18107 69TH PL W.PDF111111111111
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18107 69TH PL W
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G of Edmo'n'ds
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SIDE SEWER PERMIT
PERMIT NO: 9447
PERMIT EXPIRE 1-4101
Address of Construction: 1'75 1 U. I (2!Z W LID M I\j
Property Tax Account Parcel No.06"70.44/' 001) 012 - (2,(2
Attach copies of all access and utility
Owner and/or Contractor:
Contractor License #:
4.
VSingle',Family
I—V
Multi-Family.(No. of Units
E] Commercial (Nq_of Units
Verified and Approved by
Iding Permit
In vasion into City ftRight-of Way: E] Yes V No
*RW Construction Permit #
C ross other "Private Property: El Yes KNO
"Attach legal description and copy of recorded easement.
�Qwne�rlCon�tractor�
Owner or cont actor sign ture and ackno ledgement statern'ent-
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
�5; hdot
Date 14 .
9 CALL DIAL -A -DIG (I S00-425-5555) BEFORE ANYEXCAVATION 9
R FOR INSPECTION CALL 421-5-771-0220 e'xtension;329 W
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
. ..... . ..... . ... ...... . .. .... ... .... .. FOR OFFICE USE ONLY . ... ....
... . ........ . ....
Permit Fee Repair Fee Issued By:_
Trunk Charge $ Date Issued: lo)
Assessment Fee $ Receipt No: 1715 SU
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: E]
t� PERMIT MUST BE POSTED ON JOB SITEt,
White Copy: File Green Copy: Inspector. Buff Copy: Applicant
L-,temp;bldg;forms;sspermitjlg4/00
W.t., S.M.. LW.
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NOTICE: NO WARRANTY OF ACCURACY. The informe.-Ion. shown on the
,iftechad map was compiled to, ucl:� bit thn C!",,j of
�Lnv consultants. The City of ft.,iicaL'.� 6--,_ i.,.! of
anyi�*iincj set forth on the map. k_.'* p--i_ u, en`,."y -Py
indopUnumst
sh,"��-.'cundud an hi,tj U'l
thr,, ma"p, Including, but no'., lh�A'*Z,. to, t,-. loci�.i.,,n C"f En� stal�
shoviii. Such sewer stubs mEy c. i,-.; �i i,L
th- loi;Llluon shown, Nelthei th,. Ci,y d Edfiiond�-; nc; itti cmp!cy1,03 of
Vh�-',o bo liablefortho in'4Gj'wE:,.1cr. givji c�i this map, norfoi anyoraj
represaii'Ladon provided basud upoo m.'d map
CITY OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS
PERMIT
18107 69th Place West
NUMBER 9"7
HOMEOWNER
CONTRACTOR
Marshall Homes
DATE
5-21-01
DRAWN Jim Roberts
BY
M ARSHALL
j , HoMES
Building the Quality Dream
Lot 12 Plan 2248-3
HEIGHT CALCS.
Grades
Point
Existing
Original
A
344.85
343.78
B
345.70
344.10
C
344.72
344.00
D
344.24
344.10
Avg. Grade
344.88
344.00
Act. Bldg. Ht. from fin. grd.
23.33
N/A
Allow. Bldg. Ht.
N/A
25.00
Addit. Adj. above Avg.
0.56
N/A
Max Ht.
368.77
369.00
Proposed
Allowed
FIr. Thk. & 6" grd. c1r.
0.155
Proposed Fin. FIr. Elev.
346.29
SITE PLAN
SCALE: V=20'-O"
RECEIVED
MAR 2 3 20011
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
— � , . .-I ,
TEMPORARY CONSTRUff!ON ENTRANCE (PER DETAIL).
Impervious Surface
Calc. (Proposed)
cl
Bldg. Pad 1330
Garage
641
Driveway
948
Cov. Porch
85
Conc. Patio
140
Gar. Stoop
9
Sidewalk
65
Total
3218
IE
19u) P, oJ s 4-1,17, V,
-3,4-q ^-,,
Lot Area: '2�000
BuildingArea: �2OE4;
LotCoverage: 25.:7�A'
LotSlope:
4
X.:,"Cok
0
Contact: Ron Trickett
20611-E Bothell-Evrt. Hwy.
PMB 336
Bothell, WA 98012
Phone: (206) 940-3154
License: ALARSBM076Rl
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SiteAddress: 11�107 PL, W. 5JDM6J01DS,.
Legal: 1-07— 1�2 OLY&fre- r_:�W CRE-S—1
Tax/Parcel #: 0 07C—,>T4--- 000 — Q 12 — 00
Zoning: R S — �;
I D
1110
—1 -,
Q's
VA-r(e4l - � -
S, ftl. ff. IL2
Contact: Ron Trickett
20611-E Bothell-Evrt. Hwy.
MARSHALL PMB 336
, HoMESRF-CEIVIE SITE PLAN Bothell, WA 98012
SCALE: 1"=20'-0" Phone: (206) 940-3154
Building the Quality Dream 2 3 2001 License: NIARSFUH076RI
SCA
DEVELOPMENT SERVICES
Grading Caic. CITY OF EDMONDS
Descrip. Area Depth' Cut C.Y. Fill C.Y.
Bldg. Pad Excavation 2088 2 155
Garage Pad Excay. 836 1.5 46
Fdn. Perimeter Backfill 880 2 65
Garage Backfill 641 1.23 29 1; 1 0 1' ol 47r 10. 1
Lot Fill & Grading 6029 0.25 56 Jlw LAT'X-1, F-T S07, /
Dnvmay Fill 0
Interior Fdn. Fill 1330 0.5 25
Totals 201 175
OQ
0WNEpjCONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
IgLd, _0
TEMPORARY CONSTRUCTION ENTRANCE (PER DETAIL)
'f7
A/ L�,&41
4f, of).Z 19 4
4:
__j.
/jo e� -j
4fjj 'P
970 At bo
4z"
0 ; ,
1�� 0) '\O
0-
Orr-
WATER SERVICE INSPECTIONS S., 854zf Jcel
Zr
11 A
GR 40 ska�
REHIRED. IL 771—P
17
344.711
COAr, 012rV C'
sm -4,18
6,0- 3qs. 0
ewl
PV) R 0 A) 5 &,4-,/ 7" V, 10'
7.
AS NOTED PL. W,
W, 15 jo m 6 /0 OS -rQ N
Site Address: I 1�1 07 1& h PL - PA I... -
Lot Area: 0 S. ffi. H. -tg
Legal: �-07- 1�2 0Ly&fj:,- Zze-w M
BuildingArea: �2OE6
LotCoverage: 2 .:7 -Va Tax/Parcel #: 0 OctO64 — 000 — 0 1��— C)C)
LatSlope: 1,15: c7n Zoning: r? 5 - G
'City of Edmonds
Development Services Department
Planning Division
Phone: 425311.0220
Fax: 425.771.0221
DATED RECEIVED: 'rell,
CITY RECEIPT#:.
Critical Areas File#:
Critical Areas Checklist Fee: W.00
.-0
DATE MAILED TO APPLICANT:-,-7
.CRITICAL AREAS CHECKLIST
The Critical Artas 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/or 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
assistant staff in completing their preliminary
assessment of the site.
I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are
factual to the best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
20 9 . ",
Street Address
City State Zip
I T-sl MR,
I VIA
Signature
Date: �Z h
Applicant Representative:
Name
/515 614A,
Street Address
City State Zip
Telep e:
tgnature v Date:—
G:\Sharc\tibrwY\Plwming\Fomis\Public Handouts\ Critical Areas checklist Doc/1-16-2001
Critical Areas Checklist CAFileNo:
Site Information (soils/ topography/hyclrology/ vegetation)
1. Site Address/ 1,qcation: 1160 2- 6' C
2. Property Tax Account Number. 00 W4�d — C2212 — 016 — Q-Z)
3. Approximate Site Size (acres or square feet): F2 -Z t6
L
4. Is this site currently developed? 4es; _ no.
If yes; how.is site developed?
5. Describe the general site topograp�y/Check all that apply.
Flat less than 5-feet elevation change over entire site.
Y\ Rolling: slopes on site generally less than 15% (a vertical rise of 10-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 10-feet over a horizontal
distance of less than 33-feet).
Other (please de*scribe):.
6. Site contains areas of year-round standing water: ; Approx. Depth:
7. Site contains areas of seasonal standing water: 4ZZ2 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? - (What time of year?
10. Site is primarily: forested — ; meadow * 5�4— shrubs mixed
urban landscaped Qawn,shrubs etc)
1-1. Obvious -wetland is present on site. AZ12
G:\Share\Library\PlanrdngTorTns\Public Handouts\ Critical Areas Checklist Doc/1-16-2001
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NELSON-COUVRETTE & ASSOCIATES, INC.
CONSULTING GEOTEcHNicAL ENGINEERS, GEOLOGISTS
AND ENVIRONMENTAL SCIENTISTS
Facsimile Tran smiftal r-w?
R %'"C E f V, &IC D
To: LYL#- MAR 10 2000
Company: ch--e OP fDd4wtJD5 ENGINEEFaw
Phone:
Fax; (4,2.9) -721 --0:1z)
From:
Company: Nelson-Couvrette & Associates, Inc.
Phone: 425-486-1669
Fax: 426-481-2510 BUILDING
Date: MAR 1 6 2000
Pages Including Cover Page:
NCA File #:
cc:
Comments:
L" I L U / IL U U U Lu. "�J 4 4.J 4 0 14 �J I U I —�Iwu V MQ I I Q r'"Ur- U 4
NELSON-COUVRE7TE & ASSOCIATES, INC. FIELD REPORT
—11� CONSUL77NO GEorcc#4mCAL ENGINEERS. GEOLOGISrS
AND ENVIRONMENTAL SCIEN77srs
17311-13Sth Avenue NE, A-500 Project: 0LqM2kC, V'co File No. --2 L 4-19 q
Woodinville. WA 98072
(425) 486-1669 - (425) 337-1669 Owner: � V), Wth-H
[)Lj�: UILE Date:
Pax (425) 481-2510
Location: Report No.
Weather-. -z Page: I Of
Purpose
of Visit: t0ol m 13y: A4)
A &il 'IfT
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Attachments:
Signed:
Distribution:
-0< 90- 1� M NOW WOW -M &W C%%, '.."
03/10/20013 10:45 4254812510
NELSON-COUVRETTE & ASSOCIATES, INC.
GEorECHNICAL ENGINEERS, GEOLOGISTS
AND ENVIRONMENTAL SCIENTISTS
17311 - i 351h Avenue NE, A-500
Woodinville, WA 98072
(425) 486-1669 - (425) 337-1669
Fax (42S) 481 -2510
Project:
Owner:
Location:
Weather:
Purpose
of Visit:
NLL�DUN—UUUVKt11t
r1HUr- UZ
FIELD REPORT
File No.
Date:
Rep ort No.
Page: 2 of
By: AD k- ---
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Distribution:
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IN -PLACE MOISTURE AND DENSITY TESTS
�-P�ROJEC�TNA�ME:
�rO))L4?%�FPJIC �Vlf, �CRAFMS-rr
JOBNUMBER: 2(04 - 199
LOCATION:
EDMOADS
REPORT NO.: i g IPAGE
OF
PROCTOR METHOD: ASTM D - 698-91
1 -Z- ASTM D - 1557-91
TESTS CONDUCTED BY: /49�,
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APPROX.�APPROX-
I
OR
TEST
DATE I NO,
GENERAL FEETTO
LOCATION GRADE
FILL % WET
DEPTH MOIST DENSITYIDENsrry
DRY MAX
DENSITY COMP.
%
SPEC COMMENTS
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ED*
CITY OF EDMONDS WATERLINE AS-BUIL
ADDRESS HOMEOWNER
18107 - 69TH PL W MARSHALL HOMES
CONTRACTOR SCALE
MARSHALL HOMES INC NTS
DATE DRAWN WATERLINE
5-16-2001 BY K, Haney NO. BLD20010304
DATE RECEIVED[
PERMIT EXPIRES
CITY OF.EDIVIONDS
USE PERMIT
ZONE
NUMBE!b�_
CONSTRUCTION PERMIT APPLICATION
10B SUITE/APT#
ADDRESS (:i�7t A
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID No.
LID FEE $
C C
MAILING ADDRESS
LU
PUBLIC RIGHT OF WAY PER OFFICIA L STREET MAP
TESCP Approved E3
RIN Permit Required 0
Street Use Pannit R 'd 0
0
CITY zip
TELEPHONE.
EXISTING PROPOSED
Inspection Required16,6
Sidewalk Required
No — 3r/
REQUIRED DEDICATION ------�.FT
underground
Wiring required
NAM�
METER SIZE
LINE SIZE
NO. OF FIXTURE S
PRV REQUIRED
YES No El
9
3
C
ADDRESS
-
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
0"O� W -06ftxe
CITY ZIP
TEl_EPHONE r f
NA E
&A1;r5H41_i-
NGINEERING REVIEWED/DATE
ADDRESS
cc
4
4
2mll -15' gal /f
l' C
FIRE REVIEWED BY DATE
z
0
0
CITY ZIP
f50/-,z1;z04-1F110_3
TELEPHONE
1.<q
ME
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY .
VARIANCE OR CU
SHORELINE OR ADBi,
ANSPEC TION
REO'W
B07D
POSTED
1
WIAIZ750 #X076F I It 7- bok I
YES 0
SEPA REVIEW
COMPLETE I EXEMPT
SIGN AREA
ALLOWED PROP OSED
. HEIGHT
ALLOWED PROPOSED
_j
,
PROPERTY TAX . .
ACCOUNT PARCEL NO
CY2204C 00c) — r,>0
W
12-
EXP X
X_NEW RESIDENTIAL PLUMBING MECH
LOT COVERAGE
ALLO PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UQ qIDE REAR
ADDITION 13 COMMERC14L o COMPLIANCE OR
11,16 215
%51
WN 2j,
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CHANGE OF USE
z
PA91KING
REO'D I PROVIDED
LOT. AREA
P G KRE V , AEB Y DATE
+
C] APARTMENT
C3 REMODEL [:1 SIGN
:1
CL
REPAIR YDS [3 FENCE X FT)
C
7 I
DEMOLISH' TANK 0 OTHER
z
GARAGE 0 RETAINING.WAL I L'�,
CARPORT ROCKERY 0 RENEWAL
;z
OF USE.
(41DW BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY
TYPE OF CO!=N
OCCUPANT on
GROUP
NUMBER
NUMBER OF
CRITICAL
SPECIAL INSPECTOR
AREA FL.f
OF
2,
DWELLING
AREAS
0'
STORIES
UNITS
NUMBE
REQUIRED C] YES
Pl,%
LOAD
<
D CRIBEWORKTOBE DONE
REMARKS,�
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D
9?J4 C 2
odl Mile "f'
_Wf)11L T7612-
M
LA:Er&lqf,' Dkf, KQA
67- F4 /2- 3 -140 5 -it
11 F
li� A 02 45'
VALUATION
FEE
6W,40,ic 6;4 J;:�
PLAN CHECK FEE
HEAT SO(ACE LAZINP.�
116 �OP BUILDING
IT
0
",IAIINO
PLAN CH 0: VESTED DATE PLUMBING
MECHANICAL
40
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE'PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION..! J—.4
STATE SURCHARGE
w PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
Cob 'APPLIdA N�T. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE REC IPT
a PLAN CHECK DEPOSIT
1:21 c7 &
i DEEMEDTO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0
X, NOR LIMIT IN ANYWAYTHE CITY'S ABILITYTO ENFORCE ANY ORDI NANCE PROVISION., C -
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN. IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is nofl permit until signed by the
CALL
TION; AND IN DOJ�N'�HE R AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her beputy: and Fees ire paid. and
IN VIO �TIF HE ABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowhigg6d in space provided.
S Cp4pi/
WORK� AT SURANCE AND RCW 18.27.
S R DATE S GNED OFF�IALS SIGNATURE DATE
(425)
771-0220 4
A17ENTION EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL \ . Z � a �7 �/-
*HAS
(:
A FINAL INSPECTION BEEN MADE AND. APPROVAL OR A.CERTIFI- 771-0221
ORIGINAL - FILE YELLOW - INSPECTA
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
5198