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1045 GLEN ST.PDF11111111111111 11415 1045 GLEN ST •iv.;:,, u.r �..-. i .':yt�wr r i.. -. ,s�'��••-o-{n'r-•�.r .r4__.y, Nr'J=.. "yY` �..f ".`'...l:i"Y r:-.�:..� v .:..+'�.. M..,f„�,...v �.., � �-�va....... City of Edmonds PERMIT NO: 9303 PERMIT EXPIRES SIDE SEWER PERMIT .3",�7_d,/ Address of Construction: LID # Property Tax Account Parcel No. (34M'= -a%-05" 0C ED�1( Attach copies of all access and utility easements Owner and/or Contractor: Contractor License #: Single Family ❑ Multi -Family (No. of Units �. ❑ Commercial (No. of Units ) F,1 Publics - Verified and Approved by uilding Permit #: M11 Invasion into City *Right -of Way: ❑ Yes N No *RW Construction Permit # Cross other **Private Property: ❑ Yes g] No **Attach legal :description and copy of recorded easement. caner contactor signature and acknowledgement statement: By sig ing for this permit I certify that I have read the City's-public handout entitled Side Sewer Specifications, and shall comply with all City requirements outlined therein. Date 2 CALL DIAL -A -DIG (1-800-425-5555). BEFORE ANY EXCAVATION 9 W FOR INSPECTION CALL 425-771-0220 'extensionj- 2� 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION' REQUESTS NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES.A $45 RE -INSPECTION FEE WILL BE CHARGED. Job Site Ready YES NO Date: Initial: Partial Inspection: Date: e_ nit Partial Inspection: / T - o ! Date:- C" nitial: FINAL INSPECTION APPROVED: Date: / -IO - / Initial As -built to Street File: 19 t� PERMIT MUST BE POSTED ON JOB SITE t� White Copy: File Green Copy: Inspector Buff Copy: Applicant L;temp;bl dg;forms;sspermitj lg4/00 I The City of Edmonds Side Sewer Drawing EASEMENTNO- --------------•-------------..... .......... NEW CONSTRUCTION [� REPAIRS ❑ LID NO ................... ASMT. NO................... OWNER.............................................................................................. CONTRACTOR ----•-... PERMIT' NO.906.©, .. / JOB ADDRESS �•O. 5.....�..?1 le.A1..-,-.57. .............................. LEGAL DESCRIPTION: LOT NO....................................... BLOCK NO. .......-- -- .................... PWW0001.11175 (REV.11/78) NAMEOF ADDITION............................................................................................................. -•------- 'IT PIL AN T DATEZ!!.l.©.-.a4............ .•••--• By -----`• ...jW................................. 1045 2' 1' Copper 1' Poly 19, 1,6' WM 2' PP Glen St .CITY OF EDMONDS WATER SERVICE AS -BUILT ADDRESS 1045 Glen St PERMIT NUMBER 200877 HOMEOWNER N/A CONTRACTOR Craig Reimer DATE 3/20/01 DRAWN BY Jeanie McConnell CA FILE NO. Critical Areas Checklist ------------------------------------------------- Site Information Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: okk 01� 0� 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; X no. If yes; how is site developed? 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 ear -round standing water: Nr�a3 t � , Y g •Approx. Depth: 7. Site contains areas of seasonal standing water: ; 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? " — 2 ja 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: --------------------- ------- --------For City Staff Use Only------------------------- ------- -------------- 1. Site is Zoned? . 2.: SCS mapped soil type(s)? 3;. 4. 5: 4.� .etland .invento or...C.A. ma indicates wetland resent on site? ES y p � p _ Y /MANe13 Critical Areas inventory or C.A. map indicates Critical Area on site? YEsZ MAYS Site within designated earth subsidence landslide hazard area? _ Site. designate d on.the.Environmentally Sensitive Areas. Map? �• DETERMINATION ^ca-chk.doc; Rev 10/03/97 City of Edmonds Critical Areas Determination Applicant: Craig Reimer Determination #: CA-00-151 Project Name: Permit Number: Site Location: 1055 Glen St. Property Tax Acct #: 5489 000 016 0506 Project Description: Non -Project Specific Determination: Waiver: Based on the Department of Fish and Wildlife's determination regarding the watercourse at 1055 Glen Street, it was found that the site does not have a Class 3 Stream. The stream on this parcel comes out of a pipe from the south, runs west about 50 feet in the daylight, and goes back into a pipe for a long way under residential developments to the west. That 50-foot reach in the daylight (and the piped reaches too) is Type 4 waters of the state. It meets that definition because it is a distinct channel with ordinary high water marks, is less than two feet wide, does not support fish, would not be inhabited by fish even if all the barriers to migration downhill were removed, and flows year round. The watercourse does support aquatic vegetation on site as well as other aquatic organisms. Stream channels such as this function to purify water and thus improve the water quality of bigger streams below them in the watershed. They also export fish food to bigger streams located below them. Name Signature Date 1 City of Edmonds Critical Areas Determination Applicant: Craig Reimer Determination #: CA-00-151 Project Name: Permit Number: Site Location: 1055 Glen St. Property Tax Acct #: 5489 000 016 0506 Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to a critical area including a possible drainage ditch or Class 3 Stream pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required satisfy the requirements of ECDC 20.15B by completing the following: Drainage Ditch/Class 3 Stream My site investigation has shown that the site has an interceptor drain which is probably draining a natural stream or wetland. Based on the above findings, a Critical Areas Study is required to determine the hydrology of the area and to delineate the approximate boundaries of any stream and identify its buffers. The required qualified critical areas consultant needed to perform the study shall be a specialist in botany, fisheries, wetland biology, and/or hydrology with a minimum of two years' field experience with wetlands and/or streams in the Pacific Northwest. All critical areas studies shall be performed as three party agreements with the city selecting the consultant and the property owner or applicant paying the fees. The qualified critical areas consultant shall perform the following: Classification of the stream and/or wetland pursuant to the criteria established in ECDC Section 20.15B.060(A)(4) and (5). 2. Delineate the edge of the stream on the site. 3. State any mitigating measures appropriate to preserving and protecting the stream. After the qualified critical areas consultant has delineated the stream boundary, a surveyor licensed by the State of Washington must perform the following: 1. Delineate the required buffer (see ECDC 20.15B.120.A and 20.15B.130.C). 3. Delineate the required building setback from the buffer (required setback is 15 feet). 4. Create a map showing the buffer and the building setback. 1 The water from this site flows into Puget Sound, therefore, the applicant must contact the Department of Fish & Wildlife, have them review the site and submit a letter determining the impacts of development on this site and, if necessary, recommend mitigation measures to ensure protection of the habitat/stream. Both the qualified critical areas consultant and the Land Surveyor shall enter into a three party contract with the applicant and the City of Edmonds as required in ECDC 20.15B.140(D), where the applicant pays for the study. The applicant may suggest qualified professionals for the City's approval. If the results of the Critical Areas Study determine that the lot may not be developed, the applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC 20.15B.170A and 20.15B:040C). If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. Name Signature Date 2 57A7'E. E G ; s �l NP State of Washington_°°� �`� �• w, DEPARTMENT OF FISH AND WILDLIFE Region 4 Office: 16018 Mill Creek Boulevard - Mill Creek, Washington 98012 - (425) 775-1311 September 18, 2000 City of Edmonds, Development Services Department ATTENTION: Chanda Earhart 12151 Avenue North Edmonds, Washington 98020 Fax: 425-771-0221 Dear Ms. Earhart: SUBJECT: Classification of stream; your request for determination regarding the watercourse at 1055 (sic) Glen Street, Property Tax Acct # 5489 000 016 0506 Please confirm that the address 1055 Glen Street is a typographic error. I expect the address of the.parcel is really 1045 Glen Street. The parcel I inspected is to the west of 1051 Glen Street, and I do not think there is.a parcel where the number 1055 would be fitting. The place where the address would be about 1045 is the only place I could find which would cause your request for information about a stream to make sense. The stream on this parcel comes out of a pipe from the south, runs west about 50 feet in the daylight, and goes back into a pipe for a long way under residential developments to the west. That 50-foot reach in the daylight (and the piped reaches too) is Type 4 waters of the state. It meets that definition because it is a distinct channel with ordinary high water marks, is less than two feet wide, does not support fish, would not be inhabited by fish even if all the barriers to migration downhill were removed, and flows year round. I inspected it on September 15, 2000, and the flow appeared to be high quality spring water. It was supporting aquatic vegetation on site, and no doubt supporting other aquatic organisms too. Streams channels such as this function to purify water and thus improve the water quality of bigger streams below them in the watershed. They also export fish food to bigger streams below them. Thank you for the opportunity to provide this information. If you have any questions, please contact me at (425) 379-2303. Sincerely, t �- 14wd Douglas G. Hennick Area Habitat Biologist 3,5' i = 27) ck - 4o°1,q ya3 a � Ibfc,b�• • • �} it i o r cal � I ' T 2 0 116,6' — w N�\c,HZ LPu,� � = loo,o' . MAX NZ • = 125,0' �= 9�,0' ALA. ��, = 12'�•�� �OZP�=`t00,0 SEEE�EvP�oN P,� a a ;A- 55,0' RECEIVED GRADINU P�AtJ 16 EPU1.C-wOoD NAthES,iNt,. U-1 OlYt�p\�V�Ew Old, SEP 2 8 2000 %c wv>, A %D20 BUILDING DEPT. ?QOpEI��Y P�O0.ESS'. 10%k5 GBEN 1151, Vb"",I wN 11,920 IPX Attu, t-S'M-000-016-65,M 2'l Www\- G \A-( of M\\ wjw mm : Imo, OWNERICONTRACTOR 6 RESPONSIBLE FORI f ua m EROSION COMM AND Or aE ' — cn AHD.J.nED Z 8 C) �+ ® 41.0 Mob. -4 I i Zrs ,volG N F 0 �..0 .O J 2 � 1 I�} 1 1 I I 116,E HE��HZ LPu.S g= wv>' 25.0 �= 100,0'. PMX NZ, D= q�d Ace. m, = 1nN wxm�: 400.6 SEE E-avN-Tu Q,\ s \9 le A � rA !y J � ���i�R. Qpv►ntiQAviy }0 O_ pp WATER SERVICE INSPECTIONS � �r REQUIRED. CALL 771-0235 RECEIVED OQA\Np�E P�.At� �� EP��Ew0o0 VwME 5, YNt,. . 1�(�1 Ot.YrnP�t`v��w Otl. S E P 2 8 2000 BUILDING DEPT. PQOpEI��Y P000.ES5', 10`�5 6�EN 51, �tmlo% w \ 0020 IPX WA, In OA\w\- (,\I-( of �\OtA `h MA "%�- STANDARD DRAINAGE DETENTION SYSTEM �- WORKSHEET .OWNER ►��'oo�. �1�Or��,�l, CALL BY: C (t�,y Ri�fv ADDRESS 1045 09A. "t. PHONE: �� aS) 111- (A) a U�ft*�S, WN Mno �1a1100 DATE: *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE a6 (root) k 95Dcut\1 1 IX , DETENTION PIPE LENGTH LOCKING LID FINISHED GROD .(TYPICAL) ' MINIMUM NNtt CC qqRRpp EE TIGHTLI MEASUREhEFROMCTOP OF CONC BOX OR RISER .SX TO IX SLOPE 0 OUTLET -may OUTLET CONTROL �9MIN. `, F=CF.I ED UPPER CATCH BASINnatFtEE CONTROL CATCH BASIN 2000 SYSTEM CROSS SECTION 2'X2'X6',DEEP, 4-6' SPALLS OR EQUAL FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK y xISTING GRADE � FROM CONTROL OE��TME!CKDV TRENC►{, MIN 10' LUNG. PIPE TO BE LEVEL PIPESS V/LLEANEED CAPS pp PRIOR MTOHPLACEMENTNOF VASNEDI Ar ROCK R/PRAP OUTLET RUNOFF SPREADER • TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES. �•- 1. Call Engineering Division (771-MO) for a tightline and detention system inspection U• APPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and -maintenance of drainage systems on private property is the �v��7 responsibility of the property owner. Material accumulated in the -storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. .11 6 a IN -x.. o? R OWNERICONTRACTOR IS RESPO�ISlFLE FOR m EROSION CON1Rq. AND Df aE Cl f A RIGIFULWA�' �',' -�RMIT $ o, 2-7 MID Ii�J: �.ntD tmc Ib6,b'•� 94 14 �+ _ 23A' ' R � to V N iA jr f Cgt 116.6' NE�Or� LPu.S g= 101,5' � zsao' = loo,o' . qkd P�=`t00.0 SEEE�EvAZ10a �41RC:�Ov►MQpv�ty WATER SERVI INSPECTIONS Uc' MERU CAI.1771-0235 a RECEIVED OQA\NPE,P�A>1�'` �oc EA(,lEti+00D V�4MES,INI.. S E P 2 8 2000 EON�ON0�,1rc A °�2A BUILDING DEPT. PaDPER�Y A�00.ESS : 10`t5 duo 5i, wN 11020 SAX Atc�, � s�9-000-016-05 -pb Www\- c\Iv of mt \owlh M"\ t1wia1r� 8 �- ry o I" % m rrr' - �v J O 4 (- 410' N g ft%M MLY. g= 10\.5' 4 L = 100,0' MAX HZ . = 125.6 D= qu, AL-N. lov"L = 400.0 SEE VMYMOM p.� APPROVED BY PLANN G �4 o o � �s JID r - � f j 8 RECEIVED KoT wNo �oc E 6vliww b %to,& AWL. u-? Ol-tMp omw W. S E P 2 8 2000 EW%%, \r( A %o20 BUILDING DEPT. PROpEt��Y p,00QES5'. 101t5 61-M4 )). �-WVtNI wN 0920 SAX Attu. � S`1��1-000-016-05 WWW" ck'V( 0 M\ovlw) M\ Rlt�=100,0� "'PATE RE PERMIT EXPIRES<n j� CITY OF EDMONDS USE ZONE PERMIT ��7'7 NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTp ADDRESS , y- 1 \ OWN R NAM AME PF BUSINESS �P( t PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ w MAILI G ADDRESS 0Z ` - (� 1 U\ V (p ` `�+Y• {'1 1 1(' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Req'd �I Inspection Required Sidewalk Required Underground j CITY ZIP r+( �� ^ �♦ \/V(' ,_/►11 "vM{j\V'\I JELEP NE � low Wiring required ❑ NAME MET SIZ I� LINE SIZE „ NO. OF FIXTURES PRV REQUIRED r YESA NO W ADDRESS �J1 F1 �1 �O� NW At� f� v� REM RKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION Z Il�� . W o2osl a'J �C►OrvN�TROUDRAIAINNA^GE w CITY ZIP rt 0� °�7�0� LEP E So' aa5-011to1 . -r NTIO+� l,�. w ,� f L-- NAME -!51.•. O*J( 20Oi ' ENGINEERING REVIEWED/DATE e ADDREIIS V , k �W FIRE REVIEWED BY DATE t CC F — CITY Z 0 ZIP Sao TR�5)E- ;.;fit; U. VARIANCE OR CU SHORELINE OR ADBN INSPECTION REQ,P oe BOND POSTED I ' STATE N(U�MBER^� EXPIRATION DATE CHECKED BY �LICENSE t1V����V�\.) ` n V .•►-�-�.�� �--- ❑YES 1W1O SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HE HT , ALLOWED PROPOSED wPROPERTY TA�AQCOUN;�RCEL_NO. r� jjtt //�ww((�� ff�� Lu JJ oorrjj EXP' 25 y 8 Z NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE ALLOVjLIED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR %5' PROPOSED SETBACKS (FT.) FRONT UR SI E REAR /5' / ❑ AUDITION ❑ COMMERCIAL ❑ COMPLIANCE OR 'bd� / (Q Z CHANGE OF USE PARKING I R Q'D PRgV�D LOT AREA OATE ❑ REMODEL ❑ APARTMENT ❑ SIGN FENCE QQ// ❑ REPAIR ❑aG CYDS ❑ ( X FT) REMARKS ❑ DEMOLISH ❑ TANK ❑ OTHER Z �j ❑ RETAINING WALL ❑ RENEWAL !' CARPORT ROCKERY IL ( PE OF USE. SINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF CO� C OCCUPANT N(.�. Fr 111��� �` GROUP [//� NUMBE OF STORIES NUMBER OF LING UNITS111 CRITICAL//rrAREAS {{aa�� `//`��{{ NUMBER ({ I vo -IS 1 a O REQU RED ❑ YESSPECIAL AREA �N' r' eC lb eY LOAD PANT O DESCRIBE WORK TO BE DONE REMARKS t7 Z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D o A-�D 5 PIZ... 0, Vim,' J m V ~ V r -- VALUATION FEE PLAN CHECK FEE )4EAT SOURCE GL\ZIN "e LO PE % BUILDING b PLAN CHECK NO:� VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO v BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE J SEPARATE PERMISSION. STATE SURCHARGE w PERMIT APPLICATION: 180 DAYS n PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION y rn 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG, NSPECTION FEE I IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF N NFEE i EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = RE EIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE of CITY ORDINANCE PLAN CK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY •, vj = NOR LIMIT INANYWAY THE CITY'SABILITY TOENFORCE ANY ORDININCEPROVISION.?;' AMOUNT DUE RECEP `/''-��' /,! i TOTAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THATJHE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZFD AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WO EN'S COMPENSATION INSURANCE AND RCW 18.27. OF ICIALS SIGNATURE DATE IGN R ER OTtAGENT) DAT ijSIGNED (425) 1 -0220 �. • • RELEASED BY DATE ATT NTION EXT1333. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221. A FINAL INSPECTION HAS BEEN MADE AND APPROVAI( OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX QRIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER • GOLD - ASSESSOR . 'ter:1. CITY OF EDMONDS SINGLE FAMILY/DUPLE% COVER SHEET i.0 Directions: Applicants are to complete the Information In the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover shoot must accompany each building permit application for a new single-family PROJECT ADDRESS PROPERTY TAX ACCOUNT \ PARCEL # DESCRIPTION OF WORK 1V•2.1,.� OWNER rnvnc i i I - %u cje-- c-- CONTACT PERSONCC NCus eXDUA PHONE r E-MAIL FAX -77J MAILING ADDRESS AX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT 1 UNDERSTAND THAT 1 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 0 C ETIONARly MITS THAT MAY BE APPLICABLE TO THIS PROJECT. 1 ACKNOWLEDGE THAT TO THE BE 0 Y/A&LVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APP CA ON AART APPROVALS ARE REQUIRED. SIGNATUR DATE qjAb ON INFO R&KA/T ION ZONE LOT AREA I ZJ NUMBER OF DWELLING UNITS; EXISTING DEMOLISHED PROPOSED DISCRETIONARY APPROVALS CA C J07 Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER City Use Only LOT COVERAGE INFORMATION EXISTING" SF PROPOSED SF 2 J _ � a TOTAL SF % 2Z HEIGHT CALCULATION INFORMATION _ G�q DATUM)At1 I "_ A_ B i7 AVE O MAX 17 �S� ACTUAL SZTBACK INFORMATION dPQUIRED FRONT 0-0 SIDE_ SIDE' S REAR PROPED OSFRONT <��Ji SIDE �i SIDE REAR CNp- LOT � YES • NO FLAT t- , YES NO • ST:'.OflD1C- YEON O:: T: ADU STATEMENT REQUIRED ❑YES NO'. RECORDING # STAFF COMMENTS: ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS 4(0 EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SOFT. PROPOSED NEW NET IMPERVIOUS SURFACE City_( se Only SIDEWALK REQUIRED ®YES []NO DRAINAGE PLAN REQUIRED ®YES [:]NO UNDERGROUND WIRING REQUIRED ©YES NO STREET DEDICATION K10• FT. LIDO STAFF COMMENTS: SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) SOILS: START OF WORK EXCAVATION A GRADING SHORING INSTALLATION & MONITORING PROOF ROLLING PLACEMENT OF FILL & COMPACTION SUBSURFACE DRAINAGE VERIFY SOIL BEARING PILE PLACEMENT EROSION CONTROL GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD 'DURING WET WEATHER CONSTRUCTION FINAL GRADING A FIELD REPORT OTHER PLACEMENT OF REINFORCEMENT a PLACEMENT OF CONCRETE BOLTS INSTALLED IN CONCRETE STRUCTURAL MASONRY STRUCTURAL STEEL ERECTION HIGH STRENGTH BOLTING WELDING (WABO CERTIFIED ONLY) OTHER PLAN CHECK # DATE RECEIVED BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE B WIND SPEED SO MPH SEISMIC ZONE 3 Floor Live Load Roof SnowlLive Loadalcony Live Loed�0 Floor Dead Load 17 Roof Dead Loader Balcony Dead Losd11? NUMBER OF STORIES BASEMENTS_ FLOOD ZONE pp LOT SLOPE % � 4..q TD SOILS REPORT PROS �ED YES NO FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Existing ro osed Total, Living Space OO Garage Carport DecklCovered Porch Other ENERGY CODE COMPLIANCE INFORMATION EUEL TYPE fVI GAS, OIL 13 ELECTRIC 11 OTHER FORCED AIR OHEATPUMP 0HYDRONIC OTHER ENERGY CODE METHOD OF COMPLIANCE PRESCRIPTIVE: List Option •_q__ Q TARGET UA APPROACH: Provide UA Caleustions ❑ SYSTEMS ANALYSIS: Provide Computer Analysis 0/ENERGY/VENTILATION WORKSHEETS PROVIDED WINDOW SCHEDULE PROVIDED FOR CITY USE ONLY Coiling Insulation Wall Insulation Floor Insulation Door U-Value Window U•Vsluo_j Skylight U-Value r i Glazing %J- VENTILATION CODE COMPLIANCE INFORMATION c KITCHEN FAN CFM O BATHROOM FANS) CFM JO LAUNDRY FAN CFM 1CG WHOLE HOUSE VENTILATION SYSTEM EXHAUST OPTION FRESH AIR TO BE PROVIDED TO 0 WINDOW VENTS 0 WALL PORTS EACH HABITABLE ROOM WITH: EXHAUST FAN TO BE CONTROLLED WITH_24 HOUR TIMER AND SIZED AS FOLLOWS:= 31 • 2 BEDROOMS: 50 - 75 CFM ®4 BEDROOMS: 100 - ISO CFM 13 3 BEDROOMS: BO - 120 CFM 5 BEDROOMS: 120-180 CFM SHVAC INTEGRATED OPTION nDEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) RIGHT OF WAY CONSTRUCTION PERMIT MECHANICAL PERMIT ENCROACHMENT PERMIT PLUMBING PERMIT STATE ELECTRICAL PERMIT WATER METER FENCE PERMIT SIDE SEWER PERMIT RESIDENTIAL FIRE SPRINKLER PERMIT IRRIGATION (SPRINKLER SYSTEM) OTHER OTHER Any request for modification, variance or other administrative deviation (herinafler '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 official in accordance with the appropriate provision of city code or state law does not approve any Items not to code specification. PERMIT ISSUANCE APPROVALS (Cit PLANNING REVIEW a: APPROVAL ���' CONDITIONS OF APPROVAL: Use Only) DATE ENGINEERING REVIEW a: APPROVAL CONDITIONS OF APPROVAL: DATE 1641� BUILDING REVIEW Q APPROVAL CONDITIONS OF APPROVAL: OTE /D w V