17629 76TH AVE W.PDF111111111111
6223
17629 76TH AVE W
CITY COPY'
_E �E
A
1-7-
EXISnNG HOUSE
TO BE RELOCATED ------
----------
2,_
EXIST GAPAG
IL
SITE PLAN
%
I SCALE: V = 10'—(r
PROJECT CONTACT
HEIGHT CALCULATIONS
IMPERVIOUS SURFACE CALCULATIONS
NATHAN CODER
fj� DATUM POINT A =
950-
AVERAGE GRA12E 97.75-
1. AREA OF EXISTING HOUSE 1142 SQ. FT. LOT AREA ( 105.76- X 247.26 26,224.25 So.
FT.
1 7629 76TH AVENUE WEST
a =
9W5,
0 ( TOTAL / 4
2. AREA OF NEW ADDITION = 656 SO. FT. LOT COVERAGE ( I + 2 . 3 LOT AREA
8.5 %
EDMONDS , WA 98026
G =
1-,.
3. AREA of EXISTING GARAGE 201 SO. FT.
PHONE: (H) 425-746-5235
_O =
.5'
MAXIMUM ALLOWABLE HEIGHT 122.75
4. AREA OF COVERED DECK = 257 SO. Fl.
PAGER: 206-310-5137
TOTAL
391.01
0 ( AVERAGE GRADE + 25-
5. AREA OF GRAVEL DRIVEWAY 2449 SO. FT.
TAX I.D.: 5136-000-019-00
ZONING: RS-12
ABBREVIATIONS
SYMBOLS
VICINITY
MAP
INDEX TO DRAWINGS
40
Al EXISTING FLOOR FRAMING PLAN
DEMOLITION FLOOR PLAN
IE) cw" �o 1A
99
A2 NEW UPPER FLOOR PLAN
NEW LOWER FLOOR PLAN
P�Pn �E
A3 NEW FOUNDATION PLAN
NEW UPPER FLOOR FRAMING PLAN
A4 EXTERIOR ELEVATIONS
WINDOW AND DOOR SCHEDULES
GLAZING CALCULATIONS
A6 NEW ROOF FRAMING PLAN
BUILDING SECTIONS
TRUSS DIAGRAM
AG WALL SECTIONS
N
PpRo
N NOV -2 1998
PERMIT APPLICATION REQUIREMENTS
To: Co D E7Z- From: Gordy Hyde, Development Services Engineer
Applicant
Address: 176o, Z I - '22 tlf IIU Plan Check Number:
Pursuant to issuance of a building permit, the following requirements must be met:
--r. Construction hours are 7:00 am - 10:00 prn on weekdays and 10:00 am - 6:00 prn on weekends and
holidays. (ECDC 5.3 0.110)
,Z. A separate right-of-way construction permit is required for all work on public property. (ECDC 18.60)
�A - Truck haul route plan must be submitted and approved.
4- Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC
18.30.030d)
No work shall be done within 15 feet of streams or 10 feet from any closed drainage facility. Builder/owner
is responsible for identifying conditions on the drawing. (ECDC 18.30.50G)
Al� Filter fabric fence shall be installed and inspected prior to clearing and construction. (ECDC 18.30)
4A Inspections are required on storm draina e systems, tightlines and catch basin installation. Inspections are
required prior to backfilling. (ECDC 18.110)
-9. R�pair or replace all defective existing curb, gutter and sidewalk adjacent to the proTerty. If.an intersection
is involved, a handicap ramp may be required. Contractor shall meet with the City ngineering staff to
determine the extent of repair prior to issuance of the permit (ECDC 18.90)
vS� Driveway slope shall not exceed 14% without a waiver. Waiver granted to allowo
L77A (ECDC
18,80.060D)
,--10. Driveways must be paved from edge of pavement of existing roadway for a minimum distance of 20 feet. A
separate permit may be required. (ECDC 18.80.060C)
,Al. Inspections are required on driveways and sidewalks prior to and after pouring. (ECDC 18.
t4"2. No burning of construction refuse is allowed without a permit from the Fire Department.
3. Connection to public water system is required. There is a separate charge for the water meter. (ECDC 7.20)
i;_�f 4. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC
7.20)
-t5. Water and sewer main lines s�ould be separated by 10 feet minimum. (ECDC 18. 10)
E?i& Connection to the public sanitary system is required. A separate permit is required. LID Fees
paid: Yes No Charge (ECDC 18.10)
—17. Underground wiring is required on all new. construction, and for additions, alterations, and repairs that
exceed 50% of the total assessed value -of the structure. (ECDC 18.90)
'118. A final engineering inspection is required prior to the building division authorizing occupancy of the
building or structure. (ECDC 18.90)
PRMTAPP DOC
CU FILE NO q9— 140k
CrItIcal Areas Checklist
w--a-d-o-n-(-s-cii-I -&/-to-p-o-S-r-ap- h-y-/-h-y-dr- -1 --------------------------------
01�r / egetation)
7
1. Site Address/Lo=ion: /-7&2-9 --7 0' Avelm V45 "/io -S
2. Property Tax Account N umber: : 5 13 (o 60 0 D I
3. Approximate Site Size (acres or square feet)-
4. Is this site currently developed? 2!!�- yes!', — no.
If yes; how is site developed? 15
S. 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 10-feet over a
horizontal distance of 66-fect).
Hilly: slopes present on site of more than 15% and less thAn 30?/* ( a vertical rise of
10- feet over a horizonial distance of 33 to 66-feet).
Steep: grades otgreater than 30% present on site (a Yertical rise of 10-feet over a
horizontal distance of less than 33-feet),
Other (please desciibe)-
A X
w"M AJZ=
6 Site contains areas of year-round mending water: Y&S ___; Approx. Depth: if - 12-
V ov/A/&
7 Site contains areas of seasonal -,tur: Yjbrl_; Approx. ]Depth: D / T-r-O
What season(s) of the year? A�/
S. Site is in the floodway floodplain of a waLer course.
L9. Site contains a creek or an area where water tI.Ows across the grounds surface? Flows are year-
round? Flows are seasonal7 (What time o f year?
10. Site is primarily, forested - meadow shrubs rnixed
urban landscaped (lawh,3hrubs aw)
11. Obvious werland is present on site: -S A -r
... . . .......
L. Site 4D-20-.1 0&,
r
AL-
IM 4.
ace -landslide hazard
5-. Map.
b2URMINATION
oul
FROM:
FAX:
Jun-22-98 Mon 11:31 PACE; 81
RECEIVED
Ity ..
:-;e.f:EdW6nds
;CR,I,,T.4[CA�LI-A,R-EA�s-cmEcialsT,'
A
'The, d6aliArW,49
-9myi,-, person, p"Paring a
t-Appliow6n... -ft.-the.."C' Ity of
rIO4OA6rsUbMftW:ef a -development..
JUN 2 2 1998
PLANWjtqU C)EpT.
An,_appllaan�.,z or: his/her. repmentativs, must. fill out-
thb - checklist, -sign and - -date it, - and: subrAit it ..to the
CRY.' - - T-M - CItY - WHI, review the checkliC make a
precumory,siteMsit, ..and make a -detenninmion. of the'
subsequent. steps zmOwazy- to compleft a develo'pl3wnt.
pem-tit,appliontion. ..
"I � -06AMMI Is-goemble-City,otaffto.... Pleme,submit. -vi t.y
a Oini me al the iped,
-Who& y-.Vot*hd6l,G rWed- Mess -are, or copy!of -tws-forrn .-to. asSint %city: staff-14--fiWift, and'
may ibes. Present. on the: �.suhjeot - �Vropefty.. - Ths Imating, -the, "ific piece of y3
rty dc3crIbcd on -
shall incluck.
O"lly - aVwiabW*orn--obierv&donB -ofdiA. site or...*therp*Wnent-informadon(a.g;-,.Oitc-PIM-topogmphy
d.ata -available, at .61t�'LIW14WtIftl Arm Inventofies, - tup. ft;) or studies -in c*unction with this -Chooklik'.
mapsoor-goil,surywo),... - to assist,,,staff. In. completing their pwilminary.
Asseummt.%of the site
1 hAL'V& the answers - provided are:fa=al,� to th6
beat of my knowledge, (fUl!-Out.thm. appropTiaw-Oolumn telowy - . .. -
ChvnWAppileanni.�,_
NAM'
Iqty ZIP
Telephone,
Dite. .'
A plicant-Ropmentatim -
If. loq 4/ 1- - 4 Io koir&I - 0#- it S co e, miW
I&W.P 0 el LAlfr
Name
Street Addrew
90-09 rrl-Ae I W* - - ip 0 / 0 7L
city - state , Zip
11-PO )
Telephone
IeAst
Date. -
(over)
PLANNING DATA
NAME:
SITEADDRESS: 1-76t-7- 7M DATE:_/0 A 7
ZONING: k5*—�2_ PLAN CHK#:
PROJI�T DESCRIPTIPN:
eAi .,J
CORNERLOT (Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front: 2 '7 Left Side: /0 Right Side: fil Rear:
Actual Setbacks:
Front: btff Left Side: Z& "'C, Right Side: Rear:
Street map checked for additional setback required? I'— (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (YIN)
LOT COVERAGE:
Maximum Allowed:— —Actual:
BUILDING HEIGHT: Zq
Maximum Allowed:— Actual Height: —
Datum Point: 86COF Datum Elevation:- 1,,o
A.D.U. CREATED?: Alb 7 64 4cf!Zj
SUBDIVISION:
a
CRITICAL AREAS #:
SEPA DETERMINATION:
LOT AREA: 27,?,
OTHER:
Plan Review By:
c\fi1cs\perrWt\^p1ancW.d=
The City of Edmonds Water Service Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . ..................
OWNER N .�T ...... ................................................. CONTRACTOR .................................................................................... PERMIT NO. l7q.41.
Al
JOB ADDRESS ... A. !If.. W .............. ....... LEGAL DESCRIPTION: LOT, NO . ...................................... BLOCK NO . ....................................
A.
.............................................................................................................................................................
NAMEOF ADDITION ..: ....................................................................................................................
Approved:
S
7
rl
t'l
PWW-0001-11/75 (REV. 11178) DATE A-:�.0.17 ................. By
1"7 C. - J.'3 o Q
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION.
PERMIT Permit Number. . qrZ-027
Lssue Date:-17-5-971
A. Address or Vicinity of Construction:
B. Type of Work (be specific): /I'_
C. Contractor: e 2 . K?-,U,4 _141-1)
Mailing Address: d'
State License #:
D. Building Permit # (if applicable):
Contact:
Phone:
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. Commercial E] Subdivision El City ProjectN
,Z Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family F] Single Family E] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes []No G. Size of Cut: x H. Chargq_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and hy his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may he 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 ailorneyfees hy reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSI11P AND MA TERIA LS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINA L INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMA TED RESTORATION FEES IFILL BE HELD UNTIL THE FINAL STREETPA TCH IS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Two sets of construction drawings 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 trench work 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:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
RIGHT OF WAY FEE: ffo � 0c)
DISRUPT10N FEE/FU`ND I 11:
SPECIAL CONDITIONS: RESTORATION FEE:
T OTAL.FE.E:_ 0
RECEIPT NO.:
CONTRACTOR CALLED FOR INSPECTION YES NO
.,Partial Work Inspection by.P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
APPLICATION CARD No . ......................................
for LYNN PLANT
The City of Edmon§sTRFwE7 FILE SEDE SEWER PER3HT
-D OUTSIDE INSIDE REPAIRS EASEMENT No . ......................................
OWNER.M. ---- - --- ----- .............
.................. CONTRACTOR ........... e67�. ...... ..................... .......... ........ PERMIT No.
2 .7 STREET -No. 13LOCK No .. .............. ....... ( .........................
HOUSE No - -------- --- ------- -----
.................. ... .... ........... AVENUE LOT .............
--------------
%A_t: .... 44
-------------- -44.
NAME ADD. _?W!CA90�4
/,7 t.,,O'
-V - 9'.0 " — ,41 /,e —
117
f _Z_
41' 1
12
"I I Ar
e
attach d
51's
c,� nut v. -7,
anc, co','t
t bit
01 erl, fee",
a,,-. inlzPc iC-L v.
;lb
in'�ludifl.g, bul nw' �i-
lc)ce, 01 a-
ar Z'
d maY Cr M—) 1
shmi SUE,-, S_,;�,*Stuh�i:�
^1-
F.&jjonds nci, i43 C,
the low)
map'nortuail7or-1
J0, thG, i.�
P'O*
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .......... ........................... ......
e '7 e
SEWER WORK ORDER ISSUED .................................. ....... DATE 4�1- �_ .....
_/ ---------- - ---- ---- -------------
APPROVED
JUN�1964
Ci� -
CITY OF EDMONDS
CIVId CENTER — WATER -SEWER DEPARTMENT C-H PIt'"PeCt 6-1107 when woft
if; ready for inspection. (No impec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N2 1090
ADDRESS ................. .... 7.6th-Avenue ... Wast
OWNER ........... -.Charlez ... Cressay- ---------------------------------------- CONTRACTOR ....... Rgy...Alle.n ................................................
Perinission is granted ... .......... Jtme --- 23 .............. 19.64— for ---------------------- days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
'E No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
L4jTE No. 3--Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2-/0.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its aT�
purtenances except to insert the pipe Into the wye.
0
*P1
0
W
J7
99
8 9 0
STREET FILE I
CITY OF EDMONDS
2 50 - 5th AVE N. - EDMONDS, WA 98020 - (206� 7 7 1-3 202
COMMUNITY SERVICES:
Public Works v Planning e Parks and Recreation 9 Engineering
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
May 6, 1988
17629 76th Avenue West
On May 5, 1988, 1 did inspect that artesian water source which
previously served the above address and is disconnected from the
current city water supply source. Cross -connection regulations
prohibit any type of permanent or temporary connection between these
two sources.
If any current or future owner of this property should decide to return
to the artesian source, notify the City of Edmonds Water Section prior
to transfer.
Sincerel
Scott Highland, Leadperson
Water Section
SH/1k
ARTESIAN/TXTWATER Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
STREETIOLE,-. ENG . INEER.ING . DEPARTME it
APPLICATION FOR RIGHT-O�'-?J',-�-Y CONSTRUCTION PERMIT
(AprZic�nt to Cc.=.Zete A & 5 and Su-;�,mt -In DuDllcate)
A. Permit to be issued to:
For work at: (address or vicinity)
Type of work to be do-ne:.
(Attach Drawing !�'nen Applicable)
Time Required -- Start:
Owner:
Name
Maglizig Address
�'Z
City State
Contractor:L-
Name
Mailing Address
Finish:
Telephone Number
State License Number
City State Telephone Number
B. INDEM"NITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments or employees,
including but not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Department.
'Work subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by the Engineering Department.
Call 775-2525.
Signature: ZZ
X-wi�er or Agent Date Signed
C DO NOT WRITE BELOW THIS L NE (To be completed by Issuing Agency)
Permit Issued (Date) I 1!'!XJ y -1. :7 -- �a
Permit Number
Fee:_, Bond:
-S 10, r
Time Authorized:
Subject to inspection -and restoration. Ail work to be in accordance witil
Ord. No. 1324-A. A 24-hour notice is reqg1red f9r ins-pt ns. For Inspecti
call 77S-252S, ext. 220. A.1 r) I U, A 1-1 1 e . ,,'I '�A�'
EER'S tUP
�-j FJCD� ya
i W� M-
STREET FILE
CITY OF EDMONDS ASSET INFORMATION SHEET
12"'N Ew ASSET NO.
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION
,;2
DEPY. NO.
4;��/
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 6 0 31
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
0 G.L. ENTR
REFERENCE DATE
VERIFIED BY
PROCESSED
BATCH NO. -
tnp INITIAL
DEPARTMENT FILE
tar"IRI-
IN
Mr. James H. Raid
Reid, Middleton & Associaton, rva�
324 Min 8treet
Edmonds, Washington 98020
Dear Jim:
March 6, 1970
rormarded herewith as et'010SUrG *�V' is a letter from the.Times
Troubleshooter enclosing a letter fmm Mrs. Ruth
Al"
IN
Avenue Ifest. .1
Thero bove been considerable Inv0stigations on the trouble posed
in the enclosed letter. lt.ia requested that the whole matter bo remalyzed
to dater%iina the following:
(a) whether vio sanitary sewer in4tanation itas caused
additional water to flow in an area wbich water
exiated prior to sewer Installation;
W Whather there Ara any additional corrections that
can be made under the s*ope of the sower contract.
It may be well to cite frm your experience the drainage:problama
in the area such an were involved with the Lyntiwood sower, atc,
Yours vory truly,
CITY OF EDHONDS
LEir R. Lawn
City -Engineer
LRL/rf
Enclosures
cat D.C. Lawson
C. Wayne Jones
Kenneth C, Thompson
FROM! FAX! Jun-22-98 Mon li!32 PACE! 02
C4 FILE No.
.-CrItIcal Areas Checklist
-------------
55t—e—&—f—o—r —m—a—ti—o—n—(—s—oi—lr—./—to—p—o—g—r—ap—h—y—/—h—y—dr—o—I —�W—i—v—e—ge—t—a—ti—o—n) ------
1. Site Address/Location: 1-7&2& AvelAi V45 "/P1
2. Property Tax Account Number: 5 13 (a — Doo —.00
3. Approximate Site Size (acres or square feet)- -
4. Is tis she.currently developed? yes!" no.
If yes; how is site developed?
S. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entirc site'.
Rolling: slopes on site generally less than 15?,,o (a vertical rise of 10-feet over a
horizontal distance of 66-fect).
Hilly: s lopes present on site of more than 15% and less than 30?/!� ( a v(erticat rise of
10- feet over a horizontal distance of 33 to 66-feet).
Steep; - grades otgreater than 300/9 present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet),
Other (please describe):
Aw"M A/Z=
6- Site cont*ins4reasof yvar-roundmsa&�t water: Yes ;Approx. Dep[h,
A VHoV W 6P
7. Site contains areas of seasonal -mem"s! water: Y&,a,_; Approx. ]Depth: P T-7-0
What season(s) of the year? Al 4w
A-
S. Site is in the floodway floodplain- Of a water course,
C9. 9 he contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasona17 (What time of year?
10.. Site is primarily- forested meadow shnibs � mixed >.<
urban landscaped (lawn,3hrubs etc)
11. Obvious watland is present on site: Z A —r
& ��-r -V VA.4 n C,6 V e- ft
OJP 6 0
..,Yor City �taff e
s ..Only*
'PR ipo r** j C(
�4 on s te?
'M4P.in*ates.Nfic Kilia
:5.
Site Map*7
gemmiWION
o�".dhkA". A- IWOM
FROM: FAX;
Jun-22-98 Mon 11:31 PACE: 01
RECEIVEb
-k
y-..,;e-f,:Edi"6n&
CRIUCkLA
onims"form U.
pemn... pmaring it
rI0--WAgr'#ubmftW:-,of a Aevelopmant,,..
',Qf,th4,a40kAI8t 18 AO enable -City—oaff to
hdid,Chidoal- Areras-=. or,
*ep present..,on the: i-subjeau,pwpefty.. -Tbs..
Y - a4zi ebl4,-*om,,obiervadotiii,of..L%6, site or..
i
Arm Inventories,
JUN 2 2 1998
PLAuNu )EPT.
An-,ap.plI0BnTj:: or: hiAer. ropmentative, must - fill out
thip - checklist, sign and-date-it.--and:-submit it. -to the
City.' - - The - City - wfll, review the - checklift, make a
precursory,sita;visitj .,and make a,dewminmion, of the
subseqWnt�firtepo Imeammy- to oomplets a develo'pMent
Pern-titapplioation.
Please - -submit a - vicinity ,mop Ujoag - %ith.� the sign ...
ad.
caPy: Of, imd:
looating. -Ahe - specific. piow of ymparty dc=jbcd on -
dds, . ibrin. , I.n:.addjtion,:.the -appliCant shall inCIU&
,,Dthsr -POrdnent irlarmation (0.9," - sitc Plwtopography
map, ft.) or, studies -in canjunc�on with this -Chooklidt -
to "Bi8t-'-staff- In- cOmPlOting "r preliminary.
wessmmwf the site
1 hAve COMP'SW"t6"sttt&Wwd:CWtl*&'AMR6'ACb*ckliit: and,*ttc�t-thft the WWWM- provided sre:faaftW,: to the
beat of mY. knowledge- OUVOut,the- Approprige-Column below)w
A plicantRopmenlattvoi
IOL loq'Al I jo kojf^1 - 0#. it S o e, M-7W
Ap4dji/j- &A WAVV 00CWW I&dip p e,
'Name
tC4ty State Zip
. Dite. .'
Street Address
09 TlrkAg— 010 7L
City State Zip
Telephone
L
sip".].
Date.
(over)
-(P C. 18 C)"
June 24, 1998
Heljv & Nathan Coder
1762976 th Ave. West
Edmonds, WA 98026
.CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0M o FAX (425) 771-0221 . MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning/ Building e Parks and Recreation Engineering e Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-166
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 NOTtb:*
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -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.
Eric: Critical Areas Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Thank you.
Sharla Graham
Acting Planning Secretary
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CITY OF EDMONDS
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
D DOMAIN (CURBS.SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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STATE SURCHARGE
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W PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
"APPLICANT, ON 13EHALF OF HIS OR HER SPOUSE. HEIR& ASSIGNS AND,SUCCESORS ENG. INSPECTION FEE
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IN INTEREST, AGREES TO INDEMNIFY.'DEFEND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIR ECTLY OR INDIRECTLY
OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE PLAN CHECK DEPOSIT
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC E
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TOTAL AMOUNT DUE /14 1 .1 j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFILIC- CALL This application is not a permit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Oflicial or his/her Deputy: and Fees are p�id,and
RELATING TO FOR INSPECTION is in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON receipt acknowledged
WORKMEN S COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DAT E
W R DATE SIGNED (425)
771-0220
RELEAS BY DATE
ATTENTION _P4
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
- - ORIGINAL - FILE - YELLOW INSPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI lol.71
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 to, v PINK - OWNER ASSESSOR
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