Loading...
1140 EDMONDS ST.PDF1140 EDMONDS ST • • ADDRESS TAX ACCOUNT/PARCEL NUMBER: 019 ©V BUILDING PERMIT (NEW STRUCTURE): ��Lol1z5 y COVENANTS (RECORDED) CRITICAL AREAS: ��Zp DETERMINATION: ❑ Conditional Waiver ❑ Study Required �aiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS 1 qql , f) I 11 ll ��rf� I - , PLANNING DATA CHECKLIST DATED: (0�- SCALED PLOT PLAN DATED: l ( T SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: J�,� U12 SIDE SEWER PERMIT(S) #: �3qo GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: L:\TEMP\DSTs\Forms\Street File Checklist.doc 5T . Spa.:r.raM�ra�rYiVMY.ww•e^r5'41R.w•YW.::i.wu-... 4..r, -.-�._w..... .•_. w. -_. .... _. .. ._.... _.... POSTED BUIL'DING1'DEPART►M�ENT �ppu�I,tlu h s PERMIT `APP�ICATIOL'� Inside Heavy Lines JOB ADl aNAE�EL(OR�NAME,OFFfU8INE98)•. •. SIDE Y. .• n a AnDRE efix f y TELEPHONE NUMBER PLOT P }•F TELEPHONE NUMBER ON KROLL MAP NO.: BUILDING i y PERMITE660045 RESS RD SETBACK STREET SETBACK REAR YARD SETBACK YE LOT AREA VACANT SITE ' ❑ YES i] NO O BUILDING AREA I VARIANCE NUMBER III x 7� k1l)APPROVED a i yt REMARKS � W METER SIZE 2 E RVICE AIZE CLEARANCE CHEC BY TELEPHONE NUMBER I ` F i 8 %STATE LICENSE NUMBER . CITY LICENSE NUMBER - �°+ „ - . TYPE CONNECTION VE. D BY ^'Legal:,Description of Property (Show Below or Attach Four Copies) I �+ r —S i�7 VS� PERC. TEST T NYMBER 00 O h `ter r FIRM; ZONE TYPE OF CONSTRUCTION STREET. IMPROVED ,/' I ' 1 YES NO °h 'y `e W • SPECIA.L.INSPECMR. REQUIRED OCCUPANCY GROUP i ❑ YES' L -90 I Z - PLAN CHECKED BY t+' - VALUATION' TOTAL PER, I BUILDING VALUATION 27 D t7 i ,- x WORK TO DONE BUILDING PERMIT • G I 1 'Z FEE 6 j PLUMBING m .' k x 3 PERMIT FEE i . HEAT A GAS LINE FM 4 PERMIT FEE '7 NUMBER OF STORIES AEW n SIG SIGN PERMIT 1 q ADD ❑ DEMOLISH I I D FENCE 5 FEE [. pp rl DEMOLITION ! 1 .Oi ALTER RESIDENTIAL OFPERMITFEENGPLAN EITFS CH CK REPAIR NON-RE8IDENTIAL 7 FEE i PROPOSED USE 811. AMOUNT DUE., O 2 the In- I hereby acknowledge that I have read this appowner, formation given to correct; and that I am the owner, or the duly axithor- or my ized agent of the owner. I agree to comply with city and state laws regu- lating THIS PERhIIT This application is not a permit until construction; and in doing the work authorized thereby, no person AUTHORIZES wi 1 be employed In violation of the Labor Code of the State of Washington NLl' ONLY THE signed by the Director of Building Inspee- re ting toZr rkmen Compensation. Insurance. WORK NOTED tion, or his deputy; and fees are paid, and Demolitions N E• mi Limit One Year receipt is acl4lowledged in space provided. bexcomtpleted ninety days.> SIG TU (O O AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE ` DEPARTMENT CITY OF l �� • EDMONDS DA E <d�i -- NOTE: Applicant Suhjec to Plan Check Fee . PR 0-1107 This Permit coven work to be done on private property ONLY. /J Any constructlen on the public domain (curbs, sidewalks, drh•cwnys, FILE marquees, etc.) will require separate permission. %LVA-9ii �gv(h0'77i� Ww °Yrii Ab 001 svii irk Rk rv-90 Ot swv&►Y® S IT- ,1O'7 rrZ,° hf47.17 S s'S * -or IL f 1019 (V _ 1,33�yS 5Ut-low-:1 01,11 ' S'b t isV �ar+3o �ss� -►, � H • w ��1� � . 0; s + ' d'-) -14;,X-Vt4 NOLLId y DLL w4xl a14�4n JuL I r 1997 �' MLINTER 0•RR coril 1 . l J��01�1d ' 19'hi3 I JWOW W U 'N ,,3-ais smow" JNIN A . s„`,.: • PLANNING DATA NAME: L.Gttl.. e- N /7a// SITE ADDRESS: /NQ Fdmond_s DATE: 6 12 3/'5? ZONING: R S - / 2 PLAN CHK#: g %' /9 PROJECT DESCRIPTION: ��� �nsf����/on , krk,4ch rem % 4cl/ rll �•, �c, CORNER LOT /Vb (Yes/No) SETBACKS: Required Setbacks: Front: ?5 Left Side: /a Right Side: /v Rear: Z$ Actual Setbacks: Wk/116 1VbC7N << Front: 31 Left Side: ly �S Right Side: -Or/q&Rear: Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED ' (Y/N) 2o �o 4 Its 200 LOT COVERAGE: o Maximum. Allowed: -3 S Actual: ! 8 BUILDING HEIGHT: , , Maximum Allowed: Z� Actual Height: j� q Datum Point: Ae� /`N lv Datum Elevation: 410 ®' A.D.U. CREATED?: /(/o-f- I.G,_(a,. SUBDIVISION:_ _/ /c,n/ec�aod Y,//4,7e -*- 3 CRITICAL AREAS #: C 6 ! 9 3 ` /i 6 �141114FD SEPA DETERMINATION: xew� LOT AREA: I l , 206 S9 , (1110 c. ,,t jc OTHER: Plan Review By: �J As nh) 10 �761�c7 O iles\permit\^plandat.doc so �--- ", i FILE Critical Areas Checklist Site Information Project Nam - ermit Number. Site Location/// PropertyTax 7,). t Number.. U '7 /- e) tje-�) r Q 0 S Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on tis site before? General Site Conditions 1. Has the site been cleared or logged? Date of most recent action: Soils / Topography 2 In the Snohomish County Soil Survey, what is the mappod soil type(s)? 3. Dcsm - c 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 of horizontal distance.) Steep: grades of gregter than 30% present on site. Comments Hydrology/Vegetation 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 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? Rev W27J92 W , 0 City of Edmonds Critical Areas Che' klist The Qitical Areas Checklist contained on this fora is to be filled out by any .person preparing a Development Permit Application for the City of Edmonds prior to hislher submittal of a development permit to the (Sty. The purpose of the Checklist is to enable CKY staff to determine whether any potential Critical Areas are or may be present on the subject property. lire information needed to complete the C hacidist 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 (Sty will review the c hocidist, make a precursory site visit, and make a damnation 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 widi enough detail that City staff can find and identify the subject pareel(s). In addition, the applicant is encouraged to include any other pertinent information or s tidies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached O itical Area Checklist and attest that the answers providedare factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Title I Street Address City, State, Zip .�//. �Lli:%/lam'_/ •��/ r, / i 'hone Wgnat Date Applicant Representative: Name Title Street Address City, State, ZIP Signature Phone Date APPLICATION Y4 The Cityof Edmonds for SIDE SEWER PERMIT OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ �0?6 -1�600 OWNER // ... HOUSE No..._�<-..__ W LJL Lu Lu - rl CARDNo. ...................................... EASEMENT No . ...................................... G.,,....... ..+ CONTRACTOR ... ............ ..... PERMIT 39. .......... STREETzl� ��.--// -- �......-----.. AVENUE LOT No. ._.._._..(1•---• ....:...................................... BLOCK No. ............................................... NAME ADD. . a. e _+..� . ----------- MED Z�- 1966 Date BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $...---- SEWER WORK ORDER ISSUED .......................................... Approved: % DATE .............................. By......................Y........_.- ..........._.........._._ :W CITY OF EDMONDS CIVIC CENTER — WATER SEWER D ' EPARTMENT Call PRospect 8-1107 when work SIDE SEWER PERMIT t� forays under • (No lnspee_ �O . Sunday or holidays.) ♦ � (� O � i � 1 J ADDRESS 114.Q... E.dmonds---Stzeet.. ....................................... OWNER ,. --.Gordon •Henrickson .................... CONTRACTOR. --....Le Wooley Permission is granted ... ............................... I with Ci April--4.................... .. ty Sewers in accordance with application oon " - --' for ...................... n file and days' c REPAIR or CONNECT governLl a side sewer ATTENTION IS CALLED TO THE g Ordin8IICe9, NOTE No. 1— FOLLOWING: The owners Of the property may obtain a j' be employed to construct side sewer in street area. ]7o not cover an I permit to construct sewer inside .'NO- 2--Obtain full Information regardin Property line- i Y Portion of sewer before It hasbeen aide Sewer Contractor No. 2—Top of aide sewer moat g Ordinance 11.18.030 and Re must No bends a have at least 30 Inches coverage at opertyli governing aide sewers when Inspected. grade sharper than % will be Property line and 12 inches inside Property You get Permit. j NOTE No. 4—Trenches 1n street moat Permitted. failure due to Improper work which settled operty line; minimum grade of 2%, and surface of street restored pl origjnal condition. NOTE No. 5—It is. unlawful to alter or do an o y develop within one Year of completion. - Contractors shall be responsible Purtenauces except to insert the Pipe the wye. work than Is Provided for 1n the for permit, of to do any work on the main sewer or its ap- j