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113 9TH AVE S (2).PDF11111111111111 14815 1139THAVE S .0 � . 120ID0 - - - -------- Ir- P I NEW I I I I I I 73.83E I 23'.0" 21'-®• 19'-0" I I 21':0• 10'-0• I I I I EXISTING i I �81DENGE I I / .::Oy. ...... I CONCRETE I '� ILRIDGE EXISTING I ` '" I PATIO PROPOSED BREEZEWAY :;:: ;;; ;:-:::::... ------ I / K I ----t---- I EXISTING GARAGE - - - - - - - 9 I-----� � I I I \ r--------1 I �\ LI � i I .0 -------- I ----- CONCRETE I I Y I POINT D' DRIVEWAY I I I �n 120ID0 (-)SEWER MANHOLE ALLEY Plot PlanNORTH TAX ACCOUNT NO. 434206803101 BUILDING PERMIT NO. SWIW NO CHANGES TO LOT COVERAGE O HEIGHT CALCULATION v------------I--- __ -POINT PONT 'A' 110b8' - 'C' 10022' Q POINT 'B' IOU*' POINT 'D' 10100' 'Cn ------------------ AVERAGE 10824' j O GRADE ACTUAL HEIGHT 130ID0' MAXIMUM HEIGHT 10024' (10524'•28'-W249 O1 3 ti Q �Zco Mq y 1 oE�F�� ? z000 MftPS ,tIc CONCRETE SIDEWALK f /%�odeGY �i✓ce L�W�✓t ✓ re.5 O 0,J s IL IDCo7h�� �o. SIX kzA�dl PLANNING DATA NAME:_�w�d n` ��►w�6 1/ ��1 ra SITE ADDRESS:_ /13 - 9"'A, S DATE: 5- ZONING: K,s /� PLAN CHK#:_ nc) PROJECT DESCRIPTION: 325 m o� CORNER LOT (T'a (Yes/No) FLAG LOT 41. (Yes/No) SETBACKS: Required Setbacks: Front: Left Side: S ' Right Side: 5' Rear: /S , . Actual-Setbacks� 5-61 `t,Front: .� Left Side: -9sOj Right Side•__ —Rear: Z3 Street'map checked for additional setback required? Ltad- ;1 (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: aG� (Z,x 27Ag4.$)f : 17 39. 5- Maximum Allowed: 35 Actual:Z�04 b G� BUILDING HEIGHT: Maximum Allowed: 25' r5'�, Actual Height: Datum Point: 12F Datum Elevation: o o, oo A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #: 99 ` 19 7 - SEPA DETERMINATION: LOT AREA:_ --� OTHER:_ r /i 4.; W14w,, � �� � �. char h P�., {!*� ,.k. t V breC -E�j vets ? • Plan Review By: �Im\PmmitYblmdudoo '{�( WYy,� �j da•^•bl.� i�tit srra •�. SW Gs+wrDF �vR — �at� fM�lfi � ,f f�...a ..� 5�,� �hli.dc,!'GN��p, CA FILE NO. - -] Critical Areas Checklist -------------------------------------------------------------- Site Information • (soils/topography/hydogy/vegetation) 1. Site Address/Location: 1 L Q 6, 2.. Property Tax Account Number: �/ %065Y DJ?- t!�( 3. Approximate Site Size (acres or square feet): 6�`220 4. Is this site currently developed? yes; no. If yes; how is site developed? S 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): • 1.1 7. Site contains areas of year-round standing water:N ; Approx. Depth: A Site contains areas of seasonal standing water: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway_ floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? —�o�— 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: QU,f� ---- ------------------------------------ForCity.StaffUse:Only ----- site is Zoned? 2: - SCS mapped soil type(s) 3. Wetland inventory or C.A. map indicates wetland present on site? 4. Critical Areas inventory or C.A. map indicates Critical Area on site? . 5. Site within designated earth subsidence landslide hazard area? 6 Site designated on the Environmentally;Sensitive Areas Map?. "I n-- 1 J 1 City of Edmonds 14,�W 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. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. 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 Areas Checklist and attest that the answers provided are factual, to theO best of my knowledge (fill out the appropriate column below). Owner/Applicant: EE C Name Street Address City State Zip Telephone Signature 7������ Date Applicant Representative: Name Street Address City State Zip Telephone Signature • Date (over) cncxptionUanakaddoc PLANNING DATA NAME: LAI Df�'1��_ SITE ADDRESS: LZ &C—S--DATE:—ju ZONING: Ps" (0 PLAN CHK#: o PROJECT DESCRIPTION: CORNER LOT —A SETBACKS: Required Setbacks; FLAG LOT_ /V C) (Yes/No) Front: 'Z ' Left Side:_ g " -s2_ Ri ht Side: S Rear:_ Actual Setbacks: Front: .Z -C)' Left Sider 3N Right Side: S Rear: �j_ f Street map checked for adds Ion al setback r uired? (Yes/No) i lJ LEGAL NONCUIVI`ORMTRG LAND SE DETERMINATION —IS —SUED— �4 J (Y/N) LOT COVERAGE: �G Maximum Allowed: Actual: BUILDING HEIGHT: Maximum.Allowed: Actual Datum Point: Datum A.D.U. CREATED?: () — ss" p '/ 0 A A ITA A A- h SUBDIVISION: CRITICAL AREAS # SEPA DETERMINATION: LOT AREA: `j , 6On i� ' Height• Z Elevation: L / �J OTHER: STANDARD DRAINAGE DETENTION SYSTEM RECEIVED WORKSHEET , DEVELOPMENT SERVICES C_ F� '�<� W1V iC E[���6�( V wlQ,bUlk ADDREss 3 Ave CALL BY: Ron I.-(\ �)2q PHONE: DATE: *****DESIGN DATA*'**** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE 3iov �i aLt LiNY/irr,��a�mdS AeF3i /,✓c/Z � w ic.` ,env , 2� .aDDi noA✓ L, o �Ti r o�., V v L v.•+49- FROM CONTROL CB DCTENTION PIPE LENGTH FINISHED G / r4L MINIMUM UPPER CATCH BASIN NG LID ICAL) CONCI E BOXORR P OF RISER '---�D OUTLET \OUTLET CONTROL 19MIN. CONTROL CATCH BASIN r SYSTEM CROSS SECTION 2'X2'X6'.DEEP, 4-6' SPALLS OR EQUAL 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK EXISTING GRADE r 'I in FROM CONTROL OUTLET I WASHED ROCK OUTFLOW TRENCH MIN 10' LONG, PERF PIPE TO BE LEVEL PERF PIPE W/ END CAPS TRENCH SHALL BE LINED WITH MIRAFI RIPRAP OUTLET PRIOR TO PLACEMEN OF WASHED DRAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: q 1. Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. APPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the * /p/yp� �j responsibility of the property owner. Material accumulated in the storage pipe must be flushed / out and removed from the catch basins to allow proper operation. The outlet control orifice DATE must be kept oven at all times. 3,0 7 Z" Table 1 — Detention Pipe Sizes Impermeable Required Pipe Diameter Area Sq. Ft. Vol Cu Ft 15" 18" 24" 30" 2000 50 40 28 16 10 2500 62 50 35 13 3000 75 60 42 (24) 15 Required 3500 87 70 7 49length m f 4000 100 80 56 32 21 4500 112 90 63 36 23 5000 125 100 70 40 25 Note: Allowable Pipe Materials: - Reinforced Concrete Aluminized Steel Aluminum rn�p erTti It r,nated N-12 ADS (Not permitted on roads) Impermeable Area Sq. Ft. 2000 2500 3500 4000 4500 5000 Detention pipe diameter Table 2 - Outlet Orifice Sizes Outlet Orifice Diameter (Inches) 5/8 3/4 7/8 7/8 7/8 Table 3 — Rectangular Catch Basin Requirements Catch Basin Type < 18" 20" Tyl2e 1. Q 15 18" to 24" 26" T e C B 16 24" to 36" 36" Type ll, CB 19 19 (48" Basin) 36" to 42" 42" Type II, CB 19 19 (54" Basin) *Source: Assoc. Sand & Gravel Co. Standards Max. size knockout Revised 3/16/95 5 CA FILE NO. 1 - / 9 -7 Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydogy/vegetation) 1. Site Address/Location: l k 3 Q 2. Property Tax Account Number: // %V�- 06?1 ©J ? e 3. Approximate Site Size (acres or square feet): S��O 4. Is this site currently developed? K yes; no. If yes; how is site developed? S F 5. Describe the general site topography. Check all that apply. 7. 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 l0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): Site contains areas of year-round standing water: tV ; Approx. Depth: 4 Site contains areas of seasonal standing water: ; Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway _ 4) floodplain of a water course. 0 Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? _i / 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: DUf ) 2 SCS mapped soil type(s)? ' 3:. Wetland. inven. tory. or.C...A.. map, indicates. wetland present on site?. _ 4 Critical Areas inventory. or C.A. map indicates Critical Area on site? 5. Site within designated.earth subsidence. landslide. hazard area?. b' Site designated.on the Environmentally Sensitive Areas Map?. ,:t D:ETERNIINATION ^ce chk.doc; Rev 10/03/97 4 ' City of Edmonds 1W 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. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. 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 Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: EE C Name I I � * A S Street Address UU"k s WW- City State Zip Telephone Signature Date cxeception\jana\caddoc Applicant Representative: Name Street Address City State Zip Telephone Signature Date (over) �-k yw.. CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 DEVELOPMENT SERVICES DEPARTMENT jIw p Planning • Building - Engineering hc.1S9 July 23, 1999 EBC 113 9th Avenue South Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 99-197 Dear Applicant: BARBARAFAHEY MAYOR Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. ........... ........ ...... . . IMPORTANT INFORMATION TO BE NOTED. PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The `DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .401 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Enc: Determination " Architectural Design Board C:ReceptionUana\C RLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB" Land Use Applications Any other development permit applications. Thank you. Planning Secretary • Incorporated August 11, 1890 • Sister City - Hekinan, Japan CA FILE NO. '? - / '� -7 Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) l . Site Address/Location: 1 t Ct 2. Property Tax Account Number: 14! �)V141 06� 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? "—* yes; no. If yes; how is site developed? S F 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 l0-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 l0-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: '�V ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway A floodplain 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 ; meadow ;shrubs _ � mixed urban landscaped (lawn,shrubs etc) 1 l . Obvious wetland is present on site: X-)'f ) ------------------------------------------ - --- ForCity: Staff Use:Only------------------ - ---------•---- ----- - ---- 1. Sife is .Zoned? ... 2 : SC.S mapped soil .type(s) 2 3... W.et.......inveniory.. or..C..A...map: indicates w.etland:present:.on site?.:_ _ _. ... _ 4. Critical Areas inventory. or-C.A. map indicates. Critical -Area ,on.site? 5` Site within designated:earth subsidence.,landslide hazard area?.,.,.... . 6._ Site designated .on,the:Enyironmentally.Sensitive Areas Map?.. DETERMINATION CONDITIONAL WAIVER ate ^ca chk.doc; Rev 10/03/97 City of Edmonds lklW 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. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. 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 Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: EE C Name I I Z R S A ve S Street Address CW/ ff City State Zip Telephone Signature Date c:rcccption\jana\cacl.doc Applicant Representative: N D a +- �'I�,iS jt�'hbLJJs Date Zip (over) 1hC. 189v EBC 113 9tn Avenue South Edmonds, WA 98020 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering July 23, 1999 Subject: Determination regarding Critical Areas Checklist #. 99-197 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. _........ ......... ............................................ ......... .... . IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS',' DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4*1 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits. Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Planning Secretary Enc: Determination * Architectural Design Board C: ReceptionUana\CRLTR.doc • Incorporated August 11, 1890 • Sister City - Hekinan, Japan APPLICATION .'a City of Edmonds, for SrDE SEWER PERMIT EASEMENT No ........................................ NEW CONSTRUCTION REPAIRS n 102-031A00 ............... B a.l.las.c-h ....... j.u.d-y ....................................... ........................................ CONTRACTOR ............................. ... .. .. ....... .. .. . ................................... ........................... PERMIT No... - OWNER .................. ADDRESS ............ 1.1.3 ... 9.t.h .... A-v.e ....... S ...................................................... LEGAL DESCRIPTION: LOT No . .......... .......................... ... BLOCK No. . ........................................... NAME OF ADDITION .................................................................. Dye Tested On Sewer June 1972 Approved: DATE................................................ By ...................................................................... Y., ,�,OATE RECEIVED ,�,d PERMIT EXPIRES CITY OF EDMONDS ZONE _ PERMIT NUMBER �.,.�.X �. CONSTRUCTION PERMIT APPLICATION JOB ADDRESS C SUITE/APT# OWNER NAME/NAME OF BUSINESS � . ` !! r1no`J ')� , s PLAT NAME/$UBDIVISION NO. LOT NO. LID NO. LID FEE $ MAILING ADDRESS � ,� t,(` 1 ��, J ' , t 7 ..� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT pw Pe �q q!de p Street Use Permit Req'd QD Inspection Required D Sidewalk Requires D Wiring Underground Wiring required CITY ZIP / 1 � �s+(,-i TELEPHONE 1' !. '• !L 1 ( i �"� Y �J � NAME. ! 'v)l(V METER SIZE LINE SIZE NO. SiXTURES REQUIRED PRVR O YES NO ADDRESS e ` ' `� �" J\ 1) V � � REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAI AGE z a Z W CITYYj 21P TELEPHONECi ¢O a NAME L1 \. u• ENGINEERING REVIEW DlDATE ADDRESS FIRE REVIEWED BY DATE W x U. CITY 1 ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADB# INSPECTION REO'D OYES ENO BOND POSTED STATE LICENS NUMBER EXPIRATION DATE C, .: ,. �..i r { C( C ECKED B t. SEPA REVIEW SIGN AREA HEIGHT uj P OP Y TAX ACCOUNT PARCEL NO. COMPLETE ( EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ❑�t NEW RESIDENTIALMBING ECH COMPLIANCE ORaLry�LOWE (XI AUDITION Q COMMERCIAL ❑ CHANGE Of USE `ice ❑ REMODEL ❑ APARTMENT ❑ SIGN LOT COVERAGE APROP�Oj S/jFRONT �"';7 Z v REQUIRED SETBACKS (FT.) SIDE REAR 2 I �P ��' PROPOSED SETBACKS (FT.) �F�ryR�O�pNT UR SIDES REAR t " ' I �'l I` � 2 g PARKING REO'D PRO DED LOT AREA P� PLANNING REVIEWED BY TE ❑ REPAIR ❑ GRADING CYDS ❑ (ENCE X FT) REMARKS9f �s ❑ DEMOLISH ❑ TANK ❑ OTHER z GARAGE ❑ CARPORT ❑ RETAINING WALL ❑ RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF CONSTRUCTION CggE OCCUPANT,,��ll e'" GROUP n cc w OSTORIES ►� NUMBER OF ­7 4� ,,.7 NUMBER OF DWELLING 1 UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTOR REQUIRED ❑ YES A OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D t7 o ,. ICY) (114 y M VALUATION FEE PLAN CHECK FEE HEAT SOURCE G ZI G % LOT SLOPE % BUILDING /'� O PLAN CHECK NO:. ('�� VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO �•+ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC C''RAMN1377rT DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. � STATE SURCHARGE e! W PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION h 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS y•.,... "..fie`,'_-_^.^ U) IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING } EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE; ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE _ RECEIP �s-�^r G DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT _ J = NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- RECEIPT r TOTAL AMOUNT DUE !S E, r i 'l I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF`' THE OWNER. I AGREE TO COMPLY WITH CITY 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 Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF I1 IGN RE DATE SIGN E (OWNER QR AG T) DATE SIGNED -AlJ C 425 771 -0220 1141EFIIASED BY 1. DATP ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ,� CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX FA A ORIGINAL- FILE YELLOW -INSPECTOR t PINK - OWNER - GOLD -ASSESSOR 5/98 ATE R is _ I 1 0 . CO( PERMIT EXPIRES II CITY OF JEDMONDS SE ZONE�C _ PERMIT V u B R 9 7W CONSTRUCTION PERMIT APPLICATION JOB ADDRESS, /' TE/APTn I I3 Ct � OWNER NAME/NAME OF BUSINESS ' S CNv 1 / ,r yjp \/ I ll PI�4 NAME/SUBDIVISION NO. f .PUBLIC LOT NO. LID NO. 9 LID FEE $PA' D cc us Z p MAILING ADDRESS {' H O Ave- RI HT OF WAY PER OFFICIAL STREET MAP �l !; EXISTL PROPOSED REQUIRED DEDICATION FT TESCP Approved Required Er Street Use RW Bt Permit Req'WZ Inspection Required Sidewalk Required,lV underground Wiring required 51 CITY ZIP /� ��VL�(�t,Z(, �,(/ )2% o �J`� u.� TELEPHONE �C_ 3Lj1- 137 �/ NAME I 1 METE SIZE} ! SIZ 1� NO. ]gTURES PRV REQUIRED YES NO ❑ O Z ADDRESS .{u Y ,,l I!1 0S . w \/Q- REMARKS 500OLZI DE3 V 11"V10 S AL OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAI NAG E. yEj w fVeF,,�'IV6 /. SPrC_nVR4:au1,e,f-zo.5 2 1i✓ A F' zj,6 N 7' O L V r 7,V A �TY ZIP l t- .,�,r c W o� TELEPHONE Sd3 ��5-`� �(' I n�rF-. c rEAz�j,�� E ,��,� - /0 as 04 oer_�a 7';114 NAME F0n Soi. , " we fo�� � � WKV� .5 (tjw^J Ur Pj_, A1.S W li L 44F ut./ ,e. er 4D17 i77&,✓A L- ENGINEERING REVIEWED/DATE 00 U Z 0 U ADDRESS 0 G FIRE REVIEWED BY DATE U. CITY ZIP Q d t o TELEPHONE f 5 'I a �4 3 VARI NCE OR CV, ^� r I C) _ HOR I E OR ADBN �p INSPECTION REQ' O ❑YES BOND ED i Z a STATE LICENSE NUMBER EXPIRATION DATE 50LA v �1 G 3 oz CHECKED BY SEPA REVIEW COMPLETE EXEMP EXP SIGN AREA ALLOW E PROPOSED HEIGHT ALLOWED PROPOSED ZS PROPERTY TAX ACCOUNT PARCEL NO. :14a 06q 039 01 NEW V!RSIDENTIAL PLUMBING / MECH COMMERCIAL`COMPLIANCE OR ❑' CHANGE OF USE;', :'I "I!! ❑ REMODEL ❑ APARTMENT ❑ SIGN 1(�` y� FENCE ❑ REPAIR1 ' • CYDS ❑ ( X FT) LOT COVERAGE ALLOWE PROPOSE � . REQUIRE SETBACKS (FT.) FRONT SIDE REAR V PROPOSED SETBACKS (FT.) FRONT UR/�l„REAR.ADDITION /1 �r:�I ARKING PR D�iL- � L �l � G VIEWED BY ATE II RE ARKS D MOLISH ❑ TANK ❑ OTHER 2 O P: GARAGE ❑ RETAINING WALL ❑ CARPORT RENEWAL KERY (TYPE OF USE, BUSIZS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF CTION -OUP IctJG CUPANT a v w 0 O NUMBER OF STORIES N ER OF DWELLING UNITS CRITICAL AREAS C NUMBER 1'7 SPECIAL INSPECTOR REQUIRED ❑ YES i !� NT DESCRIBE WORK TO BE DONE rr REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D o 1 VALUATION FEE PLAN CHECK FEE- /V HEAT SOURCE GLAZING % LOT SLOP % Cx+s 12 BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE GRADING/FILL J SEPARATE PERMISSION. i STATE SURCHARGEIr w PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR • PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES j (� SEE BACK OF PINK PERMIT FOR MORE INFORMATION y 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF j LANDSCAPING EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE Q ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY n FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE I + PLAN CHECK DEPOSIT RECEIPT ` to DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 1 l 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." RECEIPT TOTAL AMOUNT DUE _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION THAT APPLICATION APPROVAL GIVEN IS CORRECT;'ANQ, I AM',THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREElT&COMPLY WITH CITY 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 Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF, THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SI URE (OWNER OR AGE DAJ E I NED (425) OFFICIALS S TUR I �/yTE� �� 771-0220 RELEASED B i DAT ATTENTION EXT 333 1 i (PinY6 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771'0221 I A FINAL INSPECTION HAS BEEN. MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX RIGINAL-FILE YELLOW- INSPECTOR PINK - OWNER GOLD - ASSESSOR s/98 t +.......--...+rrra+o lfl��/�'�'��s^'��� _" �•—_-.-_—_ ..--.,.�,�. ... w,.w•ua+x+w�a.,..,.e,..a..wrv+ CITY OF EDMONDS ZONE PERMIT NUMBER NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTe ADDRESS Alecr fr( OWNER NAME/NAME OF BUSINESS LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w MAILING AODRESS Z 0 _ s •_ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING REQUIRED DEDICATION TESCP Apprwed ❑ RW Permit Required ❑ Street Use Permit Req'd ❑ CITY ZI JELEPHONE 7 7 Inspection . PROPOSED Sidewalk Required ❑ NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED O ~ YES ❑ NO ❑ U 2 � ADDRESS RE S m z = C.1 —Q, ccZ Q � CITY ZIP TELEPHONE w 4061.0 — NAMEOW i lve ENGINEERING MEMO DATED REVIEWED BY DDRESS O FIRE MEMO DATED REVIEWED BY W I`_ a 2 2 LL CITY ZIP TELEPHONE z Z 0 VARIANCE OR CU ADB# SHORELINE s O STATE LICENSE NUMBER EXPIRATION DATE ? . �,.CHECKEDELY,,4 SEPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Z 0 LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EAS MFN Sl � EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) O ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR uj 0 O 2 PROP Y TAX ACCOUNT PARCEL NO. 4 Z w J , 7 LOT AREA PLANNING REVIEW BY DATE a ❑ NEW RESIDENTIAL ❑ PLUMBING / MECH REMARKS ❑ ADDITION ❑ COMMERCIAL ❑ CHANGEANCE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN ❑ REPAIR GRADING ❑ FENCE ❑ CHECKED BY OF CONSTRUCTION CODE OCCUPANT CYDS X FT) OTHER DEMOLISH ❑ TANK ❑ ITY— A 7 GROU SPECIAL INSPECTOR OCC PANT GARAGE ❑ CARPORT ❑ RETAINING WALL ❑ RENEWAL JANIEA REQUIRED ❑YES LOAD Z O ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: REMARKS a O PROGRESS INSPECTIONS PER UBC 108 0 Jr/ w NUMBER NUMBER OF CRITICAL OF DWELLING AREAS �- too O STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE Cw FINAL INSPECTION REQUIRED •-✓ / VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE %. BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL 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 D DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MAROUEES,ETC.) WILL REQUIRE t SEPARATE PERMISSION. 2 STATE SURCHARGE cc a PERMIT APPLICATION: 180 DAYS 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 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Sa ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY c FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE p DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT -` = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE I 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 is by TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED application not a permit until signed 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_NATQR WNE O DATE SIGNED (425) 0 FICIA S SIGNATURE DATE t�GENTI 771-0220 RELEA BY DATE ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL �_._•-_.�� �� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- \ ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED.. UBC SECTION 109 PINK - OWNER • GOLD - ASSESSOR s/98