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111 ELM ST.PDFiiiiiiiiiiiiii 11179 111 ELM ST NOTICEsTit TO PERMITTEE AND/OR OWNER Er FI ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTIONS REQUIRED PERMIT NUMBER JOB ADDRESS ' r ❑NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH El APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND ❑ RECALL FOR INSPECTION. /``'ARRRANGE FOR APPOINTMENT. ❑ I �T-A41- y l �F-s� THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: UILDING DIV. INSPECTOR , /7 771'0 2 PUBLIC WORKS CITY OF DATE ❑ FIRE DEPT. EDMONDS ew_� ADDRESS: t l 1 Et .1r 1 V /� ,, TAX ACCOUNT/PARCEL NUMBER: "JC /' ©( y'7 OI - © l oo BUILDING PERMIT (NEW STRUCTURE): I - O� to COVENANTS (RECORDED) FOR: �=-i-� DETERMINATION: Condirional Waiver ❑Study Required ❑Waiver CRITICAL AREAS :9 (03 DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DA' EASEMENT(S) RECORDED PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: )) jj LOT: BLOCK: SIDE SEWER AS BUILT DATED:_�lip, SIDE SEWER PERMIT(S) #: SOILS REPORT DATED:-- STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: r'^ OTHER: 0 LATEMP\DSrs\Forms\Street File Checklist.doc ..____�___.�_.___�_____,___________.._.._._.__._—__....._less _..__.—__�___•.___ ,Fxr -� •�" .e+.xuvae.+s«e, a-�.s- Tx .�•.-.. .we .r_e... /L^'+•✓ fur.•. r'•: nedwax Cu.v+�w •e•.uom _ _'- xuw....., •�w.� - ( 9.11 PLAN FILE NUMBER BUILDING 6��r 16 Applicant Fill PERMIT { 1 B_ wilding Permit Application I Inside Hent-y Lines NUMBER ; NAME (OR NAME OF BUSINE::9) .10E ADDRESS aGSET FfACK/Rh:AIt YARD 1 .r ADDRESS SIDE YARD t/FD3S s] OIL 2 3 / }�L . �.. i v• L I /� L TELEPHONE NI:v: t USE 'LONE I MAP NUMI2, R I YACANI' 91T i Q O rylt rv) , ' I ❑KYES ❑ o IVA — L `UNISER BA r NAMh Rt � ( x�' _ r 1i h P.WRR' yti� t'.•Tc•�'.ry _ I S—o2/--(n o�--� 5 •� .'*)I }�8l1 HEICI'T I ALL BUILDING SETBACKS (VOTE: TO EAVE LINES FOTS'ej 7e.. �d a—,,/ r„ TELEFHONE NUMBI.R KEMARK9 {, { l i• 5 i" 11 ADD},}REIZ}(Ef;g Encrunchment Yermlt PERMIT NUMBER STI:EET ORADE CHECK � ,7{ - • 'i iO,,, I: • l ,IN !•� Required n YES (] IPO T'ELEYHONE NUMBER I I E 1 : I CST-f MET i 91LE OEI:VIC SSLE CLEARANCE C I E BY j r >, - I �iL� rr70V17 '41l? e rl I �••I b - 3.� 2 S CITY LICENSE NUMBER STATE LICENSE NU]I-1tEft MARKS ., LUT p-� BLVCK TRACT p �. �w 12•., I S r q } i oT le TVERIFIE B {,•'' ` -� jPER EST PERMIT - �l t a1 '`':: '- -,., , • FIRE BONE TYPE OF CONSTRUCTION JVREET IMPROVED, I t''•'•� r >' 0 YTM NO C} 9YECIAL INSPECTOR REQUIRED (OCCUPANCY 6ROUY a, YES 0 NO 1 ii-f y � PLAN CHECKED BY c it C R'ORK TO BE DONE KO. or a­aa. ranreLoo. TOTAL ►[6.. x�.' x' c'y�'k'�:1',•;, VALUATION '_ •1,.. BUILDING PERMIT `.•. (�) m '•t ..A N UDIBER OF STOR!E6 2 FEE _ �1 �•i Ili EW NI DEMOLISH I PLUMBING' ❑3 PERMIT FEE I_ �• OQ - _ i•f ,: ADD __ 1 .' Or ,•k^ }TEAT B: GAB LINE ALTER I RSIDENAL NUMBER OF s ETIPERMIT FEE I,j U ftF.PAI_2I NON-RESIDENTIAL UNITS DEMOL}TION I, "••'4.:, S PERMIT FEE E'• . �, �4Z.S. PP.UP09ED UdE +� •� 6 AMOUNT DUE I hereby acknowledge that I have read this application: that the ln- ATTENTION APPLICATION APPROVAL ' formation given is correct; and that I am the owner, or the duly nuihor- •-y Jx^r-.1 tzed sit *at �', the awoer. I agree to comply with city and state laws m9u• THIS PERMIT This application is not a permit until ''� - '�•_�'�• ,,.t'" lating cons;.tuctlon; and W dotng the work authorized thereby, no person AUTHORIZES signed b the Director of BuildingLis c- .I.•.,-. n•IIl be employed In violation of the Labor code of the State of Washington ONLY T}}E y relating to Workmen's Compensation Imurance. IVORK NOTED tion, or his deputy; and fees are paid, and '• _ receipt Is aclalowledged in space provided. NOTE: PERMIT LIMIT ONE YEAR _ i INSPECTION SIGNATUKE (OWNER OH AGEN'�R)`1 j DATE SIGN E.x \I -ARE " SIONATURF. DEPART1.VT ry N CRE^/yx AA}PPI:OVED PLOT .-dy� a -lint •� FILE j ' 1 '� 4A°29125�6 ' I RECEIVED JUL 19 1999 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS (�RoR�� wdRi� �u►+vec 6�I9gINo sTeucr�ra� FgNT '�'.. 48UT WI�Vw� i C NTS� It �Kn.fi rac 'Lev. 4FAM f STREET Fllt-E 1, 5pR � 6*IJB "WE7 /IWIUoINC* LAND I SFR ' 0 I I � � � � 3-cft2 GaRAl+6 I I c Q� PINT 10, / ,h rm4 3rrr4 'i C k N `Y r464.0 I / ON-.Il� n0111AN1- Ieo, co' 1 v— �L,M s�iFzC T c�NIM � 00;m WA HYDRAULIC PROJECT APPROVAL R.C.W. 7 S . 2 O . DEPARTMENT OF FISHERIES R.C.W. 75.20.103 General Administration Bldg. Olympia, Washington 98504 April 10, 1992 (206) 753-6650 DEPARTMENT OF FISHERIES (applicant should refer to this date in att correspondence) PAGE 1 OF 1 PAGES 10 LAST NAME FIRST 18 CONTACT PHONE(S) CONTROL NUMBER 1 Waite, Steve (206) 725-2290 00-53474-01 19 STREET OR RURAL ROUTE a ® a WRIA 111 Elm Street 08.0011 CITY STATE ZIP 14 17 Edmonds WA 98020 12 ATER TR BUT Y Willow Creek S�IeguTO eberger Creek 11 TYPE OF P OJECT _Foot Bridge and _ 13 UARTER SECTION TOWNSHIP RANGE(E-W) COUNTY SECTION E1/2 26 27N 03E Snohomish — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Outfall — — — — — — — — — — TIME LIMITATIONS: THIS PROJECT MAY BEGIN Immediately © AND MUST BE COMPLETED BY October 31, 1992 THIS APPROVAL IS TO BE AVAILABLE ON THE JOB SITE AT ALL TIMES AND ITS PROVISIONS FOLLOWED BY THE PERMITTEE AND OPERATOR PERFORMING THE WORK. SEE. IMPORTANT GENERAL PROVISIONS ON REVERSE SIDE OF APPROVAI. 1. Equipment shall operate stationed on the banks and shall not enter the stream. 2. No dirt sediments petroleum products, cement, or other materials deleterious to fisA shall enter the stream. 3. The outfall on the bank shall be sufficiently armored to prevent erosion. Quarry spalls and riprap shall not enter the stream channel. 4. The foot bridge shall be constructed as indicated in the plans submitted. 5. Erosion control shall be used as necessary to keep the stream clean. All bare earth areas shall be revegetated as soon as possible. , LOCATION: 111 Elm Street It APR 3 0 1992 PERMIT couNrE' SEPA: Exempt REGIONAL HABITAT MANAGER - Rich Johnson (206) 339-3876 PATROL - Lambert APPLICANT - WILDLIFE - READER - PATROL - HAB. MGR. - WRIA DEPARTMENT OF FISHERIES S DIRECTOR r Y OEOTECH CONSULTANTS, INC. 13256 N.E. 20th St (Northup Way), Suite 16 Bellevue, WA 98005 (206) 747-5618 FAX 747-8561 9 ST*REET FILE PEEs ti February 12, 1992 JN 92041 eta Steve + I 6�0 5T' .72 8 MU00s. 72,E - 3�j9 Subject: Geotechnical Engineering Reconnaissance Additions to Single -Family Residence 111 Elm Street Edmonds, Washington Gentlemen: Our personnel met with Mr. Wade at the subject site on January 21, 1992 to perform a geotechnical engineering reconnaissance. The site is located in the southwest portion of Edmonds, just south of State Highway 104. The purpose of our work was to observe the the site conditions and to develop recommendations for the proposed addition. The scope of our work included a visit to the site, observation of the soil conditions in a shallow hand hole excavated by Mr. Wade, and examination of the conditions in nearby soil exposures. The conclusions and recommendations presented in this letter are professional opinions based on our observations and standard engineering practice. No other warranty is expressed or implied. At the time of our visit, we were informed that an addition to the residence would be constructed on the northwest corner of the existing structure. The western foundation wall of the addition is to be located 15 feet east of an existing creek. Also, we understand that a small, concrete -slab patio will be constructed along the west side of the residence. We received preliminary plans from Mr. Wade on February 5 which indicated that another new addition will be constructed on the southwest portion of the residence, and a bridge will.be built over the creek west of the southwest addition. Both additions to the residence will be one story with framed floors over a crawl space. 9 • Steve Wade JN 92041 February 12, 1992 Page 2 SITE CONDITIONS The site is rectangular in shape measuring 104.5 feet by 180 feet, with a small creek (Willow Creek) flowing northward through the middle of the site. The existing residence located on the -east side of the site is a one-story structure constructed over a crawl space. The footings for this structure could be seen on the west edge of the residence No signs of significant settlement or cracking of the footings or foundation wall were visible. A wood deck is adjacent to the west side of the residence and is supported on small columns and concrete pads. The ground surface beneath, and west of, the wood deck slopes moderately to steeply downward to Willow Creek at an inclination of up to 60 percent. The distance between the west foundation wall of the existing residence and -Willow Creek is approximately 30 feet. There is a similar slope extending upward on the opposite side of Willow Creek. The vegetation on the slopes consists of some fir trees and forest underbrush. We did not observe any signs of soil instability on the slopes above the creek. When we arrived on site, Mr. Wade had hand -excavated a small test hole on the slope near the west side of the northwestern addition. The upper soils consisted of a thin layer of topsoil and forest duff overlying reddish -brown, relatively - loose, gravelly, silty sand. At approximately 2-1/2 feet, the silty sand became gray and medium -dense to dense. The maximum depth of the hole was approximately 3-1/2 feet. The soils on the banks adjacent to the creek were similar to those observed in the test hole. CONCLUSIONS AND RECOMMENDATIONS The proposed additions, patio walls, and bridge abutments can be supported on conventional continuous or spread footings which bear on medium -dense to dense, native sand soils. GEOTECH CONSULTANTS, INC. U Steve Wade February 12, 1992 JN 92041 Page 3 Footings should not bear on the loose, near -surface soils, as they are susceptible to movement and downslope creep. Continuous and individual spread footings should have minimum widths of twelve (12) and sixteen (16) inches and should be bottomed at least twelve (12) inches below the lowest adjacent finish ground surface. The footing subgrade must be cleaned of loose or disturbed soil prior to pouring concrete. Depending upon site and equipment constraints, this may require removing the disturbed soil by hand. Footings constructed according to the above recommendations may be desi ned for an allowable soil bearingg pressure of two thousand ?2000) pounds per square foot (psf). A one-third increase in this design bearing pressure may be used when considering short-term wind or seismic loads. Lateral loads due to wind or seismic forces may be resisted by friction between the foundations and the bearing soils, or by passive earth pressure acting on the vertical, embedded portions of the foundations. For the latter condition, the foundations must either be poured directly against relatively level, undisturbed soil or level structural fill must be placed around the outside of the foundation. We recommend the following design values be used for the foundation's resistance to lateral loading: Design Parameter Value Coefficient of Friction 0.40 Passive Earth Pressure 350 pcf Where: (1) Pcf is pounds per cubic foot (2) Passive earth pressure is computed using the equivalent fluid density. If the ground in front of the foundation is loose or sloping, the passive earth pressure given above will not be appropriate. We recommend that a safety factor of at least 1.5 be used for design of the foundation's resistance to lateral loading. The patio floors may be constructed as slabs -on -grade atop native soils that underlie the topsoil or on fill soils placed above the competent native soils. The subgrade soils must be GEOTECH CONSULTANTS, INC. n Steve Wade February 12, 1992 JN 92041 Page 4 in a firm, non -yielding condition at the time of slab construction. All fill soils placed beneath slabs should be adequately compacted. Excessively -wet, silty soils cannot be properly compacted and should not be used. No fill soil should be placed on the slope at the west side of the residence unless it is properly retained. Retaining walls backfilled on, one side only should be designed to resist lateral earth pressures imposed by the soils retained by these structures. The following recommended design parameters are for walls less than twelve (12) feet in height which restrain level backfill: Design Active Earth Pressure* 35 pcf Passive Earth Pressure 350 pcf Coefficient of Friction 0.45 Soil Unit Weight 125 pcf Where: 1) Pcf is pounds per cubic foot 2) Active and passive earth pressures are computed using equivalent the fluid densities. * For restrained walls which cannot deflect at least 0.002 times the wall height, a uniform lateral pressure of one hundred (100) psf should be added to the active equivalent fluid pressure. The values given above are to be used for design of permanent foundation and retaining walls only. The passive pressure given is appropriate only for the depth of level structural fill placed in front of a retaining or foundation wall. An appropriate safety factor should be applied.when designing the walls. We recommend using a factor of safety of at least 1.5 for overturning and sliding. GEOTECH CONSULTANTS, INC. Steve Wade JN 92041 February 12, 1992 Page 5 The above design values do not include the effects of any hydrostatic pressures behind the walls and assume that no surcharge slopes or loads will be placed above the walls. If these conditions exist, then those pressures should be added to the above lateral pressures. Retaining Wall Backfill Backfill placed behind foundation walls should be free - draining structural fill containing no organics. This backfill should contain no more than five (5) percent silt or clay particles and have no particles greater than four (4) inches in diameter. The percentage of particles passing the No. 4 sieve should be between 25 and 70 percent. The on -site soils can be placed, behind the retaining wall for the proposed patio if they are compactible. Placement and compaction of retaining wall backfill should be accomplished with hand -operated equipment. The purpose of these backfill requirements is to assure that the design criteria for the retaining wall are not exceeded because of a build-up of hydrostatic pressure behind the wall. The top foot to eighteen inches of the backfill should consist of a relatively impermeable soil or topsoil, or the surface should be paved. In no case should excavation slopes be greater than the limits specified in local, state, and national government safety regulations. Temporary cuts to a depth of about four (4) feet in unsaturated soils may be attempted vertically. Based upon Washington Administrative Code (WAC) 296, Part N, the soil type at the site would be classified as Type B, and therefore slopes greater than four (4) feet cannot be excavated steeper than 1:1 (Horizontal:Vertical) extending continuously between the top and bottom of the cut. All permanent cuts into native soils should be inclined no steeper than 2:1 (H:V). In addition, water should not be allowed to flow uncontrolled over the top of any slope. Also, all permanently exposed slopes should be seeded with an appropriate species of vegetation to reduce erosion and improve stability of the surficial layer of soil. GEOTECH CONSULTANTS, INC. Steve Wade February 12, 1992 Any disturbance to the existing slope limits may reduce the stability of the existing vegetation and ground should disturbed areas should be revegetated JN 92041 Page 6 outside of the building slope. Damage to the be minimized, and any as soon as possible. We recommend that all existing and proposed roof drains be connected to a tightline pipe which discharges west of the new additions and patio, preferably to the creek. We further recommend the use of footing drains at the base of all addition footings and earth retaining walls for the bridge. These drains should be surrounded by at least six (6) inches of one -inch -minus washed rock wrapped in non -woven geotextile filter fabric (Mirafi 140N, Supac 4NP, or similar material). At the highest point, the perforated pipe invert should be at least as low as the bottom of the footing and it should be sloped for drainage. All roof and surface water drains must be kept separate from the foundation drain system. A typical drain detail is attached to this report. The excavation and site should be graded so that surface water is directed off the site and away from the tops of slopes. Water should not be allowed to stand in any area where foundations, slabs, or pavements are to be constructed. Final site grading in areas adjacent to the new residence should be sloped at least two (2) percent away from the building, except where the area is paved. LIMITATIONS The recommendations presented in this report are directed toward protecting the proposed structures from damage due to slope movement. Shallow landslides and soil movement can occur on steep slopes, including those on the subject site, due to natural causes. The owner must accept the possibility of a landslide or soil movement on the slopes outside of the structures. GEOTECH CONSULTANTS, INC. • Steve Wade February 12, 1992 JN 92041 Page 7 ADDITIONAL SERVICES We recommend that Geotech Consultants, Inc. observe the footing excavations prior to placing concrete to verify that the subsurface conditions are consistent with those indicated by our reconnaissance. Attachment: Footing Drain Detail DRW/JRF:cka Respectfully submitted, GEOTECH CONSULTANTS, INC. P.Robert Ward Geotechnical Engineer ,. R• FIB'✓i - •r �. NC 0 ti S`OIYAL E� 2�IZ�tz EXPIRES 8 / 1 7 / 13 James R. Finley, Jr., P.E. Principal GEOTECH CONSULTANTS, INC. SAW bockfill away from M�ndblldn. ---� r/CHMNE R" DRAIN Do not connfcl to fooling droin, BACKF/L L SO4 /e.x/ for VAHA4 BARRIER rlgvirllmfn/J, SLAB WASHED ROCK '.'i , ` ; . % `.. "m//a FREE - DRAININO SAND/GRAVEL Atw* EVEN GEOTEXr/LE FILTER FABRIC 4" PERFORATED HARD PVC PIPE Invert of /*us/ of /ow as footing and/or crow/ space. slope to drain. P/aci weepho/eJ downward. ,.. GEOTECH CONSULTANTS FOOTING DRAIN DETAIL ADDITIONS TO RESIDENCE 111 ELM STREET EDMONDS, WASHINGTON .17I /Vf. -4l ft 92 FES 1992 N.T.8. 711 EaVE LIN6,� W^LI- LINE .^ 4 PF •, I udt ;. ' I Ljoe,y I I I ORNL-WAY.tNop cY: 7YPtut. PAPJ<IfJq N ` '' - I .g; n• ar rk lai I /2 N 2S- �� Pl r}5-G �L�•::' �;;-.:;wdlk.: 'r;�;.. 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( .1` `uIFAul.y .r =ccT't x>.Jr .roar 'or' ArAx A �src[aT er.L e°t�TgA:v,R u e A ,A aquas f ec . 90-5' --: :. � �ClFlrlu4Loi lafc!'A�63 s_ sa.fi: (15.5�) � ,.i+,n� i _ .. -. AVffMexaAwwra� I4uv r•<-.+.• -- Fa)[ forefA4a.: - 6l42 ao. IT. �. w., m cerc�.s Fws. i,xrrat rvwri+!v+r,�.�. Yis-z l+ ,, 51.' ToPo-PPo(erzo[va2trwmt1 L271X) KTI.11.Ni3s uua , so>sts.' I - • C?AV 61(t1:HF}teS r0.6WlaG' 1001 'R FT I I 11 CA 1LE NO. 95 -3 Critical Areas Checklist SiteInformaton (soils/topography/hydrology/vegetation) 1. c;. -Site Address/Location: Property Tax Account Number: Sg 20 — d>O 4 — 6 to —0 j6(,_ 3. , ' ­Approx'imate Site Size (acres or square feet): j� , 4. Is this site currently developed? yes;• no. If yes; how is site developed? 5;(N6iLE VAm l l y P-E5(bELXF, 5. Describe the general site topography. Check all that apply. _ Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: N O ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway 140 floodplain 1,30 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? O � Flows are seasonal? (What time of year? ). 10. Site is primarily: forested i� ; meadow ; shrubs ; mixed urban landscaped gawn,shrubs etc) 11. Obvious wetland is present on site: N O For City Staff Use Only .1. Site is Zoned?. (l/ 2. -SCS mapped soil-type(s)? 3 - : • Wetland inventory or'C.A. map indicates wetland present on site? �d 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5. Site within designated earth subsidence landslide hazard area? .6. .SiteAesign9W on the Environmentally Sensitive Areas Map? p - DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER WAIVER ? Reviewed by: Planner 7 ate d 4190 -19"- 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, RECEIVED FEB 17 1995 PERMIT COUIIITER 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 ots 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). w e A Poli tcan \ Applicant. res tiv� TG VO MAt -ro �- Name — /// (5I M Street Address C-PAW1195 144 98620 774-1331 City, te, ZIP Phone ignat a Date Name Street Address City, State, :ZIP Phone Signature Date City of Edmonds Critical Areas Determination Applicant: Steve Waite Determination #: CA-95-31 Project Name: Permit Number: Site Location: 111 Elm Street J Property Tax Acct #: 5820-004-010-0106 Project Description: Minor addition under existing cantilevered deck Previously a Critical Area Determination (CA-92-203) was made regarding this property requiring that a Critical Area reivew be done on a project -by -project basis. This review is for the above noted project only. During review and inspection of the subject site on March 1, 1995 it was found that the site contains a Class 2 stream and a Wildlife Habitat area pursuant to Chapter 20.15B of the Edmonds Community Development Code. The proposed addition will be located very close to the top of the stream bank and appears to occur within the Critical Area buffer. ECDC 20.15B.130G requires a 25 foot buffer from the top of the stream bank and an additional 15 foot structure setback (ECDC 20.15B.090C). Based on these findings, prior to submission of any development permit, you will be required to submit the following for review by the Planning Department: Before any permit application may be applied for submit to the Planning Department: 1. Submit a survey prepared by a Licensed Land Surveyor delineating the top of the stream bank, required 25 foot buffer, and 15 foot setback to the proposed structure. If the results of the above survey determine the proposed addition unbuildable, the applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC 20.15B.180A and 20.15B.040C). 2. According to the Critical Areas Map, the subject site contains a Wildlife Habitat area. Therefore, the applicant must contact the Department of Fish & Wildlife, have them submit a letter determining if the proposed project will impact the Wildlife Habitat and, if necessary, recommend mitigation measures to ensure protection of the habitat. 3. All proposed development of the subject lot must meet the requirements of Chapter 19.05 of the Edmonds Community Development Code. Name Signature 1 Date 9 L t • 4 v'JALL EXIS,71H6G C;F-A�C- I H5l Dal 4 f�P, WA L!, � 1 Sd.Do I NO SOIL 0IyTuKM066 (� No A-� n !7(o►�I; LOT CoVi5M60 LL 0i • i oNoAas4 � �Nt1Slx� A 7e;, A, 1 0, L ___j -- - _ t �,(:,2—} Sri ijSl x--a is • , PKYVIT" ,E5112 usa 114 Pt 66 W. oo0ODc�oL�D�oc�n PINE ST. -A i I N (9) 24 . 23 �;��/,'� �� D S- 2 -74 I S 6 66 _i- ,22 , - zoo nu w S-17-88 io Al\/J / � 21 (2 � 135.2] ©;'1 / \\ %D Q i Io 135 (A) (C)'a5 3 / 1 (6) S-23-65 •... t TV INN 6b64 M iMt°.. •\ `., _-- ---�—_ oll J. 19 b,L n•,: Z° S r (2) I (A) 3Z•, I M 9s 6 D ` I S$SS2880 Q FIR . PL;� 5 ' y 33 I 32 19 .r - O , a0-; ha m (\j18 S 2479 ]B) 1 I17 . v; z 3 4 28 27 ~-Sn9—w 3 !17 go - (��• 8, - C 23.5] ,.y ' 1 L.L 9 : 13 4i , R D. s �� 15 h ® , 14 p p 1_� `54 T : J ]I �J �A i 'Ct•ti4(.L .'.•!,ll ML NI _ 1 'l . WOO A Y CORP. 13 /e; 12 fe y ii - O 12 - � 2 p I O oMB NN bv 9 �, 8 , I` r. STREET FILL 890.199- 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 of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information 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: Name Title Street Address 2- city, S Ate, ZIP Phone gtiature Date Applicant Representative: Name Title Street Address City, State, ZIP Phone Signature Date • Critical Areas Checklist Site Information Project Name: VAS T6 /Z&51 P&A-e1 % permit Number: Site Location: _ V /S�Z/y 1,5/1 Property Tax Account Number: Approximate Site Size (acres or square feet): c� Have you filled out a Critical Areas Checklist for a project on this site before? 0 C T 0 9 1992 PERMIT COUNTER N-�) General Site Conditions / 1. Has the site been cleared or logged? /" Date of most recent action: Soils / Topography E VOY07—F IM 61&e,�; Lam 2. In the Snohomish County Soil Survey, what is the mappedsoil type(s). S'A141VN(- 3. Describe the general site topography. Check all that apply. Flat: less than 5 feet elevation change over entire site. X-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 of horizontal distance.) Steep: grades of greater than 30% present on site. Comments VZP-/-- -722 901- AW10 4W f ,f (f/_) Hydrology/Vegetation C/64:.H«4i w,t Inc- IWAf4e_ 4. Site contains areas of year-round standing water: 5. Site contains areas of seasonal standing water: _ Approx. Depth: 6. Site is in the floodway ",A] d floodplain of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows are year-round? Flows are seasonal? 8. Site is primarily: forested meadow ;shrubs ;mixed �. 9. Obvious wetland is present on site: , / 10. Wetland inventory or map indicates wetland present on site: NU 11. Critical Areas inventory or map indicates any Critical Area on site: s ----- ----- For -City Use Only______-______- --- _CTUDY REQUIRED: Critical areas study is required. ONDITIONAL WAIVER: Critical areas study not required ifspecified conditions satisfied. WAIVER: Critical areas study is not required. Determination Number: CA"G-L Reviewer C/ I Z Planner Oaue Rev 3127/92 i' 0 • City of Edmonds Critical Areas Determination Applicant: Steve Waite Determination #: CA-92-203 Project Name: Permit Number: Site Location: 111 Elm St. Property Tax AM #: 5820-004-010-0106 Project Description: Addition To Single Family Residence Waiver Criteria (all criteria must be found to apply): XX There will be no alteration of the Critical Area or its required buffers; XX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XX The development proposal meets the minimum standards of the Critical Areas ordinance; XX The above findings are based on the following conditions of approval: 1. Any future development will be subject to Critical Areas Review Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.150 (B) of the Edmonds Community Develo ment Code. Name \, nature Date CITY OF EDMONDS Call PRospect: , 0-1107 when work •' 'y - rrVIC -CENTER ., ;DEPARTMENT le ready=tor Inspection - (No�inepec-: �}o .��•.. -. - - tlona-Saturday eunday or holidays )1231 , SIDE SE}WER F-E:RMIT:.. yA`DDRES$ �rl=1 Elm Street ..... _- ��ziy! Pet r G. Kle er coNTliaoxoR..North End Septic Tank :CO. Q� •r' P tnllasion is granted.:. 18.5, for_ „ days, to REPAIR or. CONNECT a side sewer with City. Sewers iil'accordfince with<applicttition on: file and goyerning__ordinances.. ATTENTION IB�CALLED TOaTHE FOLLOWmk ING NOTE• 1c The ownere.�of theme property -•may' obtain,'a permit to construct sewer Inside=property line.A_.Iicensed,8tde Sewer Contractor must;- - �" -be employed Eo conatcuat side-'sewer.`ln:street krea.. Do not cover any portlon"of sewer hefore-It-haa been. inspected. NO _Obtatn fullNinrormation, regarding 'Ordinance 11A0.030 &wk IRsgulatlone goyerntng aide' sewers- when you ,get permit. - - -zNOTFh,No., 3-. Top of -side sewer-mus 'have at -least.30Ifiches,'eoverage at. 12 inches-•inside.�property line, minimum grade: of 2q,. "'' NoTtienda grade `sharper than ' ,will be permitted. - - NOTE No. 4 Trenches to street must. be- water setHed .and surface of street -restored to• original condition " Contractors shall be. responsible for failure due to -Improper work which may: develop within one year.of.completion_ _ NOTE o� 6—It I's Iawful'.to alter; or do, any other work than, Is provided for fn; the, permit, -or to do any:work on the-ni_atn.newer .pr Its ap - purtenancea, except to `.Insert the .Pipe, into -"the :wye• CARD D �N,. ...... ........... APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ............... . ------------------- OUTSIDE E] INSIDE E] REPAIRS ❑ - CONTRACTOR ......-.........M -,OWNER --------------------------------------- PE STREET HOUSE No . ........ UJ ........... 27 .................... AVENUE LOT No. . ....................... ---------------- ----- BLOCK No. ----------------------------------------- ... ........... ...... .................................... NAMEADD . .......................................................................... ...................... .................................................... c L; -r6i --f-c E ID sew ep CD -Z `MD M M APPROVED -n APR 1�4o us Date Approved: ........................ DEPOSIT, $ ------------------- --------------------- — DATEG ... ........... .......... ....... ........................ may.°f UoM°ti CITY OF EDMONDS 121 51" Avenue North • Edmonds, WA 98020 Phone: 425.771.0220 • Fax: 425.771.0221 • Web: www.ci.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT: PLANNING DIVISION MEMORANDUM To Street file From Gina Coccia, Planner Date December 22, 2006 Subject Hazardous tree removal at 111 Elm Street Property owner Steve Waite came to the counter on Wednesday December 201n and informed staff of one allegedly hazardous tree located on site near the creek that he feared may easily come down in a storm. Staff visited the site on Thursday December 21" and determined that the tree in question was a hemlock (typically small root structure) that did not have a straight trunk. This tree is located very near the house, which is indeed a potential target. Staff determined that the tree appeared to show signs of weakness in the trunk and that it may be considered a hazardous tree. Instead of removing the tree entirely, staff recommended reducing its height (so that it will no longer be large enough to fall on the house) and creating a wildlife snag out of the trunk. Mr. Waite agreed and said that he would follow staff's recommendation. LATEM P\Gina\Memos\SteveWaiteTreeCutting_l I IElm.doc Page 1 of I jkA ,NXOU ��l:2. s'�' .'�.h A efi�• iY,Fr in t � ra 3 S, 6 � " I ,4,� F nilli\\ t t �� 'i t r J? `�,r•� i y -b "/`� I MIR, i � � � Ott t ra ? 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Tr.-,�', +} �F.i * �: ',� ;.i,�_i,� �� N*.�• � r R',1�f � •rr„A. � ..ji �35, K ;1 �Y 3t ! �+S a jl�•,µ� rY �_-y1 (t •+ j K �d'p +`t 1 `'.� ,x ` J IN,A �9'�`�°d�'.•`��� iPs�.��.��,t'�`���� a",Mitt �; � /b r o: q'�"'"��+..tt _ Q .•� + T ,'�v, it fi r � z� ,k 714 .gt qK�' fit. 10 a� s - ,, + d ` s; �t i �•�" rR,tt vY� � f '� � *1 € T 70 . . , m F Bowman, Duane From: Bowman, Duane Sent: Wednesday, November 16, 2005 4:23 PM To: 'waitearch@comcast.net' STREET FILE Cc: Graf, Jeannine; Umbaugh, Theresa Subject: RE: 111 Elm Street Accessory Building /S17— Steve, Thanks for meeting with me this morning and your hand delivered letter this morning. As I explained, the code is very clear regarding building permit applications and when they expire. In your case the permit expires today, 360 days from the original submittal (11/16/04). While the issue of the setback from the unopened right-of-way was identified just recently, there are other outstanding plan review issues that were outlined in your meeting with staff on Monday. Compounding the situation is the fact the first review comments on the permit were sent out on 12/7/04 and yet your first resubmittal did not come in until 8/25/05. I'm sorry but ECDC 19.00.005 A.5.c. is very specific. There is no way that your building permit extension request can be approved. Your building permit application expires on 11/16/05 and no further extensions are allowed. Duane Bowman Development Services Director 425 771-0220 FAX 425 771-0221 -----Original Message ----- From: waitearch@comcast.net [mailto:waitearch@comcast.net] Sent: Monday, November 14, 2005 2:11 PM To: Bowman, Duane Subject: 111 Elm Street Accessory Building Dear Duane, I have met with staff this morning and new issues in my plan review were raised. The setback from the unimproved right -of way, First Avenue, was not brought up in the first plan review or through a previous on -site visit by staff. This, along with new Engineering requirements, could be viewed as reasonable oversight. However, I am at risk of losing my vesting because of these oversights presented to me at the last moment. I believe it would be reasonable and fair that I be allowed to apply for a variance in a timely manner on the issues raised. Your consideration in this matter is greatly appreciated. Steve Waite 425.774.5533 d November 16, 2005 HAND DELIVERED Mr. Duane Bowman, Director Community Development Services City of Edmonds 121 5th Ave. No. Edmonds, WA 98020 RE: Permit # 04- 537 Dear Duane, STREET FILE Steve Waite 111 Elm Street Edmonds, WA 98020 425.774.5533 RE no NOV I U' 2005 DEVELOPMENT SERVICES Thank you for meeting with me today to discuss my permit extension request derived from unusual circumstances. Would you please forward my communication to Mr. Snyder, City Attorney, for his written response? Following is a brief summary for his information. To summarize recent events, on November 14" 2005 1 attended a meeting with city staff at their request regarding my Accessory Building Permit Application. The application was for two accessory structures, an art studio and a gazebo, to be constructed on my property located at 111 Elm Street. The plans clearly depict a five-foot setback from First Avenue South for the art studio, which I believed to be in compliance through of my interpretation of the definition of street and the site parameters. Note that this application was made on November 16, 2004. On December 06, 2004, 1 received planning staff comments, one that addressed setbacks specifically for the gazebo structure. On September 09, 2005 1 again received staff commentary on setbacks regarding the gazebo, which I then eliminated. Nothing regarding the art studio setback was mentioned during these two plan reviews, a staff site visit, or a November 10th staff phone to schedule a meeting on November 14, 2005, which is forty-eight hours prior to permit expiration.. The city asserted during the meeting of November 14, 2005 that the setback was insufficient. Since notification was at the last moment then it is only reasonable that the applicant be given the opportunity to submit, if required, a variance application in a timely manner to address all review concerns, without jeopardizing vesting relative to the building permit. I submit that there is justifiable cause to grant this request. Page 2 Waite/Bowman I am in a position of losing my vesting rights because of review oversights and the issue of timely notification. I am therefore requesting for your consideration an extension to address these issues. I realize that you did make efforts to investigate the possibility of an extension and I am sincerely grateful for your efforts. Respectfully, Steve Waite RECEIVED NOV 1 UO 2005 DEVELOPMENT SERVICES Ihc.189"1 CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.ci.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering November 17t1i, 2005 Stephen Waite 111 Elm St Edmonds, WA 98020 Re: Permit Application: 04-537 Site Address: I I I Elm St Expiration Date: 11/16/05 Dear Mr. Waite; GARY HAAKENSON MAYOR The purpose of this letter is to inform you that the above referenced permit application has expired. No refund of the paid plan review fee is available as the City has already performed plan review on this application. If you wish to have your application materials and plans returned please immediately inform our offices. The application materials and plans will be destroyed 10 days from the date of this letter on 12/02/05. Be advised, if in the future you decided to pursue this permit you shall be required to submit a complete application, new plans and pay all new fees for this project. If you have any questions feel free to contact our office at 425-771-0220. Sincerely, Theresa Umbaugh Permit Coordinator L:/Temp/DST's/Master Letters/App Expired 10/27/00 Incorporated August 11, 1890 7 CITY Copy �i HWA GEOSCIENCES INC. Geotechnical Engineering - Hydrogeology - Geoenvironmental Services - /nspection & Testing November 3, 2005 HWA Project No. 2005-000-21 Task 25 RieauB Steve Waite NOV 0 7 111 Elm Street 200g Edmonds, Washington 98020 BUILDING uCIN o EDMONDS Subject: GEOTECHNICAL REPORT Proposed Accessory Structure - Waite idence 111 Elm Street Edmonds, Washington Dear Mr. Waite; As. requested, HWA GeoSciences Inc. (HWA) conducted a geotechnical assessment of a portion of your property at 111 Elm Street where you are planning to construct an accessory structure. We understand that the planned new building will have a footprint area of 597 square feet and plan dimensions of 16 feet by 37.3 feet. This letter provides geotechnical recommendations for design and construction of the building. OBSERVATIONS Brian Hall, P.E. made the following observations during a site visit on October 29, 2005: • Willow Creek flows in a northerly direction across portion of the property. The existing house is located on the east side of Willow Creek, and the proposed accessory structure will be located on the west side of the creek near the northwest corner of the property. Access to the west portion of the property is by way of a footbridge spanning Willow Creek. • The planned new building will be located 40 feet west of the creek (25-foot setback and 15-foot buffer). At this location, building floor elevation will be approximately 16 feet above creek bed level. • The area of the planned building footprint is relatively level, and minimal site grading earthworks will be required to develop a suitably level building platform. Much of the site clearing will involve stripping forest debris that is currently producing a locally uneven surface topography. 19730 - 64th Avenue W. Suite 200 Lynnwood, WA 98036.5957 Tel: 425.774.0106 Fax: 425.774.2714 www.hwageosciences.com r, November 3, 2005 HWA Project No. 2005-000-21 Task 25 • We understand that the area was logged in the 1920s. Several large second growth trees including a maple with a trunk diameter of about 2 feet, and a large fir with trunk diameter of about 3 feet are present in the general vicinity of the proposed building footprint, but will not be impacted by the construction. No trees were observed with bent trunks such as are typically indicative of slope creep or slope instability. SUBSURFACE CONDITIONS According to the, geological map "Preliminary Surficial Geological Map of the Edmonds East and Edmonds West Quadrangle, Snohomish and King Counties, Washington "; dated 1975 and prepared by Mackey Smith, the area is underlain by glacial till or possibly recessional outwash deposits. However, the more recent geological map "Geological Map of the Edmonds East and Part of the Edmonds West Quadrangles, Washington "; dated 1983 prepared by James P. Minard identifies the materials underlying the property as either Transitional Beds (Lawton Clay) or Whidbey Formation sediments. According to Minard, the Transitional Beds consist mostly of massive, thick or thin beds of medium to dark gray clay, silt and fine to very fine sand, while the Whidbey Formation sediments comprise bedded, compact, medium to coarse sand. The soil profile in a test pit excavated near the southwest end of the planned building footprint (closest to the creek) consisted of the following: Depth Soil Description 0.0 to 2.0 feet Loose, brown, silty fine and medium SAND with scattered rounded fine and medium gravel, moist. Abundant fine roots. COLLUVIUM/FOREST DEBRIS. 2.0 to 2.8 feet Medium dense, yellow brown, silty fine to medium SAND with scattered fine to coarse gravel, slightly moist. Roots to 2.5 feet. TILL -LIKE MATERIAL (possibly Whidbey Formation). 2.8 feet End of test pit on dense to very dense, silty fine to medium SAND with gravel, dry. No ground water or seepage was observed in the test pit, neither was any vegetation observed in the vicinity of the building footprint that is typically indicative of saturated soil conditions. This soil profile is consistent with the soils encountered in a previous investigation on the northwest side of the existing house ("Geotechnical Engineering Reconnaissance, Waite Accessory Structure 2 HWA GEOSCIENCES INC. November 3, 2005 HWA Project No. 2005-000-21 Task 25 Additions to Single-family Residence, 111 Elm Street, Edmonds, Washington "; dated February 12, 1992 prepared by Geotech Consultants, Inc.). RECOMMENDATIONS The site is suitable for the planned new building provided the following recommendations are followed: • The building footprint should be stripped and cleared of all surface vegetation, organic matter, topsoil and any other deleterious material. The average stripping depth will be about 1-foot, however, locally deeper stripping maybe required. The building should be founded on shallow footings placed on medium dense silty sand that occurs at about 2 feet below existing ground surface. All exterior footings should be founded no less than 1.5 feet below the lowest adjacent finished grade; interior footings should be founded a minimum of 1-foot below the top of adjacent slabs or floors. • The footings should be designed for a maximum allowable bearing pressure of 3,000 psf, subject to minimum footing widths of 1.5 feet and 2 feet for continuous strip and isolated column footings, respectively. The recommended maximum allowable bearing pressure may be increased by 1/3 for short-term transient conditions such as wind and seismic loading. All footing excavations should be trimmed neat and the excavation bottoms carefully prepared such that over -excavation of native soils is avoided. All loose or softened soil should be removed from the footing excavation prior to pouring concrete. If a grade -supported concrete floor is required, the floor should be supported on a minimum thickness of 4 inches of minus 5/8-inch free -draining washed rock. If an impermeable floor covering is proposed (or to prevent effervescence from forming on the surface of the concrete), a 20-mil thick polyethylene vapor barrier should be provided between the concrete and the base layer. • If structural fill is required to provide the floor grade, it should consist of either minus 5/8-inch crushed rock, or pit run sand and gravel with not more than 7% passing the #200 sieve. The structural fill should be compacted to at least 90% of the maximum dry density determined in accordance with ASTM D 1557 (Modified Proctor). Waite Accessory Structure 3 HWA GEOSCIENCES INC. November 3, 2005 HWA Project No. 2005-000-21 Task 25 • For seismic design, the site is considered Site Class C, as described in Section 1615.1 of the 2003 International Building Code. Based on the subsurface conditions observed in the test pit and in the creek slopes, we consider that during a design level earthquake, the site soils are unlikely to experience permanent displacements resulting from either ground surface rupture, landsliding or liquefaction. For design purposes, a coefficient of friction of 0.4 may be assumed between the base of the footing and the medium dense silty sand. An allowable passive earth pressure equivalent to a fluid weighing 260 pcf may be assumed for compacted fill placed against the sides of the footings. These recommended values assume drained conditions that will prevent the build-up of hydrostatic pressures. The recommended allowable passive earth pressure value includes a factor of safety of about 1.5 for static conditions. • If required for the design of roof drainage, the long-term infiltration potential of the subsurface soils should be taken as 0.25 inches/hour. • Because of the proximity to Willow Creek special attention must be given to erosion control. Erosion during construction should be prevented by careful grading practices, and the appropriate use of silt fences and/or straw bales. LIMITATIONS The interpretations in this report should not be construed as our warranty of the subsurface conditions. Experience has shown that soil and ground water conditions can vary significantly over small distances. If, during future site operations, subsurface conditions are encountered which vary appreciably from those described herein, HWA should be notified for review of the recommendations of this letter report, and revision of such if necessary. The scope of work did not include environmental assessments or evaluations regarding the presence or absence of wetlands or hazardous substances in the soil, surface water, or ground water at this site. O.O We appreciate the opportunity to provide geotechnical engineering'services on this project. If you have any questions or if we may be of further assistance, please call. Waite Accessory Structure 4 HWA GEOSCIENCES INC. ' November 3, 2005 HWA Project No-2005-000-21 Task 25 Sincerely, HWA GEOSCIENCES INC. ,S 02 / 04 A* Brian E. Hall, P.E. President BEH:beh Waite Accessory Structure 5 HWA GEOSCIENCES INC. . c 14 February 2005 Meg Gruwell Community Development Services City of Edmonds 121 5th Avenue North Edmonds, WA 98020 RE: Trail at 111 Elm Street Ms. Gruwell, iFA: FEv 1 '4 2005 DEVELOPMENT SERVICES Pursuant to your request please find attached a site plan and photograph of the existing conditions at the subject property. The intent is to restore a portion of my property that was damaged by unauthorized neighbor use. This trail will be within the confines described in ECDC 20.15B.120 and will also serve to stabilize the area while the native vegetation matures. The elements of the trail will be of nonimpervious material and will lessen soil runoff. No nesting, breeding or rearing areas occur in the area and no motorized vehicles will be allowed in the current buffer. The paved parking area is noted on the site plan. Respectfu}ry, Steve W ite 111 Elm Street Edmonds, WA 98020 425.774.5533 APPROVED BY Pi-iNNING - r�ry yo, 1 S8. 124, V. N,, b,ij, pdh^:r rrcA nc�/Fn��-uJ Na ,Fu Pv ('tib Gt"wc attachment: site plan 8.5" x 11" photo of subject area 3"x5" STREET FILE --------------------------------------- i i ------------- Permeable trail. planted area , ----------------- Permeable steps: (+/-) 24' o natural cedar log butts. scored treads. outer 25% of buffer q , OHO , approximate location of willow creek east edge , NORTH — — (nts) 01/14/05 sm, Irk A 054, � � i ,,tii��itna� ,• ` �� �� • t � � 'tk�� 1� `:%fir t , r------- - - - - - -i I- - - - - - - - - - - - - - - I I i I ' I 1 I I 1 I I I I I I I 1 I 1 ' I I 1 I I I I I I I -f ------r- - - - -- ' I 1 I I I _ _ _ _ _ _ _ _ _ _ _ _ _ _ J I I I 1 ' I I I wall 111 Elm Street line 1 I I I 1 I I I eave I _ _ - - _ _ _ , , I line I I � 1 I I i concrete patio !------------ I concrete planter subject tree located within roof overhang°° 0 4 creek I c I I a`r a a property line Q} .0- CD 9 3 rd City park 2nd. I w YLC!NBY. m9_P no scale 111 Elm P-1-otPIan 111 Elm Street Owner: S. Waite W , North 1"=20' APPibVED 8Y PLANNING 1i1.-im-treet Tree-Bemo-vaLP-ermiiExempti4nReq.uest The subject tree (Cedar - 24.5" DBH) is located within the residence roof overhang and has for some time been in contact with. -the roof structure on approximately half of its circumference (see photos): Growth continues out of ve44cal plane and contributes to the trunk's peripheral compression with predictable and immanent shearing of the trunk. The existing condition clearly poses a danger to fife and property. looking south east (house side) of tree June 2004 ' sFR EXISTINGONCE •-- A.D.U. ACCESS (EXISTING WALKWAY) GARBAGE EXISTINGI ( K4we .tcsj' C� 3 - CAR GAQ N 00 022'06" 104.46' A.D.U. PARKING roperty (proposed) ine L 2 EXISTING CONCRETE I DRIVEWAY I HOUSE PARKING (existing) 1 (#1 &#2) SFR i MAIN HOUSE existing ENTRANCE sideyard one elect. meter for I (existing) walkway property " 2� d,ag; I EXISTING PRIMARY DWELLING existing one gas 36" high 5'-��� ( 111 Elm Street) meter for handrail. property existing conc. stairs at grade. 6" R. 12' T. I 8-6" landing to landing. I � I o 0 Property line 000 PROPOSED ACCESSORY 3 ENTRANCE DWELLING UNIT(efficiency) (existing attached basement N space) 0 0 CD TT 00 nA- z, STREET FILE RECEHvED APR 212003 NORTH 1 "=30.00' PERMIT COUNTER SITE PLAN Date: "712N70o ?GMAS oN f%tkf- 1>0IVo_r 1NOtaem 1EXtS'C . W LAC." 9-10 0 M W I�MP�I 4110 s Mf * Accessory Dwelling Unit SFR N 00 0 22'06" W 10�4 1 p fvak ►q99 - ?Keb d�11 T• (efficiency) 1 Elm Street APPROVED BY PLANNING 01 APPROVED AS NOTED BY ENGINEERING Mi j fu PLANNING DATA NAME: L,JA k DATE: 9/(S/(j3 SITE ADDRESS: 1 I I ii( r+ S+. PLAN CHK#: 03 - 1(oS PROJECT DESCRIPTION: 5pbla "^W co.( rti�, A B�-�r REDUCED SITE PLAN PROVIDED?: es No) MAP PAGE: CORNER LOT: Yes / o FLAG LOT: Yes o ZONING: 2S ' CRITICAL AREAS DETERMINATION #: 129?- Z,3 C4w( u ❑ Studv Reauired: ❑ Waiver ❑ Conditional Waiver eA r.�pw FUJC p o, IS6. r" �• 2 SEPA DETERMINATION: — ❑ Fee ❑ Checklist ❑ APO list w/ notarized form L1 (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) I :1 Exempt SETBACKS: ib 0"'� Required Setbacks: Street: Left Side: Right Side: Rear: Actual Setbacks: Street: Left Side: Right Side: Rear: Street map checked for additional setback required? (Yes / No / DNA) ❑ DETACHED STRUCTURES: ram• c f+M ❑ ROCKERIES: " ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: /JA ❑ STAIRS/DECKS: Spar fI- tI'—/ A S• -tc4t1 io 91JN, 7-1.,1:( wiJwM `L+crn.. yid'1 wttrwc (F�� l `rt+e ti n�t r bar*co P"" L4, b- r a`+bs+zL.tir. AA PARKING: Required: 3 Actual: 3 - C ,Y w ;�. 01'L LOT AREA: �► 0 LOT COVE !VG BUILDING HEIGHT: ac Datum Point: Datum Elevation: Maximum Allowed: Actual Height: A.D.U. CREATED?: (No / YesU - rFlro asp 11-pK- -3- 578 SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes /(j) Hrval- f+-Qr,.-h, NewBPPlanningDataForm. DOC I --im— O 890 _ �9ci June 19, 1995 CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning : Parks and Recreation . Engineering Stephen C. Waite I I 1 Elm Street Edmonds, WA 98020 RE: Request for clarification regarding proposed addition adjacent to stream Property Address: I I 1 Elm Street File # CA-95-31 Dear Mr. Waite: LAURA M. HALL MAYOR John Bissell received your letter requesting the Planning Department to review whether a Critical Areas Study is required for your proposed minor addition under an existing cantilever adjacent to a stream. Since I did the Critical Area review for your property, I was the chosen as the appropriate person to respond to you regarding our discussion. Those planners at the staff meeting were familiar with your property. We discussed your proposed addition and all agreed that it could not be exempt from the requirements of the Critical Areas Ordinance, and that a study would be required. As shown on a site plan found in City records, the addition appears to be located within the Critical Area buffer, therefore, a Reasonable Use Exception and Critical Area Variance must be obtained prior to applying for a building permit for the proposed addition. The Reasonable Use Exception and Critical Area Variance are applied for concurrently and require a public hearing before the Hearing Examiner. The Hearing Examiner must find that the project complies with the Critical Area Ordinance, including ECDC Section 20.15B.040 1-7. Enclosed you will find appropriate application materials and a copy of the aforementioned code section. Should you have any questions, please contact the Planning Department at 771-0220. Sincerely, �Z"- Ann Bullis Planning Division e Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan June 6, 1995 • HAND DELIVERED City of Edmonds Planning Department 250 5th Avenue North Edmonds, WA 98020 Attn: Mr. John Bissell 0 Steve Waite 111 Elm Street 00111 6go �99� 10i��V` f Edmonds, WA 98020 774-1331 RE: Critical Areas Determination # CA 9`4-31 "Minor add i t ion under ex.i st: inci c anti levered house and deck" Dear Mr. Bissell: I respectfully request your department's review of the above subject matter in which two conditions may possibly not have been given full prior consideration. Please note that the proposed work is entirely within the existing cantilevered building envelope and has no require- ments or implications for setbacks, lot coverage, impermeable surface drainage and will not support the structure above. Additionally the work is not in a geologically hazardous area and the enclosed portion does not and can not sustain vegeta-- tion or wildlife. 1) ECDC 20.15B 040A ( last paragraph; last sentence ), The specific intention is"to allow staff to waive actions which do not pose any threat to a Critical Area or buffer". Please find attached a brief letter from the Department of Wildlife ( dated 5/2/1995 ) indicating the area of proposed work is " not important to wildlife habitat". 2) PREVIOUS INTERPRETATIONS A verbal example given•at the counter by staff may be similar to my proposed work. That applicant had a deck supported by columns. The area underneath was allowed to be enclosed behind • • page two Waite June 6,1995 the columns because " they were .in existence prior to the Chapter becoming effective ". However, through research, I am certain that a perimeter footing was subsequently required - a major structural element that was not in existence prior to Ordinance adoption. Nonetheless, in both in -stances the area to be enclosed is clearly defined within the building envelope and whether the structure above is cantilevered or sup- ported by columns may be moot. In conclusion, the circumstances of the existing condition and proposed work does not alter nor is it detrimental to the intentions, goals or purposes of the Critical Areas Ordinance management. Your time and efforts in this matter are greatly appreciated. Res kCC. , Stephaite enclosure S C� STATE OF WASHINGTON DEPARTMENT OF FISH AND WILDLIFE 16018 Mill Creek Boulevard • Mill Creek, Washington 98012,(206) 775.1311 FAX (206) 338-1066 May 2, 1995 Steve Waite 111 Elm Street Edmonds, Washington 98020 Dear Mr. Waite: I received your drawings and letter explaining what you are proposing for your residence. Having visited there last year I am familiar with the configuration of the site. The stream and the stream corridor (vegetation area) should be left undisturbed as much as possible. Vegetation along the stream bank should be maintained with native plants as we discussed. The area next to the house and deck are not important as wildlife habitat. However, erosion control measures should be taken for any work that is done in that area to protect the stream from silt, dirt or other debris. WDFW will not require a Hydraulic Project Approval for this work. Feel free to call me at 775-1311 extension 109 if you -have other questions. Sincerely, Tony PP /�ermann Area Habitat Biologist O'g.. vrvrJ\jF.0 DEC 15 1994 tNUINEERING w e44 RECEIVED DEC 15 1994 MMUNITY 660(1'� LO sTqk, MMHOU 01 L 112 for , 111 M -5-r 0 Tile N 50 c"A' .890 19C5- CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering October 12, 1994 Mailed 10/12/94 Mr. Steven Waite 111 Elm St. Edmonds, WA 98020 Subject: Your letter of August 16. 1994 Dear Steve: LAURA M. HALL MAYOR Pursuant to your request of August 16, 1994 to post a sign in the 100 block of Elm Street, Engineering Division staff has visited the site and determined that placement of a sign is appropriate to warn the occasional pedestrian of the potential danger. Because of the nature of the site, the City Parks Division has been directed to make a wooden sign reading "steep trail' which will be placed on a wooden post at the top of the embankment. Recognizing that you are not completed with landscaping and other remodeling improvements to the site, the location of the sign is temporary. As you finalize your improvements, please contact the Engineering Division if relocation is necessary. I am hopeful that the signage provided is useful to you and your neighbors. If additional information is needed or if there are any questions, do not hesitate to contact me at 771-0220. Sincerely, 40rdon C. Hyde Engineering Coordinator R g�= Alberts WAITE.DOC • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan 1iAAV IZ5L1v41�5p . o4oc5?- /6 ,/�W C171V 0/4-- o�POOi�v5 45VW,oAl� W14. vza o� 7/7ig /06- S7-61/6 ii(/WX // / OL41 5 T (�ViPZJt,rs -fgoZo 7?�¢ - / :33 / RECSIVED AUG 161994 COMMUNITY SERVICES /iuO169 Tim M 014AZ5 �-As7 6,444+W`�- i� To le-eltw &7c , . 76cU 7;�t 6/,lAfi1j"6w7 1V*5 .9 -W4Y5 I*P MJ 175 U,4�t GoA/ 7-ov,C ,AD �ie7� S 'r Cjl Dr o�c ova%, , s 64�K A69&,(E� ��1tj 7he7 Cl 71V �rD ��7 lVo7���c,4-7ay 5l�4446 ©� 777Y5 RECEIVED AUG 16 1994 COMMUNITY SERVICES A-vt1.sr 16 /99¢ coeQL� �Or��r or- f s7�v� w.en� . `v:.'�' t a 3',...;� ,.; '� n't'• :� : �•R rR' 4'�� '-'.i ,t'r, � �. r �°il�'v;�l� �,��+�T�,:� �:.�.1:-,��W.ix7�„,,,�;� 4.-.w ,..y:sl•. - .. ... . r�• . lY., �.N rAt,.. -iri -.in;: }Ct u� y.fi: �,i{k, tie{. i'N..y'�u. '.,�,,..h v1.=•p' <� •A- �.t e•� t City of Edmond RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. — Issue Date: % - A. Addressor Vicinity of Construction: }' 111 ELM ST ( 9403091 18 c B. Type of Work (be specific): Install 1'k PE IP Main in Elm St from 13' W to 9 19 1631W Centerline of 2 Ave S. Per Job & Dwg #9403091 C. Contractor: Washington natural Gas Company Contact: Frank Swan to Serve 111 81m St Mailing Address: 815 mercer Stree-t:,Seattle Phone: 224-2278 State License #: WA 98111 Liability Insurance: Bond: $ A 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: WHItc�?7 F. Pavement or Concrete Cut: ® Yes []No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN / ]� INDEMNITY: Applicant understands and by his signature to this application, agrees to hold th City of Edmonds harQl �frohiirai es, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made agar t the'City of Edmonds, or any.of its departments or r' . employees, including or not limited to the defense of any legal proceedings including defense costs,•and attorney fees by reason of granting 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 FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. rt. 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 requirements and the pink copy of the perm it will be available on site at a/ es for inspection purposes. Signature: �'�� Date: June 22, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: W MItc�T7 RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER 4Enr (� DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: GON id C.7 fu Y• WH IT4"71 RESTORATION FEE: PiLlueL• To ...3011) 5-ul V6-r. _ - ' - PERMIT FEE: 132 ' 0 COMMENTS: DATE: TOTAL FEE: RECEIPT FEE: ISSUED BY: _ r-A NO WORK SHALL BEGIN PRIOR TO PERMI•T ISSUANCE Engrg. Div. 1991 I �a,y....t.. �'ib�L1-:r �..,+ I�'.t4 �� �-�'W ��.�%�l �.�Vr����,, y'•'""i �f rJ""'K.r i �s �..ri fi:.:. _l� rl, il, :1� 1 �� o 890 19°f '. City of Edmond.* RIGHT-OF-WAY CONSTRUCTION PERMIT A. Address or Vicinity of Construction: B. Type of Work (be specific): C. Contractor: Washington Natural Gas Company Mailing Address•815 Mercdr St , Seattle WA State License #: 98111 D. Building Permit # (if applicable): Permit Number. Issue Date: 111 Elm St ( 9403091 ) Install New Service Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ i Side Sewer Petinit # (if applicable): _ E. ❑ Commercial ❑ Subdivision ,City Project [?q Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: ; �G✓ 'F. Pavement or Concrete Cut: ❑ Yes ®No G. Size of Cut: 2 ( 2 x 4 ) H. Charge $ i APPLICANT TO READ ANJO MIGN I} INDEMNITY. Applicant understands and by his signature to this application, agrees to a City of Edmonds ha ml L damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that maybe ma a inst the City of Edmo s, n i epartments or t employees, including or not limited to the defense of any legal proceedings including defense c sts,tand attorney fees by asory of•�rg�tir(g7this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOg A PERIOD OF ONE YEAR FOLLOW1jNG HE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIOPPFFt,h.�ti4WIL JBE HELD UNTIL Tf IE FFIILV S WET PATCH.. ,F IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCES ,D FOR ISSUANCE TO THEAPPLICANT. 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 Engiieer. All street cut ditches shall be patched with asphalt or City app"ro'ved`material prior to the erid of the working day; NO EXCEPTIONS. a Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit;will be available on site as • es for i.ns eetion purposes. .f Signature: J� 1 Date: May 23 , 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: ";TG/77 TIME AUTHORIZED: VOID AFTER DAYS RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND Ill: SPECIAL CONDITIONS: RESTORATION FEE: •�`— 't "' r 3C7 ,,..PERMIT FEE: � COMMENTS: DATE: TOTAL FEE: RECEIPT FEE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT IS ANCE Engrg. Div. 1991 M f u j890 19C� if City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: I I., Rl m Street(9403091) B. Type of Work (be specific): T-nstal1 New Servi ee C. Contractor: U,,Ilin'gtom Netural Gas company Mailing Address: 815 Mercer Street State License #: D. Building Permit # (if applicable): Contact: — Exank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project Eg Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ® Yes ❑No G. Size of Cut: 1 (2 x lam_ H. Charge $ - at Gas,,---, APPLICANT TO READ ANP, SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees too#f" the City of Edmonds harmless )?m i4grEr mages, 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`co"sts, and attorney fees by reason of granting 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 RESTORATIONyFEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PR6NSSED FOR ISSUANCE TO THEAPPLI6NT. 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 :Z - I I . zt S • I have read the above statements and understand the permit requirements and thepink copy of thepermit will be available on site at all time !ns ecti n urposes. Signature: Date: Deca-mber 8,1993 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: I A %6'4 6. A RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER PCR 2.1— DAYS SPECIAL CONDITIONS: N COMMENTS: DATE: DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: TOTAL FEE: _ RECEIPT FEE: ISSUED BY: � NO WORK SHALL BEGIN PRIOR TO PERMIT SSUANCE Engrg. Div. 1991 Wnh....»� .. ��. `g' .�-...� aUr r ( Addendum to City of Edmonds Right of Way Permit Application _Submitted by: MITCHELL S. - LANKFORD _ Engineering Aide Washington Natural Gas # ' 521-5246 wvu to window Water main depth _ unknown " gas main Key: -w- water -g- gas -ss- sewer -6- water hydrant O _ water ..valve $15 -;=Cr St. (P.O. Box 1859), Seank, WA 98111 (206) 622_A767 .. .. ".f'o-,.� ... .. ... � .�'�•. .. a ., . .. .,�. �...�.- ram• .i . v.n. � _. 4 r 7 � :�S;�'REE�' WE City of Edmonds RIGHT-OF-WAY CONSTRUCTION 6 9 0- 194 PERMIT Permit Number: 9 - 3 6 Issue Date: A. Address or Vicinity of Construction: 111 ELM STREET U. B. Type of Work (be specific): RELOCATE POLE AND ANCHOR FROM PRIVATE PROPERTY 10 PUBLIC R.O.W. PLEASE SEE ATTACHED PRINTS. W C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR Mailing Address: 22118 20TH AVE. SE SUITE 13thone: BARB 488-1642 State License #: BOTHELL, WA 98021 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 W.O. # 2100-3POO1RJ-03' 241110 INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut:. x H. Charge $ APPLICANT TO READ AND SIGN /NDEMN/TY: Applicant understands and by his signature to this application, agr'e's r rhold the City of Edmonds hatsji��i ' , damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be m hinst the City oJEdmonds, or any of i depa ie'nu or employ- ees, including or not limited to the defense of any legal proceedings inclu ding defense costli. ,, and attorney fees by reason of ranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OFIONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH11S COkPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department Work is to be inspected during progress and at completion. IM71-0220 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 rst nd the on site at all times for inspection pure (Contractor or Agentl gy�ir gents and the pink cop of [he permit will be available Date: 11-14-92 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK RECEIPT. NO: DATE::.;: dSSUED OfIX"irlfi' N Engrg. Div. 1991 FIELD INSPECTION Comments: Diagram: ( and III - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved'By: Date:_ FINAL APPROVAL BY: Date:- Eng. Div. I WOJECT FIAVIEW CHECK.LIS* STKET FILE a PROJECT NAME: PROJECT ADDRESS: PLAN CHECK #: 57f RECEIPT DATE: ...... . .. ........... ......... ... ........... REVIEW .. n a a e ....... .................. . .. ............... ......... .. .......... ....... . ...... ............. .......... ..... I .... .... ..... ..... .............. .. ........... ............. ........... , - ...... . ............. ....... . ........ . . .. ......... ... ... ..... ............ ........... . ... .. .......... PLAN WATER:.. ... . ........ ...... - ...... -- .. . ... ............ ... ...... ...... . .. ..... ... ....................... ..... .. COMMENTS ......... ....... FIRE .......... .......... ..... .... .......... Tree Cutting Plan Plat/Subdivision Requirements 9 Legal Description Verification Quit Claim/Street Dedications V Easements - Public/Private . . . . . . . . . . . . . . . . . . . . . . . . .... .......... I .. ... .... . ... . ...... Engineering Storm Drain Review Fee 18 Eng neering 2.2 Inspection Fee 14'. Drainage Plan (On-Site)15 ........... Setback - To of Bank, Stream, Water Courses ...................... Setback - Storm Drain Line Open Ditch - Existing . .. ....... 18, Culvert Required ---------------------- Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required -:22... Driveway Slope & Vehicle Access Sidewalk Required . . . . . . . . . . . . . . . 24��, Curb & Gutter Required -------------- Curb Cut For Driveway Required . .... . . . . .. ........... .. ...... ....................... ....................... ..... .... 26 Street Paving Required .......... Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water Table ...... .................. .... ::::32 ... Side Sewer Availability33 Calculate Sewer Connection Fee If No LID # Create Street File A"35 Existing Water Main Size36 ... ..... . . . . . . ...... . . Water Meter Size ................. Service Line Size Water Meter Charge Required 777 ........... Hydrant Required Hydrant Size Existing . ......... . 4111 . Fire Line Charge Required - Sprinkler Z Street Cut43 -- ------------- Miscellaneous -44- A/l/V Reviewed By: GA FIRE PLANNING ENGINEERING PUBLIC WORKS OQT=r.T R1 P PERMIT APPLICATION REQUIREMENTS TO: Permit Coordinator, Building Division FROM: L.yyle Chrisman, Engineering Inspector OWNER: ��""' PLAN CK # ADDRESS:�� S✓ DATE: After review of the subject permit application, the following requirements mustbe met. 1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDSMOLIDAYS ..... 10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (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) . S. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACIL- ITY. BUILDER/OWNER IS REPSONSIBLE 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, FOUNDATION DRAINS, AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFII.LING. (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 1440. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit 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 7.30) 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) 16. Connection to the City sanitary system is required. A separate permit is 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 Y of the total assessed value of the structure. (ECDC 18.05.010) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU- PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) 19. 20. 0, CIiVCOPY 11 Complete this checklist for nonproject 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 "proposal," "proposer," and "affected geographic area." respectively. A. BACKGROUND 1. Name of proposed project, if applicable: FEB 28 IS32 2. Name of applicant: 41� 57SVC- WA177" � RAP J��TER 3. Address and phone number of applicant and contact person: s v6 WA/T2 jf C- 5`f'T 725 •22 90 4. Date checklist prepared: �• Zo /99� 5. Agency requesting checklist: 6. Proposed timing or schedule (including phasing, if applicable): LeWT� er 67/,64,6 10AM,4y-oW,0177o,1 e&1W11V4 lT 7. Do you,have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. yp-5. A012177oA1s Z �,��� �'�y 9657M' C& ,4644VJW uAroW 6iu01--'V5 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. � / 10. List any government approvals or permits that will be needed for your proposal, if known. 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You•do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) Q >WOIT1o1-1/ 70' 5/114 c 0 f6q1(J1 A11MV"cc--; AT CR�K.f?Q,,QWW ia45 SPA'VNIA 4 /moss C~ To =t" 12. Location of the proposal. Give sufficient information 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 the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit 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. TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): la rolling, hilly, eep (ST651 , mountainous, other b. What is the steepest slope on the site (approximate percent slope)? 5751 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. 7NIAIZAyC 410 W 5616, /�'b fj>1_657 DUB oV6i LY1"4 4:;Mt1aZ4 y 5/671Y 5,bK40 06--01WIA4 /j6LlC� AT AeAgoy Z h Pu off. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. ME e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. PAIA f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. /� g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 2G /b h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: /� A6790�r> Ar020 z-3 '!�x457-IW >Vy 6411GO""q 2. Air a. 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, S b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. kv c. Proposed measures to reduce or control emissions or other impacts to air, if any: OMA 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 stream or river it flows into. WIU4W cA&&c c�4-MdoA.y 3 (Aob"- SfAWMIN4) ZAA46rW A 6x5op AS A COA VA/fL 1;2:4 5;,V4eRAC5 )WAt QFF !N A 19616 PO 149" V AA&A - 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. Ma11c 3) Estimate the amount of fill and dredge material that would be 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. /VO 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. /UO 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. 96) 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. Elf b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. 1 1*6) 2) Describe waste material that will be 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 size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. V 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, describe. Awmff KII&I, f6 cvG c7 IAI A / e7ie rvwo" wj rj au7rc4w Tb GortewK WA Put me Ol sf6X-510 I 6rex ap l omP5 pmlyfte sYsr&M 6 7fhVI Xi Os,) 2) Could waste materials enter ground or surface waters? If so, generally describe. MAO d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: 3 Cc) / , 04,16 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, bullrush, skunk cabbage, other _ water plants: water lily, eelgrass, milfoil, other _ other types of vegetation b. What kind and amount of vegetation will be removed or altered? A 1996- /L c. List threatened or endangered species known to be on or near the site. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: AM 70 epsT,�vy svy �1-,O1AO �eA� • 5. Animals a. 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, bear, elk, beaver, other: ................................. fish: bass, salmon, trout, herring, shellfish, other: .................... IV4914 2As pc�lo$�E�ti4T STRAY CAM b. List any threatenedor endangered species known to be on or near the site. /!o 4145 c. Is the site part of a migration route? If so, explain. MQ d. Proposed measures to preserve or enhance wildlife, if any: Ma NC 6. Energy and -Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. .XIA7&A,46 4ff-s #fT,Vy b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. FAM c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: hmex^x-6 to ewep;y GoOE. souTE: maV4 jP47/-A2i/v4 7. Environmental Health a. Are there any environmental health hazards, includinq_exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. /l Ti 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? j�,lOrv� 2) What types and levels of noise would be 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. i9V/A,y AEsi��i(lr�of& /9"/ r7dA/ Sf�i�i Z� j L /4ff7 i%4�" co�s>,&cr ) �a �6 • • 3) Proposed measures to reduce or control noise impacts, if any: MoMe 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? 51416t6 MMILy Ae51P&&1--i,4L b. Has the site been used for agriculture? If so, describe. N6 c. Describe any structures on the site. -!571A146& PAMI(y le e%p�5l ce d. Will any structures be demolished? If so, what? M e. What is the current comprehensive plan designation of the site? f1L�,AV MA & e _J� h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. MO i. Approximately how many people would reside or work in the completed project? 5A/4G6 rAMtcy j. Approximately how many people would the completed project displace? MAI& k. Proposed measures to avoid or reduce displacement impacts, if any: ,OVA 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 1110AIC 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. VIVA b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. PAW Proposed measures to reduce or control housing impacts, if any: 121 A 10'._ Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? C �/ ) 26 " a4 J�&7 64EVAX S�4P/&q b. What views in the immediate vicinity would be altered or obstructed? /l011 �6 c. Proposed measures to reduce or control aesthetic impacts, if any: IONA 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it -mainly occur? / MA 15 b. Could light or glare from the finished project be a safety hazard or interfere with views? c. What existing off -site sources of light or glare may affect your proposal? PIAIA d. Proposed measures to reduce or control light and glare impacts, if any: Alo Arc 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? 1 WIC116E 1AXX b. Would the proposed project displace any existing recreational uses? If so, describe. / /�0 c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: P"A 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. MbAle c_.Proposed measures to reduce or control impacts, if any: 19AIA 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. �T b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Yes c. How many parking spaces would the completed project have? How many would the project eliminate? 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). /,c/a e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. P/(!t* - .5/" G g )Cyiktol 46 1,OWC6 g. Proposed measures to reduce or control transportation impacts, if any: bA114 15. Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. bo b. Proposed measures to reduce or control direct impacts on public services, if any. �, " 01-1 16. Utilities a. ircle�servsice I ble he site:Cysim),' natural gaOvate elephone s nitary sewer sep o 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 might be needed. A-6& v77ur,(65 �XrsT C. SIGNATURE The above answers true apo complete to the best of my knowledge. I understand that the lead ag c s re ng them to a its decision. Signature:... ..... ......................... i Date Submitted:.... .. .......... I'mr'? . ............ D. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do not use this sheet for project actions. Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. ENVCHK3/PFORMS CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning - Parks and Recreation • Engineering 890.194 January 18, 1991 Dean Nordquist 111 Elm St. Edmonds, WA 98020 LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR .o:—. STREET FILE RE: Street Use Permit 86-8 According to Building Division records, Street Use Permit renewal fees are due. As you were notified on the November 1989 billing, street use renewal fees are now collected in January for the current year. No fee was collected for 1990, therefore, total fees now due are $20.00 - $10 for 1990 and $10 for 1991. Please remit fees within 15 days date of this letter. If you no longer utilize the portion of City right-of-way under the subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times, you may want to check expiration dates with your insurance carrier. If there are any questions contact the building division at 771-3202. Thank you, 4 W �eannibne L. Graf Permit Coordinator • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan ~ PERMIT EXPIRES _ �p CITY OF EDMONDS USE PERMIT zoNE SNUMBER 5,9197 CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS I OWNER NAME/NAME OF BUSINESS 6TVGv� �/ / C& A- M'4 `+ ,�/�.� LEGAL'DESCRIPTION CHECK SUBDIVISION NO. LID NO. w MAILING ADDRESS z O PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TEscP Approved ❑ CITY ZIP TELEPHONE RW Permit Required ❑ a //�� / •� ///�f� EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ Side. Required ❑ PROPOSED Sklewalklk Required ❑ NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 3. ~ YES ❑ NOA cc U r ADDRESS W x REMARKS Z. ¢ z CITY ZIP TELEPHONE f% Lu NAME tJ W /�` /� ENGINEERING MEMO DATED CF BY AAYJ a[ ADDRESS • �' I 0 v FIRE MEMO DATED REVIEWED BY W ¢ ¢ "- CITY ZIP TELEPHONE LL z 0 v VARIANCE OR CU ADB# SHORELINE # STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY �r+� ~_• SEPA REVIEW SIGN AREA HEIGHT COMPLETE ALLOWED PROPOSED ALLOWED PROPOSED 0 VV. DEf� C_RIPTIO OF PROOPERTY—I-INCLUDE ALL EASSEMENTS a Tom/• /90 F7, Or Z.,> /Q/ ot. ¢ SO• �j�K EXP ¢ LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) uj RDa�7���/ 7p ���, Vol �Q/ 1) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR Z PROPERTY TAX /AC�COUNT PARCE NO. v % " ` Z W s ,!►�' .. — .a+ al LOT AREA EVIEW BY DA a ❑ NEW ARESIDENTIAL LUMBIN MECH � REMARKS ADDITION ❑ COMMERCIAL COMPLIANCE OR V/ ❑ CHANGE OF USE REMODEL ❑ APARTMENT ❑ SIGN / GRADING FENCE ❑ REPAIR ❑ DEMOLISH ❑ CYDS ❑ TANK ❑ ( X FT) OTHER ❑ CHECKED BY TYP7 OF CONST CODE OCCUPANT GROUP OCCUPANT SPECIAL INSPECTOR AREA GARAGE zz ❑ CARPORT RETKNRY WALL ❑ ❑ RENEWAL REQUIRED ❑YES LOAD n (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: mom" / �/� V� REMARKS U �w:J PROGRESS INSPECTIONS PER UBC 108 N NUMBER NUMBER OF G^ • I CRITICAL OF DWELLING AREAS STORIES __iUNITS NUMBER 7 DESCRIBE WORK TO BE DONE b / j5A1CW56 UPIPDX�Xrsr�rvG ,lauSC ,�rd a�K HESOURCE/ I GLAZING % 6 /T`6yLO-P4* PLAN CHECK NO, Z !Q VESTED DATE FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING 14270 MECHANICAL F THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MAROUEES,ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE ix W PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS STORM DRAINAGE FEES rn w 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE 2 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF cc EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND a x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT �) G� V I I. p x NOR LIMIT IN ANY WAY THE CITY'SABILITY TOENFORCE ANY ORDINANCE PROVISION." TOTAL AMOUNT DUE / / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED application is not a permit until signed by the IN VIOLATION OF THE LABOR CODE"OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. -receipt is acknowledged in space provided. SIG N DATE SIGNED (425) AFFI I SI URE D s 771-0220 REL SED BY DPTE ATTENTION / IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- I CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 / ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR 5/98 _ ATE RFC I 99 /� ' ( A P,,._ G- PERMIT EXPIRES CITY OF EDMONDS PERMIT ZONE _ (0 NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS (l / / SUITE/APTF OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S 1/ / ,?6 (/`/ / MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ved TESCP Apprequi RW PormN Required / ✓' _ 1 EXISTING PROPOSED REQUIRED DEDICATION FT Street Use Permit Req'd Inspection Required Sidewalk Required p �n�eq CITY ZIP S9�O�k TELEPHONE Z p NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 1 ADDRESS REMARKSOWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE" CITY ZIP TELEPHONE NAMEij /y� CBL # Q Y " r T v /I / ENGINEERING REVIEWED BY DATE ADDRESS /%� -a"i/ 9AMV FIRE REVIEWED BY DATE "w' CITY ZIP TELEPHONE SVARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY REQ'D POSTED A O 5-O (�' O ' I +' OYES 1g0 S - SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 58,�2� - 00 .. Q 0 0/406 EXP vo ❑ NEW RESIDENTIAL �PLUMBINGECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR O COMPLIANCE OR NG ❑ ADDITION ❑ COMMERCIAL El CHANGE NC CHANGE OF USE PARKING LOT AREA I PLANNING REVIEWED BY DATE ;OkREMODg66° i ❑ MULTIFAMILY ❑ SIGN REO'D PROVIDEDIL GRADING FENCE 3 ❑ REPAIR ❑ CYDS ❑ ( X FT) REMARKS VMgoHve b N L - t ❑ DEMOLISH ❑ TANK ❑ OTHER �4 Oka I�1 i .:< _ ❑ CARRkRT. ❑ ROCAKER INING WALL FIRE ❑ FIRE APLARM RINKLER O (TYPE OF Olt BUSINESS OR ACTIVITY) EXPLAIN: R G - QU� �G��� CHECKED BY TYPE OF O TZCTION C� OCCUPA •/ N '"GROUP NUMBER NUMBER OF PP CRITICAL 9 m OF Z 41 DWELLING AREAS 0 / SPECIAL INSPECTION AREA OCCUPANT O STORIES UNITS z - NUMBER REQUIRED ❑YES LOAD DESCRIBE WORK TO. BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 9 GDit/UF3� t,3�lS7/r�� f��'f/�v G6- m ��F/ci��cY s5�t O VALUATIO i17 $ Description FEE Description FEE Plan Check State Surcharge HEATS URCE GLAZING % LOT SLOPE % .� Building Permit City Surcharge PLAN CHECK NO:,�.; _/-�' D Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK N&ED. THIS PER IT COVERS,MIIORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. qEngr. Review S PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS Engr.. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF OF" HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF aEDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due = NOR LIMIT IN ANY WAY THE cars ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ON Recording Fee Receipt # (//) GIVEN IS CORRECT; AND THAT I AM THE OW ER, ORPLTHE DULY TAUTHORIZED AGENT HAT THE TIOF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPY WITH CRY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building OBidal or his/her Deputy: and Fees are paid, and IN VIOLATIP&ILF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORKMENVOMPF,,NSATION INSURANCE AND RCW 18.27. OFFI IGNAT Q SIGNA GENT) DATE S GNED (425) 1 03 771-0220 q RELEASED BX DjfrE ATTENTION SIM 1333 r- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL. lJ.� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL.M • YELLOVINSPICTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR 04/02. PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING RECEIVED SEP 2 pMENT IIIIII IIIII IIIII (� II IIIII IIIII IIII) IIIII IIIII IIIII IIII��I�� S7X&;&l 200309250490 1 PG r-�,�ito�n5 W4 W020 09-25-2003 10:30am $19.00 SNOHOMISH COUNTY. WASHINGTON ACCESSORY DWELLING UNIT COVENANT Property Address: l 044 57/�`&7 Edmonds, Washington Assessor's Parcel Number: Legal Description: 50y7z-( kAAA AD.C2 7z) ,E,91VOAlt)S l3 1,14 c-04 t7 -v 1 w 1,60 F7- v'r Z�-o7 /o I, the undersigned, have attained approval for an accessory dwelling unit (ADU) at the property address above, in accordance with the provisions of Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Development Code. I agree and understand that it is my responsibility to notify all future property owners or long- term lessors of the existence of the ADU and that its existence is predicated upon the occupancy of either the ADU or primary dwelling unit by the owner of the property. Additionally, I will notify all prospective buyers of the limitations on use and maintenance of the ADU as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Development Code. An example of the limitations of the ADU per Chapter 20.21 is the property owner is required to reside in the primary or accessory dwelling unit for 6 months out of every year. Finally, this covenant shall .be recorded in order to notify all current and future property owners that if any conditions of the ADU approval are violated, the property owner will be required to remove all improvements which were added to convert the primary dwelling unit into an ADU and restore the site to a single-family dwelling unit. Property Owner Signature: Print Name: STe Mew C • VV4 (—(V Property Owner Signature: P, Pi' Print Name: J o `I t c; `I A H 1g N Date: ,) ?U,,) -3 STATE OF WASHINGTON) Me" Pubft 8hie of Wow trobn KATHM A KEDSOE COUNTY OF SNOHOMISH) Ivry AppOliftwlt Eq ns Jun 25, 2005 I certify that I know or have satisfactory evidence that--�a,,�„( /.. ,JL;T2 � Jr0yc4� r, signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and purposes mentioned in this instrument. l P(L� C.. Notary's pressure seals must be smudged. Dated: i 2,, Signature of Notary Public: Residing at: My Appointment Expires: v� THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR. PROPOSED 4W, PE 1 P MAl lj t' M11 til. 5' S. OF f /c" SEWER) EDMoNDS CoRT�. LrMIT EE3_EE9_ woODtMAy CORP. LI M I T A q�4/4PES CAP ', 3' PAST SEuv►CE b.0. M . LOC. l63'W oe--- e� 01-51 I-: Go, R� w Z " X i'/4-" Pr✓ `TA PF- M C,- 76L� 3 f37w, ►5'� SUTZ�IEy I S 'fZ�.G�U/RED Til0 o• ' F �, PE I P I �ki f .. MOTE Q�`:�:.� I "PRI VHT>✓ SL=I.tlAC�E >UMr- LlrleS To . 11 ELM ST. -RUNS rd moll I M -D/ tV TO M.H . Rf�t% )-r z^d ELM ST. 1 I i ,I ✓►IIAIIGE l.•o.n4�. -r-o ^vor-p e/ E�. sswEtz .Lru� PER airy OF e NO. I DESCRIPTION REVISIONS P. DATE I BY I APP'D NOTES: EDMONDS 1.) FIELD LOCATE ALL UTILITIN CALL 1-800-424-55S5 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL.A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS; REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) CUTS IN PAVING ARE SHOWN AS $ 7.) 1 CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #563.13 (D-1) to - s - 8 - 7 - 6 - 5 - 4 I Pb (2 P 5P-- 6 30 3 � �� " X 14" -P,---- -M PPi klG 78 - G z,- 2 /GO' # 44 GAL/(fir- �DET,-_CT WIRE 85- 940 1. l ii0` -7>l F',-_- 70- 470 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: ,�5aMO�JDS t /4 SEC: U6 HG _ e7 - 3 PLAT: 164- _ G5 OP MAP: 164 _ Ga s® Whshkw fl °�� AVAthngtonEnergyCbmoarry AREA: TAX CODE: SEO. NO: D.G.R: G - z4 - 94 /A- it SDR - / 1 Pr-- / R Mai �j E:51 T --- ro : 14 4 E�L _M S-T" DWN -p. wA^O I 051 f z / 94 IR G 043 -3 1 RR CHK'D' 22 �%�, JOB 940 30 9 DRAWING SCALE: ' �r= sQ' AP 9403094 • • PROPOSED i/4.r Ps I P MAI OF I �2SbwL�R� ST EDMowDS CORP. LIMIT WOODWAy CORP. L►MIT 60, R/ K/ r0`17 4 4/4" P6 CAP 3 PAST Se'RVICE b. O. M . LOC, f63, w I\ 11 Z " x 14" PE, TA PPI �I CT -r6r= 3 3 f,w, 15,u SUR�I�y IS R�u/RED I fil N 9 24"aouC. 6 PS IP 12.0 8ro3-4� 3o'rz�w j IJOTB ;�;� � �PRIVAT>✓ SEWAGE (ol PUMt=, L►MeS To 114 ELM ST. RunIS w -D/ Ki TO M.H. )-r `-i-.nd i ELM ST. 0_"A)klaE L.O.M'. 7'O AVot-p Sx. sF_wErz .LIAJ>E= -P8Q elry of DMOn/'D S RE Ul REMEII! S NO. DESCRIPTION I REVISIONS 1.) -;S: EDMONDS . • FIELD LOCATE ALL UTILITIES CALL 1-800-424-SSSS 48 HOURS BEFORE DIGGING INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE INSTALL A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE SURVEY IS ! REQUIRED MAINTAIN A MINIMUM OF Sp HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES CUTS IN PAVING ARE SHOWN AS $ I CUTS ANTICIPATED COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #563.13 (D-1) 10 - s — 8 -. 7 - 6 - 5 a 5P-- 630 3 z" x f' " PZ-MPP/"lCG 7 78- 6G5 2 IGO' # 44 (:FrAUc s —_DL TAC T I.UI R Z_�- S5- 940 /60' f%," S?>R- / / Pe 70- 470 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: 8D,40,IIDS 1 /4 SEC: ,U6 E?G _ E?7 _ 3 PLAT: 164 _ GS OP MAP: 164 _ Gp e AREA. P—f + M TAX CODE: v SEQ. NO: Na AVAWingtonEnergyQxnparty D.G.R: G - Z4 - 94 14 ifSCR -11 Pr-- l F m,,91 Aj E�:,? T . To : 4 4 d 'ELM ST 724/ P•DA " DWN: _P . DAO 05 / f a / 94 IR 0043 -3 1 RR JOB 940 309 f DATE BY APP'D CHK'D TD�XON S /2Z �� DRAWING 940 309 4 SCALE: ' �� = SQ' AP PROPOSED 1W, BPS I P MHl 1.1 ( MIN. 5' S. OF E•DMONDS CC>RF-. .LIMIT — —E=l W000WAy CORP. 11 M I T A\ 4/4" PE CAP 4 3' PAST SERVICE �. O . M . Loc. /G3' K, ZIN el z" x I'/q PE TAPPI ►JCS Tt✓1✓ 3 �3,w, Ir,IV SUR�>✓y I S "R�-QulR�D up � 24"couC. s 863 - 4� 3o'rz�w IJOTE ' ' "p12I vATS 56WAGE puMA LrrJSS To 1 14 ELM ST. -RUNS Q T>/ W TO n2H . R/Kl I )T and > 6LNI ST. (2NA CTE L•O.M ! TO AVOI"p bX. SEwEJZ .L,ue' -PSR 0-1-y O Z7m)cwv5 RE UIREMEM S NO. DESCRIPT11ON REVISIONS P. DATE I BY I APP'D 44OM: MMONDS • 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424-SSSS 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL.A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS» REQUIRED S.) MAINTAIN A MINIMUM OF.S' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) CUTS IN PAVING ARE SHOWN AS $ 7.) _ 1 CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #S63.13 (D-1) 10 _ s - a - 7 — 6 — 5 — 4 ' ' ! � P25 G° H-P 52.— 6 aO 3 �x �¢" PZ-MRP/AlG 76L� '�8- 665 2 /Go' # 44 GACJCGT --Z>,E»CT WIRE 85— 940 l60' JA," SDR- / / PE 70- 470 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: 25-DA40AJ7DS 1 /4 SEC: ,U25 H6 - P-7 - 3 PLAT: 164 - G5 OP MAP: 164 - GP — lap 'Ole AYAW*xjtonEnergy Cornparry AREA: p- / TAX CODE: SEQ. NO: D.G.R: G - z4 - 94 /A- it SCR - I l Pr-- l R M,91 �j EST -To : 4 4 4 ELM ST DWN: -P . 7�)A0 I 051 l z. 19.¢ IR G 043 -3 1 RR CHK'D: 77. $ �ZZ /9�. JOB 940 30 9 ! DaawlNa ' SCALE: , �� = s'Q' AP� 940 309 PROPoS�D i�4�� �8 I P MA1 1.1 Z z7'Q �w w w > ;ELM ST - EDMo►JDS CORP. LIMIT wooDwAy CORP. LIMIT 6o' � 4 /4', F- 8 CA P 3 PAST GERVICE 6.0.M . LOC. f63,vi P-u X I /¢ " Pr-- TH PPI rJ su�z�r✓y � s �z�qu/R�� T6L� 'R -P� -I P 1 z'►.i - 8ro3 - 42G OTES: EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424-5555 48 HOURS BEFORE DIGGING INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE INSTALL.A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE SURVEY IS ! REQUIRED MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES CUTS IN PAVING ARE SHOWN AS $ 4 CUTS ANTICIPATED COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #563.13 (D-1) 10 - s - 6 - 7 — 6 — 5 d ' ' „ P� (2A7- 5a- 630 3 F-" x I'4" PZ `7�9RPitilG 76Z-:- 78- 665 2 fcoo' # 44- C-AuCTL- �:DS7-15C7" 85- 940 1 1601 !4" SDR-It PL -P/Pe 70- 470 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: '_l:-DA40AJZ>S 1 /4 SEC: kt6 HG - E27 - 3 PLAT: 164 - 65 OP MAP: 164 - Ga �.® AREA: TAX CODE: Verson G3;UW SEQ. NO: AWb1-gIcnErwWCcmvary D.G.R: G - z4 - 94 /%4 it SDR - 1 I Re I n Mai u �� T To : 4 4 4 'ELM ST DWN: -p . DAo ' 05 / f z / 94- IR 604 Z5 -3 1 RR 'D: �/� JOB 940 30 9 1 CHK NO. DESCRIPTION DATE BY APP'D TDB /,�1�1 I .5 /ZZ DRAWING ' REVISIONS SCALE: 940 3094 _ �Q APl - - pRoposer) ly4" f>e f P MAf rJ - W IZ/ K1 ELM rw EDMONDS CORP. LIMIT woODv,JAy CORP. LIMIT 60r RI �t1 4 4/4.r P8 CAP 3 PAST 51✓72VIC� �. 0. M LoC. IG3' W ce-_ The su�zv�y I s R�qufR�� ST Til0 n i rGo R/tiJ PLL I f- I F-&d - 8ro3 NOTES: MMONDS • 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424-SSSS 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL.A ONE POUND ANODE FOR EVERY.1000' OF LOCATING WIRE 4.) SURVEY IS � REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) CUTS IN PAVING ARE SHOWN AS $ 7•) I CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #563.13 (D-1) 10 - s - e - 7 — 6 - 5 — 4 ' �� GaA� 52.- G30 3 ' ��- X �1¢° �� 'yHI�P/�ICT -r6c- 78- Gros 2 > coo' # 4 ¢ C7AuC, L5 _-Ds 715C T 85- 940 1 jr0ol I%411 STDF?- l / P>✓ -TI Pr 70- 4 70 ITEM QUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: 25-DA40tj D5 1 /4 SEC u,5 HG - e7 _ 3 PLAT: 1604 - G5 OP MAP: 164 _ G2- s hhjgtW NaftuidG Awa1v-glonEnerwCorrparry AREA: TAX CODE: SEQ. NO: D.G.R: G - -'-4 - 94 %4 it SDR - I I P M/19i �! E�!,l T. To : 14 4 ELM ST i DWN: . DAO 05 / f z / 94 IR �i643 -3 RR CHK'D: JOB 940,3091 NO. DESCRIPTION DATE BY APP'D TDIxON .5 /2Z /9�- DRAWING ' REVISIONS SCALE: ' �I = SQ I I AP 940 309 4 • ��l ,EDMaNDS CORP. LIMIT WOODWAy CC)FP . L1 M 1T c,- . o . M . J-0c /G3, Kl �--- :7 -- -- - - -- vURV�y I S 'R�u/RED I� i NO. j DESCRIPTION REVISIONS NOTES: EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424—SSSS 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL.A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS! REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) CUTS IN PAVING ARE SHOWN AS $ 7.) 4 CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM #563.13 (D-1) 10 - 9 8 — 7 6 5 — 4 ' / �� G°H� 5P— G30 3 ' F—" x �'¢" �'� iH1�Pi�lG '76� 78— G G - 2 /Go' # 44 C7AUCir �:D--.-TSCT 6U/R7S 85— 940 !60' i%4" SDR- / l Pe 70— 470 ITEM OUANT DESCRIPTION STOCK NO. BILL OF MATERIAL PERMITS: ��MO,tlDS 1 /4 SEC: ,U6 @G - 027 - 3 PLAT: I64 - GS OP MAP: 164 _ Gz e _ �`!� G�F A Wass tcn Energy Cc- arN AREA: p— /' TAX CODE: SEQ. NO: D. G . R: G - z4 - 94 1 SDR - 1 I Pr-- I n Mai u 6� T TO : 'ELM ST DWN: -P . DAO 05 / ! z / 94 IR G 04-3 -3 1 -RR DATE BY APP'D CHK'D:-jD1XON I .5 /ZZ /95z— JOB 940�09 DRAWING " or 940 309 4 SCALE: ' = SQ' � AP ® �1 Pq Ln 128 X Ln I Ln CV W Q rc H L/L/H l � 35 UJ HLP 1 P2-/3 So' s X\ IT P3 195 85+53 43610 x 25X 84+20 IR3o1076-1100 3643 � L1435 207 ,�� Z M 2 co NI N v—x- 0 VF- R I R3:1051-I100 k 00 2 s x I�� 3 a107co- 6-511 w, I SIV J az5-2C I Ni u 17E5 U L1 DI N� PTA: P P2-/I o 231 =� POLE LOCATION < x STAKED IN FIELD S N BY. ENGINEER +� n� a' 0 rn O f`r � x L� 8 PI-/2 0 0 199 AEF50-24 301051-1100 ���' 1R _ a50_2r P A� n R 200/ IR3o1051-1100 AEF50-24 ZOO+50-, —0 _ E 0&40 M b 5 K/ W 30' Pa LE IAjojo�ajkv Kl W 3t --\i f �Mii ��r �crl CD O O CD N N N OCR Q �i-n C\l t N W Ln C\J Cal O d- + III Q —I o N CD N N COUNT 84- AFT IIZ3107G-Il00 24 l�l P20 124 X 78+47 1R3:105/-1100 709 DESIGN POINT "A" EML_3 - 55 dB— ELR 612 Q END SECTION BRIDGE TAP-84- AML ALR OFFICE LOOP LIMIT 1500 Q I APPROVED BY - DATE USE FOR ROUTINE ONLY PRIORITY ECAS IC, t (,- IN SVC t-30-42 DRIVER ❑ DOR ❑ PMO/TRANS/SAFETY ❑ HICAP/SPAN ❑ OPUS M PUBLIC REQUIREMENTS ❑ PLANT RELIEF/CABLE CONG. ❑ PLT. EXT/COMM. DEV./RCTA IN SERVICE DATE 11.30'92 PERMITS ❑ BLANKET ❑ STATE ❑ COUNTY Irk CITY EDMONp5 ❑ NONE— CONSTRUCTION ❑ DIAL. A DIG ij FLAGGING ] BRUSHING -- — SPECIAL CIRCUITS ❑ ---� CAUTION .'OWER ❑ UG INAE OTHER ❑ UG 21 AE TELCO ❑ UG IN AE CUTS REQUIRED I® YES ❑ NO JOINT POLE ❑ PUD ❑ PSP&L ❑ CATV 11 GTE ❑ NONE JOINT TRENCH IN PUD ❑ PSP&L ❑ CATV ❑ GTE FEES REQ'S ❑ GOP ❑ LEC ❑ SPEC. CONST, NONE �5-rEve U)hcCi5 POINT OF CONTACT 72-5 - ZZqo ENGINEER Carl Samuelson PHONE NO. (206) 488-IG20 61 BULK ❑ ROUTINE MATERIAL CODE DESCRIPTION EST ACT 280650 ; AK-F:50-26 200 2421 280625 I AK-F:25-26 135' 2421 113355 3.S'CL5 POLE [ 24I1 i I PLACING HOURS 31- SPLCING HOURS EXCHAN Halls LakeGE COUNTY Snohomish rirL"RELOC POLE 0 III ELM ST. POLE AND ANCHOR ORIG PL o 0 ON PRIVATE PROPERTY A ' o w �o m ' AP 0Y q C m C-� T.27 R. 3E SEC. 26;Ej 0F