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17512 OLYMPIC VIEW DR.PDF11111111111111 12525 17512 OLYMPIC VIEW DR • ADDRES TAX ACCOUNT/PARCEL —75 fc�. Olyn✓A niC.�r- BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): lQ l3 ,p PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: S — Q , "�) LOT: BLOCK: SIDE SEWER AS BUILT DATED: -3 L, SIDE SEWER PERMITS) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: O' a. I OTHER:��,d� C nn� �' �[ YCSU V v l `a v� I) W ("IpZbc LATEMP\DST's\Forms\Street File Checklist.doc BEET FILE novsmllroao LN L )F :OVE -3 0 ;CAL IDE 4S TO Lo -N-1 j It WENT lie F c f wr --4 -- --- -- 0-15 ir- tcr -In li NOTE: THIS SITE PLAN IS FOR ORIENTATION PURPOSES ONLY AND NOT FOR CONSTRUCTION, ALL SITE PLAN DIMENSIONS, MEETS & BOUNDS. AND FLOOR ELEVATIONS MUST BE VERIFIED BY A PROFESSIONAL LAND SURVEYOR TO ASSURE lll� f(ID UlrODES. olic FXT i Ul'JDA 'a4wTHUS-ol-Q SATf Nx)p�:56 - lof 2 CrTy or EDIM04C)s MS17- WMPIC- VlaV/ PZ' sliolu VIA-r W. 5 - a - *11 Erlmo1jbl , W^ AID umcf--z �\UQITOR�5 FILE- &aoa Mo. 910el2o231 F-EiLexz.M) e-v 5,ICH CO-AQT-(. . "-- P-! % /'!, " Tr STREEJ'NLE I p Id rJ C k]C- d (L I e-66, SPS14:3 APPRO�V,ED A. lJ Muck -F L �-1 Lit-! ---------- DETENTION V*RKSHEET RD DRAINAGE PLAN UPPER C ATCH BASIN DETENTION PIP f< LENGTH CONTROL CATCH (VENT)) �p3� 1' miw , 2' MA% COVER OUTLET COwTROi.� % SLOPE 4" TO OUTLET —�— ` (RI P RAP OR RUNOFF SPREADER) ._ SYSTEM CROSS SECTION Nov PERMIT COUNTER 2' s 2' a &POMP. 4'=16" SPALLS (MrowL) � 2'. 2' Y 3" DEEP, V4*— CRUSNED ROCK FROM+ OLfrLPT CONTROL RIPRAP OUTLET WASHED GRAVEL [OLTTFLOW TRENCH, MIN 10' LONG, 1 TOP 4 4" PERF POPE TO BE LEVEL -y IL FROM OUTLET CONTROL 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET STREET FILE FOOTING DRAINS SHALL NOT BE DETENTION SYSTEM for i 72 `t ' i9✓�- location 7�/ Z U�F,rcJ plan by `r oral L cz rev phone 7 1 7 date- DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. CITY OF EDMONDS Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM ! II -•- .• �-'�.,..•..,,;��:�� .,�c,,,.y-...,,;�Yvf rr.:aFlw%'�>,:a,�_��•iy,,Jh'v��..V�r•+f�-.Sb^w"--�YJ�.^ti�.R-.� rtJvT�''J"��..i�'�l���er7'•'Tr���i:"""7�1��. T � _"`'4X� STD. CITY OF EDMONDS � E T R P,E R M I T J890-1 9"0 PERMIT_ 83,72 Address of Construction: �'� w`t'�:. 'lt.�'✓ Property Legal Description (Include all easements): Owner and/or Contractor: I State License No. Building Permit No.006 �l Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right-of-Way,,Q'No ❑ Yes RW Construction Permit No. Cross other Private Property: ❑ No ❑ Yes Attach legal description and copy of recorded easement I certify that I have•read and shall comply with all city requirements as indicated on the back of the Permit Card. 7� -7 h 2-- Date' f * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION _. OFFICE USE ONLY * FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. Permit Fee: �� • � Issued By Trunk Charge: -Sr Date Issued: Assessment Fee:: , Receipt No.: Lid No.: 1 61'7 Partial Inspection: Date Initial Comments / Reason Rejected: M44 I J eDateInitial60L Final Inspection Approved: Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3!90 K 0 U H 0 U w z J °z H W zz U 0 0 c� � c O w O 3 4 D ,N J n 3 Ln 0 0 0 a '*STREET �E ti FILE K.A. STEVENSON KMM CONSTRUCTION BUILDING AND LAND DEVELOPMENT To City of Edmonds I Kenneth A Stevenson, property owner of 17512 Olympic View Dr. I request a waiver of the driveway slope ordinance. My driveway will have a slope of approximately 16%, and will not have a negative affect on adjacent properties or the city right of ways. Thank you, 9 &,- lL Z3 RI KEN STEVENSON ( 2 0 6 ) 6 7 2 - 6 9 7 7 .ram �r i ibtl�aad Tfllg li�rna! rwwrrwroM Hess oma+o.r Fikd for Record at Request of To_CITY CLERK ryas sreCs ourno roe etComes vx RECORDED V1 MR —7 PI2 42 1EAN V. SNONOMISH COUNTY yMg4 XPUTY —•- NOV 2 1 19,41 PERM'T COUNTER Few ua a *� Quit Claim Deal N THE GRANTOR KERMIM A. 51'FVENSCN for and in coasldention of Rfl(I72 wwn FM RE-z ` Convey .se gtdt gain to CITY OF FIDxfID3 �� ../oa p� the followiag dnurroed real @gate, Atuated In the County of SNCHCMSH State of Washington Including any interest therein which grantor may hereafter acquire e SEE ATMCHM EMIHIT "A" NO EXCISE TAX REQUIRED " M(gyp AR 71991 .40 10 Dated this &y x4 + —(UAL) STATE ;gin STATE OF WASHINGTON. Cotner of IL On this day personally sppwW hdon ate , dn to me home to be the bedtvldIndividualerlhod- Inand who wculmd the within god beep IMreeaoot, and r' aelootAsdjed that elgned the sun as hee and vdmwy ad ad deed, foe the £ USES sad 1, therein msatlosed fT �atlldel aW this '� I day el N ,} • v(44 Q�f. r t� 001 Aq y +'�• t a ad IN She J/eN pu 2g.. S E vot' 2419P�eE:O ;. ;jY 4.U{.1:.V1'itrt1}7F1Y1`IMWifI..'11'",ii411S1�411"»�Rlatl?•.�.:.i _.'i ii% EXHIBIT "A" LEGAL DESCRIPTION - K.A STEVENSON JOB NO. 90-146-A DECEMBER, 1990 IA86.2 LEGAL DESCRIPTION OF 176TH STREET R.O.W„_DEDICATION REZONE AREA .R-4-•90 - CITY OF EDMONDS NORTHWEST OF INTERSECTION OF OLYMPIC VIEW DRIVE AND 176TH ST. S.W. TOTAL PARCEL: THE SOUTH 10.00 FEET OF THE FOLLOWING DESCRIBED PARCEL: ALL THAT PORTION OF TRACTS 145 AND 146, MEADOWDALE BEACH AND OF VACATED 68TH STREET ADJACENT TO SAID TRACTS BEGINNING AT THE INTERSECTION OF THE WESTERLY LINE OF EDMONDS-BEVERLY PARK ROAD AND 'THE NORTH LINE OF 176TH STREET SOUTHWEST; THENCE SOUTH 89057' WEST ALONG THE NORTH LINE OF 176TH STREET SOUTHWEST FOR 97.1 FEET TO A POINT THAT IS 85 FEET WEST FROM THE EAST LINE OF SAID TRACT 145; THENCE NORTH 0047' EAST 240 FEET; THENCE NORTH 89057' EAST 180.43 FEET TO THE WESTERLY LINE OF EDMONDS-BEVERLY PARK ROAD, THENCE SOUTH 21049' WEST ALONG SAID WESTERLY LINE 255.41 FEET TO THE TRUE POINT OF BEGINNING, AS PER PLAT RECORDED IN VOLUME 5 OF PLATS ON PAGE 38, RECORDS OF SNOHOMISH COUNTY. SUBJECT TO ALL EASEMENTS, RESTRICTIONS AND RESERVATIONS. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. L486.2 90-146-A 122190 WA -0300281 I2-s i -'►o PAGE 1 OF 1 VOL, 2419 0 0 STATE OF WASHINGTON 1 ss. COUNTY OF SNOHOMISH S I, Dean V. Williams, Snohomish County Auditor, do hereby certify that the the foregoing documentinstrument file ortrue reand correct copy o corded in my office. In witness whereof; �I1 hereunto set my handthis ✓1�A 1 19!2L DIA S, u Auditor rT Deputy ..SPROJECT: REVIEW CHECKLI•` PROJECT NAME: PROJECT ADDRESS:_�%S��jr�/�jG ..STREET F-ILE- PLAN'CHECK #: So7$ RECEIPT DATE: REVIEW D BY: (Initial/Date) PLAN:. WATER -COMMENTS FIRE BLDG. 'SEWER STREE7 ENG. Setbacks/Variance/Setback Adjustment ::: ;<; Y >Yt,' ?> s> :<.>.+ •< t r :: , ; Conditional Use Permit :.,;. ,•:«.{Y .r:.: .: ADB Requirements «<>€€ <<v> =n` q .,•uv 3 ; Other Zoning Requirements Underground Wiring Required! <:> E# Y°;" r •' ,ux� ., 5 Lot Slo a 15% o . ? ..;,::::::{ RIM ?.,• 6 SEPA Environmental -Checklist/Hydraulics Permit Tree Cutting Plan , + :.:._.: :.:.. :{t•;.:}F.::.. Plat/Subdivision Requirements, Legal Descri tion Verification uit Clai Street Dedications S AF10- Easements - Public/Private--%;=",.:,,, .-; =: Engineering Storm Drain -Review Fee ;>,: ; + :.....:.. _ En ineerin -2.2 Iris ection.Fee .<}ry i8.•4{'l,.>^t•}<,vti ;<:�:,<;,;:;�;<:;.• •}'lr•YfM:•'.+fti.' h•}}. �.,xv . ,;YX ;` L7U 14` Drainage. Plan On -Site :4r.,, •r Setback - Top of Bank, Stream. Water Courses �{e€€s: >:Y ���,.4::; :,+;; ?aJ 16' Stack Storm Drain Line ....... ;' A '+ >" }.17 Open Ditch - Existin Ott iP :::4, Ki.. µ::,::•"y: <:. N y Culvert Required ::� x*r... :}:{>««{<,::;�;M. f+ Culvert Size ..... :. Shoulder Drainage/Shale Open Runoff . : �:.;, '• .••:.•,.;.,,• ,+; Catch Basin Required "> :: . '''{' ?{Y,<•}, `++'{»Y°' 22 .: Driveway Slope & Vehicle Access >f:<<<.<.€.>.:`•' 4':`fJ�L?.- %}F •• a :?y;'': V Sidewalk Required / {ix}y'i}'i,:F?'SF h? rf V4;.<>;<<cf 24... Curb & Gutter Required "a ;>€��><<+ Of25 ` Curb Cut For Driveway Required A.6o y,;.};:;;:;- ;: :<f,FY 4ti;?;.v£ y..j .rh j.fk: f.:7 6 Street Paving Required :>>:> ......:........:....:...:..:........................ >: 27 Right -Of -Way Construction Permit Required t ...................... .Y < '<> .28._,:. Street Name Sign Required .... -> - 29 Other Signing Required IWO /ho $iGA/ ' ` 30 Bond Required fired For Public Improvements ::<;.>::;::}v<::«<, �><:�<:>:>:�>:<><«:: {<.. ,•�.z,:>:::;::;::Y:+ f}:::F:}{,:. >�«::v.}:.fh:>;r:;<:};�:�::,::•{::<>: 31 FEMA Map Check/Water Table N "`' ::,.'i::e�•Y/,.r �i'}i�' '`'} Y''`" `� .. •F Fvf R�}G�v� Side Sewer Availability CortN n+ a u. .D . •}:Ti•:?i• :'f.:J:44i4Fi`}}Yfj.`•?.,. . .. :i},i.{ ''fir'•'{'4+fi,Y vYi,r :. 'S%'>Y•it ,. Calculate Sewer Connection Fee If No LID # .+,f.+r::i i':i�iGJ?�j�F, •,;�:Y .:.::.::,,.?-+. ::: :�v�{'F'O'l'i�::}'{>: M. iwM• ...�?,�.:::.:,:-::::�:::»•;:�:::»:z:i.};{_,}?..:::?. '34 Create Street File ES ?v i?{'{:i{}:•{:iit} �ii?%?rm},: \ r: \ fF\ �, � % ry� :f •:•- • .fir •.v.•;yn•.i\iYryl4} {FS':?4;..r•}f.'x}f {r :4Jr Existing Water Main Size <' 36 Water Meter Size:?.i::iix::ii:.: }rff4'.x.}.v. {. fv:. :: n}•+{•i:•i:�':: n•.'l. yii,.. .. }•.:: ,'✓.;.rryi.BYi{}t?:ryi :.r H.' }}:jii' v i{iii%'i':7r::itj:;'; 37 Service Line Size r:�:�r::::::_�::>-; x : ;_>.....::.: 3 �,�;�::;�•;: - --- . f{•.i}:}•...i:.i:.ii;:.}::; . 38 Water Meter Charge Required ') F'<::ti'::::} v:C is ,....,•}..{........,..::Y::ry..,.; ;y}tr.4'Y'�;.:k::MCV:J '<+}}:{+'}'h:4i'Y}�J,.•:. y.};•}'xvr n :::{................. ,;::......:. Hydrant Required ;:•«;:.::::::::::::.::;:.;:.}::.:?>{::�:-�• � �• Hydrant Size Existing ',>:<:x:.': a�.. Fire Line Charge Required - S rin ler y :.{<?.;:<:. <.ri<,:, ,, 42 Street Cut :::::<:::::>::::: Miscellaneous REo v 44 4 �. Reviewed By: FIRE PI AW ENGINEERING PUBLIC WORKS XT kY3 A m I C IT11OF EDMONDS � 250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering 890.194 January 8, 1992 Ken Stevenson K. A. Stevenson Construction 18403 - 72nd Ave. W. Edmonds, WA 98026 LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR STREET FILE 0&Y V//f-t/pyli j Re: Driveway slope waiver - 17512 Olympic View Drive Dear Ken, I have reviewed your request for subject waiver and found no adverse impacts to the City or neighbors. Therefore, your request for a driveway slope waiver to 16% is approved.. If you have any questions, please call me. Sincerely, ADDISON L. CHRISMAN IV Engineering Inspector ALC/sdt c: Sharon Nolan, Permit Coordinator STEVENSN/TXTST530 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan '"�' MI 0 STr'*ET FILE CITY OF E D M O N D SLARRY S. NAUGHTEN 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DIRECTOR 890 194 January 8, 1992 Ken..Stevenson K. A. Stevenson Construction 18403 - 72nd Ave. W. Edmonds, WA 98026 Re: Driveway slope waiver - 17512 Olympic View Dri Dear Ken, I have reviewed your request for subject waiver and found no adverse impacts to the City or neighbors. Therefore, your request for a driveway slope waiver to 16% is approved., If you have any questions, please call me. Sincerely, ADDISON L. CHRISMAN IV Engineering Inspector Alberts ALC/sdt c: Sharon Nolan, Permit Coordinator i STEVENSN/TXTST530 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan w �r� �:ar` i"!ti C. . ��. t y (r g ' P1. `.f•it "� 7.� `�'Kt � *fir xi' F is v , � i n�. t jr6.-. .,\ - ... tµy^,o .._•,.• ,��.�'._,_� .`-nb•-.,, r.vr'r d••ys -%,,.w �- r ✓ti•r`_ .. ., . >•" - �'' N. l 1OREC City of Edmore STREETFILE RI1 � ''-� AY CONSTRUCTION 18 199 �- ENGINEERING �_ '1--o Permit Number: %Z - EERING P ¢, ~, Issue Date: o� y 17512 Olympic A. Address or Vicinity of Construction: View Drive 1 9O B. Type of Work (be specific): Install New Sert*ce 80 19ei C. Contractor: Washington Natural Gas Company Contact: Frank Swans Mailing Address: 815 Mercer Street, Phone: 224-2278 State License #: Seattle, WA 98111 Liability Insurance: Bond: $ D. Building Permit # (if applicable): r, Side Sewer Permit # (if applicable): A E. _❑ Commercial ❑ Subdivision ❑ City Project fA Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : 9RYes ❑No0l) G. Size of Cut: 2 x 4 H. Charge $ APPLICANT TO READ AND SIGN // � INDEMNITY. o� 1`e ,Applicant understands and by his signature to this application, agree tCity of Edmonds harmless- ln�ries�d�tages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ=,' ees, including or not limited to the defense of any legal proceedings including defense costs,and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING 17HE FINAL J,, SPECHON AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORA77ON FEES WILL BE HELD UN771 THE FINAL STREET PATCH IS COMPLETED 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- 771-3202. Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes.. � ('''t� Street shall be kept clean at all times. �, . } Cu 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 all times for inspection purposes. Signature: ,��,�(�.� ® Date: February 7, 1992 (Contractor or Agent) r• CALL DIAL -A -DIG PRIOR TO BEGINNING WORK' 11 ...... ........ .......... ..... . .... _ _ _ _ _.... ......... _.......... ........ ......... ........ _ _ ........ .._.... .................. ........ . _ .............. ..... _ ......... ............ ...... ............................... .............................. .......................I...... ::.DATE:::: ::: JSSUED. BY::: ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTEF (Fund I I I Route copy to Street Dept.) Comments: I Diagram: I CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. Ju • Washington Natural Gas A VVWVVton B)ergy C— perly Addendum to : Submitted by: IIC5-tZ CUY VW DJ2- r�' r-� I 19 P to window Water main depth unknown ,�-" gas main City of Edmonds Right of Way Permit Application Kerry Walsh Engineering Aide Washington Natural Gas 622-6767 x2761 pager 969-1686 I C-Z-K4) (2-i,) 4 D A A44.V1 -g- gas -ss- sewer water hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 City of Edmond /+ RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number: Issue Date: A. Address or Vicinity of Construction: J'_? S / 2- OI y tr. P.lc V a ti✓ 1� (Z , B. Type of Work (be specific): `ysi V th '\ y R11rt 0,;0\ o a. VlOt4 C. Contractor: P Contact: k"et Mailing Address: Phone: &70 3 a-o7 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): 0 'A E. ❑ Commercial ❑ Subdivision ❑ City Project •I& Utility (PUD, GTE, WNG, CABLE, WATER) F Multi -Family 54 Single Family ❑ Other INSPECTOR: INSPECTOR: F. rSVG111G111 Ul l.Ul1l:1GlG %-Ul I_I I"b .ryL`lU V. JILG Ul t.ul..-- Jii n. %_11Q1gr' �p J — e APPLICANT TO REAND SIGN INDEMNITY. Applicant understands and by his signature to this application, agr <t .hjor l 7h8 City`'of Edmonds hariha�lews�s� ^'from injuries, damages, or -'claims of any kind or description whatsoever, foreseen or unforeen, that maybe made agai tithe City of Edmonds, or any of its departments or(mploy- _.r> ees, including or not limited to the defense of any legal proceedings including defense costs,.and attorney fees by reason of gran' Ag This permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECITON AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS' COMPLETED 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- 771-3202. Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. ��� -3 Xf Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the, ity Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end oftie working day; NO EXCEPTIONS. if I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. Signature: r.� `M-�nr '��' Date: 3 I 11 ) 1 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK _ . ....... NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTE (Fund I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION O YES. O NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 N�A� �m . 1476 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87 LOCATION ) iS 12 O C v 1 ew (�. 0. - AREA POLE NO. 1/4 S TR y DATE W.O. N0. 31 REASON FOR WORK tJ SZ • 'P� S JZ4, -Q.S�. Ct^+fi-• ENGINEER DWG. NO. (og (o 0,3 -�2` 1C� N GeV �NSaN• DRAFTER Tac6cw. U.G. NO. G aS_ I SCALE 1—�O DATE WORK COMPLETED FOREMAN FEES REQ'D '%YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO# SECONDARY OVERHEAD BASIC FEE $ ®$ METER/CONY. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE $ LEU # /®$ $ SECONDARY UNDERGROUND BASIC FEE $ �a$ /=$ UNDERGROUND PLAT BASIC FEE $ �FT. ®$ /=$ STREET LIGHTING tFT.®$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONADARY tFT. ®$_ MISCELLANEOUS FEES VAULT $ PERMIT $ 30a $ TOTAL DUE $ J20g DATE PAID RECEIPT# _ NEW SVCE APPLICATION# APPROVED _�(dfq DATE PRINTED ENVIRONMENTAL ANALYSIS ® EXEMPT ❑'NOT EXEMPT SUBSTATION PARA. 18- ITEM C O.H. U.G. COND. KV CIRCUIT NO. ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY .X CITY ee C icy CF €[Ama 1-1 EASEMENTS ❑ REQUIRED )lif NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ❑ GTNW JPN# ❑ CATV JPN# ❑ JOINT TRENCH GTNW & CATV ❑ JOINT BORE GTNW & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR. REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR �d,BACKHOE N Fq_ ONE CALL DATE INDEX POLES I PLAT LOGS U-MAP XFMR C-MAP LOCATION MAP PAGE 2I SS- PHASE N i $or-s. -t'1�� ' Ro as . -� CC�'r�,. 3 e3'C 4 • `��� W .�;; . fvs S t y\fi t ,-75 y a y' � i7Gi' SZ ScN: �i-``�'^."wfi���F'�sLCa�..'�!+T�L�ivu"'Tro�w?�:j w'. �°i�du'}7'���ri�'� a�,F',.�$.�^��`��'1','`'�` . n -y,`�,�.,�.''!'r.rn<.qv^�U"m�-.M�r=�'ji>'„t�+..',a.�.{�t�.'i. "%i:�Ji.;:.� ..•Ni�.ri ~ CIIT,YOSERVICES DEPARTMENT STRE ET FILE Permit No. COMMUNITY RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date Z O w F_ U 94 O V. A. • Owner: B. • Contractor: Cnll*11 /345-5G1,fe111M)2,,o e— C Name Name M 14-r A/ S 7— Mailing Address Mailing Address -4)wa or. by/1- City. State Zip City p State Zip CC- State License Number Telephone Number C. • Address or Vicinity of Construction: Type of Work to be Done: / M S7AI- . G Al L" A- /0/-%- 4-77*/Ag 0 QX1,116 . D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily [ Utility E. • Pavement Cut: ❑ Y %N F. • Size of Cut: X APPLICANT TO READ AND SIGN r INDEMNITY: Applicant understands and by his signature to this'dpplication, agrees to hold the City of Edmonds harmless from any injuries,. damages, or claims of any kind. or desc ption whatsoever, forseen of Kse&n, 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, court costs,,and attorney fees by reason of granting this permit. THE CONTRACTOR IS. RESPONSIBLE. FOR WORKMANSHIP AND MATERIALS FOR N- PERIOD OF ONE YEARYOLLOWING T.HE. FINAL INSPECTION AND ACCEPTANCE OF THE WORK6- - ~'"' 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. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above. and�that Signature: APPROVED 2or Time Authori d: Void Special Conditions: Q RELEASED BY: available at the job site for inspection purposes at all times. Date: Owner or Contractor . Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work PERMIT FEE: /T days. Restoration Fee: Receipt No.: Fund III Fee: Street Cut Dimensions: INSPECTED BY NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE x = $ Date IV Eng. Div. March 1989 FIELD INSPECTION (Fund 111 - Route copy to Street Mpt.)�,t: Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES Date: Date: ❑ NO Eng. Div. July 1985 s Xt ITI �G PkD)oo To. NI E W TAP InI,4-EZW— OUT REMLINIKY-o 17510 • r�� n E Xl ' 0 26 P IN STALL'_ti-90 ' RL- ro UG CA(VIA EXIST. ,TP CokIDL IT W/STej�J(,) 2E 007LETS / S � V ` Z�3 76 T�5 T 5 W '� EKCt�IQ Z84' - .SDO P3 UN e-4 , I Z1 I"7Z, �. ILt 5 U mILe r-4/,, v,N I INSTALL PISV\! -TA p ZWAY ON TAP NOTICE _ TO PERMITTEE AND/OR P 8R E ET F I L I- ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTIONS REQUIRED PERMIT NUMBER i JOB ADDRESS ❑NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. ❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. i ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. ❑CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT. ❑ RECALL FOR INSPECTION. �r �ii�sC lei/, jez . I 3. %'l4ey ,�'�r� Q &re a;-- wow /'JD GUT THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. �,. FOR INSPECTIONS CALL: 771-3202. ElBUILDING DIV. AV" INSPECTOR ❑ PUBLIC WORKS CITY OF DATE ❑ FIRE DEPT. EDMONDS � a' STREjpT FILE CITY OF EDMONDS USE ZONE PERMIT 9ZO024- NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS ` OWNER NAME/NAME OF BUSINESS Z O {^ NT.NTx T" T .�7T��' ;tSQlj LEGAL DESCRIPTION CHECK (��� SUBDIVISION 0. —C / � LID NO. G / a Z cc MAILING ADDRESS 16 C• 0 _ / G �`' AVE . Tlv PUBLIC RIGH-Of WAY PER OFFICIAL STREET MAP. iW D / EXISTING —_ REQUIRED DEDICATION PROPOSED TESCP A proved ❑ ®,4S Required Street Gs Permit Req'd ❑ Inspection Required ,. J.$ Sidewalk Requiretl 6 CITY ZIP EDMONDS 98026 TELEPHONE NUMBER 672-6977 NAME ^OM LEREN REMARKS jd "WrN o i w i �� �j (I.G. PI&AlCi AN %%4oamns 1mv xew;2. Z O Z w ADDRESS 1915 ._6th AVE. W. Cf .G 100VjL IAI.*& .9;*,C D/ws&'OW Rff%f- FApT! CITY ZIP TELEPHONE NUMBER LYNDTWOOD 980 37 771-0847 ILV4 -1�LOta M6 I,-24 ad9w",/� . RW jtt� `io 4M-f 151wVI�s NAME cc K . A . STEVENSON CONSTRUCTION 'ENGINEERING MEMO DATED jam} REVIEW BY ADDRESS METER SI E �� BUILDING Sy PLY SIZE / NO. OF FIXTURES U 18407 2rita AVE . W . CITY ZIP TELEPHONE NUMBER O U EDMONDS 98 26 672-6977 3 REMARK n1� /C 1� STATE LICENSE NUMBER SIGN AREA, ' 'ALLOWED PROPOSED. SEPA REVIEW COMPLETE EXEMPT EXP ADB NO. SHORELINE N KASTEC.•125?7 Z 4 Legal Description of Property -include all easements SEE ATTACHED CL N 044 J w J L./ / Lti I"- AX � ' ` r�11' "'e y - ? a VARIANCE CU- - CANNING REVIEW BY , DATEtC - D - .. SETBACKS - FEET, FRONT `SIDE` �" REAR' HEIGHT �' LOT COVERAGE WSJ rj Tax Account Parcel No. . JOT 2 SP#910812_�Q231 REMARKS "el/ e , ZJ NEW ® RESIDENTIAL © PLUMBING ADD/ALTER El COMMERCIAL MECHANICAL, REPAIR APT. BLDG. SIGN .. ", . `fN,T lM CHECKED BY 7AJ TYPE OF'CONSTRUCTION — GOOF /'}S HEIGHT Gn FENCE . El DEMOLISH qA CYDS.. 1� L `' x_FT) g REMODEL GARAGECARPORSWIM' POOL ❑ W00 ROCKERY WALL/ RENEWAL INSERT (TYPE OF USE, BUSINESS OR ACTIVITY)�EXPeAIN: C7 Z 0 J SPECIAL INSPECTOR REQUIRED YESI.AREA-? ( OCCUPANCY GROUP _ OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS'PER UBC 305 /�sI�IL� �� L �/C ( / 4Y w o to O CONSTRUCT NEVU RESIDENSE m NUMBER OF STORIES 2 NUMBER;OF"'"• DWELLING' , UNITS �✓ DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 'FINAL`INSPECTION:REOUIRED �e� i�slD�,v4e; �T�IILT,,S1EY✓,t3Y iC' Ci/Lt,t1;t P ' VALUATION FEE PLAN CHECKFEE BUILDING 2 4 P7� �Y►� , p c, �S -//4Z: t / A T% / PLUMBING A I Plan Check No. MECHANICAL GRADING/FILL esti 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 STORM DRAINAGE FEE "y 54) ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold w Qemployees, = 0 J °s harmless the City of Edmonds, Washington, its officials, 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 modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." PLAN CHECK DEPOSIT 6971s/ TOTAL AMOUNT DUE /O� I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz• AUTHORIZES ed 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 tion Insurance. INSPECTION acknowledged in space provided. SIG AT E (OWNER OR AGEN DATE SIGNED DEPARTMENT OFFI L' SIGNA RE D TE r/ 2Z DMO �/ ECITY DS CALL FOR RELEASED B c DATE ATTENTION INSPECTION----/f>/� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE %%1'SZO2 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK - Owner GOLD - Assessor 10247 i I I �T -:Zz V Ae 6�z STREET FILE - 'IF -if 56E > tt 16 P 01 15D_ lo I -Pnk w z 0 0 z 0 0 cn UJI U. LU Uj cc F_ (n