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109 OLYMPIC AVE.PDF1111111111111114277 109 OLYMPIC AVE The City of Edmonds Side Sewer Drawing EASEMENTNO - -------------------------------------------- NEW CONSTRUCTION 0? REPAIRS ❑ LID NO_ __________________ _ASMT. NO. ._-___--._____-_-- OWNER---- e-QP41-------nn------------------------------------------------------------- CONTRACTOR-----------------------------------_----------------.------------------------------- PERMIT NO.94J- 74 __ �i�QQ � JOB ADDRESS .1.1-------- MP I C,---A\f e- --------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO.-_..--------.--------.--------.---.- -------•------------------------------------• ---------------.....-•--------------------------------------------------------------------------------------------- NAMEOF ADDITION ---------------•--------------•------•-••-----••-----------------•----••-•---•---------------------------------------- I09 OOMPIG Av. z 3.5 CD I2 4 3.5 oa 1 "coPPe.R I"P.E. 16G P.S.I. (So.oF Roc-wr-q I_' 1�oC 3/4"C.PPER r� O L'y M P 1 c- Ave— Approved: J19 95-•-- By �4� 0001i 1175 (REv.i 1178) DATE - •------------------------------ CITY OF EDMONW 19g4 �o 8 9 0- 1 9voci Address of Construction: wlbf SIDE SEWER PERMIT o PERMIT 11,i2 3650 I flVoAdj /Q] Property, Legal Description (Include all easements): ED�,,Ii ., ; �riu EN r PLAN r Owner and/or Contractor: T LEA k\<-D o­.\S State License No. 3 �_EO Pb _* 1-1 SO Building Permit No. P4 Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-Way`Z No ❑ Yes RW Construction Permit No. Cross other Private Property: )9 No ❑ Yes Attach legal description and copy of recorded easement I certify that I have read`dnd shall 6omply with all city requirements as indicated on the back of the Permit Card. I Z.- 1 Z Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE"USE; ONLY " _ * FOR INSPECTION CALL 771-2, PUBLIC WORKS DEPT. Permit Fee: ' � Issued' �66 By �K Trunk Charge: -S Date Issued: Z -/Z rj� Assessment Fee: /� Receipt No.: �n3 Lid No.: - Partial Inspection: Comments Date Initial Reason Rejected: Date Initial Final Inspection Approved: Dateilrinitial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3!90 I 0 f The City of Edmonds Side Sewer Drawing EASEMENT NO- ............... ........................... v NEW CONSTRUCTION REPAIRS ❑ LID NO . .................. ASMT. NO . .................. OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. ................... JOB ADDRESS ... ......... .......... 4JZ ...... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. - ---------------------------------- PWW-0001-1 1175 (REV.1 1/78) NAMEOF ADDITION ....................................................................................................................... 000 IALS�. Approved: ............... By DATE ................................... 158400 . 'J } N W 1/4, 5E 1/4 , 6EC. Z4 , I. Z ( N., K. 6 L., W. M. Al . _ I ", ' k�/ x / a ' . ?/ / / \ ', . w IB�TM � " i, S L !V-1 S. a _ .�>� .A..!.j1__ :s 1_ �• w�aK s ,;is W,IT0. 1 kA4 h ST �. ,SM qiu 1 , . �, ' & P.Y. 1lOTM tW r: It.r . I //I =CPIRRi St \ .v 1�"Trw, . .. +:: 1 fw SM- .A. , r 9 ! X {� i - I `r+K�" ,,,ti '196TN ST i' `SN' "rl �� MIIOCTU 1``Lt P�UGET'-' r , DR .. c "., op r Ly-/ i /� .4 ►■m� 111E "-'�L' L TTt t ^ tat. 1 / `t+�� ; ` t MOD090t SI ■ ._ .� 12Y a l ; �/ : 'CkSPE S ST ,tt+ac. ...,, $1 �, at- . // - I tw., 11f,�� !1C Y1S\Y' W .� t(gTM, s '7 - i I ' ., .:w ' `` °� = °'� PR0.1EC7 ' 517E `` r 4r.t.ar;�/ ,�?•Qo .'r Iri.WM.•} .:'i •rMti t. \ jpltX i., i+} ♦ > pAltT ST & '•K El: ' k4 ! Xww p \ �� _ I \, \ \` %` -- SWAL_e - 0:69/• MI1J --- \\ /� Z: I MAX . SL _ _ . � ._ _ �• lrlC • q ';'ss wa;.to� s . \ \ \ 'its A '►•" AS RC 'D. 61 _ I � 4 �' �c•t o.. i.... sr L � Y 1 14.N' Ptll� : t ,;,�,". ' _ I \\ ` \\ GOOF DfZAst.1. i�:.t' Q tl) A' J, ro . .T -�_ "tutw i `�` //ltt(A6[ n- • I \ I 1 E m 2. tl >6 . PK • !061 \ `. o + /�//./y Toil sr ..r r� Ct .�\ tj p �� I� .. 1� •� , . b•� .i•• d1.,1,r•- - _ -T _ •(111 Q r.,�'• :,� s 1 .0. Pv / t MAI ST d ,ara>T : st' sM '•�.., r.+ ' _ C� I G J , A9-'s , �! .� 1.14:4rYo. ,;; B .: . E VMT GLLc_ ,� i I QJ o' . , \ `.` 240,o L ,:,�; :c 242c80 �j cl C.B. ` 2 I t \ •'I 2b Mlt.i Ex w tA: .tt W / SOLID LOCKING LID 1 I 35 \ GAR/�GE 7.' '"!, I \. , � vili��111."��". i_,�: -­ I .Ci7 TOP 228.5 + \ \\ .i ,� Y 0 . + :+ Co I 22 . `iO \ `. 3-�• +4. tL. �� 11 t t I - - , j 1 2 �,,; 1 ;. \, I . 16 IE Z23.07 \ 249.5 _ y: N >nm \-•m REMOVE Fix IS'TING. Py . ... ., MAIN �L. _ _ _ �� t I 3 . _.� 1 \\ \\ \` ,c BUILD I NJ.G CANTI LEVER ~ 10 S. ,5 d1 I . 13SMT 240 d c�3 . W \ \\\ L RE r ) I.1 .` ; In e ti . I . i �� _ \\ �\ ,\ 1l7 �( SAWGUT EXISTING PVMT IN �" 1 N +\ } \\ \ 6EE ARCH ITEGfURAL 8 I.:I a Z;, }x ' 13 A STRAIGHT /AMID ' VEIZTIC/�l 0 0 \ \ \ i6 I /a PRIOR. TO. PAV1W(-; OF NEW . 1 ! U) 0 p \t U \ PLANS FOP- 240.0 • r' 239: . - . l ( In \ \` tU HOUSE coNsTR - ti, : ro zast6. I PIZIVE WAY. ttl ` . X I 2 _ : Z 7 Q) .j ++' ENTRY . : x „ .: ; .: �,.7 . -L\ % a o ++ - Z44.5 . U r WAL4C WAY - �eI <r i mac. 8' cP 9D . t-, %,_ CLEANOUT t �0G" �. m : V P 235 . D± �PIELD A 1 n C, Bt 3 (n 6111E 229. 6O `. FtooF DRAIhI. -" t ��_DF-111N-------- \ 2 sP ` �39 2 0.5' -II N \�`� % J _ 56, roM Pvc `@ 15.8o9O Sp .Q 'I 239.�3 �i ` G.1�. (✓.�. (0 _17 �G \5' `�` WYE EL. 229.30 �`.�, .`�� TOP.1 2-4O.-7g • ' ; ` - Go PF 50 \\ _ _ _ DRAIN 4.3 '`. ' ,= ! H ��� B" l E: 239.48 C.B it I t I � ,k •\\ vv7 L-E?RD;81<ARING r`''',- u ?90 . I .% GczAre 7,` GPUCRTBRUDEDt \ _ `"I / . REST R IGTO R iq J ` W / SOLID LOGIGING LID f `� TUP 239.�}Es �\\ m TUP 22fo.O +- �`� fkPPRbX. LOG. 6"lE 237.03 `\\ \\ �/ I OVF_2FLOW 224.GO I F1txL�' fG� •al•_;, . G" IE 223.90 IN I LD - I - }- I GI lf3t' IE 222.90 I '`. 1.1 89° 54' 3'�" w .108. s-7' �X. F.uYct,�'�•, �. i r• ��yQOO��`\ ��\`• I EXISTING CO�Ic. SIDEWALK - I orztvr "v � \ . p . W �1.nor: \ CI Eli. P R r tT1 \ REM04 5ALw,(,- •:, `-, REPL-ACL Ex\S �rN� M/AI LLOX • EX G I C.T. I I I A_ tt w w - t- Vi w ,'- W W� _.; N I W. r. i I NIr ,t wv wv 4'G? aA L W U 01 / n� 0 r t I not. 6" C.I,, . �xC / . W / � l=X. 811 43I N ex. MON IN GASC - t gg ss �S SS ,N 89.0 54' SE3° W -1 i APPIZOX STUP� I r,`- ! / . I E t 222.'TO f - : - ' .'11�­,_'_ "."U"'t, ,­_ I I / I __ . .. 11 .- 17 �. , \ I\I B9 . 5 . ' 3E3" W \ \1. \ : \ RERLACE J)AMAGED 51DEWALK. \ \ . I '. .t . . 1 L"'_ - \ . II C IONIS C.EX. E_XPANWON \.1OINT s \ . 6Y 5E T ` �(. C.B. \\ TO EY.. nXPANSI0W \JOINT. ) \` 1.\\ . , . EX. TUP 222.73 . \ . . \ . . � .. a .� n/I. 4 . . EX • 1311 I E 219. 5'1 \ \ \ \ \ 1 E.X. TOP 2310.92 N E \lV 6 " I E 219. GO \\ \\ \\ �c . 0" (E 22`7.00 (0 1\ GI . . MAIN STREET ACCEPTABLE rIMTun►!r MATEpIA I N-f 2 ADS . • . �. i Sch 40 PVC . I . I ... . . � . 1, 11 �. , , .;i'P_'_ . �, . . " . ­ . C * .a . �� 1>,ri St �' .1 1 IUD 1 , 1. .wt ~ t'osr - k r IX k �i ` ' + , 1// `I w. / 4 °h I . / vttatrE J A{' v i I ' / '.. :swnURY XOlttll W C[N0. ` T c u , PA TAtn�•@j'•`�1\ a t StrtXl' W.. 1+ , `p,°co 9i pZ > m ` 1 � . a , i, .ta It, s- h Iti. it A.11 I ' S tw x!Rw,is � v.nty_• .u., nfa `"T, r ill _ I t,�• f� SXS a-1_-_ ' . %/ ! it 40J � r li . •.SI . � � n a Z � i • . tNati _ _ Sr 11ME St 216tM + It ST . . ,. 1; , . _ I rt ' I It]IAABS Q ,ni > > L'r i Y tltiH T [ i . 1, :, , wM . a 0 . r .. m r. 5'- �.I"^J t ! y RII's s . . VIGINIT11 `(' MAP 1 u I O 10 20 t . &�AMMMEMNJ , . SCALE : I "=,0'. . -. ,�,., 11 . . I . . . . . I � I I . , �; _.�� I I . LEGAL DESCRIPTION ' . I THE SOUTH 55 FEET OF LOTS 21, 22, 23 AND 24, BLOCK 40, CITY OF EDMOND Si ACCORDING .TO THE PLAT THEREOF RECORDED' IN VOLUME 2 '.,OF PLATS,: ON PAGES' k i 38 ANO 39, RECORDS OF SNOHOMISH COUNTY, WASHINGTON 1: '. EXCEPT THAT PORTION OF SAID LOT 21, DEEDED TO THE CITY.'OF , EDMONDS • BY DEED RECORDED UNDER AUDITOR'S FILE NO. 8408290220; ,. n I I,,: ALSO KNOWN AS CITY OF EDMONDS SHORT PLAT NO. S•16.84 AS RECORDED `UNDEA AUDITOR'S FILE NO. 841 1090231) i = ,`, i . I ., lr .RENCHMAAK i . ,, Y r WEST INV. OF SANITARY SEWER MANHOLE LOCATED AT THE INTERSECTION OF MAIN ; STREET AND OLYMPIC AVENUE. k '.' ,, x.: bRIVEW/-%Y COIJSTRUGTION INV, ELEV. = 227.00 t=XCAvAT:aN .-......... ... ••••• ll0 C.Y. DATUM CONTOUR INTERVAL 1 FILL ........ ..................... a..... 2 G.Y. t `: 1 - CITY OF EDMONDS 5 FOOT E P0U5E c0N5TP*.UCT I(DN . ., NT ION ....................... 216 G.Y. II ROAD AND STORM DRAINAGE NOTES , PILLv....... 2 G.Y. ;. I . 1. APPROXIMATE LOCATIONS OF EXISTING UTILITIES HAVE BEEN OBTAINED FROMrt ` AVAILABLE RECORDS AND ARE SHOWN FOR CONVENIENCE. , THE CONTRACTOR` I t. SHALL BE RESPONSIBLE FOR VERIFICATION OF THE LOCATIONS SHOWN AND FOR ` •` DISCOVERY OF POSSIBLE ADDITIONAL 'UTILITIES NOT SHOWN SO AS TO ' AVOID' j T . . . DAMAGE OR DISTURBANCE. THE. UNDERGROUND UTILITY LOCATION SERVICE,' ; i . I SHALL BE CONTACTED FOR FIELD LOCATION PRIOR TO'' ANY CONSTRUCTION ' ± THE OWNER OR ' HIS REPRESENTATIVE SHALL BE CONTACTED IF A' UTILITY";._ � \ CONFLICT EXISTS.. FOR UTILITY LOCATION IN SNOHOMISH COUNTY, CALL 1 800•; c 'i. 424.5555, . k f �i, I • 2. ALL CONSTRUCTION SHALL 'CONFORM TO THE "STANDARD. SPECIFICATIONS FOR:. . MUNICIPAL PUBLIC WORKS CONSTRUCTION" AND STANDARD' PLANS AS ADOPTED" 1 BY -THE CITY OF EDMONDS., AND:.ANY REQUIREMENTS%' ESTABUSHED :AT a.CITYL " . <ri, :; a. ' HEARINGS ON THIS PLAT ?. 1y '.. 3. ALL CONSTRUCTION IS SUBJECT TO THE INSPECTIUN BY THE CITY OF EDMONDS I . AND THE CONTRACTOR . SHALL' NOTIFY THE CITY OF HIS SCHEDULE IN,� { . I SUFFICIENT TIME TO PERMIT' INSPECTION PRIOR TO AND, . .. . f 4. THE CONTRACTOR SHALL BE RESPONSIBLE ,FOR OBTAINING ALL PERMITS FOR, ROAD AND .UTILITY ".CONSTRUCTION, k `; ,,�I1.I,�I��,,,""�,,�",,%,I, �"".-�­—,i,,,�..i—,��!_�­."-, �i,, ,'�-t­"I -�!,", ,,�"1,�,1�i,,���,�.""�,',,,�I,--".-i,—��.''I�,,-,"'I",,��-­�!i!,!1`., , -,�,�,,.;1:'�'__�i.1""��:�7,r,"�fi.:,, -��,", ,1*`i,I.I�.,'":1-];,.r".,,", I'r��,,'.�,,.,;,�.; -'It`.': "-, %_, �.',�''�":��1��,,_,' � ­,��!�,:,_"� _�� ` "i�,, ',- �,'t1'I,�i��`,,I" " ,�`"'�; ,,.�-,� ",�," "�.�-,,I�,, �',�:.�� , �1� ,�'�,W,_ ,,.:,�;�. ""',I� ,:i,",.!�1,-;�,�.. 1 II 5. PROVIDE AND . MAINTAIN TEMPORARY SEDIMENTATION COLLECTION FACILITIES TO:'. . �' , . . 1 I INSURE SEDIMEN.TLADEN ' WATER DOES - NOT ENTER THE NATURAL DRAINAGE t �' .I .. 1. . I. i. . " i. '�... , ��,'I'I SYSTEM. THESE FACILITIES MUST BE 'IN OPERATION PRIOR TO CLEARING AND •.` ( 1' iI I 1i ��"I­, i:' '�"'r,' "I, ij GRADING, AND SATISFACTORILY MAINTAINED UNTIL CONSTRUCTION .IS. COMPLETE:` t AND THE POTENTIAL OF `ON;SITE EROSION HA5 PASSED,:::. ', . SbR 35 ASTM D3034 6, UNLESS OTHERWISE NOTED, ALL STORM SEWER PIPE SHALL` BE CONCRETE (CP)� # . . r .• CATER ERVIC INSPECTIONS .;� . I ! NONREINFORCED, ASTM C-•14 124" DIAMETER AND LARGER TO BE REINFORCED;'• I "- .. - iI I . . )�'.. .. . . I . .. I . . . . . I i . . . . . ' I .' i 1­ 4 . I .... I . .. . . ASTM C-761, OR CORRUGATED METAL ICMPI.- CMP 'TO BE 'GALVANIZED . STEELI ! 'r REQUIRED. CALL 7714235 APPROV p I WITH TREATMENT I ASPHALT COATING OR BETTER, OR CORRUGATED' ALUMINUM' ;i ?;r :'. .. . . A� NOTE). . ejI I I -1k. - � - . -jI 1, .. . . I . . . . . . . . . I I . . PIPE, OR AASHTO M274-70 ALUMINIZED STEEL. ALL PIPES SHALL HAVE RUBBER.. ' ti� I GAS ETS. ALL CMP TO BE .16 GA, UNLESS OTHERWISE NOTED.. ADS N 12',, /� I PIPE MAY BE SUBSTITUTED FOR CMP FOR THE UETENTIOrJ PIPE ' ONLY. PVC' . PIPE SHALL BE ASTM 3034, SDR. 35. I -;` . 6.+ . - i ��N . 7. ROAD RESTORATION SHALL BE PtH 'CITY OF EDMONDS" STANDARDS i ' . 3 w t In� s' s li t ., B. ALL ROOF DRAINS AND DRIVEWAY SURFACES SHALL BE . CONNECTEb • TO THi �' °# f, U t - STORM DRAINAGE DETENTION SYSTEM.' .. .. .I� . . �1. . . I . � . . I . .. I. I q . . �. . . .I�.. .I I. ..� .. � , . I. : I. .I.. I... .I. . .. . .� . �I-. .. . � I . . . I . .­.. ...I. . .� . . .�.. ,; ;.. . .. 1fI ,... . . . . � . . . . . . . ..I . I . I. .. . . . . . � � I . . .� . I 01 1 - , EXISTING GIOUNd v x: t r: TOP OF CURB (9 DRIVEWAYS . 9. ALL ROOF DRAIN STUBS SWAIL BE MARKED WITH 2"x4" POST SHOWING' DEPTFI', r' y 0 1=U711R� CURB j AND MARKED "DRAIN".. d ROCKERY AS E. DRIVEW/1Y - 'gyp i', Z RED'D' U . ' 10.. ALL CATCH BASINS ANU INLETS SHALL H °` J 32' MIN. (DETENTION PIPE). CG" PVC CAP OV F R. OVERFLOW III I .II III ?11 = _ I' MILL. . - I I� r . . . . _ 1 . .. . . . . 1 . . I . - u _ �- t' VARIABLE _ _ $ ; AVE LOCKING GRATES, LIDS OR , p _ ..W COVERS. , I f Id r _ - Q 11. ALL CATCH BASINS AND INLETS OUTSIDE OF PAVED AREAS SHALL HAVE :SOLID UvPER CATCH BASIN. \ 0 ( ( ' _ _ EXTRUDED ASP1-LACY OR COVERS. , I > c 9 l ,, _ - w -l" . , CEMENT CONCRETE CURS . ' I .. 230 a o sL �FJz. ASPHALT ; .E. C 17I GAR .240.0 \Q ROADWAY . 240 I I ,. PROPOSED DRIVEWAY BUILDING R>IVIa k. A-t SECTION LINE - i, AUG 1 G 1994 µUG 1 5 19911: �. .. ... /.. . r.. .. �.1 I 7. �.� 1I 0.I . ...,. . .;\I. I ..4 , .1 0:� /- .0,. . .�'­10 .5... '. _. 'I 22% SECTION A -A EfVtaINEERiNC ' OVEJZrt oW 1 �'_ / i SCALC : vErZT. I , = 10' I•� ,i . �p `__ PVG OUTLE-t CON'TWL I'MIN. I SITE AND STORM DRAINAGE: PLAN.1 ; I CITY'OF EDMONDS I I 22 0 -STRUCTURE I I 22„� ---1 eL,! \5 00 /o / 6tIPVG. GAP.,, W/ 5/13° DIA HOLE 220 . ' ' -r_� 1.5'MIN• DRILLEO- IN CENTER. 3 Ill' APPROVEOFORCONSTRUC'l10N; FOR I ,; , z FUTUR>= .Y: - JIM LEOPOLD ,� ,, 4� C . $. it 2 Oc DATE:_,. U W/ SOLID UxICING LID W t C. 8, I N CITY ENGINEER W/ SOLID LOGKINC� LID TD1P 22t3.5 ± a 1=XIS'tIN 6 GROUND CURB Ei I ( t' ,11­ Go IE. 224.70 O DRIVEWAY IN N�IV /4,SE /4, OF. -SECTION 24, T.27Nr,�R 3 p fM,.: }. ex . C, 8. RESTR C'TOR _ ; 215 TbP 2�_G.O 18" IE 223.0'( 24.5 I� EX. TOP 222.73 LL eL . 24 4 I PROPOSED DRIVEWAY CITY • OF EDMONDS ;; ! X. Btt IE 219, 5-1 OVEIZFIAW 22A.GO Q _ Ali h ,? G IE 223.90 IN .j 4 NEW �Iti� 219,C0 Ia;1IE 222.90 IN Q __� `_c,T�s�-r►rJN L►N�. o ,:..,. , ' SN0HOMISH COUNTY, WASHIN.GTON .`;'. r :Y ro I E 222 : 90 OUT k-- -- -- " ",!•` (., ' . . . GA f2 : 240.o 0 1` I_` 1` . EX; ABPNAL7 ROAI�bV/AY ` r' . S stem Data: . y TURNAROL)ND ;:r S`CR ET FILE AUK::, . Impervious area (typical.) , sf . = 2200; sf t a „t , Volume required, cf -- 55 cf SEG'j'I f`1 8 --E3 ;. �; I s. , . I ®ra i�1 d ame�� : / 8 I � a1 ? I Oh : '. ¢ ;.:11, 410, .. f ' ' i . .!.,i,11I"',:, 1�, ,1.,`: ` .. 151gl . v�ll- xla j , . icx s, I . Pipe dia: 24..o inch, length = 0. fE,. vol = 0.0 • . 'vMRrt, 1 . *3 �� •. �..,,m,. Engineers/Surve ors/�lixnners/Deg;' Io im nt: (_ f., . . Pipe dia. 18 0,inch, length'= 32 ft,'vol = 56 5 - I. Y p e O._, i is -. .__.... �A' M "11. , Total volume provided, ' cf 57 .. . . 1940033rd Avenue W , Suile 200 Lynnwood, WA 9803b• (2g6j7751591• (206j340� 830 , ' " I H DATE . I - t'. I. c '� DRAWN C ECKED F,B SCALE 1`rLE NO ' . 11 .. ;. . _ _ _ .. , . . . . ALV CMC 8 5 94 411 i' 10 •'r;: I,I ,,�."I� ] . 1 . -. I • .. . {; :' . -- • , - --- __._ 4. . //f 0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME NAME OF BUSINESS JAmEs L, LEoR MAILING ADDRESS SSIC( NE Eu— wy CITY ZIP TELEPHONENUMBER }{E NAME DescC�N �.oClsu�l� S o 1 8 LEPHONE NUMBER NAME ::�', Ll:ot�oc�1 }EomeS wDDRES ' e glq NE �oTN Et.L W Sy CITY ZIP TELEPHONE NUMBER .1e Ll. 011 �17Z �ST TE LICENSE NUMBER EXPI TION ATE LEOp4 i 5o►:N......, 5.. inchrda all AmAm- A is C! 0 zoNE�USE PERMIT 910574- I < l �^ NUMBER J Z 5 - - 6q1.5 PUBLIC RIGH.7 Of WAY PER OFFICIAL STREE MAP EXISTING REQUIRED DEDICATION TESCP Approved RW Permit Required Street Use Pe-1 Req'd D `1 D PROPOSED �!�' Inspection Required Sidewalk Required D METEji SI'� �'11///l_ l/ SIZE I NO. j FIXTURES 7 PRV�REEQUIRED YESX� NO ❑ - I'' �;G_ (.�i2�i.1G I��cGp, iaNi(/nl �1��TP�TT7c�J SyS I�SP /lf i�, rt �/c T�� urovr>r1 �f � FiNA1. fi1G/l4 //JSP Rf/Ji� _ ENGINEERING MEMO DATED _ RI�VIEWED BY TaX ArcelcNo.count 43 y.2 040 02 010G Pa ® NEW RESIDENTIAL ® PLUMBING ADDITION COMMERCIAL MECHANICAL REMODEL APT.BLDG. SIGN REPAIR �CYOS. FENCE I K_FT) DEMOLISHOODS INSERT TOVE SWIM POOL O HOT TUB/SPA GARAGE OAROW RETAINING WALL/ ROCKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: , stN6,te F ", NUMBER OF 2 STORIES NUMBER OF DWELLING ' : UNITS /� • y CRITICAL AREAS NUMBER SIGN AREA SEPA REVIEW Af�B N9„ ALLOWEDI PROPOSED OOOMPL TE EXEMPT G SN ELIyEIe E% /nT VARIANCE R CU r� INO R BY 0 E AA SETBACK FEET 10 T LOT E G ? �f-b - � 3 FRONT SIDE REAR DYES 1Z REMARKS PROGRESS INSPECTIONS PER USC 305 DESCRIBE WORK TO BE DONE (ATTACH PLOTPLAN) r- �g^u��\ �1C� `,O `n/� S( �5 H l'�n FINAL INSPECTION REQUIRED 17A \ s � t `'1 \ , Ii ]/e N (X _ VALUATION v '. Z7� Z% PLAN CHECK FEE LOTS�oE BUILDING 3 HEATSOURCE: GLAZING PLUMBING Plan Check No. —IZ:MECHANICAL GRADINGIFILL This Permit covers work to be done on private property QNLY. Any construction on the public domain (Curbs, sidewPlks, S� driveways, marquees, etc.) will require separate permission. STATE SURCHARGE r Permit Application: 180 Days STORM DRAINAGE FEE 34 Permit Limit: 1 Year • Provided Work Is Started Within 180 Days FEE "Applicant• on behalf of his or her Spouse, heirs, assigns and ENG. INSPECTION in interest, agrees to indemnify, defend and hold Wsuccessors harmless the City of Edmonds, Washington, its officials, i employees, and agents from any and all claims for damages of 5 whatever nature, arising directly or Indirectly from the Issuance of .this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT •f 4*8 0 modify, waive or reduce any requirement of any city ordinance i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that 1 have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the Work authoriz• AUTHORIZE•• T signed the BuildingOfficial or his/her ad thereby, no person will be employed in violation of the Labor t Code of the State of Washington Ming to Workmen's Compensa• WORK LV NOTED Deputy; nd fees are paid, and receipt is acknowledged ins re p provided. lion Insurance and RCW 1a INSPECTION SIGNA E ER OR AlE Tl 6NED OEPARTMENi OF A SIG TORE DATE 113 ' r DIMOTY NDS CALL FOR LEA ° DAT ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 0 ��� oALL Ao ORIGINAL — File YELLOW — nspectl A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK — O'A^.er GOLD — Assessor CHAPTER J. ��,,p-r.�n^".rr.: �kr ww.FuwN.�:�TnrY�rs*��,.d�4fR,.,.7��.4m-.°0�'igtjogy-i��i'�(��`� ,a�",.�'�r�v'�'�tinves(�`�i�-� ���.�AF�v1�a,ru,,.�,.oyiz�sr�1�� H" ""'i�w.✓rB�+ryi�ajt f`i x� �°N`�^t� ryl�*r?t 3 CITY Of ,EDMONDS �o 89p.19 SIDE SEWER PERMIT PERMIT 1\® 8619 Address of Construction: Property Legal Description (Include all easements): EDMONDS a clECE1VED SFP 1 4,1994 PUBLIC WORKS DEPT. Owner and/or Contractor: JA.W. LLB 4..a Gor,S 772. State License No. JGtOf� ' Building Permit No. 9 4D5 74- Nr Single Family Invasion into City Right-of-Way:xNo ❑ Yes ❑ Multi -Family (No. of Units ) RW Construction Permit No. ❑ Commercial Cross other Private Property: No ❑ Yes ❑ Public IAttach legal description and copy of recorded easement I certifVthat I have read and shall compl_�-with all city requirements as indicated on the back of the Permit Card. ty Pate * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION Assessment Fee: _ Lid No.: Partial Inspection: Receipt No.: Date Initial Comments Reason Rejected: •4 `r Date Initial Final Inspection Approved: Datet'2-�3- nitial.:��ea,,(e-d by **..PERMIT MUST BE POSTED ON JOB SITE ** ~ White Copy: File . Green Copy: Inspector •� Buff Copy: Applicant Revised 3/90 t The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION 2"'� REPAIRS ❑ LID NO ................... .ASMT. NO. .................. OWNER............................................................................................... CONTRACTOR ..............._..--•---.....---•---•---......--•--•-•----.._....................... PERMIT NO...g( .�..__L.. JOB ADDRESS ... ` ... .. ... . ........ ..:L .... `- CA It LEGAL DESCRIPTION: LOT NO. — ................................... BLOCK NO. .................................... ------------------------------------------------------------------•---------------------------------------------------=-------....�. iViQND� NAME OF ADDITION ................ °t,'TV-r- Co . ;L' D.9,p. 5 d - P 2 t' � O �S Cap V o e e61 i .e 13 --s- dG k ox.e-P. Ib l4 O IQ t�1STs S lD F. V�It4L1< Eo C,L lV _ -- DL- � V, \0-- A,�j 7�__.. Approved: - b A PWW-0001-11/75 (REV.11/78) DATE BM � .......... HEIGHT C/%,LC'5 fb - ;Lti5. -1 C - �LN8,1 ►] - ;L 4 4. YvtrAL , 63. 5 ', 9 c 24 *I Is 270,`) FAA,% SITE PL 1--.N L-O T �k , oS- %P'F C,IT Y OF E-TJHoNVl5 nNOHO"Ls" c-o" uJm.. TA..," 43H2 -040-02.1•0109 ot s �s �s � G va'vc APPROVcm �A, I IQ 5TREET CA m S SG1►LE � l" =�0-0 RECEIVED MAY 1 6 1994 PERMIT COUNTER J. LEO PO Lp HOME5 PROJECT REVIEW CHECKLIST PROJECT NAME:_/.2E6 PLAN CHECK #: 6¢. PROJECT ADDRESS: t _ �r3,,4� = P� RECEIPT DATE:_ :::ti>:;:•:F>::iF:..::-ism:-:::.i>::::::.:::.::�:;.:::->:<::::.�::.:-.::::. �:::::.: �:.::::::..... ••...... }:;«4:i4:^ EVJ.. :. . PROEM 14.�:'• rF:Y':?<C�:4Fs.4FFF:? .................................................. . SEWI✓R..S7�E '....:.:.��G.<.i: Reviewed By: FIRE lisp Gf.�•�"�w-.c-�. PLANTREET F E GINEERING p �� @@ MAY PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyle Chrisman, Engineering Inspector Owner: Plan Check No: 7 �f"� 7 Address:_ !Og BC ".'06G AV16 Date: 9,,/l 905) ¢ ----------------- After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M: 10:00 P.M.WEEKENDS/HOLIDAYS —10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDERIOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) t 16. Connection to the City sanitary system is required. A separate permitis required. LID# Fees paid: Yes No Charge (ECDC 18.10)' � 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) STREET ILE MEMORANDUM CITY OF EDMONDS STREET FQLE PLANNING DIVISION 250 STH AVENUE NORTH, EDMONDS, WASHINGTON 98020 TO: BUILDING DEPT. PLAN CHECK NO. 94-97 FROM: Ann Bullis, Code Enforcement Technicia . DATE: MAY 23, 1994 SUBJECT: ENVIRONMENTAL DETERMINATION FOR A NEW SINGLE-FAMILY RESIDENCE AT 1055 MAIN STREET, EDMONDS, WASHINGTON. PROPERTY OWNER: JAMES LEOPOLD I have had the opportunity to visit the subject site, review the environmental checklist, and Critical Areas Determination, a copy of which are filed in the official file for this permit. Based on my review of all available information and adopted policies of the City, I recommend that a determination of nonsieniticance, be issued. Review by Responsible Official: I concur I do not concur Comments: Jeffrey S. Wilson, AICP Responsible Official Attachments PC: FILE NO. 94-97 Robert Chave, Planning Manager Date Page 2 of a(raa *)))=/(((DATZ)))JMFA S90_l9q' City of Edmonds 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: JAL, LwFW Name o;P /� lvG heTgeu- W!/ Street Address 1OTOAk,, w 4 two I I A -1 i I-s�- City, State, ZIP Phone 3)/7 14cl —Signature ate Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date CITY OF EDMONDS 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: New single family residence totaling approximately 2450 square feet. (City of Edmonds Building Plan Check No. 94-97). Proponent: James L.Leopold Location of proposal, including street address if any: 1055 Main Street, Edmonds, Washington Lead agency: CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). 'This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. XX There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by , 1994. Responsible Official: Jeffrey S. Wilson Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 Sth Avenue North, Ed nds, WA 98020 Date: 5 / iq&,t Signatur . �s-�---- XX You may appeal this determination to obert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than 1yi,►E A , 1994, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the procedures for SEPA appeals. XX Posted on 1994, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: XX Department of Ecology Environmental Review Section P.O. Box 47703 Olympia, WA 98504-7703 XX James L. Leopold (Applicant) 8819 N.E. Bothell Way Bothell, WA 98011 Attachments: Critical Areas Determination # CA-94-71 Environmental Checklist PC: Building Plan Check No. 94-97 SEPA Notebook Robert Chave, Planning Manager Page 1 of 2 CITY OF EDMONDS ENVIRONMENTAL CHECKLIST 890-19q., Purpose of Checklist. The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or does not apply". complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonprojecl proposals: Complete this checklist for nonpro*ect proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as "proposer," and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed project, il' applicahle: ! 0 2. Name of applicant: AA 1'y,,C Cce ptAA 3. Address and phone number of applicant and contact person: — ('7 J 5 4. Date checklist prepared: Page I of 22 rlIC1T,sn.,t01\1 AVI V . 5. Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including; phasing, if applicable): (STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. (STAFF COMMENTS) 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. (STAFF COA7AfENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If ye.., explain. (STAFF COMMENTS) 10. List any government approvals or permits that will he needed for your proposal, if known. v (STAFF COMMENTS) Page 2 of 22 rl IKI TII n.�C00 %A n giro 11. Give hrief, complete description of your proposal, including the proposed uses and sire of the project and site. There are several questions later in this checklist that ask you to descrihe certain aspects of your proposal. You do not need to repeat those answers on this page. (STAFF COMMENTS) 12. Location of the proposal. Give sufficient infor►nation for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or houndaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, 1f reasonahl_y available. While you should suhmit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other: 4 7 (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? (STAFF_ COMMENTS) C. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. P•Igc 3 at' 22 f IIKI T/I(1-'_5-97_p1 AKITR (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. 0 (STAFF CON1NIENTS) e. Describe the purpose, type and approximate quantities -of any filling or grading proposed. Indicate source of fill. (STAFF COMMENTS) f. Could erosion occur as a rLsult of clearing, construction, or use? If so, generally describe. (STAFF COMMENTS) g. About what percent of the site will he covered with impervious surfaces after pr(kiect construction (for example, asphalt or buildings)? (STAFF COMMENTS) Page 4 of 22 h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: (STAFF COMMENTS) 2. AIR It. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. _ �o Vi IRS nS'�iLLlc'�LLv� (STAFF COMMENTS) h. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. tj0 (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to the, if any: (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stre4un or river it flows into. (STAFF COMMENTS) Pa..e 5 of 22 (2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. v (STAFF COMMENTS) (3) Estimate the amount of fill and dredge material that would he placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. Iv (STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantitiLs if known. N� (STAFF COMMENTS) (S) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. v (STAFF COMMENTS) (6) Does the proposal involve any discharges of -.vaste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. (STAFF COMMENTS) Pa_,: 6 of 22 h. Ground: (1) Will ground water he withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. U (STAFF COMMENTS) (2) Describe waste material that will he discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general sire of the system, the number of such systems, the number of houses to he served (if applicable), or the number of animaalls' or humans the system(s) are expected to serve. (STAFF COMMENTS) C. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, &Ncrihe. (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters.? If so, generally describe. (STAFF COMMENTS) Page 7 of 22 C14K LT/ M-'_5•93 MASTER d. Proposed measures to reduce or control surface, ground, and runuff Neater impacts, if any: ___ 1 1�6C.-Cifc► CA.tt\G� �"�.— '_'iG�..:.� J f� i� i.ti<_j ..{-�j ��� � �c-. �`�+" v (STAFF COMMENTS) 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other: evergreen tree: fir, cedar, pine, other: shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk Cahhage, other: water plants: water lily, eelgrass, milfoil, other: other types of vegetation: (STAFF CONINIENTS) h. What kind and aniount of vegetation will he removed or altered? Vero 304 Sy Ef W��et' (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. (STAFF COMMENTS) d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any• Page H of 22 CI II: LT/11�25-9?.M Ati PHK' Cn2�.-f, W�..L�. emu-. �O`-��_C�% i1_�S �: •L---L.-�'\,��->�:..\ .„ Cam_ � `..�- (STAFF COMMENTS) S. Animals Check or circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: mammals: deer, hear, elk, heaver, other: / /✓/Jn tish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) h. List any threatened or endangered species known to he on or near the site. (STAFF COMMENTS) C. Is the site part of a migration route? Il'so, explain. (STAFF COMMENTS) Proposed measures to preserve or enhance wildlife, if any: oN� (STAFF COMMENTS) Energy and Natural Resources Pai e4of3? CI IK 13/ 10-25.93. M AKI I:H u. 1\'hat kinds of- energy (electric, natural gas, oil, wood stove, solar) will he used to meet the completed project's energy heed;? Descrihe whether it will he used for heating, manufacturing, etc. (STAFF COMMENTS) b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. A 0% (STAFF CONIIVENTS) C. What kinds of energy conservation feature.~ are included in the plans of this proposal? List other proposed measure-, to reduce or control energy impacts, if any: (STAFF COMMENTS) 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? 11'so describe. (STAFF CON1P-1ENTS) Page 10 of 22 CI KU/10- 5-93MASTGK (1) Desaxihe special cinergency services that might he required. (STAFF CO\I\l1NTS) (2) Proposed measures to reduce or control environmental health hazards, if any: (STAFF CONINIFNhS) b. Noise (1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other):' wvu (STAFF COMMENTS) (2) What typo and levels of noise would he created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. n WAS c A 2— 3 t�ctil � (STAFF CON NIENTS) (3) Proposed measures to reduce or control noise impacts, if any: (STAFF COMNIENTS) Page I I of 2' 8. Land and Shoreline Use �t�csz qA a. What is the current use of the site and adjacent properties? (STAFF COMMENTS) h. Has the site been used for agriculture? If'so, describe. J (STAFF COMMENTS) C. Describe any structures on the site. AI-021- (STAFF COMMENTS) d. Will any structures he demolished? If so, what' U (STAFF COAINJENTS) e. What is the current zoning classification of the site? (STAFF COMMENTS) Page 12 of 22 What is the current comprehensive plan designation of the site? NL, �a1�w (STAFF COMMENTS) b. If' applicable, what is the current shoreline master plan designation of the site? (STAFF COMMENTS) h. Has any part of the site been classified as an "environmentally sensitive" area? It' so, specify. (STAFF COMMENTS) i. Approximately how many people would reside or work in the completed project' ST t S A a(— tcI (STAFF COMMENTS) Approximately how many people would the completed proiect displace? (STAFF COMMENTS) A1064e, Page 13 of 22 k. Proposed measures to avoid or reduce displacement impact~, it' any: -DOFFS AEVOLq (STAFF COMMENTS) 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if' any: (STAFF COMMENTS) 9. Housing a. Approximately hew many units would he provided, W any? Indicate whether high, middle, or low-income housing. ^^ (STAFF COMMENTS) b. Approximately how many units, it' any would he eliminated? Indicate whether, high, middle, or low- income housing. (STAFF COMMENTS) C. Proposed measures to reduce or control housing impacts, if any: (STAFF COMMENTS) 10. Aesthetic.~ a. What is the tallest height of any proposed structure(s), not including, antennas; what is the principle exterior building material(s) proposed? 1n (STAFF COMMENTS) b. What views in the immediate vicinity would he altered or obstructed? 1Vof1C, (STAFF COMMENTS) C. Proposed measures to reduce or control aesthetic impacts, if' any: (STAFF COMMENTS) I L Light and Clare a. What type of light or glare will the proposal produce? NVIiat time of day would it mainly occur? Nonce (STAFF COMMENTS) b. Could light or glare from the finished pr►iject he a safety hazard or interfere with views? 0 (STAFF COMMENTS) Pa_•c 15 ol' 22 C. What existing off -site sources of light or glare o►:►y affect your propu:al? (STAFF CONINIENTS) d. Proposed measures to reduce or control light and glare impacts, if ally: (STAFF COMMENTS) ENTS) 12. Recreation a What dewignated and informal recreational opportunities are in the immediate vicinity? �`fUs•r �i}-{'z-k- -rz; -� I-u� >��-�`j�'+ � (,�-)��-L��--r-izv�r;�--�.c,-.. n oLo,) 'f b (1 1 (STAFF COMMENTS) b. Would the proposed project displace any existing recreation uses? If so, describe. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, il' any: AO, (STAFF COMMENTS) Pagc 16 of 22 13. Historic :►nd Cultural Preservation It. Are there any places or uhjects listed on, or proposed fur, national, state, or local preservation registers known to he on or next to the site'' If so, generally describe. (STAFF COMMENTS) b. Generally describe any Iandmarks or evidence of historic, archaeological, scientific, or cultural importance known to he on or next to the site. (srAFF CONINIENTS) C. Proposed measures to reduce or control impacts, if any: (STAFF COMMENTS) 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. (STAFF COMMENTS) b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? Pa_e 17 of 22 (STAFF COMMENTS) c. Hui►, many parking spaces would the completed project have? How many would the project eliminate? (STAFF CONINI ,NTS) d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? IT so, generally describe. ((}} pp - i1 4 \i..� .r._ n ,, . , �l ► h .'� / .e4 - i Lam": . r,� (STAFF COMMENTS) f. How many vehicular trips per day would he generated by the completed project? If' known, indicate when peak volumes would occur. (',s it�- �=kr�► 1 11 n ) n -A- \rvo t sv.4tn W (STAFF COMMENTS) r���; rno.�aDivn1nS11P11 Pa, -,a 18 of 2, 9. Proposed measures to reduce or control transportation impacts, if any: 13 (STAFF COMMENTS) 15. Public Services u. Would the project rc�ult in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: i V a� (STAFF COMMENTS) 16. Utilities a. Circl G ' w currently available at the site: electricity,,iatura� water refuse service telephone' sanitary sewer septic system, other: (STAFF CON1N1ENTS) Page 19 of 22 n w i x/l 0-:5-93. M ASII? R b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which' miglit be needed. - e Pf ivJ �rJ L- ' it fl J sc, : �-�- Lc� �aC'..L CIA S `1 I 'T �. (STAFF COMMENTS) C. SIGNATURE The above answers are true and complete to the hest of my knowledge. I understand that the lead agency is relying on them to make its decision. i /C 4 Swriattlro of Proponent Date Submitted P:iec 20 of 22 CI IK I-T/10-15-93MAKITK HEIGHT CI'kLC'5 A - 245.3 rl c- P - A H,4 YorAL , 63.5 1 N < 2y5.1 M.,x SITE PL l&•N L.0 T 2 , aS- SP 0- _ CITY OF EI]MOAIp`3 ��NOHOw1L9H CA,, uJA, T.A,,z 43H2 -040,021.0109 'I w \ \p �•t Pl�.w� I ) 7 i --- �� \'p n`' ° cJ in JL (+ In ,S1 MAIN STREET � PLANNING ......,�,1cn av I S AffU,A„ W E s S G i►L E� l' c �0 �- O e_-gE1vEIVED MAY 1 6 1994 '. PERMIT COUNTER J. LEO PO L D HOMES PLANNING DATA SITE ADDRESS:-JD!i!� AAI �• DATE: 5 1,2 s 15-� ZONING: " to PERMIT#: PROJECT DESCRIPTION: SETBACKS: Required Setbacks: Front:;Z0 Left Side:_Right Sider4119mm- — Actual Setbacks: Front: go. Left Side::� 7 Right Side:. : FLOOR AREA: LOT COVERAGE: 1 /� c Maximum Allowed: '2D `��P 3SActual: ITT � 2`7 0 BUILDING HEIGHT: Maximum Allowed: (25" Actual Height: 2 . SUBDIVISION: CRITICAL AREAS #: Y�--7.1 aa- &�-D SEPA DETERMINATION: LOT AREA: 59 1 1 _ A- DK- r- 5-LA57D 6 v1S I Cj .S— 16 — .��. I��'lJ►III / � !I --- - � � �+y i �yq�� .7` T,. :Nyf�•1h-'i� l: �w 'hW':. ia'N%''Aii �Y� �.'�.!�+:we9:ri+' , '�°�`�s�'`'�:+ •'�`�` `,;`�.'+L�i�'i4i ����`�"°'3.�'�'y+�""�'�i•",�"�}�:�A�;:i17�`-�+&r�'� • '�`Yt r "'�,� 3�'*i�.T�' t'1 f . 890-19C)- City of Edmonds S TRUCTION ERMIT permit Number. 91-/- 1S" Issue Date: /a_ / q- A. Address or Vicinity of Construction: 109 OLYMPIC AVE B. Type of Work (be specific): GTE TO PLACE BURIED SERVICE WIRE FROM TERM 41D244 PLOWING 55-FT & PUSH 28-FT UNDER ROAD. .SEE DRAWING. C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT . GQORDINATOR Mailing Address: 22118 20TH AVE SE, SUITE 13Bhone: BARB 488-1642 State License #: BOTHELL, WA 98021 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): e• fv E. ❑. Commercial ❑ Subdivision ❑ City Project .R. Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other W.O. # 2100-9POOIDB 242310 INSPECTOR: INSPECTOR: Wl _\1-rC_V T- r F. Pavement or Concrete Cut: ❑ Yes Flo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to ho the City of Edmonds harmless Born inj47i , damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made gainst the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of gi;anting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION�Ii�STWILL BE HELD UNTIL THFr,,?INQL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL B PROCNSkD FOR ISSUANCE Tdd THE 41PL90NT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit re uirements and the pink copy of the permit will be available on site at all times for inspection pure. Signature: �. / + Date: 12-2-94 (Contractor or Agent) John Stewart CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED' BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER 9 5AYS DISRUPTION FEE/FUND Ill SPECIAL CONDITIONS: RESTORATION FEE:; wnJL� 1n 1b, / i 1 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. 1)iv. 1991 FIELD INSPECTION NOTES , _- •. Comments Diagram CONTRACTOR CALLED FOR INSPECTION (Fund 111 - Route copy to Street Dept.) . ❑ YES . ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: City -ofa;Edmonds RIGHT-OF-WAY CONSTRUCTION C. PERMIT Permit Number. ' ` 3." 7`�,f'/ " M zI Issue Date: 0 A. Addressor Vicinity of Construction: J c)C1 aN MPI C 8 9 0 1 9 C B. Type of Work (be specific): -TQ'E'N3Ck , �3 C a1 e e` l ) — RU` 2Ur Contractor: 1.1C1��1%I.S� � C (y, ��)'� P. V, Q, Contact: Q•\C. Mailing Address:'g1r 6 uL 1ol 9 Phone: (p%b •3Z0 State License ti: [, 1^� 4 W G U A 960�L Q:3 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project [Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family (Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes o G. Size of Cut: x ,>-n H. Charge $ APPLICANT TO READ AND SIl . INDEMNITY: Applicant understands and by his signature to this application, agrees to hold th Jf Edmonds harmlesnf� m�juri damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, an'd attorney fees by reason of grantingJ this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION ACCEPTANCE OF THE WORK. ESTIMATED BE HELD UNTIL TIfE ET IS COMPLETED BY CITY FORCES, AT WHICH IMEA DEBIT OR CREDO WILLOBEPRCESSED FOR I SUANCE('TH,APCANT. ATCH Construction drawing of proposed work required with permit application. A 24 hour notice is required,for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand thepermit requirements and the ink co ' p q p copyof the permit will be available ite at all tim for insp io urposes. Signatur Date: ID- (Contractor or nt) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK . FOR CITY USE ONLY 77 - RIGHT OF, WAY DEPOSIT DISRUPTION FEE/FUND' i13 TOTA COMMENTS:. RECE DATE: ISSUE NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 r I - FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments• L Diagram I CONTRACTOR CALLED FOR INSPECTION. ❑ YES ❑ NO Partial Work Inspection by P.W:: Work Disapproved By: Date: FINAL APPROVAL BY: Date: �_:-+- r r �..-� + '• i -, .It_�O OF SNOHOMISH COUNTY ' REV. /s►_,_1 t , }. $ — !—s i .:_a # i� f _L.{ _s_ f. �_ L �_1 �- :..,s- _ L-a.'1-- y PUBLIC UTILITY DISTRICT N0.1 _ , , -'t--•w-s`---•--:-z--r-•, ,- - -1� , ` J _ _ 4.,L- L y-.1.. j. 7 { •. L - '0 ... - - _ . _ .. �. LOCATION (Oq %� e Yi�1 P lG. Se 1/4 Sc2 T PP-% R 3 _ DATE q'na�� — �D_UT�- CJD u AREA 2 W.O. N0. � O 7l,EGf-i 6i So • �o 1�'. : DPJ V r4l/ , `rr �vc+f AOIc� 1-- 53� POLE NO. REASON FOR WORK S-EC. U.G-, -Ft��- .�J M L "c7i�Ll ENGINEER rrf"{�� DWG. NO. O j I."5-r -71 , Qr- S" , Pvcr I TtejEiJ( -- DRAFTER l� tT�-�trl U.G. N0. j C.ON1J I� O 1�GM AL nZX -tb ->✓XISTIN6 I,O Mv- AT R)65� SCALE DATE WORK COMPLETED DATE PRINTED APPROVED FOREMAN ENVIRONMENTAL ANALYSIS FEES REQrD ❑ YES ❑ NO ® PARA. 18 EXEMPT❑ TEM EXECMPT PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO# SECONDARY OVERHEAD BASIC FEE $ METER/CONV. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE $ LEU # /®$ O.H. U.G. COND/ KV ADD / CKT. FT. PH REM CKT. FT. PH NET \CKTT. FT. O.H. U.G. COND. _ \ KV ADD CKT.) FT. _ PH REM CKT. FT. PH NET CKT. FT. PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ® CITY EDM(`jS EASEMENTS SECONDARY UNDERGROUND BASIC FEE $ ❑REQUIRED ®NOT REQUIRED UNDERGROUND PLAT DATE RELEASED BASIC FEE $ t FT. ®$_ _ $ FOREIGN -CONTACTS ❑ GTNW JPN # _ STREET LIGHTING FT. ®$ _ $ ❑ CATV JPN# _ 12 JOINT TRENCH GTNW & CATV ❑ JOINT BORE GTNW & CATV WORK IN RIGHT OF WAY ❑ PRIMARY ❑ ® SECONADARY --77OD �t FT. ® $_L—/ _ $ — q �,�, 4 `% POLE STEN NG FROM TO - --- TAKE OFF POL MISCELLANEOUS FEES VAULT $__ PRE-CONSTR. REQUIREMENTS El�MD QLG PERMIT $ _�+� n_ ❑ TREE TRIM ❑ PUD LOCATOR $ ® BACKHOE ❑ FLAGGING $ _- ® ONE CALL DATE $ --- # INDEX POLES PLAT TOTAL DUE $ _. DATE PAID — ��, LOGS L) MAP XFMR C—MAP RECEIPT# _ NEW SVCE APPLICATION# _ _ LOCATION MAP PAGE 4�_ `t SUBSTATION MAPU w(ynf7 CIRCUIT NO. ICL-2� PHASE r i © 5SI— PLO AT P, L • - I NST 4 P05C01`J 1N ��•tti 1, N 1_ �� 0-r-l�__1 I 1j DeIV0wPAY iv Q. Q ti L-10119- 4-99 I N-5598-X � ---- r---!---fir k V 4-39 ;y a P-3448 X VrJ J 70 _IL O r° 4 3 1oq P Ca AS PERMIT SUBMITTED BY GTE I I � r 1 1 r ' I 3 1 v � 1 i ----_-----------------_--------�/ r. 1 1 J 1 1 1 r 1 1 LEGEND rEDS go POLES O ROAD BORES OvERWQ LINES I.Q. UTILITY POTHOLE C7 UG TRENGUNG ---WT N E V R %0 A �O 1 l THE FOLLOWING INFO TO 8E PROVIDED RIGHT OF WAY LINES.EOP OR FACE OF CURB, EXISTING SIDEWALK, POLES, ROAD CUTS AND THE UTILITY UNDER ROAD CUTS, ABOVE GROUND FACILITIES,(Te:) PEDS,BOXES.CABINETS, ETC.,UNDERGROUND TRENCHING AND OVERHEAD LINES. FOOTAGE OF WORK 1N R.O.W.