1511 8TH PL S.PDFiiiiiiiiiiii
8748
1511 8TH PL S
The City of Edmonds
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APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS E]
EASEMENT NO. ............................................
LID NO- ................... ASMT. NO..-------•---•----
TE-i ---------
----------------_- --------------------------
- CONTRACTOR-. ---------------------------------
-NO: --_----------------
ISL
ADDRESS -------------
------------------------------------------ -----------
LEGAL DESCRIPTION: LOT NO.---::----:: --------------
BLOCK
----------- ------------------------------------------------------------------------------------
- ------------------------- ------------------------------------------------------ ------
DATE ................. BY/a� ----------- d(Z., ��
CITY ::OF' :EDM0N,DS: SIDE SEWER PERMIT WATER -SEWER DEPARTMENT
PERMIT 5707
Call 775-2525 for side sewer inspections BEi
FORE covering any portion of the construct on. )
(Inspection will be provided within 24 hours after requat. NO Sat., Sun., or holiday Inspectlons.
,'-ADDRESS' LOCATION OF CONSTRUCTION .............15.11.... ... 8th........ ........P1 ...... S ........................................................................... ............................................... PROPERTY LEGAL DESCRIPTION .......................1,6t 6, Heritage...................................... c .....P........ark
.................................................................. ..........
...................................................................................................................................................... ................................................... ............................... ..............
............... ...OWNER BUILDER ... WyJ3ffi.ER ................................................ . ...... ...................................... ..................................................
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CONTRACTOR'S NAME & ADDRESS ........................................................................................................................... ............................
....................
Ak
Permission Is. granted ......... F..........ebruary.........3 ........................ 193T, for repair and/or connection of'a side sewer to the city sanitary .sewer.
accordance with City of Edmonds ordinances.
-.1�N�fION IS CALLED TO THE FOLLOWING:
OiE- No; 1—The'l,owners"of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to construct
slde°sewer in street area. Do not cover any portion of sewer before It has been Inspected.
N6"' 2—All work performed in city right-of-way requires an Invasion of Right -of -Way, Permit obtainable from the City Engineer's office.
NOT , .3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE N o'; 4—T6p of side sewer must have at least 30 Inches coverage at property line and 12 Inches inside property line: minimum grade:of 4%.: No bends In grade
sharper than 1/g will be permitted. jJ
NOTE No. 5--Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to Improper
work which may develop within one year of completion.
NOTE) No. 6--It is unlawful to alter or do any other work than Is provided for In the permit, or to do any work on the main sewer or its appurtenances:'except.6_inl
sort t he pipe into the wye.
DISAPPROVEDDate........ .... ................ By ................ Date......... . ........... By................ Date....................,................ By-7: ..... .......
APPROVED* Date ..... .......... 7777 .... By ................. .......................................................
Remarks: .............................................................................. .............................................................................. ....................................................
.............................. ............................. . .................. ................... . . . ..................................... . ..........................................
......................... ..
--BOTi P Copi S U B Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
......... ........................... ... , hereby certify that the side sewer installation constructed under this permit
n o Contracting. Mrm:�-Wrforming Construction)
'winstalled in ordane with 'alordinances of the City of Edmonds.s.
—/ e
........ : .................. day
Dated.this' . of .................................................................
19.........
Ch6ck BEFORE you dig for: Water' E],
Gas el phone E],
Power E], Sewer E], Other [I V.
CA FILE NO. Gt Li —27 3
, Critical Areas Checklist
------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 59 14>1. S •
2. Property Tax Account Number: YS O C) O d O 6 0 0
/d rrV qe-.uSa
3. Approximate Site Size (acres or square feet): q�,72 —5-0 .. Y
4. Is this site currently developed? l' yes; no.
If yes; how is site developed? %►'Ps /�� `� Y' ,? /
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: / o ; Approx. Depth:
7. Site contains areas of seasonal standing water: / v ° ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway /-`/y floodplain /Up of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
-round? 1U0 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: /C%
>; SCS mapped soil types):?
31 Wetlaridinvento or C A. ma md�cates wetland present on sites
ty
p.......:. P
4: Critical'Areas Inventoi "9' C A:: nap indicates Critical'Area on site.
5.: Site within.designated earth subsiaence:landslide hazard'area? c� .
6 Site designated on th6-Environm6rita11. Sensitive Areas h✓iap? �"t o
^%_ehkd0e; Rey 10/03/97
RECEIVED
SEP 2 9 1999
City of Edmonds DEVELOPMENT SERVICES
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/Applicant:
��D 11�10— D'�Pc fi
Name
Street Address
City State Zip
Telephone
Signature
Applicant Representative:
Name
Street Address
Citv State Zip
Telephone
Signature
Date
execeptionVanakad.doc
Date
(over)
elll**� _- �Rr_
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
October 4, 1999
Robert Lubeck
1511 81h Place South
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 99-273
Dear Applicant:
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATIONTO BE NOTED.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The `DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
C: Paul Milnes
Enc: Critical Areas Determination
* Architectural Design Board
C: ReceptionWna\C R LTR.doc
Thank you.
Sharla Graham
Planning Secretary
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan
APPUCATION
The City of Edmonds for EASEMENT N( -- -------------- ------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 LID NO.
------------------
lw� � --- S;� OWNER ... - ------- ---- ------------------ ------------- CONTRACTOR --- 64F�5,7-6,e --------- OVE ------------ PERMIT NO.
7 / A
JOB ADDRESS .0 - LEGAL DESCRIPTION: LOT NO. ------- �0 --------------------------- BLOCK NO. ------------------------------------
-----------------------------------
.............................................. ---
---- r- -/- -1 -9 --------------- -------- ----------------------------------
NAME OF ADDITION ... .................... -------- G ------------ -----------------------------------------
0
Approved:
RECEWD
Fka 7 1977
PUW woft Do^
DATE-------------- - ---------------------------- By
STREET FILED
CITY OF EDM.ONDS
- P LIC WORKS DEPARTMENT -
Routing of Building Permit, Plat, or Subdivision. Applications
Proposed Property Address: 1Sll - 8th Place South
DEPARTMENT
COMMENTS
INITIAL
$
WATER
NDATE
/
11 - / _! ✓
SEWER
STREET
��
B U I L D I N G
0.R
P L A N N I N G
ADDITIONAL INFORMATION:
�I
BUILDING DEPARTMENT App(ICant. Fill
ZOZO PERMIT
NC • 'NUMBER ,
PERMIT nside Heavy Lines
U YWI I 'i I
.APPLICATION
�06 ` `'
ADDRESS.. / / �. b
I / o
�,(�_,
`t O'�
NAME (OR NAME OF BUSINESS)
Roy H. Baker
VARIANCE OR COND. USE NO.
A'DB NO.
HT
W
MAILING ADDRESS
/3.
P.O.. BOX S19
i7 7
PROPOSED Y.ARDS
LOT COVERAGE
0
CITY
TELEPHONE NUMBER
FRONT SIDE. REAR
Edmonds
778-2202
SIGN AREA
ENVIRONMENTAL REVIEW
(�
ALLOWED PROPOSED
❑COMPL.ETE ❑EXEMPT
Z
NAME
Z
'Westcoast Development-C. Oden_
REMARKS
Z
9.ADDRESS
a
1139;No. 188th,
PLANNING DEPT. APPROVAL DATE
U
M
CITY
TELEPHONE NUMBER
a
Seattle- 98133
LI 2-4374
LEGAL LOT
LOT AREA
SUBDIVISION NO.
[-IYES❑ NO
NAME _
STREET R/W
'
EXISTING STREET R/W .FT. DEFICIENCY THIS PROPERTY
0
F
ADDRESS
COMP, PLAN ST, R/W FT., FT. ,
�U
Q
•
CITY
TELEPHONE NUMBER
REMARKS
Z
O
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
Z
Z
E
STREET AND/OR UTILITY WORK
R/W PERMIT REQUIRED
W
W
Legal Description of Property (Show Below
or Attach Four Copies)
R,EQ'D; ❑ YES ❑ NO
❑ YES ❑ NO
Z
l7
UNDERGROUNDS
Z
W
/�/�
M7— 7-
WIRING REQ'D. ❑ YES El NO
F
TYPE CONNECTION YES
VERIFIED BY
a
.
SANITARY SEWER ❑ NO
.�
0
W�
SEPTIC SYSTEM
❑ YES
PERMIT NUMBER
APPVD BY CITY ENG.
El NO
REMARKS
J
�����/'-+ � v� � �
`�"•'���1• • `"/ `
""�""
METE SIZE
SERVICE SIZE CLEARANCE
CHECKED BY
REM RKS
Q
'
11[I NEW
'L�1 RESIDENTIAL
❑ GAS
LINE
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
J(�
ElNON-RESIDENTIAL
SIGN
.,❑ ADD ❑ DEMOLISH
RETAINING
SPECIAL INSPECTOR AREA
REQUIRED
OCCUPANCY
GROUP
OC
LOACUPANTD
WALL
❑ ALTER a EXCAVATE FENCE
OR FILL ❑ 1 X FT)
❑ YES ❑ NO
F
w
PLAN CHECKED By THIS SITE IS LOCATED IN THE
CITY
❑ REPAIR El PRE -MOVE SWIM
INSP. � Pool
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED31
O
-
REMARKS
Z
0
NUMBER OF. STORIES
NUMBER OF
DWELLING
UNITS
OF WORK TO B ONEjAj
m
%RE
VALUATION
FEE
PROPOSED USE
Z'
PLAN CHECK
O
NO.
L
PLOT PLAN INDICATE BUILDING SETBACKS,
'
i
ABUTTING STREETS)
BUILDING
U
N
W
0
m
0
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL -
FILESTREET,
November. 16, 1976
MEMO TO: HARRY 14HITCUTT
BUILDING OFFICIAL.
FROM: LEIF R. LARSOP!
CITY ENGINEER
SUBJECT: BUILDING PERMIT APPLICATION FOR ROY BAKER AT 1511 $ PLACE
WEST - HERITAGE PARK LOT 6
After review of the subject application, we have the following comments:
1) Coordination of location of building with utilities
is the responsibility of the contractor.
2) Connection to sanitary sewer required.
3) Lot drainage to be contained on site.or connected to
City storm system.
4) Undergrou•d.wiring required.
5) Site -plan on permit application form.is not .correct
per plat: Revise.
i
WJN :mj ,,.il.:...
Pf
Date �/ � LUX DESCRIPTI�il
BUILDING PERMIT.RFVIEI.1.- E61G.IPIEER,ING DEPARTMENT CHECi; LIST
Instruction:
Check Accuracy of I.e(ia.l Description
Check Anai'nst Assessor's Man for Lenal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials
1.. This lot included in Sohdivis
.2. Site Inspection made on:.
3. What are around crater and soi
4. Site nrainane .Checked?
5. Storm Sewer Avai 1 abi 1 i t_v: Sht. Of !two. llo. w Pro,ject
Roadside Ditch _
6: Grading y Final Contours':
7.. Septic Tank System Desirnn Approved: _ �r
Sh
8. Sanitary Sewer Availahility t. of rrq.7G ro,ject r.
Side sewer availability:
9. Sanitary Seaver Connection Fees?
10. !later itains A Fire Ilvdrants (Indicate .Size r?ain11'-
Check Fire :Dept. 's Comments T—
11. Sidewalks: Site inspection shows conditions of sidewalks as To1.1ows)
12. . Curbs: �uts/Driveways (Check driveways for safety, location,
grade and width):-
13.. llndcrmround Ilirinn:('.. Street Lights:
14. Street Right-of-wav A I,ldg. setbacks:` Sht:_ of.r)fficial Street Map.
00
15. Existing l)ti 1 i ty Faseme"nts?
16. Access Easements:_
17. Site plan checked for accuracy?
18. Special Requirements listed.in Memo,to R1dg. Pept.
19. Commercial & Apt.. Rerniirements form completed? —
20. Drawings stamped b notations made?
21. All Items filled in *on Bldg, permit Application?
22: Bonds posted for site work?
23. Right -of -gray Invasion permit required?
COMMENTS