Loading...
1523 10TH PL N.PDF1111111111557 1523 10TH PL N APPLICATION STREET FILE for The City of Edmonds SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS rl OWNER .. ......................... ..................... ADDRESS..... ......................................................... EJ,,Y &U,,6 dd / �J (,-" / EASEMENT No. .............................. Z- CONTRACTOR .................................................................................................. PERMIT No(4!&��.7.) SEC -.LOTITWP.BLKI R6E.' LEVY.. CODE SPECIAL. LEGAL DESCRIPTION: L(lj", - �31 1. - 'U 1 ................. T NAME OF ADDITION ...... K-7&,-aRAV C L .. . ................. -'e-3 070 TPP3 T' WITH LlJ' i.,01N B-71 G,,JlVT J.'r. 89"4?"0 -PLT Approved: MAR 19 1968 DATE ------------ i Miter Service Drawing The City of Edmonds EASEMENTNO . ............................................ NEW CONS -(RUCTION N REPAIRS ❑ LID NO . .................. . ASMT. NO................... OWNERSati4.,A'r*1..................................................................... CONTRACTOR ..................................................... PERMIT NO. .1..............._ y JOB ADDRESS ...i.SZ3...... o-r t�L, I�10 ..:...:...................... LEGAL DESCRIPTION: LOT;.NO.............:......................... BLOCK NO. .................................... PWW-0001.11/75 (REV.11/78) NAME OF ADDITION ..:._.................................................................. ....................................... -U b` pAHf A41 OF ACC81PACY. The infMMfot; shvAm an t''.s atach-ad niap was comolad for use by the City d Edmonds, its empbym a= d car -sultanas. The City of Edmonds does not vaira.2t the a=- asy of EnAing set fora, on the reap. bray person of onfsty requesting a copy should conduct an independent inquiry regarding to ijf gmaticn short on the r,pap, indudng, bug nrA !malted to, the location of a? SM shv.m SO% s8wer stubs may or may not exist arW may cr ran Rd G�dsj &t OW lz�lon shcown. iddit the City of Edmr•.ds to fo eiripk ea of dim shall be Gable for the information given on &k maR = la dry Ogg wwaldo t prmw based gm swd, 60 PSI pc L,W/ TrAcce . Approvea:-7 A 3%9 8 DATE..... .7.1.Lf................•• BY---5-*-.....:.-----.......................... a � -ram- :'-!T" ,e. :ai;',�"f- T,`rx-. t ..�.. _..__..-F. - .. , . v;.. ,•,. -, -� _ .-. u,. .. . :.. ... ....... s..... 'CITY OF EDMONDS 9 CIVIC CEN2ER'-WATER-SEWER DEPARTMENT Call Pliospect s-1107 when work ` is ready for inspection. (No inspec- A ^ _ /'dJ lions Satuiday, Sunday or holidays) N o ?lei $lDE SEWER. PERMIT27 AIDDRESS -------------- 152.3:--- l0.th. Place North OWNER ------------------••-----•--••-------•---•---- ..--..----- Marguerit6,, V. -Kirk - •------•---•-------------•---------•------------- CONTRACTOR ---------Western Sewer -- --------- - ---- Permission is granted ------------ March 19 19 6.8 for ........................ days to REPAIR or CONNECT a side sewer 1 lvitli City Sewers in accordance With application on fie 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 \ lie. employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. N' 1No. be full information regarding Ordinance 11-16.030 and Regulations governing side sewers when you get permit. NO.: o. �3Top of side sewer must have at least 30 inches coverage at property line, and 12 inches inside property line; minimum grade of 2 q,. ` ' = No bends in grade sharper than .% will be permitted. 4. NOTE' No. 4=Trenches, in .street must be water settled and surface of street restored to original condition. Contractors shall be responsible for i failure du6�to improper work which may develop within one year of completion. �NOTE No. 5--=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 appur- -tenances except! to insert the pipe into the wye. a 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. 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 par+cel(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 kr-owledge (fill out the appropriate column below�- Owner / Applicant: Name Street Address City, State, ZIP Phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date CA FILL NO. ' Id Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 15 Y3 i Oar% PiAc1�; Klc w_t-3 , 2. Property Tax Account Number: 132,7 03 Lf 0$.3 00 0 5 3. Approximate Site Size (acres or square feet): � &(, i•2e" 4. Is this site currently developed? V yes; no. Ifyes; how is site developed. _rS 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. RECEIV�0 N 0 V - 1 PERMIT COUNTER 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):_ 1k-i,,PTFrs .- 1 .1. nv„\ 6. Site contains areas of year-round standing water: Nil ;Approx. Depth: 1V �'-�- 7. Site contains areas of seasonal standing water: J�(' ; Approx. Depth: Kl i/4- What season(s) of the year?- 8. Site is in the floodway NQ floodplain 1,4,' 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? N 1,1 )_ 10. Site is primarily: forested ht L; ; meadow �i ; shrubs t : ; mixed f ; urban landscaped (lawn,shrubs etc) V/ _ 11. Obvious wetland is present on site: f f, Rcv 01104/94 PLANNING DATA NAME:-,a�L SITE ADDRESS: Z� Al DATE: 02 ZONING: �5 IZ PLAN CHK#: PROJECT DESCRIPTION:�(�% CORNER LOT (Yes/No) FLAG LOT (Yes/No) SETBACKS: Required Setbacks: Front: /O Left Side:/_Right Side:Rear: �G Actual Setbacks: Front: Left Side:Right Side: Rear: Street map checked for additional setback required? ^ / (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /V (Y/N) LOT COVERAGE: Maximum Allowed: �ll Actual: BUILDING HEIGHT: / Maximum Allowed: Actual Height: Datum Point:Ot Datum Elevation: �/►�Pv� A.D.U. CREATED?: ND SUBDIVISION: CRITICAL AREAS #: SEPA DETERMINATION: ti /1" LOT AREA: is, '76% OTHER: Wj CA 1=1LL NO. ' t d ` I-- ,' Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 1� �3 l O�'^ pt�c= 1� ►�� L 2. Property Tax Account Number: /32% 03 (4 db 3 oo D 3 3. Approximate Site Size (acres or square feet): �1 & i ^ r 4. Is this site currently developed? V yes; no_ If yes; how is site developed? r'I � , 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. RECEivzo PERMITCOUNTER R 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): t jr- - k. -,T -Frs A /111 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: K, /�- What season(s) of the year? N 40-. 8. Site is in the floodway NO floodplain Kb' 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? P ,:! (What time of year? N 1 ). 10. Site is primarily: forested N /; meadow L;; ; shrubs (' ; mixed I ; urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: L % For City Staff Use Only Site is'Zoned? _ l / l/ 2 ., : - SCS mapped soil type(s)? C- :::Wetland inventory or C.A. map indicates wetland present on site?. , ritical Areas inventory or C.A. map indicates Critical Area on site? ;rSite'within designated earth subsidence landslide hazard area? Site` designated on the Environmentally Sensitive Areas Map? A .DETERMINATION. ':�� STUDY REQUIRED CONDITIONAL WAIVER MAR 2 A . 93 WAIVER Revtev✓ed by-.'',� Planner ate RcVo1roeroa °r90_199_ 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 Area 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 itto 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: 1 Name Street Address City, State, ZIP Phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Signature Phone Date STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET . OWNER CALL BY: ADDRESS ! GTW R_ ' LtvlftPHONE: DATE: ���I • g *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH LOCKING LID FINISHED G ATYPICAL) am MINIMUM CCLL qq EE U bI KET FILt: TIGHTLI E MEASUREDEfROMCTOP OF "��`-` CONC BOX OR RISER sX TO v. SLOPE MAR 2. 4 1998 F _�O OUTLET OUTLET CONTROL MIN. UPPER CATCH BASIN--O--R�I..IFICE .ACCEPTABLE TIGHTLINE MATERIAL CONTROL CATCH BASIN N-12 ADS Sch 40 PVC •, SDR 35 (ASTM D3034) SYSTEM CROSS SECTION 2'X2'X6' DEEP, 4-6' SPALLS OR EQUAL FROM CONTROL CD 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK EXISTING GRADE r— i FROM CONTROL OUTLET WASHED ROCK OUTFLOW TRENCH MIN 10' LONG. PP PIPE TO BN LEVEL � I ERF PIPE W/ END CAPS TRENCH SHALL BE LINED WITH MIRAFI RIPRAP OUTLET PRIOR TO PLACEMENT OF WASHED DRAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1.Ca11 Engineering Division.l:(771-02) forr.a tightline and detention system inspecEiori r'"�before.ba¢kfi�llin �dfor�final ' "ections: _-- =--- --rob --- ----- � ---- - '--- -- -- ------------ . _ APPROVED BY 2,, Responsibility for operation and maintenan6e of diainage-systems on -private property is the ,{_''�/QB respons�Villty of the property owner M�afen�a�l accumulated n4the�storage�p�lpesmust,be.-flushed 7 l out5'and remov""'ed wom_ the�cateh b'as o allow o er'o operation. The outlet patrol orifice firins --prop --pro -- _ - - DATE must be ke t open at all times. ` 6 Cleanov r A-,e--nOUT 9,6.Se r va• Rio n GAIZAGc G rr 1 �1 Pert, pi Xe01 rock. �j 12, . C� SU�►�tP W � T A,,c�°r° /ve,, n - c0 K :� S 404e) -Fo'r Sw� D '7�-LP Y> 34�_�JQ_ le G/S/� �i� l-0 . �/t/)a�c.�a L� SC' G-� f� 7 s s', 2 /A = 0 0-54 Y ,?,o e 3 23 Z //O X o. 2s6 = 13 6 ;7�Q17c /i / ✓ 1,4 L = / 3 614 = 34 %{ ice/ �}} i✓J.�, pc r ��cCi d�o� J vl- 4 S 4 .3 .5- 23 ao&x,,,� O.zs�w,,n /4 ✓e //7Cii/ivr,� = 0� 25� fy v �i`�, • r,\ C J EXPIRES 1112819'7 O OL O Ti^1 ,PES/OErlI.F / /SZ 3 /O A/" �3�,oG- f�E,o.�i% 980394 ,PE rJ/�SE.D DETE,c/T/GY✓cS�.SrEM 7/Z/9S City of Edmonds Infiltration Feasibility Map Scale: 1"=4000' LEGEND MEANING Sites »here infiltration moy be feasible. if conditions are met.., Sites .here infiltration will not be permitted.` CITY LIMITS Sl 4- L - N EXHIBIT 3 — PAGE 42 PROJECT REVIEW CHECKLIST PROJECT NAME:__ k PROJECT ADDRESS: PLAN CHECK #:- RECEIPT DATE: lk,4 IQ 9-1 D BY-( nitiaI/D rEVIEW PLAN. WATER COMMENTS FIRE BLDG. SEWER.. STREETENG- Setbacks/Variance/Setback Adjustment t Conditional Use Permit . . . . . . . . . . . . . . . . ADB Requirements . IN. J Other Zoning Re uirementsa. •-------------------- :-4 Underground Wiring Required Lot Slope 1596 M. ......... 6... SEPA Environmental Checklist/Hydraulics Permit .. .. 7 Tree Cutting Plan . . . . . . . . . . . . . Plat/Subdivision Requirements Al /A Legal Description Verification ... 1.0 Quit Claim/Street Dedications . . . . . ..... AIIA Easements -Public/Private . . . . . . . . . . Engineering Storm Drain Review Fee .... ... "IX SEEM . . . . . . . . . . .... Engineering 2.2 Inspection Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drainage Plan (On -Site) . . . . . . . . . . . . . . . . . . . . ..... . Irk— ................ Setback - Top of Bank, Stream, Water Courses ............... . . . . . ...... . . . . . . . 6 Setback - Storm Drain Line . . . . . . . . . . . . . . . . . . . . . . . . . . ............... . . . . . . . . . . . . . . . . . . . . . . . . . Open Ditch - Existing -1 8 Culvert Required Ag Culvert Size Shoulder Drainage/Shale Open Runoff AV) 21 Catch Basin Required . . . . . . . . . . . . . . . . . . . . . . ...................... ............... . . . . . . . . Driveway Slope & Vehicle Access Sidewalk Required Curb & Gutter Required ...... ----- . . . . . . . . . . . . . Curb Cut For Driveway Required R 1A :::26 Street Paving Required -iK* X % Alo Right -Of -Way Construction Permit Required .......... 28:.. Street Name Sign Required ...= . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . A/o Other Signing Required FIA 30 Bond Required For Public Improvements ----------- - WE 11 WE � "I 31. 01, A11,4 31:z: FEMA Map Check Water Table Sidd SeWer Av4ilability 33. Calculate Sewer Connection Fee If No LID # **t=" k1lo: hKwwl . . . Create Street File V/ Existing Water Main Size . . . . . . . . . . . . . . . . . . . . . . ---------- WW,37'.. Water Meter Size Service Line Size .............. ..... . . . . . . . . . Water Meter Charge Required• ry:46: Hydrant Required Hydrant Size Existing 11q-ti.• 4 1 1 1 Fire Line Charge Required - Sprinkler Street Cut ..... ........ ... 43-1 Miscellaneous Reviewed By: FIRE PLANNING q C# ENGINEERIN6--- MAR Z � 1998 PUBLIC WORKS DEp7 RECORD OF CONTACTS 1 21 2 22 3 23 4 24 , 5 25 6 26 7 27 28 RW PERMIT # DATE ISSUED RECEIPT ------ 9 29 10 30 11 31 12 32 13 PAID RECEIPT # DATE 33 SS PERMIT �'i DATE ISSUED 'W3c7 %F 14 PAID $ RECEIPT # DATE 34 15 35 16 36 17 37 METER SIZE PAID $ DATE RECEIPT 18 38 19 39 20 40 41 STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OVYNER i'�'ly - -ffE2U CALC BY: M&1vi6C' tp�p_ ADDRESS ( Z 1 - � a= PHONE: L� _CC�S WA- -Ier,042 DATE: - ��-�I�J •I g t *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH LOCKING LID y� ,`-`-�D►IGG. FINISHED=#MINIMUMIMAR J(TYPICALU) ��� MEASURE�DEfROMCiDP OF CONC BOX OR RISER D OUTLET CIT� T /y ®�� OUTLET CONTROL 1�L/ `et.i' MIN. UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN ACCEPTABLE TIGHTLINE MATERIAL >' :..: N-12 ADS r �, Sch 40 PVC SYSTEM CROSS SECTION N SDR 35 (ASTM D3034) 2'X2'X6' DEEP, 4-6' SPALLS OR EQUAL FROM CONTROL CH 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK ISTING GRADE r FROM CONTROL O5�47 OCK i OW TRENCH,, MIN 10' LONG. PERF PIPE TO BE LEVEL � PIPE W/ END CAPS CH SHALL BE LINED VITH MIRAFI RIPRAP OUTLET PR10R TO PLACEMENT OF WASHED DRAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES. �1.—Call Engineering.Divisioa 777 20)y fo , a tightline and detention system insp ton before'bacUilling and for final inspections. --- -- APPROVED .BY _ 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the `tfie`stdilge y f i��( property owner. Matenal accumulated a pipe'must be flushed out and=removed-from--the-catchbasins.to_allow=proper-operation.--The DATE outlet control orifice tmust be ke t oven at all times. CITY COPY \ss p Z� >d. \ 8 : LEGAL DESCRIPTION PARCEL A: ALL THAT PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER AND 3$ THAT PORTION OF GOVERNMENT LOT 3, SECTION 13, TOWNSHIP 27 NORTH, RANGE 3 EAST, W.M., DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE CENTER LINE OF NEWPORT AVENUE WITH THE CENTER LINE OF SECOND STREET VIn7 30� AS SHOWN ON THE ORIGINAL PLAT OF NORTH EDMONDS, o WASHINGTON, AS SAID PLAT APPEARS OF RECORD IN VOLUME 2 OF PLATS, PAGE 75, RECORDS OF SNOHOMISH COUNTY, WASHINGTON; THENCE SOUTH 38'34' WEST ALONG THE CENTER LINE OF SECOND STREET A DISTANCE OF 45.83 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 51'02' WEST A DISTANCE OF 440.05 FEET, MORE OR LESS, TO AN INTERSECTION WITH A LINE WHICH IS 40 FEET NORTH OF AND PV4&tTt4W PARALLEL WITH THE SOUTH BOUNDARY OF SAID GOVERNMENT LOT 3;��� THENCE NORTH 8T47' EAST PARALLEL WITH THE SOUTH BOUNDARY OF GOVERNMENT . LOT 3 A DISTANCE OF 67.5 FEET, MORE OR LESS, TO AN INTERSECTION WITH A NORTHWESTERLY EXTENSION OF THE CENTER LINE OF NEWPORT AVENUE; THENCE SOUTH 51'26' EAST ALONG SAID EXTENSION ON A DISTANCE OF 63.86 FEET APPROVED � TO THE SOUTH BOUNDARY OF GOVERNMENT LOT 3; THENCE NORTH 89'47' EAST ALONG SAID BOUNDARY A DISTANCE OF 171.77 FEET; G THENCE SOUTH 3934' WEST A DISTANCE OF 141.73 FEET; THENCE SOUTH 51'02' EAST A DISTANCE OF 189.65 FEET TO THE CENTER LINE OF SECOND AVENUE; THENCE SOUTH 38'34' WEST ALONG SAID CENTER LINE A DISTANCE OF 10.00 FEET TO THE TRUE POINT OF BEGINNING; EXCEPTION THEREFROM THAT PORTION OF THE FOLLOWING DESCRIBED TRACT WHICH LIES WITHIN THE TRACT pg I ""C_ C-FT'P) Maw . I vf-.25 — 020 26 IMI�M• . 3i23Lyf VolaM� • : ST CU �( rim La�: ZP2 �f• 9(-144441 t G�1'G14 © _ --i- q S 0 = + 102. kv4"F, 1'P-kcv: +gg15 AL41,4N, — + 123.7o HM(. _ + 114•25 15Z�7 Io'f + Mbc- Ho?-Vtom r;l-DMD4Q5 IWA • 41DoZo--7WO-OM15H C°UPf'i WW P44P Sib. Gnt-aOM C 0,M160,W) ZMPI 14 fibs -1 Z DATUM tttfr: -MUWvMWrIN 10' ?L N -I. �-=--cam At.:vmax > !vim :i z7f - - ---- ilk --I �,.�-.._� j ',•.l. f :5 .. .may. � } t,� � :,a+n.•%r � � " t ql = Q,�Z JAN 2 0 1998 CITY 'OF EDMONDS f o 890q . 19 • SIDE SEWER PERMIT PERMIT. N?- 8945 a Address of Construction: /L �✓" v ` �� Property Legal Description (Include all easements): " �30�7-03y' �3--000JA /� � Y _ 'o ' R�gTMMo� A 04. ANT Owner and/or Contractor: CN; Ayhlh Q_RJ4tn(0Q)WrK) �7,IwxYhQW_1Vv►p `-tenA �C QU111y AC 6K) 3k1Vhm Ecz o (o t k9_ State License No. Building Permit No. 1 Single Family Invasion into City Right -of -Way: f No El'Yes. ❑' Multi -Family (No..of Units ) RW Construction Permit No. ❑ Commercial Cross other Private PropertA No ElYes s. ❑ Public Attach legal description and copy of recorded easement I certifyqhat I have read and shall comply with all city requirements Date as indicated on the'back of the Permit Card. * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALLT 2,. PUBLIC WORKS DEPT.' Permit Fee: Issued By 7 • Trunk Charge: Date Issued: Assessment Fee: Receipt No.: I/FrO 7 Lid No.: Partial Inspection: Date Initial Comments Reason Rejected: Date . Initial Final Inspection Approved: .Date.-2 0- 1nitialS nn'',,,, ** PERMIT MUST BE .P6 STED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3!90 i The City of Edmonds Side Sewer Drawing EASEMENT NO. ............... .. ................ .... .. I NEW CONSTRUCTION CR REPAIRS r-j LID NO . ........ ...... ... ASMT. NO. OWNER......................... ------- -------------------------------------------------------------- CONTRACTOR ............................. .................. ................................... PERMIT NO. JOB ADDRESS ... ..... IV ................................. LEGAL DESCRIPTION: LOT NO . .............. . ................ . .. BLOCI� NO . ...... . .. .. ..... ........ .4 N 16 f PWW-0001-1 1/75 (REVA 1/78) NAMEOF ADDITION ..................................................................................................... ----------------- Approved: DATE .........'7-10 - 9 . ................ 0 TRH MF ��. I O-P. IV. Ex. It" codc.- By........ QU ... 141A ................... n 9q' 4,11 .. �01 j4l .. .g _ e. STREET FILE s. .m G�(dN I,%F'511� LEGAL DESCRIPTION PARCEL A. - ALL THAT PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER AND THAT PORTION OF GOVERNMENT LOT 3, SECTION 13, TOWNSHIP 27 NORTH, RANGE 3 EAST, W.M., DESCRIBED AS FOLLOWS: • Oftu "14 ,Q %'� Ow o , , BEGINNING AT THE INTERSECTION OF THE CENTER LINE OF 'Ir7 NEWPORT AVENUE WITH THE CENTER LINE OF SECOND STREET hn7 3pi WASH NGTON. AS SAIDRIGINAL PLAT APPEARSAS SHOWN ON THE PLATFOFORTH RECORDM NNDSVOLUME 2 OF �o ` PLATS PAGE 7 w3a .. (iEtF+I •LtN>�j•fo I r�t9H 14 ." i p{2v 5, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. THENCE SOUTH 38734' WEST ALONG THE CENTER LINE OF SECOND MAR 2 4 1998 59 VI "fx- Nr/A)' .3 j) STREET A DISTANCE OF 45.83 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 51'02' WEST A DISTANCE OF 440.05 FEET, MORE OR 1'100 4 S/o LESS, TO AN INTERSECTION WITH A LINE WHICH IS 40 FEET NORTH OF AND PARALLEL WITH THE SOUTH BOUNDARY OF SAID GOVERNMENT LOT 3; �►CI'�t(F�6( 'o 02 THENCE NORTH 89'47' EAST PARALLEL WITH THE SOUTH BOUNDARY OF si GOVERNMENT LOT 3 A DISTANCE OF 67.5 FEET. MORE OR LESS, TO AN INTERSECTION WITH A NORTHWESTERLY EXTENSION OF THE CENTER LINE OF NEWPORT AVENUE; A ®®v F��Ir V�� �� '� THENCE SOUTH 51'26' EAST ALONG SAID EXTENSION ON A DISTANCE OF 63.86 FEET TO THE SOUTH BOUNDARY OF GOVERNMENT LOT 3: "`����w��� THENCE NORTH 89'47' EAST ALONG SAID BOUNDARY A DISTANCE OF 171.77 FEET. THENCE SOUTH 3534' WEST A DISTANCE OF 141.73 FEET; THENCE SOUTH 51'02' EAST A DISTANCE OF 189.65 FEET TO THE CENTER LINE OF SECOND AVENUE; $/ THENCE SOUTH 38734' WEST ALONG SAID CENTER LINE A DISTANCE OF 10.00 FEET TO THE TRUE POINT OF BEGINNING; � �!•-I�� I .. i EXCEPTION THEREFROM THAT PORTION OF THE FOLLOWING DESCRIBED TRACT WHICH LIES WITHIN THE TRACT nFc/rpiacn np(11fc. Mom. tv1-.25 �2 II 01�6I Q, ICU.:Iw. . I L I Lt31& w/tom lal- 0� 1 I a-1y,!I j�w Cb�wAk6<I a-j loo ® _ + © _ -4- 9s @ _ + i C)2 4pki�e= + g1.Y5 d.CfIUP+- _ +. I Z3.10 + 17*0 Sz; -O i 52�7 IOC FL bc. I�t -tom 710.4If-6-12-- VAFM Fcx m- : MmOffrevr 1 0;407 S •I' 2. 1383 S.f • 020 284 Seattle, N 0. .i . - City of Edmonds In c.-.1S90 RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number: eB • 35 3 issue Date: A. Address or Vicinity of Construction: !#.J�.J 1041% P14< C lqdAh 6Dvht:14g- B. Type of Work (be specific): C• V i C. Contractor: Mailing Address: 737 l VI S+ f-o1MoKbs State License #: � VK*Ie l 0 (D) 14-5- Contact: +�GV� 1rntMF,�IUVt� Phone: Liability Insurance: Bond: $ D. Building Permit ti (if applicable): 9 � 03 ! "f Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family P Single Family ❑ Other INSPECTOR: W N TGtfT— INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes []No G. Size of Cut: x H. Charge $ 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 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. 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. 1, 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 tomes for inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: 92�= TIME AUTHORIZED: VOID AFTER 3C' DAYS SPECIAL CONDITIONS: F7EIZ. St-0 & MzM IT RIGHT OF WAY FEE: U) DISRUPTION FEE/FUND I 1 I: RESTORATION FEE: T OTAL FEE: 30 RECEIPT NO.: I -Z.(o ! O ISSUED B)' : �— NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES Comments: Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) ❑ YES Date: Date: El NO CITY OF EDMONDS USE 17 r� CONSTRUCTION PERMIT APPLICATION ZONE PERMIT --� ~ � /,'-- NUMBER OWNER NAME/NAME OF BUSINESS JOB ADDRESS 4 9I) SUITE/E ZMAILING A`DDDDRESS LEGAL DESCRIPTION CHECK SUBDIVISION NO.t P/, LID NO. CITY �^'��jKl �V • °Y �I ZIP /1 TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ! _ r',4,/ ^ri EXISTING itRequi0 .p , s � ¢y REQUIRED DEDICATION Rw Permit Re4uiredJS/;�7, ❑ NAME 0 ` �s" / Street Use Permit Req ft/t� ❑ PROPOSED - !�J U Q (%�- Inspection R F 'T`�'" I✓� �Cs� ,�ZI j equlred�/ B Sidewalk Required/�r� p U ADDRESS ` ' r^'' M SI� LIN SI �E NO. OF FIXTURES PRV RE UIRED REMARKS 4 rf YES NO ❑ CITY ZIP TELEPHONE NUMBER��5/vet/ Cr"NiOZ_ •�t'�'•rS�-/-t-� ,G�,j NA l . _ % . r io G r5 /1./.5 .n _ LICENSE NUMBER M NGINEERING EMO DATED 171111 VARIANCE OR CU SEPA REVIEW COMPLETE EXEMPT EXP �... LOT COVERAGE ALLOWED PROPOSED Property fit► I Tax Account .1 '_Ir 1 TELEPHONE NUMBER /�(�'/ EXPIRATION DA - inclu a all easements Parcel No. I IL-7 U 1�1 U (� /} v V v V L ®,NEW RESIDENTIAL ; `^UMBING/MECH REMi1RKS 01 F}DDITION &MERCIAL f !COMPLIANCE OF USE (Q ,�J REMODEL ED APT. BLDG. REPAIR 1:1GRADING CYDS. SIGN - ... � FENCE CHEC ED BY (X _F� DEMOLISH WOODSTOVE INSERT f" SWIM POOL? '' HOT TUB/SPA SPECIAL IIJSi ®GARAGE CARPORT El ROCKERYG WALL/ REQUIRED RENEWAL REMARKS YPE OF USE BUSINESS OR RE OF ADB A SIGN AREA ALLOWED PROPOSED REQUIRED SETBACKS (FT. FRONT SIDE REAR /0, /U . 1In . ❑ YES I nw REVIEW D eY � anuHtLINE R HEIGHT ALLOWED IPROPOSED Lj ROPOSED SETBACKS (FT. FRONT L/R SIDE REAR ? PIP - uca C, GROI 13 OCG`L LOAD ACTlvlr 1) EXPLAIN: PROGRESS INSPECTIONS PER UBC 108 NUMBER NUMBER OF OF DWELLING CRITICAL STORIES UNITS AREAS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) NUMBER FINAL INSPECTION REQUIRED / D"� � or- �j e �'t PLAN CHECK FEE HEAT SOURCE: GLAZING BUILDING "'% Plan Check No. C� LUG 5 = 2 0 �{v4 PLUMBING � I ��, � E MECHANICAL This Permit covers work to�dOn Any construction on the Private property ONLY. irequirelsenar GRADING/FILL driveways, marquees, etc.) Will to n (curbs, sermisskon: Permit Application: 180 Days p STATE SURCHARGE Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, STORM DRAINAGE FEE on behalf of his or her spouse, heirs,46signs and successors in interest, agrees to indemnify, defend and'hold harmless ENG. INSPECTION FEE the City of Edmonds, ',,*Ashington, its officials, QW employees, and agents from any and all claims for daages m of i whatever nature, arising directly or indirectly from the issuance 0 of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance r° nor limit in any way the City's PLAN CHECK DEPOSIT ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the information given is correct; and that I authorized agent of the owner. I agrees m the owneror the to comply with ATTENTION city anid . state laws regulating construction; and in doing the work authoriz- ed thereby, no person will be THIS PERMIT AUTHORIZES employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- lion THE ED insurance aria RCW 18.27. wONLYN SIG TURE'IOWNER OR AGEN GxA,TE� SIGNED INSPECTION DEPARTMENT 4 r �!V[irffr y CITY OF OFF EDMONDS -ATTENTION 't IT IS UNLAWFUL USE ORfOCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSS PECTION HAS CALL FOR REL INSPECTION BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 77� 0220 01 SECTION 109 U8C 102-87 g i tq( FEE II(4( APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. I,93 S S)ift TUBE [.I) L J DATL- VGINAL — File YELL OW Jinspector PINK _ OWrer GOLD — Assessor #I