1046 BELL ST.PDF11111111111111
10230
1046 BELL ST
TAX ACCOUNT/PARCEL NUMBER: O b4374A1) 4 O b I41D 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT BLOCK: �'fJ
SIDE SEWER AS BUILT DATED:=12�J11Da
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED: J�
OTHEI�-2,6\Z �sb—i Dq �I Y\bWl
L:\TEMP\DSTs\Fonns\Street File Checklist.doc
AUG ENTT
............................District
City of Edmonds ---Water Department
TAP CARD
DapAte. D .. AU . G 3 ... 1 .�67 ........
... ....... ... .. .. . .........
(No., No .........................................
t
Me er Tap Size ............
Size....,3/ ................ .......... ..............
I-V
Mfgrs- No.., ............ . ........ Style .... 14-.,X� ...........................
For ...........,
.. .................... . ....... . ....... ..... I ................................
- ............................................. . I . .................................... . ..............
Add. .- ............................................................................................................
Service Location .............................................................................................
.......................................................................................................................... . ............
'Meter Location ..................................................................................................
.......................................................................................................................... ...............
MakeTap...............................................................................................................
......... ; ....................................................................................................... . ....... . ..............
Pressure.............................. lbs. Test.-----.............................. %
SendBills to .................................................................................................. . .....
.................................................................................................. 0 ...................... ..............
Date of Work .............. A&I,!2i........ �i ...... NV
...........E......... ......................... ..............
................................................................................................................ Foreman
Guar. Voucher No ........................................... $ ..........................................
Remarks: ...................................................................................................................
. ......................................... I ................................................................................................
.......................................................................................................................... . ..............
....................................................
STREET .... FILE . . ........ . ..............
..........................................................................................................................................
..........................................................................................................................................
OUTGOING Index .......... Reg ....... Route Bk ......... Stencil ...... Card ........
INCOMING Index .......... Reg ....... Route Bk ......... Stencil ...... Card. .......
--21
M` rial Chargeable to Installation M,` Js.
NO.
SIZE
DESCRIPTION
RATE
AMOUNT
»Y..7.
..
.........
......
Meter ..................................
...........
-------•••--..
..........
Meter Box ..............................
....................................
..............
......
Meter Plate ..........................
...........
...........
.......
..............
.... ---
Check Valve ........................
...........
........
........
------- •.....
.........
Pipe, Galv. Screw ....................--....------
......................
---•-----
......
Nipples ....................................
..............
.......
..........
........................
Bushings ..................................
...............
....•-----
Plain Ells ................................
------••----....--••----
St. Ells ....................................
..............
----..................
.............
•--•--•
...............
.........--•-------------
..........
..........
..••----
Tees .........................................
...............................................
--......-•----•----•----.....--•---..................
------•--------------•--•.......--••-•--•........-----
...........
..............
.....................-•---
............
.............
..........
..........
..........
Material Chargeable to Taps Connected
NO.
, SIZE
DESCRIPTION
RATE
AMOUNT
..............
..........
Pipe, Black Screw ..................
.............
.............
..........
..............
..........
Pipe, Galv. Screw ..................
..............
......................'
..............
..........
Lead Connections ...............................
.....................
.........................
Curb Cocks .-----•---•--....-----......
...............
.....................
------..•••••....------..
Corp. Cocks ...........................
..........................
........................
Unions-•----•-•--....---•--........•---...
...........................
.........
..............
.......
Saddles .-• ..............................
...........
.........
........
Nipples.......................•---...... •
----.......
.........
........
•---•---•-...•....---.--
Bushings .............. ......•-----.----
----------....
............
..........
...... ---••---
•-•----•--
Plain Ells ................................
............
.............
..........
..............
..........
Street Ells ........---•--.....•••--.....
....................................
............
--•---
Tees ..........................................
.........
........
.........
-------------•
..........
Curb Boxes ............................
..............
.............
..........
.......... ....
..........
S. O. Extensions ..................................
......................
........---•
...--•
Gates ..............................•------
.........
---•----
•---•---.
..............
.......
Plugs .....................................
.........
.........
..........
....-•---•----
..........
Couplings ............................. ..
.............. ..............
.........
..............
..............
s.
..........
A ......
Gate Boxes.......--•.....................................................»
.....................................................
..............
...............
.......................
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..........
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...........................................................
............... ._......... ............ ........ .............
Hours Time —Day Men ........
..............
...............
..............
............
............
.......................
......
..........
.............
=•------•--...
Hours Time Men......
..........
.......................
HoursTime —Auto ...............
..............
.....................
........................
Superintendence ......................
..............
........_.............-
Total
APPLICATIO' & BUILDMG, PEW Appl. No.
CITY OF EDMONDS WHcffnq.Dep-"nefff Permit limi
APPLICATION .-*S.hffcby made for a permit to construct the following work, in amo;dance
panying plans and sperifications. Two acts are submitted herewith for approval.
Off - St., - alter
repair .... ...
Work addn . .......... ......... Parking . . ...........
Occupancy ................................ Const. type.---.....__ Fire _zone ___.:. _ .. ` c,, . ,
AddrL.
Add.-ZfL.94 4: It
v 2- 3V
Lot frontage................................. Area tk..i.
Bldg. sa+ack3 r. . ........ ........
Owner.
Builder ................................. . .......... Tel.
No
Plansby............... ............. . . .. . .. ........... .......... .. Addre3s—,.. -7" --------- . ......... .. Tel, No—'7,'
Remarks......._.._.........._.._.... ... . ................ . ..
The Ahn" is 0 PwFm etauffnent, and 1,10- to 9"P17, with on "pWV1 Clod- SW -FA-"
Signed Owncr/Agensf/m� 1"' "A
*
PERMIT for the above work is hereby approved, subject to the bc,� oond=Dns�" and. to compHance avith.
proved plans and/
nd specifications, and B"Iding Department notations thereon.
Valuation .—/.�'.a.aCZ._......_....._.... PamirRecd
VF �-,
Sr
Building Department, By ....... ..... ID).
N This permit does not cover phAmbing. sewer. electrical nor 66, tt4�,. L�j
07—, 1 meet1''grady
done in the Right of -Way areas. Dln'�cwa:g and ukqwar Must be Planned t.olmn"icte th.
and alleys, and plans for future sidewalk development.
7
44kjZ_
!G
The City Of uwank
OWNER ......... . ......
N
I
APPUCATM
for -
SIDE SEWER. PERMMT,,
OUTSIDE 0 INSIDE 0 REPAIRS 0
CARDNo . ......................
EASEMENT No . ...... ........ ..................
................. . CONTRACTOR ....... ............... .......... .............. ........ .............. PERMIT No
STREET
......................... 11.... AVENUE LOT No. ...... ................ ..BLOCK No. ......................
............. .. ............... ......
Iq
Date
BACKFII,L WORK ORDER ISSUED ............................................ DEPOSIT, $ ..........................
SEWER WORK ORDER ISSUED ...............................................
Approved.
DATE.- ... *-By
XppROVED
City of Edmonds
Critical Area Notice of Decision
I)— ,4k.*1.,a ti %
Applicant:
Property Owner:
-
4i n o
C S I
Critical Area File #:
�-2-0 i
Permit Number:
Site Location:
D gQlt _
Parcel Number:
ny3 Zo �o `fo0
Project Description:
r'
I wA
Conditional Waiver. No critical area report is required for the project described above.
1._ There will be no alteration of a Critical Area or its required buffer.
O
The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or
23.80.040.
The proposal is exempt pursuant to ECDC 23.40.230.
❑ Erosion Hazard. Project is within erosion hazard area. Applicant must prepare an erosion and
sediment control plan in compliance with ECDC 18.30.
❑ Critical Area Report Required: The proposed project is within a critical area and/or a critical area
buffer and a critical area report is required. A critical. area report has been submitted and evaluated
for compliance with the following criteria pursuant to ECDC 23.40.160:
1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40.120,
Mitigation sequencing;
2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare
on or off the development proposal site;
3. The proposal is consistent with the general purposes of this title and the public interest;
4. Any alterations permitted to the critical area are mitigated in accordance with ECDC
23.40.110, Mitigation requirements.
5. The proposal protects the critical area functions and values consistent with the best
available science and results in no net loss of critical functions and values; and
6. The proposal is consistent with other applicable regulations and standards.
❑ Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately
mitigate its impacts on critical areas and/or does not comply with the criteria in.ECDC 23.40.1.60 and
the provisions of the City of Edmonds critical area regulations. See attached findings of
noncompliance.
Favorable Critical Area Decision. The proposed project as described above and as shown on the
attached site plan meets or is exempt from the criteria in ECDC 23.40.160, Review Criteria, and
complies with the applicable provisions of the City of Edmonds critical area regulations. Any
subsequent changes to the proposal shall void this decision pending re -review of the proposal.
❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced
above. See referenced permit number for specific condition(s).
v S
-M. r � �w -
Reviewer
I'`
Date
Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the
requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any,
for the permit or approval involved.
Revised 12/16/2010
0
City of Edmonds
Critical Area Notice of Decision
Applicant:
Y nc��
Property Owner:
CAS �G v
Critical Area File #:
.CA-zp o IZ Z
Permit Number:
ZD / q Z Z
Site Location:
1 0 G o / / S e
Parcel Number:
QoN 3 c11'0L( mo t yvo
Project Description:
114-ei rdr reNU�u ldf C
❑ Conditional Waiver. No critical area report is required for the project described above.
1. There will be no alteration of a Critical Area or its required buffer.
2. The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or
23.80.040.
3. The proposal is exempt pursuant to ECDC 23.40.230.
Erosion Hazard.. Project is within erosion hazard area. Applicant must prepare an erosion and
sediment control plan in compliance with ECDC 18.30.
❑ Critical Area Report Required. The proposed project is within a critical area and/or a critical area
buffer and a critical area report is required. A critical area report has been submitted and evaluated
for compliance with the following criteria pursuant to ECDC 23.40.160:
i
1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40:120,
Mitigation sequencing;
2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare
on or off the development proposal site;
3. The proposal is consistent with the general purposes of this title and the public interest;
4. Any alterations permitted to the critical area are mitigated in accordance with ECDC
23.40.110, Mitigation requirements.
5. The proposal protects the critical area functions and values consistent with the best
available science and results in no net loss of critical functions and values; and
6. The proposal is consistent with other applicable regulations and standards.
❑ Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately
mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23.40.1.60 and
the provisions of the City of Edmonds critical area regulations. See attached findings of
noncompliance.
Favorable Critical Area Decision. The proposed project as described above and as shown on the
attached site plan meets or is exempt from the criteria ih ECDC 23.40.160, Review Criteria, and
complies with the applicable provisions of the City of Edmonds critical area regulations. Any
subsequent changes to the proposal shall void this decision pending re -review of the proposal.
❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced
above. See referenced permit number for specific condition(s).
M-Clnst
Reviewer
Signatu
!z 3 �
Date
Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the
requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any,
for the permit or approval involved.
Revised 12/16/2010
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
1046 Bell Street
• Owner: Washington Natural Gas
Name
805 156 AV NE
Mailing Address
Bellevue, Wa 98007
City, State, Zip Code
• Contractor: same as Above
Name
Mailing Address
City, State, Zip Code
•
Wit No. d d -log
Issue Date 17- %--ro
Permit Issued To:
Type of Work to be Done:
Install New Service
• Work in Connection With:
❑ Sub or Plat ❑
❑ Comml. / Ind. ❑
• Pavement Cut: ❑
State License Number
Telephone Number
Single Family
Apt. Condo.
Yes ❑ No
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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 City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature: w bate 7/2/80
Owner or Agent
* THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Void after ,�D days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:-6;L
Receipt No.:
Fund 111 Fee: _
Street Cut Dime x RET =E9LE
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
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OWNER/CONTRACTOR RESPONSIBLE
FOR LOCATING ALL ON -SITE UTILITIES.
RELOCATION/REVISION TO ANY UTILITIES
MAY REQUIRE SEPARATE PERMIT.
GWIIER/COrTRAv 'QR i5 RESPGNSILE
FOR EROSION i',ONTRnI AND DRI�lAC`
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95-
-ive �replcu�
w 7�IE. p1t11tT OC�1`T'IOh�
(ou%veway To bt PiypllgtT FIROM
�.MA-w _- w..w�1 .rw AM wfA 177V LI/►�. ---
API�I�® l) 0� GINEI_RII�G
DaW
* No we w IMOi►4N tM S
(/ Sal¢pAtEs.
ERAID BY PLq
!z /
Zone S'G Corner Flag STREET FILE
Setbacks 1t. 'eaui.r�al Actual `� G
Front /`J _. _?�°_ na p1�/ &/y /212-
Sides wlE- ���
Rear S �s + �'���
Other NOV 21 2014
Hei Z S <zs
DEVELOPMENT SERVICES
COUNTER
Joists less than 18" and
beams less than 12" to grade
and all~ wood exposed to I
weather shall be
preservative -treated or
naturally resistant to decay.
1RC R317 IBC 2304.11
RESUB
FEB 2 3 2015
BUILDING DEPARiWENT
CITY OF EDMONDS
Appkant shah repairlreptace all dai acge to
Utilities or ftntage bnprovements In City
og*of-way per City standards tl,at is caused
or occurs du" the pwrAed project
OWNERICONTRAC T OR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
Hardware and fasteners in
contact with preservative -
treated wood shall be of
hot -dipped zinc galvanized
steel, stainless steel, silicon
i
bronze or copper.
IRC R317.3.1
IBC 2304.9.5.1
ALL WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE
ENGINEERING DIVISION
An VED AS NOTED
Date:
# 1r U OF -rAt (LIGHT of W ►S
Pe w I < Is R�dur
&ZCo
CITY ()f= P.r'%40!'-'DS
MENT
WORK P.
Corner Flag,____ ADDRF=SS l �`-.�4--—-1'l'_
Setbacks Rewired u OmFk
Front !f _�Ii--- 1—
Sides -- - ---- APPROV[_U t)A i
Rear _ -- -- BLDG. OFFiCI Other --
- �-
Other 3o=-ZV e 30" Z.s' P IV'o 11 rq U M E3 E
�d• Dom- c0c_ i6
kPp,,0\,,! BY P zjAN NG I Z
cq��
2�51'. ShQl1 i i
•
A 61 Gf r s
/ C�
�1tvJ TAVCNe- �ttjU T r7nl C
5 � b@vJJML � �iV
cvn c,IreJa sl 4:evJ
d VJoo-A en'1� Atc
MA T OwJE�A`I � UKG FoR t,IK.E• jq__91-�e
4`fie b v'
a ricl� orcl► Dhog �c. rI ► vl s3�
f It o" I �tck If`2S� S d r1
JAN 2 2 2015
rjkvE,_uvjvjj�id r 3f RVICES CTR.
CITY OF EDMONDS
5 T. - S d,sts, I Lo" 0►C
uJ , I2„I, * bo[�
' - D'IAID' x),Dr, -�o-hY193
Cve66e' 1. 14_,, . r Ct 0'(-
L(o Sr- +O (6 q, S�7
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a
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4 �w�Ynk¢.w'dbf3uwrl qg
R
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Mill^
1
,
Sound/noise originating from
temporary construction sites as a
result of construction... -activity are
exempt from the noise limits 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, unless a
variance has been granted.
ECDC Chapter 5.30
Nothing in this permit approval
process shall be interpreted as
allowing or permitting the
maintenance of any currently existing
illegal, nonconforming, or
unpermitted building, structure, or
site condition which is outside the
scope of the permit application,
regardless of whether such building,
structure, or condition is shown on
the site plan or drawing. Such
building, -structure, or condition may
be the subject of a separate
enforcement action.
�I W "Ptli . lio R 6f14: ff'O1± '' " o, 'I'D
7.+as,w....,+....a....a.........r .n...+, r.......,.�.�... ,..,e..c.......r��>..�. w.,.ow.,>�.�v...�-�..a�.rY.
All changes in plans and field -
modifications shall be approved' by
the local jurisdiction. The design
.professional shall prepare drawings as
required for approval.
IBC 107.4
0M