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16032 68TH AVE W.PDFiiiiiiiiiiiiii 14904 16032 68TH AVE W EXP 1RJE-S �'7 0 -'00'S CITY OF EDMONDS Address of Construction: SIDE SEWER PERMIT "e. W. PERMIT Na 9,056 Property Legal Description (Include all easements): 40 12,1.5,/f drv1- 00/4 9 o�r car �7 Owner and/or Contractor: /%Glt�%✓PLt/,� .� State License No. !�1 �C-L �QI Building Permit No. t Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public F�.NNWOOD LINE Invasion into City Right -of -Way No e RW Construction Permit No. Cross other Private Property No ❑ Yes Attach legal descri tion and copy of recorded easement I cerYffy that I have read arrd shall comply with all city requirements Date as indicated on the back of the Permit Card. t * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL 771 , PUBLIC WOKS DEPT. Permit Fee: _ Issued By Q ^ Trunk Charge: Date Issued: u ) Assessment Fee: Receipt No.: Lid No.: Partial Inspection: Date -Initial - Comments Reason Rejected: Date -Initial - Final Inspection Approved: Date 8::/8?Initial.LL ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Butt Copy: Applicant Revised 3!90 V Side Sewer Drawing The City of Edmonds EASEMENT NO . ............................................ 7- NEW CONSTRUCTION ® REPAIRS ❑ LID NO_ __________________ _ASMT. NO..__.__._-.__--__._ OWNER----h1i^L'.it?.._._C1%ri:S 1,,/11 CONTRACTOR ..G1tIrGtu /7.Orrl45 PERMIT NO. ............. JOB ADDRESS ....i Va.-W..................... LEGAL DESCRIPTION: LOT NO. .---................................ .. BLOCK NO,. _ ,-••---•-------.-----... fw N PWW-0001-11/75 (REV.11/78) z NAME OF ADDITION C. cz- CS: - asIrL cx G�� ► y,& i In r-O 4 V o C Approved: ^ jt. . DATE ......... 9-. �5-. J i By r_.._ LOT S.P * L- Lig•B V CSTV OF IWPMGNDS D- i ow GF.jy v,� .T� 1�a ya©; Mean �,— zfuoo cAIL GoTM S-r. S. W. rno Qc�va.J� W F � j\ � �GL� ls4vRR�toU9 z►stracg ��ia.� Ab s " r t Cr r., 0 APPROVED B)l PLY.,A3NG �•uj d � uu ® W o ` o CV. cr- LU Z O W ."' o U >- W � . F- w a Water Service Drawing The City of Edmonds EASEMENTNO . ...................................... NEW CONSTRUCTION REPAIRS [] LID NO . .................. .ASMT. NO................... C0N1 RACT OR .................................................... PERMIT NO. 990 30 OWNER / rtI AVE w LEGAL DESCRIPTION: LOT. NO . ...................................... BLOCK NO. ................................... J60,32 . JOBADDRESS........................................................ ?.t . 1 coo W /-rRAC-ER MW-0001.11175 (REV.11178) 31' 33, ................................................ :........... ...................................................................................................... NAMEOF ADDITION ................ ............................................ ........................................... .............. NORTH Approved: H`yh-1�----------------------- DATE .................••.•...-................ y Hit- CA FILE NO.00-7P - ' .k Critical Areas Checklist ----------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: '^ 2. Property Tax Account Number: Yl IJ h. 4K 52 131 000 04 b 1 Z 3. Approximate Site Size (acres or square feet): 4. Is this site currently developedayes�, no. If yes; how is site developed?g ,3j S. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing water: N e ; Approx. Depth: What season(s) of the year? l� 8. Site is in the floodway = floodplain of a water course. 9. Site contair4k a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? ), 10. Site is primarily: forested : meadow ;shrubs : mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: (D b CWdK R.r I%WM k City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Received by Dev. S�e�v' Dept: 5 O City Receipt No:T li Date Mailed to Applicant: CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds Prior to his/her submittal .of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete.a development permit application. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below)-. PLEASE PRINT CLEARLY er/Applicant: Name Street Address City State Zip Tele ne Signature " Date d:receptloNjana/CACLHandout.doc Applicant Representative: Name REGEIVED MAY 0 5.2000 Street Address PERMIT COUNTER City State Zip Telephone Signature Date Revised 4/1 of = PLANNING DATA NAME:_ l-le(Gg� h6ws I)­e SITE ADDRESS: ffo03 Z - &%"'Aw- i-✓ DATE: S�Zs/99 ZONING: PLAN CHK#: 99 - PROJECT DESCRIPTION: Nv l (e -4­treI;d,,ce V CORNER LOT `ies (Yes/No) FLAG LOT N< (Yes/No) SETBACKS: Required Setbacks: 1(, 01* -- Front: 25' Left Side: lo' Right Side: ZS' Rear: 10' (�p�L, s-99,-�a�) Actual Setbacks: Front:2,,5_Left Side: [0' Right Side: 2-5' Rear: ''4P Street map checked for additional setback required?_ n��- ^�stn,_ (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N (Y/N) LOT COVERAGE: 246oA (7-94 Z"))rf). 3(00 Maximum Allowed: 3sS90 Actual: 13 0Z- = Z3°1 BUILDING HEIGHT: Maximum Allowed: �15 Actual Height:_ ZO 24 qqo, 01f (�k ,?atum Point: Datum Elevation:_g Zo. 53 A.D.U. CREATED?: y�ss;h�o _ 3 berm aq�.� res,.. -�.� ��. buu,�;�, ti•,,,, VW%J-c A/Ak 3/4 bad b x sr /s t, A- V q SUBDIVISION: 5 98-- I CRITICAL AREAS #:- L- Z9 SEPA DETERMINATION: (°r_ ;t ,bE s �iw'la ems. a�.s �,.� - �Ua S_n4,�,�� LOT AREA: C 3 (D 9 Z OTHER: Ins wUe oe-� , vciov� 2S se bAcx_jC, 04w km 6e'-1 S"M id M�'- i Plan Review By: c Ktl plperW*1pl endu d= Rg:C:F D MAY 0 31999 �EVE�OPMENT SLICES CTR- CITY OF EOMO 905 s sCaL16: S1T PLAN a:All' : yzy•s LOT ot~ S.P. " G= ki 8.3 _ CITY 4F �pMos`iDs �= 418 .B STRE ��:.,�•� �v f 1680. f— Yx yaD /3 meo,v` yv 00 I G4TM Sy. S. w, 7► ac��ov( survey main/Q� 3Gt�.P IMPZ RVOUS �v %4 ASj ,S `/ L/O 0 IK APPROVEDiBY PLANNING 't A ari ------------ 1 Z�L � o r Wirl.1 rRf=A1 SF POSED 10' DETION / A NEW SIGN 6" PVC LOCATION SF fi B L , �, N C HOME ACCESS N�ti co CD, CD ..� L v' oo o Z 6" PVC � � z FTJ �W LOT 2 o � � z RECEIVED o F + MAY 0 6 1999 . v( o FLANN G DEPT. 30' JOINT - - ACCESS EASEMENT LOT 3 1r -t' i i-' IV 40'--N. N 89°06'34" E 155.14' dos /� .✓ W IV7Xp �_ e-I2 P1 ,43-' FAI Tc s h i t 7Vu Vir iS r / � / 8o cub yds. cu•1- / og 1 �a�.eV JRp� 42r �'6xr�xy � , �� V1 yd S C A- u r l r 0 0 52o am 5 n Z n y 7 Ci n 1 0 w ti c O 0 fig ei ei � 'n N 6 kart 17 s AlKcub. ✓ Gt�f JDulu,"70 o Oo � D O v pspf`81. t >•o, y7 PPP�o ✓ /� /ks N� s N -lbrkj Cu4*lflll CT Ll _ w CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS W MAILING ADDRESS ` O 0 . ': � +! CITY ZIP TELEPHONE S_ ty AC3 NAME t r. C1 U -A (j jA-'Q rf ADDRESS U ox Q I�d� CITY ZIP TELEPHONE n IN Z-• '77 1(ta,7) 441 NAME ¢ ADDRESJ/s Q ¢ P CITY z ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY LEGAL DESCRIPTION OF PROPERTY - INCLUDEALL J 4 PROPERTY TAX ACCOUNT PARCEL NO. w J NEW (�� RESIDENTIAL ADDITION COMMERCIAL REMODEL 0 APARTMENT REPAIR I C'' A CYDS DEMOLISH IDc TANK GARAGE RETAINING WALL z CARPORT ROCKERY O � (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: ® [• PLUMBING / MECH L� COMPLIANCE OR CHANGE OF USE SIGN ❑FENCE ( X OTHER RENEWAL NUMBER NUMBER OF I CRITIC, OF DWELLING AREAS STORIES UNITS NUMBE DESCRIBE WORK TO BE DONE PERMIT EXPIRES E PERMIT 9 ZONE zoNE - NUMBER ,1�•� ,1�.30 JOB SUITE/APT# .... ADDRESS It �:: f1,� LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. ��%�~'' S• ��" Iz `1 � /cam PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approvedpj .)7`( EXISTING fj REQUIRED DEDICATION (�� RW Permit Required�n7�r Street use Permit Req'd�/C` Inspection Required rfI t( PROPOSED Sidewalk Required �4 M ,ETF9 SIZ/ Lam/ E SIZJ N0. OF FIXTURES PRV REQUIRED ❑ YES NO REMARKS lf( i41,1 ii�l/�(�i :.�/ i.f,N `. �''tr� r •� � Dig;I:,;.yG<1(- t� �• %,✓�=7ri,,,. a ENGINEERING MEMO DATED REVIEWED BY ti /4, FIRE MEMO DATED REVIEWED BY VARIANCE OR CU. ' I ADB# I SHORELINE # C� z w z z z W W LL SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED r EXP LOT'COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR t7 z LOT AREA PLANNIN RE/VI W BY DATE a FT) CHECKED BY I TYPE HEAT SOURCE tGLAZING % LOT SLOPE PLAN CHECK NO: VESTED DAT ' "' F THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MAROUEES,ETC.) WILL REQUIRE - SEPARATE PERMISSION. cc w PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS (n rn "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ¢ EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Q ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x ❑ FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE J DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 = NOR LIMIT IWANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE 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 STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. DATE SIGNED SPECIAL INSPECTOR AR A /�6n✓ REQUIRED O YES 1 REMARKS PROGRESS INSPECTION OCCUPANT PER UBC 108 FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE / S( BUILDING •��..7 7 j ( ZZ '• PLUMBING MECHANICAL GRADING/FILL M STATE SURCHARGE 'G-'�1 STORM DRAINAGE FEES y U ENG, INSPECTION FEE - 01 z ❑ Mm 7 y PLAN CHECK DEPOSITJ,/«��/� TOTAL AMOUNT DUE j(tk� WWI, APPLICATION APPROVAL CALL This application is not a permit until signed by the FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. 1 (425) OFFCI Lam` Ttl� /^"� DATE `� PC 7! 1 -0220 RELEASE BY V /r i _Dh 'ATTENTION / ' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR