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1428 OLYMPIC
VIEW DR
♦ Call PRoapeet 0-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for Jaspectlon. (No Jasper- 0 3075
SIDE SEWER PERMIT tions Saturday, Sunday or holldays.) _
ADDRESS ........... 1428:-Olympic--View Driye
................................................. -.................... =........................................................
Erneut E. Gremmert owner
OWNFR.. ........•.....................................•••-------........----....--•-- -... CONTRACTOR.... ....... .........
Permission is granted ..................:...August---5 19--68, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspecfed. -
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get peljllit.!:�
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
CA FILE NO. 9T_Z0
v
- ---- ----_Critical Areas Checklist
_-
--------------------------- IVEta
Site Information (soils/topography/hydrology/vegetation) OCT 1 O I. Site Address/Location: _� Lj 2 0Z'-j,07V✓jL L:' „fLr�!) j2 97
/� /J}Jl Gs i;J j� $ - 1997
RVkC
2. Property Tax Account Number: 6 31 l' 611% _6,2e,/-- e7"-w!2 CO S
3. Approximate.Site Size (acres or square feet):��
4. Is this site currently developed? yes; v'' no.
If yes; how is site developed?
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). o
Hilly: slopes present on site of more than 15 /o l s anG(AMeXI 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 A- cJ 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) i/"
11. Obvious wetland is present on site: AZO
^cam chk.doc; Rev 10/03/97
City of Edmonds
Critical Areas Checklist
417e. 1 g9v
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:
Name
� Lid � t~��� �%rye ,✓sic:.-U°�ir����/'
Street Address
City, State, ZIP Phone
�, /62 - A —
�,.� �
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP
Signature
Phone
Date
�^��V+'.��.�r�e y :gar+lg74•y��w�.�i''°` ,e' _�„^7°�`�i,..'i�Y!;� k'� a �„',�ioc *.'�`i-�„ktt,�f ��"�i%:K'^rs,,.t'S�^,Y�.-r7ki''^'`�,.,;. ��•,,.?^i-�`—�..�,. .k `.!"'� _ r.
City .of -E;iriondS.
RIGHT-OF-WAY CONSTRUCTION
PERMIT
'Permit Number.
Issue Date:
A. Address or Vicinity of Construction: 1428 Olympic View, (9801585)
B. Type of Work (be specific): Install Service
fn.c.
C.. Contractor: Puget Sound Energy Contact: Marielune Kingsbury
Mailing Address: 1422 75`St SH FvP*-P** Phone: 356-7500 • X7596
State License #: 98203 Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Comunercial ❑ Subdivision ❑ City Project'-,,® Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : ❑ Yes' k]No G. Size of Cut: x
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application 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 "INSPEC-
TION AND ACCEPTANCE OF THE. WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Two sets of construction drawings 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 Nrr(rol and.Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut trench work 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 all times for inspection purposes.
''Signature: Date:
1.0-24-92'
( ontractor Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING, WORK
NO WORK SHALL BEGIN. PRIOR TO PERMIT ISSUANCE Eng. 1997
FIELD INSPECTION- NOTES .(Fund 111 - Route copy to Street Dept.)
Comments
P U G E T Addendum To: City of Edmonds
SOUND Right of Way
Y
ENERGY Permit Application
Submitted by: Mariamne Kingsbury `
New Customer Construction
Puget Sound.,Energy..
# 356-7500 EXT. 7596
4/
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Key:
" Gas Main -W- Water t.
-G- Gas
-SS- � Sewer
-SD- Storm Drain
Puget Sound lEnergy • 1122 - 75th Street S.W. Everett. WA 982031
J
In - .Isou
1 *)
... City. ` Edtnorids
RIGHT-OF-WAY rCONSTRUCTION
PERMIT Permit Number. r
Issue Date
A. Address or Vicinity of Construction: , 142.9 o L yM P► c V i e w 12
B. Type of Work (be; specific): 2'NS=r'� L S.. c o N b A 1e y' 2 i SE 2
Amo UNDE2 gRouNti PED
C. Contractor: S w o Co p U D. Contact: 150 S K A KA L E y
Mailing Address: 21 O 1 R 1.10 q C Phone: to *70 - 3 Z 14
State License #: [ D wn a wi n- lr AL q pn 2 L Liability Insurance: Bond: $
D. Building Permit # (if applicable):
E. ' ❑ Commercial ❑ Subdivision
❑ Multi-Family�Single Family
:»Kt. INSPECTOR:
F. Pavement or Concrete Cut : ❑ Yes []No
Side Sewer -Permit # (if applicable):'
❑ City Project ❑ itiE�;y (PUD, GTE,'WNG, CABLE, WATER)
❑ Other
INSPECTOR:
G. Size of Cut:
APPLICANT TO READ A
r
H. Charge $ :
INDEMNITY: Applicant understands and by his signature to this application 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.
THl CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTII. THE FINAL STREET PATCH IS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Two sets of construction drawings of proposed work required with permit application. .
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. r
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 trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS. k
i
,
I have. read the above statements and understand the permit requirements and the pink copy of the permit will be
available on site at all times for inspection purposes.
Signature:
(Contractor
Date:
DIALfA-DIG PRIOR TO BEGINNING WORK
0
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE s En,. Diy,1997
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CONTRACTOR CALLED FOR INSPECTION •❑ YES ❑ NO
Partial Work Inspection .by P.W.:
Work Disapproved By: Date:
•FINAL APPROVAL BY: Date:
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1476 Rev &4
LOCATION 14Z8 Oio.MPIc V,F_w DR. Eo,.,.orJS�s) wA 9-80Z0 sou-rK CounrrY AREA
POLE # SE 1 /4 S 13 T Z 7 R 3 DATE 10 -/ 4- 9 7 W.O. # S 3 ?-
REASON -FOR WORK _ S ET S EC .- P E D Fp R ENGINEER I<A KA L E Y DWG. # ) 2 Z 10 6
% TIE RRv AAA RC E L DRAFTER U.G. #
(G A S' SCALE 1 s= 30
DATE WORK COMPLETED.: .:.. :;FOREMAN: :. .
AP ROVED' DATE PRINTED
FEES REQUIRED: ENVIRONMENTAL.ANALYSIS _
'MYES O NO CO EXEMPT 0 NOT EXEMPT
PARA. 18 ITEM C SUBSTATION 4 (o- - M A P L E W 0 0 D
PRIMARY OVERHEAD O.H. U.G. COND. KV CIRCUIT NO. 12 - '34 3 PHASE Z
ORESIDENTIAL 0 COMMERCIAL ADD CKT. FT. PH N
LEO # REM CKT. FT PH
$ ' = $ NET CKT. FT.
SECONDARY OVERHEAD O.H. U.G. COND. KV
BASIC FEE $ ADD CKT. FT PH
I@ $ ' = $ REM CKT. FT PH
METERXONV. POLE $ NET CKT.
PRIMARY UNDERGROUND PERMITS (DATE GRANTED)
ORESIDENTIAL 0 COMMERCIAL • TREE TRIM'
BASIC FEE $ O STATE
LfU # O COUNTY
'®$ - i= $
® CITY%Er.,V,00DS)
®$ '_ $
$
SECONDARY UNDERGROUND
BASIC FEE $ Soo
-
UNDERGROUND PLAT
BASIC FEE $
PI@. -0 $ ' = $
STREET LIGHTING
0A a $ ' = $
WORK IN RIGHT OF -WAY
OPRIMARY
OSECONDNRY
oa '@ $ ' = $
MISCELLANEOUS FEES
VAULT $
6DfA rA'>S PERMIT $ 30
$
TOTAL DUE: $ 530 -
UE PAID
FIECEIPT #
NEW SVCAPPLIC. # Z(o 3 8 4 9
EASEMENTS
❑ REQUIRED ❑ NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
❑ GTNW JPN #
•CAN JPN#
❑ JOINT TRENCH GTNW & CAN
❑ JOINT BORE GTNW & CAN
•
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONSTR. REQUIREMENTS
* TREE TRIM ❑ PUD LOCATOR
❑ BACK�OE 0 FLAGGING
® ONE CALL DATE
LOCATION MAP PAGE
TO SE. }QEModc
WI{E►J VG 'S VC
is RoUA
City of Edmonds
Plan Review Corrections
Plan Check #: 97-341
Project Name/Address: 1428 - O. V. D.
Date: October 24, 1997
Contact Person/Address: Terry Marcell P O Box 1863 Edmonds WA 98020
Reviewer: Jamal
Department: Engineering
ECEIVer)
OCT 2 7 1997
PE"'T COUNTER
In order to complete the review of your construction permit application, the following should be
submitted to the permit coordinator (please submit three copies):
1 Driveway width, slope, type of pavement, and cross section; 57Ce 4
2 Drainage plan; r x1 i/lJf�r
3 Amount of cut and backfill; 'kAgAte
4 When the house was built, what is the square footage. % �l �� 9'�(�/.�1 A
Please feel free to call with questions. Phone # 771-0220 AP, R VE® AS f, JJ U ,;j
Thanks. STREET FILE
DATE FAXED (Attach fax transmittal) PAGE OF
PLANNING DATA
NAME:
SITE ADDRESS: 72� O�1 - /`-— DATE: �v j `� 7
ZONING. PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT Pv (Yes/No) FLAG LOT �a (Yes/No)
SETBACKS: /�elAly
Required Setbacks:
Front: ��' Left Side: M Right Side: % Rear: ZS
Actual Setbacks.
Front: _� Left Side: 53 Right Side:_ Rear: 2cl
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED —_(Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: �-
BUILDING HEIGHT: i
Maximum Allowed: �5 Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?: AIW 111k �
SUBDIVISION:
CRITICAL AREAS #: q7 " 20Z
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By: :JP6
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CITY 'OF EDMONDS ;', _ ' rh r N." HUMeER '' :
CONSTRUCTION PERMI' ,AP-LICATIQN JOe PT.
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PUBLIC. RIGHT "OF WAY PEN OFFICIAL STNEET MAP : TESCP Apoi yi � D
CITY 21P'' _ TELEPHONE NUMBER : `• e ° f RW Permit gequiied O as '
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NAME T y4S V05 JIBS v y +" ; Sidewalk'Required "
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ADDRESSc ' f. a ,@" ii �k i
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d�fiea�ta ;c
O • ENgGI�NEENING.MEMO"l7ATED
U •- a .:: P 4M* 1� �� x. - REVIEWED BY
. : A a.
ag CITY �g3 : HONE NUMBER.. i �S F
y FlRE MEMO DATED s . +
STATELIGENSE:NUMBER.., f +PIRATIONGATE -
ll REVIEW D BY
r s"
J1/J (/ /y , : �: VARIANCE:OR CU+ y ADB"e SHORELINE x *�;"
f Legal Description of Property include all easements r �,.-Y`hZlrue f, �--„e
.i Q Y ., EW SIGN AREA HEIGHT.' t. � " v �i:
O O f"`� /,•, ( ', C EW EXEMPT ALLOWEf�� PROPOSED ALLOWED PROPOSED ' ' '
SEPA R
OMPLETE
i F t +� ...ram t f "1 J'1 —.
° LOT CQVERAGE * " FiEOUIRED SETBACKS (FT`) ,PROPOSED SETBACKS (FT),
0 3 r. � ALLOWED ,^ - PROPOSED !-FRONT SIDE :REAR FRONT L%R"SIDE . REAR
r - a.> r t fit, , 'f�: :'.' / / t ' , . p � S i � .53 � - .2� Z ..
`- "Property , y
tt "Tex AeCOUnt / z }� K J�v - w.4ua LOT A': c'::lP NING " IE,yW BY DAT "
t ..aParcel"N 5,/:- "%0 .;s U,��i•..,¢a?(�a�O ;f a 4%`IQ t Ov�/QL + .,IV :.Z;" "o'.l ..
y ;r-.; r N Rom. A l �,I RE KS ,:i xN,` �i�A NEW RESIDENTIAL a J LUMBIN ECH ��{a q e t V ( J :� Imo'
f 1 ' '�, r' } ,i t t'.
p lLr .
x - , � .COMPLIANCE OR e; G� /;,"-r4 w:�!;
ADDITION' �" "COMMERCIAL CHANGE,OFUSE C� t '�?�`�
4 - : 9 - >a!t :- .
_ ;. APT BLDG4. ,, 's r n.,r - t:-c,w�. •-w,.* .,.' ,�a- I . }"i , _ .
REMODEL _
SIGN
7 :a
D ORAOIN6 r.•. FENC-�-E kr CHECKED BY TYPE OF CON$ RUCTION y� COD OCGUP
REPAIR' CYDS: , .1 T. y'. _ am, " I� i GROUP_
i
1'_�.-r:.-���..��.,1.- ,.-�.—.:Q."�- �.-� _4t.�`,...--, .I-_..1i":'2� -I ZI;-�..�-_. ,'- I _`---q .'-. I -� ,
WOODSTOVEr , .;, SWIM•POOL
K DEMOLISH- INSERT HOT.TUB7SPA " SPECIAL I ,APEQTOR •AREA" h` OCCUPANT•
t D' a REQUIRED LOAD
W�!
RAOE RETAINING WALV S t(!Y ,.
;PORT ` .'ROCKERY } "s r a '(RENEWAL EMARKS t - YEt" "
O T,YPE OF USE BUSINESS 0R"ACTIVITY)"F�CPL`AIN : "r: O
1 x i f3 a PROGFESS INSPEC�TIONStPER UBC 108'` ` ' 9
t'` kqs
{ R :'r ^. w. +it t+^•r 'n'r ,c •' r .., yi v r t .t �. t 3* ? k i it
{ NUMBER" , NUMBER OF CRITICAL t�
O OF DWELLING ,r.�"'"w AREAS;.* .� ,: '
m0 :STORIES ,'" N Lam, ;UNITS r NUMBER"' __ r s
,; ' , .. -
w ,. .DESCRIBE,WORK.T,O/BE�DONE'(ATTACHPLOTPLAN] ai
CT "
FINAL INSPECTION RE�1UItED.`' '
i
r VAL UATION %:FEE;
-..1 d v PLAN "CHECK'.FEE . ' is i 1 �, *.
' , . r - -
eHEAT•SOURCE: r;OW4ZIN0;,' by BUILDING d4 g
PLUMBING , _'
Plan Check.No 4,
MECHANICAL �, , a'
f r -:., /,,. nd.. ,:r:i •, pi•" a::}- -:,rlf .f+C.s+
This Permit covers work'to bedone on private; property ONLY: t3RADINGIFILL.;. '
i ,;' -.
Any construction onI . publlc:domain;(curts, sidewPlks „ ,
driveways, mar(jUggi; tC) Wllt'.f8qulfe;separate permission STATESURCHARGE �^ i
Pem►It AppIICBUon:180'Daye ... t a J ! a
Perrnit Llmit:,l;Year PrdVIded Work 18 Started Wilhin 18G Daye STORM:DRAINA-' +,, .,�,.
Applicant;;on:behalf of his or her}sptiu3e heirs a33ignS and! ENO:,INSPECTIONFEE. � i+ ,. .. O,
y "successors 'in' interest;. agrees: ;to inda , y,,:defend" and hdld..' - `
J 'harmless the 'City of Edmonds Washington; its .;officials .
-.employees and agents from any;and all claims for damages of .'
a whate4 r n ture'Arising direetly,or Indirectly from the issuance -
i 4 .0} thI" p ri , t ssuange:6(t�il9;p@rm)t:ShalllnOt-be deemed t0.; PLANCHECK.DEPOSIT "
o modify wive r�r@duce'-any'requlre, of a y City o dlnartce
x nor Ilrnrt`In anyway the .City s"ability fo.enfo ceany ordinance TOTAL, AMOUNT "DUE:, ram" ,+
proylsio'n . : . > a ('
- - ar0.
i hereby..;acknowl8dge-that l have read .iFiis application that the • -
normatlon given;is correct and -that I arn,the;owner or'.thl3 duly ;
ATTENTIOfJ . APPLICATION APPROVAL
a Uthonzed:agent'of the owner I agree `to: comply. With: clty and ;' THIS „PERMIT. '
state laws regulating construction 'and in doing the:worK authoriz , , .: AurHoR¢Es , This application is not a„perrnit until:.
e ed:ahereby; no person will?be"employed`in;vidiaton of theLabor < , :„orvt v THE signed by'the`Btdlding"Off+lciel or,hisLher
s Codeof.the"State:of Washington,relating;to,Workmen s:Corltpensa= WOeK`NOTED Deputy".and fees are-pejd; and receipt 'is
'-tion:lnsurance;arigRCW`1:8:27 :; i acknowledged inspace proyid:' .
I.
+SIGNATURE OWN R OR AGENT)'. ' • " pATEiSIGNE INSPECTION' .
DEPARTMENT" -
OF. G E pAT
=� CITY OF
1 V`41,7, % EDMON,bS 4
t .
AT�TENT.f rN : CALL
L FOR E'A Y 1 °
INSPECTION t'
IT 18: UNCAINFUL, TO: USE'.OR OCCUPY A, BUILDING. OR T.
• TUBE,.
UNTiI A 'FtfVAI'; INSP..�GTION 'HAS 'BEEN MAb . AND, APPR0IJAL OR; 77y • �2 0 ORIGINAL - File, -YELLOW - Inspector,,..--.
A CERTIFICATE OF' `.00CUPANCY' NAS BEEN', GRANTED. ,`• UBC+ r .
Sn1aiION 109 ''��-�? . PINK -Owner, GOLi7 -Assessor