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15601 70TH AVE W.PDF15601 70TH AVE W r n CITY OF EDMONDS = ENG NEERING DEPT. Examine by _ Date - — Remarks \0 N sn TOU f2S. F hA-t (� -a _ :P. 2l.o� 2 ALr__-_.�1/ttNz art :CUT'..._U7 „ NOTE ._ f-i�o.v �,- � C3 e E.� � Cv:: �,2 l`. �� � � ,�; t= S -- _ , v _ o��: SCALE: BY: _ DRAWN BY REVISEDPal ID ZAJI)L . v 2 E DRAWING1 IiFUCiBER Q4i14f : lRunzo ow No. loom CUCApRfm =' _ CITY OF EDMONDS R E C E I V E D S MW J AN 27 1976 ENVIRONMENTAL HEALTH DIVISION Court House, Everett, Washington 98201 Ed„1GndS Ef�f. Dept. APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: .... Prideaux__Const_.__-Zne-_.............................................................. ----------------------------------- ------------ For installation at: (street address) ...... 1%. .0.1 ...............70th--Ave--W----Edmonds --------------------------------------------------------------- Addition or Subdivision...... S..p..------- ---------------------------------- ---- - ---------------------- LotA---I..... Block....._.......... ------ Type of Building: New._X..-.... Existing ............ Single family residence ------- Number of bedrooms ----- 3................... Other: (specify type or use) ............ ---------------------------------------------=--------------------------------------------------------------------------------------------- Builder. Prideaux Const . Inc. P.O.Box 240_.._ Lyworess... od Designer. -J.B...Friel .................... ............................................ Address --- 927-_Rockefeller..... verett........ _............ --- Soil Log Hole No. 1........... "-4Q".. r4wn sandy loam------------- ----------------........................................... -----------------------------------------------------------------------------------------------=----- -.-----------...------------------------------------------------..... same as#1 SoilLog Hole No. 2 ............................ -------------------•--------'-' -------'---------------'-----------------'--------------------------......--• ------------- Elevation Specify if any removing or grading of topsoil in field area ........__..none.........:.................................................................... ------------------------------------------------------------''---------------------------------------------------------------------------------------------------------------------------------- ........ Percolation: Test Hole No. 1—Average Rate .... ....... (Fall in minutes/inch-bottom 6" test hole). Depth of hole....36" Test Hole No. 2—Average Rate ---- ....... (Fall in minutes/inch-bottom 6" test hole) . Depth of ho1e.,.-36" Test Hole No. 3—Average Rate_-.3....... (Fall in minutes/inch-bottom 6" test hole) . Depth of Average percolation rate on which to base drain field design- 3_.min/inch Date taken..Dee. 15,1975 Septic tank requirements based on present rules and regulations: Septic Tank Size ......... 900_............. __gallons. Amount of Squar Feet of Dis osal Field .... 345- :�?ith 24" Trench SigDJan. 22 ,1976 nature—esgn ---------------------- --- Date----- ------------------------ ------ ........... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) m� Permit issued (da )............. ..c? ...%�m............_. _.. ermit N tuber..._.. ��._ ... ;,... `I �M II , ' Remarks:. , J 1..- �� lJ K&H 39652 tit.- DATE: April ;'9, 1976 MEMO TO: Septic Tank Permit File FROM: Bill Nims Asst. Engr. for Field & Office SUBJECT: Septic Tank Inspections On April 1, 1976, 1 made field inspections of the following permits: Job Address Permit No. 15631 - 70th Ave-. W. 372 15621 - 70th Ave. W. 374 15601 - 70th Ave. W. 373 The general contractor is Prideaux, Construction, Inc. and the septic system was installed by Les.Wier. The drainfield on all permits were extended beyond the 10 ft. setback from'the'--' property lines which is a violation of yde., Also, footing drains were directed..."�.--.- to flow in the area of the drainfibids, which is also a violation of code.. I .did not sign the field copy of the permits because I knew it would take many more inspections to correct the system. Next, I called the general contractor and told him,that the permits did not pass' -,%'"..- inspection and correction's were required. On the same day, I met with Wally Steinman, the job superintendent, to discuss the corrections. After we reviewed'. the subject permits I was told that the following permits were ready for inspection: 7100 156th St. S.W. 370 7124 156th St. S.W. 371 So, I made inspection of those systems. In regards to Permit No. 370, the entire drainfield had already been covered and had never been inspected by the City and is not approved. Also, Permit No. 371 is not approved and corrections are-..r ' equired. I then contacted the developer to inquire as to the corrections status. On 4/8/76, 1 met with the utility installer -at the job sites to indicate the corrections to be made. The corrections are under way at this time and will be ready for inspection on 4/5/76. WJN:rf a � SEWAGE DISPOSAL PERMIT Septic Tank .....-- 6 > r ' ` _ No. . r % .... t `�C���OF EDMONDS �S Department of Public Works Disp. Field..--Q------'-------------sq. t. p Other----- -•----- ----- ------------------------ Name_0__�`...c �- ------------. .,.....................................is hereby authorized to install/ repair sewage disposal system at h�.t-.c f� 4!V _--- -------------------------------••---....-•------•-----------•-•-••------....---••---•----- Date issued on.......... /�... -.. ' -7,6 -------•...................................... Permit expires one year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City ENGMEHAINM DEPARTMENT City of Edmonds 505 Boll Street Signature of Installer ------------------------------- ............................................ Date .................................. Edmonds, WA'.. 98020 Approved. Disapproved Date ---------------------------------------- ------------_--- --- By---•--•--•-•----------•-....--------•---....-----------------------•-------------- Remarks----------- ------------ •-----•-------------------------•------- ..... SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------- Date ........................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. • • BEET FILE CITY F N WARVE H. HARRISON MAYOR ., CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775-2525 ttdrV BUILDING DEPARTMENT June"28, 1983 Mr. Dennis Loeber 15601 70th. W Edmonds, WA .98020 , Dear Mr. Loeber: It has come to the attention of the Building Department thA,you have a solid fuel burning appliance installation in your,residence,at the above address for which no permit has been obtained. Chapter 3 of the Uniform Mechanical Code, as adopted by the City of:. Edmonds, requires a permit and inspection for any heat producing appliance. Enclosed is a permit application and an informational packet:.'. Please fill out the applicable sections on the application form (those within the heavy black lines) and return together with the'stove manufact urer's installation information and a floor plan of yourinstallation, within 10 days of receipt of this letter. If there are further questions, please contact the Building Department. L� O-A Harold Reeves, Building Official .YFS 0 • BACAny AP MAY 12 1983 CITY of EOMQMS May 10, 1983 MEMO TO: Hal Reeves Building Official FROM: Gary L. McComas Fire Marshal SUBJECT: WOOD STOVE'INSTALLATION WITHOUT PEIZMIT On May 6, 1983 we responded to a chimney fire at 15601-70th W., owner's name Dennis Loeber. According to the Fire Report, Mr. Loeber did not obtain a permit at the time of installation. GLM:be 1 RE-CEIV .._ CITY of EDMONDS SIDE SEWER PERMIT LESEP 2 51985 For Insp F3 Tr�RE12771 � PERMIT NO.. 069 PUBLIC WORKS LYNNWOOD LINE; Address of Construction: 15, W1 qo-, -V Avis. W. Property Legal Description (Include all easements): Owner and/or Builder: C�� ,0 J. ^jp /AtUcA M. (ME -WC` )5 Contractor & License No: Single Family Residence X*_ Multi -Family (No. of Units ) - Commercial (No. of fixture Units )- Invasion into City Right -of -Way: 'No �_ Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No y` Yes' (If Yes; easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK 49 I certify that I have read and shall comply D to ' with the, items listed on the back. Permit Issued . - Date Issued: ReceiptAssessment Fee: No.: Partial Inspection: Comments Date Initial Final Inspection Approved: 9-23-95 �S , sa ey R.Noi-LANC) Date Initial °�° Rejected: Reason Date Initial v ** PERMIT MUST BE POSTED ON JOB SITE.** a, cz� Wh.ite Copy - Fi.le Green Copy - Inspector Buff Copy -'Applicant The r;#%s of rm4nq#%nAc Side Sewer Drawing EASEMENT NO- ----------------- ------------------------- - mcko. co,%3w. A NEW CONSTRUCTION F1 REPAIRS El LID NO. ------ ASMT. NO_ ------------------ ' OWNER ........ W-14.1T.".5 --- CONTRACTOR R;P ...... e-XCAVAT!O-P -------------- PERMIT NO. JOB ADDRESS ---- (-20 1 ............... 70 --------------- ............ LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ------ LYNNWOOD LINE ------------------------------------------------------------------------------- , ---------------------------------------------------------------------------------- 31 10.5,I)p * V 6" Wj f- 21 S.S'DP 4" TEr. CAP 1.5'DP. TE6 NAME OF ADDITION. QV 4' PAJ 4! r- 0. , yt VDP D7. PWW-0001-11/75 (REV.11/78) 490' -70 A \JF— \A,/. Approved: DATE ................ B AQk � DATE: EET FILE April ;9, 1976 MEMO T0: Septic Tank Permit File FROM:' Bill Nims Asst.'Engr'. for Field R Office SUBJECT: Septic Tank Inspections On April 1, 1976, I made field inspections of the following permits: ddress Permit No., C15601 31 :-70th 70th Ave.'W. 372 21 70th Ave. !�'. 374 Ave. W. 371 The general contractor is Prideaux Construction, Inc. and the septic system was installed by Les Wier. The drainfield on -all permits were extended beyond the 10 ft.. setback from the property lines which is a violation of code. Also, footing drains were directed to flow in the area of -the 'drainfields'; which is also'a violation"'of code. I did not sign the field copy of the permits because I knew it would take many more inspections to correct the system. "text, I called the general contractor and told him that the permits did not pass inspection and corrections were required. On the same day, I met with Wally Steinman,' the.job superintendent, to discuss the corrections::'After we reviewed the subject permits I was told,that the following permits were -ready for inspection: 7100 - 156th St. S.W. 370 7124 - 156th St. S.W. 371 So, I made inspection of those systems. In regards to Permit No. 370, the entire drainfield had already been covered and had never been inspected by the City and is not approved. Also, Permit No. 371 is not approved and corrections arearequired. I then contacted the developer to inquire as to the corrections---------_.-. status. On 4/8/76, I met with the utility installer at the job sites to indicate the corrections., -to be.made.,.The corrections are under way at this.time and will be ready for.inspection on 4/9/76 ' WJN:rf G1TY O F CITY of EDMONDS BU JOESS LICENSE APPLICATION D 'W LICENSE NO. f,_ •. = Civic Center • Edmonds, Washington 98020 City Clerk Phone 775-2525 ANNUAL FEES PENALTY AFTER FEB. 15 ''7 [7\HOME OCCUPATION JSTRUCTIONS: CLA E R ' ' E ATE R NO. SPEC. $10.00 (A) ADDITIONAL $5.00 ❑ All items must be completed % ❑ SMALL BUSINESS or application Will not be ac- RECEIPT NO. DATE PAID PRINT'X' $15.00 (B) ADDITIONAL $7.50 ❑ cepted. IJIWVIN SPEC. BO�,F FOR ISSUE ❑ Business with 10 or Sign and return application FEE i'APENALTY,VAICrC O RRECTE more employees ADDITIONAL $25.00 ❑ with fee. Renewals received I LICENSE WITH 'Lc' ACTION. $50.00 (C) after February 15 must pay ,,NEW APPLICATION (LA) penalty in addition to fee. ❑ RENEWAL (LB) NEW BUSINESSES AFTER ❑ CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD) NAME OF FIRM t;i\,t1S�ILTi��(Y� S4✓ BUSINESS PHONE NO. OF EMPLOYEES D/--1-4 , - _ �S�Ji 15 - dz 80 I MAILING ADDRESS NATURE OF BUSINESS /s�, O/ %o % k l Jo r-rW Aer BUSINESS ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION (S) C7 (P) 0 (C) OWNERS NAME HOME ADDRESS NrS LU�9L� � D 7HOME PHONE, DATE OF BIRTH �� PL1� BIRTH,S�� SECURITY UMBEF� / EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE _ D L E � SO - 2-3 - z (PLEASE LIST TWO) (2) NAME & TELEPHONE s41Y15- C Oe-g0A) 7-V4 -SDI/ 5,el4 � STAFF REVIEW: DO NOT WRITE BELOW THIS LINE FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE I ("� 6 ' l LAND USE CODE ZONING CODE ?-& APPROVE ❑ DISAPPROVE W i-ttt GoNDI'T-tV rJs SIGNATURE To_I LISTEb 10 GcL F1l.E CONDITIONAL USE PERMIT COMMENTS © g BUILDING DEPARTMENT DATE I 2-APPROVE ❑ DISAPPROVE SIGNATURE ' -M C—•0�- Building ❑ Permit ❑Apt. ApBldg.Hotel/Motel Bldg. A) (A) ®❑ Office Bldg. (0) COMMENTS: Occupancy ❑ Restaurant (R) Group ❑ ® ❑ Hosp/Nurs Home School (H) (S) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) FIRE DEPARTMENT DATE /Z1172 U.F.1.R. APPROVE ❑ DISAPPROVE SIGNATURE --,,.' 1, y / / COMMENTS: p1brIF, POLICE DEPARTMENT ROVE ❑ DISAPPROVE DATEIc� SIGNATURE Z7 COMMENTS: / t,ubLiC: WORKS DEPARTMENT- ❑ APPROVE ❑ DISAPPROVE DATE �?' ✓� %,f SIGNATURE4A::j e COMMENTS: , PLEASE RETURN TO CITY CLERK r,r:no:�rti-"r�yi�v^ir�i+1�'fi'$Ili'`�b''�''�F'•`v�3A�,iiFf7�"�+i'y�Y`rr�.•^�'')¢+�'V�'�rl3iir 3r+s�ti'���'``i+���«``i'Fn�ievi8"'f'4�i�'�5Y'�7'"r"t�;Rt,4 "'�u�r''�'+�$iyn'{�— ; '%�v�.:nry+'.i:. o:,'''...'��r`k .a Z O W a CITY OF EDMONDS Permit No. 90 — 4 COMMUNITY SE% RIGHT=OF-WAY FM5 Issue Date A. • Owner: C �+a ,-^ps'=ZC----> CA.�,=_ B. • Contractor: ��C. =+L C AP=A_ r Name NA ,--Name Mailing Address Mailing Address City State Zip City State Zip State License Numbe/^r� Telephone Number C.. • Address or Vicinity of Construction: Type of Work to be INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings: including defense costs, court costs, and attorney -fees by reas n of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORK IyIA�ISHIP A siDMATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND,,�jACCEPTANCE OF THE WORK. Estimated restoration fees will be held until the final street patch Iis completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. <==1 7 • A 24 hour notice is required for inspection; Please call Engineering: 741-32(�2 • Work is to be inspected during progress and at completion., 1 • Restoration to be in accordance with City Code. A • Street to be kept clean at all times. • Traffic' Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or, City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit%must be available at the job site for inspection purposes at all times. Date: Owner or Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: RW Time. -Author . ized: Void after FAR days. Special Conditions: PERMIT FEE: !# -3,0 TM Ba (31LL-o% Restoration Fee: Receipt No.: Fund 111 Fee: Street Cut Dimensions: RELEASED 9Y:C-h0U 1r Date Cdl2JC18 INSPECTED BY Date O w NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. March 1989 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES Date: Date: ■ E Eng. Div. July 1985 15(o7H ST SW A(s7— PGD PZOPG 5 - rz� f�Jl. f f:- ' 4Q- r3 ' L L' ow t i• tz.1 v"\ WD"CF-ft �\ V !, s7o �zM F72U PDSE-D 157Y - RG 7 Ul6 CA, i� l� f5(o0f • ACCEPTABLE TIGHTLINE MATERIAL -N-12 ADS Sch 40 PVC p 35 (ASTM D3034) 1 1 I I 1 I I i I 1 1 I iw 156 #H ST. S.W. '(UNDEVELOPED) IQ 9 I O Ir P.V.C. 0 0 EXIST A.C. I PARKING I EXIST. DRIVEWAY Y0, o •' PROPOSED I ADDITIONS I DECK 153.901 ----------------------------------- ---- EXISTING SHED TO" —BE REMOVED ' �oo� i�/�/ � �rvs 70 ,66 En --r------------ `-NEW DECK NEW ROOFUNE I I I _-� EXIST. WHITE RESIDENCE ; SEXIST ROOFLJNE 15601 10th AVE W EDMONDS WASH ' I , 1 , I , I , I , b 153.90' I EXIST. I SEWER FILE -I---s�1en��flJ�� nA LINE 1 � m APPROVED BY PLANNING 3/2gl9s, PLOT PLAN 1'.=20' SURtffiG MAR 18 1993 1 I. M �o 00 I I i 1. I 1 APPROVED AS 14�4 r lz HElGI�? CFi,t..GS. !osf - I/ -,-ti n-T !®D =4C7-LA.C, s��EEr FILE �/"/r c4l,�fs- COI. Se�o� MAR 18 1���g TOP OF ROOF FINISHED FLOOR LINE _&f— At ao ` FINISHED GRADE NEW ADDMON —— T---------------- WEST EXTERIOR ELEVATION SCALE: i/o , r-v PLANNING DATA NAME: ' whrK SITE ADDRESS: 15&o) - 7d- Avc. W DATE: ZONING: PLAN CHK#: 99'- 73 PROJECT DESCRIPTION:_ 2- 5t�., 13,7 w V CORNER LOT No (Yes/No) FLAG LOT /J4 (Yes/No) SETBACKS: Required Setbacks: Front: 251 Left Side: (d ' Right Side: 10, Rear: 25", Actual Setbacks: I- , o ..cam h- 4-6,,-) / Front: *_Left Side: 17,` Right Side: 571' Rear: 89' Street map checked for additional setback required? 'fir- -- Ly4umd (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N (Y/N) LOT COVERAGE: 63,30) Maximum Allowed: �5°� Actual: t Z- 33Z _ rz332 15a1 BUILDING HEIGHT: Maximum Allowed: 2 SActual Height: Z`-r 7/ P b ''``"'-Datum Point: 61,VW PAA @ 1 /V(,) Datum Elevation: /-z r A.D.U. CREATED?: No -x5e.<6t4 kv-,K- SUBDIVISION: CRITICAL AREAS #: 97- ZzZ wa,in� SEPA DETERMINATION: LOT 104toL"; Plan Review By: Z 33Z� 0 cAr11es\permi d^plandacdoc ------------------- ACCEPTABLE TIGHTLINE MATERIAL N-12ADS Sch 40 PVC SDR 35 (ASTM D3034) 156 tH -- — - — - — -ST. -SA -- — - — - — - — - — - --- M.H. i (UNDEVELOPED) b 30'-T 61- DECK 153.90' Ta 4 ------- --.BE REMOVED T roo-rW(j L>k A /AZ5 TO 8"- hleoslo.) EXI9 AC.i PROPOSED PARKING ADDITION/ I I En LJ -------------- \4�WOECK EXIST. NEW ROOFUNt DRIVEWAY CD r J M7. WHffE RESIDENCE 15601 70th AVE W DaST ROOFUNE 00 EDMONDS WASH r P.V.C. , L L IL b 153.90' EXIST. SEWER b LINE CITY Copy 1 Q 11ILD 8 -_ APPROVED BY PLANNING WR 1I PLOT PLAN- 10 = 20' APPROVED AS NOTED 9,6# � O rn c� ®eW z z a -��--t- ADO------- - ----- f i=l cam_ _G1?,4Oc :t 120 ' MAR 18 1198 e• i CA FILE NO. -� — a"),`, Critical Areas Checklist ------------------------------------------------ -------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: �'� f 7 714 v6 �,Z t✓!i✓/r! �,ti E �� 1 �� 2. Property Tax Account Number: 2J/ n 0 6 o a./ / 3. Approximate Site Size (acres or square feet): Ie A G re 4. Is this site currently developed? ,�- yes; no. If yes; how is site developed? 14tIQ M -R — 5. Describe the general site topography. Check all that apply. :1 7 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 y 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): Site contains areas of year-round standing water:. Q ; Approx. Depth: Site contains areas of seasonal standing water: L; Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway 116 floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? M 0 Flows are seasonal? (What time of year? ). 10. Site is primarily: fores meadow ; shrubs ; mixed urban landsca (lawn,shrubs etc) 11. Obvious wetland is present on site: 41 el ------------------------------------------------ For City Staff Use Only--------------------------------------------- I..Site is Zoned? SCS mapped soil type(s)? i WrAn 3: Wetland inventory or C.A. map indicates wetland present on site? 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5; Site within designated earth subsidence landslide hazard area? PO 6; Safe designated on the Environmentally Sensitive Areas Map? J DETERMINATION ^ea chk.doc; Rev 10/03/97 s City of Edmonds NOV t 2 1997 PeP,Pir couNTFR 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 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: r 1, C d % Name I J-C U I ?014-x e. 6) Street Address 7Y3:72 Y�L City, State, ZIP. Phone Signnfd Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date tA 1nC. 18913 Eric J. White 15601 70th Avenue West Edmonds, WA 98026 Subject: Dear Applicant: CITY of EDlr O DS BARBARA FAHEY 121 5TH 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 November 18, 1997 Determination regarding Critical Areas Checklist # 97-222 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 INFORMATION::TO 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. no, 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: Enc: Determination * Architectural Design Board C: Reception\Jana\CRLTR. doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Diane Cunningham Planning Secretary a Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan I 4 "" PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION �De OWNER NAME/NAME OF BUSINESS ADDRESS r 4e_ LEGAL DESCRIPTION CHECK SUBDIVI ON N0. LID NO. Z MAILING ADDRESS ` N a /�A !'�� O S fJ V l%e PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING ? Q REQUIRED DEDICATION _ TESCPApproved /V07-rb� RW Permit Required NO 17 Street Use Permit Req'd CITY ZIP TELEPHONE NUMBER T ��3 �/ 30 Inspection Required YZ W. " PROPOSED Sidewalk Required y,-s [Y NAME // METER SIZE LINE SIZE I NO. OF FIXTURES r PRV REQUIRED YES ❑ NO " ADDRESS ZIP (TELEPHONE NUMBER r Q 9 n,� /P yhm 6 6-le 14 i. ZIP I TELEPHONE NUMBER le4H& W110 7 11�94 ZIP/ _6o1Py STATE LIQENSE NUMBER EXPIRATION DATE of Property - Property Tax Account Cf— Parcel No. t�LJEpp ` NEW I r—r RESIDENTIAL PLUMBINGWECH 1:3COMMERCIAL COMPLIANCE OR ADDITION CHANGE OF USE 1:1APT. BLDG. REMODEL SIGN FENCE EIREPAIR ❑GRADING CYDS'1' (—_x_FT) DEMOLISH SWIM POOL NSERTTOVE HOT TUBSPA GARAGE RETAINING WALL/ CARPORT 11 ROCKERY RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAI NUMBER R NUMBEOF CRITICALQ OF DWELLING AREAS ' l STORIES CZ UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) REMARKS S iD t—W A l- K c c /,JS7.L, v671vl✓ 2 6.42 ' 0 al C VSs 80. FEET or �>F, ���/ACin/Si�Fe"41N ZeWD 'R n C5 /VC-W lti/PE V/o✓ S 2[Jdr/%ao'il/l ENGINEERING MEMO DATED REVIEWED BY 4-9-gr. ( VARIANCE OR CU ADS N SHORELINE Y SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ✓ I 1 Z5' 2 ' EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT. ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 35�7. I s 25' (a 4o LOT AREA d PLANNING REVIEW BY - DATE SPECIAL REQUIRED INSPECTOR Y yH�g � 04 p �j�i= �I/ _ OCCUPANT ❑ YES (Q� / !��'"� IP REMARKS PROGRESS INSPECTIONS PER UBC 108 FINAL INSPECTION REQUIRED VALUATION l/ 01 PLAN CHECK FEE BUILDING EAT SOURCE: GLAZING 6&2% PLUMBING Plan Check No. Cl 9 — MECHANICAL GRADINGIFILL This Permit covers work to be donne on private property ONLY. 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 ENG. INSPECTION FEE "Applicanty On behalf of his or her spouse, heirs; assigns and y successors in interest, agrees to Indemnify, defend. -and hold w harmless the City of Edmonds, Washington, its officials, zemployees, 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 c modify, waive or reduce any requirement of any city ordinance i Inor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the Information • given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the o�fner::l.agree to comply with'city and THIS PERMIT state laws regulating construction; and in doing the'wprk atithoriz- AUTHORIZES ed thereby, no person will be employed in violation'of the-Cabor ONLY THE Code of the State of Washington relating to Workmen's Compensa. WORK NOTED tion Insurance aricVR,CW 18.27. INSPECTION SIG AjURE (OWN R OR % ENT) DATE SIGNED DEPARTMENT CITY OF EDMONDS ATTENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� O��O A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 10910247 I y/% 5-,1116 /W 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. OFFICIAL'S1i91GNAURE PATE / OgLGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor M