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1560 9TH AVE N.PDF111111111111 9856 1560 9TH AVE N 14'.1890 CITY OF EDMONDS BARB ARA FAHEY 121 STH AVENUE NORTH EDMONDS, WA 98020 • (425) 771-0220 •FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant June 1, 1998 To: Home/Business owner - Plan Check #� From: City of Edmonds Building Division Re: Adoption of 1997 Uniform Building Codes, Energy Codes and Ventilation Codes Please note, as of July 1" 1998 the City of Edmonds will adopt the 1997 Uniform Building, Energy and Ventilation Codes. In order for your project to be vested under the current 1994 codes your permit must either be issued no later than June 301h, 1998 or you must pay your outstanding permit fees prior to the adoption of the new code (by June 301h, 1998 5pm). In order to vest your application you may come down to the Building Division Monday through Friday from 9-5pm to pay your fees or pick up your permit (if we have called to tell you it is ready for issuance). If you do not vest your project under the 1994 codes by paying your fees or picking up your permit by June 30th, your plans will be sent back to the Plans Examiner for re -review under the 1997 codes and a new plan review fee will be assessed regardless if the plans have already been approved. Thank you, Lara Knaak Permit Coordinator e- • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan �M- APPLICATION The City of Edmonds SIDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION E] REPAIRS ❑ 112-09000 owrim........... Raul --- Q....We.ampar ............................................................. CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS .......1560 ... 9.t.h ... A.ve.n.ue --- N ...................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ ...... .. ..... ,l* • 4 • W NAMEOF ADDITION ......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... Water Service Drawing The City of Edmonds EASEMLNTNO . . ....................... .............. NEW CONS ['RUC-TION ❑ REPAIRS LID NO . .................. . ASMT, NO . .................. OWNER ....... STO.R.-I ....... .. .... . ...... . ... ...................... ......... CONTRACTOR GfR...*i!ITCir P .............. PERN11,17 NO.150q,715. JOB ADDRESS z .A10..... .................. .................... LEGAL DESt-RIPTION: LOT NO . ........................ ......... TILOCK NCB. ..................... ............. 60-9 e (A r C 1.5G0 9T" PWF-. NO. rm- WZ,4 i k", by ftz V�'Y i Eft. --pa, zc ��qr 3 cl m PV4W-0001.11175 (REV.1, 1178) NAMEOF ADDITION ............................................................................................................ Appr#ved:FWIA DATE.................. q .................... Ba4 PROJECT REVIEW CHECKLIST PROJECT NAME: PROJECT ADDRESS: 0- PLAN CHECK #: RECEIPT DATE: - - REVIEW D BY: (nitial/Da e) PLAN. WATER COMMENTS FIRE BLDG. SEWER STREE ENG. Setbacks/Variannahgathn.•4 e.i:—+..,,,.,. :..:.- . Conditional Use Permit "•�`� '"�'"" •; :.. ::. • ;;..:<�:}tea �,:�•:{n,::::::.::.};%: ,.:..:.,.: h:r-::%::i:..::•< •::<5:4.'•}x.::;5+':':•:is ::{?d%%%•`. ........... ;;�,.a;.xyLf ;:5 .t r {::F':... :.:-<i{k ii`^;: .:`: {`:Y:::r..•::::;:. n" : <{ ;<;;:.:Y:<Y}<:..:;:•::::;>;::: ;Y.}:4.:;f :•';'.}: :y..:::::::;;;:: { ,;:h , >, • 4 .:.<f'.r L ; t.:;f.}wr}r:::{.:•::• :%%ryy .::::i :. <.:..:.:4:... ,. :::>s::}ft::: <>::;... {f.:.:«.,.;..:: :W'v 4 -.} U::%>}• ;,:y4;:: ::•. J <£ w :•••�•. ` ADB Requirements Other Zoning Requirements- Underground WiringRequire Lot Slope 15% SEPA Environmental Checklist/H draulics Permit Tree Cutting Plan Plat/Subdivision Requirements Legal Description Verification Quit Claim/Street Dedications 7 9 Easements - Public/Private Engineering Storm Drain Review Fee 14 .. 16 Engineering 2.2 Inspection Fee Drainage Plan On -Site Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line Open Ditch - Existing Culvert Required Culvert Size 19 } 4�f ,� 4w.{ ;;:;;.: 20 Shoulder Draina a/Shale O en Runoff Catch Basin Required €{ :: ws �41i 4r } "' L"`' ' rf,:.:.>>v;F;},. • .G� }''" «::N:; 2... 22``' DrivewaySlope & Vehicle Access Sidewalk Re uired ... Curb & Gutter Required Curb Cut For Driveway Required Street PavingRe uired Right -Of -Way Construction Permit Required r;t a E>;r N <::• •iif . •...:•.�,{.; .. �r:} .. i,. n _, Yhv:::hi; v.;r.}• :•:.}.x};{4;i:} i . . :.<{.:.:.29 '��:.� �:.�..�;k�¢.;�:<::�f•::::�:�:>::: ' h.: : -26 28 Street Name Sign Required Other Signing Required Bond Required For Public Improvements FEMA Ma Check/Water Table 3. 31 Side Sewer hvailabilit Calculate Sewer Connection Fee If No LID # Create Street File 4 `. >Y > � >~ `--- A}.., •.fix,, x�; �:�;�•z��:.;?vt: :'t.•:r. �: >:{{.:. ::!.�.•:. •! .::�;;... .:•:}::;:L;..r•.:•,.'',�,••.,•,�aYt:':i{:::{Y•kvii;r r6t;:: 'iyy:. �#C;.� s}{{i.^ ;$;tot:• {.�. {�5 • .: f� {` • . }"' ::x<�;.•'•.4:{' ' r't'y :.��:'� £•>:N}� �.;<<K ��- $�,..ry�. .r4i•:•.�„�,,....:{f� 4 .:... . %•.`6.`r4 �}:;.. ��{ f: •' 'tire: i?{Y�:. •i}}j r;r�r:v4ti{}.} •.%:4:• r.:::•:itrl,.•M1.: r:: i::• ::s 4 :4%;r:•r%:•i:} }w::::: .. yr.%:v-i.{iii<iv:�: ''r`x•.',�.•`.�. �� ��:•h •. : }:: r:: r::Y.-::\iilnti}iXiF•}::;iiii: �-�>:• •��� �"" ` Existing Water Main Size Water Meter Size Service Line Size Water Meter Charge Required ---:: 38: Hydrant Re uired •...:: Hydrant Size Existing ����� Fire Line Charge Required - Sprinkler Street Cut Miscellaneous ii••• ... Reviewed By: FIRE PLANNING o /.,MWtfeElJ A,, ) Ae.r IN ING PU TWW' ORKS= ' PUBLIC WORKS MP7 R E C O R D OF C O N T A C T S 1 21 2 22 3 23 4 24 , 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT 9 29 10 30 11 31 12 32 13 PAIO RECEIPT # DATE 33 SS PERMIT # DATE ISSUED RECEIPT # 14 PAID $ RECEIPT # DATE 34 ' 15 35 16 36 17 37 METER SIZE PAID $ DATE RECEIPT 18 38 19. 39 20 40 17*Z.IV 50WNE%2 /S ,��o�vS igGLs ,sow. v„1-Ws� 13� r3 �� x�z�_ . 5t�v--TD_ 'Fu.�► TOn c lb 60_D15 n• No oPEti11rJU5 LzR-r---,&Trz7m T) 4M 2r' CLcpc,,lJCI r SELF �. LQ.'(Cf-I (I�IC-I CALK 1NAGLE55161�E To cN I LIME W EC0IPMe" (A05T' . — — -- SEI; PE tl!M1T' R'?JtG9�- I t7� -t>sr rWM�(N� '>Drp�D�OSfrp --- 20 x9.p' ►'cr�t_ 2�I 66H 40 PVC CWc;19D 5'rc*T- 00 Pow (51's vJATr.K BAN Our �v w M C-0N/�►.l 1c.1�.L � �M15Tv&-M FI t� HC-A-CV— i u �E DTI IJ 06 TqeOT+-tE r- 5-I (IT rlIe,AV _ 61.C�TP1�N - ".�poo � W� -��4J -nrv►E ��(Y1VST T3�__I.2_ttDJ2.5._c42 1sE~S�_ TV5 Wei'( Tl> iJD�E}z a- I� �Rrn IT �QJ►R� _ � FF,&O I - I-- • I Oc-- d.D-A- PAc1 Pic, POOL-5 LIG 4 p if - Ao - KI 210Q P-- e-?oo1-IOMI,*N CouorY PAIzLEL 0D. 132103 -4 -101- 0005 ; 8.1111i11 MAY 13 1998 IRIA L. t;pa-obey CITY COPY �iT� IrI=3o' q TM Avr 0 - or- - M Ire,, aiCt, oro5 ROOD 15(0o Gj A/re fJ - I uo.q N C 12(o Pl. -0- I oo sc&,g efD -400 0::�7 -7 WA .191b02o KI K r-L40 D, vJA - q o o 34 of joo N �I�N �25- 820.0333 PLANNING DATA. NAME: SITE ADDRESS:—A57po 0,0,,,�kDATE: ZONING: Y�S 1� PLAN CHK#: PROJECT DESCRIPTION: CORNER LOT (Yes/No) SETBACKS: FLAG LOT OQ) (Yes/No) Front: Left Side: 129 Right Side: /O Rear: Actual Setbacks: Front:_*Left Side: &> Right Side: Rear: Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: Maximum Allowed: Actual: BUILDING HEIGHT: Maximum Allowed: Actual Height: Datum Point: Datum Elevation: A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #: %G SEPA DETERMINATION: LOT AREA: f� Plan Review By; c.-VUcskpertnit%^p1andaLda The City of Edmonds OWNER ------ ,ADDRESS ...... APPLICATION for rg" SIDE SEWER PERMIT ILiliw CONSTRUCTION E] REPAIRS 0 CONTRACTOR ....... ...... ..................... ..... PEPJHT Z= LEGAL DESCRIPTION: LOT No. ............................................. BLOCK No . ............................................ NAME OF ADDMON ............. % —t-4 _,.s/ ....... . ..... 6� . .... .......................... ------------ ---- No. Lo APProved: DATE ... ....... BY APPI �, � ") MAR 1 1) 19,68 CITY OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER— WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec- tions (p q SIDESEWER PERMITbona Saturday, Sunday or holidays.) 1�o 2�7 1 ADDRESS ........ 1560...'...9th Avenue North • ........................................................................................••---...--••--- Paul G. Weaver MCW Inc OWNER ............. ..... .• -... -• •... -- ----.... .................... CONTRACTOR.. �. '.... ..... Permission is granted .................March 1 13 19. 68 for ........................ days to REPAIR or CONNECT a side server 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 inspected. NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. F—E 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 'A will be permitted. Nu i E No. 4—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. 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. ���j Q✓ tji LV L. A UZ�'� .- ..w_.......��..�.+.wn.......w.f�:�r.•.•.�..J..�..:Nv.+.•:•:-..�•�:...'��� ..i:...nw. ..�._ _.-a.nww..v..+.. J.. ......w ......v.... _w .... _ .. ... .. _ .. .. 1 . e 90.199 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 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 of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information 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: — CINDY MCNAE Name OWNER/APPLICANT Applicant Representative: Name Title Title 1560 9TH AVE. NORTH Street Address Street Address EDMONDS, WA. 98020 771-6070 City, State, ZIP Phone Date_ . City, State, ZIP Phone Signature Date Critical Areas Checklist Site Information Project Name: MCNAE/REMODEL Permit Number: Site Location: 15.60 9 TH AVE. N. Property Tax Account Number: 13 2 7 0 3- 4 -10 7= 0 0 0 5 Approximate Site'Size (acres or square feet): 3/4 ACRE Have you filled out a Critical Areas Checklist for a project on this site before? NO General Site Conditions 1. Has the site been cleared or logged? NO Date of most recent action: Soils /. Topography 2. In the.Snohomish County Soil Survey, what is the mapped soil type(s)? SANDY LOAM 3. Describe the general site topography. Check all that apply. Flat: less than 5 feet elevation change over entire site. X 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 of horizontal distance.) Steep: grades of greater than 30% present on site. Comments HydrologyNegetation 4. Site contains areas of year-round standing water: NO 5. Site contains areas of seasonal standing water: NO Approx. Depth: 6. Site is in the floodway NO floodplain of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? NO flows are year-round? Flows are seasonal? 8.. Site is primarily: forested ; meadow ; shrubs _;,mixed X 9. Obvious wetland -is present on site: NO 10. Wetland inventory or map indicates wetland present on site: NO 11. Critical Areas inventory or map indicates any Critical Area on site: NO -------- --------- ------------------ For City Use Only ------- STUDY REQUIRED: Critical areas study is required. CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied. WAIVER: Critical areas study is not required. Determination Number &/ 4a-6 6- Reviewer Planner Date'. Rev,.27/9.2.........I................. RECEIVE® JUN -1 1992 PERMIT COUNTER �NpE��G9T ,MI+N• ���9D �/f J71yt i O 0 �tl N /FI HT— N¢�W G��oove GKIOT'6 TIOMT LLINT � IIN N O N ,GUFNeI� • I O 51TE PLAN 20 0II A� CITY OF gkTOLE I 9� 8g0.tq Address of Construction: Property Legal Description (Include all easements): i 3 R 7 - QJ 11- - /0 7 - Pz�Alllg SIDE SEWER PERMIT // z PERMIT N! 8 419 Owner and/or and/or Contractor: w' Q 1 �C�.� State License No.!7f-/ � �/C p �� 7 ��/ 3uilding Permit No. / �r_� 3 /`l Q5 Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-Way�lo ❑ Yes RW Construction Permit No. Cross other Private Property:�Q_No ❑ Yes Attach legal description and copy of recorded easement I certify t have read and shall comply with all city requirements as indicaKed on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY * FOR INSPECTION CAL , PUBLIC WORKS DEPT. -0290 Permit Fee: 771 Isssuued By Trunk Charge:. Date Issued: ,/Z -/7- 9� Assessment Fee: Receipt No.: MS5 %g Lid No.: Partial Inspection: Date Initial Comments Reason Rejected: Date Initial I Final Inspection Approved: Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 C. L^ Revised 3/90 SIDE SEWER PERMIT REQUIREMENTS 1. Side sewer permits shall,be posted at job -site and available to inspector at time of inspection. Inspection during normal working hours only. One (1) working day notice required. Side sewers must be left uncovered until inspected. A water test is•required. 2. Property owners can obtain a permit to install side sewers on private property. Licensed side sewer contractors must be employed to construct side sewers in the City right -of --way. Invasion into City right-of-way requires a separate permit. 3. The side sewer contractor assumes full responsibility for each installation for one (1) year. 4. Trenches within City right-of-way must be restored to original conditions. Street restoration fees shall be paid in advance under a right-of-way permit. _Contractors shall be responsi-ble for right-of-way failure due to poor compaction bf.,fill. 5. No down spouts, footing drains or floor drains can be connected to a side sewer system. 6. Pea gravel is required for bedding when installing sewer lines through other than granular soil. 7. Cleanouts at property line and at house will have risers installed to within 12" of surface grade with removable cap. 8. Commercial establishments require a minimum of six inch (6") side sewer line. 9. Side sewers may not be installed closer than thirty inches (30"), to any structure. 10. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. 11. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum grade of 100% (450). 12. No turn in side sewer gre 5° (1/8 bend) is allowed be Veen cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap for cleanouts.- 13. No cleanout shall be paved over. If located in pavement, cast iron lids will be installed. 14. All connections will be of gasketed type. No solvent joints Unless prior approval is granted. �}k(t�"�"i'a+r�`L'��at-°•N�w�'.�'�"+�,1e�ydt=lsf�`�`��'"y�-;�r`t'�"(a,�,y''"�`.'%"•�f��.Sbi,`'+f''T`�vt"r'7^+ "�',{� i �9a'"'�%"°liii"`^1""Wi'ti"r'�"*+�N+...-,�}•*a+oTiv�rr�4iy�'3::1=y,adi(wrrit^ a�Tw`hEET FILE RECEIVED CITY OF EDMONDS Nov 17 tss'tSIDE SEWER PERMIT PUBLIC WORKS DEPT. �J +1 ,, Address of Construction: Property, Legal Description (Include all easements): /3 a 7 - 03.,el - /O -1-2 - PERMIT Na 3419 TREATMENT PLANT Owner and/or Contra���" Contractor: State License NoJddSAzc ( 12 7 /(/wilding Permit No. ® Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-Way�No El Yes RW Construction Permit tNo. Cross other Private Property:.1�1_,No ❑ Yes Attach legal description and copy of recorded easement I certify t I have read and shall comply with all city requirements as indic ed on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * FA OFFICE USE ONLY * FOR INSPECTION CAL PUBLIC WORKS DEPT. Permit Fee: 0 ed By / Trunk Charge: Date Issued: IZZ 7— 9,12, Assessment Fee: Receipt No.: gas%� Lid No.: Partial Inspection: Comments Date Initial Reason Rejected: Date Initial Final Inspection Approved: Date 'Initial f-10 - ** PERMIT MUST BE POSTED ON JOB SITE" White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3W The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ . NEW CONSTRUCTION ❑ REPAIRS 2 LID NO- ------------------ -ASMT. NO. _--.---.--_-.._-.- OWNER--------•----••--------------------------•-•--------.---------------------------`---------------- CONTRACTOR --------------------------------------------- ----------------------------------•--- PERMIT NO. � 6 O - ` --- 1�-�-- �-�'------- A- ••---- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. --------------------------- ------- JOB ADDRESS ________________ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- NAME OF ADDITION -------------------•--•------------------------------------------.---•-------- D1 V14 19 Atl eo, c&T-.., io I' V, - Su PWW-0001-11/75 (REV.11/78) 9Ar*y, , T` Cop S 3` tt P•v•c �p . �3 EDMO NDS TREA-') PLANT Approved: DATE .11._t C1 �- I -------------------- B _ I Y AleP� �R• CITY OF EDMONDS 89p.1q 9� Address of Construction: 15 �, 0 i� 2_ �,-1 SIDE SEWER PERMIT PERMIT N0— 8955 Property Legal Description (Include all easements): F �99 Owner and/or Contractor: State License No. �Rt�1 TSPt2Building Permit No. 9 eaW5 7 Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right -of -Way: No ❑ Yes RW Construction Permit No. Cross other Private Property:Pl No ❑ Yes Attach legal description and copy of recorded easement I certify at I have read/and sKall comply with all city requirements as in cated on the.back of the Permit Card. - �'10 �� Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY * FOR INSPECTION CALL ff#-aM, PUBLIC -WORKS DEPT. %7/-Ov : Permit Fee: C� o 00 Issued Trunk Charge: Date Issued: Assessment Fee: Receipt No.: ��yg.5 Lid No.: Partial'lnspection: Date —Initial — Comments Reason Rejected: Date —Initial — Final '9-�.2.9g Inspection Approved: Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3'90 Side Sewer Drawing The City of Edmonds EASEMENT NO . ............... ............... NEW CONSTRUCTION ❑ REPAIRS X. LID NO . .......... ....... ASMT, NO . ................ OWNER......................................... ------------------------------------- : ---------------- CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS .... 45&o ........ ?-rH,4.v< *.z-V ........... ................. . LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. .................................... e-lSTtwj _..V' Cd-C - ..............................................................................................................................................----------........-- NAMEOF ADDITION ...................................... ................................................................................ A r rr. - EDMONiDS TR EATMENT PLANT C� PWW-0001 -11175 (REV. 11/78) DATE -9=2-:Z=28 ................... By .... ........................................... "}¢ Cit� of Edmonds p y, ET F1h&GHT—'OF'-WAY CONSTRUCTION 890_l9ci PERMIT Permit Number: - 3/n0 Issue Date: A. Address or Vicinity of Construction: 1560 9 Avenue North B. Type of Work (be specific): Install New .Servic% C. Contractor: Washington Natural Gas Company Mailing Address: 815 Mercer Street, State License #: Seattle, WA 98111 Contact: Frank Swan Phone:, 224-2278 Liability Insurance: Bond: $ D. Building Permit # Cif applicable): Side Sewer Permit # (if applicable)- E. -❑, Commercial ❑ Subdivision ❑ City Project M( Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ® Yes []No (2) G. Size of Cut'`.,2 x 5 H. Charge $ ,P APPLICANT TO READ ND SIGN INDEMNITY: Applicant understands and by his signature to this application, agree ohold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be nui e.against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granntig`tk4ennit. THE CONTRACTOR IS RESPONSIBLE FOR WORPIANSHIP AND MATERIALS FOR A• PERTQD OF ONE YEAR FOLLOM?� GT71E FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MATED`RESTORA77O.N FEES WILL BE HELDUM7L THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. v . Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Deparfinen Work is to be inspected during progress and at completion. Restoration is to be in accordance with City, Codes. 771-0220 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above state and and rst nd the permit requirements and the pink copy of the permit will be available on site at. all times foro&pection Signature:' Date: September 28, .1992' (Contractor or Agent) CALL DIAL -A-DIG PRIOR TO BEGINNING WORK ..:con -taw RECEIPT NO:.,. DATE '.;:..::;;ISSUED BY: CE /o-/-- Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: I� CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Cng. Lm. jwy -60P WN, Wa, un: 2 Addendum to City of Edmonds Right of Way Permit Application Submitted by: RIc.NAP� hILL-AQp Engineering Aide Washington Natural Gas 622-6767 x2761 pager 9(09 - 1(.050 2 @ Caps w —w— wca 6.ci -g- gas -ss- sewer $ water hydrant Q water valve 815 Mercer St. (P.O. Boa 1869), Seattle, WA 98111 (206) 622-6767 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION US MIT PER ZONE K=S- a a . NUMBER?Z495 JOB SUITE/APT p ADDRESS 1560 9TH N. EDMONDS OWNER NAME/NAME OF BUSINESS CINDY MCl:A F LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w MAILING ADDRESS z 1560 ' 'Tli AVL*. tVVR'1 t1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING 9 t rr A SEOUIRED DEDICATION PROPOSED TESCP Approved ❑ RW Permit Required ❑ Slrset Use Permit Req'O ❑ Inspection Required ❑ Sidewalk Required -O' L7 2 CITY ZIP EDIN40NDS 9 6 ( 2 0 TELEPHONE NUMBER / / 1- O 0 / 0 NAME REMARKS w ROEERT MA1.0NEY ARCHITECTS w i V ADDRESS , 7 W 4 iCITY E11 FIRST AVE. #673 21P TELEPHONE NUMBER SEAT1•LG 991U4 623-8290 f NAMt ENGINEERING MEMO DATED R� E�y�• BV� PROFEITT CONSTRUC'PLUN CORP. ADDRESS - (�/ METER SIZE BUILDING SUPPLY SIZE NO.OF FIXTURES 2 tt1Cyy 190 WEST DAYTON LA u e� 3 " j /} " w ti CITY ZIP TELEPHONE NUMBER o= J F.DMONDS 98020 771-60 l STATE LICENSE NUMBER EXPIRATION DATE REMARKS ; SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT ADS NO. SHORELINEp 601-325-936 6-30- `- Legal Description of Property - include all easements EXP VARIANCE OR CU PLANNING REVIEW BY GATE n o J G O JProperty Tax Account. Parcel Ho. i32 %03-4-10.1-0005 SETBACKS - FEET N FRONT IDE REA�� t OHT LOT OVERAG _� t �� J Z REMARKS /b a NEW ® RESIDENTIAL ® PLUMBING ADDITION O COMMERCIAL © MECHANICAL REMODEL O APT. BLDG. SIGN REPAIR ElGRADINO a FENCE CYC� DEMOLISH WOODSTOVE / `�� - SWIM POOL INSERT HOT TUB/SPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT SPECIAL INSPECTOR REQUIRED ❑YES AREA"-':- -.- _OCCUPANCY GROUP :� OCCUPANT LOAD REMARKS O 4 a (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 3 S]. DE-NI'l AT,y� Q E AL / f� NUMBER OF STORIES NUMBER OF p DWELLING m O 2 UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED SECOUn v `()T'PCjr, ,- • F' 7 S -a,^ HOME.. VALUATION FEE `W,(r /tom � //,,./ QY 1g46Q -17 4 L JAR!( Orc.�/C�F 1G7 AA'K /�G PUN CHECK FEE BUILDING �v HEAT SOURCE: GLAZING PLUMBING GAS -FORCED AIR i Plan Check No. �7/% MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any Construction on the public domain (Curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE r Permit Application: 180 Days Permit Limit: 1 Year. Provided Work is Started Within 180 Days STORM DRAINAGE FEE 2 u z = ENG. INSPECTION FEE oo "Applicant, on behalf of his or her spouse, heirS,:assigns and 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 of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT ° = modify, waive or reduce any requirement of any city ordinance nor limit In any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that 1 have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT, This application Is not a permit until state laws regulating'constructlon; and In doing the work authoriz- AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tl n Ins r nce. INSPECTION acknowledged in space provided. SIGN URE )OWNER OR AGENT) JOATS SIGNED DEPARTMENT CITY OF OFFICIAL'S SIGNATURE DATE C. 5-19-92 EDMONDS CALL FOR �LEAs Y: OAT AT �0N INSPECTION % / IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL - File YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK - Owner GOLD - Assessor 10247 EEd FILE 0 rr%TfIEET FILE 0 r CITY Vp" RECEIVED JUN - 1 1992 PERMIT COUNTER �Nl�tG9T ,MAN• sP� rBr�^fH e'LE V. • IAO. o'•, U'. GO�Nen , D'• 109.07 eill0i �G �iAM1/fOiE T Ni j fION � ,r__ • ' ` GX101'G . t i t• L� -i- •tL I nr. 11 cprwen I 'D • IOFa45 roes Inb . t— 9TH AVE.—► ON 0 5IToEon PLAN bal CHICAGO TITLE INSURANCE COMPANY A.L.TA. COMMITMENT SCHEDULE A Order No.: 901064 (Continued) Your No.: MCNAE LEGAL DESCRIPTION PARCEL A: ALL THAT PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER, SECTION 13, TOWNSHIP 27 NORTH, RANGEg3 EAST, W.M., DESCRIBED AS FOLLOWS: L. BEGINNING AT A POINT ON MOST NORTHERLY CORNER OF PLAT OF WALLACE TRACTS, AS PER PLAT RECORDED IN VOLUME 12 OF PLATS, PAGE 7, RECORDS OF SNOHOMISH COUNTY, WASHINGTON, WHICH POINT IS AT THE INTERSECTION OF THE CENTER LINE OF VACATED LIBERTY STREET WITH EAST LINE OF CHARLES STREET; THENCE NORTH 00 12' WEST ALONG THE EAST LINE OF CHARLES STREET A DISTANCE OF 581.574 FEET TO THE SOUTHWEST CORNER OF A TRACT CONVEYED TO GEORGIA L. SHORETT BY DEED RECORDED IN VOLUME 415 OF DEEDS, PAGE 425, UNDER AUDITOR'S FILE NO. 878433, THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE NORTH 890 48' EAST 265.96 FEET TO CENTEL :�F VACATED EUCLID AVENUE; THENCE SOUTH 510 26' EAST ALONG CENTER OF VACATED EUCLID AVER UE 107.87 FEET; THENCE SOUTH 380 34' WEST 12.61 FEET; THENCE SOUTH 890 48' WEST 342.08 FEET TO EAST LINE OF CHARLES STREET; THENCE NORTH 00 12' WEST ALONG EAST LINE OF CHARLES STREET 77.293 FEET TO THE POINT OF BEGINNING, AND WHICH REAL ESTATE IS NOT USED PRINCIPALLY FOR AGRICULTURAL OR FARMING PURPOSES. PARCEL B: BEGINNING AT THE NORTHWEST CORNER OF THE WALLACE TRACTS; THENCE NORTH 00 12' WEST ALONG EAST LINE OF CHARLES STREET 504.281 FEET TO TRUE POINT OF BEGINNING, THENCE NORTH 890 48' EAST 342.08 FEET; THENCE SOUTH 380 34' WEST 29.20 FEET; THENCE SOUTH 890 48' WEST 322.79 FEET; THENCE NORTH 00 12' WEST 22 .707 FEET TO TRUE POINT OF BEGINNING. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. CHICAGO TTTLE INSURANCE COMPANY CITY OF EDMONDS USE PERMIT ZONE NUMBER j6r q'�J CONSTRUCTION PERMIT APPLICATION �Da / ADDRESS 00 -', h r- SUITE/APT # �A OWNER NAME/NAME OF BUSINESS oD , T ra LEGAL DESCRIPTION CHECK tZ SUBDIVISION NO. LID NO. MAILING ADDRESS >\' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved %' RW Permit RequiredWp ❑ Ave � . CITY ZIP NUMBER EXISTING REQUIRED DEDICATION Street Use Permit Req'N ❑ =�TELNE �' "/' � PROPOSED Inspection Required,740 Sidewalk Required //"" ❑ W A NAME - METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED a YES ❑ NO ❑ 0 ADDRESS }� REMARKS r+�,✓.V4, f 6 I © V {�ir✓` .Adw ,,LL w CITY ZIP TELEPHONE NUMBER Z NAME FKA49- b . eA.Mt_E P. 6 • A In ADDRESS 0a CITY ZIP TELEPHONE NUMBER )•Q5' STATE LICENSE NUMBER EXPIRA 10t;17t• Property - include all Property Tax Account Parcel No. { I 3 2 -7Q 7 _ 4 _ 107 — /� JtJ 0 5 NEW � RESIDENTIAL PLUMBINGIMECH a ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL APT. BLDG. SIGN REPAIR.-- GRADING CYDS. FENCE x_FT) DEMOLISH ❑ INSERTWOODSOVE INSERT n L,�J SWIM POOL HOT TUB/SPA GARAGE CARPORT R CKIERYG WALU RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 1 ITF l T-,t NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) VARIANCE OR CU ADS # SHORELINE # SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I EXPr�/J ' LOT COVERAGE REQUIRED SETBACKS (FT.) PRO OSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR I .1A I BY ITYPE OF REQUIRED LOAD ❑ YES REMARKS PROGRESS INSPECTIONS PER UBC 108 FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE - BUILDING HEAT SOURCE: GLAZING E AI'C V— PLUMBING Plan Check No. MECHANICAL This Permit covers work to bd done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit' 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE u, successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, �-�- f employees, and agents, from any and all claims for damages.Pf a whatever nature, arising directly or indirectly from the tspuance = f shall not be d0t3med.to PLAN CHECK DEPOSIT /� / ) of this permit. Issuanc ,t)Ti`s permit modify, waive or reduce.any requirement of any city prdinance = nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE ��yr provision."y' I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES THE signed by the Building Official or his/her ed thereby, no person will be employed in violation of the Labor ONLY WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. tion Insurance aria RCW 18.27. INSPECTION SIG REID ER OR AGENT) DATE SIGNED DEPARTMENT OFFICIA •' SIGN RE D TE CITY OF EDMONDS' CALL FOR RELE ED BY: E A ENTION INSPECTION Y j r IT IS NLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� Owwo 11 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P �/}/y tJ/y 1511 . PINK — Owner GOLD — Assessor //;y� U 9a1AlCX /S ZEE POIVS 166e 1' aa.e- l�NT�GL i, ✓G C`7Z� s io .v RNy t�c�v.4T�L� /y�4TXiAC Rose 52fl TD trtt.l.• 'rOp �� �boL mos-r NfT � ooL, E CGLoh L1Fr- To Go Ds: �,j0 OPEh.111JCt9 CZ(ZEi4'fER i}}-���T1 \� 2" *eL-F Cloth Q(:j , 5Et,F LXTCH 1 NCy Loon I NAGGE5516c� / To G H 1 t,D2E W I'ioL- Eg0l-PM W- M05T - Meer- i;a6gotpo> I v' -o" .211 6G H 40 Pic cWej9 v 5're*T. 00 PoT.>L,s WaTEg- rlo 02 It Ac AI,41 M ttiNAr.! lc�L M FfLi FI BEd NEAj�r- uE PST O7ge F- E0 041 by OT 4er'- 5-L.E (IT PI e-I V Bl eL,E Tricd j Poo L. wiz -WloWr- Mt)S-r Zc- 12 ItOJ2.5 c�2.. ls£-SS 'SIP rr-V5 wA -nay rJo Ti,mE mosT' I ttotX� cae. Lis. F?-�&O K L- - i F._ r— d r3.a PAcI r-Ic, Poo L,5 LIG if -A-j- K-I* 21oaI?- lel0000M -*o couo-rY PAIuEL No. Blualml MAY 13 1998 BY PLANNING wl LIP tv w FJU�sf. 5EE PE Pr�apo5�a 20 w xi4PTi _ �sl D@4EWE12 �1T� Pt$til 'mA/C-N- Dr-. M 1-r�1- :, T PSI.PIC Pow E . I..10 .I5(oo � Ave tJ . 13(0.z)q Or- Igo PL. # Ioo sczt,(5 i "=moo' �r�ti1o�o�, WA.49lbo2o K.IML400, �JA. 9e054 F�f,)000 PISH 5 - 82D•0333