18117 80TH AVE W (2).PDF111111111111
7027
18117 80TH AVE W
I-s4TE-R-OFFICE COMMUNIC,-JIONS
DATE
A
TO FROM
FORM 41 - LITTLE'S
SUBJECT:
7�4-LA-
'CITY OV)
PUBLIZ."06 WORKS
MOMONPOS
DEPARTMENT
TO:
LU
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C)
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cc
2-1
Uj
<c
SUSPENSE DATE:
I LeA2,
DIRECTOR
Investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my sign.
For Information
Previously Ref'd
Status of Action?
Return to -
ADMINISTRATIVE SECRETARY
BUILDING MAINT. FOREMAN
EQUIPMENT RENTAL FOREMAN
PARK DEPARTMENT SUPT.
STREET DEPARTMENT SUPT.
TREATMENT PLANT SUPT.
"'J'ATER/SEWER SUPT.
COMMENTS:
FROM:
DATE:
�l
[;-.c , '* *' r'
L b
PERMI'r COU!-,
HEIGHT CALCS
8
A = +98.25
B = +98.17
C +95.96
D +90.13
AVE. GRADE = +95.63
ACTUAL = +112.83
MAX = +120.63'
APPROVED By PLANNING
0
ui
>
CIL
161 / 7 - &-pl A Z11- Aj -
CITY COPY
South 0-35-09 East
71.00 feet
01
. . J..
Z-
le!:XX
HOUSE
DATUM POINT +100
TOP OF ELEC. VAULT
< NORTH 80th. AVE. W. .
0
0
0 Li
0
od&w w"
80.00 � feet
North 0-35-09 Eal
PLOT PLAN SCALE: 1" = 20' 0"
18117 80th. AVE. W.
Critical Areas Checklist
Site Information (soils/topography/hydrology/yegetation)
1. Site Address/Location: V a-, W
2- Property Tax Account Number: fz)
3. Approximate Site Size (acres or square feet):
4. Is this site currently developedi�yes; no.
If yes; how is site developed?
5. Describe the general site topography- Check all that apply.
Fiat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 1511G (a vertical rise of 10-feet over a
horizontal distance of 6&feet). 4og
Hilly: - slopes present on she of more than 15 'Yo and less than 30 'Yo (a vert ical r1selIz.., 11919S
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades ofgreater than 30% present on site (a vertical rise of 10-feet over a
borizontal distance of less than 33-feet).
Other (please describe):
46. Site contains areas of year-round standing water 0 _ ;Approx. Depth:
7. Site contains areasof seasonal standing water: 74 Approx. Depth:
What season(s) of the year?,
-SI is in the floodway floodplain
8. Ite 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 smonal? — (What time of year?
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawn,shrubs eter--ni-
11. Obvious wetland is present on site:
For City Staff Use Only
1. Site is Zoned?
2. �CS mapped soil type(s)? 3 kn!lt�-t LA2�
3. Wedand inventory or C.A. map indicates wetland present o.n site?
4;.*,. :',Critical Axeas inventory or C.A. map indicates Critical Area: on site?
5- '�i.te within* designated earth subsidence landslide hazard 2 1 rea? N10
6. . it6 a
esignated on the Environmentally Sensitive Areas Map? M10
-DETiRMTNATION
_`9tUDY REOUIRED CONDITIONAL WAIVER
V_ WAIVER
Reviewed by: 11 �
AUnner Date
PXV a 1104N4
9 0 - 19
City of Edlmon&
Cri.tical Areas -Che
cklist.
The Critical Areas Checklist contained on
this &iz� 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 datia available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
Anapplica.nt, or his/her representative,
must fill out the checklist, sign and date it.,
and submit it to the City. 7be 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.
With a signed copy of this form, the
applicant should also submit, a vicinity map
or plot plan for individual lotsof the parcel
with enough detail that City staff can find
and identify the subject parcel(s). Jq
addifion, the zkpplicant shall include
otherperflnent information (e.g. site
plau, topography map, etc-) or studies'- in
J
conjunction with this Checklist to assist
staff in co m-pleting their pr6liminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriatecolumn below).
Owner / Appueant.
J
Name
_V
PRI) 7 R�) :AVf
Street Address
City, State, ZIP Phone
Signature
Date
Applicant Representative:
r� Won- w A" W
Street Address
City, State, ZIP Phone
�W UIA11"00
1-4 , �='A -
1 01
il
South 0-35-09
STREET FILE
East
�i.00 �eet
- — - -1
to/
N1
I
71
-Y
0
90' 2'
95' ill
DECK
0
L'LI
4-j
cn
C)
0
0
L
01
Z.
HOUSE
0)
U
HEIGHT CAI Q-c�
A = +98.25
9 = +98.17
C = +95.96
D = +90.13
AVE. GRADE = +95.63
ACTUAL = +112.83
MAX = +120.63'
L NNING
��,Y PLAi
0
0
w
Lij
cr-
a-
DATUM POINT +100 2W
TOP OF ELEC. VAULT
GARAGE
NORTH
< 80th. AVE. W.
LO
0
U)
added ar"
80.00 feet j
North 0-35-09 East
PLOT PLAN SCALE: 1" = 20' 0"
18117 80th. AVE. W.
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Jamal Mahmoud, Engineering Inspector
T F
RLE
Owner: Plan Check No:
Address: 4,11 1
i-,"' Date: a
------------ — -- ------ — --------- — ------ — ----------- — -------- — - -- ---- ---------------------------
After review of the subject permit application, the following requirements must be met:
I . Construction hours are: WEEKDAYS — 7:00 A.IVL-10:00 P.rvL;WEEKENDS/HOLIDAYS — 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d).
5. 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)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit.
(ECDC 18.90)
9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
(ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to. City water system is required. There is a separate charge for the water meter (ECDC 7.20).
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connectio�Ao the City sanitary system is required. A separate permit is required.
LID# Feespaid: 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)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
PRMT"P.DOC
ENGINEERINr.,-
ROUTE TO__)AJ'_On Back 2 �>Add? Total Days Mailed
RESUB #1 ON TO Back Add? —Total Days Mailed
RESUB #2 ON TO Back Add? Total Days� Mail
eSTRr—f-:7 r"161, L E
4e,
1. Site/Drainage Plan & Calcs OK
2. Grading Plan/Calcs/CYG SEPA? OK 0/,::
3. Driveway Slope 1/6_j2t� - Profile.
4. Truck Route Plan
'OK
5. Street Dedication? iz-1,
FEET
6. Easemen ';
t f ", -Typq
OTHER COMMENTS:
OK
OK C*
Corrections Required Received
1.
4.
PW REVIEW Date Sent Back FIRE REVIEW Date Sent Back —
PLANNING REVIEW TIME TOTAL DAYS ENG REVIEWTIME TOTAL DAYS
FIRE DEPT REVIEW TIME TOTAL DAYS PW REVIEW TOTAL DAYS
BUILDING DEPT REVIEW TIME: In -House Outside TOTAL DAYS
ORDINANCE COMPLETION DATE COMPLETION DATE TOTAL REVIEW TIME DAYS
PERMIT # ISSUE DATE
*CONTACT PERSON STATEMENT*
BY SIGNING TE11S, FORM I UNDERSTAND THAT I AM THE ACKNOWLEDGED CONTACT PERSON FOR
TEIIS PROJECT. IT IS MY RESPONSEBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY
AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE PERMIT. I UNDERSTAND THAT IT IS
My RESPONSEBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY
PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF
My ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A
COMPLETE APPLICATION.
Signed
,,Contact n (Print Clearly)
Phone Number 2- FAX Number
Date
Mailing Address
ROUTE.DOC/Lrremp/Bldg/Forms-5/96
May 23, 1996
Gordy Hyde
Engineering Department
City of Edmonds
505 Bell Street
Edmonds, Washington 98020
Dear Mr. Hyde:
J-, 0
JP
eN G I EV,
As per our voice mail conversations, I have a concern over the lack of street fighting on
80th Avenue West along Seaview Park This area is extremely dark at night due to the
trees and the lack of any fighting.
We ride the Community Transit Bus #403 which picks us up and drops us off at the
corner of 188th and 80th Avenue West. We then walk to and from our house which is
at 181st and 80th Avenue West. This requires us to walk down 80th Avenue right
through this area with no street lights. In the fall and winter there is absolutely no light
in this area. My wife refuses to walk through this area by her selL I am not fond of
the idea myself. This situation has been magnified by the installation of small steel
posts and a cable to stop people from dumping trash in Seaview Park which forces
people to walk out on the street rather than fight walking under the trees.
This situation is a real hazard not just for my family but for anyone who uses Seaview
Park in the evenings or might jog or walk their dog through the area. I understand that
there currently are no poles to mount the street fights on and the city would have to put
underground wires in to install these fights. However, what is a persons safety and
health worth? If someone would be hit by a car or harmed by a criminal act in this
area I am sure the City would be named in any legal actions that might result from such
accidents.
I guess it is a case of "you can pay now or pay later". However, in this case, I think a
little prevention might save a lot of dollars. This is a bad situation and needs to be
corrected. Tbank you for your time and returning my calls.
Sincerely:
Bill Wallace
18117 80th Avenue West
Edmonds, WA 98026
206-322-8900
206-672-8373
,,,FEET FILE
CITY. OF -EID-NIOND S
- SEWER DEPAlMa-M, -
STOPPAGE OF SANITARY SEWER MAIN REPORT
DAT'E: OG
sL-p7-. AG TIME CALL RECEIVED: A-K. "85-
LOCATION OF STOPPAGE: (Bo-rvA
_
TIME OF ARRIVAL ON
71iE- JOB SITE: Rm
TINTE NOrLK,.%L FLOW OF SANITARY SE1VE-R REESTABLISHED:
&00 P.M.
-TC- PA V36 R A.. R
iSs P7, i r7 v iwr-\L-)
DUSE OF STOPPAGE:
co tic, C L-&,�3
L-ACITER&L AT-
\Q0 . 11 -V-5-
U) 0 e 'T 0
1 m P R C) F-:r',- (Z
Ks
ACTION REQUIRED TO
CLEM MAIN AND/Olt 1AITItAL:
PIPE—
us(-:-D goo-T-
P.\/.C,. "Pipe
CITY CRDV ON STOPPAGE CALL OLFF (Persomicl Involvc(l):
Ten
LOCATION OF RESIDENCE AFFECMD:
ADDRESS, AND PHONE NUNMER 01' 111101))"RTY OWNUz.: /1, (slit - Bolm
-2
L� ; �ec
t �! �so�
(130T is ot,�l
DESCRIBE DAMAGE TO PRIVATE PROPERTY:
10MMS: -Ttic e-e,,.)Gp - - I
c) t's No-[ iFieD oF T Ae PROB
A'T 1810 uo-TiL T?-
-7.
TAVE *NLI-11 S6 mAC�Qe iS MQ comFlRt�AMoi4 'TgAZT MAC: ONL-�A
BLOC,V,P�GC CIT'�J LA,.-,v-eRA,-L
.::I-
00
CD
CITY of EDMONDS FiLE SIDE SEWER P E R M I T
For Inspection Call 771-32STREET PERMIT No.
Address. of Construction: 1-7 0. Ee4rnclnds
e) 1Lj -
L o
Property Legal Description (Include all.easements):,
[LYNNWOOD LINE
Owner and/or Builder: Mencielnkal(
Contractor & License No:
Singl:e Family Residence V/0'
Multi -Family (No. of Units
. e-
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Ye's (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.).
Cross other Private Property,:- No Yes .(If Yes, easeme nt required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK,
I certify that I have read and shall comply Date
with the,items listed on the back.
Permit Fee: 1��
Trunk Charge: 00
Assessment Fee:
Partial Inspection:
issued By:
Date Issued:
Receipt No.:
Comments
Date Initial
Final Inspection Approved:
Date Initial
Rejected:
ason
** PERMIT MUST BE POSTED ON JOB SITE,**
_15a`te .—T—nitial
Wh.ite Copy File Green Copy Inspector
Buff Copy Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION [g REPAIRS El LID NO - ------------------ - ASMT. NO - ------------------
OWNER - --------------------- CONTR ACTOR ------------------------------- -------- --------------------------------------- PERMIT NO. 75 7 -----
JOB ADDRESS - ----------------------- LEGAL DESCRIPTION: LOT NO.'B ---------- ---- BLOCK NO. r—
tLYWWOOD-i-INE'l
------------------------------------------------------------------------------------------------------------------------------------------------------------------
18817 80*r"AW-.-.J.
I
r 2,
2-S,
Fl
i:1,6
3'DP.
C-0. cap
l'bP.
450
PWW-0001 -11175 (REV. 11/78)
NAME OF ADDITION --------------------------------------------
1ppop-costic
fe -�
t4'
CAB
I.S,Dp
4.S,Dp 4"-,wzc
4*c-6-lAVE C.O.C"
C.0-CAP
rM
Approved:
Z
0
223'
M
DATEaaAly -A&---- By ------ /
7:0
APPLICATION
for
The City of Edmdhola FILE Ly 'VOOD UNNE
SIDE SEWER PERMIT
NEW CONSTRUCTION
:3 C) '—/ — U ___,7 ',� �, - 7-)
OV%rNER
ADDRESS
... �ta .......... e ....... ................ .............
.............
"r�rjl.Lnz' El
-1c,TA k)
1/ 7
EASEMENT No.
1-o 3
CONTRACTOR
�s .......... j ............ PERMIT No`l� ... 4,//
LEGAL DESCRIPTION: LOT No . ........ --------------- - ----------------- BLOCK No . ......
NAME OF ADDITION ....... R..Saa
..........
......... �: ..............
f7c) j),()
Approved:
DATE-.4 ..........................................
............ ..........
'V)
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds., its Employees and Consultants.
The City of'Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry rega*rding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
SIDE
I bt-WbR—PERMIT
WATER -SEWER DEPARTMENT
�A.
PERMIT
Call 7,76-1107 for side sewer inspections BEFORE covering any Portion of the construction.
Inspection will be Provided within 24 ho . urs after request. NO Sat., Sun., or holiday in�Pections)
ADDRESS LOCATION OF CONSTRUCTION ............ / - ". :: - -z- , �,.:
............................... :.: .......... 0� .....................................................................
PROPERTY LEGAL DESCRIPTION.... i7 i',. I.i .- � . ............................
........ .................. L ..... ;.-- , , I . it-1:
............. j.." - . .
................... ............ .
............. : ------- ....... : ................................................
-------- --- ..................................................... ..................................................
----------------- -------------------------------------- OWNER AND/OR BUILDER .... f-, 1,;j
. .................................................................... . .......................................................
CONT'"CTOR'S NAME & ADDRESS .....
------------------------ -------- - - ... . ...... ------------ ...........
............. * ---------------
C)tem in accordance w -------- - ------ * ------------- * ------------------------ X?
Permission Is granted --- -1 19.. -, for rellair and/or connection of a side sewer to the city
ith City of Edmonds ordinances. sanitary sewer
ATTENTION 19 CALLED TO THE FOLLOWING
NOTE N6. I
The owners of the Property May obtain EL 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—All work Performed in city right-of-way requires an Invasion Of Right -of -Way Per7nit obtainable from the City Engineer's office.
DE NO. 3—'Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street Must be water settled and surface of street I restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one Year Of completion.
NOTE) No. 6--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 appurtenances except to in-
Lert the pipe into the wye.
DISAPPROVEDDate ... . ................................... By ................. Date--.-� .......... e ...... ...... By ................
APPROVED Date ..........
S- ----- . ................... By ................
. ... ....... ............ By
............. -------------------------------------------------------------------------------------
Remarks: ..........
...................
........ ...
% . . ......... . ...............
------------------ ---------------------------------- ------ ----------- ----------
....................................................
................. . ..........................................
.......................... . .................... 7 ..................................................................................
BOTH - Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
---------- .......
(9wner of ContrUti. i� ------ ..... ... I hereby certify that the side sewer installation constructed under this permit
ing rm erfcrming Construction)
was installed in accordancd-�With all governing ordinances of the City of Edmonds.
Dated this ------ ....... dav
v v unecK BEFORE You dig for: Water E], Gas E], Telephone.[], Power E],
. .................................
CAUA&�01�91"ITQMM�AW
CLAIM FOR DAMAGES
NOTICE
LF W E EIVED
f 1 Tvq a. tTC�
Claim MUST be presented 6TtflgETncFUffkled with'the CE Cle ?__ day
r 0
I 1i Tf ��? 10� T 2 2 1975
from the date of Accident or Accrual of Damages.
C I I- Y (y�
17
TO THE CITY COUNCIL OF THE CITY OF EDMONDS:
A]
PLEASE TAKE NOTICE, THAT TED `-ALL
(if married, give hus=1r. AameN
WHO NOW RES IDES AT 117 A n f-.h A ir P r i i n n nnj 1� rj-,nr qR090-
�S�tate present actual address by �tre'et, numb6'r and city)'
AND WHO FOR SIX MONTLIHS PRIOR TO DATE OF ACCIDFM HAS RESIDED AT same adcllrass�
(Give residence by street, number and city)
CLAIMS DAMAGES OF AND FROM THE CITY OF EDMONDS IN THE SUM OF S
arising out of the following circumstances:
Describe Claim, giving
DATE and TIME injury or ;�ee attached Q.1-eet f_Q4
damage occurred, PLACE considerecL to be an integral -nnrt of this
and full particulars. c�laim.
Accurately locate and
describe defects caus-
ing injury or damage
and all acts of negli-
gence claimed.
Accurately describe lst floor toilet ballcock,, rind kitchen and
injuries or damage laundry sir.Ir fpjini-ts stnnn(-Id Un
State items of damage Day and Nitd Plumbing, bill attachccl,-161.17
claimed. Itemize all Pers(;nal time - 4 hcurs on Oct 10 in dealing
expenses and losses. with your employeeB ER-44 tl2w�f+;;�j tP,
pliziber; 3 hourn on Oct 11 and 15 in showinr-
plumber the proiblems and checking worx; anct 4 '.-Iour.7 for -ple-PUTIrzttux
and filing.of this claim. 33.00
Total 198.17
(Claim must be sworn to by claimant)'
ISigifature of Claimant)
F jmIBED AND SWORN TO
before me this _day o f
'19
Notary Public in �nd for,*e Stat6lof
Washington, residing
V, ]D .V' LL
IN T'L!; G1'1;AD1__A.e,- T 0 F C TJ "11,, Y T
YEE CITY OF EPDT,-!ONDS): 'NkSKIATINGT O-N.
Description of..,Cl�aini. 47
/01
,2wo City of Edmonds enplo7res (drLVIn�3 Truck No.",�License D13715) in
setting a water meter on 80th Avenue `,:V-st near intersection of 181st
I'lacc %-jest for resi�'j'ence between my house a n d B-0th broke my water line
and allowed dirt and gravel to get into it.on*October 10, 1975. Upon
learning that my -water pressure was very weak, I asked the rlumber work-
ing next door if' he. had turned my wa,ter oPf. He advised me that he
ncit, but two ''d.-aonds employees, were working on 80th and sugo'estea
that I talk with then. I reported to them that my water nressure was
very we'al,�. I was advised that they had broken my viater line and allowed
dirt to get into it, but they would talke care of it. 'v,hen the two workmEn
left, I called the Water Department to -be sure that ' son * eone tjacre was
aware of my problem. I reported my problem to Jul:ie Ti.iiichell (name I
understood o'n telephone). I later called, bvack. end ttalked with the*
1-loreman who assured me that someone would be out to inves,ti!--,ate it.
"'he twomen returned after lunch apparently and put a hose on my hose
bib and attached to neighbor's water and badk-flus.hed wa ' ter line..
This action did not restore water pressure in ups.ttairs toilet,, kitchen
sink, and -laundry tub.
3hort17 after the above-i�entioned men departed., t,.�,,o oti-ler mon came, and
reins-oected my pressure problem and made' some mincr attempts to increase,,
or restore, -pressureo
Sometime after they departed, one of' the original mon caili.c bacl- and
advised me to call a plumber to rep8ir the. system and for nae to file
a claim, with the City. asked him if he had. any recomin�-ndations as
to whom to call., and he re.n.,lied th:zt to call any plu.-n-bing comrany 1
desired.
I called several companies, but wtis unal-)le to r�et o. rroriis-�-, of pluinber
1.)cfore jvllondav, Oct. `13 from any of' them cce-r.t'_Da7 and Nite. S e v e. ra 1
said their pluxabors we I re going hunting for t�,,,e rsnd. Day and Ni.te
S,
aid th.ey would send, ciao, but -ill -ion were out on Jobs. One -Ann cv.11c--:d
at about 6:00 p.rni- '%`�o discussed tho problem, rin(J. nr,)re.ed ",-at it i,;-iild
be better if lie came over the followinc, mornin,,7 of Oct. 11. H_ Palrf:� at
Tf
3:30 a.m. and worked until 11:-50 a.w.. 1,1,e was unable -to r bs tore
sure to kitchen sink faucett and ho�le s-orayer thnre of. '-'e took it -1-0art
u
twice, but the second effort -did not heli) ��ny. Ile advised that t i t would
require a new faucott unit, but that they did not carry lJoen. said
I
ne would secure one and come back Tuesday. _-CJ-o-i.:v(-,-.v6r.. a company re-nresen-
tative called me and advised that ho would. be over '1.J1(--dnesda. 1"_- install-
4
ed it on Oct'. 15. worked a little over an hour installing it and
checking the nressure on it and othor ite3-as. ' The bill for
which I paid, is attached. Please rxpedite payment..
Submitted by Ted R. %T'all, 18117 80th Av'enuo `,Vest, -Edmonds.
WORK ORDER t
-OLD CLIST, CHARGE
DATE-10
NEW CUSeE�CASH . . ? I : I . 0
PLUMBING OF LYNNWOOD, INC. A 7533
I It PROMISP61
I- 3S
PHONE 743-9000 DATE
1V
P. 0. BOX 1021 LYNNWOOD, WASH 0036
7 DAY - 24 HOUR SERVICE
.'NAME
HOME PHONE 80S. PHONE
ADDRESS
CITY 42L
WORK AT
TENANT HOMF PHr) E
DAY F A
TO HOURS AMOUNT
K
TOTAL HOURS
FLAT RATE SERVICE
CALL $ �7_
PLEASE PAY FROM THIS INVOICE
g�,
and payable upon completion of work and ser,iceman is ou-
ervice is no I satisfactory In
TOTAL MATERIAL S
W
any way; Please phone our office
Win
TOTAL LABOR S
9 systems, sewers, e1c., is not guaranteed against stoppages
or.treezing. New fixture installations are guaranteed ogoinsi
tio
PERMITS S
notPOidas agreed I (we)ogree to pay in addition to . the fare-
Ilec" 0 n agency, I (we)
SUB TOTAL S
ockno.led e that You will be damaged
on a Y , dg
co tion ncy n 0 You, 03 liquidated omaga:, an amount equal to
o1sci a reason I tt r fee. A f: , I exceed I h— e
the tj Y so I t oc 'g' P _or. flit percent of the amount unpaid thereon,
OP on a he holder he
S
SALES TAX _76
instrument. and
r.. th v enue 3 . I d . U" may go told in the county Soot, of the holder of this
AUTHORIZED
TOTAL $
CUSTOMER'S SIGN—ATURE
I
C,
USE
BUILDING DEPARTMENT I AppH.tM ZONE
PERMIT APPLICATION Inside Heavy Lines —jo-u—
ADD
NAME (OR N
(7F. OF BUSINESS)
PERM
L Lor,
OT C
W
Ic PERICIT
,-13— NUMBER
750264
REzS
W'*-
ISSIBLE
OVE RAO�6
ACTUAL
LOT COV; AGE
PERIIIISSIBLE HE%1�6
PRO�AHEIGHT
ACTUAL LOT
TOTA;!�g,,MA
It
'Q
PROPOSED YARDS
FRONT SIDE REAR
FRONT SIDE REAR
LEGAL LOT VARZ"lt COANDOITIO'NAL USE
-W YES M NO PERMIT NUMBER
EXISTING AWREET R/W .......... . FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ........ ... in.
REMARKS
JT
27j�l — —.
SPEUIAL INSPECTOR REQUIf
IMPR�.,;�
[3 NO
[] RESIDENTIAL
GAS
0 YES a-6,
1 47:1
NEW
I
LINE
K THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
SIGN
;,,IDMONDS, LOCAL SALES TAX
D DED 31.04,
L SE��
DEMOLISH
RETAINING
WALL
ALTER
EXCAVATE
E
F N c.E.
OR FILL
El
..........
REPAIR
Ej
PRE -MOVE
It
INSP.
Ej
Psmoorl__
7
D-rLLING
UNITS
0 13E DONE
Valuation
Fee
Receipt
z
Check No ................ ....
BUILDING
PLUMBING
Q I'LOT PLAN (Indicate
Building setback., abutting streets)
HEAT & GAS LINE
FENCE
SIGN
tRETAINING
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
he,ebyrack-1,1g. Ina, I have lead this application; that the In'
t " 'be In'
TOTAL AMOUNT DUE
,0_.l
Ile. 91�1 is correct; and that r — the owner, or the duly author.
'y W
lzed agent of the owner. I agree to COMPlY wlth city and late lawj mgu'
law, regu-
lating construellon; and In doing the work authorized thereby, no per
no a.
". p.�
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the State of W.,,,;on
W__. on
on
relating to Workmen's Compensation Insurance.
THIS PERMIT
This application Is not a perntit until
AUTHORIZES
signed by the Building Official or his Dep-
jaulh
'Z
NOTE: Permit Limit One Year (Except DEMOLITIONS which
h
ONLY THE
WORIC NOTED
uty; and fees are paid, and receipt is ac-
shall be completed in ninety days: MOVED -IN BUILDINGS s.Ull be com.
'm
knowledged in
pl,t�d 1. six Months.)
space provided.
�11,NA 5_E_:NT) SIGNED
INSPECTION
rIRk"R GNATURE
DEPARTMENT
CITY OF
ED' IVIONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
—This
775-2525
Permit e—en work to he done on pri-te property ONLY.
Any ZMCtI0n On the Pob;�c domalneecurbse sidewalks. driveways,
nuunlUeeq. �t,. ) �I rmalre P_t permission.
FILE
X
z
",3(
:0
PLANNING DATA
NAME: 'b"t( WX((,k(z
SITEADDRESS: �b- Aw- W, DATE: ?-/I 71),l
1. .
ZONING. P-S- 12- PLAN CHK#: 96 -47
PROJECT DESCRIPTION: xRAA bevt� 'b"AnEft, -4( Nvno,�6(
CORNERLOT N, - - -(Yes/No)
SETBACKS:
Required Setbacks:
Front: 2-i5' Left Side: 10 ' Right Side: 10' Rear: V;qa 9& - I is
Actual Setbacks: 4
Front: 2-9' Left Side: iow Right Side: 1W Rear: 191
Street map checked for additional setback required? Arb (Yes/No)
p,,v-,w ftA -
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED -(Y/N)
LOT COVERAGE: lw�o
Maximum Allowed: 35*v., Actual:
BUILDING HEIGHT:
Maximum Allowed: 2_5 Actual Height:_1 7, 2,
Datum Point: 1VW A Datum Elevation: /a)
A.D.U. CREATED?: 44A rts.At, Y, An MiA
6- <3
A4 Omnet f),,� &FLT�
SUBDIVISION:
CRITICALAREAS#: %-I(og -
SEPA DETERMINATION:
LOT AREA: I ?,-, 06 3^6
OTHER:
Plan Review By:
CA FILE NO.
Critical Areas Checklist
Site Information (soils/topography/hydrology/yegetation)
I. Site Address/Location: J A 1 7 71- A, y a-,
2. Property Tax Account Number: �38 -
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _�A_yes; no -
If yes; how is site developed?
RA US 42NQA<�, 0 5V 7
5. Describe the general site topography- Check all that apply.
.........
Flat: less than 5-feet elevation change over entire site.
ov
Itz
Rolling: slopes -on site generally less than 1.5% (a vertical rise of 10-feet over a
horizontal distance of 6&feet)-
Hilly: slopes present on site of more than 15% and less than 309o' ( a vertical rise
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise,of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round st anding water. �Y 0 Approx. Depth:
7- Site contains areas of seasonal standing water: I Approx. Depth:
What season(s) of the year?,
8. Site is in the floodway floodplain of a water course.
9. Site tontains 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 —;shrubs mixed
urban landscaped (lawn,shrubs eter-__�,L_
11. Obvious wetland is present on site:
For City Staff Use Only
I. ' Site is Zoned? PIG -, I
2. SCS mapped soil type(s)? 3 - 41*Arw9,A V��V A� /_5_-,?5_"2 J41Y-f
L
3. ' Weiland inventory or C.A. map indicates wetland present on site?
4.-',. :-,Critical, Axeas inventory or C.A. map indicates Critical Area on site? NO
5. 'Site within designated earth subsidence . landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map?
DE —TERMINATION
""STUDY REQUIRED
CONDITIONAL WAIVER
V'- WAIVER
Reviewed by:
0 /1"'.4
Alinner Date
Rev 0 1/04/94
*90
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled Out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whetherany
potential Critical Areas are or may be
present on the subject property. The
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City -Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her represen . tative,
must fill out the checklist, sicyn 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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for ind—ividual lots of the parcel
withenough detail that City staff can find
and -identify the subject parcel(sy In '
addition, the applicant shall include
atherpertinent information (e.g. site
Plan, topography map, etc.) or studie;s in
Conjunction with this Checklist to assist
staff in co in-pleting their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factuall to the best of my knowledge (fill out the appropriate column below).
Owner / A�pptkaw—.
�\d
Name
�TL
7 R7) _AV r
� �,f /
Street Address
h
City, 'Stte�,Zl!�� Phone
Applicant Representative:
-7 2 'de��r �0
Street Address
-K A�'L'a WA 913031, 9?-/- 1
City, State, ZIP Phone
Signature
Da(e S�ignae���
-' Date
r. CITY OF EDMONDS
CONSTRUCTION PERMIT. APPLICATION
7,, 1,
I OWNER NAME NAME PF BUSINESS
MAILING ADDRES5
) la -7
7u,
(:�) Avc-. W)
ITY
C t::7!
ZIP TELEPHONE NUMUFH
L-7-'2— A
I"i
NAME
f3e,i ".5
r777
-
ADDRESS
-731
_"AL
E ) lel
CITY
K)
IIELEPHONE NUMBER
R2_) -Oe-
NAME
ADDRESS
r
CITY�
ZIP
TELEPHONE NUMBER
C),3
ST E LIC NSE NUMBER
V� C
EXPIRA
0 12P.
Legal Description 6t Froperty - in'clude all easem6nts/1-
Property
Tax Account
QR — QIQC— tj
NEW
RESIDENTIAL
;��ECH
Ind ADDITION
El COMMERCIAL
COMPLIANCE OR
El CHANGE OF USE
J;C71
REMODEL
APT. BLOG.
El
SIGN
REPAIR
GRADING
El — CYDS.
FENCE
El x _FTI
DEMOLISH
WOODSTOVE
INSERT
SWIM POOL
HOT TUB/SPA
AR GE
RETAINING WALIJ
ROCKERY
RENEWAL
- (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
:!rj 041-9i 42Pk(n)_L_y fR W-S 1,0
kfy4:::
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS__
CRITICAL
AREAS 36—I&S
NUMBER -
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
-it
! SE PERMIT
.ONE NUMBER
IOB SUITE/APT
kDDRESS
etg "-
#
,� �qoe it)
!!"GAL DESCRIPTION CHECK
SUBDIV ISION NO.
LID NO.
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP
TESCPApproved,
EF
0
RW Permit Required
EXISTING _,AEO IRED DEDICATION
Street Use Permit Req*d
Inspection Mi�Uired
0
PROPOSED /V
Sidewalk Required
0 cc
MET!!n
LINE SIZE
NO. OF FiX
-7
PRV REQUIRED
I
YES 13 NO 13
REMARKS
9
cc
w
fih2v;
w
Z
at 0 r) L; r'l 0 to
0
Z
G MEMO DATED
1 2-13,
REVIEWED
SIGN AREA
SEPA REVIEW
ADB NO.
ALLOWED
PROPOSED
XEMPT
SHORELINEII
VARIANCE OR CU
PLA NNIN G REVIEW BY
DATE
V-
,
1 -71 (d
SETBACKS — FEE T
HEIGHT
LOT COVERAGE
FRONT Z5 ' SIDE 10
REAR I
I
REMARKS
7-5'
V� 0)& -Ili;
.9HECKED BY TYPE OF CON51K llvr4
GR
Z
LFC P
S OCCUPANT
PECIAL INSPECTOR LOAD
REQUIRED
11 YE S
REMARKS
PROGRESS INSPECTIONS PER UBC 108
Migri
FINAL INSPECTION REOUIRED
VAI I IATinki I FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE: 6AS
IN)
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curts, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
'Wn harmless tbe City of Edmonds, Washington, its officials,
I f
and agents from any and all claims for damages o
5 employees,
a: ly, or indirectly from the issuance
nature, arising direct
whatever
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK D EPOSIT
modify, waiv e or reduce any requirement of any city ordinance
0 way the City's ability to enforce any ordinance
nor limit in any
TOTAL AMOUNT DUE
provision."
on�
.
I hereby acknowledge that I have read this application; that-thp,..
ATTENTION
information given is correct; and that I am the owner, or this duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
thereby, no- person will be employed in violation of the Labor
r
ONLY THE
WORK NOTED
Code of the State of Washington relating to Workmen's Compensa
It 0 n I n S U ran e and RCW 18.27.
INSPECTION
Leed
" G A TLIFIE low NER OR AGENT) DATE SIGMED
DEPARTMENT
F31i 4/3j
i
CITY OF
EDMONDS
CALL FOR
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
HAS BEEN MADE AND APPROVAL OR 771-0220
UNTIL A FINAL INSPECTION
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC ^ -#7
SECTION 109
lal
Alf
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy: and fees are paid, and receipt is
acknowledged in space provided.
?FFI �ATE
File YELLOW — inspector
PINK — Owner GOLD — Assessor
0