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1116 OLYMPIC AVE.PDF1111111111111112435 1116 OLYMPIC AVE r N.PERMIT '0 970 Call 775-2525 for side sewer inspections 1"':FORF Covering any portion of the con'tructiom) Inspection will be provided within 24 hours after requst. NO Sat.. Sun., or holiday ini,ect ion S. S ADDRESS LOCATION OF CONSTRU ill CTION .... - �i.� . ...... ....... ................................ PROPERTY LEGAL DESCRIPTION.. ......... 4- n-_-4.C47AL___' >., .: ............................................................................................ ................................................... ....................... ................................. ................... 1-r ..... * ........ * ...... ­* ------------ -"-* .................................................................................. ............... .............................................. OIVNERAND/OR PUILDER ... 4-- 'ADDRESS..E:�� ............... CONTRACTOR'S NAME & G ..... \,.� ..... ..... .... ..... ........................ .. . .... .. Permission is granted ........... system in accordance With City _.• o . f .. Edmonds ................. ...........7*...19.......... for repair and/or connection of a side Sewer to the city sanitary Sewer ordinances. ATTENTION IS CALLED TO * THE FOLLOWING: NOTE No. 1—The owners of thepropertymay obtain a permit side sewer In street area. to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct 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 cover -age at property line and 12 inches inside property line; minimum grade of 2%. sharper than % will be permitted. No bends in grade No. &--Trenches in street must be water settled and surface of street restored to original condition. Or work which may develop within one year Of completion. Contractors shall be responsible for failure due to t improper in- sert the pipe into the wye. 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 - DISAPPROVED ❑ Date...- ................................... By ................ Date_ .......... By ................ Date.... ........... . ................... By....---......... APPROVED Date...// . .. . ............ . .......................... By.-; aT .. . ................................................... I ................................... Remarks: .............................. . ........................ --------------- ............................................. .................................... �/ ------_-----------_--- .. . ........................ ........................... ..................... BOTH P ................................................... ....... ............. I' it Copies .................................. it Copies Al §T Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection 4, e - r/� ...................................... ....hereby certify that the side sewer installation constructed under this permit .. ........ 4 wner of tr acting Firm Perf.r Ing Construction) was installed In a cordaonnee with all governing ordinances of the City of Edmonds. Dated this.........(.............day of.....-... . .4 V Ell ................................ ig.. V Check BEFORE you dig for: Water Ga-s Telephone 0, Power Sewer 0, Other APPLICATION The Cityof Edmonds for EASEMENT NO- --------------------- ----------- - - ------ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO. ------------------ - OWNER ---- MI1'Gi-A:L� .....c—=.... -\N. Q��1�1_ CONTRACTOR ....... G— ----- L M----------------- PERMIT NO. JOB ADDRESS ... LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. .................................... Lu b E,�) sins November 1, 1974 File No.. 3307 LEGAL DESCRIPTION FOR RALPH W. JOHANSEN PARCEL C That portion of the West 360.00 feet of the South half of Tract 19, Puget Sound Machinery Depot Five Acre Tracts, accord- ing to the Plat thereof recorded i.n Volume 5 of Plats, on page 47, records of Snohomish County, Washington, described as follows: Beginning at the Northwest corner of the South half of said Tract 19; thence S 89°34'28" E, along the North line of the South half.of said Tract 19, a distance of 172.50 feet to the True Point of Beginning of this description; thence contin- ing S 89°34'28" E, along the North line of the South half of said Tract 19, a distance of 83.50 feet; thence S 3039'12" East, a distance of 165.42 feet to an intersection with the South line of said Tract 19; thence N 89°34'28" W, along said South line, a distance of"93.50 feet; thence N 0*11116" W, parallel with the West line of .said Tract 19, a distance of 165.00 feet to the True Point of Beginning. REID, MIDDLETON & ASSOCK ES Consul'ting Engineers - Land Surveyors 324 MAIN ST. EDMONDS, WASH. REcmVED STREEI'" P.L� AUG Z 5 1992 PUBLIC WORKS DEP' 1116 Olympic Avenue Edmonds, Washington 98020 August 23, 1992 Ron Holland, Water/Sewer Supervisor City of Edmonds 250 5th Ave. N. Edmonds, Washington 98020. _. Ref. Acct. # 216425 ?r am 67 Z 5 Dear Mr. Holland: Earlier this week (August 19th), we returned from vacation and found a notice from your department indicating that we had a leak in the water line that runs from the street to our home. We contacted a plumber immediately and he was able to make repairs the neat day. From conversations with neighbors it is their opinion that a heavy track drove of the driveway area and put enough pressure on the water line to crack it and thus cause the leak.. A representative from your department was very helpful and suggested that we seek relief for payment of the excess water that leaked from the pipe during the time that we were out of town. A review of previous bills indicates that we usually consume between 18-20 (100)cubic feet of water in a two month period. Any consideration of relief would be greatly appreciated. Thank you for your assistance. If you have questions the phone numbers are as follows: (H) 775-0725 and (W) 670-7156. Sincerely, Michael G. Warden r T STREET FILE A G.R E E M E 1 GREG KRAMER CONSTRUCTION COMPANY of 13715 51st Avenue West, agrees to defray the costs_of correcting the drainage problem at 1114 and-1116 Olympic Avenue.( The work will be performed by City of Edmonds forces and completed by August 25, 1978. Kramer Construction further agrees that the City of Edmonds shall be held harmless in all respects from any and all claims for damages for injunctive relief which may be occasioned now or in the future to adjacent land or improvements by reason of the construction, operation and maintenance of the drainage system, and hereby waives and release the City of_,Edmonds from any and all claims for - damages, excluding damage caused solely by,an act or omission of siad City and injunctive relief which the owners, or their successors or assigns, may themselves have now or in the future by reason of the construction, maintenance and operation of said drainage system. Dated this 14th day of August 1978. CITY OF EDMONDS KRAMEPJONSTRUC! tv. Abe M-ariciin:, Street Sept. The above subject work has been completed satisfactorily. / 7 Date A 5A Idn�n, treet Supt . r. CO. STREET FILE CITY OF EDMONDS HARVE H. HARRISON MAYOR CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775-2525 DEPARTMENT OF PUBLIC WORKS A G R E E M E N T I/We the undersigned, being the owners of the following described property, The east 86 feet of the west 172 feet of the south one-half (1/2) of Tract 19, Puget Sound Machinery Depot 5 acre tracts, Snohomish County, Washington, (1114 Olympic Avenue, Edmonds, Washington 98020). do hereby grant the City of Edmonds permission to enter upon said property for the purpose of constructing necessary storm sewer work in the utility easement and on private property. It is further agreed and understood that the City forces will complete the necessary revisions in a professional manner. I further agree to hold the City of Edmonds harmless of any and all consequential damages that may occur as a result of the storm sewer work. I understand that I am in no way responsible for any costs incurred by this Agreement. CITY OF EDMONDS Owner By: Owner Date j ac L I i Y ui--1�i`10NDS - PUBL I4P40RKS DEPARTMENT , ENG I NEE*G DIVIS18TREET FI Le APPLICATION FOR RIGHT-OF-IJAY CONSTRUCTION PERM I T THIS PERMIT MUST BE AVAILABLE AT TUE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A. Permit to be issued to: For Work at:(address Type of Work to be done (attach drawing when applicable) Time Requi red -- Start: Owner: k f Name I11��1U� Mai g Address City State Zip Contractor: Name Ma' ing Address 1:5%Arxj Q�, City State Zip Finish: Telephone Number State License Number -7r70 , W Telephone Number `* NO WORK�-TO.•BEGI.N PRIOR: TO PERMIT. ISSUANCE ** B, INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, 'that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings,inc.luding defense costs, court costs, and attorney fees by reason of`granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for ins ection by Engineering. Call 775-2525, ext. 220. I understand that this permit mu be avail e at the job site for inspection purposes at all times. Signature: Date: % Owner r Age.nt TO BE COMPLETED BY ISSUING AGENCY: 00 Date Issued: Permit No.: % — J %,eR Fee: %S Security Bond. Time Authorized: APPROVED BY c Date:71M�JX A ryfc e L ire e 1���. o - - - - 4 o STREET BILE - LSD--OLy_•d�— mtorta�'y��t�e_Ia75p.-C®.pL_�te�°�e1�-77 1�� Ito We -roaL 1 r 1 ( -77 --- eb ld��aF%ec� �rLl.' Lli'e not deep enough ---------- ---- M f . &g a 4 — -�a m a1 � 7 � � �� � _�a�. ��of�;---- -- --- - -941- 7 d -40 Fa-naL — — --! A od e �- - ---- - - -- — — — Pre�ir� 79I _w�i�_n__box--------- CUM Ln-g 77 freed 2 clamrs, ----7_ ��'Y-So_U�►d__ �v�Q�.---_Pr-el�m_iv��r_�!---Reje_c ed— L._9 -_78_-- -- 1_h�� _ — 1- Its � 7;W 61� Pre6noI.naKK _ I- G - 7 ---- ------ ----- -- -- -. 100 7- 4eft/ ca/w•vr�d �o�v) e/L�(ayl�.� firr[ It --.- S/go1.5-- /9/,jo-- . 1-'Ig-75? --- � ��-Sly-ehPL-- ° ------ ° A d --- I i It I 1 I ry — Xi- 1 . - _�1NSrTP.LL 1.2rx \2 C/Ci_�_NEw T,�_ IGcsrIlNyCc�T �4" �`��ti �x�-ST�r►Cr Felt sr/ivc , I 1 I - I j I ¢ Pr..•s-c�c. -- I i ( PowE� YCX.T ( i I I I 41 -/� c- ', ! I I I 1 t r -t -- STREET FILE PUBLIC WORKS DEPARIMENT.l ECKLIST BL'ILDIW, PERMIT REVIEW O I m C0 I Z '] QT —kF: r-T F address to 0. Street Right -of -Way Existing REQDta H Access Easemmts Existing "LES M , Kq�-1 Llz REQD::::_ a Utility Easement Existing ` F 'N REQD W Lot Per Subdivisio6- 4e-&�5 Plat Assessor Map -- w Site Plan Checked for Accuracy 11 z Underground Wiring Reqd. N I\ H Check Accuracy of Legal Description . 1i 7.5j ~1�1 z Review by N Date 11 ZGJ w Existing Water Main Size Oy C> 1: o iv ©� we ��►-� Water Main Required N P� Service Line Required Hydrant Size Existing JV A r�4 hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. OD Cross Connection Inspection 0 Fire. Department Conments d SOS Water MeterXo� Review by Date i 2 -2 7 Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit. No. Sanitary Sewer Availability Proj. Drawing No. Ir File No. -Side Sewer Availability Ye, S w Sanitary Sewer Connection Fee Reqd. A-)rnZ 3 Review by, Date / Z -•Z--- w Open Ditch Existing Reqd. -- Culvert Regd/f `" -',M � �S''' :uc;<<�cf crc� �� ize � J 0� Catch Basin Reqd. Nam« Ind date on Site Plan 0 Shoulder drainage maintain collection an swale open runoff gal H _ -; <<.O L 'Ap, t. I•ianhole/ reqd. ,{j�,y� Indicate on Site Plan — Soil Conditions and Ground Water Field Checked Review by '/�_�� - Date , Revised: lv10-1977 G�WLDING DEPARTMENT Applicant Fill --- I PERM_jW ZONE V NUMBER PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS (OR NAME OF BUSINESS) NAE LEGAL LOT d1YES ❑11 No ILOTAIqEA SUBDIVISION NO. 0 A.. -74 -PL_ VJ - ELEPHONE NUMBER STREET R/W EXISTING STREET RIIAI Fr. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. FT. NAME REMARKS U W W ADDRESS CHE(KE U 0: < CITY I TELEPHONE NUMBER I STREET AND/OR UTILITY W REQ'D. WYES 7N. R/W PERMIT REQUIRED El. YES JSNO z NA E UNDERGROUND WIRING REQ'D. El YES INNO 0 ADDRESS TYPE CONNECTION tbyEs VERIFT U❑ 1 SANITARY SEWER . I ' ; 1:1 No I 1 z CIT TELEPHONE NUMBER -7-,� SEPTIC SYSTEM ❑ YES APPV'D BY CITY ENG. ZrN 0 PERMIT NUMBER 1 0 ,4 -1 STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Show Below or Attach Four Copies) METER BUILDING SUPPLY SIZET ./IZE F. REMARKS z SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT U REMARKS W VARIANCE OR CU PLANNING REVIEW BY DATE YARDS I . I a 5- FRONT SIDE -4,15 R EAR IL . OT COVERAGE RESIDENTIAL NEW F❑GAS LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ❑ ADD NON-RESID 1:1 - NON-RESIDENTIAL ❑ SIGN F-1 D RETAINING DEMOLISH WALL OR.FILL F] ❑ ALTER EXCAVATE FENCE 1:1 1— X—FT) SPECIAL INSPECTOR AREA REQUIRED 0 YES E) No I —1 OCCUPANCY GROUP OCCUPANT LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY F] REPAIR PRE -MOVE swim El INSP. POOL OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS, I - NUMBER OF STORIES NUMBER OF DWELLING z UNITS W NATURE OF WORK TO BE DONE L W PLAN CHECK NO. VALUATION FEE z 2 m U 0 W I - Z W I L 0 J III > PROPOSED USE PLOT PLAN (INDICATE BUILDING SETBACKS, ABUTTING STREETS) M BUILDING PLUMBING HEAT & GAS LINE 0 III 0 FENCE z SIGN RETAINING WALL 0 U SWIMMING POOL DATE: 780012 MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: I w o oWA P1C AAM; After review of the subject building permit application, we have the following comments- (1) Coordination'of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the contractor. (2) The contractor is required to keep the abutting streets clean- ed of dirt and deEris caused by the construction. (3) A "Right -of -Way Construction Permit" is required from the Engineering Division of Public Works, for any work within the Public Right -of -Way or public easement. M PW 5/77 T, A �.� t November 1, 1974 File No. 3307 780012 LEGAL DESCRIPTION FOR RALPH W. JOHANSEN PARCEL C . That portion of the West 360.00 feet of the South half of Tract 19, Puget Sound Machinery Depot Five Acre Tracts, accord- ing to the Plat thereof recorded in Volume 5 of Plats, on page 47, records of Snohomish County, Washington, described as follows: Beginning at the Northwest corner of the South half of said Tract 19; thence S 89°3428" E, along the North line of the South half of said Tract 19, a distance of 172.50 feet to the True Point of Beginning of this description; thence contin- ing S 89°34'28" E, along the North line of the South half of said Tract 19, a distance of 83.50 feet; thence S 3039'12" East, . a distance of 165.42 feet to an intersection with the South line of said Tract 19; thence N 89°34'28" W, along said South line, a distance of 93.50 feet; thence N 0°11'16" W, parallel with the West line of said Tract 19, a distance of 165.00 feet to the True Point of Beginning. i. �i i I I REI D, M I DDLETON & ASSOCIA ES Consulting Engineers - Lind Surveyors 324 MAIN ST. EDMONDS, WASH. EBD 7-74 BUILDING DEPARTMENT - CITY OF EDMONDS RESIDENTIAL PLAN CHECK (Group I) 780012 Description: Ntw (ZE5( Dee C G .,.Address: Ili.6 OLYMPIC AVE. Architect, Contractor, or Owner: M_ WarJer, NOTE: Items noted must be corrected on both sets of plans before building permit can be issued. Zoning Code and Plot Plan I. rovide complete plot plan showing all existing and proposed (301 (c)) buildings, etaininy walls, rockeries, driveways, curb cuts (301 (c)) and drainage. ORD.17.14 2. rovide legal description. (301 (b)) 3. Identify all property lines, streets and alleys. (301 (b)) 4. Identify any easements. (301 (b)) 5. Dimensions all yards, buildings, lot lines, decks, porches. 6. Dimension roof overhang. (30" Max. into reqd. yards) 12.12.030 (Building Line - lty Code) 7. Other: 8. ans (301 (c)) Building Code (UBC 1973) 9. --Footing size, depth below grade ( ) (2517 (b)) Table 29-A 10. Soil bearing. Table 29-B II. learance sill plate to earth (2517 (67), 2907 (a)) 12. Foundation wall thickness, max. fill 13. ill plate and anchorage (2517 (63, 2907 (e) 14. Stud size spacing and firestopping (2518 (f), 2577 (f)) 15. qFloor joist size, spacing, direction, support beam, girder, post and pier size Table 25-T-J-1 16. eam, girder, post and pier size calculated 17. Ce.iling joist size, spacing, direction, support Table 25-T-J-4 18. Roof framing plan ((301 (c)) 19. Rafter size, spacing, direction, support Table 25-T-R-1 20. Truss details (301 (c)) i 20 3c) Do 45 2� 3� i 0 l33 0 Dn $a 0 /4 2 4z z6 � 30 10 ZSo 170 30 i98o 4 z- �30 ZS Z 1 77 Lf Page #2 Residential plan check (group 1) 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. .4U. 41. 42. ize (2518 (f) CIearance in crawl space (2517 (62) Crawl space vents, access (2517 (c)6) Wall, roof sheathing (2517 (q) (2518 (f)(2517 (i) 2518 (q)) Stairway details, railings Chapter 33 Fireplace construction and clearances Chapter 37 Specify stress grade of lumber (301c) Attic'access and ventilation (3205 a) 3205 c) Window glass and vents (1405 a) (1404) Roof overhang 12.12.030 (Building Line) Building height, grades 12.12050 1 (ORD 1714) Chimney Chapter 37 Garage separation Table 5-B Smoke detector (1413) Plumbing and Mechanical Codes (UMC 1973. UPC 1973) 5 ©o 0 Plumbing fixtures Chapter 9 15 X 1.50 = + = Fee 2 7-Q::�- Tiot water tank -location, -fuel, pry discharge UPC 1007 Furnace -location, size, fuel, comb. air, clearances (UBC 1410) (UMC 704 ) 3.00 + 5 Fee Od '— tishwasher airgap UPC 608 Gas piping and appliances Chapter 22 Appendix "B" Gas vents Chapter 9 UMC Interior bathroom ventilation UBC 1405 Other Description Footage Factor Amount IMfat 14 FLooiZ Z1 7 7 T .l Z 4 37, 3AC) SASt mE:NT 1480 R� q- S 6 60 GARAGE 600 J4 34:50 DECK r.SZ iY 3r O 19 "' G 746 = 187 Total C Fee Total Fee + 272 0 Drainage and r-iv, rements for bulld].11�� 11 0.030 .—-adin -,- V 1 .1; 1 (.) n -.i lot,,� and �Llbd.*I. L t e il:: , d r a i i i i,- i nd inlets or other 110ces,,;,,wy drainat,,e jt*.i,uctui-e,,; sl­iall I)e installed where storm water, disposal cannot be obtained without their use or when-e urusion cannot he prevented by shed L)-,rading and planting. Dryv.,ells shall be installed oiily in areas having, open, well -drained porous soils construction and installation oT drainage structures shall be in accordance with standard englneerinLr, practice cii-id suitable for the use and maintenance contemplated. (b) BuildiriC or owner shall provide t�radinU to insure: (1) Diversion of water away from IJLI I ildinCs -780012 2 Prevention of standin.-Y water and soil saturation detrimental to structures and lut use; (3) Provision for disposal of water from lot-, Protection of adjoining; property. (Ord. 1714 §3, 1974). �35 w 0`01 L D I N 6,'-'.D E P A R T M E N'T Applicant Fill USE jj%}}} !1i"�^"" �� PERMIT a ZONE qr NUMBER �I'� -- �t , kJ PERMIT APPLICATION Inside Heavy Lines /a//, //V '• JOB ' J� ` , ADDRESS / f �• - �/ %' _: . P• /j t NAME IOR NAME OF BUSINESS) \\ fJ - j ,� /,ijia T /�I jf� -, -•� LEGAL LOT ❑ LOT AREA �; SUB DIVISION NO. III MAILING ADDRESS _ YES ❑ NO ��!_�!/•�� 5N� 3 �/,.'v \ ,I t STREET R/W I 0 i SJ� I ✓ ... CIT .. yl TELEPHONE NUMBER EXISTING STREET R/w COMP. PLAN ST. rr� r �wz r a FT. DEFICIENCY, THIS PROPERTY.' - fi j•1 : •t, •, •,�, ', R/W f..tv "' FT. _�FT. NAME _ REMARKS - Z WW W F ADDRESS RESS .. ..: ..' CHECKED Q.Y_ - „ � W A •� LJ '�•�+� ci E CITY. _ TELEPHONE NUMBER STREET AND/OR UTILITY WORK REQ'D. R/W PERMIT REQUIRED - - � •Z a O"'YES I ❑ NO' ElYES' ❑ NO W NA E •�.. UNDERGROUND; .. WIRING REQ'D. 1 , ❑ YES D NO 0 I- ADDRESS - .. TYPE CONNECTION SANITARY SEWER ❑•YES VERIFI D BY. { 1'�.'I"•� ' �� / NO S f CIT TELEPHONE NUMBER SEPTIC SYSTEMPERMIT ❑ YES, NUMBER J. /t 1• .' ''� � Jjj %+ry�ry/I`./�''�� APPV'D BY CITY ENG.� U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS I . %�p^ Legal Description of Property (Show Below or Attach Four Copies) METER ,SIZE BUILDING SUPPLY SIZE i REMARKS Q Z 3 0 H SIGN AREA ENV. REVIEW ,,,ADB NO.,-'. a_ E U , ALLOWED PROPOSED COMPLETE EXEMPT N • 0 J Q t REMARKS VARIANCE OR CU PLANNING, REV EW BY' ,. DATE - 4------~---1 .-� /2 YARDS - FRONT SIDE•`•,�REAR LOT COVERAGE-.;., NEW,I T�`I RESIDENTIAL GAS :GAS d FIRE ZONE TYPE OF CONSTRUCZ40_N CODE HEIGHT ❑ NON-RESIDENTIAL ❑ SIGN -,�y �`• ` b ! �/ _ l / 77=�• s"yJ ❑ ADD ❑ DEMOLISH ❑ RETAINING WALL :--^— i SPECIAL INSPECTOR 1A7EA REQUIRED, ._W� ' OCCUPANCY - GROUP -�••- OCCUPANT .:.' LOAD ❑ ALTER ❑ EXCAVATE ❑ FENCE OR FILL X_�) ❑ ❑ YES �r PLAF�CHECK D B -/1n�M THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX REPAIR PRE -MOVE SWIM 13 INSP. POOL .?'"� D� �—/ SHOULD BE CODED 31.04. NUMBER QF STORLES r NUMBER OF - DWELLING RF / / + •. ., UNITS .. %l-tti..�.lt;' ./ .I: 1 !l..n ✓�-•vi- :�7 /1 �2��1r-/�.-.t ' , ,, W NATURE OF WORK TO BE DONE n �! 77 ;lt•; w - ' 0 Z PROPOSED USE - PLAN CHECK VALUATION FEE I- 7 w a PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING f �L�L(�.� �I� a N - - J - O 'I �.--- W 0 PLUMBING :? W 0 0 - .. - '+,, HEAT & GAS LINE �—•��" 0 .., .. '. FENCE ... .• . _- F ' Z ' SIGN ... RETAINING WALL O U SWIMMING POOL TOTAL AMOUNT DUE 71 I hereby acknowledge that I have read this application; that the in- formation given is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and in doing the work authorized thereby, no person will be employed in violation of the Labor Code of the State of Washington . THIS PERMIT This application is not a permit relating to Workmen's Compensation Insurance. AUTHORIZES until signed by the Building Official or . NOTE: Permit Limit One Year(Except DEMOLITIONS and FILL ONLY THE his Deputy; and fees are paid, and ' PERMITS without conditional.use permit, which shall be completed in 90 WORK NOTED receipt is acknowledged,in space pro -- days; MAVED-IN BUILDINGS shall be completed in six months.) vided. SIGN/ATU:R OWNER O rR-AGENT) '� ,/� -- --� � DATE SI NED ' // %'ter �.� 7 INSPECTION DEPARTMENT DIRECTqR'S�SIGIVATUR �V ((�^f // f 7" �:: ate' /// f l I /�1. �3 CITY OF \ I YI A �t .1�� •_�/ EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - File YELLOW - Inspector marquees, etc.) will require separate permission. :n• GOLD - Assessor PINK,- Owner Water Service Drawing The City of Edmonds EASEMENT NO . ............................................ NEW CONSTRUCTION ❑ REPAIRS LID NO ................... .ASMT. NO................... OWNER .......................................... CONTRACTOR 'irDM $1_OG,. Co: fjN ID-MOV!�iTiyN„ . Co.PERMIT NO. .................................. JOB ADDRESS .1.I.1)....D.L.---)Mp.J.C......A.IE................ LEGAL DNCRIPTION: LOT NO....................................... BLOCK NO. .................................... %,rj,FROM P. POLC o- NAMEOF ADDITION..:.................................................................................... .................................. 7. O o `�/4„ _ 160 P.S.I.- P.E . 21 I"I Z 46' I I I L I . I � 1116 OL3MPIG Ad, Approved: TART IN L 1122 f 23�9�. 1 /24/9 G 9 �� PWW0001.11/75 (REV.11/78) DATE ......�!...----... BY.I.......................................... ON — �_ 11 ---- /D I P.ECT i ^II S FILE COST :'' ' T'IG Pr=cr r%w,;,,,� �—..--=I'Vlount— -. TOTAL MATERIALS i LABOR: i V Ell /1.1 / Be Subtotal.: _. 7 Overhead: ^/ �7 , / ! , EQUIPMENT: Hours TOTAL LABOR COST: �, -IG; i CAPITALIZATION REDUCTION TOTl,!. (.O': � � `f � .. 7 li, �i`I,l i — - - MAINTENANCE :POSIT - —_ :;;---- PROJECT NO. A'1(�l!:';T U:,E -- _i,�,OICF DATE BUILDING D E P A R T MTf T use ERMIT i Applicant Fill ZONE NUMBE PERMIT APPLICATION Inside Heavy Linesr� d3 `Ip N E (OR NAME OF BUSINESS) JOB ADDRESS NV,� t (p JL- • 1�rJ e C LEGAL LOT PLAT NAME SUBDIVISION NO. W Z REMAILING ADDSS I I Y.- ES ❑ NO 0 1,� CI v`�f/'C��� TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER ORDINANCE NO, _ EXISTING RIGHT OF WAY NAME PROPOSED RIGHT OF WAY F U DEFICIENCY OF RIGHT OF WAY_ 1 W F ADDRESS N STREET/UTILITY WORK REQUIRED El YES �NO Y _ U CITY PERMIT FOR WORK IN PUBLIC R/W DYES ONO R 0 m Q TELEPHONE NUMBER UNDERGROUND WIRING REQUIRED ❑YES *NO _ 3 U CONNECTION TO SANITARY SEWER YES IN NO 3 NA m SEPTIC TANK PERMIT REQUIRED ❑YES m �NO SEPTIC TANK PERMIT NO. IL 0 ADDRESS ✓ 1••3. SEE MEMO DATED ` `4 F CI TELEPHONE NUMBER REMARKS r` Z 0 /��( ems/ �--/7/^/��Yy� A4 r i !�V U SfT�AT�E%LI/C�ENNS'E NUMBER `- CITY LICENSE NUMBER CHECKED BY Legal Description of Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE C Z W I REMARKS o a Q 3 a E SIGN AREA ENV. REVIEW ADB NO. N ALLOWED PROPOSED COMPLETE EXEMPT W SHORELINE J Q U REMARKS W J VARIANCE OR CU PLANNING REVIEW BY DATE NEW RESIDENTIAL GAS El❑ YARDS FRONT SIDE REAR LOT COVERAGE ❑ NON-RESIDENTIAL LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ADD ❑ ❑SIGN WLL f f ` (Y^ ❑ DEMOLISH RETAINING SPECIAL INSPECTOR AREA ALTER EXCAVATE ❑ WALL REQUIRED OCCUPANCY OCCUPANT GROUP LOAD OR FILL ❑ ❑ IENCE_ X FT ❑ YES NO ❑ REPAIR PRE -MOVE (�jSWIM PLAN CHEC D BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. _ INSP, I1 POOL LOCAL SALES TAX SHOULD Z NUMBER OF STORIES NUMBER OF BE CODED 31.04. REMARKS 0 DWELLING F F a UNITS Z NATURE OF WORK TO BE DONE W E U } > H 9 W It 0 R m a 0 W PROPOSED USE PLAN CHECK FEE VALUATION FEE 0 F PLOT PLAN INDICATE BUILDING SETBACKS, - z W ABUTTING STREETS) BUILDING i U II W a 0 4 PLUMBING J W m > MECHANICAL W 0 FENCE F vi "Applicant, on behalf of his or her spouse, heirs, assigns and SIGN z J successors in interest, agrees to indemnify, defend and hold harmless i the City of Edmonds, Washington, Its Officials, employees, and RETAINING WALLIt _ f � agents from any and all claims for damages of whatever nature, 0 I arlsing dlr-TtIV � r indirectly fr011l 111e issilance of this permit. 11s11- SWIMMING POOL __ U �• h;lhy``�� I I m I Z r,s— �11ro vN o_ r _ v p- �.n� �Y7 Jam-; - - •--- { _ . ,,,auvo- -- r- - r , 64�- % /ij1//!J 7-0 S :PO /?'LQI t I al 0 Iro6p )WNER _OCATION Chas. A. T1ffahy C: Pcooc. = Structural CngirlccTo 3200 N.E. 12G th Suite, G VVA C3125 +_n • a I•ilOrly., JOB NO. PAGE NO. UBLIC [ARKS . DEPARTi4M CHECKI�T' �O Date • BUILDING PERMIT REVIEW. ltilh [�L PIS' Address Street Right -of -Way Existing -= REQD Access Easements Existing Utility Easement Existing REQD Lot per Subdivision Plat Assessor Map c� 2 Site Plan Checked . for. Accuracy l ? Underground Wiring Regd.' o� Check Accuracy of Legal Description w Environmentally Sensitive Area z Environmental Checklist Reqd. H Flood Hazard Zone U Shoreline.Management Area z Slope, Soil, Vegetation w- Stream, Creek, Drainage Basin Existing Zoning Per Code . Amenities Design Board Approval.Regd. ADB.# Approval Board of Adjustment Approval Rpqd. Review By: Date: .24 Existing (,rater i lain Size Water Main Reqd'. Service Line Reqd. w Hydrant Size Existing Hydrant Reqd. Per Fire Code Size d Detector Check Meter Reqd. r Cross Connection Inspection Fire Department Comments Water Meter Charge Reqd.. Review by: Date: septicTan cosign ��pnrove ate: Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. x Drawing No. File No. w ., Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. `^ Review By: Date: NOhen Ditch Existing . Reqd. . �. Culvert Reqd. Size od Catch Basin Reqd. Indicate on Site Plan O Shoulder drainage nni.ntain collection on Swale open runoff H - `n i u-Iiole regd. Indicate on Site Plan Soil Conditions and .Ground Water field Checked. Revic^a by - - - I3te Street Paving Reqd. H Curb and Gutter.Regd. w Sidewalk Reqd. w Curb Cut for Drivm-ay Reqd. a Right -of -Way Construction Permit Reqd. .H Bond Reqd. for Public Inprovcnvnts Street Na-me Sign Reqd. cn Other Sighing Reqd. A Pre Permit Site Inspection rude on z �ua BY: SEt:'ER to c=; WATER G. STREET H 1'N , Special Regtii.re:.ents listed in marm to Comminity Dove-lo-p ent Department, Building Division BY Date o All items filled in on Building Perndt Application BY Date P`' Drawings Stan-ned and Notations 1L-ide a BY DA to Ld Approved by Publ.i.c %.'orlcs Dct art-ixnt iLevi:;ed: 1v 10-1977 41 •'s ; 77 L`•�-I E::� r • • i '.�+#':• i ' • �i7y �% � ,. r . :7 t ) J / f w .,.ter, •�: ` .. - '.i r• -i if �•+;,i+ ;F w � t .y _ _• ! 1 ,. 'r .rJ •ji �S x A^ r{F..Fq Jr i .:f �f t 3• • t 4 .Y �� 111/i .N� '• f, iT ''�!►' ----,�' ,' , � ) "' _ ',`J.�+ �y:. .:•fir, P '�.t. �i,.e,'„-per ' .. 4 . ,n. ...).. r • �•,• r • J 4 # {I . '�t' iAt l,y" w ..��.Lf'rii. �' - -.V �,a.":'�,.. .- - _ y`�'(�/'y���I�, �]tjT'7 •w • � r � i ': t. J. y YY 7; ' A•.1t� ). �4('t�,..(,v J. ,-• , 4� � i' Y' 1• ? +'two. .�, • ' � `'l •' tl - t. ,t. ! A g � rr } I. } r r �•� I l 1 t iy� � t rt1 ' ` f., i" r _ -� r +!f rL Ir r1 �x �'":rl ', 1� i ! 'dr a' ?d`L ? fi•, ivtIp `- • AD . ♦ y .• f . . !e7 r, 1.t _, Rif. _ tom. "�'• _ .ei�'w'l'^ir � i.J+i'•. � ;ry ♦ 1 3 7 . {,��ti�ir r + -. �� .,J J .?;.4 c 1' ,� •� • + :'i„l N• •bars;.'. C r •� i AV ',, a rr ;c t-, ' c �,,' .. `' f ;` ~:�, t i 1,`' t j r ,•. i.:,t - 1 ^k '�r ;yT A+�: L '?I, n :I O .oZZ ►� o0Q'Jl/ ����.) annoy • bZL66��Go NOTICE OF EASEMENT TO ALL WHOM THESE PRESENTS CONCERN:. • p�tEC43�Y Not ice,.is hereby given that Ra�liph W. Johansen and Alyce M. Johansen, his wife, and Helen E. Johansen, a widow, owners in fee simple df the following described tract of.Iand, situated 1n the County of Snohomish State of Washington, to wit. The West 360.U0 feet of the South half of Tract 19, Puget Sound Machinery Depot Five Acre Tracts, according to the Plat thereof recorded in Vol.ume 5 of'Plats, on page 47, �. records of Snohomish County, Washington. Do hereby grant, convey and transfer, unto al I present and or future owners, their heirs and assigns, of all or any portion of the foregoing described tract / of land; and unto Public Utility District No. I of Snohomish County; and unto .General Telephone Company of the Northwest; and unto Washli•ngton Natural Gas. Company; and unto the City of Edmonds; an easement for ingress and egress and for the installation, operation and maintenance of utilities, over, under, across, through and upon the following described tract of land, to wit: That portion of the West 360.00 feet of the South half of Tract 19, Puget Sound Machinery Depot Five Acre Tracts, according to the Plat thereof recorded in Volume 5 of Plats, on page 47, records of Snohomish County, Washington, described as follows: Beginning at the Northwest corner of the South half of said Tract 19; thence S 89°34128"E, along the North line of the South half of said Tract 19, a distance of 256.00 feet; thence S 3°39112"E, a distance of 25.06 feet; thence N 89°34128"W, parallel with the North line of the South half of said Tract 19, a distance of 45.02 feet to the Point of curve of a curve to the left having a radius of 19.79 feet; thence Westerly,.along the arc of said curve to the left and consuming a central angle of 90*3614811, an arc distance of 31.30 feet; thence N 89°.34128"W, a distance of 20.00 feet to' an intersection with a curve having a radius of 20.22 feet, from which intersection the radius point of said curve bears S 89°48144"W; thence Northerly, along the arc of the latter said curve, being a curve to the left and consuming a central angle of 8�*23'121', an arc distance of 31.55 feet to the point of tangency; thence N 89°34128"W, parallel with the North.line of the South half of said Tract 19, a distance of 152.50 feet to an intersection with the West .line of said Tract 19; thence N 00II116"W, along said west line,,a.distance of 25.00 feet to the Point of ,Beginning. Maintenance of the easement granted, conveyed and transferred herein, shall be the responsibility of and the costs thereof borne jointly and equally by the above mentioned present and or future owners, their heirs and.assigns. Y IN WITNESS WHEREOF we have hereunto set our seals and signatures. this ; day of 19 A.D. Ralph W. Johansen Alyce M. Johansen i i ; Helen E. Johansen TREpr BILE STATE OF WASHINGTON) (ss ' COUNTY OF ) On this day personally -appeared before me and his wife, to me known to be the individuals described in and who executed the within and foregoing Instrument, and acknowledged that signed the same as f.ree and voluntary act and deed, for the uses and -purposes therein mentioned. ' i GIVEN under my hand and official seal this day of 19 i NOTARY PUBLIC in and for the State.of Washington, residing at i : STATE OF WASHINGTON) (ss COUNTY OF ) On this day personally appeared before me , a widow, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that signed the same as free and voluntary act and deed, for the uses and purposes therein mentioned.-. -GIVEN under my hand and official seal this day of 19 .i NOTARY PUBLIC in and for the State of Washington, residing at