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129 12TH AVE N
Pioneer
Construction Services
303 91st Ave NE, E502/53
! Lake Stevens, WA 98258
(425) 582-7405 Fax: (425) 397-9240
PROJECT: DATE:
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JOB NO.: BY:
MEMO to:
subject: O
TELEPHONE with:
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SITE VISIT - location: l�
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Contr. Lic. # PIONECS905NW
d Pioneer
Construction Services
PROJECT: DATE:
JOB NO.: BY:
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303 91 st Ave NE, E502/53
! Lake Stevens, WA 98258
(425) 582-7405 Fax: (425) 397-9240
MEMO to:
subject: eDL �-61
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TELEPHONE with:
CONVERSATION
SITE VISIT location:
NOTES ! `6
present:
MEETING purpose:
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Contr. Lic. # PIONECS905NW
ROVED BY P NHING
CITY OF EDMONDS
BWIDING DEPARTMENT
WORK , ;J=- ( '-POftZ
ADDRESS
OWNER
APPROVED DATE: Z1.7-11
BLDG. OFFICIAL: 74.
CrA~
PERMIT NUMBER
STREET FILE
RECEIVED
MAR 0 9 2016
I)EVELOCOUNTER PMENT SERVICES
71istCrit1�alI,*Tes
Site Information
Project Name: Permit Number. yoZ 3 9'- 000 - 0*3 Z CC)
Site Location: 429 Property Tax Account Number.
Approximate Site Size (acres or square feet): 3, 004
Have you filled out a Critical Areas Checklist for a project on this site before? A)()
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action: 7--
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. 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 fed over a
horizontal distance of 66 feet.)
Hilly. slopes present on site of more than 15% and less than 30% (a vortical rise
of 10 fed of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4.. Site contains areas of year-round standing water. A20
5. Site contains areas of seasonal standing water. a)Z) Approx. Depth:
6. Site is in the floodway .4)e;) floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? J.20 flows
are year-round? Flows are seasonal?
8. Site is primarily: forested ; meadow ; shrubs _;mixed
9. Obvious wetland is present on site: )a
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
Rev 3f27/92
STREET FILE
e9p-199
City of Edmonds
Critical Areas Checklist.
The Critical Areas Cheddist 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
(Sty staff to determine whether any potential
Critical Areas are or may be present on the
subject property The information needed. to
complete the Cheddist 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-9-1
the checklist, make. a precursory site visit,
and make a determination of the subsequent
steps necessity to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the pared with enough detail that City
staff can find and identify the-subjeot
parc el(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
LIiP% /
Name
Title
Applicant Representative:
Name
Title
Street Address Street Address
9�0020
City, State, ZIP Phone
Signature Date
City, State, ZIP - Phone
Signature
Date
STREET FILk
CITY OF E MO N® S HARVE H. HARRISON
MAYOR
200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 771.3202
DEPARTMENT OF PUBLIC WORKS
CERTIFIED MAIL
File No. 05.2.21
March 31, 1983
Mr. George Kingen
129-12th Ave. N.
Edmonds, WA 98020
PROPERTY DESCRIPTION: Lots 21, 22, 23, & 24
Blk. 122, Plat of Edmonds (4342)
Re: 318-6th Ave. S.
Edmonds, WA 98020
Dear Resident:
On February 17, 1981, the Edmonds City Council passed Resolution 488 for
construction, reconstruction, and repair of deteriorated sidewalks. A letter
dated March 16,.1981 was sent to residents that were required to repair the
sidewalk abutting their property. A certified letter was also sent dated June
15, 1982. The improvements of sidewalks in need of repair at the expense of
the abutting property owner is provided by City Ordinance, Chapter 7.20 and
Revised Code of Washington, Chapter 35.69.
The areas needing repair have been marked in paint on the sidewalk
adjoining your property. Reconstruction permits must be obtained from the
Building Department located at 250-5th Ave. N. within thirty (30) days upon
receipt of this final notice. The permit fee for the sidewalk repair has been
waived by the City of Edmonds. In the event you have not obtained the
reconstruction permit within thirty (30) days, the City forces will commence
with the reconstruction of the sidewalk, and the City will bill the abutting
property owner.
This action is in response to many citizen requests and pedestrian falling
accidents which have been increasing in recent years as a result of sidewalk
deterioration and increased pedestrian traffic.
If you have any questions regarding this final notice, please call Bill
Stroud at 771-3202, extension 289.
Sincerely, �� /�
BOBBY R. MILLS
Acting Supt. of Public Works
BS/ml
P
®�r�tUE� te.rtems 1; 2 3 ati� .4
Coirrp
yaiu ac�oress iri the FiETIRNI. paca
yAdd
(CONSULT POSTMASTER
t. 3he,followtiig service is requested (check oae)
.'
® Show to whom znd 'a to dAve�ed
� Show to.whom ,date and •'address of ddlvery —¢:
a O<RES►'RIC'I'ED DEi !VERY
ae'tiitra� to , •:.''
„(The restiie(ed deli?ery fee es cha r_V. toAI
` tF.e ruum recerp[ fea),
TOTAL$'
a «{t ICLE AODRESSED TO:'
M
Mr . George : K-1 gen,
ti `1 29 1 2th
Rdmcnds§ WA 98020 '
l a TVF+,E OF SERVICE t `
ARTME^NULS-U.3 .
1STE• ❑ WE(iR3o
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y D EXPRESS E9AIL�
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'I have.recehied the article 3escnlim Above
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DATE *OF DE Y ,
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P,319942 20_,
Ft rEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED —
NOT FOR INTERNATIONAL MAIL
(See Reverse)
SENT TO
or e— K;oqei
STREET AND 1 O. li
e�29-162_ '9rA . M _
P. TATE -nonAND ZIP . WA qbO�
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POSTAGE
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CERTIFIED FEE
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SPECIAL DELIVERY
¢
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RESTRICTED DELIVERY
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SHOW TO WHOM AND
DATE DELIVERED
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SHOW TO WHOM, DATE.
AND ADDRESS OF
¢
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DELIVERY
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TO WHOM AND DATE
DELIVERED WITH RESTRICTED¢
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DELIVERY
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SHOW TO WHOM. DATE AND
ADDRESS OF DELIVERY WITH
¢
RESTRICTED DELIVERY
TOTAL POSTAGE AND FEES I
55
POSSTTMARKf OR DATE
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H
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
OCT 2 8 1981
• ;,Owner. r>
' Name�J"
Mailing Address
City, State,
Zip Code
+p _
• Contractor:�11
Name
Jh�
Mailing Address '
City, State, Zip Code
Permit No. "" n
Issue Date
STREET
• Permit Issued To:
• Type of Work to be Done:
• Work in Connection With:
❑ Sub or Plat ❑ Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
• Pavement Cut: ❑ Yes ❑ No
.4t1 f n
State License Number
y 'J A -
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
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.
Upon 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.
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 permit must be available at theJob site for inspection purposes at all times.
Signature: y:,�f" <./'� ,_ .. Date
Owner or,;Agent
* * THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By-
Time Authorized: Void after a 5'�3 days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:
Receipt No.:
Fund Ill Fee:
Street Cut Dimensions
/`I
* * NO WQRK3TO BEGIN PRIOR TO. PERMIT ISSUANCE
Eng. Div. December 1978
Eng. Div. December 197n
z
H
46LIC [aORKS - DEPARII�M CHECKLO
STREET FILE BUILDING PERMIT REVIEW
Street Right -:of -Way Existing REQD
Access Easements Existing REQD
Utility Easement Existing t---4C H REQD
Lot per Subdivision Plat r-paL-14&sessor.Map
Site Plan Checked for Accuracy
Underground Wiring Reqd. yES
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd.
Flood Hazard Zone
Date:
,
Address
U Shoreline Management Area
z Slope, Soil, Vegetation
w Stream, Creek, Drainage Basin
Existing Zoning Per Code - �Z
Amenities Design Board Approval Reqd. - ADB # Approval
Board of Adjustment Approval Reqd.
Review By: Date:
Existing Water:Main'Size
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comments
Water Meter Charge Reqd..
Review by:
Septic 'rant-, llesign Approved
Septic Tank Permit Reqd.
Sanitary Sewer Availability
Drawing No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
Review By:
Size
Date:
ate:
Permit No.
Proj .
File No.
Date:
A TR
OpeW S-A-2 Wns-
n Ditch E�:isting
Reqd.
H
Culvert Reqd.
Size
c4
Catch Basin Reqd.
Indicate on.Site Plan
o
Shoulder drainage unintain collection
on Swale open runoff
H
U'
i Lu-�llole regd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Street Paving Reqd.
Curb and Gutter Reqd.
W
Sidewalk Reqd.
W
Curb Cut for Driveway Reqd.
c�
Right-of-Way.Construction Permit Reqd:
H
Bond Reqd. for Public Improvements
Street Name Sign Reqd.
U)
Other Siding Reqd.
Q
Pre Permit Site Inspection made on
JEXAMINED
Ry
0
O
BY: SEWER
-- t
REMARKS
H
W W
WATER
P
STREET
H
T T
ENGII��f TRING
Special Requirements listed in memo to Comrunity Development Department,
Building Division
BY Date
o All items filled in on Building Permit Application
P� BY
Date.
R' Drawings Stamped and Notations rtide
w BY
Date
Approved by Public %dorlcs Deparnx!nL
Revised: lv 10-1977
STREET.FILE P�,�C r��oRxs DPARZr�arr �q&sT Date
WING PERMIT REVIEW -
c-��-� �►�+c�iy :�=: +- Y'� t Zct c - ACE •� . Address
Street Right -of -Way Existing ��c�o
REQD ---'
Access Easements Existing, Uon=
REQD r--
Utility Easement Existing
REQD --
Lot per Subdivision Plat Assessor Map
c�
2
.�
Site Plan Checked for .Accuracy �
-7 8'
N
Underground Wiring Reqd.
4
0
Check Accuracy of Legal..Description LA
w
Environmentally Sensitive'Area 1 41
w
Environmental Checklist Reqd. INA
2,
h;
Flood Hazard Zone
-
U
Shoreline Management Area
z
Slope, Soil, Vegetation ll ,
w
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd.
ADB # Approval
Board of Adjustment Approval Reqd.
Review By: Date: 17/-5Ag
w �
Existing Water ilain Size
°
Water Main Reqd.
xj
Service Line Reqd.
w .
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection��
Rres /.;z
Water Meter Charge Reqd. .�
ee��
Septic Tai c -sign approve �,+q.
ate:
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability Proj.
Drawing No. File No.
w'
` Side Sewer Availability
w Sanitary Sewer Connection Fee Reqd.
�^ Date: 3
Review B %�/ ���'
y:
aM
• _ _ � 3!i3 7URT-0
2q)en
Ditch Existing Reqd.
Culvert Reqd. rl Size
c4
Catch Basin Reqd. Indicate on Site Plan
Shouldcsr drainaf;e mZi. , 'n llection on siaale open runoff
H
:•iunhole regd. Indicate on Site Plan
Soil Cotnditions and Ground Water Field Checked
Revicc:a by A ' Dote
.. '4
Street Paving Reqd.
'H
Curb and Gutter Reqd.
Sidewalk Reqd.
w
Curb Cut for Driveway qd "
c4
Right-of-Way Construe io P ; Reqd.
H
Bond Reqd. for Public ,rovem-nts
Street Nave Sign Reqd.
cn
Other Signing Reqd.
Q
Pre Permit Site Inspection made on
a o
BY:, ShWER
H
U
W I-;
WATER
a,
STREET
H
ENGIIMEERING
Special Requirenvnts listed in memo to Commini-Ly Development Department,
Building Division
BY Date
o All items filled in on Building Permit Application
c4 BY Date
a' Drawings Stanped and Notations rkide .
a BY 1 ,
Q
�d Approved by Public Por. ks Depar then t.
R'vi.;;ed: IV 10-1977
/,�- ;d IJ
VAGAk T L o i 1aq-I.a�N�9-)k ,
C ulZ�2.E,7u�
4
FA G iN G ,AST 40 o,,el,I 6 /4T A-L--t/ce'
--�K /i% 7-a' S 44 4-e
lag /2A
f 4 ITT F�L t P,EaR1VI'IafF
' !Call ,4d0-1.10V for slde!.sewer inspections SEkO1tE icovering any_ .portiont :of ,the tcops!ructfon' ti
\{Inspection .wllitbe.'provided!withid 24'lhourslafter request:' - NOv9at: Sun,.,. or'•holidaylinspect�ions- -
ADDRESS+LOCATION'OF.,ICONSTRUCTION.....�.. .. �.... KY(;11U� ..(}Y YIl
• -
iPROP.ERTYILEG'A%,;,DESCRIPTION:. .............. ...�U r:. {�._...7_�•.?�7.Z .. I.faC{1-ti f~fj 3
t
{
.. ..........OWNER AND/OR.'BUILDER-
kay..:�tdnr:son 1 i
>nUi-6d Backhae, 228Z .85t ti3�ee tt Cd►tlonds, ��asll 9�'0�'U
MNTRA�CTOR;S NAME, R, ADDRESS --- _ .. ..
T ruery .15 ... Is , 3 r
iriissionfis{granted .........................................
,, ,.., for repair anti/or connetition of a'suie sewer to} ithe tcity,• sanit
-ary sewer
_ ;, system iil ;accordance, avith City: ofEdMonds,ordinhnces ..
TENTION IS,t A-LLED."TO-TH•F,FOLCOWINr;.
E,;No..I The`towners• or the -property :may, obtain -a ,permit to,construct sewery inside, property.-.Iine a Ailicensed Bide:SeweContractor med' ust IbeYemploy'tocconstruct '
- side'+sewer'ifn.•street- area.- Do: -not cover any^•portion; of• -sewer lb -fore it ••has&een,Inspected. '-- - 'i•.< - - - ',1
iNOTEyN6:?2° Allt work•yperfermed- In city rl(httof;way_ requires• an Invasion ;of Right of Way. Permit, obtainable, from the Clty`Engineer s office
f NOTEfiNo,i:3ti Obfain�fiill,Iriformation regarding Ordinancea•1t-16?030 and* Regulations_ 6o erning side•isewef•s wherryou-••get permftl sS� ry -
- :•iNOTE No ,v4.-Topu(jty sldedsewer•;must'hayed'at'deast. 30 )inches-coyerage, at?property,;line andt•12--iriche_ s. inside"propeRy�llne mlrilmumiigrade of �2. o`-,:Ntii?bendst inisgradeT r" -
sharper ithiin.,%, wfip'be permitted-.
NOTEt)No.:ib Ticnehespl'nt. street -must �be:water settled„and surface•,of?street restored to original ,condition Contractors shall: be '� resporis 161e for fallure�dt c`•to :I rnproper,b >-
`}-,;�woikrwhichtimity,'develop,wfthin �onet,year. 6f. completion NOTE No IJ6-INy ^'. ,. {
§ z is(,unlawfulf to44alfet.;or do any, other work ithan',is provided for in "the permit s onto do anyi,work on the main lsewertor its la.ppi rtenancest except,tto: in
sert5�thevpipe4lnfoilthe'wye -' i- -,i �f• i f- ,
DIS)iPP,ROVEDI J riif ''Date By.: Date /f' . By: Dato
y `.�.. x
%t1�PPROViED B � r� 4
Remarks
y
,... { i
.: ....
aBOTH�•P,eimit1Gopies MUST BeaSigiied By Ownei i�f Fiim"I'eifoiming`rConstruction *PRIOR'To,Request'Fo'r InspectloniT r
{ i
... hereby- certify-that;the side sewer installation constziuk d' under"thisypermit�
(Owner tof Contractfng'Ffrm-,Performing;yConsiruction)
lwasriinstalle.�,d�'in�;accordance withlialbgoverning-ordinances of .the Gity of Edrilonds } ti s `
,Date3 ,of ra
rt
APPLICATION
The City of Edmonds for
SME SEWER PERMIT
trig BASEMENT No . ..........................
bT, REE 9- P, ----------------
UW CONSTRUCTION REPAIRS E]
F:PW-e
OWNER.... ..... I ....................................................................................... - ........ - CONTRACTOR .........ALLI......................................................................................... PERMIT No. .......................
ADDRESS
------------ ........ * -------------- ----------------------------
F-1 V-
T
-7- lx- 1-wow- -
LEGAL DESCRIPTION: LOT No. ........ - -401 .7 ........................ BLOCK No . ............................................
__j
Approved- e4
DATE,-, By.. ..6 ..... ........
APPLICATION
TREETfor
' The City of Edmond FILE SIDE SEWER PERMIT
NEW CONSTRUCTION �, REPAIRS
OWNER .......1..1P.X..�.._...��`..It/._tl........./....Z.11c... 5..5�?_ r�.... ...............................
ADDRESS ....... /.2— . ._ � :....1Y_t_
........................
r
EASEMENT No...........................................
CONTRACTOR ....... 1/.%_L!__.U_i=............................... PERMIT No.
LEGAL DESCRIPTION: LOT No..........�.7........................... BLOCK No. ............................................
NAME OF ADDITION ........
/%✓1_.Ir...Z....... %1.��.................................
---•......................•---•-... ---
RECEIVED
FEB 15 1973
Z�
/f e lZA'
l '-1//^ /V r Approved:
DATE................................................ By......................--•--...------------...................---..._..