1043 CEDAR PL.PDFIIIIII IIIII IIIII IIIII IIIII IIII IIII10599
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 2105Z5oo► ! SWO
BUILDING PERMIT (NEW STRUCTURE): (G &30614
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 91 40 DETERMINATION: ❑ Conditional Waiver 0 Study Required aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: T]•' '$Z
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED: Nek'ctBtM
SEWER LID FEE $:
LID #: RA U_(D
SHORT PLAT FILE: �•2,,� LOT: BLOCK: J
SIDE SEWER AS BUILT DATED: (' �� {'
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: 10' 2-4
OTHER:
LATEMP\DSTs\Forms\Street File Checklist.doc
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CNSTRUCYLON
PERMIT AGPUCATION
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Send Bills to .______
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...........-•---------
Date of Work Z....... ................ _....... -
Q.-.. `�-- �3............................._.................
......................................... Foreman
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NEW SERVICE INSTALLATION
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INITIAL: DATE:
TAP CARD METER SHEET APPLICATION/
DISPATCH
7 76
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C*E NO.
Critical Areas Checklist
------------------------------ 7----------------
Site Information (soils/topography/hydrology/vegetation)
1. -Site Address/Location: 10 6(3 Ce X C4..
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? +-X yes; no.
If yes; how is site developed? j{�i /S 6� r �.3 i��Tnn < c'j �p e< ; �t ��c ,fix,.
5. Describe the general site topography. Check all that apply.
1✓ 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: A•,iC ; Approx. Depth:
7. Site contains areas of seasonal standing water: /�j C 1 ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain M 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? �1 C� Flows are seasonal? N O (What time of year? ).
10. Site is primarily: forested X ; meadow r ' ; shrubs it ; mixed IJ d
urban landscaped (lawn,shrubs etc) 'Y C5
11. Obvious -wetland is present on site:
------------------------------------------------- For City Staff Use Onlv------------------- -----------------------------------::
1 Site is Zoned?
cy
2. SCS mapped:soil type(s)? !i.. /..
3. Wetland inventory or C.A. map indicates wetland present on te?
4. Critical Areas inventory or C.A. map indicates Critical Area on site? _
:;5: .$rte within designated earth:: Asidenee landslide hazard area?
.6. Sitte designated on:ihe EnvirotimentallySensitive Areas Ma
:P•
^ca ehk,doc; Rev 10/03/97
• ECILIVED
City of Edmonds FEB 2 31999
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.
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 assist 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
Street Address
C- _
City State
11
Date
Applicant Representative:
Name
Street Address
Zip City State
2 -� �.. �;�Ass" I-�z s ? Z/Y--7tE
Telephone
Signature
Date
Zip
(over)
c:recepNon\j ana\cacl. doc
1z2C. 189v
March 15, 1999
Kyle Sowles
1043 Cedar St.
Edmonds, WA 98020
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • lBuilding • Engineering
Subject: Determination regarding Critical Areas Checklist # 99-40
Dear Applicant:
BARBARAFAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The `DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.' .
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. .40
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptionWana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
° Incorporated August 11, 1890
Sister City - Hekinan, Japan
�m
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,-CATCH BASIX:
&n3'*I170(0k TRGNcW LrNG-rH
TIK
a j► _ k-
TR IE hCH COVER 'f
L� TG UWI< L[VEL TRGNGH
f�:, PSItF FIVE CAF
fo" TEE YJf (." WNG LEGS
SYSTEM CROSS-SECTION
TRENCH COVER -
3/4' - I WASWED
GRI.VEL
&" DIAM PERF PI
TRENCH CROSS-SECTION
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STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for C� ►-•i7.i.��i
location.W,
plan by
phone 3rs-
date ? 2 k�-
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Reg.
NOTES
igineering Division (771-3202)
'o n.uk i.' and fina, inspections.
�r .. ability for operation and
— enance of drainage systems on
prt:ate property is the responsibility
of the property owner(s). Preventive
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).
AVcvE
r
CITY OF ED,MONCIS:; :� :
ILI i'
.! I I_.i• �y.!•iw
� ... � r li ,•ram ��'' ;�F
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`t = SITE PLAN, SCALE
I I' � ,'l V r •. . .
STANDARD DRAINAGE PLAN.
NOTE: DO NOT USE INFILTRATION SYSTEM
`l •' INFILTRATION., SYSTEM ,.� j4
ON SLOPES OVER 15 PERCENT (15 ''<<
f
PAGE
"OOT• RISE. PER, 100 FEET HORIZONTAL)
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STY OF EDMONDS
FOR INSPECTION CALL
BLIC WORKS DEPARTML# ermit
I,
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date =q/11 -A03
PERM . IT MUST BE.POSTED ON JOB SITE EDMONDS 1 1
1. Address of Construction Z / TREATMENT PLANT
1 2. Property Legal Description (include all, easements) ��� ,� ed 1
1 3. Single Family Residence Multi -Family No. of Units 1
1 Il- Commercial
4 . Owner and/or Builder fl�,fl�fj,��j_/�k�n J 1
1 1
1 5. Contractor & License No.
1 6. Invasion into City Right -of -Way: Nok/ Yes (If Yes Right -of- 1
1 way Construction Permit Required - Call Dial Dig (342-5344) before i
excavation).
1 E-4 7. Cross other private property: Yes No Easement required - 1
1 u attach legal description and county'easement number.
READ THE FOLLOWING AND SIGN: 1
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line. -
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at.a minimum grade. of 2% (1.150)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45°°�(1/8,bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be, -connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right -of -way -failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
a
days notice required. 41
;/ STREW FILE �. �� ; 4��? ;�
DATE:
�
I.certify that I have read
and shall comply with the above
PERMIT FEE: ?�`�' S ,`� JDISAPPROVED BY: Date:
W `~- - By Date-
o CONNECTION FEE: APPROVED By : % , Date : Q- _
W * PERMIT MUST BE POSTED I JOB SITE
The City of Edmonds
Side Sewer Drawing
-
EASEMENT NO- ------------------------------------------ -
M NEW CONSTRUCTION EX_. -
REPAIRS ❑ LID NO_ __________________ ASMT. NO. _.___._________
OWNER jal4 Q......1 -1.G.V �A 1 �------------------------------------------ CONTRACTOR------------------------------------------------------------------------------------ PERMIT NO. 7 d 51
{
OB ADDRESS --- 0-4- _.____ DA ....___��,.............. LEGAL DESCRIPTION: LOT NO. ----- 3 --------------------------- BLOCK NO. ------------
8 "c•a • ----- EDMONDS
.IMM.ERMANI.... 5 ORr.._P1"XF------- TREAT Mf-tjT--p-L-ANT=
6 NAME OF ADDITION
0
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--------------------------- ----- ----- --------------- ------------------------------------------------------------
i
PWW-0001-11/75 (REV.11/78)
DATE .--JPiN :...I.Q,JM4.--- BY --� -- --- .._..
or,
CITY PF 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
March 20, 1991
Kevin Shoemaker
1043 Cedar P1
Edmonds, WA 98020
Dear Mr. Shoemaker:
I have reviewed your account and will allow a credit to your account
according -to our City policy: the average consumption for the same
period during the previous year charged at normal cust6mer rates, plus
the excess usage charged at the City's cost, plus a surcharge of 15%
applied to the excess only. Only one leak credit will be granted in
any three year period.
Should you have any additional questions, please contact Ilene Larson,
Utility Billing Clerk.
Sincerely,
2 �
ki .!
4
Ron Holland
Water/Sewer Supervisor
BM/lk
cc: Ilene Larson
Utility Billing Clerk
#200125/TXTWATER
STREET FILE
• Incorporated August 11, 1890 .
Sister Cities International — Hekinan, Japan
QTY.
MATERIAL
PRICE
AMOUNT
v 2jl
y %
00
x sS
1 VPc,-
� PILL
t,
i
NAME QLIirT &
JOB TYPE —A
SOURCE
DAY = oadOuc�� aoo 15914
j JOB PHONE DATE OF ORDER
P LU M B I NG JOB NAME /LOCATION
Since 1954�f
P.O. Box 1021
i
LYNNWOOD, WA 98046
775-6464.353-6464.364-0959
TO: '
n PHONE v
1043L s`0lz- ?L
ORDER TAKEN BY
M ADD 80Zv
TERMS: TIME and MATERIAL
CONTRACTED BID
ALL WORKMANSHIP AND MATERIALS
GUARANTEED FOR 1 YEAR;�,;;:.w- .
Except: drain cleaning or work disclaimed on Invoice by plumber, which was }
performed against our recommendations at customer's request: (Sed;back)
❑ 30 Day Drain Cleaning Warranty
❑ None, Reason
's (Warranty work performed during regular business hours.)
All Invoices are Due and Payable on Completion of Work. Terms on
established accounts are NET 10 DAYS, balances unpaid after 30 days from
date of invoice are subject to a late payment charge of 1 1 /2 /o per 'month, or
maximum allowed by law, whichever is greater, together with expenses
incident) to collection, including re onadle attorneys fees.
I Accept and Agree o A/fl of the''Abgvee:
'SZWATU (1 naraoy wknamwge the saCsfactay complefiw of the acwc dasaioad wak)—
DESCRIPTION OF WORK
cCTI'V i✓
(� T'R�S� V iL �C HOC! G� NG
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S
Your water` pressure is:
P.S.I.
AMOUNT
Equipment &
Sub -Contractors
NAME
HOURS
RATE
AMOUNT
MATERIAL
I
,00.
Uv
LABOR
73
S
LABOR TOTAL
J�
, -9
.3
OR D R BY
COMPLETED
SLN DEDUCTIBLE
T
I
E
'IN
�%' `-
OUT �
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�IINI
OUT
, .
PLEASE PAY FROM
THIS INVOICE
o s
_IVED
MAR Z 01991
PUBLIC
-"RN THIS n B2!L
Ed
RTION EFFECTIVE MAR04 it 19910 RESIDENTIAL AND APARTMENT
SEWER RATE WILL BE INCREASED FROM $32#60 TO $36*20
r 11 YOUR A AND BILLED . PI-01ONTHLY. FOR COMMERICAL ACCOUNTS, THE
AYMENT
SEWER RATE WILL_PEINCREASED FROM $2*00 TO $2*22
T S PERFORATION _110.
'
Message PER IGO CUBIC FEET OF METERED WATER CONSUMPTION.
:
(IN ACCORDANCE WITH ORDINANCE #2657P PASSED BY THE
For
• CITY COUNCIL 2/16/88.) IT IS BASED ON THE FINANCING
You SLVEDULE OF THE NEW SECONDARY SEWAGE TREATMENT
FACILITY, REPAYMENT OF BOND OBLIGATIONSt ETC* THE
NECESSITY FOR T1418 RATE INCREASE HAS BEEN CONFIRMED'
IBY AN OUTSIDE'CONSULTANT#.,
PTION
9
J!NSSEIO� y.. . . . . .
City of EdmondS,ACCOUNT NUMBER 943 49 1 50952
,..-.
ty 0125 2 �2.90
17-/18/90
20 91
/monds- Combined Utility
3 32960
EWA
'WATER,-*WAST TEA --'tERdICE
1043: CEDAR --
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STORMWATERJ DRAINAGE. ADOREss
ACE
. SAT DU
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COUNT NUMBER: 200125 SHOEMAKER KEvrN.-
/AS-
1043 CEDAR PL
AST DUE AFTER: MO Z
7- WA 98020-334711"
MOUNT DUE: Wa ED
96.02 MONDS'
COMBINED UTILITY: WATER WASTEWATER STORMWA TER DRAINAGE:,.
Property of
CITY OF EDMONuS ONDS
I� N° 04164
• U NEW
❑ ADDITION
❑ RETIREMENT
V
AS* INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
c. I
SERIAL NO.
LOCATION DEPT. NO.
l6 1 P,4,k6y a
**PURCHASE ORDER NO. _
PURCHASE ORDER DATE
COST
•
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
2 5�
*PROJECT NUMBER L'i 3J S / 2
PROJECT COMPLETION DATE 1 2. - 3 ! - 8-3
COST 2 Sr
INITIATED BY DATE APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
8TREET FILE
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
• G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
i
BATCH NO.I`
INITIAL
by
DEPARTMENT FILE
'?13LIC WORKS DEP 1ST
/ /"
BUILDING PERMIT REVIEW lL t t 0 2Z/, �-/
(address) ate
Street Right -of -Way lExist' � '�'' -61 REQD
HAccess
Easements Existing
a
Utility Easement Existing REQD
w
Lot Per Subdivision Plat Assessor Map
w
Site Plan Checked for Accuracy, tV
Wiring Reqd.
0-4Underground
0
Check Accuracy of Desscripticn
z
/Legal
Review by �i ��r/�'.a��-- Date
Existing Water Main Size C• _
Water Main Required N/_
Service Line Required
Hydrant Size Existing :S iv
a
Hydrant Reqd Per Fire Code A11A Size
W
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comhrents
a
'dater Meter Qnarg�ye d.
Req
Review by -_ c, Date
Septic Tank Design Approved If,, Date 2
Septic Tank Permit Reqd. /f Permit No.
Sanitary Sewer Availability / Proj.
r
Drawing No . 11 �l c % Gc 1i ,, �C�-�r r , File No.
Side Sewer Availability
x
W
Sanitary Sewer Connection Fee Reqd.
3
Review by /�����-- Date
mu
`n
Open Ditch E ' ` Reqd.
Culvert Reqd C- 7�--�l� Size
��6
W
Catch Basin Reqd. i--, Indicate an Site Plan
o
Shoulder drainage maintain collection on swale open runoff
H
Manhole reqd. t J Indicate on Site Plan
Soil Condit i Grouno Water Field Checked
Review by Date
Revised: lv10-1977
04
A.
DATE:
. j"
MEMO TO: Rui,ldiiig Division
Planning Department
FROM: Engineering Division
public Works Deportment
SUBJECT:
After review of the- subject 13U 11 d i'n 9`Permit application,' k have the f o I I ow in
comments:
,j
1. Connect ionto 'Ci ty water system required.
Connection to, 'Ci City sanitary.
2. ,sewei" system required.
3. Right -of* -way -'permit required,.'ifor-any work on City property,
4. Driveway sl'olpe-'not to exceed)
5. Backwater valie'-reauired if dorin§tairs plumbing is below elevation
of
upstream manhol—e.
6. Water and sewer lines to be sc2���L(!!It minimum.,
7. Builder/Owner responsible for tontajEjEq all temporary runoffa n d
Ton
on site;and'may not impact neighboring pr0Del',iQS in -any_.way.__
it
._
1,
BD 6/62
X X
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FILE
STPEETI-,' yj
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