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16900 TALBOT RD.PDF11111111111111 13413 16900 TALBOT R D 890_lg STREET FILE CITY OF EDMONDS LAURA M. HALL MAYOR 250 - 5TH AVE. N. EDMONDS, WA 98020 • (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works . Planning • Parks and Recreation • Engineering August 18, 1993 Ann Landberg 16900 Talbot Road Edmonds, WA 98026 Dear Ms. Landberg: After investigation of your water meter at 16900 Talbot Road for high consumption on the billing period of July 22, 1993, the Water Section could find no evidence of a problem with your water meter. An -investigation of your sprinkler system showed no faults and the landscaping showed no visibility of any leak repair which clearly would have been evident with the amount of water consumed. The meter was pulled -and tested for accuracy. The internal plumbing showed no visual signs of a leak or any recent.repairs. The meter proved to be 100% accurate at low flows and 101% at high flows. A new meter was installed and monitored from July 28, 1993 through August 18, 1993 and showed no signs of a leak or sporadic consumption_. In -lieu of the findings.and based on the past consumption history, I am requesting our Water Billing.Department to issue a new bill that charges you for an average bill for the same time last year. The City will absorb the unexplained excessive usage at this time. If this occurs in the future and all test results show no problems, the City will not allow such an adjustment as our meters test 100%accurate and will not over -register without water actually going through this device. Sincerely, �m Ron Holland Water/Sewer Supervisor cc: Utility Billing Clerk Ilene Larson ..LANDBERG/TXTWATER • Incorporated August 11, 1890 • Sister Cities International Hekinan, Japan UTILITY SERVICE ORDER - 0 . Service Address �K� %�L� O Qr,T /�1� Requested B Water Service Date _� Turn -on Turn-off C/B Read Reread_ Reread Location of Meter s L Leave D/H Edit/Cust. Current Read Date Current Read Previous Read Date Previous Read Consumption 30 37% Read By _ L,]Z..l Date ',IDQC 0 (p -21 Notes „yc,.�t �_ _ o ;,., C, ew M Lock ❑ Unilocked 11 Apartment Units Office Units Commercial Units Sprinkler Other Sewer Avail. Unavail. Meter Charge $ Connection $ Street Cut $ Total $ Receipt V7(-Permit ./ �--- 1. ENTER CUSTOMERS)/NEW METER(S) Written By Customer No. Sort Code Type Mallina Address Mun.? Name Address 1 Address 2 City/State Zip Phone Service Location Active Date Customer No. Rate No. Servi Address Name Address 1 Address 2 City/State Zip Phone 2. ENTER CUSTOMERS' SERVICES Billing Cycle „ 4 Factor Meter No. Route/Sequence Cust. Equiv. Class Sprinkler Sewer Connected Start Date Billing Type Address. Code # of Digits on Meter Last Reading Date Last Meter Reading Meter Size . it _W N N 6 Z IL i 0 w . rn N F C Q a lJ 3 w Z. J L r C1- 3 a. J '1 W 1,. n, W J x W o W o C 1 t cc J a = "1 W I �� W 3 Q J 12 W m x j I f W W ' F ` 0 Q w `�.. f0 W W Q � t Q � 0 [� W J w 1 o 1 / CELEBRATING OUR 75TH YEAR IN BUSINESS 1917. 1992 F. 7 i LARGEST A MOST COMPLETE STOCK IN THE NORTHWEST i 9r92 .�5? .i-�o - . _. ► „. . _1._ 7 s `-3-r 13 7 i 1 r i i { w }} t SEATTLE TACOMA ~^ (206) 223-0400 WOODINVILLE (206) 3834885 (509) 547-2410 (206) 483.2724 BELLINGHAM PORTLAND BOISE 734-4210 (503) 62R9123 VANCOUVER (208) 323-0080 (206) 256.6151 ALASKA 1-800-426-9860 Syyp�PLY CO. INC U .. _.. .9,.Z. _ �._.. .V •.`ti.• •\;:4t•. .�.�• .Y.� .t .4:ti:.. \ L':. i•�:" . i•:• ` .::ti�.r ..�, :`.. ti: C• _ .`�.�. i;\. S. `.�� r .. V t.•:.. - ,•^ FILE # FORM FOR DECIIA!,'ATION OF [ 55UNV - NONSIGNIFICANTCE]. Description of proposal Single family residence Proponent Mrs. H.-M. Landber Location of Proposal 16900 Talbot Road Lead Ageiicy City of Edmonds this proposal has been Bete -mined to [ xoo,/not have] a sicnificant ad- verse kilprct upon -the environ :cnt. An EIS Vx/is not] required unde'r Rr-W 43.21C.030(2) (c) . `This decision i,:as made after review by Uie lead agent:}r of a completed envi.ro.11��enttizJ. checklist and other information on file with the lead aigency. Responsible Official E. Joseph Wallis Position)/Title Director of Community Development Date June 20, 1977_ Signal:w e _0 at W4 I PROJEC AE.C�/✓�,r3G��i 17a/�Lc, du(, DATE SUBMITTED G /G - 7 J ENVIRONMENTAL ASSESSMENT In order to meet the requirements of the State Environmental Policy Act of 1971, the responsible official must make a declaration of environmental impact as early. as possible in the process of evaluating a project. The information in this form will be used to determine whether it will be neces- sary to require an environmental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. If an impact statement is required, a draft statement must be filed with this office, public notice given and a review period of 30 days allowed. The final statement and comments must be filed with the Department of Ecology, Office of the Governor and -the Ecological Commission. The Edmonds Planning Staff will assist you in any way we can in accumulating this information and we would appreciate your cooperation. 1. Land: Area in acres Soils typeLimitations Description of topography (slope) CC-7y7<-6 TD a5"GdP� / J' / F*' Grading: estimated cubic yds. Filling: estimated cubic yds. 2. Water: Stream - estimated flow (gallons) per minute Will stream be altered? To what degree? 1Vd11V45__ Impact on storm drainage ( increase in run-off) Estimated area to be paved 3(G p-6_ (D4/t/Ecw_m1) Shorelines: within 200 ft. of Mean Higher High Water IVIM/L-� Adjacent to shorelines zone �GL� Environmental Assessment, page 2 3. Vegetation: Type of trees % to be removed a 0 %6 Minimum diameter of trees to remain Ground cover-Wllz) /31- % to be removed c� Proposed landscaping, if any 0-0 4. Existing Land Use within 300 f t. radius of proposed development: Vacant Single Famil Multi - Famil y Comm. Other North South East West 5. Circulation: Estimated increase in auto trips daily Estimated demand for public transportation MXk=_ Degree of change on adjacent streets itIGNL 6.. Area of impact: neighborhood city-wide regional 1. Effect on air quality: Ile f 8. Changes in noise generation: AG C'fif�sr%�L� .. 1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 ?4 25 26 27 28 291 30 31, .32 33 34' 35 36 37 38 39 40 •41 42 43 44' 451 46' 47 48 49', 50 51 52 53 54 55,, 56 57 58 59 60 DATE: Z2 A $25 feewill be collected by the City of Edmonds for analysis of the Environmental Checklist.and the preparation of a Threshold Determination. No -fee will be charged for proposals which would be categorically exempt if they were not located in an environ- mentally sensitive area. ENVIRONMENTAL CHECKLIST FORM 1. BACKGROU14D 1. Name of Proponent W -S. N At L..II 0,54 , 2. Address and Phone Num er o Proponent: /666a 7& 7N .4p4i LJ. 776 —;�_77� Z�17 tiloNA3� Gv 3. Date e ChecFlist Submitted —/6 - 7 4. Agency Requiring Checklist. i OFr;>NdW 5. Name of Proposal, if applicable: 6. Nature and Brief UescripLion of the Proposal inc u3- ing but not limited to its size, general design ele- ments, and other factors that will five an accurate understanding of its scope and nature): 7. ocation o Pro��osa descri e t—f1c pTiysieaT setting of the proposal, as well as the extent of the land area affected by any environmental impacts, including any other information n.eeded to give an accurat-- understand- ing of the environmental setting of the proposal): 8. Estimated Date or Comp etion o tnc Proposed Action: 9. List of all Permits, Licenses of Government Approvals Required for the Proposal (federal, state and local -- including rezones): -31- 2 4 5 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40I 41 42' 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 10. Do you have any plans for future additions, expansion,. or further activity related to or connected with.this proposal? If yes, explain: 11. Do you now of any p ans y others which may affect the roperty covered by your proposal? If.yes, explain: 12. Attach.any other application form that has been com- pleted regarding the proposal; if none has been com- pleted, but is expected to be filed at some future date, describe the nature of such application form: II. ENVIR0,NTIR,ENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) Yes Maybe No (1) Earth. Will the proposal result in: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions', displacements, com- paction or overcovering of .the soil? x (c) Change in topography or ground surface relief features? (d) The destruction, covering or modification ofany unique geologic or physical features? X (e) Any increase in wind or water erosion of soils,.either on or off the site? (f) Changes in deposition or ero- sion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed oL the ocean or any bay, inlet or lake? �( Explanation:. 5ur�'iGi�si%/"—O�i /�'y�EiHc�TM�s/n/�L-� y s•c�fi (2) Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? X (b) The creation of objectionable odors? �.. (c) Alteration of air movement, moisture or temperature, or any change in.c.'imate, either locally or regionally? Explanation: -32- .l 1' 2 3 4 61 71 8� 9• 10� 11 ', 12 1314 151 161 17; 18 19 20 21 22 23� 24 25� 26 , 27I 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 .55 56 57 58 Yes Maybe No (3) Water.. Will the proposal result in: (a) Changes in currents, or the course or direction of water move- ments, in either marine or fresh waters? (b) Changes in absorption rates, ..drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? . (d) Change in the amount of sur- face water in any water body? (e) Discharge into surface waters., or in any alteration -of surface water quality, including but not limited to temperature, dissolved turbidity? oxygen or (f) Alteration of the direction or rate of flow of ground waters? (g) Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? (h) Deterioration in ground water quality, either through direct in- jection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise available for public water supplies? Explanation: (4) Flora. Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered .species of flora? -33- L< 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32. 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 Yes Ptaybe No (c) Introduction of new species of flora into an area, or in a barrier to the normal replenish- ment of existing species? ?` (d) Reduction in acreage of any agricultural crop? Explanatio ' (5) Fauna. Will the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including; reptiles, fish and shell- fish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deteri.oration to existing fish or wildlife habitat? Explanation.: (6) Noise. Will the proposal increase existing noise levels? Explanation: (7) Light and Clare. (Jill the pro- posal pro ucT ce new light or glare? �( -� Explanation: (8) Land Use. Will the proposal result in the alteration of the present or planned land use of an area? Explanation: _X. Yes Maybe No (9) Natural Resources. Will the pro- pusal result in: (a) Increase in the rate of use Y of any natural resources? ✓� (b) Depletion of any nonrenewable natural resource? Explanation: (10) Risk of U set. Does the proposal to ve a inrisk of an explosion or the release of hazardous substances (including, but not limited to, Oil, pesticides, chemicals or radiation) in the event of an acci- dent or upset conditions? X Explanation: (11) i'o ulation. Will the proposal alter the location, distribution, density, or growth rate of .the human population of an area? Explanation: (12) Housing. Will the proposal affect existing housing availability, or create a demand for additional housing? Explanation: (13) Transportation/Ci.rculation. Will 1.1— Proposal result: in: (a) Ceneration of additional vehicular movement? (b) Effects on existing parking facilities, .— or demand for new parking? (c) Impact upon existing trans- portation systems? (d) Alterations to present patterns of circulation or move- ment of people and/or goods? �[ (e) Alterations to waterborne, rail --L1 or air traffic? _ ! -35- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 .34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54, 55 56 57 58 59 60 61 Yes Maybe No (f) Increase in traffic hazards to motor -vehicles, bicyclists or pedestrians? Explanation: (14) Public Services. Will the pro- posal lave an effect upon, or result in a need for new govern- mental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? _ (e) Maintenance of public facili- ties, including roads? (f) Other governmental services? Explanation: (15) Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the develop- ment of new sources of energy? Explanation: (16) Utilities. Will the proposal result in a need for r.*'. systems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e)_ Storm water drainage? (f) Solid waste and disposal? Explanation: -36- u • Yes be No • 1 (17) Human Health. Will the proposal 2 result in the creation of any 3 health hazard or potential health 4I hazard (excluding mental health)? 5 , 61 Explanation: 7 8 91 (18) Aesthetics. Will the proposal 10 resu t in the obstruction of any III scenic vista or view open to the 12, public; or will the proposal re- 131 suit in the creation of an 14 aesthetically offensive site open 15 to public view? 16 _ 17 18 Explanation: 19 20 (19) Recreation. Will the proposal 21 resu t in an impact upon the 22 23 quality or quantity of existing . opportunities? 24 recreational _ 25 Explanation: 26 27 28 (20) Ar.cheol.o cnl/Il.istorical. Will the 29 pr. opo;;a 1 resuTL n an a aeration of 30 a significant archeological or his- s 31 tori. 32 cal site, structure, object or building? 33 341 -- Explanation: 35 36 37 III. SIGNATURE 38 39 I, the undersigned, state that to the best of. my knowledge 40 the above information is true and complete. It is understood 41 that the lead agency may withdraw any declaration of non-signi- 42 ficance that it might issue in reliance upon this checklist 43 should there•be any misrepresentation 44 on my part. or lack of full disclosure r 45 47 Proponent: 48 WAC 197-10-370 WITHDRA4:AL OF AFFIRMATIVE 49 DCTLRItII A�HOLD 1'iu"' t at any time after the entry ofRaSdeclara- 50 tion of significance, the proponent modifies the proposal 51 so that, in the judgment of the lead a ens , allinficant 52 adverse environmental impacts resulting therefromsarelelimin- 53 ated, the declaration of. significance shall be withdrawn 551 54 and a declaration of non -significance entered instead. lead agency shall also revise the registers at its SEPA The 56 public information center accordingly. If the pro- 57 ponent of a proposal is a,private applicant, the proposal 58 shall not be considered modified until all license applica- 59 tions for the proposal are revised to reflect the modification. -37- T STREET FILE CITY OF E13MOPJ13S LARRY S. NAUGHTEN 250 5th AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES PETER E. HAHN DIRECTOR November 10, 1986 Ms. Ann Landberg . 16900 Talbot Road -Edmonds, WA 98020 SUBJECT: Sewer Manhole Covers Dear Ms. Landberg: I am writing to you to ask your assistance in raising the sanitary sewer cover to the surface. I understand that some shrubs have been planted around the sanitary sewer cover which prevents access to this facility. This is the only way we have to check and see that no build up has begun in our line. By checking these we may be able to prevent someone, possibly you, from,having a flooding problem from your sewer facility. I would like to meet with you and work out a way for us to access our sanitary system. Please contact me at 771-3202, Ext. 296. Your cooperation would be very much appreciated. /cr Sincerely, BOBBY R. MILLS Supt. of Public Works vwn±5�� �i 4' LCHL _D T BRENA T Al PUBLIC WORKS 0 PLANNING 0 PARKS AND RECREATION 0 ENGINEERING C I T Y o fE D tO S --- P 11 0 L I C W O R K S D E P A R T M E N T WATER/SEWER DEPARTI4E14T -- DAILY VEHICLE WORM. REPORT T OF UNIT .t -MBER: K AND REMARKS DATE: O +Gg- 9 o 8/16/72 014 4 3 c,� 1 --woomp— q0-19C' CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering November 16, 1990 STREET FILE Ann Landberg 16900 Talbot Rd Edmonds, WA 98026 Dear Mrs. Landberg: LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR I have reviewed your account and will allow a credit to your account according to our City policy: the average consumption for the same period during the previous year charged at normal customer rates, plus the excess usage charged at the City's cost, plus a surcharge of 15% applied to the excess only. Should you have any additional questions, please contact Ilene Larson, Utility Billing Clerk. Sincerely, Ron o�11 and Water/Sewer Supervisor BM/lk cc: Ilene Larson Utility Billing Clerk Bobby ills Date W308525/TXTWATER • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan v �k►� PUBLIC WORKS REVIEW ROUTING d SITE ADDRESS: 1�mo I TYPE: BUILDING PERMIT (CHECK ONE) r--j SIDE SEWER PERMIT SINGLE FAMILY�P�NK� SyS]7y7� RIGHT—OF—WAY PERMIT MULTIPLE STREET USE PERMIT COMMERCIAL STREET TREE PERMIT FENCE (-- SEPTIC TANK DESIGN PERMIT GRADING u NEW METER/WATER SERVICE C� DEMOLITION E.I.S. U[ RELOCATION " OTHER: SP7�-lNr_LSW �CYSi%rij U SUBDIVISION REVIEW PLAT/PRD REVIEW DRAINAGE PLAN IN OUT Reviewed By: Date Reviewed: (See Comments)_® CITY ENGINEER I7 em �/ © EZ[ DRAINAGE ENGINEER Q WATER/SEWER DIVISION _ 1 g_g C] STREET DIVISIONj� ce)r �_��_�� D COOP/as� El [� P.W. RECEPTIONIST WORK ORDER COORDINATOR Q UTILITY BILLING Q DIRECTOR/ADMINISTRATOR El © RECORDS (FILE.). OTHER: COMMENTS: JOLI E- I • G�oP^T O �- -r Q'-' 2_ �o -,+.� o�•t B.rJ� 2/3/81 Im USE r CITY OF EDM _ ZONE •_ BUILDING PERMIT APPLICATION JOB NAME•(OR NAME OF BUSINESS) ADDRESS - L--�' - C�� /l���I^'✓3L LEGAL DESCRIPTION `SUBDIVISION SHORT SUB NO. / W pj ' MAILING ADDRE/4/57✓ 3 ��Lgo7— C / PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CITY TELEPHONE NUMBER U EXISTING � to�vpS ���--zz-7-7 NAME PROPOSED Z Z W F DEFICIENCY OF RIGHT OF WAY W Z U W ADDRESS CHECKED BY U' Z f SEE ENGINEERING MEMO DATED W x U 2 REMARKS CITY TELEPHONE NUMBER a NAME `�•� L�r�o>�.L.IV (C ' 0 METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS ADDRESS F U W K c CITYTELEPHONE N/UMBER REMARKS Q 3 Z tYNAIW000 14'--+ .7y5-eD9by 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT 2 2 3•-0 �7 4 F�'�N-CL-��5� SHORELINE # LegahDess�crriiption�P(Snto or Attach Four Copies) SK �L_ DATE VARIANCE OR CU PLANNING REVIEW BY J Z YARDS LOT COVERAGE l7 a z FRONT SIDE REAR Z U REMARKS Z a N W C J Q W W J JQ NEW ram! RESIDENTIAL ❑ PLUMBING CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT NON-RESIDENTIAL EJ MECHANICAL I El SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT ❑ DEMOLISH ❑SIGN LOAD REQUIRED GROUP ALTER EXCAVATE FENCE YES NO OR I ❑ REMARKS u❑ Z REPAIR ❑ COMPLIIANC E SNSP. a POOL 0 J 7 Z NUMBER OF STORIES NUMBER OF m 0 DWELLING F UNITS C NATURE TO BE DONEE (AAT�-T./ACH PLOT jO �F-}W--ORK -'PLAN) W 0 m 0 PLAN CHECK FEE VALUATION FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, FENCE marquees, etc.) will require separate permission. SIGN Permit Application: 180 Days Permit Limit: 1 Year -Provided Work Is Started Within 120 Days RETAINING WALL N "Applicant, oil behalf of his or her Spouse, heirs, aSSIgIIS aIld SWIMMING POOL W successors in interest, agrees to indemnify, defend and hold harmless J i the City of Edmonds, Washington, its officials, employees, and c from any and all claims for damages of whatever nature, a agents x arising directly or indirectly from the issuance of this permit. Issu- e ante of this permit shall not be deemed to modify, waive or reduce TOTAL AMOUNT DUE J any requirement of any, -,city ordinance nor limit in any way the APPLICATION APPROVAL 0 x City's ability to enforce any ordinance provision." ATTENTION 1 hereby acknowledge that 1 have read this application; that the in- , formation given is correct; and that I am the owner, or the duly author- � T106 ER� IT —4rZES This application is not a permit ized agent of the owner. I agree to comply with city and state laws regu- until signed by the Building Official or Iating construction; and in doing the work authorized thereby, no person _p j LY1t)i E his Deputy; and fees are paid, and will be employed in violation of the Labor Code of the State of Washington =U ORK_OTED receipt is acknowledged in space pro• relating to Workmen's Compensation Insurance. vided. SIG TU E (OWNttt O AGENTj)�/[//�/J D(7�AJ/TE SIGNED INSPECTION / � Of MVUI K:iNT CITY OF DIRECTOR'S SIGNATURE EDMONDS DATE THIS SITE IS LOCATED IN THE CITY 775-2525 OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ATTENTION 11 tjORIGINAL — File YELLOW — In• IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE EB PINK — Owner GOLD — A' UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. 102•7a . 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TPTm•-+�2'"17 .. ..n .... , s= 'Z�N.'Acr�mmums' \, r wt�uNpS RECEIVED FEB .1l l9,91 � � � . �jt.s N lily-Z2-7% Dir. �C� FEB 1 1 1� tifN Itlru V MA.To tP M OAJ,95 r4j tyNv Of lliU7, PVA lod I u4 Pil AWE VAL-V CITY OF EDMONDS WATER DITAM'"IMI l yq ry-0 t) 'After revitikv. for n \-",is opprovi-A oi-, P,-, ection is poVI U R E AP; 0. V'ACCI�U—n Water :—ECEiVE& F 7 1 S) 81 L• �turks FES 1 1 RECD D-- 16�cv, rPMON05 CITY OF EDMONDS WATER DEPART'IENT CROSS T) OL j:,,�i; Ration After .or or "Ystem is apt BSIRE, J'U VALVE I I ol - - ----- L4 F Of Put.v!, urlrs LIST ier jtrIjj)T','1' P117111 UT F.V'"' II I Strcet Pdplit-of-11-:ay ExistinF T) Access Eascj:,,cnts Yxi.-,tinq, n) % Ut'lit\, F."iscilont 110 17_ zl VZ Lot Por Sui,�1iv4sjon_ Plat Assessor '.ap site: Plm cj:c(-A.o?d for Accurac-v u II PnOcrorc-,ind 1:4,ri1 1) II Y1OvLc-.: :JV Da t c It I lyd nr t --c V�l 5 P'.-Cl-ant Zee_ AA 1"Ite Sclolic T:!11,: Pen -it Pc c:-,1i.-.c(1 llomit ;7o. Sani.t.-in., Sc—c— A:d v);'!�ility 111-oi. TD I H - ml� tiS:wjtany 5W� vr Co:;nt�ct.icin.Fce 110(11114m1 on (pen I)i tuh Ron i i re, (I culvort > Ylv 0 Cntch rv(l 111(licate on sire PIn-11 I;!:11,11olc roquirc(I T I I d i C.-It 0 oil Si to M, I Soil Conclitioi,.s F, Croan�! 1:,ILc..I. Fica(l (106,cd (n" bv Ritc, /q o e d1L BUILDING DEPARTMENT Applicant Fill PE�t��IIIIT APPLICATION Inside Heavy Lines USE PER ZONE � _ NUMB .IOB ADDRESS / LV-, Rod NAME (OR NAME OF BUSINESS) ,/�ff (��• !/f 4-- O LEGAL LOT LOT AREA SVBDIVISION C yl O MAILING ADDRESS C• (D e C Zz 7" MYES yN�O. /� O STREET STREET EXISTING STREET R/W (� FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST. R/W �ji U FT. Fr, CITY ,C=c1/�viycl S pl;ir ELEPHONE NUMBER 77c — � � 7 7 NAM REMARKS Driveway slope not to exceed those z If J ,�� �,- a/ ' , � ;�, �� indicated on Standard Drawing#103 W W Q ADDRESS CH CKED BY W Z W tTEL EPHONE NUMBER STREET AND/OR UTILITY WORK R/W PERMIT REQUIRED REQ'D. ❑ YES �NO ❑ YES i7► % NO NAME _ / A- :? v 1l /' /7 iv c S 6 !- UNDERGROUND WIRING REQ'D. ❑ YES 1 NO 0 I- U Z I- 0 ADDRESS TYPE CONNECTION .YES SANITARY SEWER ONO VERIFIED BY CITY G �'� 7`7` �✓ ,yam TELEPHONE NUMBER _ / v'j -;�' G e/ � SEPTIC SYSTEM ❑ YES APPV' D BY CITY EN. 2�NO PERMIT NUMBER - U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS AIV-61 �/-7 ,' Legal Description of Property (Show Below or Attach Four Copies) ) /�' i �/� ��' T METER IZE/, BUILDING SUPPLY SIZE C F. Q REMARKS Z 0 3 F. a_ SIGN AREA ENV. REVIEW ADS NO. K U N W ALLOWED PROPOSED COMPLETE EXEMPT J Q REMARKS 0 W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS a5 FRONT Q SIDE o2� REA LOT COVERAGE ' R1 GAS NEW RESIDENTIAL ❑ LINE ® FIRE ZONE TYPE OF CONSTRUCTION CODE ❑ NON-RESIDENTIAL ❑ SIGN ElADD ❑ DEMOLISH RETAINING WALL ALTER OXRC ILLTE ❑ FENCE ' SPECIAL INSPECTOR AREA REQUIRED ❑ YES ❑ NO OCCUPANCY GROUP OCCUPANT LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY REPAIR NSPPRE-MOVE ❑ swim OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS F Z W NUMBER OF STORIES NUMBER OF DWELLING UNITS F a NATURE OF WORK TO BE DONE c�l yV� IL W PLAN CHECK NO. VALUATION FEE Z O d C U N W 0 m 0 0 I- W a O J W > W G PROPOSED USE � �• l,/ lz PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING PLUMBING HEAT & GAS LINE FENCE Y F Z SIGN f RETAINING WALL O U SWIMMING POOL APPLICATION The Ciof Edmonds for ty SIDE SEWER PERMIT EASEMENT NO. ----------------------- -------------------- NEW CONSTRUCTION 0 REPAIRS ❑ LID NO. ---------- - ASMT. NO. --------- -------- -,I CONTRACTOR ---- <=:5 -------------------- -- ------------------------ PERMIT NO. E�� OWNER --- El JOB ADDRESS G _p0.�-- TL ------ T-----iFOL P LEGAL DESCRIPTION: LOT NO- ----------------------------- -------- BLOCK NO. ------ --- ------------------------ �;�77 --- ------ ----- 2—--- --------------- - --------------------------- — ------- .-To 4 �, — 1:50pa- a NAMEOF ADDITION ----------- --------- ------------------------------------------------------------------------------------------------- Approved: DAn-,�,i7�'77 ........ By ...... iz;��Ll) )1/75 t t s CITY tO;F lE 'M`, (° ;NID$� ' SI D;E; ,S'EaW+E R� ;PE RM$T' - r WATESEWER,r DEPt1RTMENT; ; , r R- + ,r �r , '' - r_„ .' `.•'} ash :;; ��} i+. s � �r T:)) - '`I r-. r,, `•. ✓_ .T,., 'S t - s CallY"�'1762628{ :for'sldeR sewer .InapecUonel` RFFOREL covering tan %oitlon oC?+thew conafruction.l' 1('Inapectioft;wiIl;ibe;;provldedl withlnt24}'`hoursoa.fter�requxt r+ N07Sat` Sun iort)hollday lnepeatfona /�' - r/- c. -.,,y, t _ '_ y•y, d ,$ y . , ;•, ,- :., _ � ,, + '4'I1 S r J i lrti � n t - t \4 < is .. � �,, ADDRESSIEOCATIONs iUF tCONSTRUCTION....................x(i ................. C f t k aPROPERTY LEGAL DESCRIPTION . l t 7 r %`ry " ': ..........% 1 l\ ... ... . :. OWNER AND%OR BUILDER i C !! n (. f fCON,TRA8T-OR'SAN�AME,B tADDRESS 4i E ' / 1, A 1... :. i� ►. G-1 h) (nn1,ST&�r)L/fn a M .. F dsslon>•is granted j!r? �. ' ...... 18t) c ,,for repair and/or connection of a side= sewer; to> the` city `sanitary sewers {1s�,,rrt4im accordance»With,+Clty,of, Edrhonds,,ordinances.. �. NTION ISI CA+LLED) TO THE FOLLOWINGS 1\� f No. 1=The+owneraJ oP the) property may obtain •a><permit. to conatrucC'sewer., fnslde,property line "A� Itcensed,alde':Sewer Contractor must be';em'ployed)ko,construct lslde�jsewer;lnGatreet�area.,;:Do snot"cover+any4portlon. of, sewer; -before: It .,hasNbeentinspected-'•: t • • : + - +-, 1;. `•NOTE No •2—Alli-work.,perforr'rieH� 1n} city,r(ght'-of-wa re ulrea antdnvaslon,of . `• - �„ g ' t - •"' Y 4 ,: 13.1gnt-of=Way, Permit. obtalnablc from the Cit En lneer a.officeJ� ;NOTEtNo 3=0btain,full'infor`matior sregarding Ordlnance�74 10%30�ivd Regulations[,`governing. side' sewere•.whent.you,get'+permit '~NOTE No 4'—Top oP sldedeewerrmust'tiave at ]east_ 30,fnchea coverage at property.•alne and 12 ;Inches, inside :proper'ty line; minlmum;;grade. of •2 J`.. •No bendsl In grade ..'sharrpergthan ye'wll])be Permitted °NOTE1No'.J5=Trenches.Imstreet-must .•,ater9settledandtaurface:of,street.+restored:to;orlgirialiconditiom, ContracCors'shall tie;responalble•for'ifallure`du work whtFhr' ay.ldevelop) within one `yeart.of c6mpletion.,j c •n a to Improper ".• , i NOTDirNo'�eett t2iet�p,IpeWnto the, isewye`do any other work •than 1s provided -tor. In `the•permit or to dooany work-onrthe'main sewer or its appurtenances.;except'to)'in r c t DISAPPROVED I t h Date. By t v Date By4 ate gy r t> n F e - AP,PRO��// ; By �F , ri 'Re►narks D'/� r TQ C�4.4 .... ,. .. J. ......... ...: ..... ............:...... ,r • -r y BOTH( Permit 1CopiestGMUST` Be Signed"`By' Ownei oP Firm Performing ConsCruction;PRIOR, To Request For Inspection — T \ I :.14 r c ... ,) hereby certify that theJside sewer installation+construcfed under thisrpermit- '- �(Owner..of' Contracting-Firm+Performing, onstructlon)' - s a!- `,Istalledlin•,accordance with'tall go, erni ,,Oidi'anceis,'of AheCity of:Edmonds Dated this . r day'JoP +* ' ' d"' J Cheok BEFORE youCdig for Water ❑ Gas �, Telephone; ,, , Eower �; Sewer ..u..<_�J..� .,`.w.— .a.i...uw t .; 1,+. t. a._�_J i, .... ... ..-.1. ].� , ...... r. .. .^r "+•.- [.1. .... ;+�.. ..+ RS .—. 6• _ .. ...•. .:r �J L'. The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT NO . ............................................ NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO. _----------- _..... _ASMT. NO. _______-__-_._____ OWNER M �S --• f--n '------ ! � `�- b--`----r- C. CONTRACTOR � P s � Co , 5_ � - � PERMIT NO. -•-- ....... •. •--•••......-• -------------------- /69,- C) K 4o / Z JOB ADDRESS----•-•-----•---•-••---------------------•-••-------------•-------------•--------•---- LEGAL DESCRIPTION: LOT NO. -------------- ....................... BLOCK NO. ---------------- •--•-•--•---------- .... ..................•--------•••-•-•----•••••--•---•--••••.•---• •--------....--• •••-••• •-----•• •---------------•---•-•--•-•--......•-••-..••--•-••-••-•-----•-- 1AME OF ADDITION _...�0 v . Zo ... Sco�� a 2 �I it t--i I -� I ♦ I I 1 , I ..- t ---r - •__-__+ ---t---E--.-i-. _t _._ I __ �-..-1-_-y. -}--_�-__ 1 .{..-_.--�' _� _._ � -_ __ t-- � _.� _i-. � _ _ I __ i_ - t --? - Y_ t- __ r I 1 ,..�3 +N, ' - i- cv�1_ j I I 1 1 ti - 4- AllI - t- ` - `N�, �C� � � �m C•� V1� I, � , �.D-e,� cap �;� �.�: cr � � , I I I I I I I fo I cw I V --•- --• r I -I- - ----- - -+------+' , 1 I sNl I N, "'1r1 5�i { r r DATE: �� 1 r I Iti•,7 T0: Harry Yhi tcutt i Guildina Official FROif: Richard H. Allen Assistant City Engineer �. SUP�JECT: , — ` After revi&,,1 of the subject building permit application, we have the following cor•,.,,ents . (1 ) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the ��ntractor. (21 The Contractor is required to keep the abutting streets cleaned of dirt and debris caused by the. construction. "Right -of -Way Construction" permit is required., from the Engineering Div. of Public Works, for any work within the Public right-of-way or public easement. (4) Driveway slope not to exceed 14%. 1- CPS Nip! S' �T-E;_ v 29 • LIST BUILDING P1'T'UT P%1'I1 IStreet P,iJ;ht-oE-11:av Paistins;� II Access Easoments 1'xistiml � UnD fl utility F:ascmCt,t ExistinO li I.ot Per Suilc,iv .si onl— Plat assessor i'an z _ ! Sitc Phut (Iccl:cd for ,lccurau -V -1 I IuPndcraround j rt 11cod. un W II GIt,nn :Cl%�P{[�� i t( j I:xistin� I,atcr ?'1in Si.^�',p� , I I:atcr"ain 1•cr.;:irccl — , lute ;UjrC-it *300201�. Pyc':rant ——Si.zc— I F �! //Potec_rtor (Icc'.•: Peter I;cr:ui.rcci oL)A I WA l+ L`::�lc=,' (:li:•�•t'.i-C!� iilt. l;'.c{�:c�3c{�$5� — _ I� 1' S("pti-c Tan':: 1ti::;, t):rtc---- --- I I II :.' I j Pen -lit ----- -- -- - -- i! Scl�ti.c T::Pen-lit Pc:nui.recl � cn�tit ?'o. SCW n 1 4s G: I ilti.tar�• �C'::C'' ��V;li.)Iil%1)12�•`— t'1.Ui ! Side Scv.cr Avni)alli)it--- - ------ I"o er Connection Fcc 11cquircd II Ii 1'c vi.c;: 1,; 77 --_ i I� Q.)UI1 1 ) i t d I !'-x st.'.I t/ ,I Culvert Reellir(:a {4 q5? 5 o �j�/ Size_ /.2 J I F� li Catclt !•CeiLtircc? ,L^ `9 (! % Jndicate on "i*_c flan _ ���-__O i!;u,llole recluircd U hidi--cat�ato on Site 1')an I Soil Canditior.F, FI Gt'olllld later Field Oiecl:cd_ClA"1 Revi.c;, l�y� --_-_-___-1tatc r � C-4 Stroct Paving, Required (1irb and Cutter RcOldre(I Sicicwail: Pcouirccl Curl) Cut for Driveway PZcq.Iiirc(I.-- 410 Pj n ) I t - 0 Construction Pcii,,ij,t Rujuired Boncl PCquirc(I for T' ihlic Improvements Strcct ?,!xic Sign !x1eciiired Othcr Signing PCquirod Pre Per""'it Sitc Inspccti on T-tacic on BY: Sci.,.Or Strect Special Po(:ui.rci,cnts listcd in me to Buildin,,� Rite fil J CCI ill )�u4 1 (Jin(; ))Cjjdt App A i ca t ian 1),Itc St'-u-1,I)cd and 'N'Otations, '11"(1c 5�isj_ b)' PLI11))AC Dopartniont U lD?' _... _,d_ Sut�1v_•. W�o-� k�f�Lim �Z � f�iJl�_ &-o - -------- --- - - - ---- ---- R ... � ., wLtm� !m. Iry .•.:r. � � .,,��A�i"' `�"'ri:+ .�.7�"rt'vf iNc.;, yy:w� 7%`+:�.a.-�it ,• 4 r .,.rati` �i.,,.a•. ., ... V��ti._,, %y�'. mot:.„4,:1+r-r�•^•ty.rUl.4i(Miy,y"�r,�..,#-�¢i»R•'!tt°t+ LiiY�,t'• � 6°,h"�',; City of Edmonds RIGHT-OF-WAY CONSTRUCTION 7 PERMIT Permit Number. '7 iIS� Issue Date:— A. Address or Vicinity of Construction: 110100 -rALEpy dEPi4D d. 18w,,9 B. Type of Work (be specific): aA1S'1')4LL //a11 Ae% -I AL aAaL.E P-etUEEJt 9 ° Pelf ' SErv6 1ld92.B TOOT Lul Lad . peo C. Contractor: C f }' Q (�j� �(� Contact: -IbM AND Mailing Address: 533 MAW sr Phone: " f 7L/ —M4 f(p State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑Subdivision ❑ City Project Utility (PUD, GTE, WNG, LE ATER) Q Multi -Family '❑ 'Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes LA o G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City o%Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reasgn of granting thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMA'NSHIP.. AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut 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 si all times o inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK L FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER yE4� DAYS SPECIAL CONDITIONS: ,4�lr�TQ /N rG2i1/�S' 1'L urT/D�►,/ . 5MAIDAIW/ 1N!TH/N COMMENTS: DATE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES Comments OCT �Ai 1(7 Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) ❑ .YES . Date: Date: OIASLgr 00 C--x./.ST7;J& L)T-ILITV- ;161..!=-:s #-I-b -SErfZUE 1b226 -R-20T Plb A107FA, SE40iaE Dt&P !;Wm"