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16410 72ND AVE W.PDF16410 72ND AVE W ,�_. i;^ :.t�,,:�,�•..+��*,r�vt'n..r .juv,.�vf.�. t ;•.t'iv�Y'� )t'.S,F�.r�✓'J"Y �,��'�•iAK'+' ^r City of Edmonds I RIGHT-OF-WAY CONSTRUCTION 890_199- PERMIT Permit Number: c:?, C STREET FILE Issue Date: � %3 A. Address or Vicinity of Construction: 1(e4l O 7 Z N t> AV IF- w B. Type of Work (be specific): 12F�c.Ac.F_ 011 Fac-r I V C U Ck D k-oi0 C. Contractor: 4C144A466eS eA hy-09-41 2 C A Mailing Address: S33 /YA/ AJ ST State License #: SW,-,e CC /O/ cQA D. Building Permit # (if applicable): Contact: o/%}Gle <51--1419 t,4/411-11- Phone: 77¢ - S/�6 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, C' BL WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut: x H. Charge $ APPLICANT TO READ INDEMNITY: Applicant understands and by his signature to this application, agrees IAln the City of Edmonds harmles��r t i yt 6', 9r�ges, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made the City of Edmonds, or any of its departmients or employ- ees, including or not limited to the defense of any legal proceedings including defense cosrs.and ahbrney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR PE �F ONE YEAR FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORA77ON FEES WILL BE #ELD : UN77L THE FINAL STREET PATH IS 6OM/PL`ETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department - Work 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. t. S 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 statements and understand the permit requirements and the pink copy of the permit will be available on site at al;;(Contractor inspection purposes. Signature: 'Q�v�� Date: / 2 - 3U - 9 2..._ or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK RECEIPT: N0: ........................ ;: DATE::.: -:::::ASSUED. BY:. .............. _. .........._... NO WORK SHALL:BEGIN PRIOR TO PERMIT a- F Engrg. Div. 1991 17, FIELD INSPECTION NOTES (Fund 111 -Route copy to Street Dept — Comments: ` Diagram: 1 CONTRACTOR CALLED FOR INSPECTION O YES O NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. Jt M S 1 d N s.+ c7] MS 1. S ss p hMzi Z6—v�-,zi -9/A-7 ,rvZL nIV`)I `• N CITY OF EDMONDS USE PERMIT ZONE NUMBER 9,26469 :F ••CONSTRUCTION PERMIT APPLICATION JOBADDRESS SUITE/APT �tl�y(�� FILE OWNER NAME/NAME OF BUSINESS li4P�gq tt 1 _ RS0 LEGAL DESCRIPTION H CK SUBDIVISION 110, Up NO. MAILING ADDRESS O 10-10) 4• --L00 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0 CITtY ZIPTELEPHONE NUMBER RW Permit Required ' EXISTING REQUIRED DEDICATION Slfwl Uw Permit Req'd U ( PROPOSED Inspection Required / NAME Sidewalk Required O O REMARKS ¢ I F w ADDRESS w i N 1 # A Z ,. W CITY ZIP TELEPHONE NUMBER J,�' izomwos go OU0 ' NAME EN PNEERING MEMO DATED , REVIEW SY tt: ADDRESS f 0 �- — METER SIZE BUIL I G PPLY SIZE N0, OF FI%TURFS. . j2 CITY Z77 TELEPHONE NUMBER ¢ ' W x STATE LICENSE NUMBER Li 8 &A — REMARKS • �3 '� SIGN AREA SEPA REVIEW ADS NO. Legal Description o Property - include all easements ALLOWED PROPOSED COMPLETE E%EMPT , _ O ry Y, SH RELINE' EXP rE 11I ,VV46;Vf. r0 A4 QIA% %%1GYOr 1ZC(a*)(,4 /W VARIANCE OR CU' •\ PLANNINO REVIEW DATE o SETBACKS — F T I ,e.� NEIGH T LOT CO RAGE FRONT SIDE . REAP Tax Account Parcel No. MA K + NEW 11 a0 RESIDENTIAL 0] PLUMBING 0 it ADDIALTER � COMMERCIAL MECHANICAL � � I . O APT. BLDG. jO REPAIR L_J SIGN - OGRADING FENCE CHECKED BY TYPE OF CO TRTIO U N CODE HEIGHT 1 DEMOLISH CYDS. %—� CARPORT SWIM REMODEL GARAGE O POOL. ' SPECIAL INSPECTOR REA OCCUPANC OCCUPANT REQUIRED 13 GROUP YES LOAD OWOOSERTTVEI RETAINING WALL/RENEWAL 683 i ROCKERY MARKS I 0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 9 i Q W NUMBER OF STORIES, NUMBER OF m 0 DWELLING m O UNITS � DESCRIBE WORN 70 BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEEl BUILDING g e,- �J O PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRAOINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require Separate permission. STATE SURCHARGE ' Permit Application: 180 Days STORM DRAINAGE FEE Permit Llmlt: l Year - Provided Work is Started Within 180 Days . (�(/ "Applicant, on behalf of his or her spouse, heirs, assigns and ENO" I ION FEE w successors In interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its officials, s 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 PUN CHECK DEPOSIT aw 0 modify, waive or reduce any requirement of any city ordinance i nor 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 APPLICATION APPROVAL' authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriZ• AUTHORIZES This application is not a permit until .ad 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 ur nce. INSPECTION acknowledged in space provided. '.NATURE 1 OR AGENT' SIGNED DEPARTMENT JDATE CITY OF OFFICIAL'S SIGNATURE DATE r) EDMONDS _ AT ENTION CALL FOR REL ATE INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL —File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN_A!I ANTED. UBC CHAPTER 7. �• _ PINK — Owner GOLD — Assessor i - STREET FILE 890.199- 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: Name Q,-JfvPW cal- 9✓,Yr-Q L %�4 Title '2�g-)-c L,,Y a r Street Address i 3--C66T . I-Y- 3Gy o /Js C-I7 �L)) te, ZIP Signs e Applicant Representative: Name oe3. e-4— C6-YAK7— Title Street Address Phone City, State, ZIP Date Signature Phone Date Critical Areas Checklist Site InformatioPc �.�� w� . ��on po�.Qc N, s �� e Project Name: Permit Number: Site Location: 1 b y r o 7 t .cx iJ ° ` -'roperty Tax Account Number Approximate Site Size acres orsquare feet): Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions 1 7.,ce� [�,(,� 1. Has the site been cleared or logged? Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? t" ? 3. Describe the general site topography. Check all that apply. _Flat: less than 5 feet elevation change over entire site. Sf aia e o,>. I o4 Fr Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) C s r 3 " R 00c.,- tos f; 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 Hydrology/Vegetation 4. Site contains areas of year-round standing water: A,10 5. Site contains areas of seasonal standing water:y Approx. Depth: 6. Site is in the floodway. X0 floodplain /Yo of a water course. 7. Site contains a creek or an area where water flowfs across the grounds surface? flows are year-round? _Flows are seasonal? 8. Site is primarily: forested ;meadow ;shrubs ;mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: A110 11. Critical Areas inventory or map indicates any Critical Area on site: IVO For City Use Only STUDY REQUIRED: Critical areas study is required. �b CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.: WAIVER: Critical areas study is not required. Dete urination Number. Reviewer l Planner Date' Rev 3127/92 14 Z(L"l PHONEto �eY V �5 12-v Cao-11 .yu-o 10,0 31 =1111 IS%oll 1:oj1 • �,.100:0^ l.�uM�J I�Nvlot�� Cp✓F�(C i INSPOUT PROPERTY LINE 109.43 0� COLLECTOR DRAIN �.( SLOPE GRA�E- -'-- PRa tP1OSED Z rj �j r, 5 / O 'CA TIGHTLINE TO PERF. PIPE IN 1 \ MAX. 20% Drl;vgwaY S %Z'�o 5 l�Bry GRAVEL TRENCH DOWNSLOPE �LT ;MINT APAV HEIGHT 'L S �fi Ave. C�•. z—,-` — — el - {b�` XISTWG PROPOSED I ECK ADDITION I LINE OF ROOF �V' A 1 OVERHANGE LU Z J Y / 2 W o EXISTING RESIDENCE I a EXISTING FENCE E TRY - Q a 1/� 108 Sf 0 z N � I W 15•� EXISTING EXIS RET.WALL .EXLST _ ING DECK' Ili 0 EXISTING EXISTING DRIVEWAY ROCKERY LCULATION 0 EXISTING ROCKERY PROPE Y LINE • 110.01 4 = EL 9.9 25' 5. V. Igo 4 EL /I G HEIGHT: 4.9 � NOTE: . CONTRACTOR SHALL VERIFY IN ELEVATION: EI--173 �9�d ELEVATIONS WHEN LOCATING NI _ . _... _�.�.. SITE PLAN _�� wjo 00 0 r a a VITY of EDM DS STR E SEWER PERMIT LET For Inspection Call 771-3202 PERMIT NO. 07578 Address of Construction: Property Legal Description (Include all easements): O/Y LD LYNNW0QQ, LINE Owner and/or Builder: Jro 74-7,( Contractor & License No: Single Family Residence Multi-Fam'y0 Commercial (No. of Units ) (No.. of fixture Units ) /C 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 X Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I c rtify that -.'I have read and shall comply Date with the items listed on the back. 7777,77, Permit -Fee: I / i► Trunk Charge:ai Date Issued:• ■ Assessment W Receipt No.: Partial InSQPQtJQ1: Comments Final -Inspection Approved: Date Initial Rejected: Reason ** PERMIT MUST BE"POSTED ON JOB SITE ** Date Initial White Copy - File Green Copy - Inspector Buff Copy - Applicant The city of Edmonds Side Sewer Drawing EASEMENT NO. -------------------- ----------------------- MeAD. comw- NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO. _ZVO ----- - ASMT. NO. - ---------------- OWNER SWIT -pl-ERS011-4 ----- CONTRACTOR -------------------------- ----- PERMIT NO. 7-5.77-8 --- JOB ADDRESS A(b.4-10 ..... 77Z " 0 -- ----------------- LEGAL DESCRIPTION: LOT NO. -13 G ----------------------------- BLOCK NO. --LYNNW-00DAINF VIDP. 4"C.O.WSE C-0-CONP 1.5'up. ------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION -------------------------------------------------------------- -------- PL - S.\4- Approved: PWW-OW1 -11175 (REV. 11/78) DATE --- BY ------------------ //// z a or 'f c* CITY OF EDMONDS i1PUBLIC . WORKS. DEPART) NT FOR INSPECTION CALL Permit Mao _ _ 0 t .,SIDE:,'SEWER. PERMIT 775-2525 Ext. 220 Issue bate�Z PERMIT MUST BE POSTED ON JOB SITE l.. Address.of' Construction /mil¢/© ' ZA" -AyL- -01s 2. Property Legal Description (include all, easements) Air 3. Single Family Residence Multi -Family No. of Units Commercial 4. Owne11 r and/or Builder �AF_ZOAJ p I GE-L.- (74-3- 744-5) 5. Contractor & License No.�� etpa4r��oa.d 6. Invasion into City Right -of -Way: No Yes (If Y,es Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - v attach legal description and county easement number. H a READ THE FOLLOWT-.NG AND SIGN: a 4 a. Property owners must obtain a permit to install side sewers on >-I their property. A licensed side sewer contractor must be employed to °4 construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each F' installation for one year. aC. Commercial establishment requires a minimum of a x inch (6") side sewer line. u d. Side sewers may not be :' d to (MAhafflQh rt inches (30") to any structure.49 eiots e. Side sewer lines must e.1 m nbMWd o 2% (1.150) and maximum grade of 100% (450 oY U DIG H f. No turn in side sewer rea 4 ) i3 allowed ,between cleanout. All 90 tur s e struc d of a 4 ° (1/8 bend) and wye with removable c g. No down spouts, footin FMI(OUN44 a connected to side sewer system. UT10TT COORDINATIN6COUNCIL h. Pea gravel is required en insta ling sewer lines_, through other than granular soil. i. Cleanouts are required at 30 -60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until ins ect`ed and approved by. ',the City. l.. Inspection during normal working ours o Z Tw /(2) working days notice required. Al, DATE c tthat I ha read d KI sha__ cMp-1 with the above H PERMIT FEE: ®(�, ¢ DISAPPROVED By d Date: • Date: "I CONNECTION FEE: APPROVED By:(,Date• _ Ch�* PERMIT MUST BE POSTED.. ON JOB SITE The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION [:] OWNER ----------------------- --------- J QC - \A/� JOB ADDRESS ----- LL4-10 ......... ------ 4 ......................... 2-" P-V.C-- S;de c=,e-We.V-. EASEMENT NO- ........................................... REPAIRS r LID NO_ ------------------ ASMT. NO . .................. CONTRACTOR ------- RVAS ...... I&A1.0-a ---------------------- PERMIT NO. .6-33.L LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. .................................... .................................................................................................................................................................. NAMEOF ADDITION ....................................................................................................................... ior C-0. I►- 0 Pump witlx BacK Flow Resfrlc-'cov-- i PWW-0001 -11/75 (REV. 11/78) �4TH PL. S. W. Approved: DATE ------------- By E 0 STRE�i FILEP J46 22, 1979 MEMO TO: John B. Mitchell, Supt. Water/Sewer Division FROM: Fred F. Herzberg City Engineer SUBJECT: SEWER CONNECTION CHARGES .116410"- 72nd Avenue West treet A ress Sharon Beigel (Legal Owner Single Family Residence x Subdivision Plat P.R.D. Multiple Commercial LEGAL DESCRIPTION: That portion of Tract 86, Meadowdale Beach, according to plat thereof recorded in Volume 5 of plats, page 38, records of Snohomish County, Washington, described as follows: Beginning at the Northeast corner of said Tract 86; running thence South 89'056`.18" West along Northerly line thereof 109.43 feet; thence South 0024'31" West 125.44 feet; thence South 89035'29" East parallel with the Southerly line of said tract; 110 feet to the Easterly line of said tract; thence North 0008'47" East along said Easterly line 126.33 feet to the point of beginning. Except the Easterly 10 feet for county road. Z.F.F. Calculation:. (108.16 ) Z.F.F. x ( �7.07 ( 1 ) Lateral x( ( 1 ) Unit(s) x( $25 *installation by City crews, actual time and materials CC: Owner APPROVED BY: Leif R. Larson _ $ 764.69 Connection Fee 803.61 Lateral Charge $ Equivalent Count (when applicable) _ $ 25.00 Trunk Charge $ 10.00 Permit Director of Public Works 10/78 SATE I(p • C I .1 Y E L` .'� (; �i U i+ ri0. 8fd��dO 1 — _ ICE; _ 1 D - �1 p 1.�. V� . l., l U>� t�SZ.. �U G— i ►� 112a ►JGT — 1 Irst�il,ition i.'('�'o51t c_ IA_.FRlnl -- i7 � I COST I BILLI!fG Pr ice 1 ;!,cone I T0T_r,L- rlA i Ek IAl. S 4/1 —I Lau —' r SRO moo• � s s� ��%; "/i/ 1. A s•D /G.07 IL _-j ---r-- - - 57 -- - --J-: --�- - Hours __- ---- - -- -- Benefits: Sul,rotal.31I iGTi•.L LP;Oft Cll`ii `. ---_ S7 �-' , u'C IlT_"i-LQ'11_ITU ' �.�Liln,�:,f n,')ITIO,'� c.ri'l1nLl,,,^,Tfcl ECuTl('Ili ARTMENT MINTENANCE I.i-E-) —�, Tr,� I T -- — .-. 1..[/ 1 N I— y Statutory Warranty Deed OF THE GRANTOR MEL A.R. RADFORD AND MARJORY M.R. RADFORD,.husband and wife for and in consideration of Ten Dollars and other valuable consideration id s and warrants to DAVID L. BEIGEL AND DOROTHY S. BED , husband and wife An hand pa conveys ,State of r the following described real estate, situated in the County of Snohomish 1Uashington: That portion of Tract 86, Meadowdale Beach, 3ccording ecordso6flat thereof recorded in Volume 5 of plats, page Snohomish County, Washington, described as follows: Beginning at the Northeast corner of said tract 86; running thence South 89056'18" West along Northerly line thereof. 109.43 feet; thence South 0024'31" West 125.44 feet; thence South 89035'29" East parallel with the Southerly line of said tract; 110 feet to the Easterly line of said tract; thence North 0008'47" East along said Easterly line_126.33 feet to the point of beginning. Except the Easterly 10 feet for county road. Subject to all Easements, Restrictions, and Reservations of record. 5th__ day of Dated this :: ;L C:, I iI i E c " �" �A*- i r . AMOUNT P.A1D [O1-o_-XcJ APR 11 1979 G611111I531 U STATE OF WUASHINGTON By County of Snohomish Dsauty Anril. 1979 M R Radford On this day personally appeared before me Mel A.R. Radford and Marjory to me known t��`be � yin`gMduals described in and who executed the within and foregoing tnstr, •• free and voluntary act a• acknowledged il�`. '•'�+� . signed the same as their r} ,, d usesand pu oses ihe�iry rr.3nttpne , GI N 95 .1p ii a nit Af ial seal this • r 1%S N0� qua; � • day of ril, 1979 Notary ublic in and for the'•., residing at Edmonds vot