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1251 VISTA WAY.PDF11111111111111 13612 1251 VISTA WAY ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): �yIGU-oia9 COVENANTS (RECORDED) CRITICAL AREAS: 1.00 t'J - 0 160 DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): I "I TS -Ojq� L J &m & i) , ?,w D� C PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: k1Yk5 "/7191 0�LY�A SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED:/!J�✓/ SIDE SEWER PERMIT(S) #: 1i4-7 SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: DW - D' -' U q (604 J LATEMP\DST's\Forms\Street File Checklist.doc ST E ET FILENING DATA • � NAME: F-\ N IOXCI 13I (XV SITE ADDRESS: ;i 51 y PROJECT DESCRIPTION_ r DATE It 13D 11,I)DS PLAN CHKII:_Q5"'i-43 REDUCED SITE PLAN PROVIDED?: Yes No) MAP PAGE: 'Ii 5 L4 CORNER LOT: (Yes No FLAG LOT: ZONING: 5- 1 ?i CRITICAL AREAS DETERMINATION II: Q -- 16O ❑ Study Required: ® Waiver lo/•b7-IvoD5) ❑ Conditional Waiver SEPA DETERMINATION: r,--Atf,1 \ 0 ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) 1 ® Exempt < E5 0 c.0 of c, yards of 9Y a d i n 9 . {SETBACKS: O 5 O O O Required Setbacks_- Street: 25'sett Side: 10t Right Side: I D t Rear:. 19 Actual Setbacks: 33 Street: 2-S' L•�e€i• Side: Rigl t Side: I (p Rear: Street map checked for additional setback required? (Yes I No / NA ❑ DETACHED STRUCTURES: ® ROCKFRIES: ZX 5'I-\ h 9 . ❑ FENCESITRELLISES: ❑ BAY WINDOWS I PROJECTING MODULATION: ® STAIRS ! ECK ZY, f ,- 1 ✓19 . PARKING_ Required: 2- Actual: N U. 2X . Yes 1 g 0.r 251 lv LOT AREA: I ti g I _- 0 nevv �LOT COVERAGE: porun 12 (D i¢ 3 2 4'} Calculations: hew dLG1--'• 0 = 2(o'b (,p 0 � BUILDING HEIGHT: ( (`} Datum Point: W M \ C�) R� Datum Elevation: 100 . d A • 9 $ : DS Maximum Allowed: ?i it - Actual Height: 3 • 151 A_D_U_ CREATED?: No Yes D D�qg_ ldI•S SUBOIVISION:_M(AVAtWWd V i lla n e * 1 BI k. bob D- op - o+ # ► 5'• + ys t M i LEGAL.NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes No) I 2- OTHER: J+OIiI )e, IDU,t It lam. I q (D Jr' • I Cj t D YU�Oh Plan Review By:► NewB P PlanningData Form _DOC --'The City of Edmonds APPLICATION CARD No . ...................................... for SIDE SEWER PERMIT EASEMENT No. ``6f OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ OWNER.--. �...1., .................................................. CONTRACTORS`�C.S--..r -".... s._._._.... ..................... PERMIT No. STREET /- HOUSE No. Q-z f - .�. +/... !'.. .__.._-;sue'- .-e.----._. AVENUE LOT No . .............. f,,%----------------------------------------------- 'ABLOCK No ..-......... NAME ADD. .........�cti ! ��a =� ��...-.. tom!? :......_.�� ��... • r M w P • Date Approved: APPROvED JUN 2 8 1965 BACKFILL WORK ORDER ISSUED.........:...................I...... DEPOSIT, $ .............................................. SEWER WORK ORDER ISSUED .......................................... DATE �(v�I._. �..................... BY ...... t.._._... - CITY OF EDMONDS - CIVIC CENTER — WATER SEWER DEPARTMENT oaal I'Rosnect 6- tion when work Is ready forlnspectfon. (No inspec- tlons Saturday, - Sunday or holidays,) . . 12 4 7. . SIDESEWER I?ER'MIT 125:1, Vista Wa ADDRESS...:::..:., ..................................... y............-,......-.......;:..........-.,...:,........::..........-....:.:,, . OWNER.,;:;;r.C_a.:.p!r....Hs?risen:..........:......... ....:.:...... .........,.,::,..CONTRACTOR:............. Wooley.::........:.... Permission. is granted .........June 28 1q 65 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 Inslde`property line. A. licensed Side .Sewer Contractor must Abe employed to construct side sewer in street area, Do not cover -:any portion of sewer .before ithas been inspected. No..2-Obtain full Information regarding Ordinance 11.16.030 and Regulations governing' side sewers when you, get permit. N�7lE No. 3—Top of .aide sewer moat have at least 30 inches. coverage at property line and 12 Inches inside property line; minimum grade of 2q,. No bends In grade sharper thaii W will be permitted. - NOTE No. 4—Trenches in street must be water settled and surface; of street restored to original condition.:- Contractors shall be, responsible for _-. failure due to improper work which may develop within one year of -completion.' - -.NOTE No. fr—It is unlawful to alter or do any otherwork than is provided for in the permit, or to do any work on the main sewer or Its ap- ' - "purtenances except to insert the pipe' Into the wye. - _ PLAY FILE NUMBER . UILDINO 1plPPermit APPicationIBR,e650109.Buildin9 NUM13ER NAME (OR NAME OF BUSINESS) JOB 1'.DDRESS yl MAILINn ADDRESS 3I7E YAR) BET BACK REAR YARD d ` CITY TEUPHONE NUMBER USD-ZONE !SAP NUMBER, 1 VAC.INT SITE �•'l. ". .''„� jti tl �0/" clS u_ ❑ YES ❑ NO z NAME BUILDING AREA LOT AREA VARIANCE NUMBER �+ FM+ ADDRESS •,r�-- HEIGHT L BUILDING SETBACKS. . p' - `' .•:< < NOTE: ALTO SAVE LINES C CITY �— TELEPHONE NUMBER REMARKS NAME , r•',i C ADDRESSEncroachmentI. �•1 p equir Permit PERMIT NUMBER - STREET GRADE CHECKIQ 1' I Required I` YES C1 NO I' • .L 1t+•, h CITY TELEPHONE NUMBER MET SIZE I BE VI SIZE I.CLEMtkNCE C I BY L 7i . STATE LICENSE NUMHMR CITY LICENSE NUMBER , REIMARKS ,;} r. •( :��:'�," .'7t: i. i:.'.' LOT BLACK Ir7�T 77 TYPE CONNECTION I VER VIE BY n i • PERC. TEST YERMIT ER FIRE ZONE TYPE OF CONSTRUCTION ,STREET IMPROVED 0 YES No, p SPECIAL INSPECTOR REQUIRED OCCUPANCY, GROUP .:- �•z:Y ��' 1 I] YES I if•' 1 O PLAN CHECIC3D BY 9 WORK TO BE DONE: 7 /� �+ A'i�' 2 '� ( 1,•y. kN•,' -.+ p % _ No. OP SLOGS. �PERI G. TOTAL PEt- •.� T ?�l� f _ ': .BUILDING .�.. __ [r ,',.fit•_,,. I VALUATION Q .0. BUILDING PEVXIT NUMBER. OF STQRLEB 2 FEE fO��L7 .xi ".�' - •'.'y , © NEW DEMOLIeH J{ PLUMBING ElADD I I 3 PERMIT F£E -t(i A i:• HEAT & •GAO—GiNZ / = t� 't'• /;l ❑ -ALTER RESIDENTIAL l NUMBER OF 4 PERMIT FEE •7 • [ 1 ', 5� 1 DWELLING El REPAIR NON-RESIDENTIAL I UNITS DEMOLITION S PERMIT FEE PROPOSED USE !! t: 8 AMOUNT DUE I hereby acknowledge that I have read this application; that the in- P_.TTEIMON APPLICATI®N� APPROVAL formation given is correct; and that I am the owner, or the duly author- THIS PER.NIIT Ized agent of the owner. I afire to comply with city and state lawn regu- - " - • - " - ' • ?'��- �•- -- • t •� ""^� ;his application is not a permit,tlntU`' pi ,')r�y,?•.';:�1 lating contraction; and In doing the work authorized thereby, no person AUTHORIZES °' i�,. ,.,•';•,,.ti„<; signed by the Dfr-- for of B•Iilding Ilispec- will be cmployed In violation of the Labor Code of the State of Wmhingtoa OY7,Y THE w •' 4,-•,(f relating to workmen's Compensation Insurance. WORK NOTED tion, or his deputy; and fees.are paid, and receipt is acknowledged in space-prc..ded NOTE: PERMIT LIN�1�0�IE YEAR INsr CTION �'r• �'i"•1 SIGNA' � (OWNER G GE:: T) DATE ?IGNED. DIRECTOR'S BIGNATUfiE ./ DEPARTMENT CITY OF DATE d' PLOT -PLAN CIL APPROVED - EDMONDS ��:,'���� � ' .�t �'•''� PR 0-1107 FIB." ' .. ... .. - . Via. a•`• � �"t� .r: s t ,rf I is --- --- - - - - - - _ -- __�--- _. - __. __ .- fD. ou� Da pr E -yj< , - 'JZ E -rl' JeJ7 6 WA --. - -- -.-1 6 A I To SL 10 00-e po RM i T COUf 'T ITE W r� LTr •,q 4- 8L ww Z70 �iJ Ll CJ CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY.•CONSTRUCTION PERMIT A. *Address or vicinity of Construction 1251 Visda IN P _lc t 7 162-067 p 1 • Owner: TA7Aghivtnr,*nrn Ka-Htrr47 f:•nc CO Name w 805 156 AIT HE2 Mailing Address Bellevue,, Fr ask ington 9800i City, State, . Zip Code is Contractor: F arog As Above Name No. Issue Date r? " t, • Permit Issued To: • Type of Work to be Done: service • Work in Connection With: ❑ Sub or Plat zs Single Family ❑ Comml. / Ind. ❑ Apt. Condo. 4.� • Pave 't�ut: �J'e ❑ No Mailing Address State License Number UCity, State, Zip Code_ Telephone Number a * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE a �d B. APPLICANT TO READ AND SIGN ca Q INDEMITY: 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 City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. 0 wUpon 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. 0 H >- a Z O w U Ce 0 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 to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this p Signature Owner or be availab t th b site for inspection purposes at all times. V. A, Date June E, ,, 19 r, Y. nt * * THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: + �`� , s' V!J1 fijM" Time Authorized: Void after- days Special Conditions: Ammendments: Permit Fee: ,4a Security Deposit: Receipt No.: Fund 111 Fee: Street Cut Dimensions X * * NO,WORK-TO BEGIN PRIOR TO PERMIT ISSUANCE I�N1�11 f RrOK010005 Eng. Div. December 1978 FIELD INSPECTION WTES (Fund 111 - Wute cony to Street Dent. Comments: Diagram: Contractor called for inspection,. Yes No Mork Disapproved By: Date: Bv: Date: Work Approved By: �_ — Date: Inspector: Ena. Div. December 1978 =pOR�1145EAM 104 •• \ OWNEIRICOIV ll A�, OR IS 120110NSid E EROSION CONTROL AND DRAINAGE APPROVED NOTED BY • ING • • 44—o I 4 # ,l2*�p I ex. F.tr� vt:� W� - [t1V PATU M s 104.0 , IOU � STREET PEE zone F-y_ 1 *0 Corner • Flamm Setbacks Required Actual Front S !74 Sides St ► O t l J t �O Rear f4 33 Other Bei Z 5• 13. 5 14 E.ki 0T . CALL tom: �A? V M , w�► T�tz Me'f Utz. ioo .o A• qb� APPROVED BY PLANNING e- Gov 4p� ` 4 101.05' + z5• 2 f i'S' PRoPO D• �LDT 5 IZ F 12.1511 46Z, T-r LOT Cov E lI?-Acte: I )C .1Ze SlCI Ae- 7-'.S l U SQ- .F7: NEw DECK- = toO2- 3,244 ti�.•FT• P LINO S ►M PEF-YIOV45: OWNER / PROJECT ADDRESS: RICK & EILEEN BJARNSON 1251 VISTA WAY EDMONDS 98020 TAX No: 00507000001500 LEGAL: MAPLEWOOD VILLAGE No:1, BLK 000 LOT 15 LOT SIZE: 12,517 SQ. FT. ZONE: RS -12 Co rr::- a PRo;3t;c-T }�Ew TZoNT Po ��� I�1 Ew h ELIL, . 25•�t to (3�', MAX) EK.Mf7jCjAXACiE. �,11q �rQ, .FT. wlCtoo� EX. DfzivE , wA►1.UL- ! I d o z WF,6J FotZ. g , D t 4V,: .15 NAY L101 *L-Optt 11/0 i ILI , 1 N' EAF.SUB 05EC- 0 5 2005 �'��l``r INt3 D TMENT NDS z 0 y C ZTO OEc o, BUILDIN ?ooJ CWAep OP 66Q, pgFNT STREET FILE