1401 10TH PL N.PDF1401 10TH PL N
APPLICATION
The City of Edmon for
STREET FILE SIDE SEV;M PERMIT
OUTSIDE Ei INSIDE E] REPAIRS 0
OWNER ------------------- - ----- CONTRACTOR .......
is STREET
HOUSE No.
.................................. I ................ t ----------- - --------------- ............ -- AVENUE LOT No.
Date
BACKFILL WORK ORDER ISSUED --- ............................... DEPOSIT, $
SEWER WORK ORDER ISSUED -------------•---------------- -------
NAME ADD.
- ----------- I -------------------------
EASEMENT No. ............. ....... . .............
PERMIT No. .-I ... 7
---------------------------------- --
------------------------------- ........ ------------------ — ------ BLOCK No . ..................
-----------------
. . . . . . . . . . . . . . . . . . . . ..............r7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� Q-)'T lk ? L. -N.
APPROVED
R 0 1964
Approved:
----------------------- -------
DATE
................... ............
PARCEL "A"
That portion of the S6F,� SE:'- Section 13, T27N
R3 E W, M, Described as follows;
Beginning at the intersection of the center-
line of second Ave. and Lake Ave. as shot-m on
the original plat of North Edmonds according
to the plat thereof recorded in Vol. 2 of
plats page 75 of plats records of Snohomish
Covnty., Washington thence N 51`. 26, W., 100.00 ft.
38, 341 E 1251 thence 51. 261 E 1001; thence
true point of beginning.
PLANNING DATA
NAME:
SITE ADDRESS: %qD �o �l / / DATE: f
ZONING: PLANCHK#: %,e^/6
PROJECT DESCRIPTION:
CORNER LOT Al`) (Yes/No) FLAG LOT /tb (Yes/No)
SETBACKS:
Required Setbacks:
Front. Z Left Side: /b Right Side: /y Rear: Z 5
Actual Setbacks:
Front:3-7 Left Side: S Right Side: ) 5 Rear: 25
Street map checked for additional setback required? — (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: "3 Actual:
BUILDING HEIGHT: i / i
Maximum Allowed: Z Actual Height: ZN 3
Datum Point: Datum Elevation: i OD
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: Ye- -7 d4"'°� -,C Y `,, ec-�-
�ie-
SEPA DETERMINATION:
LOT AREA. 5,0e 04,
OTHER:
Plan Review By: 1 A ii-Z =04;_r0r,1w-r7
c:vau\peffnitkAp1&,a2Laa
*^ CA FILE NO. _1
Critical Areas Checklist
--------------------------------------------------------------
A-5, ite I00ination (soils/topography/hydrology/vegetation)
1. Site A(i'dress/Location: / 0 1 l 64— FBI L' aAd.5 bO& ft�y '
2. Property. Tax Account Number:
3. Appt ximate Site Size (acres or squa feet):
,
4. Is this site currently developed? yes; no.
If yes; how is site developed? Re5idQ,r
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 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: Approx. Depth:
7. Site contains areas of seasonal standing water: lky% ; Approx. Depth: _
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
6
Site contain a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested eadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
for City StagfUse-
1. Sate .is:€24nes1?.,:.. ;
2 SAS mappedaotl typ�(s)? c✓a
3 Wetland inventory or A map >nd7cates wetland preset t ors stte
4 Cnttcal Areastnuentory yr A fxtap,ind>cates Critical Area on site? Q3:
Stte within destgnated earth subsidetace landslide hazard area?
Site designated on the Ennrournezitally Sensitive Areas MY.
errs 2� s.,t�
bETIRMINAT-1.0r.f.
"a_chk.doc; Ray 10/03/97
9g- 7
-11
City of Edmonds
RECEIVED
JAN 0/7 1998
PERMIT COUNTER
Critical Areas Checklist
44CIc 189'i
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 the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
,80bb'e', 41A{ aki I_aVbeSC�J
Name g C1,,b V 1 t.S HaV)pe�
N,
Street Address
LJ-MrM 6 q rSD 17
City, State, ZIP Phone
Signature
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Date Signature
Date
" ..= STREET ADDRESSRFILESON
L CITY OF EDMONDS MAYOR
PUBLIC WORKS DEPARTMENT • 7110 — 210TH ST. S.W. • EDMONDS, WA 98026
(425) 771-0235 • FAX (425) 744.6057 • E-MAIL: klein@ci.edmonds.wa.us
jll 1 $9� WEB SITE: www.ci.edmonds.wa.us
August 18, 2000
Bobbie Harbeson
1401 — 10'' Place North
Edmonds, WA 98020-2629
Re: Account 9133450
Dear Ms. Harbeson:
On August 8, 2000, the City of Edmonds Water Division responded to a call regarding a
possible water leak in front of your residence. Due to the location of the water which
surfaced on the street side of the water meter, we assumed it was the city's service line
prior to your water meter. On August 9, 2000, we dug up and located the leak which was
actually on your private water service. Rather than having you or your plumber re -excavate
to repair this line we opted to repair this line while it was exposed.
For unknown reasons, the builder of your home installed some of your water service
underneath IOth Place (see attached).
Please be aware that future leaks on this portion of your water service will need to be
repaired by you or your plumber. In that event, it is suggested that this reverse loop be
replaced to a more conforming location west of the water meter. Please call if you have any
questions.
Sincerely,
Scott Highland
Water Lead
SH/lk
Enclosure
W ordata\ W ater\4233 45 0
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan
0
The City of Edmonds
Water Service Drawing
EASEMENT NO . .....................
NEW CONSTRUCTION ❑ REPAIRS LID NO . .................. .ASMT. NO...................
OWNER................................................................................................ CONTRACTOR.................................................................................... PERMIT NO. ....................
JOB ADDRESS ....... I..4Q..1......... Io.7..`.......P.�.:....►J..:.......... LEGAL DESCRIPTION: LOT,.NO.......... ............................ BLOCK NO.....................................
................1.........................................................................................................................................
PWW-0001.11175 (REV.11178)
W
AN
ADDITION ..:......................... ..
........................................................................................
R ` 4e %WAV ea
MGTE R
� I
REPAIR
ID
TW PL NCE. N.
A"Nold:
'-)ATE-8l-91?. � �............ By............................................................
W
CQ
O
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CITY OF EDMONDS Permit No.
COMMUNITY SERVICES DEPARTMENT STREET FILE Issue Date
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. • Owner: Washington Natural Gas Co B. • Contractor: Same
8 8rpe 156 AV NE Name
o
Mailing Address
Bellevue, �qp. 98007
City State Zip
Mailing Address
City State Zip
447-0700
State License Number Telephone Number
• Address or Vicinity of Construction; . 114101 1425 & 1439 10 PL NT
Type of Work to be Done:—, Installation of r_,3na c,as services /1c�
Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects
❑ Commercial ❑ Multifamily Y(,;� Utility
Pavement Cut: ❑ Y ❑ N
APPLICANT TO READ AND SIGN
INDEMNITY: 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, forseen or unforseen, 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, court 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.-- _ _—_--,-- < -- _
Funds held from the Security Deposit (estimated restoration fee) 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 the applicant.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
/ kL-
7;
Signature. �tqDate: 12 / 5 / R s?
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: C /% 1. r
Time Authorized: Void after %C� days.
Special Conditions:
Amendments:
PERMIT FEE: -�C G G lac L (r . (l�.c.c r!/
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions:
X —
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
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City ofEdmonds,
Critical Areas
Ike. t 89�
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
RECEIVED
P-
AN OX 1998
PERMIT COUNTER
Checklist
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 provid����
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
hbh,e, �6ivfmav, igaybesci,)
Named �l�G►/I ZS Kc�cswt
Applicant Representative: JAN 2 0 1998
PERMIT COUNTER
Name
j 1& l loft
Street Address 41 t6/?`,q oa Street Address
AJMt,0(6 W-q- 0--600
City, State, ZIP Phone City, State, ZIP Phone
Signature
Date Signature
Date
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
si Site Infoetnation (soils/topography/hydrology/vegetation)
1. Site Address/Location: 1401 l 6-A— P) /V . FJ maAd s bj& g2a-V '
2. Property Tax Account Number:
3. Approximate Site Size (acres or squa feet):
4. Is this site currently developed? yes; no.
If yes; how is site developed? --/,5 i—Resi&rcl
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 IS% (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: Approx. Depth:
7. Site contains areas of seasonal standing water: ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
a
Site contain a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested eadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
------- ---------- -------------------- - - -- -- For City Staff Use Only- ------- --- ------- ------ ----- - - --
1. Site is Zoned? 2, SC S mapped soil type(s)? %� /coo a c U, 14., e t�pGt u -` i S�
,s
3 tWeiland inventory or C.A, map indicates wetland.present on site?
4 C.ritical.Areas inventory or C.A.'map indicates Critical Area on site?, L1ilrr,
S; Sitev✓ithin. designated earth subsidence landslide hazard area?.
6: `.. Site:designai
C.
�11 ' 4
^ca chk.doc; Rev 10/03/97
City of Edmonds
Critical Areas Determination
Applicant: Bobbie & Charles Harbeson Determination #: CA-98-7
Project Name: � —1 Permit Number:
Site Location: 1401 loth PI N. —1 Property Tax Acct #: 1327-034-103-0009
Project
Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to
contain and/or is adjacent to a Class 2A Stream(with salmonoids) pursuant to Chapter
20.15B of the Edmonds Community Development Code (ECDC).
Based on these findings, prior to submission of any development permit, you will be
required to submit the following for review by the Planning Department:
Submit a survey prepared by a Licensed Land Surveyor delineating the top of the stream
bank, required 25-foot buffer, and 15-foot setback to any proposed development. This
stream flows into Puget Sound, therefore, the applicant must contact the Department of
Fish & Wildlife, have them review the site and submit a letter determining the impacts of
development on this site and, if necessary, recommend mitigation measures to ensure
protection of the habitat/stream. If culverting or redirecting the stream is proposed for
development of the site, please have Department of Fish & Wildlife address this matter as
well.
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas or its buffers, a conditional
waiver may be issued on a prgjzet�by project basis.
Name
Signature
M
Date
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
Ubt
ZONE C- j r PERMIT
NUMBER
JOB ,
ADDRESS Ho
� / /0 vi tf, 1-�• // SUITE/APT #
u /(LID
OWN �'NfAAME/NAME OjF' tBUSINESS
L hI f l •F'�G�Y j fG' IL% Lt rb P367\L
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
NO.
MAILING ADDRESS
� /" P �J J
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP,
EXISTING REQUIRED DEDICATION
PROPOSED
TESCP Approved ❑
RW Permit Required ❑
Street Use Permit Req'd ❑
Inspection Required ❑
Sidewalk Required ❑ cc
CITY ZIP
"'�
O m M6 110l14 1-1,� 09 i.
TELEPHONE NUMBER
j
`� l,S j -74'-f
NAME 1
(q{ti
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED a
3
YES NO ❑
ADDRESS
5+ 1 S• 0,
REMARKS Z
cc
w
CITY ZIP
TELEPHONE NUMBER
Z
.
NAME
77
ADDRESP- J .._n �+
%" ! - � . / • ,n `
Ain--
fZIIIPP �tL�
ENGINEERING MEMO DATED REVIEWED BY
CITY ZIP
r7P7H314E NUMBER
FIRE MEMO DATED REVIEWED BY
cc
STATELICENSENUMBER f EXPIRATION DATE
C
Ti�,rJyJY
/�%S'r% U' c - / U '
VARIANCE OR CU
-
ADB #
SHORELINE It
Legal Description of Property - include all easements
SEPA'REVIEW
COMPLETE I EXEMPT
SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED jPROP0SED
` __... ^ '
11 ill
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
7
PROPOSED SETBACKS
FRONT L/R SIDE REAR 0
? r S-G Z
DAT ag
- i Fi
Property _ t`
Tax Account
Parcel Na[. i
LOT AREA
'>
PLANNING REVIEW BY
1 -
NEW RESIDENTIAL PLUMBINiGMECH
❑ COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
REMODEL APT. BLDG. SIGN
1:1 REPAIR GRADING CYDS ❑ FENCE x—�
DEMOLISH 1-1 WOODSTOVE SWIM POOL
INSERT ' HOT TUB/SPA
GARAGE RETAINING WALU
CARPORT ROCKERY RENEWAL
REMARKS
`y
CHECKED BY
TYPE OF CONSTRUCTION
CO
UPNf-
GROUP
SPECIAL INSPECTOR
REQUIRED
❑ YES&22
AREA -
��I ��
l
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108 0
(TYPE OF USE, BusINESS OR ACTIVITY) EXPLAIN:
p�
J
L r ,& , LE
NUMBER
OF n
STORIES �-
NUMBER OF
DWELLING
UNITS
CRITICAL5,�/`r(O�j
AREAS 'jj''"7�1�
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
#L�.DI ffvv y 111///
VALUATION
FEE
PLAN CHECK FEE
(�Vw•�t �IGYY.
�j
HEAT SOURCE: GLAZING
/
f e�^� Lr OIO
lJ /'j 5
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Appl6tion:180 Days
Permit Limit: 1 Year - Provided Work b Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors; in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, gnd agents from any and all claims for damages of
E whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor limit in any way the City's ability. to enforce any ordinance
provision."
4 �
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. 1 agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance aria RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNER OR DATE SIGNED
DEPARTMENT
AGENT)
/
��},-4�-�i.C. ._,,,��i�j��,,��iy�-`'� I � (,� 4� �
CITY OF
EDMONDSAw
OFFICIAL'S SIGNATURE DATE `
ATTENTION'
CALL FOR
NS ION
ELEASED W DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
_ O��O
�
ORIGINAL - File YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
s
r {20
PINK -Owner GOLD -Assessor
10247