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1113 A AVE S.PDFiiiiiiii lill 9997 1113AAVE S CITY OF EDMONDS PUBLIC WCM - EMINEE M ACTION REPORT STREET FILE N® 1021 SUSPENSE DATE: Date:` ime: C� File # Attachments: REQUESTOR: NAME: -TI vy) W ADDRESS •,^.. , -r enk m /I ,�.a� REQUEST RECEIVED BY: TELEPHGNE rnx 11 T. —Tr e < RECEIVED BY RnIITF Tn =Yes = No NEIFAMMWANAM■ 0■ ■■ o■ ■■o■ ■■■ ©■� ■■ W■ ■■ ACTION All Concerned Notified Action Completed/File 1 �� CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT /Call 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction., \Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION............................................................... PROPERTY LEGAL DESCRIPTION --------------------------------------------------------------------------- ............................................. OWNER AND/OR BUILDER -- CONTRACTOR'S NAME & ADDRESS ........................................................................................ -.................................. _........................................................ *mission is granted........................................................... 19........, for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. N IS CALLED TO THE FOLLOWING: NTIO No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct . - . side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. 5—Trenches in street must be water settled 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 No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVEDDate ........................................ By ................ Date .................................... By ................ Date .................................... 'By---............ APPROVED Date.-.._�:..L BY _ ...... .' Remarks: r.. .... .....-------.........3 u.....7. 'n.' -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••-••----••---••• _ BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I,....- (.,........ ..... - hereby certify that the side sewer installation constructed under this permit (lSwner of Contracting Firm Performing Construction) installed in accordance with all governing ordinances of the City of Edmonds. j Dated this ....... ;.0........... day of 1Y�`J............................................... 19.. 1 J J Check BEFORE you dig for: Water 0, Gas p, Telephone ❑, Power p, Sewer p, Other p J J 2 A r� ADDRESS:! 10 A � l,, ,l TAX ACCOUNT/PARCEL NUMBER: 00 tPI q q DO s�(� U l BUILDING PERMIT (NEW STRUCTURE): I 4 1 O 5 4 a COVENANTS (RECORDED) CRITICAL AREAS :_ DETERMINATION: ❑ Conditional Waiver ❑ Study Required xWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: lF LID #: SHORT PLAT FILE: S A 3 (OL LOT: I? BLOCK: 5S SIDE SEWER AS BUILT DATED: /11,-3 o1? 1 SIDE SEWER PERMITS) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: I LATEMP\DSTs\Forms\.Street File Checklist.doc 0 STREET FILE jA& FLIDi RECEIVED STREET FILE JUL 1 j 1994 PERMIT COUNTER SITE PLAN WITH REMODELED HOUSE SHOWN A 3'-10" B 3'-10" A 3'-10" B 3'-10" C 0'-4.5" O D 0'-4.5" O 1'-9" AVERAGE O e Qo 1'-9"+ 25'= 6'9" AX HEIGHT o EXISTING STRUCTURE: 21'-4" INCREASE DUE TO ADDITION:9" NEW HEIGHT 2 -1 71'-0" 26'-0" 141 .00 C 0'-4.5 D 0'-4.5" PROPERTY TAX NUMBER: 6194-008-009-0106 LEGAL DESCRIPTION: THE NORTH HALF OF LOT 9, BLOCK 8, YOSTS FIRST ADDITION TO EDMONDS, ACCORDING TO PLAT THEREOF RECORDED IN VOL.8 OF PLATS, PAGE 6, RECORDS OF SNO. CO. TOGETHER WITH THE WEST HALF OF VACATED ALLEY ADJACENT THERETO APPR ED Y PLAN lNG O y z n 00 LLJ - w z Q W Q Q Of Of Y O O N Q O Q a oo z rn 0>- 1- a Z D 0 � �_ 00 ~ m 0 3: (f) U W � Z 0 W � Z a-, 3 3- - 0 H w Q D' d � O N O ♦- z O � N W Ll 0 Of w w� o C.)0 z O Q0 w� z w = ry z o 0 LL- 3: �w -jw> Z _I LLf Q Ow�V) W OOC , D 0 0 0 D LdQ^I o0 1-0��� W 2 c W__ woz-�— Z Z -• POUTED ON KR LL YAP NO y BpUrI L D I N G D E P A R T M E Applicant Fill 1 e ER 71054 7 f LRMIT APPLICATION I U'alde HeavyJ ) iaea JOH AD �II4 ... NAME (OR NAME OF BUSINESS) �/� • i y ,�M � 'S. - fr O1DE YARDBETBA11 ITREET SETBACKv' REAR -YARD BET13ACK 1 !�; Mwl NO ADDIIE� /n ►l O I / �I 53 5(� USE ZONE LOT AREA VACANT 81TE CITY of f J r� ( TELEPHONE NUMBER K S.� _ I rz YE8 0 NO x �..1 1 ` J HEIGHT BUILDING AREA I VARIANCE NUMBER,-°:j••` Ci. — .. ' NAME. 1 1 - 1� • Q YYl i � ►1 7D N C C) VI PLAN A11:tOVED W ADDRESS J W STREET R/w < CITY [ TELEPHONE NUMBER EXISTING STP.EET R/W J) _...FT. DEFICIENCY THIS PROPERTY I 7 1 +. 2•• 1 COMP. PLAN ST. R/W 47Q. FT V_ FI. C I tnon� S 779-6 NAMEREMARKS Driveway slopes nut to exceed those a ,.• indicated on Standard Drawing #103_ •' ADDRESS - I W J CHECKED BY I ± CITY TELEPHONE NUMBER t V _ MET SIZE SERVI E SIZE CLEARANCE CHEC .D BY STATE LICENSE NUMBER I CITY LICENSE NUMBL.R HE B I I i• Legtl Description of Property (Snow Below or Attach Your Copies)'' (2 (?A TYPE CONNECTION I VERSFIED�BY PERC. TEST PERMIUMBER OE 1, wREMARKS i> • __ FIRE (TYPE OF f.QNSTRUQTION STREET IMPROVED SPECIAL INSPECTOR REQUIRED OCCUPANCY ❑ LIN ❑ YES NEW RESIDENTIAL LINE PLAN CHECKED BY ® NON-RESIDENTIAL ❑ SIGN HIS SITE IS LOCATED IN THE D El ADD ❑ RETAINING REMARKS .:,o,.-I�!-a... Lam, :t J. C ij/ "•i' ,�, 1 DEMOLISH WALL TAX ,C,•IIVL'� J �.^ r'' •, C. w 6 ✓�y`��"a,.l ❑ FENCE ALTER ❑ EXCAVATE ❑ �` L '•�0DED ..l.O�• 71 a�•' y,�R { 1 OR FILL (........ .......... Ft.) ❑ REPAIR PP.E-MOVE SWIM INSP O POOL NUMBER OF STORIES i NUMBER OFi` I.wh DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Reeelpt No' -nay _ r M Plan Check No...._......_.....-. � , i✓i _.. �� fi � .+4t•. '. BU7LLIN6 P'ROP09ED U8E 7L;1` PLVMEIN6 yO • '' • e it tii{._ D PLOT PLAN (Ind:rata Building 'setbacks, abut:Ing streets) HEAT & GAS LINE T�� 7,120 O s� o- 1 1 Q %).� e. �j. FENCEs'. }. SIGN RETAINING WALL _y.^.��„•y SWIMMING POOL;>.` DEMOLITION 1 PRE -MOVE INSPEM•ION EXCAVATION OR FILL TOTAL AMOUNT DUE / ��� s k - .•)I i hereby acknowledge that I have read this application; that the In. forma U.n Riven Is correct; and that I am the owner, or the duly author- Ized aZ:nt of the owner. I agree 1-0 eomDly with city and state lawn regu- Intlna construction; and to delta the work authorised thereby, no person ATTENTION APPLICATION APPROVAL .: will be employed In violation of the Labor Code of the State of Waahinpton TIUS PERMIT This application is not a permit until • S` �l t relating to workmen's Compensation Insurana. AUTHORIZESThis by the BuildingOfficial or his De ONLY THE p• NOTE: Permit limit One Year (Except ni:MorATIONS which WORK NOTED uty; and fees are paid, and receipt is ac V <` shall be completed In ninety days: MOVED -IN BUILDINGS shall be com- Imowledged in space provided. - - pleted In six ^ nth..) } *� 91CNATUi.E (OWNER OR AGENT) DATE SIGNED INSPECTION 1 DEPARTMENT a cTo G�e�y� �� / 2 .. % CITY OF r:>: t•oa• EAMoxns DATE NOTE: Applicant Sub;ect 10 Plan Cbeck Fee PR G1107 3 This Permit covers work to bedone on priests Property ONLY. l.0 Any rnmLvetloo 00 :he Dnbue domain (curbs, sidewalks, driveway., „si;•i marquees, etc.) will require acparwte WaUselon. FILE t a _ v Jo n — * ALE NO. Critical Areas Checklist Site Information (soils/t000LrantivlhvdroloQv/vevpin inn) 1. Site Address/Location: RECEIVED 2. Property Tax Account Number: 4WIV - '61110- r� 3. Approximate Site Size (acres or squa/re feet): f' J U N 13 1994 4. Is this site currently developed?y yes; no. INNING MPT. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. jt1t at: less than 5-feet elevation change over entire site. P F���T �99/j Til�C Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over PUN% . I 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: ' 40; Approx. Depth: What season(s) of the year? 8. Site is in the floodway_ floodplain A/t�) of a water course. /i /D 9. Site contains a creek or an area where water flows across the grounds surface? � )'Flows are year- round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: ReVo110094 e90•9y City of,aEdmonds Critical Areas RECEIVED JUN 13 1994 COMMUNITY SERVICES 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 necessaryto complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, -the -applicant shall include other pertinent. information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the'site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual," to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Street Address i, AVIV Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date -CITNWF MONDS - SIDE OWS PERMIT WATER -SEWER DEPARTMENT PERMIT N? 4072 /Call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.1 \Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION .................... ..................1113 A Avenue PROPERTY LEGAL DESCRIPTION.... -Yost- S First Addition t0 Edmonds� BlockNO. 8� LOt NO._............................... .................................................. ......................... ,......................................................................... ........................................................................................................ owNER AND/oR BUILDER......... GAROLD HAidSON ----------------------------------------------------•-..--.. - .......-----------------------------------------------------......-..-..----------------------- Cssion RACTOR'S NAME & ADDRESS ... Allled. BdC�Choe-,---22821......85t}-..UaCv...ftat.#...Edmond,S.....Wahh..-.9.8-Q20.-.... November 30 .......... 19..71 for re is granted .................................... pair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street - area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than 1,¢ will be permitted. NOTE No. 5—Trenches in street must be water settled 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 No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED❑ Date ... _................................... By ................ Date .................... APPROVED❑ Date ... ............................................................ By ----------------------- Remarks: ........................................................................................................... .............. By ---------------- Date --------------- _------------------- By................ ----------------------------------------------------------------------...... •-------------.----........------......------••---------------..............---..... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I........................................................................................... hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis............................day of ................................................................. 19......... Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other 0 V d -The City of Edmonds MA APPLICATION for SIDE SEWER 7PE MIT NEW CONSTRU( REPAIRS OWNER....... .......... 1VYw,5.n.,Y ................................ ADDRESS...... ........ ............... ........................................... LU LU cn 0 j_TRF-ATMENT 4U EASEMENTF,—N-T- - I TO, . ........... L 16 74 CONTRACTOR ... ....... ....................... PERMIT N� 0 LEGAL DESCRIPTION: LOT No ............... !? ........................... BLOCK No . ........ q ............................... NAME OF ADDITION ...... ...... Ai.;A.6.7 ...... ...... 7-.. ....... . ........ti ................... s-/ Approved: 3 G 17.I......... By - AW.DATE.1:71.--../ Cc