17748 TALBOT RD.PDF11111111111111
13458
7748 TALBOT RD
A 4,�
RECEIVE-D
CITY OF EDMONDS SEP 0 2. 1992 SIDE SEWER PERMIT
PUBLIC WORKSDEr
PERMIT 8 4C, 7
9
A�Iclress of Construction:
Property Legal Description (Include all easements):
59 qq--oco -o&,_0
Owner and/or Contractor:
State License No. (9WA1412- Building Permit No.
, <Single Family Anvasion into City Right-of-Way:tEl"No 13 Yes
Multi -Family (No. of Units RW,.Construction Permit No.
Commercial Cross other Private Property: 2"'No 0 Yes
El Public Attach legal description and copy of recorded easement
I certify'that - I have read and shalFc—omply-wilh,111 city requirements Date
as indicated on the back of the Permit Card.
I
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CA PUBLIC WORKS DEPT.
Permit Fee: -;sued By
Trunk Charge- Date Issued:
Assessment Fee: Receipt No.:
Lid No.: —
Partial Inspection: Date� Initial
Comments
Reason Rejected: Date Jnitial
Final Inspection Approved: Dateq--I-�vl nitiZA-1
� 1 -L�7-
PERMIT MUST BE POSTED ON161381TE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Fte�ised 3/90
'The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS F1 LID NO . .................. ASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR- ----------------------------------------------------------------------------------- PERMIT NO.
TJOB ADDRESS ... L�50 13, b -- --------- LEGAL DESCRIPTION: LOT NO - ------ : ------------------------------- BLOCK NO - ------------------------------
- --------------------------------------------------------- -- --------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION ----------------------------------------------------------------------------------
ce e. c 6
4ZA? I 1 0
3
t> 7 Approved:
PWW-0001-1 1/75 (REV.1 1/78) DATE ........... By�� ... Z-,- -1 --------------------------------------------------
J-7 -7W T
MEN Ah
WWOMEN
WARREn tA IMI - ARCHITECT
atchitectuta planning -
1 23 Alth North Edmonds, Wa 98020
Oct. 14, 1991
Engineering Dept..
City of Edmonds
Civic Center
Edmonds, WA 98020
RE: LINTON RESIDENCE
Gentlemen,
Intarlo ri
774-0580
STREET FILE
We would like to request that the existing drive access to
this site be allowed to remain. We know that it is over the allow-
able slope of the code, but any change would.require quite an
extensive revision of the neighbors.driveway, rockery and possibly
some utilities in the existing access easement.
Sin4rely
Warren LaFo
cc: Bob Linton
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works * Planning 9 Parks and Recreation * Engineering
� 8 9 0 . I o 111
October 17, 1991
Warren LaFon
123 - 4th Ave. N.
Edmonds, WA 98020
Re: Driveway slope waiver for Linton residence
17748 Talbot Road
Dear Warren,
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
We have looked at the subject driveway access and changing the grade
would, indeed, create more problems. Therefore, the waiver request is
hereby granted. However, surface water runoff must be collected and
directed to a catch basin.
If you have any questions, contact me at 771-3202, extension 289.
Sincerely,
ADDISON L. CHRISMAN IT —
Engineering Inspector
ALC/sdt
LINTON/TXTST530
Alberts
0 Incorporated August 11, 1890 9
Sister Cities International — Hekinan, Japan
MCIL�CL
, 890.19 9
CITY OF EDMONDS LARRY S. NAUGHTEN
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works a Planning * Parks and Recreation * Engineering DIRECTOR
October 23, 1991
Warren LaFon
123 4th Avenue North
Edmonds, WA 98020
RE: Driveway Slope Waiver for 17748 Talbot Road
(Reference My Letter of 10/17/91)
Dear Warren:
This letter is to clarify my letter to you of October 17, 1991,
regarding the subject driveway slope waiver.
The current access slope is approximately 15% and should be held as
close to the existing as possible. Driveway slopes cannot exceed 20%.
If you have any questions, please call me.
Sincerely,
Addison L. Chrisman IV
Engineering Inspector
ALC/dm
Enclosure
Lintonl/TXTForms
fi�01_1_
B. Alberts
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works 9 Planning - Parks and Recreation e Engineering
8 90 - 19 %1
October 17, 1991
Warren LaFon
123 - 4th Ave. N.
Edmonds, WA 98020
Re: Driveway slope waiver for Linton residence
17748 Talbot Road
Dear Warren,
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
hlt�I
_Qj / 0 �/s- /C) (
We have looked at the subject driveway access and changing the grade
would, indeed, create more problems. Therefore, the waiver request is
hereby granted. However, surface water runoff must be collected.and
directed to a catch basin.
If you have any questions, contact me at 771-3202, extension 289.
Sincerely,
7?
ADDISON L. CHRISMAN
Engineering Inspector
ALC/sdt Alberts
LINTON/TXTST530
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
pjL E
ExvimrT A:
The land referred to in this Commitment is
County Of Snohc"iSh, State of located in the
Washingtone and described as follows:
THE SOUTH HALF OF TqACT 36. TALBOT PARK, ACCORDING TO THE
RECORDED IN VOLUME 12 OF PLATS, PAGE I PLAT
079 RECORDS OF SNOHOMISH
WASHINGTON, AS MEASURED ALONG THE EASTERLY AND WESTERLY LINES THEREOF
ANO MORE PARTICULARLY. COUNTY*
DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF TRACT . 36; THENCE SOUTHERLY ALONG
THE WEST LINE OF TALBOT ROAD 66o49 FEET TO THE NORTHEAST CORNER OF THE
PqOPERTY HEREIN DESCRIBED AND THE TRUE POINT OF BEGINNING; THENCE
TRACT 36 IN THE WES
NORTHWESTERLY ON A STRAIGHT LINE TO A POINT T LINE OF SAIL)
SOUTH 35052040-8 WEST 106*87 FEET FROM THE NORTHWEST CORNER
THEREOF; THENCE SOUTH 350S2940 v@ WEST 106.87 FEET To THE SOUTHWEST
CORNER OF SAID TRACT; THENCE SOUTH 82042*12" EAST 435*36 FEET
SOUTH LINE THEREOF TO THE SOUTHEAST CORNER THEREOF; TH ALONG THE
ALONG THE WEST LINE OF TALBOT R ENCE NORTHERLY
BEGINNING; OAO 66-49 FEET TO THE POINT OF
EXCEPT THE FOLLOWING DESCRIBED TRACT:
BEGINNING AT A POINT 66.49 FEET SOUTHERLY OF NORTHEAST Co
WHICH IF RNER OF TRACT
36; THENCE NORTHWESTERLY A DISTANCE OF 190 FEET ON A STRAIGHT LINE
PRODUCED NORTHWESTERLY WOULD INTERSECT THE WESTERLY LINE OF
SAID LOT AT A POINT SOUTH 35052*40" WEST
NORTHwEST CORMER;-THENCE 106.87 FEET FRO14 THE
SOUTHERLY SO1UTHERLY ON A STRAIGHT LINE To A POINT
LINE OF SAID TRACT 36 175 FEET WEST OF SOUTHEAST C04NER
THEREOF; THENCE EASTERLY ALONG SOUTH LINE OF SAID TRACT 175 FEET TO THE
SOUTHEAST CORNER; THENCE NORTHERLY ALONG THE WEST LINE OF TALBOT ROAD
66-49 FEET TO THE TRUE POINT OF BEGINNING.
�,TOGETHER WITH AN EASEMENT FOR INGRESS
SOUTH 20 FEET OF THE FOLLOWING DESCRI , EGRESS AND UTILITIES OVER AND ACROSS THE
THAT PORTION OF TRACT 36, BED TRACT:
VOLUME 12 OF PLATS, PAGE TALBOT PARK ACCORDING To THE PLAT THEREOF
FOLLOWS: .107, RECORDS OF'SHOHOMISfj COUNTY, RECORDED IN
36; BEGINNING AT A POINT 66.49 FEET SOUTHERLY OF TH WASHINGTON, DESCRIBED AS
THENCE NORTHWESTERLY A DISTANCE OF .190 E NORTHEAST CORNER OF TRACT
NORTHWESTERLY WOULD INTERSECT FEET ON A STRAIGHT LI WHICH IF PRODUCED
THE WESTERLY LINE OF SAID TRACT 36NAET A POINT SOUTH
35o52140,, WEST 3-06-87 FEET FROM THE NORTHWEST CORNER; THENCE SOUTHERLY ON A STRAIGHT
LINE TO A POINT IN SOUTHERLY LINE OF SAID TRACT 36, 175 FEET WEST OF SOUTHEAST CORNER
THEREOF; THENCE EASTERLY ALONG SOUTH LINE OF SAID TRACT _I
CORNER; THENCE NORTHERLY ALONG THE WES 75 FEET To THE SOUTHEAST
POINT OF BEGINNING. T LINE OF TALBOT ROAD 66.49 FEET To THE TRUE
RECEIVED
OCT 2 8 1213,j
ENG1NEERj,1,0
�4
VOL. 21 70PAGE2 2 J9,
STREET FILE
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L-1 14 8 'TA� dA- VoAA STREMTA�W
CompTete this checklist for nonproject proposals, even though questions may be answered "does
not apply". IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant,"
and "property or site" should be read as "proposal," "proposer," and "affected geographic
area." respectively.
A. BACKGROUND
1. Name of proposed project, if applicable: D
Ali
AU G
2. Name of applicant:
PERMIT COUNTER
&J5
3. Address and phone number of applicant and contact person:
/78zn- -rhow Rv
4. Date checklist prepared:
oil
5. Agency requesting checklist:
2�
6. Proposed timing or schedule (including phasing, if applicable):
7. Do , you.have any plans for future additions, expansion, or further activity related
to or connected With this proposal? If yes, explain.
8. List any environmental information you know about that has been prepared, or
will be prepared, directly related to this proposal.
9. Do you know whether applications are pending for governmental approvals of
other proposals directly affecting the property covered by your proposal? If yes,
explain.
10. List any government approvals or permits that will be needed for your
proposal, if known
11. Give brief, complete description of your proposal, including the proposed uses
and the size of the project and site. There are several questions later in this
checklist that ask you to describe certain aspects of your proposal'. You'do not
need to repeat those answers on this page. (Lead agencies may modify this form
to include additional specific information on project description!-)-
1,44 _- w� [141�
12. Location of the proposal. Give sufficient information for a person to
understand the precise location of your proposed project, including a street
address, if any, and section, township, and range, if known. If a proposal
would occur over a range of area, provide the range or boundaries of the
site(s). Provide a legal description, site plan, vicinity map, and topographic
map, if reasonably available. While you should submit any plans required by the
agency, you are not required to duplicate maps or detailed plans submitted with
any permit applications related to this checklist.
I 1 1,6
aitrack'-1 �nP I �'n
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General de scription of the site (circle one): Flat, rolling steep
slopes, mountainous, other (!, I Dly -
b. What is the steepest slo e on the site (approximate percent slope)?
I : a cc�- kcr? ':Ot-'eq
c. What general types of soils are found on the site (for example, clay, sand,
gravel, peat, muck)? If you know the classification of agricultural soils, specify
them and note any prime farmland.
d. Are there surface indications or history of unstable soils in the immediate
vicinity? If so, describe.
ve-iel- '� 'A' - C A
Z;11
L'> Jr/e
6e;e-1 CXh"44 *1 �Z' r I
e. Describe the purpose, type, and approximate quanti�L24)es of any filling or
grading proposed. Indicat source of fill.
10C Co. "a +' I.,- 'r"J C)n
f. Could erosion occur as a result of- clearing, construction, or use? If so,
generally describe.
�v
g. About what percent of the site will be covered with impervious surfaces after
project construction (for example, asphalt or buildings)?
h. Proposed measures to reduce or control erosion, or other impacts to the earth,
if any:
�50;aec.- lec-9-1 w 'r'j L
it
2. Air
a. What types of emissions to the air would result from the proposal (i.e.. dust.
automobile, odors, industrial wood smoke) during construction and when the project
is completed? f any, genera I ly describe Ind give approximate quantities if known.
X� i C.VwAoro'ctr�_) 4AOT .
b. Are there any off -site sources of emissions or odor that may affect your
proposal? If so, generally describe.
c. Proposed measures to reduce or control emissions or other impacts to air, if
any:
3. Water
a. Surface:
1) Is there any surface water body on or in the immediate vicinity of the site
(including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If
yes, describe type and provide names. If appropriate, state what stream or river it
flows into.
Ye Z. - Ft3); 0 1
2) Will the project require any work over, in or adjacent to (within 200 feet) the
described waters? If yes, please describe and attach available plans..
3) Estimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material..
4) Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the
site plan.
NO
6) Does the proposal involve any discharges of waste materials to surface waters? If
so, describe the type of waste and anticipated volume of discharge.
b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
2
2) Describe waste material that will be discharged into the ground from septic tanks
or other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals ... ; agricultural; etc.). Describe the general size of the system,
the number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve.
c. Water Runoff (including storm water):
1).Desicribe the source of runoff (including storm water) and method of collection and
disposal, if any (include quantities, if known). Where will this water flow? Will
this water flow into other waters? If so, describe.
2) Could waste materials enter ground or surface waters? If so, generally describe.
d. Proposed measures to reduce or control surface, ground, and runoff water
impacts, if any:
4. Plants
a. Check or circle types of vegetation found on the site:
/deciduous tree: alder, maple, aspen, other
7evergreen tree: fir, cedar, pine, other
shrubs
grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
c. List threatened or endangered species known to be on or near the site.
NO-11c"-
d. Proposed landscaping, use of native plants, or other measures to preserve or
enhance vegetation on the site, if any:
I\L -1 t—"
5. Animals
a. Circle any birds and animals which have been observed on or near the site or
are known to be on or near the site:
. 11 .
birds: hawk, heron, eagle, songbirds, other: 111-P-0 - 4. t�s%
mammals: deer, bear, elk, beaver, other: ......... ....................
fish: bass, salmon, trout, herring, shellfish, other: ....................
b. List any threatened or endangered species known to be on or near the site.
c. Is the site part of a migration route? If so, explain.
d. Proposed measures to preserve or enhance wildlife, if any:
6. Energy and -Natural Resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used
.to meet the completed project's energy needs? Describe whether it will be used for
heating, manufacturing, etc.
b. Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe.
�4 (-0
c. What kinds of energy conservation features are included in the plans of this
proposal? List other proposed measures to reduce or control energy impacts, if
any:
7. Environmen al Health
a. Are there any environmental health hazards, includinq exposure to toxic
chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur
as a result of this proposal? If so, describe.
1) Describe special emergency services that might be required.
qol_� qe--
2) Proposed measures to reduce or control environmental health hazards, if any:
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
tq�� le,
2)- What types and levels of noise would be created by or associated with the project
on a short-term or a long-term basis (for example: traffic, construction, operation,
other)? Indicate what hours noise would come from the site.
3) Proposed measures to reduce or control noise impacts, if any:
�Ao -1 C.�-
8. Land and Shoreline Use
a. What is the cur en us of the site and adjacent properties?
b. Has the site been used for agriculture? If so, describe.
c. Describe any structures on the site.
d. Will any structures be demolished? If so, what?
e. What is the current comprehensive plan designation of the site?
h. Has any part of the site been classified as an "environmentally sensitive"
area? If so, specify.
i. Approximately how many people would reside or work in the completed project?
NV"e-
j. Approximately how many people would the completed project displace?
k. Proposed measures to avoid or reduce displacement impacts, if any:
Ng>-'-,--
1. Proposed measures to ensure the proposal is compatible with existing and
projected land uses and plans, if any:
fe�,.,
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high,
middle, or low-income housing.
b. Approximately how many units, if.any, would be eliminated? Indicate whether
high, middle, or low-income housing.
c. Proposed measures to reduce or control housing impacts, if any:
1U.. Aesthetics
a. What is the tallest height of any proposed structure(s), not including
antennas; what Is the principal exter'io building at ial(s) proposed?
44 .'VA '%
11 1 cc
b. What views in the immediate vicinity would be altered or obstructed?
c. Proposed measures to reduce or control aelthetic impacts, if any:
44'5i� 61 7"
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would
it mainly occur?
b. Could light or glare from the finished project be a safety hazard or interfere
with views?
c. What existing off -site sources -of light or glare may affect your proposal?
N47-1 (f:,
d. Proposed measures to reduce or control light and glare impacts, if any:
12. Recreation
a. What designated and informal recreational opportunities are in the immediate
vicinity?
b. Would the proposed project displace any existing recreational uses? If so,
describe.
c. Proposed measures to reduce or control impacts on recreation, including
recreation opportunities to be provided by the project or applicant, if any:
R)�
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or
local preservation registers known to be on or next to the site? If so, generally
describe.
1�v -
b. Generally describe any landmarks or evidence of historic, archaeological,
scientific. or cultural importance known to be on or next to the site.
RD -1 -r_
c-Proposed measures to reduce or control impacts, if any:
14. Transportation
a. Identify public streets and highways serving the site, and describe proposed
access to the existing street system. Show on site plans, if any.
tie f;�"
b. Is site currently served by public transit?.If not, what is the approximate
distance to the nearest transit stop?
0-
c. How many parking spaces would the completed project have? How many would the
project eliminate?
d. Will the proposal require any new roads or streets, or improvements to existing
roads or streets, not including driveways? If so, generally describe (indicate
whether public or private).
e. Will the project use (or occur in the immediate vicinity of) water, rail, or
air transportation? If so, generally describe.
N(D
f. How many vehicular trips per day would be generated by the completed project?
If known, indicate when peak volumes would occur.
MO
g. Proposed measures to reduce or control transportation impacts, if any:
NA%D1%-e-
15. Public Services
a. Would the project result in an increased need for public services (for example:
fire protection, police protection, health care, schools, other)? If so, generally
describe.
M 0
b. Proposed measures to reduce or control direct impacts on.public services, if
any.
16. Utilities
a. ' le li tte�-cu lect`�)
�re �—�he-site: !ecjricit�y natural gas,
tary
t f I h
C!� itary sewer ep other.
b. Describe the utilities that are proposed for the project, the utility providing
the service, and the general construction activities on the site or in the
immediate vicinity which might be needed.
.L
C. SIGNATURE
The above answers are
that the lead aqencv,,'
Signature: .......
Date Submitted:....'�.!! ...... C_.),
the best of my knowledge. I understand
make its decision.
.91 ..............................
D. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do
not use this sheet for project actions.
Because these questions are very general, it may be helpful to read them in conjunction with
the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or
at a faster rate than if the proposal were not implemented. Respond briefly and in genbral
terms.
1. How would the proposal be likely to increase discharge to water; emissions to
air; -production, storage, or release of toxic or hazardous substances; or
production of noise?
Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine
life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
- RO -I -e-
3. How would the proposal be likely to deplete energy or natural resources?
1�0
Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas
or areas designated (or eligible or under study) for governmental protection; such
as parks, wilderness, wild and scenic rivers, threatened or endangered species
habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands?
No C��A—
Proposed measures to protect such resources or to avoid or reduce impacts are:
11�0 -1 -if
5. How would the proposal be likely to affect land and shoreline use, including
whether it would allow or encourage land or shoreline uses incompatible with
existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
L-)eo-)(
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or
federal laws or requirements for the protection of the environment.
NV -A�-,
ENVCHK3/PFORMS
--PROJECT REVIEW CHECKLIS*r
PROJECT NAME: fy r_1 W PLAN CHECK #:
PROJECT ADD . RESS: /779IJ3 -71-faoi- /Q RECEIPT DATE-
JREVIE�VgD
BY: ((iff—flal/Da
PLAN;
IWATER
— ---- -- -COMMENTS'
FI
Pend,
--Q1=Wr:ri --!E
SetbacksNariance/Setback Adjustment
Conditional Use Permit
.......
.
.3
4
AD13 Requirements
Other Zoning Requirements
Underground Wiring Required
......... . . . . . . . . . .
...................................... M
N, X.
/)17f
Lot Slope 15%
SEPA Environmental Cherlkllst/Hydraulics Permit
6
-.7
Tree Cutting Plan
........ ..... .........
9
Plat/Subdivision Requirements,
�eq!jl Description Verification
Quit Claim/Street Dedications
01
01�
0
Easements -
12
Engineering Storm 15-r—ain Review Fee
..... ..........
A4
Engineering 2.2 Inspection Fee
Drainage Plan (On-S
Setback - Top of Bank, Stream, Water Courses.
. . . . . . . . . . . . . .
................ . . . . . . . . .
.... ......
.16:
Setback - Storm Drain line
Open Ditch - Existing
'Culvert. Required
lCuivert Size
!Shoulder Drai ai
11 go/Shale Open Runoff
Catch Basin Required
20
21
�:22:
23
� P 4
25
Ddveway Slope.& Vehicle Access
Sidewalk Required
Curb &Gutter Required Wo.
Curb.Cut For' Driveway Requited f1i o'
[Street Paving Required "o
R!ght-Of-Way Construction Permit Regpired #Jb,'
Street Name Sign Required
Other Signing Required LI&.4
Bond Required For*Public Improvements:
1FEMA Map Check/Water Table
Side Sewer Avall*abllity (4rjf>'
. . . . . . . .
. ...... . - - - - - - - -
...........
. . . . . . . . . . . . .
31
:12:.
33
3
37
38
40
41
4*�:'
. .....
F41
..................... . . . . . .
....... . . . . . . . .
. . . . . .
Calculate Sewer Connection Fee If No LID #
te Street File 46S
,Existing Water Main.Size . . . . . . . . . .
Water Meter Size
Service Line Size
Water Meter Charge Required
HYA-�ant Re
--g.uired
Hydrant Size Existing
,Fire Line Charge Required - Sprinkler
Street Cui
ous
. . . . . . . . . . . . . . -------- -
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
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Reviewed By:
FIRE
PLANNING
ENGINEERING
PUBLIC WORKS
0
U SE
CITY OF EDIVIOWDS
ZONE PE RMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
C26
OWNER NAME/NAME OF BUSINESS
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ADD ESS-
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO,
MAILING ADDRESS
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0
CITY ZIP
TILIPH ONENUMBER
OF WAY PER OFFICIAL STREET MAP,
TESCP Approved 0
RW Pe""it Required 0
EXISTING - REOUIRED DEDICATION
SI:1011 Ulle Pe R"'d 0
PROPOSED
u�rad >11
NAME
W"_aoi� LAK�g
Sidewalk Required
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REMARKS *WWA %0I
ADDRESS
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CITY ZIP T-ELEPHONE NUMBER
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NAME
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SEPA REVIEW
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REMARKS
0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIM,
P�RCIGRE6S INSPECTIONS PER UBC 305
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NUMBER OF STORIES
7
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INUMBEROF
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UNITS
DESCRIBE WORX�WTE DONE (ATTACH PLOT PLAN)
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VALUATION
FEE
PLANPHECK-FiE
6 106Y
BUILDING
PLUMBING
2
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
'DiRADING/FiLL
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
'C' Applicant, On behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
CV
su ceSSOrS in interest, agrees to indemnity, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, 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
PLAN CHECK DEPOSIT
, Ob
modify, waive or reduce any requirement of any city ordinance
0. nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or this duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
s late laws regulating construction; and in doing the work autho riz-
AUTHORIZES
This applic ation is not a permit until
ad 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 Washi I ting to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurarke.
INSPECTION
acknowledged in space provided.
SIG7171q,E OR AGEyr) SIGNED
DEPARTMENT
�Z�
JOATE
CITY OF
TURE DATE
EDMONDS
ATTENTION
CALL FOR
!�ELEATED BV DATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL - File YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
FA
CITY COPY
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.............
.............
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CITY OF EDMONDS
ZONE PERMIT
10 1�- NUMBER -94 0997
...,CONSTRUCTION PERMIT APPLICATION
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Street Us. Permit Req'd 0
NAME
inspection Required-.,:
sidewalk Required f C3
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PROPOSED
REMARKS
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NAME
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CITY ZIP
TELEPHONE NUMBER
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0
REMPR
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STATE LICENSE NUMBER
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SEPA REVIEW
ADS NO.
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SHORELINE N
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VARIANCE OR�CU
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CARPORT Swim
REMODEL GARAGE POOL
SPECIAL INSPECTOR
AREA
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13
REMARKS
GROUP
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LOAD
ROCKERY
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(TYPE OF USE, BUSWESS OR ACTIVITY) EXPLAIN:
PROGRESS INO�FCTIONS
PER UBC 305
cc
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NUMBER OF STORIES
NUMB&R OF
/* 9/ 14/s
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co
DWELLING
UNITS
0
DESCRIBE WOR E DONE (ATTACH PLOT,#LAN)
FINAL IN�PECTI REQUIRED
VALUATION
FEE
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PLAN CHECK' FE'f'k
olifBUILDING
dfAwel` Ot/- Y495 1161, f Z.*
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on.private property ONLY.
GRADINGIFILL
7
Any construction on the public domain (curbs, sldewalks�
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days,,.,,.
STORM DRAINAGE FEE
"Applicant, on behalf of his 8r her spouse, heirs assigns' and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, def�nd and hold
uj
harmless the City of Edmonds, Washington, its Officials,
m
employees, and agents from any and all claims for damages of
a:
<
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any city ordinance
I
nor limit in any way the City's ability tp4e�jor,66�qny ordinance
provision." �4
.TOTAL AMOUNT DUE
1117,
co
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
APPLICATION APPROVAL
authorized agent of the owner. I agree to c6m*ply with'city and
state laws regulating Construction; and In doing the work authoriz-,
THIS PERMIT
AUTHORIZES
This application is riot a permit until
ed thereby, no persom will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Wash ing1pp,4qlat I ng to Workmen's Compensa-'
WORK NOTED
Deputy; and fees are paid, and receipt is
tion lo�sqrarte. 1001-
IN SPECTION
acknowledged in space provided.
SIGNA (0 NER OR AGE T��
SIGNED
DEPARTMENT
JDATE
CITY OF
OFF TURE -1 DA`tE
EDMONDS.
ATTENTION
CALL FOR
INSPECTION
RELEAS S. . DATE
IT IS
UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCT URE
771-3202.
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
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