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17020 73RD PL W.PDFIIIIIIIIIIII 5822 17020 73 R D P L W t CITY of EDMONDS E C E� SIDE SEWER PERMIT For Inspection Call 771-3202 L��� FkENO. 00 0 a� a� 4. )y !j� LINE Address of Construction: \ 0 v S Property Legal Description (Include all easements): L Owner and/or Bui1der: C��L��-a-`1'�( Contractor & License No: Singl:e Family Residence 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 X_ Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I ave•read and shall comply Date with the items listed on the back. Tr'unk Charge: Date Issued: 9X4 1r�' Assessment Fee: Receipt No.: Partial Inspection: ` Comments Date Initial 1 Final Inspection Approved: -19- _C Date Initial Rejected: eason ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Date Initial Buff Copy - Applicant I CO C yi 0 z d z z z �A Chi rP7 in NOWAtiRAMOF I map AWURACY 71* 6"�Mafion shown 0 was tied la we by the City Of Edmor al"�; Consultants. The. the 'VO sot forth on "Y It Woods does W warrz,�,, the mV MYIxrson.enVtyreQL in, bL!(, not IllnquirYregardill9thc inh� S' S+l mited to th h-, M-1, the locaiica Of c'y O'May not eylst and rn- A, W,;iji till"' Cit yorrI' 2 f� tOt Edmcn d3 nci j,, 9'*C"."'uJdb D'ven On this map ud upUrj Said Map n(r A w Nf N U ia: a a. % 0 0 Cq 'a, JS ui cc CITY OF EDMONDS IV NEW ❑ ADDITION ❑ RETIREMENT ILE ASSET INFORMATION SHEET 1 ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION � D T. NO * PURCHASE ORDER NO. PURCHASE ORDER DATE COST ' PROJECT NUMBER PROJECT COMPLETION DATE COST !Oo? B.A.R.S. ACCOUNT NO. 'S��� 000 -/�/�- 4V, ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST 'SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT is G.L. ENTRY REFERENCE b P INITIAL DATE VERIFIED BY PROCESSED BATCH NO.- DEPARTMENT FILE City of Edmonds Critical Area Notice of Decision Applicant: L� a 5 S/ C& 92 ck PropertyOwner: /kw, Ot/( C Critical Area File #: Zo (Z _ DO 3 � Permit Number: D��— Site Location: 17 O -Z D .T 3 /SDP j �V Parcel Number: 0. p.791 aT ©13 v o Project Description: ( 4 C'� G� j; l use �� e S I n (0 O 1 n S Conditional Waiver. No critical area report is required for the project described above. 1. There will be no alteration of a Critical Area or its required buffer. 2. The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or 23.80.040. 3. The proposal is exempt pursuant to ECDC 23.40.230. ❑ Erosion Hazard. Project is within erosion hazard area. Applicant must prepare an erosion and sediment control plan in compliance with ECDC 18.30. ❑ Critical Area Report Required. The proposed project is within a critical area and/or a critical area buffer and a critical area report is required. A critical area report has been submitted and evaluated for compliance with the following criteria pursuant to ECDC 23.40.160: 1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40.120, Mitigation sequencing; 2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare on or off the development proposal site; 3. The proposal is consistent with the general purposes of this title and the public interest; 4. Any alterations permitted to the critical area are mitigated in accordance with ECDC 23.40.110, Mitigation requirements. 5. The proposal protects the critical area functions and values consistent with the best available science and results in no net loss of critical functions and values; and 6. The proposal is consistent with other applicable regulations and standards. ❑ Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23.40.1.60 and the provisions of the City of Edmonds critical area regulations. See attached findings of noncompliance. Wavorable Critical Area Decision. The proposed project as described above and as shown on the attached site plan meets or is exempt from the criteria ih ECDC 23.40.160, Review Criteria, and complies with the applicable provisions of the City of Edmonds critical area regulations. Any subsequent changes to the proposal shall void this decision pending re -review of the proposal. ❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced above. See referenced permit number for specific condition(s). Reviewer [0 Z' I Z Date Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any, for the permit or approval involved. Revised 12/16/2010 PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET FILE Name: (GGL z0 : o� �{I� ooc� 1300 Site Address: 3 �� P r' 4 c .e Date: Z l Z Plan Check I# : 6LQ —Z p (Z—p L( L, . Project Description: �o �i �a Cc— `-'l [ice --tom Reduced Site Plan Provided: ( Zoning: Map Page: _ Corner Lot: (YES / NO). �/� Flag Lot: (Y S / NO) L _ Critical Areas Determination 9: � _ �� Ct y { S � S Study Required ❑ Waiver _ SEPA Determination: Exempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Re uireof Setbacks Street: Side: Side: Rear: Street: Side: Rear: ❑ Detached Structures: ❑ Rockeries: ❑ Fences/Trellises: ❑ Bay Windows/Projecting Modulation: ❑ Stairs/Deck: _ Buildin Height Datum Point: ---- Datum Elevation: _. Maximum Height Allowed: Actual Height: Other Parking Required: `�— Parking Provided: �— Lot Area: �--- Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations: ---' ADU Created: (YES / Subdivision: Legal Nonconforming Land Use Determination Issued: (YES /,D) (�p4w\ Z0000L Comments C ln/F. I �(,Y%A Plan Review By:. Planrti iq Data Form 04-11-06AM n•.n........ .. � . �..:..�4+N."i• ..;alr�'ry �»?n-PM. , :•�A.;ll:±y+r3 c4,vP:s=tk��w}iYi-vHh-}.:, r .... .. .�{+aaki>,nl?m. a:�r: 1 � A �;yy7• �� 6` ju OM r: , N . 1 1 � vt i J .V22,1_bY r y / 5 CHIX iYJJDCT P"'10 <P rREVIEFI 3Q:I:c. 9 a+ PRU7DCTa s* G=LEI.(>I ., D PRa= ADDRESS A nni nnmT/Y.1 : DLYVTDg1" ILmR ` �` • �S /�� ii f • `, •, ;,�', + ' Rev e b in tial date).. PLM W QJ WR/ ' ENC,ZTRNG o, . 4, ,�%/ i� r / / / 1'SINGLE;FAMILY/MULTIPLE/OCRC (Circle -One) %///f/ /l 'g S T ACKS CtmC[ ED" Planning' �a # ' r �+ i , / / VARIANCE/SMTA 7AD�T: , R,t d'Y/•f�f'�i •�11M'' Jl' p�y�yf �.� `..' ) �l COidDITIONAL USE, PERMIT k ////// r•r- ADB, RDQIJIRF1�N15. CHECKED + ...;�.,r;.:t.v t _'.- ':•fir ,:•t-f:.k :.. } O�IHERi ZONING REQUIREt�NIS � �«� t' 4 777777 EN%IRC*ffNTAL+FEATURES ACCFB,S'STAPF'& VEHICLE ACCESS DRAINAGE PLAN (On Site) ////// ///////// ///////// //////// f 7 '.;;•. STREET FILE G2�+ ////// /////// ///////// //////// 8 r; LEGAL` DESCRIPTION V'F.RIFICA ION L�/ < / / //// ///////// 11771111 //////// 9 —,11 _ QUIT CLAIM/DEDICATIONS ////// 117111111 ///////// / / ///////// /'/////// 10777/77777 EASEMENT - PUALIC/PRIVATE V.. CALCUT;ATE-SEWER CONNECTIQN IF N6 LID /(J T% ////// 77TTITITT ///////// ///////// //////// 12 •,..�i i j / `. r PLAT/SUBDIVISION REQUIREMENTS 13 RIGHT-OF-WAY CONSTRUCTION PERMIT`REl_lD // AOND'REQD FOR, PUBLIC IMPROVEMENTS /////// SOILS. CONDITIONS 6 GROUND r `Y° .,! WATER'FIELD CHECKID ? //// / 111171111 STREETPAVING: REQUIRED 1 171, — "^ ,. ,;.+ `(AIPi'ER IR® r , , „ r� ;CURB AND REQU '' ////// ///////// ///////// ////////// 18 i'•r..SIDEi+tALK"RDQUIRED : r•' .,d};„ ////// ///////// ///////// 19 'CURB CUTFOR DRIVEWAY rRDQD s. �.i: ////// ///////// ///////// 20 --- S'iiEET NAF1E S21 IGN READ 'i •( » /� -- ,;,:r• rye s# OTHER'. SIGNING' READ ////// ///////// /////////.:.. �.; .. ////////// 22 'SIDESEWER`AV7�ILARILITYy,.: r 3j� _. ////// ///////// ///////// //////// 23 '9? SIZE 24 yy7 .'EOtIS��TI1��'JGiplpWATEgR�MA1gN rK11 i'7`�` F�J f'.I7 N;11� �y, L E•Civ `SY 4 /tt 'a _I WATERfMETF3t SIZE!. ,- t,» / 11117777T�� ` / / A yR — a;'�rt''L4_ SERVIaCE`LINEISIZEF�� ..`' : "f . ////// ///////// Ll�� 7 //// 26 ///////// 27 HYDRANT •REQUIRED.t�... �i. {'' I'STING' 28 ;HYDRt4A1NT'gSIZE , '+� i:!✓`"4`;q�o•.j� >+.1; �.ti '.�i,: E. ` Yr- ."+tq>s` �, 4 1 tr. ;. '. , 4 �� r�. ////// ///////// +� 29717717777 CfiQSS G�ONFTFJCTfQWINSPECTION REQDc METER CHARGE+•REQp :' .,t.. r te r` •' ////// ///////// /✓' 30 f. ` SPRi�` FIRE LINE'CfIALEe -NKLF.Rr ///////// / 31 i ///////// l: ..:32 cur t4_OPEN DIEPCH,oExISTING, ,� � fr '���: ////// ///////// ///////// `r' " 33 •C�'�' b � J�f; ' .�. , rt f I Pr, .•r'y. j',. {°li.. ,. •" -1 {'Q.. 'RFnDY:.:'i'y' Y;� �,z;) w: , axvm ////// ///////// ///////// )s''• ` 35 ; zee 'SIZE i �v},jf�'g1`E4tF�: fix.. r'�• t r fit. , tea'' 4 7777 37 +'CATCH,BASMRDQD�*,�' .; / fvt yi '� ;y t 38 '��ltlt:}A SITE y"11JDICATFI)_ON `jSt10lJIDER: QItAINAC;E, MAINPAiN k�► �; jet , _'.. b 'a;? 3940 SHALE opr.v' RUNOFF :c;';; . • I �`ts�. � . r, ////// ///////// ///////// .. `MISCs 1{ "i....• 'f`'4.v .{•'1/•- 'd lZidii�f'').' _ ._ , ///////// ///////// N:i i- t r i s a 4 REVIEiM 9Y. PLANNING MGR ENGINEERING MGR. "- 4 ^` ` Of 3r6E1� 1# f, PUBL WORKS MGR. CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) f ox ,�_ '2_ 'ELEPHONE NUMBER 3G_7-<::�gra TELEPHONE NUMBER CD ADDRESS 7�Ox.�2© CITY TELEPHONE NUMBER l -,r 3 U-7 ---6 L4 _), 1 NUMBER 4L-2Z1 -t�Q tion of Property - Include all easements or NUMBER 4DDRESS 7020 ;Z?C D t^/�� .EGAL DESC PJJON CHECK SU IVISION NO. LID N0. ✓/ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - . REQUIRED DEDICATION RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS SIGN AREA ENV. REVIEW I ADB NO. ALLOWED i PROPOSED I COMPLETE j EXEMPT Lm l-cp VARIANCE OR CU w O YARDS FRONT SIDE w J I ��s� REMARKS ® NEW © RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOLISH OR F LL E ❑ '(( FENCE x-� ❑❑ PRE -MOVE INSPJ a SWIM REMODEL COMPLIANCE INSP. POOL CHECKED BY TYPE OF SPECIAL INSPECTOR REQUIRED ONO WOO a APT BLDG RENEWAL INSEDYES RT z REMARKS O U6 NUMBER OF STORIES NUMBER OF o DWELLING go I JUN ITS 0 0 NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) � .� b!" � f r� w 71►�1 /1•- 1 3 �� 4 �' PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADING/FILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and successors In interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of PLAN CHECK DEPOSIT P whatever nature, arising directly or Indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to modify,.waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that 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 owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz- ed thereby, no person will be employed In violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED ti n lnsurpknce.. INSPECTION DEPARTMENT SIGNATURE (OWNER OR AGENT) DATE SIGNED CITY OF EDMONDS PLANNING REVIEW BY DATE HEIGHT I LOT COVERAGE REAR GROUP VALUATION H OCCUPANT LOAD /DD•Q� 33i APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE 0 z cc z 0 z w z z z 5 ATTENTION 771.3202 RELEASED BY: DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 'K CHAPTER 3. PINK — Owner GOLD — Assessor Ik102.78 LEGAL D.ESCRIPTIOW LOT 1N0.13.OF EDMONDS VIEW VI VI SI ON 2 ) N, W. E SECTWJ 8 TO'WSHIP 27 N RT14 RAC BEAST' W �1. Uri ri OF EDM orDS SI�ONOMISF COUluT•y, �lASH1�lGi'ON 5TATE �x�sTINq • LOT Ai EXISTNq - G S I D E t,ICE" - LOT 12 � o J _ �•l1 EX ,W� D�c� , �= l P-C6 CannMO/`i 'I'- PLOT' L,0T 13 - (APPUCAP-j LR� PLA KING N EA J�sq o0 0/ •E TAT ST 4 Ti 0�•-+—: • /PO {ti 1 58 P �. 04 86 .? Ob r S-18-87 Ti 999 EAGLES NEST © 1 DI V 2 e % (7415) 042 N I'�� F06 I •'nF 7ceGLES VEST . D/1/ 1 (7417) it 999 d � 3 17 � � I 02.. ;O% f> i.... er p- I" .DEC Corner F IQpt iJ� acks R uired Actual ont SCALE: ies DATE: 'S her 51 t �.