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17504 72ND AVE W.PDF11111111 lill 5637 17504 72ND AVE W 04-7 Avt- bA In R-44: ANCOM 10, Fr ZI.W ;?,o-4 10 Fr Fr Pr rW 3 wn 105' -76.00 �-,\/ /L AP , C;lq -1 10 W r,'b-r MVED BY PLANNING Fx 1107 1 &1 'D 6", Mm-kAy i N 19-71 -7a ?,q 9 & .0 Pr ( 913,9;�) HF—bHT- 0 l000 HO&M--' Fie-16"-r or —fig . —Amr-ric.)r-� 6 EJ5wi-J - 7. r Jic-�N6 Hou--,e: Sul Ho SEP 2 9 1998 CITY - COPY CA FILE .0. cl ZZ6 U Critical Areas Checklist --------------------------------------------- ------------ 8ite in- formation (soils/topography/hydrology/vegetation) I . Site Address/Location: 175c� z4 -72- ND A\/ E7 LJ E 5,7 2. Property Tax Account Number: — -,q 57c/,o - e-_x7)e-_-3 - cn ef) - 3. Approximate Site Size (acres or square feet): I 5;2_ 4. Is this site currently developed? X yes; _ no. R�sIf yes; how is site developed? e= L, 4E _FMS1 I Uq 5. 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 I 0-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 I 0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-r ound standing water: __; Approx. Depth: N/A 7. Site contains areas of seasonal standing water: ;Approx. Depth: N What season(s) of the year? 8. Site is in the floodway Mc) floodplain �j LA of a water course. 9. S ite contains a creek or an area where water flows across the grounds surface? Flows are year- round? - T\jc�> — Flows are seasonal? 14 # /14 (What time of year? NZA 10, Site is primarily: forested Nc> meadow No shrubs Nc� mixed N c, urban landscaped (lawn,shrubs etc) Yes 11. Obvious wetland is present on site: N rp b; ETERMW ATION' 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. 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 Ar e*as Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Name Also4 7Z 141 E: Street Address Erb�<Okt>S IJA City State Zip --- 1 e) -7 -14 S' �5: - Telephone Signature Date Applicant Representative: -5e — 1 (� . �D Q LL IVAN — t4RC W 1 -1 -Er—? Name /Ok� — tFs I L�t - Street Address EI)Mc)m (DS" city St�te Zip --<4'�Z 5 — 7 7 6 2, TeIpphpne Signature Date creception\j ann\caddoc (over) 1� C. 1 SC03 September 16, 1998 CITY OF EDMONDS 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 e Wastewater Treatment Plant Donna & John Alexander 17504 72nd Ave. West Edmonds, WA 98026 Subject: Determination regarding Critical Areas Checklist # 98-226 Dear Applicant: 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 pi�oject-specific determination. mo, 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: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board Thank you. Sharla Graham Planning Secretary C:ReceptionQana\CRLTR.doc 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan nf�p C.-t- CPO 76,00 I F-4-D6 D 67z.1e, ;Z7 ?g6pat f--D 9LC6 :ZCA .-af Fr - ro P56A e.ol&-MLy--Mb IN �- -r -r- OA m L.OT A94�� ,qq .0 F-T MbHr A .0 ,&,15RAZ-q F, azAC>97 lc'0,0 H I Fiev,H-r c5v---flf� � ---AmrT-lur-A 6 Etawvj - r-jsnN6 -7Z. r Ar ED BY PLANNING "7 SEP 2 9 STREETFILE COO I- -coo - olo S-TFIEET FILE APPROVED BY ..... WAI.- 2..- RECEIVED ocl U, 1 I�j2 p�'- �JTCOUNTER PLANNING DATA NAME:.:�&m Akndpjr SITE ADDRESS: 1761-1 -/Ad AM. W-. DATE: - ZONING: PLAN CHK#: PROJECT DESCRIPTION: AA�n t CORNER LOT NO) (Yes/No) FLAG LOT. NO _(Yes/No) SETBACKS: Required Setbacks: Front: 7,,5' LeftSide: 1Q/ RIghtSide:10 Rear: Actual Setbacks: Front- - 2-U Left Side: Right Side: Rear: Street map checked for additional setback required?jt�� (Yes7/No)kD-'�OU) U LEGAL NONCONFORMING LAND USE DETERMINATION ISSUE (Y/N) LOT COVERAGE: Maximum Allowed: z6 Actual: BUILDING HEIGHT- 110010 Maximum Allowed: -Actual Height: Datum Point: PqD POA&f'?Rd 4X0 Datum Elevation:., ZZ"" ij� 6=1 WE HE �! "i SUBDIVISION: CRITICAL AREAS #: SEPA DETERMINATION: LOTAREA: OTHER - Plan Review By: a\f11cs\permitk^p1andat.doc U-Ila, 26 JIQ JID SEP 2 9 1998 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. 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 Checldist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: t 7_�)kt,JA I Name L 1-I cA Street Address City State Zip :125- - -7 -415' - *-*4' i5 7,1 Telephone Signature Date Applicant Representative: 5TC—Ft4EK1 rK. '�__)ULLIVA�o^A Name 7(,, Street Address city State Zip - 1 �Z 7 7 0 — Cqc5f 2- Telpphpne ?,- �zz Signature Date c:recepdon\jana\cac1.doc (over) CA FILE NO. Critical Areas Checklist --------------------------------------------------------- Site Inf6rmation (soil s/topography/hydrology/vegetation) 1 . Site Address/Location: 17S 0 -4 _7Z AV E WE:5,�;r 2. Property Tax Account Number: --q.576'0 - en) I e-:�' - 3. Approximate Site Size (acres or square feet): I 4. Is this site currently developed? X yes;_no. If yes; how is site developed? 61t-46mLe 5. 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 I 0-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 I 0-feet over a horizontal distance of less than 33-feet), Other (please describe): 6. Site contains areas of year-r ound standing water: c> ;Approx. Depth: N/A 7. Site contains areas of seasonal standing water: Approx. Depth: N What season(s) of the year? 8. Site is in the floodwav floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? 7\1c> Flows are seasonal? �A (What time of year? 1A 10. Site is primarily: forested Nc> meadow N c) shrubs Nx:� mixed N n urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: N 0 ------ C-itk. Staff Use Only ----------------------------------- ------ - --------- 7 ---- - ------------------ :1,;;" -8iteisZoned? S.C$ niapped s6i1.typ.e(s).T AL'L:>' jj:LV M 6, 1!5�- :AI;i 4. ...Wet I land.inventor� pr.C.A.*,rnap . indicates wedatid Present ori site? ..ceffical Areas nventory or. ;A. mhp ifi�djcates Criticaj.'Ariion site? Site W'i thin desig*n*ated .6irth.subside*ncie "la n*ds tide, hazdfd,* area? Site &si vj on m6h'tatly.-Sen�ifiv� Ai�as MaO bEfEP.MINATION" et 45 5 F1 sw MC. KID m 168TH. z READMALE ls6Tq T HI PIAV PLAYFI ..us 17R' 170T)i ST y 17157 ST SW sw sw 17214D�11; ST ........... sw 1 PD ST 7 —173 17 sw PL 74TH ST 17 ST 17 ST 175TH ST Sw CE 4 I PLSW . rl sw 1/01 H vnw-R- 176TH PLI SW 1 177T 178T�HSTISI rH FL SW SNOH014ISH --�178iH PL Couffry CHRISTIAN sw HS 180' TH ST ST . SW :x PL SWI rT IUST T 8,'KU I--- Sw 1� V C-) Ic—sw 83RD PL SW t; ST i-I TH le 18 ST iF I FN SA 4 W. :z TH PL SW sm m - - iE 185TH -- -T SP SM ST SW it — M - ST SW 187TH FL �; :P, -F p 187 P sw W 188TH JWTM ST SW I 8�= PL SW FS 189TH PL SWx PENNY Lh -1891 I PL SA 189TH - OL SW IC TH ST SW L Slow DALE ivul. 'r PAN 191sl PL 91s 191s c-i Sl Sw PL SW P L —e. PARK ky r sw -193RD LAKE , 3c 194TH'ST SW- :OL t; 195M ST Sw, Building Perinit T F UE AppLication Information, Application 9.20783 BT 9 2 0 7 8 3 B DX_3� _DG Date ... 9/03/92 Permit ... # P Site Address... 17504 72nd A ve W Job Name ....... Alexander Unit 4 ..... "Information, Owner A_ ATA# 4560 000 010 00 Name .......... John & Donna Alexander Address........ 425 Pike St City/St!Zip....- Seattle., WA 983.01 Ilome Phone .... Work Phone ... Contractor Information Name .......... Sullivan Co;npany Addre s s. 13 5 -0 6 7 6 th Ave. W --ity/St/Zip,.. Edmonds, WA..98026 Cont #. ... SIULLIC109702 C o nt- a c t ....... will. Martin Phone ... 778-6812 Ar, chitect. - Inf ormation N ame Arch # Address—* .... City/st/zip_ Contact ....... Phone ... 776-3444 Engineer Information Name. * ........... Engr V.. Address ....... city/St/Zip ... Contact ....... Phone ... New ...... Addition ...... Alter.at.i.on ..... Repair ...... X Heat ... Nature of Work., REPAIR.EXISTING DECK..,-. Bu i Id ing Type code'. . . 'Co'st/SqFt. Building Area, Basement .......... First Story.... Second Story-- Third Story .... over 3 Stories— Garage ......... Decks ............ 150 Shell Only ..... III! o t a I Square Footage—, Building Valuation ......... Building Permit Fee.... $ 31.50 Plan Review Fee ........ $ , 210.48 Total Fees ............ $ 51.918 0 1,500.00 STREET FILE HARVE H. HARRISON CITY OF EDMONDS MAYOR CIVIC CF=NTF=R - eDMONDS, WASHINGTON 98020 - (206) 775-2525 DEPARTM�NT OF PUBLIC WORKS February 26, 1980 Mr. Scott Summers 17504 72nd Avenue West Edmonds, Washington 98020 Dear 1.1r. Summers: SUBJECT: DUMPING OF FILL DIRT -'/ 2,5-10ell The Street Division of the Public Works Department requests the use,of your fill site to dispose of waste material from City streets. This would include dry, and occasionally wet, material which is removed from water leaks and ditching material. No brush or stumps would be dumned by the City. If permission is granted, we would agree to leveling the fill which we'dump in a rough manner. Please return a copy of the Fill Permit along with the letter of approval. BM: j ak APPROVAL TO DUMP AS REQUESTED: Mr. Scott Summers 2;!:9 date Very truly yours, FRED F. HERZBERGP P.E. Director'of Public Works '-"-PNG DIVI S10NW Applicant Fill ZONE VILE PERMIT APPLICATION Inside Heavy Lines NAME (OR NAME OF BUSINESS) JOB ADDRFSS, A� LEGAL DESCRIPTION SUBDIVISION SHORT SUB NO. ADDRESS ZIMAILING / CITY NUMBER PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP ITELEPHONE C) C EXISTING PROPOSED U DEFICIENCY OF RIGHT OF WAY W t ADDRESS PUBLIC IMPROVEMENTS REQUIRED 0 x U DRAINAGE IMPROVEMENTS REQUIRED M 4( CITY TELEPHONE NUMBER DRAINAGE PLAN REQUIRED UNDERGROUND WIRING REQUIRED 0 NAME CONNECTION TO SANITARY SEWER It SEPTIC TA'NK PERMIT REQ-0 0 No. 0 ADDRESS I- ELEVATION OF PROPERTY CORNERS U < & FO OTINGS REQ'D CITY TELEPHONE NUMBER Z 0 SEE ENGINEERING MEMO DATED STATE LICENSE NUMBER -F�ITY _LI�CENSE NUMBER� CHECKED DY Legal DeSCHiption of Property (Show i3elow Or Attach Fou METER SIZE nUILDING SUPPLY SIZE ... KS z 2 Tg C C C SIGN AREA ENV. REVIEW U ALLOWED PROPOSED COMPLETE1 EXEMPT 0 - 1. / W a — - .J < REMARKS W A )A) x-71 VARIANCE OR CU 71 YARDS W RESIDENTIAL GAS FRONT 11 LINE FIRE ZONE ADD NON-RESIDENTIAL SIGN 7 DEMOLISH RETAINING SPECIAL INSPECTOR WALL REQUIRED ALTER CcAVATE FENCE 0 YES 0 r'4 0 FT[ POR '. LL El J_ X_Flr) PLAN CHECKED BY REPAIR PRE -MOVE swim INSP. POOL Z 14UM89R OF STORIES 7 UMB ER 40 F REMARKS N D D WILLING U U NITS NATURE OF WORK TO BE DONE U /,k) In W 0 PLAN CHECK FEE PL?T,,PLAN BUILDING PLUMBING ov"q MECHANICAL FENCE "Xpplicant, on behalf of his or her spouse, heirs, assigns and' SIGN In W successors in interest, agrees to indemnify, defend'd�n�a'hold harmless j 7 the City of Edmonds, Washington,,its officials, employees, and RETAINING WALL agents from any and all claims for damages of wha�tever nature x arising directly or indirectly front the issuance of.t-his permit. Issu- SWIMMING POOL alance of this permit shall not be deemed to modify, waive or redt;ice any requirement of any city ordinance nor limit in any way the ADD P ORELI DA IPLANNING REVIEW BY_ 1 TE LOT COVERAG E SIDE REAR OF CONSTRUCTION I CODE HEIGHT 06CUPANCY' _6CCUPAI GROUP LOAD THIS SITE IS L ATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE 0 U M1W 3.1 1'. Z W W Z W 0 W W Z l 0 qu N DA T E : 8- -]--80 TO: Divisjoll Developp)OIlL FROI-1; E ri,,, i n e c r i . ng Division 'Public Works DeparmenL SUBJI.--Cll,: che sub oct buildillp i , !) (-' I., Til '1prl ic.1 Lin t:lle comnencs: . n , %,:o ha v.e I Ki MF�OPLH A--= RECEIVED STREET FILE MAR 10- 1980 Dr of. March 7, 1980 Dear Sir: Our fill permit was paid for but held at the City of Edmonds Engineer's Department. There was controversy over the storm drain on our street. If you inqut�e with the Engineer he should be able to give you a ci�'opy. Thank you very much, Mary E. Summers & Stott Summers P 0 9 0 F E 0 M 05_\�] 93 S HARVE H. HARRISON MAYOR CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525 DEPARTMENT OF: PUBLIC WORKS February 26, 1980 RECEIVED MAR 10 1980 Mr. Scott Summers 17504 72nd Avenue West Dir. Of Puhlir Works Edmonds, Washington 98020 Dear Mr. Summers: SUBJECT: DUMPING'OF FILLDIRT - The Street Division of the Public Works Department requests the use,of your fill site to dispose of waste material from City -streets. This would include dry, and occasionally wet, material which is removed from water leaks and ditching material. No brush or stumps would be dumped by the City. If permission is granted, we would agree to leveling the fill which we dump in a rough manner. Please return a copy of the Fill Permit along with the letter of approval. BM: j 4k APPROVAL TO DUMP AS REQUESTED: Mr.' Scott Summers 7 date Very_�ruly yoqrs, FRED F.//ITR ERG, P.E. Direct,6r r. /o, ublic Works 0 0 m i CITY OF EDMONDS PUBLIC WORKS DEPAKENT FOR INSPECTION CAO Permit N? _6237- SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date I __ 1 0 M - — PEP -MIT MUST BE POSTED ON JOB SITE * I- =7"W A —IFAM '7 0 q"WIMM'"WAOW 1 . Address of Constr iA),. fiklm"dT CY& 2. Pro rty Legal escription (include &11, easements) Uj 3. Single Family Residence Multi -Family No. of Units Commercial 4. owner and/or Builder CXLU"veS 5. Contractor & License No. IR BE - X* -Z 2- (o _'T L, &Z 6. Invasion into City Right -of -Way: No )( Yes (If Yes Right -of - co way Construction Permit Required - Call Dial Dig (342-5344) before excavation) . E-4 7. Cross other private property: Yes X No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain apermit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. c. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than thirty inches (30") to any structure. 0 e.. Side sewer lines must be laid at a minimum grade of 2% (1.15 and maximum grade of 100% (45 0 ). 0 . f. No turn in side s8wer greater than 45 (1/8;bend) is 0 allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and Wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 1001 along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for ri ght-of-way failure due to poor compaction of fill. I k.. Side sewermust be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours ly. Two (2) working days notice required. DATE: /s- :z L? Ircertify that I hdve read and shall comply With the above S!5'Qu IV Ec�r#KIT__ PERMIT FEE: jjk_ )DISAPPR . OVED BY: Date: By: -Date: CONNECTION FEE: 0 APPROVED By: Date: PERMIT MUST BE POSTED ON JOB SITE AIC 14ORKS DEPARTt*M CHECKL BUILbING PERMIT REVIEW STREET FILE Street Right -of -Way Existing REQD Access Easements Existing REQD Utility Easement Existing REQD Lot per Subdivision Plat Asses or Z Site Plan Checked for Accuracy Underground Wiring Reqd. Check Accuracy of Legal Description Environmentally Sensitive Area Environmental Checklist Reqd. Z Flood Hazard Zone U Shoreline Management Area Z Slope, Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. N (0 0 &&" ADB # Board of Adjus Review By: Existing I-Jater 11,1ain Size 4> Water Main Reqd. VA Date: Service Line Reqd. 3/4/ Hydrant Size Existing <)ir-- Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. 1�/'r Cross Connection Inspection I -AD Fire Department Water Meter C�;Reqd:. 7- 0) C) Review by. Date: 12A Date -1 2N 0 Address —0' Approval "W4=0" beptic 'i-ank oesigm Approvccl Date: Septic Tank Permit Re Permit No. Sanitary Sewer Av a ility Proi nua-str->S�-- L-i P Drawing No. File No. Side Sewer Availab�� Sanitary Sewer Connection Fee Reqd. elp CAL4ulAPW Lgq fUn-Pi LI, Review By: Date: Adak U104NG DEPARTMENT PERMIT Applicant Fill ZON NUMBER PERMIT APPLICATION Inside Heavy Lines I JOB ADDRESS NAME (OR NAM-E F BUSIN—ESS) 7 A) SUBDIVIS110N NO. PLAT NAME ASSESSOR MAP NO. W Z mAIL-11"s ADDRESS 157A P UBLIC RIGHT OF WAY PER ORD INANCE NO. 0 —Sit. CITY ELEPHONE NU BER ).A) oe", 7. C EXISTING RiGH . T OF WAY -- PROPOSED R.IGHT OF WAY NA I'_ U /4'4 A_) tl _<ILN DEFICIE I N . CY OF RIGHT OF WAY ADDRESS STREET/UTILITY WORK REQUIRED WYES NO. U PERMIT FOR WORK IN PUBLIC R/W 'SYES NO 0 CITY V TELEPHONE NUMBER It < UNDERGR OUND WIRING REQUIRED BYES El NO 3: u CONNECTION TO SANITARY SEWER EYES NO NAME C-5 SEPTIC TANK PERMIT REQUIRED YES PUNO SEPTIC TANK PERMIT NO. IL 0 ADDRESS U < SEE MEMO DATED 60 14D —je? %_ITy TELEPHONE NUMBER REMARKS oz Z6 _,.� I- e �j A U bTAT L-it-LN5E NUMBER 1> CITY LICENSE NUMBER CHE -L,111- -114, )Oq ,g i sc� ption of Property (Show Below or Attach METER BUILDING SUPPLY SIZE 40/ /0 Y7� W z REMAF�KS 0 IZ41 rk SIGN AREA ENV. REVIEW ADB NO. U 0 ALLOWED PROPOSED COMPLETE EXEMPT W REMARKS W VARIANCE OR CU PLANNING REVIEW By DATE RESIDENTIAL ff::rN E W GA S YARDS 25-/ FRONT SIDE '�S,IREAR LOT COVERAGE I LINE El NON-RESIDENTIAL FIRE ZONE FYI` E OF CONsTR UCTION COD HEIGHT ADD E] SIGN FT I DEMOLISH RETAINING . EIWALL ALTER EXCAVATE ECIAL INSPECTOR REQUIRED AREA OCCI PANCY__ GROUP I OCCUPANT LOAD FENCE OR FILL I— YES El NO REPAIR PRE-movE swim LA14 CHECKED BY THIS SITE IS LOCATED _1N THE CITY OF EDMONDS. LOCAL SALES INSP. El POOL TAX SHOULD BE CODED 31.04. REMARKS NUMBER OF STORIES NUMBER OF DWELLING UNITS z 14ATURE OF WORK TO BE DO W PROPOSED USE PLAN CHECK FEE VALUATION FEE Z 0 x"ol, or/ z W LAN NOI G S �T.2.K! S 7 U P A 8 TS cr ttlr.I / BUILDING IL U 0 W PLUMBING N > 0 111 III -72 MECHANICAL FENCE 30 SIGN RETAINING WALL 0 SWIMMING POOL Date -QT'nEET MLE MEMO TO: John B. Mitchell, Supt Water/Sewer Division FROM: Fred F. Herzberg City Engineer SUBJECT: SEWER C ONNECTION CHARGES —fiffe&aary 2, 1979 qr MW - 17504 72nd Avenue West, Edmonds,.Washington 98020 (Street AddressT Westwind Builddrs 3810 196th Street SW, Lynnwood, Washington 98036 (Legal Owner) Single Family Residence xx Subdivision Plat P.R.D. Multiple Commercial LEGAL DESCRIPTION: Glen Ellen View,Tracts, Lot-10, Section 8, T 27 N, R 4 E, W.M. Snohomish County, Washington (L.I.D. 164 November 5', 1970) Z.F.F. Calculation: 20.87 Z.F.F. x Lateral x( I ) Unit(s) x( $25 * $300.00 MINIMUN CHARGE cc: Owner APPROVED BY: $ 300.00 Connection Fee $ Lateral Charge $ Enuivalent Count � When.applicable) $ 25.00 Trunk Charge $ 10.00 Permit Leif R " arson Direct.olof Public Worl STREET FILE July 19, 1979 14EMO TO: Building Division FROM: Engineering Division SUBJECT: * STORM DRAINAGE Atr-17504� 7`2W6-AVENUE'.-V ',,S- ,,7E T The house at the subject address has been built at least partially on a fill which has covered the end of a drainage culvert. *This situation is not safe in that the fill can become saturated causing possible land instability. We request that the builder be required to extend the culvert to clear the face of the fill and provide erosion control at the outlet. Appropriate easements should be secured by the builder if any con-struction needs to be on adjacent property. If there are any questions regarding this matter, please contact Bob Franklin, extension 220. RRF: j ak . 71 12 SWTgr.- dt. ft. a STREET FLE It!sIll"C"I'loll Pl.'COM) STREET FILE DATE: --(a] MEMO TO: Building*Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: . . 6Ua-K) el.LZN \J MW After re.view of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure -with respect to utilities, streets,, property lines and driveway grades is tFe— responsibility of the contractor. (2) The contractoris required to keep the abutting streets clean- ed of dirt and debris caused by the construction. (3) A "Right -of -Way Construction Permit" is required, from the Engineering Division of PublicYorks, for any work within the Public Right-of-lVay or public easement. (4) Driveway slope not to exceed 14%. PW 5/77 EXTNA A PUBLIC 14ORKS DEPARTT�M CHECFA BUILDING PER1IT REVIE4 Street Right -of -Way Existing REQD Access Easements Existing REQD Utility Easement Existing REQD Lot per Subdivision Plat Asses or 1p 0 rt I Z Site Plan Checked for Accuracy #2 H Underground -Wiring Reqd. Check Accuracy of Legal Description Environmentally Sensitive -Area Environmental Checklist Reqd. Z Flood Hazard Zone Shoreline Management Area Z Slope, Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. ADB # Approval----! Board of Adjusu-nent Approval Reqd. Review By: Date: to I IS4 7& 4 Existing 1,.Iater Main Size 4> r- Water Main Reqd. Service Line Reqd. 31el W Hydrant Size Existing o5r—' Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. 1,1e9 Cross Connection Inspection All"D Fire Department Comments Water Meter Char _�e Reqd. Review by Date: Septic Tank Design Appraved --------------------------- Date: Septic Tank Permit Reqd. Sanitary Sewer Availability Drawing No. Permit No. Proj File No. Side Sewer Availability 7-cp Rt.04 P) Sanitary Sewer Connection Fee Reqd. -XD GV_ CALCW-AMD IN Revia%T By: Date: Date Address 0 Z H Z 1-4 0 Z W A&L]BLIC WORKS DEPARIT,,M CHECKL* Date SIV rr Rr Address S�xTe�t -�i&ht-of-Way Existing Access Easements Existing Utility Easement Existing Lot per Subdivision Site Plan Checked.for Accuracy -10105 / #4 0-421!% . 1, W�-965w— —REQD REQD -RgQD # Plat Assessor Map GINNOM Underground Wiring Reqd. 'Check Accuracy.of Legal Description Envirormentally Sensitive Area Environmental Checklist Reqd. Flood Hazard Zone Shoreline Managwent Area 1,Slope, Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Appro val Reqd. Board of Adjus 1.�pproval Reqd._ Review By: 714 Existing Water Ma� Size Water Main Reqd. VA N, "amw d VO'ADB # Date: Service Line Reqd. ?Ilel Hydrant Size Existing 405c— Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. N,/0 Cross Connection Inspection Fire Department Water Meter Ch�, reReqd. Review by: Date: Septic Tank Permit Reqd. Permit No. Sanitary Sewer AV ability Proi Drawing No. File No. Side Sewer Availability Sanitary Sewer Connection Fee Revia-7 By: W/S Date: A.ILK. Approval. NW=WW I ilk —01— 050-05— ';en Ditch -Existing - 5- _.�eqd. Culvert Reqd. 'e�'Vpr -Size- C4 Catch Ba,6,in-: Reqd. &A4g &6,Z Indicate on Site Plan 0 Shoulder drainage n-kiii-itain collection on si,7ale open rLaioff rcqd. Indicate on Site Plan Soil Conditions and Ground Water Field Cliecked Re-\'iC7-,,7 b Date y 1-17 Street Paving Reqd. Curb and Gutter Reqd. Sidewalk Reqd._ 14 Curb Cut for Driveway Reqd. ., A42� P� Rigjit-of-Way Construction Permit Reqd. Bond Reqd. for Public Irrproverwnts Street Narm Sign Reqd._ 10t , her Signing Reqd. 0 /V 117 Pre Permit Site Inspection made on BY: SS4ER U W WATER STREET, ENGINEERING 1.4 �x -7 - - - - - - - - - - - - - - - - - Special Reqiairements listed in merro to ConT='ity. De v*eloprrent Departmnt, B ."uilding Division By f5�� Date o All item filled in on Building Permit Application d- BY Drawings StaTmed and Notations Made BY Date Approved by Public '%qoi.-Is DepartTro-it: Revised: Iv 10-1977 APPROVED BY PLANNING ZO�VIAA', 405 1,0/-z RECEIVED OCT 0 1 1992 COUNTER K&RMI�T CITY:"OP EDMONPS" �USE ZON E PERMIT: AUMBER CONSTRUCTION PERMIT 4PPLlCATlP,,N..... OWNER NAME/NAME: OF BUSINESS JOB;* �:U IITE/APT # �'I LFGALMIESCRIPTIONCH ECK BDIVI5ION,NO. LID.NO_ Lu z MAILINGADDRESS -7 0 'RIGHT �l C OF WAY PER OFFICIAL STREET MAP. TESCP Approved 13 CITY ZIP TELEPHONE NUMBER, TING'— REOUIRED DEDICATION � �11. . RW Permit Required 01 Street Use Permit Req*d 0 NAME PROPOSED� inspection Required 0- tr Aj Sidewalk Required 0 METERr SIZE, LINE SIZE NCI FIXTURES :w PRV REQUIRED t.- < U uj ADDRESS I 1%: YES 0 NO 0 01 7 A/F REMARKS.. z cc < CITY ZIP ..,',,,.j.TE�!pHONE NUMBER cc W ui 990A� I 425_�-72e z WMA z NAME /6 W -ADDRESS 0 ENGINEERING MEMO.DATED REVIEWED BY cl, ZIP TELEPHONE NUMBER !VY z 0 11 ''1 11 1 �I , p L Q ' I z I'L11%E T FIRE MEMO DATED - REVIEWED BY SE I! NSEI NS�BEIF EXPIRATION DATE �,VARIANCE OR CU SHORELINE # Legal Description of Property - include -all easements SEPA REVIEW SIGNAREA, HEIGHT ..,'COMPLETE EXEMP ALLOWED�PROPOSED ALLOWED PROPOSED -EX P L) Lu LOT COVERAGE REQUIR SqBA,CKS,(Fr. ) PROPOSED SETBACKS (FT.) 0 L ALLOWED I.PROPOSED FRON. SIDE!�REAR. FRONT. LIR SIDE REAR 73 p _V/ �P, -7 <,� I Z, z uj j Property __4 Ta Account Pax�eliNo. (:Dcjcj LOT AREA A Iz 511 NNI I WBY CL 11 REMARKS - NEW RESIDENTIAL PLUMBINGINIECH. _COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE EIREMODEL El APT. BLDG. [2,1131N GRADING FENCE "I El HECKED BY TYPE�OF CONSTRUCTIO co?�qv "C OCC P REPAIR CYDS. A. x FT) GRO WOODSTOVE SWIM POOL .DEMOLISH El' INSERT HOT.TUB/SPA- OCCUPANT SPECIAL INSPECTOR. REQUIRED :13 YES :LOAD FIGARAGE- RETAINING.WALL/ CARPORT L_J' El RENEWAL. REMARKS z ROCKERY: (TYPE OF USE, BUSINESS�OR ACTIVITY)�EXPLAI.N,..` PROGRESS -INSPECTIONS PE13: 4PC: 108 z _j 1x NUMBER F NUMBER OF CRITICAL, &4,116 D UJI 0 OF DWELLING AREAS�- 00 STORIES 42% UNITS NUMBER 9 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 4.1 'je 1 77 CJ-A—J FINAL INSPEC-TION,'REO!JIRED.-�...�z"", Am wiwx NALUATIO N, FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING PLUMBING Plan Chedk No. MECHANICAL This Permit covers work to be. done on private-prioperty.ONLY. �GRADINGIFILL Any construction on the public domain (curbs,- ;iiclewOlks driveways, marqu . ees, etc.) will require separate permlssio�a -STATE SURCHARGE Permit Application: 180 Days Permit Limit: I.Year - Provided Work Is Started WithInI80-Pays STORM DRAINAGE FEE "Applicant, on behalUof-his or her�spouse, heirs,, -assigns and,,. d ENG. INSPECTION FEE d successors in interest, agrees to indemnify, defend and hold vu)i S -harmless the City. of. Edmonds, Warihingt6n, its officials, employees, and agents f'rdffi any and, al I clairns for clarneiiges� Of 0 e whatever nature, arising..directly or indirectly from the issuance: to It. Issuance of this,permit shall'. not. -be cleemed'to PLAN CHECK DEPOSIT. e modify, Waive, or reduce any reqUirement:of any -city ordinance. 0, ce nor limit In any way the, City's ability:to enforce any ordinance TOTAL AMOUNT �DUE A "provision." le i� herpoy acknowledge that 1� have read,this appl Icat ion � thafthe Ilk 4nformhtingign is. correct; -and that I am the:o,wner, or the cluly. ly ATTENTION APPLICATION APPROVAL nt. of, the owner. I agree. to. comply with city, and'. author ad g Id THIS PERMIT z. state.laws.regulating construction; and In.doing the.work authorii- AUTHORIZES T his application. is not a permit until 3r ed thereby, no person will.:be ..employed In violation. of the. Labor.' ONLY THE: . signed by the Building Official or his/her a. Code Of the State ofWaSh'n9ton relating to Workmen's.Compensa- WORK NOTED Deputy; and fees'are paid: and receipt is _4kyM"ITisuranyo -ajAr.LRGW-18.P7. 4, INSPECTION acknowledged in space,provided. -SIGNATU E I -OR N I E�:SIGNED DEPARTMENT CITY OF OFFICIAL'S.SIGNATURE DATE , Ica EDMONDS.. ? 11-1648 ATTENTION I �CALIL FOR INSPECTION DATE VM . . IT IS UNLAWFUL TO USE OR OCCUPY A BUILDIN G OR ST RU CTUR E. UNTIL A FINAL INSPECTION HAS BEEN MADE AND:APPRbVAL;OA '771-0220 I ORIGINAL — File YELL OW — inspector OF HAS BEEN GRANTED, - UBC A CERTIFICATE OCCUPANCY SECTION 109 PINK — Ownei GOLD — Assessoi--