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1407 8TH AVE N.PDFIIIIIIIIIIIIII 14794 1407 8TH AVE N U], ADDRESS: 0 TAX ACCOUNT/PARCEL NUMBER: na I6� 76 3 3 o -3 3 Od BUILDING PERMIT (NEW STRUCTURE): % D �(D5 9 COVENANTS (RECORDED) CRITICAL AREAS: 3 DETERMINATION: ❑ Conditional Waiver ❑ Study Required,Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: II I SCALED PLOT PLAN DATED: 8 Ito SEWER LID FEE $: LID #: SHORT PLAT FILE: j q LOT: BLOCK: SIDE SEWER AS BUILT DATED: aIa l S 1 SIDE SEWER PERMIT(S) #: O —md GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: &daQdQtfiwj 6o -o3 / L \TEMP\DSTs\Fomis\Street File Checklist.doc City of Edmonds �.� CRITICAL AREAS CHECKLIST 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. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific .piece of property described on this form. 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 Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applic nt: a a Name 1 _ � Street Ad ress City State l Zip u U Telephone 22 Signature ,21V Date Applicant Representative: Name Street Address City State Zip Telephone Signature Date c:recepcionVana\cacl.doc (over) �� ti •• OOLE NO. C1� 3 Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1 1. Site Address/Location: tLf o � I I j 2. Property Tax Account Number: ��. " (� > 3. Approximate Site Size (acres or sq7yes; feet): 4. Is this site currently developed? no. If yes; how is site developed? S �- 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: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains 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 ; meadow ;shrubs : mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: For O�ty Staff FJse Only - I Site is Zatied?'"'; •:•. u gCaped soilEs}?✓U�'�S,li typl %r Wetlatid'tnverltoFy or e A map indicate$ w and p;esectl siteKIP �# Critical Areas> lriventoiy or C;A map ncTieates Critical Area: on site? ;:t3e vytAut cYesi$ttace Iattdslide }iazard area? 6 Byte destgnxfod on the EnyronmenfaHy Sensitive Areas Maps ': : „. bTTERIVIINt1T�(1!i :. 0ITIOki;.?�IVZ1� Revtewcd liy� t s ..:.,. .... "a-ehUK Rev IW03M DATUM POINT (FIRE HYDRANT) " I I +100 " -----------I 61'15 I j IMPERVIOUS SURFACE CALC: EXIST BLDG: 2199 SQ.FT. EXIST DECK: 735 SQ.FT. 12'-3' 32; 10, PROPOSED DECK: -444@ SQ.FT.: I A B j 3b110 LOT AREA: 10,838 SQ.FT. LOT COVERAGE: 2934 SQ.FT. (27%) PARCER #: 1327 033 033 00 I r� I I HEIGHT I I W A — B — D — CALC: I D 1 99.00 I I 0 I j 99.30 I I Y I I 97.50 97.80 TOTAL: 393.60 AVE. GRADE: 98.40 co MAXIMUM: 123.40 ui ACTUAL: 123.65 U) W Of c) W RECEWED MAY 232001 DEVELC TYEOF CTR. EDMONDS -A r E-v (ni V) ci oI Z. �(if Ln I I I wz I I io N I � I I iM o D 1016' x w 1 O W z w I J o 1 _____ SEWER EASEMENT I o j --- --- --- --- --- --- --- 64.32' PLOT PLAN SCALE: NTS • PLANNING DATA STRE, NAME: PI 0 a SITE ADDRESS:_I 4 o a - DATE:_ ZONING: P , I PLAN CHK#:--O ► - PROJECT DESCRIPTION:_ Am o'er 1nr -� `� �,,�►mac T I 1,zo fao& FILE CORNER LOT (Y� FLAG LOT (YeQ SETBACKS: Required Setbacks: ('5T) Front: Q1v' Left Side: 10 Right Side: 10 --Rear: Actual Setbacks: Front: y 22, Left Side: i 2.-, Right Side: ► o' Rear:--'L5 ' Street map checked for additional setback require(Yes V�f o LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (y& LOT COVERAGE: 6-39/0 Maximum Allowed: a:� Actual:_ D—O©%� 4 X1-aT comae 2, i 9Q -1- BUILDING HEIGHT - Maximum Allo Actual Height:_ Datum Point: Datum Elevation: A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #:O-A-00 •- 3Co SEPA DETERMINATION: LOT AREA:I QPPha_ �( OTHER: Plan Review By: c Afiles\perm it\"plandat.doc RECEIVED FED 29 2000 DEVELOPMENT SERVICES CM CITY OF EDMONDS EXISTING HOUSE 4 r; i fm Property Owner: Pilar Madayag Property Address: 1407 8th Avenue North CITY OF EDM'ONDS WORK BUILDING DEPARTMENT • ADDRESS OWNER APPROVED DATE: BLDG. OFFICIAL 4 PERMIT NUMBER � ,v E� R c8 � 9 2000 F G SER`nCES CTR. D��''c V o f �MONDS W n CITY OF EDMO CONSTkUCTION PERMIT APPLICATION U RMIT Z�fg,2 OB ADDRESS 7"� O !', n' /��/E /YD NAME 10 NAME OF BUSINESS) cc O • '� �/'�. LEGAL DESCRIPTION CHECK SUBDIVISION NO.. y� --X X I/� S_-Y C/ V LID N0. MAILING ADD ESS �, � C_ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY CITY TELEPHONE NUMBER v EXISTING _40-- REOUIRED DEDICATION _ PROPOSED 4d.-, O z w t: v < NAME L mw�w RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REOUIRED ;'. Z ADD DRESS SEE ENGINEERING MEMO DATED _,QEVIEW BY 0 w CITY TELEPHONE NUMBER REMARKS 2 NAcc M �� Z O O ADDRESS I t .� METE E �� --• BUILDING SYPPLY SIZE FIXTURE / UNITS w ~ CITY TE�L%EPHONE NUMBER / REMARKS STATE ICENSE NUMBER II VT I v 0 Lz-1, SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADB NO. Z O Legal Description of Fyrbperty include all easements (show below or attach four copies) SHORELINE M '�' j�j` S ~a N VARIANCE OR CU PLANNING REVIEW BY DATE w 0 a � YARDS FRONT SIDE REAR HEIGHT LOT COVERAGE Z z a REMARKS -� a NEW RESIDENTIAL PLUMBING 1 ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL El SIGN s ir o coUNITS O EXCAVATE FENCE D DEMOLISH OR FILL El ( x FT) ET PRE -MOVE I S .1 SWIM REMODEL POOL CHECKEDBYTYPE IAl 'o 1 OF CONSTRUCTION CODE _W_ 1 `7 f:5 (/`•7 HEIGHT �� SPECIAL INSPECTOR REOUIRED I YES 1 1 NO AREA OCCUPAN�C GROUP y T OCCUPANT LOAD WOOD STOVE/ f-II INSERT APT. BLDG EJ RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 z s,7/E�;�7/f i_ .TifSi/�_ lE�'_ /�✓'( �Z�,Eh�� f/ �C NUMBER OF STORIES NUMBER OF DWELLING NATURE OF WORKTO 'BE DONE (ATrAACH PLOT PLAN) s 1 VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, GRADING/FILL STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year- Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and N J Q 4 successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance 0 • MEMO TO: Building Division FROM: Engineering Division SUBJECT: ZOZ () '54 e / After review of the subject building permit application, we have the following comments: 1) 2) 3) 4) 5) Connection to City. water system required. Connection to City sanitary sewer system required. Right-of-way permit required for any work on City property. Driveway slope not to exceed 14%. Back water valve required if downstairs plumbing is below. elevation of upstream manhole. Water and sewer lines to be separated by 10 foot minimum. Builder/owner responsible for rontainina all temporary runoff and erosion on site and may not impact neighboring properties in any way. E Construction hours from 7:00 a.m..'to 10:00 p.m. on weekdays and 10:00 a.�im. to 6:00 p.m. on weekends and holidays. No burning of construction refuse -wi thn-u-t- -ap= rh-t.ai by F-ire Dept. r:4 • • Reid, Middleton & Associates, Inc. Engineers • Surveyors • Planners August 10, 1988 File No. 21-88-015-001 ON -SITE. -STORM WATER DETENTION CALCULATIONS FOR V ' . PROPOSED SINGLE FAMILY RESIDENCE ON 91g LOT A, CASE-PROPST SHORT SUBDIVISION � VV IN GOV'T. LOT 4 (SW ) OF SEC. 13., T27N., R3E., W.M. A EDMONDS, WASHINGTON Existing Site Conditions Grassed vacant single family residential lot Area = 9.243 sq.ft. = 0.21 acres,-" Existing c = 0.20'� Tc = 180/(1)60 + 10 min = 13 min i = 1.65 in/hr la 10 yr. design storm (Everett Curve) Q existing = Q allowable = 0.2 (1.65) 0.21 = 0.07 c.f.s . Sizing the Detention System Existing soils conditions on -site prevent the use of an on -site recharge system, ground water table at 15" depth below surface. Therefore an on -site detention system will be utilized. Future site conditions Building Area = 2152 sq.ft. Driveway & walks = 825 sq.ft. Total Impervious Area = 2977 sq.ft. use 3000 sq.ft. for calculations Using table 2 of the City of Edmonds Drainage System Standards Handout 3000 sq.ft. of impervious area requires 75 cu.ft. of detentio Using the 18" pipe from the table Install 42 l.f. @ 0.50% Outlet orifice from table 2 = 3/4" ✓ `� :1D SEE ATTACHED PLAN AND DETAILS FOR SPECIFIC INSTALLATION W �Mx\ 19031 - 33rd Avenue West, Suite 301 • Lynnwood, Woshington 98036 • (206) 775-3434 Hofto Drainage Calculations for Lot A Case-Propst Short Subdivision File No. 21-88-015-001 August 10, 1988 Page 2 Downstream Flow Capacity Analysis of Discharge Pipe System to Soaker Bed Using Mannings Equation Q = 1.486/n(AR2/3)(S ) Using n = 0.013 AR2/3 4" pipe = 0.017 AR2/3 6" pipe = 0.049 Pipe Run Size Slope Q 1 4" 3% 0.34 c.f.s. 2 4" 7.16% 0.52 c.f.s. 3 6" 1.0 0.56 c.f.s. 4 4" 10.97% 0.64 c.f.s. 5 6" 8.7% 1.65 c.f.s. Q allowable discharge from Lot A = 0'.07 c.f.s. : Capacity of system check ok. ARM:ALLAN3:HOFTODR L , l PIiA7DCT REVIEW CIIIJCZCI.IST /J/ 0 iZ M= NAME: - 'S /C /7UFT � �lO� PROJDCT ADDRESS : !`7 � � I � � ' dAI;7 +PPLICATION RDCEIPT DATE: % ZO 817 Reviewed by: (initial date) COMMENTS PLANNING WI'R/SWR I STREET I MCNMG FIRE BUILDING INGL.E FAMILY/MULTIPLE/OaMMERCI'AL - (Circle One) i'1'B14C7<,4 CIMCKED - Planning // VARIANCE/SF.7MCK ADJ. / ///// //////// NVDITIC)t�'AL USE, PERMIT 2 / /// ///- M REQUIREMENTS CHECKED ////// ///////// //////// ////////// 3 / / //// HER ZGNING REQUIRFI4FITS ////// ///////// //////// ////////// 4 VIRONMFMAL FEATURES ////// ///////// //////// 5 CESS SLOPF. & VEHICLE ACCESS ///////// ///////// //////// 6 777777777 / 77T7777T 'AINAGE PIAN (On Site) ////// ///////// ///////// //////// 7 'REF.T FII..E 11711111 ('AL DFSCRIPTICXJ VFI2IFICATI(xV ////// ///////// ///////// //////// 1 9 ////77 IT CIAIM/DFDICATICXdS ////// ///////// ///////// //////// 10 SEMENT - 11UBI.IC/PRIVATE „ ;�,ti 5' ///////// ///////// //////// 11 ICUTATE SU'WfIft CONNECTION IF NO LID# 111177 ////// -177777TIT- ///////// ///////// //////// 12 77-777-77 AT/SUBDMSICXI RDQUIRE?•4TlI'S '� ////// ///////// //////// 13 CM -OF -WAY CONSTRUCTION PERMIT READ 777777/77 ///////// ///////// 14 / 77// // / / // / / // ND READ PC)R P(IBI.IC IMPROVO4 NPS - ///// ///////// ///////// //////// 15 ZLS CX)r1DITIms & GROUND 'PER FIEID CHECKED ///////// ///////// //////// 16 111171 -1T1Ti7TF1 R2FEET PAVING REQUIRED ////// ///////// ///////// 17 //' / /// /Fff 777771-771 RB AND 6YPVER REQUTIM ////// ///////// ///////// ////////// lQ 771T/ - TTITW7 DEWALK REQUIRED ////// ///////// ///////// 19 RA C'Vl' FOR DRIVEWAY RE7(1D - ////// ///////// ///////// ////////// 20 11111111T7TTT%7 7%17TITT REEr NAME SIGN REED ///////// ///////// ////////// 21 fiER SICIJING READ ////// ///////// ///////// ////////// 22 DE SEWER AVAII.AFIII.ITY / //////141 //////// 23 /r/ ISTING WATER MAIN SIZE ////// ///////// ,•101,//////// ////////// 24 // T7777 'I'ER METER SIZE //////// ////////// 25 RVICE LINE SIZE ////// ///////// //////// ////////// 26 )RANT R1M_ IRED ///////// /////////1//////// ////////// 27 /C%/ )RANT SIZE EXISTING ////// ///////// //////// 28 %/T/7/777 )SS CANN6 MON INSPECTION REOD ////// ///////// ... //////// 29 // �'�' / / /111111/ PER METER CHARGE REQD ////// ///////// //////// ////////// 30 777777777 / / 7c'T 77771 / LINE CHARGE READ - SPRINKLER ///////// NO 31 _ REST C[TP ////// ///////// f ////////// 32 EN DITCH EXISTING ////// ///////// 111117111 ///////// 33 I STREPT FILE, 141 J —7, L c- g /1 tom= jtl i Lc� A 00�--D 40-lat�, 4 1888 :".-VIT C 0 U IT S1.0 13,Z i i 179, I(v � D CITY of EDM0 S SIIl S.EINE`R P,E:RMIT i, fv),Inspection Cal l 771-3202 PERMIaT rN0 07.E f M a r 5198a x ._... r i i 4 1 1 SEP )' Address of ­Construction: put 11 �PUBL�C Property Legal Description (Include all easements)-.Lp7� 5,�—�� r" Owner and/or Builder: `{�'�F"-� i�'U^— �I ►�,�). Contractor & License No: fkh rn Y, fF Z 5 LT / EDMONDS Single Family Residence V TREAi'M ENT PLANT Multi -Family -(No. of Units ) Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No ✓ Yes (If Yes, Right -of -Way Construction Permit required.. Call One -Call -Center (1-800-424-5555) before 'any excavation.) Cross other Private Property: No ✓ Yes (If Yes, easement required, �attach legal description and county easement number.) PLEASE.READ THE ITEMS LISTED ON THE BACK I cE4,fify t a I have read and shall comply Da with the item listed on the back. .::I - co _o a) Ln •r a Permit Fee: 30 do Trunk Charge: Z5-, C)o Assessment Fee: Partial Inspection: Comments Final Inspection Approved - Date Rejected: ason Issued By: 2 6 Date Issued: Receipt No.:. `73/_3 Initial Date Initial Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - -Inspector Buff Copy - Applicant r. The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION [Jf REPAIRS ❑ LID NO ................... ASMT. NO. ..... ........... .. �D OWNER--------•-••--•----•--------------------•----------•--•---••---•--....................... CONTRACTOR .AAZ.F T%...--...� �Y--E Z�j�- .PERMIT NO. OZA_0_1. JOB ADDRESS __� `'�_lb__l__, ___%_�-__-.A_��=-__.___N_�_ ________________ LEGAL DESCRIPTION: LOT NO. _________ ------------------------ BLOCK NO. � t\TTK it NAME OF ADDITION 0 Irtt f�')c- N�,x0 r PWW-0001-11/75 (REV.11/78) 3' "►P-0 I- r/ -------------------------------------------------------- Y E�iv�Ci�JS KATMENT PLANT I o1 Z ,I r� 1p 1^ 01 i �I 43 Li 4 I ,< < _ J V.O.c �A 4 toee�2 . Approved: DATE . = �I.-? .................. B G5K� -- ------ -----------G`-~-- b1 MEETTILE CITY OF EDMONDS ASSET INFORMATION SHEET 1 NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION / O � / DE V. NO. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER ��'�"S D PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. -e>0D SESTIMATED LIFE o�S INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT • ACCOUNTING ONLY Rl DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTR REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. INITI DEPARTMENT FILE G a O W A E� U 04 O w CITY OF EDMONDS ET'FIL8 Permit No. o 3 COMMUNITY SERVICES DEPA) Issue Date ` d - g8 RIGHT-OF-WAY CONSTRUCTION PERMIT A' A. • Owner: A2�7-0 ]` 6A 6S B. • Contractor: SWQ C.GU WA-{ Name n Nameal4�� µt-.►i cicl Mailing AddressjA�W.OS !y \01, c:)K 60 MailingL�Vw VA City State Zip City State Zip .4PA 7J_ �. State License Number Telephone Number • Address or Vicinity of Construction: 0 7 S T /4 VG N L bM 0 N Q S Type of Work to be Work in Connection With Pavement Cut: ❑ Y 'k N APPLICANT TO READ AND SIGN 'E �v'G a ❑ Sub or Plat ❑ Commercial 10, tv- .,.Single Family ❑ City Projects ❑ Multifamily ❑ Utility 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. Signature: ��) l/.I'e 1p(OC Date: O ' 30'� Owner or Contractor This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: .r)I . O9 �L( �z-� PERMIT FEE: D Time Authorized: Void after —30 days. Security Deposit: Special Conditions: Amendments: Receipt No.: Fund 111 Fee: Street Cut Dimensions: X — NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 (\ T;t FIELD INSPECT PON NOTES (Fund 111 - Route copy to Street Dept.) Comments: �-' Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ■ Eng. llrv. July 1985 1476 REV. 7/84 PUBLIC UTILITY DISTRICT No.1 of SnohomisI h County - S O Ly - Area LOCATION I-4 O -7 5T"' A j E DATE R - Z `1 �00 W. O. NO. _3 2- POLE NO. S�11 1/4 S �?+ T �� R +�� REVISION DWG. NO. O-7-7-7 REASON FOR WORK �SE `, 00 � AP, T R I SE P-l SORE it ? b ENGINEER 40 L-D ✓_ ( bin L'F U. G. FILE NO. I` O 4kO;=T O eS DRAFTER SCALE " = 1 O 0 ' APPROVALS DATE WORK COMPLETED BY FOREMAN ENVIRONMENTAL ANALYSIS SUBSTATION M.4?LC-W 00h FEES REQUIRED YES NO ❑ EXEMPT ❑ NOT EXEMPT PARA. f �-- CIRCUIT NO. ITEM PRIMARY OVERHEAD: O.H. U.G. COND. KV l ` LEO N ADD CKT. FT. PH. I I = I ® $ / FT. = $ REMV. CKT. FT. PH. NET CKT. FT. XXO N O.H. U.G. COND. KV FT_ = $ ADD CKT. FT. PH. R M SECONDARY OVERHEAD: E V. CKT. FT. PH. NET CKT. FT. $ /FT. _ $ PERMITS METER POLE $ DATE TYPE GRANTED PRIMARY UNDERGROUND: (RESIDENTIAL) p TREE TRIMMING BASIC FEE $ ❑ STATE XXU M FT. _ $ ❑ COUNTY CITY I-bIAGtl LEU p SECONDARY U DEN AROUND: BASIC FEE $ 4-0 EASEMENTS I - I = I®$ IFT. _ $ UNDERGROUND PLAT: ❑ REOUIRED ❑ NOT REQUIRED BASIC FEE $ t FT. ® $ 14_ FT. _ $ STREET LIGHTING: DATE RELEASED FT. ®. $ /t FT. _ $ FOREIGN CONTACTS ❑ G T N W JPN NO. PRIMARY UNDERGROUND: (COMMERCIAL) ❑ C A T V JPN NO. BASIC FEE $ 'K JOINT TRENCH GTE 8 CAN , OH/UG SUBDIVISIONS (5 YR. REFUNDING) POLE STENCILING ESTIMATED COST $ FROM TO NUMBER OF LOTS TAKE OFF POLE MISCELLANEOUS FEES: IDENTIFY SC C0.&l Dp 9-Y T Gi= Lu py PRE-CONST. REQUIREMENTS $to-72- ❑ TREE TRIMMING ❑ PUD LOCATOR ONE CALL BACKHOE $_ ❑ OTHER $ LOGS POSTED G.E. I C.E. 2- tl ` TRANSF CARDS U-MAPS TOTAL DUE: $LLD DATE PAID: POLE DEPT. CIRCUITS NEW SVC. APPLICATION i 7 LOCATION �5 2 D - �p MAP PAGE DATE PRINTED DISPATCHER POSTED /� DWG. NO. 0 77 7 9 R N--7 11 8x 0 0 T (mot r.i G4 VJ 14 T 0F..C: L % ` T !7 rit�H W ' 4 RU)\I 1-7S' 3s0 kG,tik AL- 7-e- ® 7c�"P� Sv c- p N1 -e S 15 e,c., 14 I / IN -711 13X .-�,•-r�`.;.y`.y,�vF,�„�,..�:, '^,�,...•,�r�o'�`}ii��'u''M1WNrp.�1t,�+1;,M.S�n,py�•}'�+Yrrl `�-�� 4v. �rvn r''! � _. �'r� )=r ,11r '�„r��.,, 7 'CITY OF EDMONDS Permit No. C_OMMUNITY SERVICES DEPARTMENT STREET FILE Issue Date RIGHT-OF-WAY CONSTRUCTION PERMIT STREET' A. • Owner: Washington Natural Gas Co Name N. 805 156 AV -NE 1 ailing Address Bellevue, WA 98007 City State Zip • Address or Vicinity of G ss ruction t Type of Work to be Done: )-�' Inst.a B. • Contractor: Same f Name Mailing Address City State Zip 447-0700 State License Number Telephone Number Work.in Connection With: ❑ Sub or Plat - - ❑ Single Family ❑ City Projects p`Comn ercial" >'­ . _._.❑' Multifamily" -[mility<,,•.. QPavement Cut: ❑ Y ❑ N � 1� U a APPLICANT TO READ AND SIGN w Q 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 Wof any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. a THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 0 U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed W by City forces, at which time a debit orbcredit- will'be processed for issuance to the applicant. O� • 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. i Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. 1 i • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; 1 no exceptions. 1 ' "-•--=I-:under-stand'.the=above.add,that,this�.permit=must=be-available at -'the i6bi'site•-f&-Tinspeetion urposes-; 1 Signature: Date: 12 / 8 / 8 8 Owner or Contractor 1 This Permit Must Be Posted at the Job Site For Inspection Purposes 1 Call DIAL -DIG Prior To Beginning Work a z 0 W F■ U O w ISSUED. BY: Jc� Time Authorized: Voi` after d days. Special Conditions: Amendments: PERMIT FEE: - 0`2"'60 Security Deposit: 'r { Receipt. No.: Fund III Fee: Street Cut Dimensions: X NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 1 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.1 Comments: Diagram: �,a. u. +s .: .._ ... r.�: ._ .. s�". s :r s.. 7s ss �.... r r:r •Yi• .. .. � i - ._ - � _ .. .. :..y . CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY:. Date: Eng. Div. Jul, x 05 r- OL ` �6 f � G-li• fob � 11-IZ •(o (� � 3 1 It-5-7Z 3 5-70-7A n 2 22.7A C3. 5-31-5.3 7j r-rg-s5 ,�I 7-31-6G EV, wv 27.88 X,� 9In r= Ai rRSW .1r N �i988N P�4 °` ....--- ...... ST SW M /988 FOOTAGE BY TYPE - 3T2's oRacvavcwAr ' TRANS.---- stw. 162.066 SUPPLY--•-stw: W Z O W U C4 O w CITY OF EDMORS . STREET. FILE COMMUNITYITY SERVICES ESERVICES DEPARTMENT STREET CONSTRUCTION PERMIT A. • Owner: i tO t" t ) II I %' r `S J lvtail T I'/iAA /I / () City State Zip -/ ;7 C. • Address or Vicinity of Con$truction: f i �. Type of Work to be Dories f R ; + B. • Contractor: Permit No. I L,LT �-�G� Issue Date ! ca Na e T,o((, a0411 Sb Mailir}g Address ,W) City, State Zip State License Number . t,.y D. • Work in Connection With: , ! ❑iib or Plat Ingle Family ❑ Commercial ❑ Multifamily E. • Pavement Cut: ❑ Y LTV F. • Size of Cut: X APPLICANT TO READ AND SIGN Telephone Number \ A.% Ll�t.+ ❑ City Projects ❑ Utility 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 df 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. 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 the applicant., i • A 24 hour notice is requiredJor inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. w • 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 per must be available at the job site for inspection purposes at all times. Signature: Date': Owner or Co tractor This Permit Must be Posted at the Job Site For Inspection Purposes �Ca11jDIAL-A-DIG Prioild Beginning Work APPROVED BY: Time Authorized: Void after days. Special Conditions: VP-A-5-f. ASrh i 1+ �wm 310, 'i'* .l. , aG-- . PERMIT FEE: Restoration Fee: Receipt No.: 0J_4 9 Fund III Fee: — Street Cut Dimensions: X = $ RELEASED BY: Date INSPECTED BY Date NO WORK TO BEGIN; PRIOR TO PERMIT ISSUANCE r_ng. uiv. marcn my FIELD Comments: Diagram: NOTES (Fund I I I - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 ACROACHMENT PERMIT RECORDING # TOTAL FEE A50= RECEIPT Property Owner Name. Property Owner Mailing Address Business Name (if applicable) Address of Encroachment T Tax Acct Parcel # /- 2M3-3Q�:Q�YaBuilding Permit Number (if applicable) Describe Type of Encroachment and Frequency of Encroachment (i.e. Marquee for life of building, Flower cart during summer months, etc.)Q CRITERIA OF APPROVAL — As outlined per approved building permit or as follows if not associated with a building permit. Criteria is per City Codes and Regulations and failure to comply will result in a Civil Violation, Chapter 20.110. ➢ Must provide safe pedestrian travel, maintaining a minimum or 48 inches in "clear zone"*. ➢ Exterior light fixtures, banners and flags must be a minimum of 8 feet above City right of way: ➢ Must maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of door, measured toward the street. ➢ No projection into alley or City right of way less than 20 feet in width, except when projection exceeds 15 feet above pavement surface. ➢ Cannot block illumination from City light fixtures or hang objects from poles. ➢ Architectural projections must be approved by ADB and conform to UBC standards with approved building permit. ➢ Must maintain 3 feet of clearance around hydrants, standpipes, manholes, water meters, blowoffs, cleanouts & valves. ➢ Bistro Dining tables and chairs must. be in accordance with City Ordinance #3293. ➢ Merchandise racks, carts (espresso, flower), benches must not be located within "clear zone". ➢ Ramps require a separate building permit and must conform to UBC standards. *Clear Zone refers to an area 8 feet in height and 48 inches in width providing a level, safe walking surface (i.e. measuring 48 inches from edge of street tree grates or newspaper stands towards place of business and from the ground up to a height -of 8 feet). NOTES: Signatui IT IS THE RESPONSIBILITY OF THE PROPERTY OWNER TO INFORM ALL PRESENT AND FUTURE TENANTS OF THESE REQUIREMENTS 0 When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 SPACE ABOVE THIS LINE FOR RECORDER'S USE Assessor's Parcel No. I ��0.3 - �i23- I% Project No. & Name: Right of Permit No. ENCROACHMENT AGREEMENT This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the CITY OF EDMONDS ("City") and ("Owner-'), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The Property. Owner is the owner of that certain real property located at, within the City of Edmonds, Washington, Assessor's Parcel Number , and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference_ 2. The Easement. City currently owns an existing easement over, under, and across Owner's property for which easement is described in Exhibit "B" attached hereto and incorporated by reference. 3. The Encroachment. City hereby covenants and agrees and grants its permission to Owner to allow _ to remain in a portion of the easement. A plat. showing . the location of the encroachment is attached as Exhibit "C" attached hereto and incorporated by reference. This Agreement is subject to the following terms and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and harmless from any and all claims, demands, losses, damages or expenses resulting from the construction, maintenance, use, repair or removal of the structure installed hereunder, including' -1- any loss, damage or expense arising out of (1) loss or damages to property. and (2) injury to or death of persons.. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it. from the City Engineer, or the City Engineer may cause such work to be done and the reasonable. cost thereof shall constitute a lien upon the property. d. Whatever rights and obligations were acquired by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by city's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. 5. Notices. Any notice which is required or may be given pursuant to this Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means. and addressed as follows: If to the Citv: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not. be a waiver of any other default concerning the same or any other provision of the Agreement. 7. Successors and Assigns. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. -2- Owner agrees to incorporate this agreement by reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Capacily, Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signature(s) thereby bind such party. WITNESS WHEREOF, the parties hereto have executed this Agreement on this day of 20 pO. QS CITY OF EDMONDS By: " James C. Walker, PE City Engineer STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, to me known to be the person who executed the within and foregoing document and tha S e— signed the same as of free and voluntary act and deed for the uses and purposes therein mentioned..PROS i gX 5 �'Olwy'N ,�! Not V u�lic 0 Typed:.or-P.rinted,Name My Commission expires: OF1 .... CAwinaowAn:nMEncroacnngme.aa -3- D RECEIV 'y PERMIT EXPIRES m: / CITY OF EDMONDS USE PERMIT r ZONE NUMBER.' ��./�•� JOB SUITE/APTW _I CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ Pt _ j',7 ' t �F-"' K•^ w MAILING ADDRESS Y 1 •; y _ i t, j fL•.�.•��p4y v ��Cr� ~� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PP Approved ❑ RW Permit Required ❑ O t—•j•'\;;.%� °^' EXISTING PROPOSED Street Use Permit Req'd ❑ Inspection Required ❑ Sktewalk Required ❑ CITY ZIP TELEPHONE l s .� rl G{ 6 v f f��q V '• / i REQUIRED DEDICATION FT underground Wiring required ❑ NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ F- L) cc w F ADDRESS REMARKS Z x OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE cc a w CITY ZIP TELEPHONE NAME ENGINEERING REVIEWED/DATE ADDRESS F o `- FIRE REVIEWED BY DATE w CITY ZIP � :)%'�: �.�� G; �� ��i TELEPHONE .� • �'� • �'1� ' "� 1. �i Z U.L, VARIANCE E OR CU •. SHORELINE OR ADBN °� INSPECTION RE°' BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE C�HE K Y ` f!✓Iti� or`T. yj �� j ❑YES NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWEDPROPOSED _ HEIGHT ALLOWED PP�R•PaPOSED. '1 i a PROPERTY TAX ACCOUNT PARCEL NO. M,�' ( J J A NEW p,-rI RESIDENTIAL PLUMBING / MECH ❑ LOT COVERAGE ALLOWED PROPOSED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR , ❑ ADDITION ❑� COMMERCIAL ❑ "" ��� I / , u 1 t.� �l �� ` C `r�I ( CHANGE OF USE APARTMENT a J PARKING 'D LOT AREA ' PLANNING REVIEWED BY DATE. r ❑ REMODEL, ❑ ❑ SIGN RE PROVIDED4yG' I��16.h..C.: ^� �I�j%,' GRADING FENCE ❑ REPAIR ❑ CYDS ❑ ( X FT) �• �� V'i'�._ 'l-,S..,- .-. 1 REMA KS ❑ DEMOLISH ❑ TANK y,J I OTNEy� / y-•Y:L. �.��•� • e�a )1r•I 1It�t.1�".4_.- i C•� z GARAGE ❑ RETAINING WALL RENEWAL_ 0 .CARPORT.I!- Y O- Q. .. '.. .. .... (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: ! 7 .0 �• 1 I...! }��`_v�1...-- / , ! .. .—. CHECKED BY TYPE OF C IV9•TRU TION CO • OCCUP �!•�� GROUP 1 NUMBER OF NUMBER OF DWELLING 'CRITICAL 1�1„!`�,%y % 04:,... AREAS ,�} c % w Q .✓ SPECIAL INSPECTOR AREA OCCUPANT O STORIES �- UNITS NUMBER REQUIRED YES LOAD DESCRIBE WORK TO BE DONE ) ., ti� Z REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o F. V t ' ',���".�`�\ , :�1 � ....i ^'���' f•.� �� r� `L.:T1l i {.��f �.,/ m � �� � /�.. ,..� /. VALUATION FEE C.tJ 1 lf�t,(p 1 Yj�� I(j� ��4-••t „-"V ? .f 7 A � S 1 P PLAN CHECK FEE ~M GLAZINGr! % HEAT SO RCE �j LOT LOPE % BUILDING '/ 7 z ly a i! PLAN:Cp1s�HE k NO: VESTED DATE PLUMBING r MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE ; SEPARATE PERMISSION. pp STATE SURCHARGE l x w PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION U) "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT TO WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT !O'Y t-Jy - t ��,`d •• DEEMED MODIFY, 1 t Il E O NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." x RECEIPT, I (,- r:" TOTAL AMOUNT DUE r! f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ! receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. /;. OFF CIALS SIGNATURE DATE SIGNATURE (OWNER ORrGENT)' GATE SIGNED (425) 1 .4\ ,�l } 17 " 771-0220 RELEASED BY &At E 'I ATTENTION EXT 333 l IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL .!//..r i' Ill��ilY. �r' .• d'I 'r'i /J 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR 5/9B Ri I 20 LF 6" PERF. Gk 0% IN / 4' WIDE 2- DEEP WASHED ROCK DISPERSAL TR CH (SEE TYPICAL, DETAIL) / �h I % INSTALL YARD DRAIN NO. 4 TOP: MATCH EXISTING GRADE TOPI 44.It / I.E/ 41.1 i Ir ' EXIST. DECK / I INSTALL Y DRAIN NO, 3TOP: H�D MAT EXISTING GRADE / TOP: 444t I.E. 6" 4?.55 s(4Pp 3&2T STeAP ' s N sw� GaT6 MODEL �-- "I'YP'f✓ IL GATGM I3A'�iIJ CA; OIL jZS-5TKIG'r0fZ �ML9-I*Z OfZEQLIAL JJo &RON TOP ©Yi �`� JA51l� 5AN© `g t4G' DETAILS /YGE 7frCl�Ot,✓'�f G f i L�A T.t. Al.gob G�Jg'Jam L/. al T pTRENCH T � LtM t y � . n y s 0 M s l� { I ma id Z i L 04 Q)' 0 ol .0 C O -© 0 E 'o w cn 0© tU C-4 +-+ E etr 41 V*) N Q C a) W LL •l cc �- 0 . .. UJ C3 w cc i` SCALE " AS -SHOWN ARM sN�erracs, DR. WMB f CH. JOO " �s. DATA AUG. 1 {,1988 FILE ,,Nor 9 STREET FILE D(Q�W,Cai lajo Pgg