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1201 8TH AVE S.PDF111111111111 8676 1201 8TH AVE S ADDRESS: TAX ACCOUNT/PARCEL NUMBER: /V 5-2V 7� BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS:— (/U DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATEI EASEMENT(S) RECORDED FOR: PERMITS (OTHER):_ PLANNING DATA CHECKLIST DATED: 1. - SCALED PLOT PLAN DATED: t� SEWER LID FEE $: SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DATED: —/ A, SIDE SEWER PERMITS) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LID #: BLOCK: LATEMP\DSTsTorms\Street File Checklist.doc The City of EdmondsSTREET FILE APPLICATION for SIDE SEWER PERNUT OUTSIDE (-] INSIDE [:1 REPAIRS ❑ CARD No. ......... EASEMENT No . ...................................... OWNER ...... ..........•............. .............. ... CONTRACTOR .......... je4i�.. 6116e� .................................................... PERMIT N STREET .HOUSE No. ....... j . . .................... ....................... AVENUE LOT No . ............................... jt� — ------------------------------ BLOCK No . ............................................... NAMEADD- .................... L;,.... ........................................ 0 0 -w t -N �v "l-> to Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, ................ ................ ........ DATE ... /j ------ .. SEWER WORK ORDER ISSUED ........ ............ - .............. By . ..... . . . ..... .......... CITY OF EDMONDS' 1 Ca11 Pitoapect 6F1107 24 hours (plus I CITY HAILWATER-SEWER DEPARTMENT for. ay; Sunday and .Holidays) be. � n.(�® Pare work is ready for inspection. oY SIDE$E ER; PEItNIIT i I ADDRESS::1 .. OWNER t�7 b ry I :... ' I.RaY 'UCt1DI� . LAo...:-.. CONTRACTOR :. -.. 9 Permission is granted .jfa1�i 4rw;9 ?... ..,.1 for .. pbE :4 r.: says; t0 REPAIR or CONNECT a side sewer I. with Clty Sewers ul accordance with apphction on file and governing ordinances. ATTENTION Is CALLED TO THE FOLLOWING: �al I NOTE. No. "1—The owners of the property may obtain' a I must be employed to construct. side sewer` in ati-eettareac Dotnottbover cover -'any property linee r licensed side Sewer Contractor NOTE No. 2—Obtain full information regarding' Ordinance 11.16.030 and Regulations governing portion' of sewer before it has been inspected. `11 NOTE No. 3—Top of side sewer must have at least 30 inches coverage at governing side sewers when you get permit. :.. 2%. No bends in grade sharper than 4will'be permitted.. property line and 12 inches inside property line; minimum grade of NOTE No. 4—Trenches in street must be water settled and surface of street restored 'to. original condition. Contractors shall be resPon 'siUle for failure due ta'improper work which ma3s'dovelop within one NOTE No. 6—It is unlawful to alter or do- any other'}vork than is yegl• of completion. i. j •� �� purtenances except to insert the Provided for in -the ( - pipe in(:o the wye, Permit, or to do any work on the main sewer or its ap- 1 Y I h 24 04TTICE REG'm- ...Qoerflu . X side sewer silt fence edge of pavement property line setback proposed addition Vqvu:`sse flagstone paving �.�.,y_��r�uy�5�vi���� 1�vY existing concrete paving 25'-011 rehmrna rokodpLotpLan t°-2oa rcoverage: `1 actual footprint footprint of existing building:1669.7' property owner name: Katherine Oliver 1 foot decks property address: 1201 8th Ave S C print of over 35 97.4' footprint of addition: 138.5 tax account parcel M 0054720000010C total:1905.55 ft. sq. (20.7%) JQ lot coverage: (35%) � 1 hei ht calculations Callowable Lot area: 9202.4 sq t Lot slope:7_/° ,J A=+99 B=+99 IMervious area calculations C=+101 ex rs -pr�building roof outline (unchanged): 2006.8 sq. ft. D= +101 e" driveway (unchanged): 759.8 sq. ft. Average grade=+100 proposed addition:180 sq. ft CAMMan is AbtA wio� actual height= 118'-11 proposed patio/deck : 329 sq. ft. maximum height=125' total proposed impervious area: 3275.E sq. ft. STREET<� FILE rleW 3.1 1 Fb fEf$i (e)residence 2006.8 sq.ft. - s 0' no (e) clean out, to ti be added during r ✓ construction 91'-2%6" PLANNING'-27/16° (e) �craota N _I -I --�-siltTence 1 �W 41 ease 51'-1%'r °° • GUTTERS/DOWNS UT. N — TO CONNE T TO EXI . STo 10 4 e) fence, typ I _ Ln _ L Ln e) dec SEW R _ INSPECTIONS RE YD. - CALL 425— 71-0220 326 M Flo -' 15'-O" 1 Q 1C> o 0 N • L �E E M E O c y ti 3 � O i A 0- M H� ESUB" co APR 10 2008 N :1 PLANNING DATA SINGLE FAMILY RESIDENTIAL •11 STREET FILE Name: • Date: Site Address: Plan Check Project Description: iagqb�ld;�;c�t�� y5 c%GKC�;k;brs,�;Tc,�er� rerv,pdet . Reduced Site Plan Provided: YES NO) Zoning: Map Page: Corner Lot: (YES / NO Flag Lot: (YES / O) Critical Areas Determination t#: ❑ Study Required 01 Waiver SEPA Determination: _ OExempt ❑ Needed (for over 500 cubic yards of grading) Cl Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks JReaf- Street: Side: � � Side: �� 77 (W) / tc — Actual Setbacks 7k T N e4..-2*T Street: Side: t Side: S Rear: ❑ Detached Structures: None, ❑ Rockeries: Non,✓ Fences/Trellises: EX;s�; Say Windows/Projecting Modu tion: "S PoSed �dVA�on o,\ Stairs/Deck: kS1,_g c- k , o Building Hei ht Datum Point: To \e. �nue-C Datum Elevation: 1� i Maximum Height Allowed: / a O Actual Height- / Other Parking Required: a Parking Provided: Lot Area: �j Maximum Lot Coverage: 35% posed: Lot Coverage Calculations: �" S -. 9,-- en ce& - � C.G ,-70 Add s k; t, 0 # V q7. IV 0 ADU Created: (YES NO Subdivision: Legal Nonconforming Land Use Determination Issued: (YES /0 Comments Plan Review By: Plaminq Data form 04-11-06 doC Al O 'V k i O� _k 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* M� PM STATUS: ISSUED ENG20080147 SIDE SEWER PERMIT (I -Single Family) Permit Number: ENG20080147 Expiration Date: 4/21/2009 Job Address: 1201 8TH AVE S, EDMONDS OR OLIVER KATHARINE E LARRY MASON 1201 8THAVES 5721 181ST PL SW EDMONDS, WA 98020 LYNNWOOD, WA 98037 LICENSE #: LARRYMC033CD EXP: 10/10/2008 Y N I DESCRIPTION REPAIR N I PROPOSE TO REUSE LATERAL LID NUMBER: GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER Clean out to be added at 90 degree bend on east side of house -associated w/addition (permit # 2008-0197) EASENIENTINFORNIATION N PROJECT CROSSES OTHER PRIVATE PROPERTY N VERIFICATION OF RECORDED EASEMENTS COMPLETE INDEMNITY.- The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. CALL DIAL A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24'HO UR NO TIC E REQ UIRED FO R ALL INSPECTIO N REQ UESTS THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. i n Planted: Monday. April 21.20C UIN FILE COPY4_1`_SP"ORCOPY APPLICANT COPY STATUS: ISSUED ENG20080147 • Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements. • A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line. • Maintain 10' separation between the sanitary side sewer and the water service line. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • E•Sanitary Side Sewer Inspection • E-Engineering Final PARTIAL INSPECTION DATE: IMTIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: IMTIAL: #P2U F to k°to City of Edmonds v `" Development Services Department Planning Division Phone: 425.771.0220 890 Fax:. " 425.771:0221. Pate Received: City Receipt # . Critical Areas File MtAA-.oC.SCOI: Critical Areas Checklist Fee: - , 135.00 : Date'Mailed to Applicant: �, TA.3::eCz�+ The Critical Aieas Cheeklist.contained on•this form is to A property "owner, or. his/her authorized representative, be filled `out liy* any. person - preparing `a : Development -must fill out the checklist,: sign and date Iit, and submit it Permit - Application for the City, of . Edmonds prior: to to .the ;City. The; City' will review the :checklist; : make a his/her submittal of the application to the City. precursory , site `,visit, and . make: a defeririination of -the The purpose 'of the Checklist is to enable City staff to subseyueht .steps :necessary to complete a development determine whether any .potential Critical :Areas are, or permit application:. nnay lie,: present'on the subject property. ,The information Please submit a vicinity map, along with. the signed copy needed to complete .the Checklist..should, be easily.of this form to assist City staff in fording and locating the .available from observations of the site or data available at'- specific, piece" of property described on this form. In . CityHall ;(Critical 'areas. inventories, "maps; or soil addition, the- applicant shall: include other .pertinent surveys): information (e.g. site plan, topography map,,. etc.) or. s conjunc this Checklist to assistant'staff tudies in tion with in completing their preliminary assessment of the site. Theundersigned, applicant; and his/her/its heirs; .and assigns, in on.the processing of theapplication agrees 'to release, indemnify, defend and hold the City of. -Edmonds hariml iss`-fibm any and all damages, including reasonable attorney's, fees; . arising front any action; or infraction based 1n`whole ,or part upon false,. misleading, : inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. : By, my,. signature, I certify that the information and exhibits herewith submitted are true -and correct ,to the best .of my knowledge and that I am authorized t " is application on the be f of the owner as listed below.. SIGNATURE OF APPLICANT/AGENT DATE -Property- Owner's AatLorizafi By "n y signature; I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and "the staff of the City, of Edmonds to enter -the subject property for the purposes of inspection and, posMg atten this application. SIGNATURE OF OWNER DATE' �ULASE PRINT CLEARLY O.W iedApplicant: Applicant Representative P146EI46A 4�'i -tS Name Name Street Address Street Address ��rviorids hv-A 9$Oz0 Sec 60 98119 City State- zx S' Zip City State Zip Telephone: yZS- i Telephone: 206 Z*J -kZZS- Email _address (optional): C Email Address (optional):. Sam @ A] zrearciu�tc'�S.�o,,�� Critical Areas Checklist cAFileNo:c—:�icY--ooa� Site Information (soils/topography/hydrology/vegetation) ` 1. Site Address/Location I ZO) 2. Property Tax Account Number: __ OD Sy -7Z .00060/Op. 3- Approximate Site Size (acres or square feet): 021 4. . Is this site currently developed? yes; no. If yes; how is site developed? 5i__ 116 &.(hi l Y h oySL 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation changeover entire site. . Rolling:: slopes on site generally less; than 15% (a , yertical rise of 10-feet • over a horizontal distance of 66-feet). IL11y: slopes present on site of more thanl5% and .less than 30% (a vertical rise" -of 104eet over a horizontal distance of 33 to 66-feet): Steep: grades of greater thann 30%-present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Clttier (please describe): 6::. Site contains areas of year-round standing water: no , Approx. Depth-' 7. ; . Site contains areas of seasonal standing water: t10 ; Approx. Depth: What seasons) of the year? 8: Site is in the floodway. now floodplain. • n o of a water course: 9. • Site contains a creek or an -area where water flows across the grounds surface? Flows are year-round? n o Flows are seasonal? n 0 (What. time of year? 10. Site is primarily forested meadow' ; shrubs .. : mixed urban landscaped dawn, shrubs etc) x 11. Obvious wetland is present on site: M For City Staff Use Only 1: Plan Check Number, if applicable? , 2:ijZ :'a C22 n l q 2. Site is Zoned? 3:. SCS mapped soil type(s)? - A�d t c.7c uAt �-Angr, c'xicn e� e X sd oe . 4: Critical Areas inventory or C.A., map indicates Critical Area on site? • NG o 5. Site within designated earth subsidence landslide hazard area? hit, STUDY Reviewed by. DETERMINATION EiQUIRED Date:_ WAIVER