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1147 C AVE S.PDF11111111111111 10493 1147CAVE S ADDRESS: Il Y�7 tk/Qzn Lx-ee . TAX ACCOUNT/PARCEL NUMBER no5u ^ O O i) D 1 ZO BUILDING PERMIT (NEW STRUCTURE): k L Lp f)77 COVENANTS (RECORDED) CRITICAL AREAS/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA' EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID SHORT PLAT FILE: LOT: I BLOCK: !, SIDE SEWER AS BUILT DATED: I V L � u SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: t () I q1 t y LATEMP\DSrs\Forms\Street File Checklist.doc City of Edmonds Critical Area Notice of Decision Applicant: Property Owner: Critical Area File #: C2 /1 Zoe p Z— Permit Number: Site Location: C ��e 5 Parcel Number: 00 300001zoo Project Description: Q (Q6 4-o�dd c6c /. Conditional Waiver. No critical area report is required for the project described above. 1. %` There will be no alteration of a -Critical Area or its required buffer. 2. The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or 23.80.040. 3. The proposal is exempt pursuant to ECDC 23.40.230. ❑ Erosion Lazard. Project is within erosion hazard area. Applicant must prepare an erosion and sediment control plan in compliance with ECDC 18.30. ❑ Critical Area Report Required: The proposed project is within a critical area and/or a critical area buffer and a critical area report is required. A critical area report has been submitted and evaluated for compliance with the following criteria pursuant to ECDC 23.40.160: 1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40:120, Mitigation sequencing; 2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare on or off the development proposal site; 3. The proposal is consistent with the general purposes of this title and the public interest; 4. Any alterations permitted to the critical area are mitigated in accordance with ECDC 23.40.110, Mitigation requirements. 5. The proposal protects the critical area functions and values consistent with the best available science and results in no net loss of critical functions and values; and 6. The proposal is consistent with other applicable regulations and standards. ❑ Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23.40,.1.60 and the provisions of the City of Edmonds critical area regulations. See attached findings of noncompliance. Favorable Critical Area Decision. The proposed project as described above and as shown on the attached site plan meets or is exempt from the criteria in ECDC 23.40.160, Review Criteria, and complies with the applicable provisions of the City of Edmonds critical area regulations. Any subsequent changes to the proposal shall void this decision pending re -review of the proposal. ❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced above. See referenced permit number for specific condition(s). 14 >` Reviewer Signature zW / S— Date Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any, for the permit or approval involved. Revised 12/16/2010 4/24/2015 S?t ish Galrnv ON(ne,Propedy-hfor Applicant shall repair/replace all damage to Snohomish i utilities or frontage improvements in City Cour1#y right-of-way per City standards that is caused wssmngw or occurs during the permitted project. Show Overview Map Mew Property Intormatlon Recent Sates 1 AO Sales - %' 2015 Sales 2014 Sales r 2013 Sales jFind Parcel Number. Go to i Seled as CitylPlace4 �1 Locate Address Map Action: Zoom In zoom Out — Move Map M Full View -� Refresh Map _ Print Map — Previous Map Map Layers: some layers disabled when zoomed out M4 Color Aerial Photo °' 2007 @ 2012 •) Tax parcel numbers CZ Street Address Benchmark Areas (by color) Benchmark Numbers find a specific benchma area ' City Names & Boundaries et" "1110T( r SkLOUGk sm-r4N PIZOPEtI�/ w, r f y R1ap Help > 11deve Map: eltcl;, hold, and drag the cursor aver the map to move in any diracticn Zoe +?e aJc�y APPROV7D Lek 5,2e- 0 05-(o8 30000 1200 2t scanned Sno Snohor Assesst Ike{ �QGP e1�s ;r15 5{-ctc�,)re (SpNi-V Pam) - AA1 im;(d of new dQ&k r �---�_..•--. �i�.� �O N�vJ iMPEYzvtOuS Lone e S— /0 Comer flak Setbacks F.egwired .Actual 1 dz`lz- Sr t ^ Fonl ..�. � ._, _ �� __ �._— R ar S ! 0 (o ®t r✓ Hei ht ZS 1 Z OWNER/CON i RACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE A PRO Wlc,rNI VPILA G n S' STREET FILE RECEIVE® MAY 12 2015 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS h4tp://gis.snoco.org/maps/prop"tviewer.htm 1/1 • - POSr�D ON KROLL MAP NO,: PERMIT 660384OEM _ • BUILDING DEPART*MENT. Applicant FIR / '!% % CCJ NUMBER f �r�iiI4 : APPO 1CA! AQN Inside Heavy Lines JOB ADDxDse�— I YARD SETBACK F �tEAR NAME (OR NAME ON' BUSINESS) 1 G SIDE YARD 1— iU SETBACK I arrIIL a✓TICK ^ /� lj / .J 'ji+iy� ' �?f t a•.� • ` •Y '( /M�E'•y V I 2J t .: i 8ITE1"' 4 -` tl MAI1.1N0 AD hBB U6 LOT AREA VACANT t NUMBER L.// I BONO `'' t',;. •.�!! IE NUMEBIL !�� TELEPHONE BUILDING ...i'r AREA / �- •`. NAB PLOT PLAN APPROVED t^ .:' • i W ADDRESS S7T_c � REMARKS / 1 :; TELEPHONE NUMBER • - �, I CITY ✓• rT .-. J _•S i{`� �� :. .y ^ - - :VAME RESIARKS Z. t C wDURESS O METYtii SE71E BERVIC S1LE HI CLEARANCE IC 8Y tl 7 e f K s,t / �1iCA ejL�S •E TELEPHONE NUMBER ij tl �C��� I v CITY I REMARKS _ + ;•t �l. ,y L 1{ �y /.+ r ,i 8 STATE LICENSE NUMBEx CITY LiCEN6E: NUMBED. yg BY ).<r rig. vj y I - I TYPE CONNECTION y' F.� l,M i.l.,� ••) I 1 ur Copies) �Q�� I Legal Description o[ PropertY (show Below or Altaen T I(BER - C �• ,;'}.• �— 7 - FIRE EONS T-[PE NSTRU� STREET IMPROVED. l 70. - SPECIAL II78PTi(TOR REGU:.RED OCc:UYANLR GROUP _ S I T d• • a�l YES . j t PWN Clecal) BY •_ ;it.S�7<•. VAL=AT[ONN� TOTAL sea }}j •.. -� , - BUILDING WORKr�TO BE DONE I VGLUATION _/..- .. h.'v't•�J: , .i is n C b %•t S ��1 V G r �t iL �V — dUII.t:IN6 PERMIT2 `�.: F • PLUMBING S PERMIT lt'EE I HEAT EAT k 6A9 L'NE • .0 O NUMD*.R OF eTOF1EB e - SIGN PERMIT ti ;�tabrt ; �'•• i� I . NEW O BIGN I U FENCE Lt ❑ ADD DEM0-" DEMOLITION PERMIT FEE w a ictt f AL'rw3. REBIDENTIAL ❑ NUMBER OF 2 I DWELLING I UNITS PLAN CHECK Tr FEE td +. Z ..1.q �!, sq• 1 t REPAIR NON-RESIDENTIAL ❑❑ itA�>� .+ / ROYOBED UBE .glwMovxr DUE �". rtl i^$ter•'.!' ..-5..{AAA h+I rant I have reed thU application: that the In- nTTENTIox _ APPLICATION APPROVAL,' (� u�,-'pw,yi.'ii-4�i�'�.:%t`'"'•� w , I hetthy ae:taowledge la correct: and that I am the owner. or the duly aut'YN- application 18 IIOt D' permit Illltil7,) This app tormation gtvca Ized agent of the owner. I ngreo to tomDly wllh city and state laws regu- worn anthorized taereDy. tto pe:wn TIIIB PERMIT wurRoslzEs signed by the Director of Building, < . latmg eoastruction: and m dogug the Lnhoe Code oI the etatn ot• Ws.+hlogton ONLY THE tion, or his deputy; and fees ar>. paid M d .' - f will be _ployed 1n violation of :1>4 workmen's ComDcnsatiou Insurance. IVORK I;OTFD receipt is aelmowledged in space provlded " , _, ''t ••g M- r telaung to (£xceDt Dcmollllons which shall Year dnya.) NOTE: Permit Limit One be ccrn eld Ice ninety INSPECTION DIRECTOR'S SIONAT E � :raw 'fT•�ti �'>:' DATE 01.NEll 810 T < OR AC NT) DEPARTMENT CITY OF D:-TE611 NOTE: APPlicant Sttbjeet io Plar- Check Fee PR e-1107 �':•'-' rls'nte DrvK�7 ONLY. TRa Permit coven warn to be done on D dA 'c,saya. domNn (enrbs. ew-A" 1 FILE <+ ..'✓. 1• '•:^� ' Any censtruetlon eo the public o - marVuN' etc.) wtll regmre separate Dernilsslon. N .D v ' CITY OF EDMONDS Call Prospect 6-1107 when work CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No inspec- SI®E SEWER PERMIT 1 \ `3 n lions Saturday, Sunday or holidays.) O 1 1147 "Cii Street ADDRESS....................... -------_-_--••--•-• _---_----•----_-------- --••------......--------....---....------------------------•----------------....----.....---------------•------------- C. A. McConnachie North End Septic Tank OWNER.--- ..... -.................................................................. ............... CONTRACTOR ................................................... -.......................... Permission is granted..._Octoher... 10...............1 1966:.-, for ...................... days, to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing 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 f be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—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. must be water settled and surface of street restored to original condition. Contractors shall be responsible for '0 - .-^.._no.,oinn_within one year of completion. Cd •0 w A cad -Yr 0 0 a H k lO b4 Lcc a� w 4`.. -ca z o i 4i rT$_ ` < Cid 0 0 z a v, z U W APPLICATION CARD No. ...................................... for The City of Edmonds SEDE SEWER PERMIT EASEMENT No . ...................................... OUTSIDE ❑ INSIDE ❑ REPAIRS C] A.-o- OWNER ------- Ci ........ ....... I ................... CONTRACTOR ... ... ....... 4 .. �!� ...... PERMIT No-6/ STREET HOUSENo. --------- --11417 ---- — --- C ........ . .......................................... AVENUE LOT No. ............... ............................................ BLOCK No. ............................................... NAME ADD. ............. . ......... lk.- Ai /<7v ------------------------------------------------------------------------------------------------------- Date BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .......... SEWER WORK ORDER.ISSUED .......................................... , Approved: �� �-� DATE..... ..................................... [.,ppjj0VED OCT In I- APPLICATION CARD No . .................................. The City of Edmonds for SIDE SEWER PERMIT EASEMENT No . ...................................... OUTSIDE ❑ INSIDE E] REPAIRS E] OWNER ....... ....... ....(o- ................... CONTRACTOR PERMIT No. ......................... HOUSE No. ......... ... . ...... 11V7 ... . ... c ........... STREET BLOCK No . ............................................... . ................. ..................... AVENUE LOT No . ............... . . ............................................ NAMEADD. ............. —).eW ............ ........................................................................... ........................ Date BACKFILL WORK ORDER ISSUED ................................... SEWER WORK ORDER ISSUED .......................................... Approved: DEPOSIT, $ ............................................. DATE..... * ...................................... ............................................ ... ............... PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET =FILE Name: i�(L� OaS6 D©d 0 (�Qo Date: Site Address: `� �� _ S Plan Check # : 6 Lo ZO J Project Description: / Reduced Site Plan Provided: (UE/NO) Zoning: S /� Map Page: `---- Corner Lot: (YES / VO Flag Lot: YE > O) Critical Areas Determination 4 00 Study Required rT ❑ Waiver SEPA Determination: Exempt ❑ Needed (for over 500 cubic yards of grading) . ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks Y:o Street: Tide: J Side— C) Rear: - Actual Setbacks Street: / 0 Side: i f7� side: l p .F Ream -Z - ❑ Detached Structures: ❑ Rockeries: ❑ Fences/Trellises: ❑ Bay Windows/Projecting Modulation: ❑ Stairs/Deck: Buildin Hei ht Datum Point: ,---- Datum Elevation: Maximum Height Allowed: �"—' Z� Actual Height: Z J Other Parking Required: Z Parking Provided: Z Lot Area: 5" "� O �� Maximum Lot Coverage: 35% Proposed: .Lot Coverage Calculations: �a ✓s2 c _ �/ ZD Z 6 ' ADU Created: (YES / 11-9 Subdivision: /S C 1 Z Legal Nonconforming Land Use Determination Issued: (YES /(90 Comments Plan Review By: Planning Data Form 04-11-06.doc �4O:1NNIPECTION TICE REG. Open trench in shoulder of ROW for approx 17 ft. bore roadway and curb approx 42 ft and set carson to extend and bury CAN service drop 42' Comcast of CA/CO/TX/WA, Inc. 1525 75t' Street SW Suite 200 Everett, WA 98203 Contact: Kermit Benson 425-263-5362 North Drop Node: EM 26A 1147 C Ave S - City of Edmonds APPROVED AS NOTED BY ENGINEERING Date: N W E S NORTH NOT TO SCALE Work Details Open trench in shoulder of ROW for approx 17 feet (m/1), bore roadway for approx 42 feet (m/1) and set carson to extend and bury CAN service drop to 1147 C Ave S. Install cable at 36" depth. All disturbed areas will be restored to existing or better conditions. Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities impacted by this project. Please see attached plans for restoration, erosion control and traffic control. Erosion control will consist of placing filter fabric fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system clean and functioning. Remove all debris from the work site. Streets and roads will be cleaned both during and after installation of work. � ;,1, t i rv'r a ,!1' , ,�C is - . '• City of Edmonds ` Y.' Permit No: RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Dater-ll—z.�s A. Address or Vicinity of Construction: ye— 4E / _I �67 /I B. Type of Work (be specif1c):AP4UP 5,�/n - �. C. Contractor:t0MC0,!5-- 0 jr � / Mailing Address: 6T State License #: City Business License #: D. Building Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family INSPECTOR: F. PAVEMENT CUT: ❑ YES ❑ NO CONCRETE CUT: ❑ YES ❑ NO L Contact: ���/P ✓j'J —1, �L P/YI r�lY� S Phone: Liability Insurance: Bond: $ ' ❑ City Project ❑ Other Permit # (if applicable): EUC (PUD, VERIZON, PSE, CO,�M, CAST OVWSD) G. SIZE OF CUT X G. [� Mail Approved Permit ❑ Call for Pickup '\ APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands by his/her signature to this application he/she holds the City of Edmonds harmless from injuries, damages 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 but 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 FINA1,4 TREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPL+ ANT. ♦ Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. " ♦ -Restoration is to be in accordance'with City codes. All street -cut trench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. ♦ Three sets of construction drawings of proposed work are required with the permit application. w CALL DIAL -A -DIG (1-500-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUS/T1 MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS Signature: C) — Date: 67,,4 000 5� (Contractor or Agent) FOR 'CITYUW:ONLV Approved by: n4of way Fee6P�5 Time Authoriz / d: Void After r"' ,.� l�l l(Gtf S D�sruptlou: Fee/Fund 11,1 Special Conditions: rnuKt ,ant✓'p 137—m 4ee C 0A(D/ rl nlV. MAtrt to I N S.� Ic r/•Al. Total Fee: 02 25 • cG t ��= r SAC N �� M ' A LL 'r v JQr I0M Re_ceipt<No vT'i�� TI F s Vk_ /Z (F-y IL2t sr, aEL& PP2Cv VV -,#Z)c 4(i1Ilk �I 40CAT—F s Ae) r,12 ' rD Al Y r)(CA ti,ti TIQAI . t ALI r" F c REQUIRED INSPECTIONS: & 7 '-2-A f F l C Cn/v 7-Rci Call 425-771-0220, Ext. 1326 for a 24-hour v'oice-reco fed inspection request line. j FINAL APPROVAL OF PERMITTED WORK: 'DATE:�Z�l°� Inspector's Signature CADocuments and Settings\CurtisNy Documents\Fortes\Engnrng\ROWpermit_ doc Revised 10/01/03