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1315 OLYMPIC AVE.PDF11111111111111 12451 1315 OLYMPIC AVE The rit of Fi4rmf%n,4c Water Service Drawing EASEMENT NO. ........... ....................... NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO . .................. W 03 OWNER ................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. I ............. 7"... JOB ADDRESS ... 13 ... ...... ......... ........... ..................... LEGAL'-bISCRIPTION: LOT NO ....................................... BLOCK NO. .................................... ......................... ....... ............ ...... NAMEOF ADDITION .............................................................................................................. —Ilk 0 414 Not PWW-0001 .11175 (REV. 11/78) Approved: DATE ..................... By CITY OF EDMONDS /3 /S Address of Construction: Property Legal DesSription (Incl P/n 4)PIle5 74/ SIDE SEWER PERMIT IT [Nq 2 UA Owner and/or Contr ctor:5TI"AJ (�),CkCI State License No. �11T Qyff14(77 Building Permit No. 4z 0� REATMEvuls NT PL4Nt SinglerFamily Invasion into City Right-of-Wa No ❑Yes ❑ Multi -Family (No. of Units ) RW Construction Per< -No ❑ Commercial Cross other Private Proper ❑ Yes ❑ Public Attach legal description and co o,f re rded easement Z I certi tha ave read Ind shall comply with all city requirements Date as indi ated on the bac of the Permit Card. C�►JTRAGT02 .�A.D rAOD1T�owrAL #30 0o t/lS/9 1 — -rmtS wtLL, STLii Be TttE E,FI=EGTVE, PE.RM.-r s RCx,r A,"D --d-- 8 789 * CALL DIAL-A-D'IG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE "USE ONLY ' * FOR INSPECTION CALL 771 O PUBLIC WORKS DEPT. OR 3 Permit Fee: ICJ' d�. �3000'"� Issued By J,'�"�y.�1 Trunk Charge: 0 Date Issued: Assessment Fee: Receipt No.: .Lid No.: — Partial Inspection: Date —Initial — Comments Reason Rejected: Date Initial Final Inspection Approved: Date(' C, Initial f ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3r90 t The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION / `"" REPAIRS ❑ EASEMENT NO . ............................................ LID NO. ..— ............. . ASMT. NO. .................. OWNER--•-•......................................................•-----....--......................... CONTRACTOR.--..............--•--...---...-•----........................----•---............... PERMIT NO. f-.-.J-.6..1.. JOB ADDRESS ----- I -- � �--.�4 V!"�_)C_ l.--."..-- LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. ........................ •---•-•---- u PWW-0001.11/75 (REV.11/78) NAME OF ADDITION I'vee� II Approved: DATE .1:13..— 7 ..................... By '�' -- EDMON'DS =MEN7' PLANT CITY OF EDMONDS .. ,890-194 . Address of Construction: Property Legal Description (Include all easements): �O % f20 .. i Owner and/or ti Cc, . (k(1_ State License No.IJ` ' 6� ,j_`Single Family ❑ Multi -Family (No. of Units ) :. + ❑ Cctmercial 4 HR/Ndhrw rRAn IFK f 4 P/n/f /v 4-w/� SIDE SEWER PERMIT PERMIT �!O8789 /V n Building Permit No.� 0_57� Invasion into City Right -of -Way No ❑ Yes RW Construction Per<-No Cross other Private Prope . ❑ Yes Attach legal description and cop of rec rded easement N I certifttha%'1'Ti-ave read Ind shall comply with all city requirements Date as indi ated on the backlof the Permit Card. * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION - OFFICE utt-'`6NLY *''FOR INSPECTION CALL 771-, PUBLIC WORKS DEPT. 2OR 35" --Z Perhtit Fee: 30- 00 Issued By G� Trunk Charge: 0-5700 Date Issued: ^�i 6 170_�17 Assessment Fee: Receipt No.: Z 2311 Lid No.: 9- �x 4; � Partial Inspection: Date Initial Comments Reason Rejected: Date -Initial - Final Inspection Approved: Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: Fite Green Copy: Inspector Bull Copy: Applicant ReWseO 3190 D2iL)elj /ty 27 rA MAY 0 1 1996 PERMIT COUNTER �`Y���rA;iS�'Y��b f f.•^ t ; Yi _ ,, rl r' :�: "i sr'r.,� �' s :S. n;:-; '- ....,..!' _: r!., �!�ia$.-N.., i:3 "k_�,' �. _ _.-. � ._.._ __..�_..._..._..,v...__��;•. •� �:, _... __.. _ _ �.�., 1 ^ ..! � . yr • ? a,... ,Yte.: I i A . .. 19, �:.-�City, of Edmonds - _ .. _..... ���� .....:��� °, � .. .. - .y�1• �.:� ;.,�"��..�x : '. •1 Critical Areas'-",:� r ecklist-•,_:;�... The Critical Areas Checklist 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 City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist 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 the checklist, make a precursory site visit, and make a determination 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 or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) 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 th of my knowledge (fill out the appropriate column below). Owner Applican (4'0)d&4J to�)S�7 Applicant Representative: .Yl 0 Name_..._.. .. ... _ _ .. .. , ..' `Name...... •.,' '�� . - .,. .-,.>. .<....t•. ._ ._ 57 Street Address Street Address _ y S , ZIP Phone r. 'City,. State; ZIP 'Phone �. ate:, S i gnature Date ti - 1 �. � •mil=e^y='t?� '•- N , -�r CA FILE NO. _ `(o` 7L-- Critical Areas Checklist Site Information (soils/to g hy/ drology/vegetatioc�) 1. Site Address/Location: 2. Property Tax Account Number: O% 3. Approximate Site Size (acres or. square feet): 4. Is this site currently developed?)yes; no. r996, If yes; how is site developed�A:."°j► 5. Describe the general site topography. (heck 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 over -a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water. [ v ; Approx. Depth: 7. Site contains areas of seasonal standing water: ;'Approx. Depth: What season(s) of the year? 8. Site is in the floodway 4,,'10 floodplain of a water course. . 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A) Flows are seasonal? (What time of year? ). 10. Site is primarily: forested urban landscaped (lawn,shrubs etc) meadow ;shrubs ;mixed ' 11. Obvious wetland is present on site: 6v V CSt. 189V February 2, 1996 CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH • EDMONDS, WA 98020 (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering Philip O. Lund c/o Bill Bickel Andrew Austin Co. 9004 191 st Pl. SW Edmonds WA 98026 Re: Request for information Dear Mr. Bickel: Sr)%46rFkl� Thank you for your letter of January 24, 1996. We have reviewed your request and after considerable researc ave come to the following determination. If you wish to demolish the existing home at :131;001►c Auenule and construct a new residence within the required setbacks for that zone, that action would be permissible under current development standards of the City of Edmonds. If you have any questions on this matter please feel free to contact me at: (206) 771-0220. Sincerely, le Kirk J. Vinish Project Planner 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan 1/24/96 To: City of Edmonds Re: Lot use From: Andrew Austin Co Phil Lund Planning: Planning Dept I am considering purchasing a small bungalow at 1313 Olympic Ave. The lot size is 50x120. I would like to tear the house down and build a new home that meets the current RS 12000 zoning set backs, which are code for that area. An issue has been mentioned that since the same owner/seller owns the house next door (1327 Olympic Ave) that it may not be possible for me to do the above. Therefore, I am herein requesting a definitive respo o my letter. Thank you. Philip 0. Lund Andrew Austin Co, Pres. --74q-g,2,qk RECEIVED J AN 2 6 1996 COMMUNo." -6r wr. ?OT P AN IL 10.0` ,0110.0� 1 VQOVIP t�u�`1 g6ost� fit..._ 'L�40l. �II �! t GKIC4f�, * Koo�w 'l' f �1tv u "m tt�o %Mr. MW bmhW Vkt- *ONlu�t f�1 1A0 twl CUPe �(2� �SIt�� Mbo�i INSIt�. z�OVb�f6� -- . Diu hgaw CRhotc „�u� (2) �tUelYc�� .. •�" -wwM Ioo �` UJ 0lJ am, �� : � WNW oRtN WIN -- K r;vt�:r ot�n� Lb INS ub � 1 � a 4� Akio tuk,6 015, . . Wu), &Ait + 131" +RUC, Ut PW 60 SICK is �. APPROVED BY PLANNING �9G STREE1' FILE 3.� 1k , 201----- - MAY 0 1 199� pERM1T COUNTER PLANNING DATA 4A."" 4 r1^ 6. Vic., 5 SITE ADDRESS: 131 Y 01W4& At. DATE: 55/20161, ZONING: �-S ` 12 PLAN CHK#: 96 - -�+ PROJECT DESCRIPTION: ta e, .,r 0-4k 4-ngA—& a nay SETBACKS: Required Setbacks: Front: O5 ' Left Side: LO' Right Side: 1 a ' Rear: 2•s' Actual Setbacks: Front: 2-5' Left Side: i o' Right Side: I o' Rear: 3 7' CORNER LOT Np (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N (Y/N) LOT COVERAGE: Maximum Allowed: 35 °70 Actual: BUILDING HEIGHT: _ Maximum Allowed: 2-5' Actual Height: Datum Point: W 04-, rovIc, 47fry-r Datum Elevation: /Oo, a ' df- re-2, SUBDIVISION: °jA CRITICAL AREAS #: 72 - w� SEPA DETERMINATION:Gxa r. Ck.."; d_X&,r- fm) LOT AREA: �oov Cb OTHER: "#- 5 c ; s "n - Gin rr,, - Yl -w V"'\'* I k&. �' ti !. l&-&— AQ. t",v F;•. �j- I. Nwj n!C;Alck B•("m A" �r S bw�l h -rkt (S.. w4jS F­6017. 40 o3c, D.3 - n�+ t he 4.W-+1No+.l c�,ntu a 5�1,�,yr parr • uct Plan Review By: �� n tk i 'a 1 - ugo,:A t"4 --s j(k f i r a c ii J ON -A City - of, dmonus Critical Are'a•s��",-:eckli 'S t, The Critical Areas Checklist contained on and submit it to the City. .Me City will.' this form is to ,be filled out by any person: -review the checklist, make a precursory site preparing a Development Permit visit, and make a determinition of the Application for the City of Edmonds prior subsequent steps necessary to complete a to his/her submittal of a development > development permit application. permit to the City. The purpose -of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject' property: Ite information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or sod surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it,. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find ".and,identify the subject parcel(s). 'In " addition, the applicant shall include i other pertinent information (e.g. site., Plant topographymap, etc-) 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 Ch&klist'and attest that the answeri*provided are.. factual, to th of my knowledge (fill out the Appropriate column below). Owner Applican .�VS77 Applicant Representative::..,.:. Name. Street Address Street Address S ZIP PhoneCity, State, ZIP . .... ;,-. -Mone "_..Date ttim ate; SIL CA FILE NO. - `(o' 7Z, Critical Areas Checklist Site Information (soils/topography/ drology/vegetatig,l s 1. Site Address/Location: �G 2. Property Tax Account Number: — 67 'QA: 3. Approximate. Site Size (acres or uare feet): e/UD d r� y�%: lt7 ��® 4. Is this site currently developed?7yes; no. If yes; how is site developed<"t J► 5. 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-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 over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vert%al rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway 4A) floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? It) Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shr ubs etc) 7 11. Obvious wetland is present on site: 6 v L] RCVo1aan4 r oe tj 4-�, r G✓c�-D c= 2,1 pERMIT COUNTER Z I PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyle Chrisman, Engineering Inspector ��ft,,V Z—A— Owner.. Address: Plan C2heck No• q6 ^ Date: P� fl., After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.NL40:00 P hLWEEKENDSIHOLIDAYS —10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Buildedowner is responsible for containing all temporary runoff and erosion control on site. (ECDC 1830.030d) ., 5. NO WORK SHALL BE DONE WMIIN IS FM OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDERIOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION (ECDC 1830) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTE14LSr TIGLTTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIORTO BACKFU LMG. (ECDC 1830) L Repair or replace aU defective aciWwg cwk gutter sad sidewalk a*Cu t tc the property. Van intersection is luvohvd, a handicap tamp maybe required. Contractor" mat with the Cuy Eagineering staffto determine the exult of mpalr prior to ismanoe of the permit. (ECDC 18.90) ;r. Driveway slope shall sot exceed 14V* willwut a waives Every attempt should be made to keep the slope below 14Y, Waives granted to % (ECDC ILSO 060D) 10. lki cwgs mast be paved Gram pro" an to City RIGHT-0i-WAY. A separate permit h ralulred. (ECDC ILSO.060c) l L INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALIM PRIOR TO AND AFTER POURING. (ECDC 1830) 12. No burning of construction refuse without a permit from the Fire Departnett. 13. Connection to City water system is required, there h a separate charge for the water melee (ECDC 7.20) A. A back water valve is required 1fdownstairs plumbing is below the elevation ofupstream manhole.. (ECDC 730) 15. Wea and sewer main lines should be separated by 10 fat mbhimum. (®CDC IL10) l6. L�IDfI to the City system is required. A swuate pepn� required. ; Fen paid: Yee v I C6aree J S (ECDC 18.10Y. 17. Unda wmd wiring is required on all new construction, and for additions, alterations. and repairs that exceed SO% of the total assessed value of the str ucture. (ECDC 18.9% 18. A FINAL ENGINEERING D WWnON IS REQUIRED PRIOR TO THE BUII.DIgG DIVMON GRANTING OCCUPANCY OF THE BUMDING OR STRUCTURE. QXDC IL") ST F3 EET FI 'I.E PROJECT REVIEW CHECKLIST PROJECT NAME: E PROJECT ADDRESS: DL., G Aoff PLAN CHECK #: RECEIPT DATE: ...... ....... .................................................... _. . . ;:::::.:..........:.......X. LA .... WATER.::.::....:...........................:::::::. :> €: €::::C O M M E ..::.::::.:.::::::::... Fl q ::>:::::::::: LD. �... SI=WEI�;:ST�IE Setbacks/Variance/Setback Adjustment Conditional Use Permit, ADB Requirements Other Zoning Requirements ,? O Underground Wiring Required (• Lot Slope 1 S%:: , : 5 SEPA Environmental Checklist/Hydraulics Permit>> Tree Cutting Plan Plat/Subdivision Requirements Legal Description Verification YQ Quit Claim/Street Dedications . r {{1� Easements - Public/Private•; Engineering Storm Drain Review Fee 51y Engineering 2.2 Inspection Fee Drainage Plan On -Site Setback - Top of Bank, Stream, Water Courses w• x,. ��.r�'�',�.::�{.,�,�}• _ Setback - Storm Drain Line Open Ditch -Existin � �. • Culvert Required .,."> u':...... >a9 Culvert Size ;-w "'. Shoulder Drainage/Shale Open Runoff :.•ten:::_.. Z:1 Catch Basin Required Driveway Slope & Vehicle Access dk8t7k" Sidewalk Required {{ _.: •;>.> Curb S Gutter Required <: 25 Curb Cut For Driveway Required ' �.3 { Street Paving Required ' 14vi. v {+: :vi;+i #.'•}��A.`:.'{•: m3,�v`�n•,::n}iSi4f. :i:::Z�.i:: Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Required "4'• Bond Required For Public Improvements :.y .:�:' .. ... .,,�yA,r:•t. FEMA Map Check/Water Table,' ": w: tk<,h.v.; �,r>ry • 52 Side Sewer Availability - "h a:x<k 3 tk Calculate Sewer Connection Fee If No LID # :::::"'Y •'"ryx"' `'f Create Street File:.: ; ....:::::;: :,.,,�xkf:::�ti' .. ......:. ...... Existing Water Main Size , ,. Water Meter Size : ;%'•:;::s:: • v Service Line Size Water Meter Charge Required Hydrant Re uired Hydrant Size Existing Fire Line Char a Re uired - Sprinkler Street Cut Miscellaneous 4 Reviewed By: . FIRE I ppWIM3 ENGINEERING PU LIC WORKS The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION O REPAIRS OWNER 2...%�J e .-----..A0-lef'7..% -0..................................... ADDRESS ..)3.),3....... ....... (e(1�2n-��................... • -0 EASEMENT No ........................................... CONTRACTOR-------------------------------------------------------------------------------------------------- PERMIT No....................... LEGAL DESCRIPTION: LOT No- ---------------------------------------------- BLOCK No............................................. NAMEOF ADDITION......................................................................................................................................... Approved: DATE................................................ By.................................-----------.......................... 4. REGARDING: 1313 01 is Avenue (address) R E C O R D O F C O N T A C T S NAME, PHONE NO., $ DATE ADDRESS of CALLER COMMENTS 5/1/74 Herbert Domenici Certified Letter No. 406411 sent 19804 Maplewood Dr. requiring hook-up within 60 days. 5/6/74 D.T.O.S. 6/5/74 Certified Letter No. 406474 sent rescinding letter. LLJ r y co • ACTION TAKEN INITIALS Letter received. TE TE Letter received. TE 117 REGARDING: 1410 Olympic Avenue �l9-vaiS� (address) R E C O R D O F C O N T A C T S NAME PHONE NO $ DATE 9 ADDRESS of CALLER COMMENTS 5/l/74 Donald Mantell Certified Letter.No. 406174 sent requiring hook-up within 60 days. 5/7/74 Dave Johanson Please dye test. Stop @ office V.A. and pick up key - 7411 196th S.W. 5/8/74 • 6/10/74 6/18/74 D.T.N.0.S. A.A. Sanitary Service came in and obtained permit #4856. Connection completed. ACTION TAKEN Letter received. Scheduled dye test 5/8/74 INITIALS TE TE TE TE TE 0 RECEIPT FOR CERTIFIED S TJO. MAIL—N _tL6rbert D enici lapjewo d STATE &.IyD ZIM �00 Drive 0 Is Edm n( I P CODE , Washington . 98020 OnT10NAL SERVICES RETURN . Sho 1FOR to whom , DITI L FEE RECEIPT IVS With delivery date delivered • SERVIcj 2.' Sho.s I to %vh0m' d a5drelse­e only • ADDR DELIVER TO With d and here delivered SPECIAL DELIVERYADDRESSEE ONLY y to addressee Only .................... ......... .. Ps Form (extra fee requ, i red) 777 . -- Apr..1971 3800 No INSURANCE NOT FOR COVERAGE PROVIDED N TERNATIONAL MAIL (See -the, side) 'po: 1 D70 1 T �l !SE '0. �F '0 A I �L— 3 0 7 RECEIPT FOR CERTIFIED MAIL_30� S STP Postage) 'E ' (Plus POstage) A.�D I r '1 0 TPEET AN POSTMARK OR DATE PS Form Apr. 1971 3800 ---------- - I ............ No INS —URA - VER NCE Co ........ AGE pRovio, NOT FOR INTERNATIONAL MAIL other (See oth. — .Po side) r Show addrt �^ f.' � + where�tleliu -.ReCelVa REGISTERED] NDi .._.•i_ e�rr�':�z.. __�< .;'tu A „1�. ,. ..lf"�::,: t �,�a .1r.���7>tt�)t..,. urges;requn�od'jor�tlieseservioea))-; �` !` y } iDeliver "ONLAY +� r , g' ' v •: ei ."i p,%addreS$2@Fy}1 ' 4z li Ott Y <tRECEIPT 1m6erpolnri.�In •:loa....la�a�i...1...:.� ! �_ }_ `,'. .. , :'1M ``�x 5 i P +' +• '� a,:`R i y' 7 Jp "° nth �.w a:.k &>', x4 �i4 CERTIFIED !ND•s I 1 , I SIGNATURErOF ADDRES EE'S AGENT P7 r ANSUREDI°'NO Y 2 �� u' ee6 KP rF:vi� d y< P • t i{s Iti ro'p -•%, �' ° '� � '2 � 1 _�, u.t ..'� i 1..:,' a;'r �t' a 3��,1n ! � iy, -!t^ _. 1'. 1F. 7 �' '; � '�a' °.• DATE DELIVERED SHOW WHER0DEL'I /EKEDnsf ted and anctude ZIP Code) r 4 a i (Otyrsquea z. 1 tiry "t RECEIPT FOR CERTIFIED MAID.--304' (_ � ; _ Rp= A G—P05TMARK , Z.ly-02150 n RDATE'` , '/ r ` MANTELL, DONALO 1410 OI._YMP 1C AVE • r-! EDMONOS, WASHI,NGTON ��% 98020 'U �� C 1 � � CD OPTIONAL SERVICES FOR ADDITIONAL FEES _ RETURN t. Shows to whom and date delivered ............ 15d With delivery to addressee only ............ 650 RECEIPT 2. Shows to whom, date and where delivered .. 350 SERVICES With delivery to addressee only ............ 854 0 DELIVER TO ADDRESSEE ONLY ...................................................... 50d ® SPECIAL DELIVERY (extra fee required) I PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side) Ar1•• 1971 NOT FOR INTERNATIONAL MAIL O GPO; 19700.397•400 ItImU wk Epp � � l �� �vn o� ��a�-r.r�t ►,.+�.� S-i- C�U•�p� � (.Ot 04 tib. T140 �� t P gzw - o� may to 1� t&Wt t _ 5f, 40 �lr✓ �bt� o j i MP;�,,i 15,`25 +�.5 : 17;o•�,5t mob, I$ c S MA I OQZ ViiAY 0 1 1996 - WATER SERVICE INSPECTIONS PERMIT COUNTER it c PR VE® AS NOTED ��o CAI 7.71-0235 PLAN.�� Lu �{ram' UU4 AkL�,f,. T'. WtD 54, 40 11 � voo 2. by444 Z. �I-) (9 �.. . ot vqu WOO ILO. 0 . uvl.. �Aq t) -40 kl +b. exca4 2571 Wl cAo VIC ,lit i, Wu +,MLL t mjT� APPROVED BY PLANNING Cip MAY 0 1 pERMIT COUNTER . 0,4,ki _ to QtD , C7o ens - T4 �ww low jD _ C iJ 30� O f to Z-o^(t)tM .0 20 4166 t NIw AW (a cus CN.NIc i T 9 71 I 2 coS. � kv- et1, qs,5 I WW, M WWI +carp. (l3is f tiq -41 N �fifi . --- 1N t12.R�6 tit ca AN IF - —T jou -wm PERMIT COUNTER LID t 1N WATER SERVICE WSPECTIOflS REQUIRED. CALL77i-0335 i tt= Zo' STREET FILE P2 VE® AS NDTF.r I USE CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION JOB 777 EADDRESIS 77, CONSTRUCTION Vj NMI 7FA NAME NAME OF BUSINESS_4 4 7 MOSAM PERMIT NUMBER 960375 SUBDIVISION N MA ING ADDRE 6 57 PUBLIC RIGHT 9F WAY PER OFFICIAL STREET MAP TESCP Approved Required 0 "I TELEPHQNE: NUMBER REOUIRED DEDICATIONJ_ . RW Permit Street Use Permit Req'd .06 Cl "I . ZIP hfl62-6 ­k2 � 6- EXISTING . 6 A) inspection Required Iq 0 PROPOSED Sidewalk Required NAME M SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 0 —DRESS YES NO REMARKS i "t ea 60 1, ZIP TELE E NUMBER C, all NAME 1_0 os ADDRESS / 11�, b�) V /�/ 5 /-GL ENGINEERING MEMO DATED REVIEWED BY CITY ZIP TELEPHONE NUMBER FIRE MEMO,DAT t:U REVIEWED BY STATE LICENSE UMBER 1(MC1± EXP19A E 7fN SEPA REVIEW T A REVIEW SIGN AREA SEP EXEMPT PROPOSED COMPLETE EXEMPT PROPOSEDCOMPLETE ADB NO. AD a No AA) ALLOWED L al Description of Progert include all e sements y 0 L EXP A) 145 VARIANCE OR CU 4PLEE PLANNING REVIEW By ],-:SHORELINE# DATE _5 SETBACKS — FEET SIDE REAR HEIGHT T V R LOT COVERAGE LOT FRONT Property Tax A,..unt 0 REMARKS Par el No. 6x RESIDENTIAL PLUMBING NEW 0 ADDITION COMMERCIAL ME",ANICAL REMODEL APT. BLDG. SIGN❑ CHECKED C BY TYPE OF CONSTRUCTION 1.90DE OCCUPANT GR UP -GRADING A 0, CYP FENCE x _FT) • 'T REPAIR WOODS M POOL SWIMUB/SPA D HOT TUB REQUIRED ECIAL INSPECTOR R 1 OCCUPAN 0 LOAD. DEMOLISH INSERT 13 YES .1 1 15 GARAGE RETAINING WALL/ CARPORT ROCKERY El RENEWAL MARKS PROGRESS INSPECTIONS PER.UBC 305 z 0 (TYPE OF USE,.,BUSI S OR ACTIVITY) EXPLAIN: . I . . P M . iE 0 in LU a NUMBER NUMBER OF DWELLING OF Z CRITICAL —, _ Q K /1, a3 STORIES UNITS NUMBER 0 DE CRIBE WORK TO BE DONE (ATTAC PLOT PLAN) ) .5 or-7 FINAL INSPECTION REQUIRED a 7. 2 2 PLAN CHECK FEE BUILDING HEAT EPURCE' GLAZING 0/0 PLUMBING Plan Check No. MECHANICAL work to be done on private property ONLY. GRADINGIFILL This Permit covers Any construction on the public domain (curbs, sidewalks, etc.) will require separate permission. �TATE SURbHARGE 5C driveways, marquees, -5c)Permit Application: 180 Days STORM DRAINAGE FEE P rmlt Limit' 1 Year - Provided Work Is Started Within 180 Days b 0 .Applicant on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ----- ----------- successors in interest, agrees to indemnify, defend and hold Edmonds, Washington its officials, Washington, 2 harmless the City of employees, and agents from any and all claims damages of Indirectly from the issuance C cc r whatever nature, arising directly 0 1 shall, not be deemed to PLAN CHECK DEPOSIT 0 of this permit. issuance of this permit modify, reduce any requirement of any city ordinance ' waive or way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 3: nor limit in any provision." I hereby acknowledge that I have read this application, that the ATTENTION TION APPROVAL APPLICATION information given . js'correct; and that I am the owner, or the duly owner. I agree to comply with city and THIS PERMIT.- application is not a permit until autho ized agent of the r laws regulating construction; and in doing the work authoriz- AUTHORIZES ONLY THE �'Signed by the Building official or his/her is state ed thereby, n64 reribn will be employed in violation of the Labor to Workmen's Compensa WORK NOTED Deputy; and fees are paid, and receipt in space provided. �6' relating Cqd e_Oj Mate gton _f: RCW INSPECTION acknowledged and , .27. ion I Sur e a SIGNA R NER AG T) WIRA6 DEPARTMENT CITY OF -OFFICIAL' NAT ATE EDMON IDS CALL FOR RE'EA It DATE ATTENTION".,:. INSPECTION IT IS UNLAWFU . L TO..-LISE OR OCCUPY A BUILDING OR STRUCTURE HASBEEN APPROVAL OR 771 0220 ORIGINAL — File YELLOW — inspector UNTIL A FINAL I.N.SPECT1,0N. GRANTED.. UBC A CERTIFICATE Qg-�-OGCU.PA.NCY HAS. : - ... .::. .;. A� Assessor PINK 0,,Nr.er GOLD — Asses 141 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OW'. R NAME/�5S AME OF BUSINESS 4 w M ING�IEA C' 4 ,`I /e / 1 C Al11 VIRCG ME 7� U� 23 tiw if ZIP]TELEPH0jIE NUMBER �,7�Z , . J PRESS z I fOn ITY,n'" ZIP TELEPHONE NUMBER EX RATIO DA AT FANS N . B�iR t Ce - ly gal Description of vwgerty - Include al easemen". ts � 4r.-r—A--.Itcy-unt &u C Parcel No. USE PERMIT (^� X ZONE NUMBER i JOBt/�jJ SUITE/APT N ADDRESS F cr-ni nccraIPTION CHECK SUBDIVISION NO, ILID NO RIGHT F WAY PER OFFICIAL STREETyMAP. TESCP Approved ❑ PUBLIC �y RW Permit Required ❑ EXISTING REQUIRED D DILATION Street Use Permit Req'd ❑ Inspection Required - ❑ PROPOSED Sidewalk Required ❑ o: w METER SIZE LINE SIZE NO. OF: FIXTURES PRV REQUIRED YES ❑ NO ❑ C7 z w SIDENTIAL L_l PLUMBING TCC ADDITIONMMERCIAL MECHANICAL REMODEL . APT. BLDG. SIGN D GRADING FENCE L� I_x—FT) REPAIR CYDS. DEMOLISH WOODSTOVE ❑ INSERT SWIM POOL HOT TUB/SPA GARAGE RETAINING WALL/ ❑ RENEWAL CARPORT ROCKERY TYP OFJJSE, BUSINESS OR ACTTIIVIIITY) EXPLAIN: o NUMBER / UMBER OF DWELLING / IN CRITICAL A REAOF NUMBER �^• STORIES f UNITS DES%RIBE WORK TO Be DONE (ATTACH?PLOT PLAN) .. ENGINEERING MEMO DATED pp j f.�s Gt 4 SIGN AREA LEXP EPA REVIEW ALLOWED PROPOSEDTE EXEMPT VARIANCE OR CUG REVIEW BY SETBACKS — FEET HEIGHT FRONT ?I;' SIDE 1 REAR S BY 41 REQUIRED ❑ YES PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING o/D PLUMBING Plan Check No. 4& — 71' �II`/ MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work is Started Within 180 Days . "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE u, successors in interest, agrees to indemnify, defend and hold City of Edmonds, Washington, its officials, w harmless the from any and all claims for damages of s employees, and agents zwhatever nature, arising directly or indirectly from the issuance of this permit shall not be deemed to FLAN CHECK DEPOSIT of this permit. Issuance ° modify, waive or reduce any requirement of any city ordinance ° nor limit in any way the Clty's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the is correct; and that I am the owner, or the duly ATTENTION information given authorized W the owner. I agree to comply with city and onstruction; and in doing the work authoriz THIS PERMIT AUTHORIZES state I s regulatin edit r no .person will be ployed in violation of the Labor WORK NOTED Co of th fate of W shin o lating to Workmen's Compensa- • tl0n nSU n W 113 % NER A ENT) DAT IGNED INSPECTION DEPARTMENT SIGN TU ( [ CITY OF EDMONDS CALL FOR A TENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE L OR BE EN A DE N A �7 J1 oA^O LL GRANTED. UBC AN CERTIFICATE INSPECTION OCCUPANCY ANCYHAS BEEN CHAPTER 3. BY ADB NO. SHORELINE N DATE 15, ,e'1 12 COVERAGE OCCUPANT LOAD APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL DATE BY: DATE 0 z Z z 5 a ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor I 00 � v a City of Edmonds. RIGHT-OF-WAY :CONSTRUCTION P Permit Number. Issue Date: _hp • // - 91, zz- A. Address or Vicinity of Construction: J*S k j.. `/ m P1 C A v 18 9 O 19 B. Type of Work (be specific): S E"T- r�i N G L) F ,. ) 4S Pb LE (-ro RE P L k C f AA) n �nl s,7—A L(. IA) 6 _r� C. Contractor: �� ��Q �� . Contact: 'R n tq n tAI- F y Mailing Address: 5? �1.14 q Phone: (r,"�(a -- -32 State License #: F y^ gT�� QD2�, Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision L) City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) 1-d ❑ Multi -Family ❑ Single Family ® Other J I; INSPECTOR: INSPECTOR: '(Zw f 'J F. Pavement or Concrete Cut : ❑ Yes to G. Size of Cut: x H. Charge - APPLICANT TO READ A s SIGN' INDEMNITY: Applicant understands and by his signature to this application, agrees to hold 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 or not limited to the defense of any legal proceedings including defense coats, 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 FINAL STREET PATCH IS COMPLETED BY CITY FOES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required+by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the.end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit -requirements and thepink copy of,ti available on site at all times for inspection purposes. permit will be NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES I` Comments: Diagram CONTRACTOR CALLED FOR INSPECTION (Fund 111 - Route copy to Street Dept.) O YES O NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: 8yp"1qC) City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. 6 _a 6 Issue Date- A. Address or Vicinity of Construction: �. L `�N� (n 1 C Au B. Type of Work (be specific): SE T' t t l C tJ c L,.� S P4 L E O P, F—I'Lp' A t?EQtZE� �RTEb ?OLE) A A\tN IrJ 5 A lI L Ai G 1.1 r P r U ESiA L C. Contractor: S N 0, cc) , `P U I> Contact: 130 a K< A K A t_ E Y Mailing Address: Z / 01 k /Iwy `19 Phone: (a 70 — .3 2— ( 4 State License #: r h nA 0 N i)S, W A q,?OZ. 4 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes EkNo G. Size of Cut: x H. Charge $ APP/LICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold 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 or 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 FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at ll tim s for ins ection purposes. _ Signature: Date: (Contractor or t) ^ CALL DIAL -A -DIG PRIOR TO DATE: ISSUED BY: _ G WORK NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 POLE NO. Nt:!/4:f5 Z ft I r K u5 DATE _ _(o L(a = `i(A W.O.. NO., 4013Z_ REASON FOR WORK R-C- P L.AGF-. DEP KE.CIq.k CZ> POLE ENGINEER KAKA L- Ey DWG. NO. I I Z Z S - Wk-T K nIEV;3 4S' POLE .. ANC 'INSTALL DRAFTER U.G. NO. _ R\SE R AN b PIED For'AN DR E\,J ' A us=r,NSD. *5__jAC AT' SCALE I = 50 DATE WORK COMPLETED APPROVED DATE PRINTED,. FOREMAN ENVIRONMENTAL ANALYSIS -: FEES REQ D ® EXEMPT ❑ NOT EXEMPT SUBSTATION .4(o -.. IV\AP L E WOo-p ® YES ❑ NO PARA: 18 ITEM C PRIMARY OVERHEAD O.H. U.G. COND. I Z KV CIRCUIT N0. IZ-34(o PHASE Z ❑ RESIDENTIAL - ADD CKT. FT. PH ❑ COMMERCIAL REM CKT. FT. PH LEO# � I SECONDARY OVERHrE BASIC F $ METER/CONV.;/POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAAL i ❑ COMMERCIAL / BASIC FEE $ /®$- -- /=$ SECONDARY UNDERGROUND BASIC FEE /®$ /=$ UNDERGROUND PLAT / BASIC FEE $ tFT. ®$_ STREET LIGHTING t FT. ® S"7 _ $ WORK 1N RJGHT OF WAY ❑ PRIMARY' ❑ SECONADARY 4 FT. ®$_ �_ $_ MISCELLANEOUS FEES VAULT $ PERMIT $ 3 O - TOTAL UE $ DATE PAID CI z 3 RECEIPT# - 8 3 NEW SVCE APPLICATION# _ ZSI4Z° _ NET CKT. FT. O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ® CITY t Dra.oN�s - EASEMENTS ❑ REOUIRED 9 NOT REQUIRED WNW gob KAKAL15y Lo70- ZLl4 2 1 0 - 8386 I]nVE (ANDREW AQST.N Co." 947-60SZ DATE RELEASED FOREIGN CONTACTS N GTNW JPN# ©G� ® CATV JPN# pF t�OAD ❑ JOINT TRENCH GTNW & CATV ❑ JOINT BORE GTNW & CATV POLE STENCILING FROM TO _ TAKE OFF POLE _ A_ � PRE—.CONSTR. REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ® FLAGGING ® ONE CALL DATE INDEX POLES PLAT DR q V3 Ay LOGS U-MAP A XFMR C-MAP ��IL LOCATION MAP PAGE 4 C-q I-{-- 4 too SlocwALK F 0 C L WAI-E SIN MAI J a- S-r-Rtp-Top AND CNAWBtS`'` CAaLE- ° �tiISTALL 3n 5ECONDARY RCSER O-VA t4EW O0- W P ED AS STAICE� ° Ru" too' or 4/0 FRO&k KFMR TO NEW SECONDARY C'EO Location: 27N3E24A Scale 1:50