A-� Sa,r.4 �j��--dp•�1� , t JA fe62-C) FAX CORRECTIONS J� MAIL CORRECTIONS %g')E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE��� DATE (-Ul �2 , ZONING INFORMATION ZONE ` LOT AREA NUMBER OF DWELLING UNITS EXISTING DEMOLISHED — — PROPOSED DISCRETIONARY APPROVALS CA Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER LOT COVERAGE INFORMATION EXISTING SF PROPOSED SF TOTAL SF 1 Q5-5— HEIGHT CALCULATION IN ORMATION DATUM A B C D AVE , / MAX llf2 S"" ACTUAL SETBACK INFORMATION REQUIRED FRONT ~ 5' SIDE 5� SIDE 5r REAR bl / PROPOSED FRONT _jJ 1Z SIDE SIDE I REAR CNR. LOT YES NO FLAG LOT 0YES [:]NO ST. DEDIC. YES []NO ADU STATEMENT REQUIRED 1:1 YES JaNO RECORDING # STAFF COMMENTS: ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977_ EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER PROPOSED NEW NET IMPERVIOUS SURFACE EASEMENTS SQ.FT SOFT. SO.FT. (City Use Only) SIDEWALK REO'D ❑ YES [:] NO DRAINAGE PLAN REO'D [:] YES [:] NO LID# UNDERGROUND WIRING REO'D [:]YES[:]NO STREET DEDICATION FT. STAFF COMMENTS: BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAQ WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load N'C Roof Snow/Live Load {� � Balcony Live Load U0 Floor Dead Load Roof Dead Load (0 Balcony Dead Load W NUMBER OF STORIES BASEMENTS LOT SLOPE % OIL SOILS REPORT PROVIDE FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total i ? Living Space Garage Carport Deck/Cov. Porch Other FLOOD ZONE 1.? h D ❑ YES ® NO (City Use onlyl Ceiling Insulation Window U-Value 34- Wall Insulation fZ—.;L� Skylight U-Value Floor Insulation i2--440 Glazing % 156�:2y=64 Door U-Value Slab Insulation Energy: ❑ Prescriptive W Target ❑ Systems Whole House Ventilation System Req'd ❑ Yes El No Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically identified, requested and considered by the appropriate city offical in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. PERMIT ISSUANCE APPROVALS (City Use Only) PLANNING REVIEW & APPROVAL . CONDITIONS OF APPROVAL: DATE 3 " /G —O 1, ENGINEERING REVIEW &APPROVAL DATE CONDITIONS OF APPROVAL: BUILDING REVIEW & APPROVAL,L%�: �., a..: DATE j CONDITIONS OF APPROVAL: L:\temp\building\forms\Add_rvw.vsd -- 7/00