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1055 SPRAGUE ST.PDF111111 lill lill 13239 1055 S P RAG U E ST ADDRESS: TAX ACCOUNT/PARCEL NUMBER 00 z13Ll a6yc3oa.i0 oZ BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: G/�DETERMINATION: El Conditional Waiver Study Required [Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DA' SCALED PLOT PLAN DATED: SEWER LID FEE $: LID SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: i") Oc6—oo�1/� BLOCK: LATEMP\DSTs\Forms\.Street File Checklist.doc F ti t GARAGE 19" DEEP SPRAGUE ST CITY OF EDMONDS WATERLINE AS -BUILT T ::::� ADDRESS: PERMIT Q'i 1055 S P RAG U E ST N❑- 2005-0294 CONTRACTOR: HOMEOWNER: SCALE: WEINHARDT NTS DATE INSPECTED: INSPECTED BY: DATE DRAWN1 DRAWN BY: 8-29-05 J. HAWKINS 7-24-06 I. ABILA 3 t . PERMITSE EXPI , CITY OF EDMONDS PERMIT ZONE CC �}5 NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APP ^.� ADDRESS OWN2NAMEMMIE OF BUSINESS - 1_ GaN d�.-ty�rd •J PLAT NAME/SUBDMSION NO. OT NO. / ( LID NO. o: MAILING ADDRESS W LID FEE $ 3 lO S S lj �q, (},�. !1 ` PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW CPS, qua =kod O .i CITY jl ZIP TELEPHONE EXISTING PROPOSED SVM Uae Permit RKld I.P..uen Rep'ved + i �d....R.ak.d Edww�ds °18oZo yrS/`=7 y-0(.Cf REQUIRED DEDICATION FT UMxarorerd We:ra raaWrae o .NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED z ►P�. t l �N 2jpS15Ns YES O NO 0 a W E ADDRESS" - z � REMARKS z z ..1p O Sze S'0 S 1 ' S � Q OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z W CITY - ZIP- rqlS-7Y5-12.3? ELEPHONE c ' QW 1 J t,_ �„jai 0 NAME .- ;BLp ENGINEERIN I ED BY DATE may! ZWS ADDRESS - _ Q� ._- K - - "' - -'"' FIRE REVIEWED BY DATE w CITY ZIP O TELEPHONE O VARIANCE OR CU SHORELINE OR ADB# INSPECTION R O' BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE - - CHECKED BY DYES O 6 - SEPA REVIEW COMPLETE -EXE PT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPERTY TAX, A(C�COUNT P EL,NO. i�(43 {ZOO: EXP rPROPOSED ❑ NEW RESIDENTIAL PLUMBING/ .LOT CO GE ALLOWED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ///`"iil 'COMPLIANCE OR PROPOSED E �.5� �q/ �S/r`L / t�!✓ N t ",� ,�(- !� i ADDITION COMMERCIAL ❑ ❑.. CHANGE OF USE O t 1 1 = REMODEL .. ❑ MU� (FAMILY ,, ❑ SIGN . PARKING REO'D PROVIDED LOT AREA PLANNING REVIEWED BY T z i G C FENCE y ❑ REPAIR- - .coos (� x 1 FT) '�."� ❑ DEMOLISH OTHER .' �" ❑ "OTHER . . VOI A 1-'�L_ _ . U 04 -4gzFiq I N S r' �I L_ -�— GARAGE -RETAINING WALL .FIRE SPRINKLER ❑ FIRE ALARM C E-0 USE BUSINESS.OR❑A TCFMT_Y) EXPLAIN: ... . G > N .) :•.' . I:. :. n.l . T.T T \$,1 - CHECKED BY TYPE F STdUCiION Cr�6� PANT.,­- U `AAA GOCC ROUP 0 � NUMBER - � NUMBER 0 - '. O OF �- DWELae�tLING O " CRITICAL � � � � AREAS lJ r �L�'�•j/S - - SPECIAL INSPECTION AREA [. G Si� OCCUPANT STORIES .. UNITS -' NUMBER REQUIRED �S DleW LOAD DESCRIBE WORK Ap.Ip I I'1I/rI7 11� [ARIN �j''7F•Y f.� REMARKS O z r� �.�� ,, P. y J l PROGRESS INSPECTIONSPER UBC108/IBC109(IRC709FlNALINSPECTrun RE0'D s c ,InT U a� in s m dl lJJ/l nu VALUATION CA -e l.G . Description FEE Description FLE-E�, y.QW ltAan,:�. e riC, U 6 , Plan Check State Surcharge31 7l� / HEATS RCE GLAZING % `LOT SLOPE % Building Permit S _ City Surcharge r 7 PLAN CHECK NO: VESTED DATE Plumbing Base Fee Mechanical . THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.- THIS msimirr COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON.TME PUBLIC - - Grading J DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES; ETC.) WILL REQUIRE f SEPARATE PERMISSION. Engr. Review tU PFAMITAPPLICATION: 180 DAYS . PERMIT UMrC 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS " ID Engr. Spectlon SEE BACK OF PINK PERMIT FOR MORE INFORMATION. •APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS : Fife Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFENDANDHOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt p ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. 'ISSUANCE OF THIS PERMIT SHALL NOT BE- s DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE - Landscape Insp. Total Amt. Due S = NOR LIMIT IN ANY WAY THE Crrrs ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GIVEN IS CORRECT. AND THAT 1 AM THE OWNER, OR THE DUL/ WHOA THE AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CRY AND STATE LAWS REGULATING CONSTRUC- CALL Tlus application is not a permit unid signori by tlta TION; IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED - Bud Olkial or D . ding spay: and Fees are paid, and IVIAND IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON. RELATING TO FOR INSPECTION receipt is acknowledged in space provided. " WORKMENS COMPENSATI URANCE,AND HCW 18.27.. _ `\ SIG TORE (OWNER G DATE SIGNED .(4 F S SIG TUflE DATE SED BY DATE ION " 33 IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVALORACERTIFICATE OFOCCU- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. - \ FI YELLOW -I SPECTR NK-OWNE • GOLD - 09/03 -ASSESSOR PRFCC mmm : VAI i ARF MAKINIM—A ! (1PIFC #P20 CAFile No: 0q" (4g Critical Areas Checklist Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 16 57s- SD Le'::j uz S (` ►^o� 2. Property Tax Account Number: 00 y 3 q Z0q 3 ®Z. I o Z, 3. Approximate Site Size (acres or square feet): S Z 26 4. Is this site currently developed? X yes; no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. X 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: V�O ; Approx. Depth: 7. Site contains areas of seasonal.standing water: _A 0 ; 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? >n c Flows are seasonal? (What time of year? ). 10.49��N� d ;meadow ;shrubs ;mixed ; shrubs etc) 11. Obvious wetland is present on site: Vw For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? 0Go Ce 3. SCS mapped soil type(s)? c1 o d < h�� L-`. r1 cowt.r� , `y- IS �o 4. Critical Areas inventory or C.A. map indicates Critical Area on site?. 5. Site within designated earth subsidence landslide hazard area? W a - -1,,, C 420'14 bL"4- -I-o rrYa L1 n,n DETERMINATION STUDY REQUIRED WAIVER Reviewed bv: C ., 0 _ —min An. , o Date: I a,- -J-- 0 Critical Areas Checklist/3.25.2004 Tay Weinhardt 11-el-LI4 17: 20 530836434E 11/21/04 06P P-001 SHULL R&WE 4257740699 is PAGE3 020 City of Edmonds F Date Received: Mva,crptnertt services 1)epautttnemt City iicct:ipr #: � Planning DiviSirnl Cristcal Areas file all:_ Phone: 425.711.0220 CdOcal Areas Checklist Fee:— Fax: 425.771.0221 Date Mailed to Aoalicant: Thct Chi6ftl Attuw Checklist contained on lids form is to be tilled out by any Person preparing a Developattent Permit Application for the City of bdmmWs prior to WOW submittal of the application to the City. The purpose of the Checklist is to' enable City -staff:' to detain)"' whether any potenti$) Critical Arras are, or MY be. present on the subject property, Jim information heeded to Complete the Chcaldut Should be easily available from observations of the cite or data available at City Hall (Critical areas invmtorics, maps, or soil surveys), A property owner, or hislhec authorized repromatativu, must rill out the Checklist, sign and date it, and submit it to the CSty. The City will review the checklist. make a prooursory site visit, and make a dctcri timtion of the subsequent steps necessary to complete a dovclopnvmt Pemtit application. Pkvw submit a vicinity trap, along with the sites uWy Of this form to assist City staff in finding and locating the spMiftc pi4cc of propWy described on this forth. in addition, the applicant shall include other pertinent information (e.g. siw plan, topography mP, cta-) m atudics in cogjunatiun with this thxklist to assistant stab' in completing their preliminary assmment of the site. The ufdersigmed applicant, sold hial wAts heirs,, and d�ssigasy in ca>9i cn*on on the prooeasisg of the application u p= to naleatse, indamffj% defend and hold the City of harmless horn any and ell damages, including reasonable auomey's fees, arising treat any action or i nfiaction based in whole or part union false, tnisleading, inaccurate or incomplete information furnishad by the applicant, hi&,W/its agents or employees. BY my si1atme, t certify that the iinfom ion grad exhibits )aerewa submitted are title and eoaoct to the best of my knowledge and that l am authorized to 81 this application on the behalf of the owner as listed below. SIGNATURE- OFAPPUCA IYAOUNT DATE_.. 11-2-I - O Y Property OWneir's AdthorJ= By my signature, l certify that f have authorized the above Applicant/Agent to apply for the subject land use application, and grant my pertussivn for the public OlUcials artd the stmffof ft City of Edmunds to enter the sutded property for the purposes Of inspection mid poomiiao attendant to this application. SIONAT UIts OF UWNEa O¢` 44_� A DArr /i r ft Owner/Appomt: a` .vt � Name oss- 5� Sahel Address o WA city Statezip Telephone:_ p O V4 Email address (optional): App#cant Representmtive: Namo , —1D3� Ci��We S SUM Address City State zip Telephone: y2�;- LO( -ti141y Entail Address (optional): `SQ s�k11 6 � CO 1AZIS . YW+- 11-21-2004 17:50 SHULL RESIDENCE 4257740698 PAGE1 PLANNING DATA NAME: (,) , A d + DATE: SITE ADDRESS: 1 O22S PLAN CHK#: & — (022 PROJECT DESCRIPTION:) f 1 r i cam.. C3FI2 REDUCED SITE PLAN PROVIDED?: / No) MAP PAGE O y CORNER LO . / No) FLAG LOT: Yes / No) ZONING: FIE,— Co CRITICAL AREAS DETERMINATION #Qq-1 L) ❑ Studv Reauired: 10 Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) 114 Exempt ©2 G . c� SETB etbackS- �--+ � _ (}, tr ,� . Left-&ide: :i: ®- Side: S Rear: 5 + caAkx�l Actua Setbaclis� �y , i h/ I Stet aO i-Eef# Side: �J . to Righ4Side: S Rear: P—L � � St e map checked for additional setback required?(�(Y-es?No / DNA) I ❑ DETACHED STRUCTURES: C I i ❑ ROCKERIES: FENCES/TRELLISES�-- r T� 4 Y �4 E Cv' ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: �Si L z 104- �. PARKING• r d: -L, Actual: LOTAREA �K�-- 1 2 4�SQQ .S =S I .g g u Calculations:Cu �u�i LOT COVE S� ���c;�,l.� BUILDING HEIGHT: � OCR d • 2 Datum Point: � Datum Elevation: r , I Maximum Allowed: Actual Height: R u 4L4 G (0 2 S L A.D.U. CREATED .: o Yes) 3 SUBDIVISION: i I 3 07 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes / No) (. Flan Keview NewBPPiannir Ao D4.t—Io 1)0(�S L 1.-)0t AC—C— A-0 -:E� + Rev,S roJ P lof P )AA e -SaCk, V!&� tkl I OSS roe v-e S'f • 5 GA4Q I "v 54 [dam, ehds ; wA 'WO 91 Fckvoord5, WA (,fg r. �'?; f• O�ot 4fi4� c F Mw o.-A s $16t oq 3 A- o 2 Lc 5 _= 5 0/0 w to Ft of La+ z t Lod s 2-1------- {'taS AAa V12. v&e. A�tit� okt> Sits APPROVED AS NOTED To ek r-4 +o be BY ENG! EERING 54ockp, lod +. o i� Dat` �(I� �z00-5- all ?ar e e v,4 33.` Vo OW ICONTRACTOR IS R��S� IBL AND DAMAGE 1 t/�4►oKS At -of.,° ��oPot,� 1owp5� f ,i.:� caulC +91.64 e. ( G p DC 1J�� 3 SP�. GUT ERS/DO�ISP�OUTS n ei- Q oso eA pp�,n 1 Z3 4 f d lowrs� exss4 F„{„�� `D TO CONNECT To EXIST. SYST. e1.,�Gw_.. � 9S•33 Tod ProP+�e� 19�2.�s�4 5� "xsts I exS sS�,"'1 +die 9'41e.f 1 34�o rj7 P Paf �p II , _. rTo pp pp ppIs fte C 4� �� i A_ i i i {6nS Zo•� y �oo, +Iq. fit: I 8 , Awe o�rodQ- i 9 b`t +iao.s l2.YY' r o ;tom I 4100 lvtevciw.w�=�1Z3.69 ` .�new�2'1° I ;reet;Srsl c�w�Freel- c°� zero ya 7 "PPROVED BY PLAN I G rim�Y+ anJ Wx�o ' �4/ �o+►uc c w �a y RIGHT-01,WAY CONSTRUC "ION PERMIT GL � AND INSPECTION RE UIRED �e"fey °F r15h+,kuwj MAR 3 1 ?005 S PERMIT COUNTER SThr"EET FILE e • Zane.� Corner,,lFla& _ Seth cks Required Actual fmtl S> -?-&' s��) J { � / 7;Hei � R 2S .re Q e�- �w J•a-S 1_0 � Lose 3t pr'PHOVED AS NOTED BY E �INEERIN �—XZA 1 46"x we Z 4g�� Date:, 417 iZGIoS a% 7, S _ C 2ai-S xi--- IM�Pr:R��S VJi o\gg W6 = 1575� pos'f - A-00 tit6tiJ = 3= cis a lJ t Z &2 J 104 0 + 150z NEW Dlvj �a z�$ t •'3 Lek gYB�( + Q8 rb New! f'[ta c� wo•5 see 2 �s �Oc - T„�c1 vr,� • ovQ� � 1 � 2-o � t�.s a �•� 3 2.S'O . $ Sty&� rat ;,tjYAotr- r a P ate .� RECEIVED MAR 3 1 ?005 -�4 '26 PERMIT COUNTER ).2 a -Mow f%Q� OTREET FILE-- j A PORTION OF THE N.W.1/4, 5.E.1/4, SEC. 24, TWP.27N., R.3E, W.M., SNOHOMISH COUNTY, WASHINGTON.. 3" BRASS CAP REVERENCE RECORD SURVEY V.32, P.82 S89'54'29"E 641.44 RAILROAD SPIKE \ REVERENCE RECORD DALE Y ST. w SURVEY V.32, P.82 0 0 0 n 30.00 zl 0 O O C)I Lam_ G N c0 Co I O I FND RAILROAD SPIKE W/"x" \ 3-22-05 NOTE: INSTRUMENTATION FOR THIS SURVEY WAS A ONE -SECOND TOTAL STATION. PROCEDURES FOR THIS SURVEY WERE FIELD TRAVERSE, MEETING OR EXCEEDING STANDARDS SET BY WAC. 332.130.091. 0 SPRAGUE ST. 0 N89'53'34"W 642.55 BASIS OF BEARING: CENTERLINE OF 11 TH AVENUE N,, REFERENCE RECORD OF SURVEY RECORDED IN VOLUME 32, PAGE 82, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. SAID CENTERLINE BEARS NORTH 00'1859" WEST 0 0 w cD Y rn D N Ln O fTi D Z G� N p O N w 0 0 0 I V) 0 0 Ln irn Lp 0 0 LA BELL ST. FND CONIC MON IN CASE W/"x" 3-18-05 / 1 / .• �su'mmk`.>t"fn,&k GRAPHIC SCALE 1 Nlo,CL'. LEGAL DESCRIPTION: THE WEST 10 FEET OF LOT 21 AND ALL OF LOTS 22 AND 23, BLOCK 43, CITY OF EDMONDS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 2 OF PLATS, PAGE 39, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. R Q E D CITY "'OPY MW,! 31 lwn; G3Qu,,.LJ_4­ A -is 16S5 PERMIT COUNTER �: ` Tri-County r loss ��� � PERMIT COUNTER A PORTION OF THE N.W. 1/ 4, S.E.1 / 4, SEC.. 24, TWP.27N.., R..3E, W.M., SNOHOMISH COUNTY, WASHINGTON. 3" BRASS CAP REVERENCE RECORD SURVEY V.32, P.82 S89'54'29"E 641.44 r RAILROAD SPIKEREVERENCE 1 SURVEY V 32,EP 820 DALEY ST. w 0 0 0 30.00 FND RAILROAD SPIKE W/"x" 3-22-05 v NOTE: INSTRUMENTATION FOR THIS SURVEY WAS A ONE —SECOND TOTAL STATION. PROCEDURES FOR THIS SURVEY WERE FIELD TRAVERSE; MEETING OR. EXCEEDING .STANDARDS SET BY WAC. 332,130.091. 0 0 1 w Ui a M D V) UI O m CU m D Z G) N 0 N (_4 0 SPRAGUE ST. w 0 0 0 N89'53'34"W 642.55 1 CA 0 0 1 01 tr (m tr Lo 0 0 w BELL ST. FND CONC MON IN CASE W/"x" 3-28-05 BASIS OF BEARING: CENTERLINE OF •11TH AVENUE N., REFERENCE RECORD OF SURVEY RECORDED 1N VOLUME 32, PAGE 82, REC.ORDS OF SNOHOMISH COUNTY, WASHINGTON. SAID CENTERLINE BEARS NORTH 00'18'59" WEST t Ii 1 1 1 .• GRAPHIC SCALE 1 LEGAL DESCRIPTION: THE WEST 10 FEET OF LOT 21 AND ALL. OF LOTS 22 AND 23, BLOCK 43, CITY OF EDMONDS, ACCORDING TO THE PLAT THEREOF RECORDED IN. VOLUME 2 OF PLATS, PAGE .39, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. RE,I��D FILE.:, PERMIT COUNTER G���; 5,�� Tri-County Land Surveying Company Survey 4. �SH�y 'A �. 4610 200th St. S.W. Suite A wood, Ut98036 425 "r_g126 P _776 2850 s yim a. �4 DRAWN 6Y: 6k1 DATE: MAIZDH 2O65 JOB No. t75-027 55pIRES �41'S5 "t CHECKED BY: Ra SCALE; . t "�30 _ " FIELD BOOK No: 658 i1Ec 0 P, iE CEF I V EZ g-D P 3 E -9MiT COUNTER