18128 SUNSET WAY.PDFIIIIIIIIIIIIII
13389
18128 SUNSET WAY
ADDRESS:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: []Conditional Waiver [I Study Required XWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: i
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SID E SEWER AS BUILT DATED:— SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\Dsrs\Foffns\Street File Checklist.doc
91 46
PLANNING DATA STREET FILE
SINGLE FAMILY RESIDENTIAL
Name: Date:
t - Z_ 6-
- - _-------------------
Is:
Site Addre Plan Check # 0 (00 2.8
Project Description:
Reduced Site Plan Provided: NO) Zoning:
Map Page. Corner Lot: (CE5_�NO) FFla� Lot: -(YES IDO
Critical Areas Determination ff CTA7-2_9 0—coo
CALSLudy Required iTO51 OA
11 waiver
SEPA 4etermination:
fid-Exempt A"' I I I C_ L.)
Needed (for over 500 cubic yards of grading)
El Fee FJ Checklist 0 APO List with notarized form
Required backs
Stre
Sid
Rear:
A(DIal Setbacks
Street: Side: Side. Rear:
Detached Structures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation:
El Stairs/Deck:
Bu//N7 Hefqht
Datum Point: Daturn Elevation: 76t. q 7
Maximum Height Allowed: -ZC1 1-7 5
Actual Height:
Other
Parking Required:
L x rk lb
Parking Provided:
Lot Areao__��-
Maximum Lot Coverage: 35% Proposed: /J
Tr --� t
Lot Coverage Calculations
ADU Created: (YES / No lqqq '-I 30+-zvo +Uj,�
Subdivision: �t__ AA- SY05 a dri",
Legal Nonconforming Land Use Determination Issued: (YES
COMnlentS
JA 4--
r _V- (f, S 0 -2
ve- A/ &V 4- A/ C Cd f rl*fJS �0 c- J,/ 0(0-- _Z- 106 4,7(q -706�
dak, -W 4 2- 79 1.
7- -74 -
lo�
r--V-(r6'7R--
1,676
Alt
Plan Review By: * /�,/�o
Ptannifq Oata form 04 - t I 06.doc
City of Edmonds
Development Services Department
Planning Division,
Pho ne: 425.771.0220
Fax: 425.771.0221
Critical Areas File #: 0-170— 1 "
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:_ (a 12 -71 cro
City Receipt No: 115-72-3
Date Mailed to Applicant -
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 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/her 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 assist . 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).
PLEASE PRINT CLEARLY
Owner/Applicant:
1--),a " -1 , ( L_ - Tz--.. q r ki e
Name
'Z 4-
Street Address
t—� A VK 0
city State zip
vs- -7 1 -L —
Telephone
Date
Applicant Representative:
Name
Street Address
City State zip
Telephone
Signature
Date
dxscepft*na1CACLHsndou1.d0c Revised 4(IQ20W
CA FILE NO.. *Z000- 10 t
Crioal Areas Checklist 44
------- ------------ --- ------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 2 9—S vt-) 5 e 4 W- 4 v i,, d s, V 14 �^o
2. Property Tax Account Number: 1117047-0150004
3. Approximate Site Size (acres or square feet): 0, 55 Q e re 5
4. Is this site currently developed? X yes; — no.
R FLE.0 C m I V F. 1)
If yes; how is site developed?- 51y4aie r-*Po;j!j 1Ze<.Ld&i,7c-e-
5. Describe the general site topography. Check all that apply. J U N 2 7 2000
Flat: less than 5-feet elevation, change over entire site. PLANNING MPT-
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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
I 0-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-fect).
other (please describe):
6. Site contains areas of year-round standing water. NO Approx. Depth:
7. Site contains areas of seasonal standing water: /V 0 Approx. Depth:
What season(s) of the year?
8. site is in the floodway /V 0 floodplain 110 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows am year-
round? WIA Flows are seasonal? MJA (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc) X
11. Obvious wetland is present on site: AID
- 2S�2 jrlpq
g
A I
.. . .. . .
An
0WRY.-Y. WO.: A W
"tit
D.
M
T
R 7
ING
AOPROVED BY %PLN� I .
V61, pAlrell",
i.5 riAl
3o'
Mi
---29 1 ... 11 zo,
7b -P/L ?�
-0 �Pl
&we,- ),0
top to/
STR"'EE
14
002--104 I'l 00 0 1!
ot
10
Iro
C�j
lo
6/
EVED
J
OUNTER
F]
a
49�
Q ca
P,
Ve� t 2-s
UJA
G IN
IN,
'Do
3 (r. ci
N
\J\
9 mo
1*\
o'
OF
MAR 6 2C33
MgWIT COUNTER
0
0
S� 0-.- ptpl**"*-
STREET FILE
ras IAb
n- Z 21.1 c E E v I � E- D
MAR G 4 2C'j3
NAME: AIVrr- Z-g14,e
SITE ADDRESS: I
PROJECT DESCRIPTIO
PLANNING DATA
rv�j —DATE: 3 / 3 /,:�3
PLAN CHK#: a3-03o
'j AAC-r- / R I 0-.4f 4Af 0."
REDUCED SITE PLAN PROVIDED?: (Yes / No _r4
MAP PAGE: CORNER LOT: FLAG LOT: LYes
ZONING: P-S- 12- CRITICAL AREAS DETERMINATION #': 117/
13 Studv Reauired:
aWaiver
U Conditional Waiver
SEPA DETERMINATION:
Fee
L3 Checklist
APO list w/ notarized form
(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Reciulred Setbacks:
Street: 2-5, Left Side: 16 Right Side: Rear: -
Actual Setbacks: f�, jaiu-
Street: ZS Left Side: .0 Right Side: �o Rear:
Street map checked for additional setback required? No DNA)
U DETACHED STRUCTURES: A&A.
U ROCKERIES: i
FENCES/TRELLISES:
U BAY WINDOWS / PROJECTING MODULATION: M4
STAIRS / DECKS: (4�n N" /- 41
re-"
PARKING: Required: 2- Actual:
LOTAREA: O'V C71?
LOT COVEKAlUt: (0- (2.0" 5-a) X 4 -7-7 _ r
Calculations: "7
BUILDING HEIGHT:
Datum Point: Datum Elevation:
Maximum Allowed: I —Actual Height:
A.D.U. CREATED?: QQ)/ Yes
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yei
OTHER:
Plan Review By.
M
NewBPP1anningDataForm.D0C
OV.
City of Edmonds
Development Services Department
. . . . . . . ....... ... ......
. . . . . . . . . . .
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas Filek " 17- O-vv-- i
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: (� 1-17
City Receipt No: - 1 15-7 7- 3
Date Mailed to Applicant:—'
CRITICAL ARVE-JAS 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 ofa 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/her 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 detennination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, alongwith 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 assist , 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).
PLEASE PRINT CLEARLY
Owner/Applicant:
bc( y, -i e- ( 1- - q r Y, e-
Name
I �< I 'Z �' � V ,, < e
Street Address
t;—: J V �, " J S * - IA/ 1-6
City State Zip
Lt -7-5- -7 1 'W -9 � 9
Telephone
A,471
_iu - - V%
Signature
(0/1 -& / ov
Date
Applicant Representative:
Name
Street Address
City . . State Zip
Telephone
Signature '
Date
d:receptionrjana/CACLHandout.doc Revised 4110/20DO
CA FILE NO. 6 00- 1
CHAIM Areas Checklist 40
--------------------------------------------------------------
Site Information (soil s/topographyA�ydrology/vegetation)
1. Site Address/Location: e 4 d
2. Property Tax Account Number: 1f5Z70L+7_v15"000�
3. Approximate Site Size (acres or square feet): dre5
4. Is this site currently developed? --,X-- yes; no.
r-.Ivr
R, F"Z Cl'o . D
If yes; how is site developed? 15
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
'? �-d -Z,�_
N 2 7 2000
pLAN,j,�,jj,jG DEEPT.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site o f more than 15% and less than 30% ( a vertical rise of
I 0-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 standing water: _/V0 Approx. Depth:
7. Site contains areas of seasonal standing water: NO Approx. Depth:
What season(s) of the year?
8. Site is in the floodway /V 0 floodplain AJ of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? W/14 Flows are seasonal? A,�'IA (What time of year?
10. Site is primarily: forested tc) meadow .shrubs mixed
urban landscaped (lawn,shrijbs e X
11. Obvious wetland is present on site: Al 0
aff Use
-------------
j
Site is on
::!:.. Z ed?
EiETERMINATWN
-R_cWdP,— 1W I WMM
.,he City of Edmonds
OWNER ...... .
------- ---- --
ADDRESS
APPLICATI ON
for
SICIDE SEWER PERMIT NT No . ...........................................
NEW CONSTRUCTION S T F
REPAIR R E L
CONTRACTOR
PERMIT No.
LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No . ..............
..............................
........................ .............
STANDARD
OWNER: ZON-CAA944 4
AM) SAM U
213 1 Z Svr,
DETENTION S YSTEM- WORKSHEET
(5000 SF OR LESS) CALC, BY: lk-SOA SZA&fL0-
ADDRESS: ISIS� su"V-r ViAtIf PHONE:
OIDH011,05-4 v-J-A-. DATE: to
A a
FOOTING DRAINS SHALL NOT
RIM ELEV.� ��Z'2 DETENTION PIPE LENGTH
FINISHED
GRADE
UPPER CATCH BASIN
0.5% TO 1 .0% SLOPE
I
NV. ELEV. 2-1515
CONTROLCB
BE CONNECTED TO
OCKING LID (TYR)
E LEV. -7-02- 11
F6" Min. clearance
Measured from top of
Conc. box or riser.
DETENTION SYSTEM
. - TO CITY CONVEYANCE
INV.
ELEV. 2-151, 01
CONTROL
9. RIFICE
RIM ELEV,
INV ELEV S
2'X2'X12" DEEP CONTROL CATCH BASIN
(4'-6- QUARRY SPALLS OR EQUAL) IN. 6" COVER
FROM CONTROL B--;,�
CONTROLCB
CITY STORM
CONVEYANCE
SYSTEM
-SPREADER TRENCH
SHALL BE AMIN.
OF 10'LONG AND
PERPENDICULAR
TO CONTROL CB.
SHALL BE PERPENDICULAR
TO SPREADER TRENCH
11 __—WTRENCH SHALL BE LINED
PERF. PIPE SHALL BE ITH MIRAF1 &ON TOP
LEVEL & CAPPED AT ENDS '--718" WASHED DRAIN ROCK
RIPRAP OUTLET
SPREADER TRENCH
NOTES
1, CALL ENGINEERING DIVISION (771-0220 EXT. 1326) 24 HOURS IN ADVANCE FOR A TIGHTLINE AND DETENTION
SYSTEM INSPECTION BEFORE BACKFILLING AND FOR FINAL INSPECTIONS. APPROVED BY
2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property
owner. Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. 3112-hO
The outlet control orifice must be kept open at all times, . I DATE
SOUND
ENERGY
ORDER# 1C'(-00=>3S7C0
NOTIFICATION#
all
4� it�e
'o
%Ij
N\
6)
PRc)P -5/ja,- SC-pV%(r
V)
00
'V
) ?)4 S,-F _
Adde to: City of Edmonds
Right Of Way
Permit Application
Submitted by: Tam Wood
Engineering Planner 2
425-356-7500 ext. 7587
t-A0
Ex 2" IP C, As
PAVIQC,
F— E 1, — E-
POE613LE Paving Cuts Anticipated:
17,71:
Cuts shown as: ZA
KEY: --W--
WATER
--G--
GAS
-SS-
SEWER
-SD-
STORM
ruik�! Sound Enolqy. :;tc. - 1122 - 751h Siree! S 203
�anuary 17, 1979
MEMO.TO:. Mayor & City Co I unci-I
FROM: Irene Varney Moran
City Clerk
SUBJECT.: ACKNOWLEDGE RECEIPT OF CLAMS FOR DAMAGES
The following,claini.s for da.mages have . been received:
NAME ADDRESS
Richard L. Mooney 18128 Sunset Way,
AMOUNT
$3,000.
recommend that Council, acknowledge receipt of the above f I or minute
entry at the January 23 1979
.,�..__Council meeting.
Attachment
CLAM K)tC
'7
IMICE
0
Claim MUST be presented to the City Council and. f iled vith the City Clerk within 1.2
from the date of Accid,�nt or Accrual of Damares.
TO, 711E CITY COUNCIL OF THE CITY OF MMONW:
17
PUASE TAJ�E NOTICE, THAT Richard L. Mooney or Pemco Insurance Company.
(if r-arried, give husband1r, na:.-,e)
WHO NOW RSSIDU AT w-1,, Fdrilonds, Wa�.hinptOn
'Cs—taie- present P-ctua.1 addxers by street, number and city)
AND 17HO FOR'SIX PRIOR TO DATE OF ACCIDEI,'T HAS RF—SIDED AT
--7Give residence by. street, nur"ber and city)
CLA-'rfLS 1)1'U'tA'J'ES OF AM) M4 TILE CITY OF MONDS IN THE SM-1 OF 3 000 - 00
ariLing out of the follov:ing circumBtancea:.
Describe Claim, giving .
DATE and TIX'11' injury or
damaec occurred, PLACE
and full Farticulars.
Accurately locate and
describe defects cius-
ing injury or danaj.-e
and all acts of ncgli-
&once claimed.
.Accurately describe
injurica or &uniage
State items of
claimed. Item.izc all
expenses and lovlsez�;.
(Claim must be nworn to by clairnint)
SULY)-'�MZD AND TO
before me this
n*otified that a stop
sign was down on the SOLIth WeSt corner of
replacing that sign in a prompt & judicious
mannei:, bctimcn ladys
1,10011ey & Rhea Hanning.
Total loss to a 101 Chrysler &
exLcnsi%'e da;-,iage to a 1978 Ford LTD wagon
with injuries to both drivers.
-Will be pro\,ided at a later date
C'
"Y
-C,(, 1 J7, P. 4A
.7
t,(.* 0 f
Vlachillt
(Ila lit G
11
HAROLD K. DODGE
City pf Edmonds
250 5th North
Edmondsj Wishington 98020
L F
It .3 0W
, 'U
U S10'�
October 24, 1978
Attn: Irene Varney Moran, City Clerk
Re: Our Insured Mooney
. Date of Loss 10/6/78
Dear Mrs. Moran:
EDMUND A. ViELLS
I
f *-'�'�,-- r * ' I V E r,
J A N 1 197 Ca
HMNOW MY 00"�-
We are enclosing to you a claim for dam.9ges which is being presented on
behalf of Pemco lysur nce Company and their insured, Richard L. Mooney
and Gladys Mooney, his wife. At this t0e, we, do not know the specific
amount of damages and'so, have indicated an amount that we feel may be
representative of the.amount Pemco Insurance Company might ultimately be,
paying.
As it now stands, we do not know the nature of the medical bills that will
be incurred by Mrs. Mopney, for which she has coverage with Pemco. Addition—
ally, we do not k-iio,,,? the nmount.of the sallnge that we will recover on the
Mooney vehicle which was a total less. Once we are ablc-to provide you with.
more definitive information in that regard, we will do so.
As a brief statement of the loss, cur insured was qpGrating her vehicle
on 68th Avende West in a southerly direction. As she was pasting the inter—
section of 188th S.W. a collision between she and Rhea Hanning occurred.
Our investigation reveals that the stop sign which should be on the south
west corner of the interlection,was town. We also learned that the sign
had been reported on Saturday, September 30th to the Citly of Edmonds and
the advice to theperson reporting that sign being down was that it would
be replaced. tdditionally, there were other signs in the neighborhood which
had -been knocked down and were ultimately replaced. Onfortunately, the City
of Edmonds did not re —install the stop sign. The sign had been propped up
by someone in the neiphborhood and ultimately it was again knocked down on
the 6Lh of October. We frel that if the City of Edmonds had properly re—
installed the sign whdn they received notice of it being down, the accident
would nor have occurred.
October 24, 1978
Page 2
our investigation reveals that a Claudette Cody, who lives.i.n the neighborhood
where the sign was down,- had reported this information to tile City. It was
her understanding at that time from tile City employee, that other people had
reported this s:Ugn and others in tile neighborhood being down.
We also have learned of a possible identification of a boy who may have knocked
the sign down.
We would be happy to cooperate with you or your department in any way what—
soever to resolve th-is matter. -
Additionally, AUst-ate-Insurance Company, who insures the Hanning vehicle,
will probably be adv.1--ing you of a potential claim.
We would very much appreciate your reviewing this and forwarding it to your
insurance carrier for their consideration.
Thank you very much.
Very t ly yoursi
/ 7
arold o e
IIKD:cv .
E-enefits Paid to Date
—Wa�,C-�s (Services
AIL
Aw.
-CO LATS URIAX CE CO-JIPA.N
JES
325 EASTI-AKE AVENUE EAST SEATTLE, WASHINGTON 98109
1328-1000 (Seattle area) 1-800-552-74,30 Toll Free (Statewide)
Stanley 0. McNaughton
Prv.�idvnt
City of Edmonds V" I X' L. I V ED
250 5th N.
Edmonds, WA 98020 JANA 197%, DATE: january- 10, 197�1-
Attn: Irene Varney Moran
BY
T. Benson, Subrogation Examiner
cn
Your File/Policy Number Accident Date Our Policy Number
10-6-78 02-040652-001
Your Insured Our Insured
Richard L., Moojj��yy.
Your Insured's Address Location of Loss
Edmonds, WA
Our investigation of this.accident indicates that your insured was
responsible for our damage.
X Please accept this letter as notice of our subrogation rights un.der:
Personal Injury
Protection
X Vehicle
Damage
Medical Payments
Coverage
X-0thcr:—Mcdical
Pending
Should we be called iLipon to make. payment under our policy, we will
look to you for reimbursement.
We have made the following payments and request reimbursement as
shown below.
Name of Instired
See.a.ttziched.copies
0
Final
.Total
Collision Loss P;1i�1$1.4(')7.5,8,(1�,0t) + Deductible-$-0.
cc: Richard -T—,.
Mley_
C.--- 1 1 T N( 1� I'A N Y
$ l , 14 8 7 . 5 8
IL
4.
b
.ALMAC TOWING, C.
No.
C9 OV,065-2 - e0l t9-10/043
DATE -
PAY TO THE
or, 0 1
DOLLARS
.7
r
1: b 2 SOOO M
0 s b 5112
0
0
—0
I.. lifa I.ST U El t/V
r PC)
0 L
14 16 N. E. 20 3 rd
WO 0 D I N, V I L
LE WASHINGTON 72
a 00
485-7414
1,LjR M - H POLICY
NO.
INSURED:
STOCK NO.
11103-anr_c co.
DATE
FaStlakO Ave. TOWED IN
sca"'Ic. B Y---
REGISTERED 01�,'NERJ,"
LIC, No.
M A K E fit, 0 D E L P-DJUSTER -117
BODY STYLE
ODOMETER tl_5_RNQ_TI RES
OTHER R A D 10
BATTERYJT�.,,n2,
DAMAG 'RIPTION
E DESC
KEYS
FINAL BID DATE
-RELEASED TO.i.��:-,
-RECEIVED BY AUTf IOR 17-ED BY
------- ---------- �_ DATE
17, � - c E-: I v E ("
POOL SERVICE
ADVANCE CHARGES
�TOTAL HIGH BID
STATE SALES I TAX DUE VJEST COAST 170.00
STORAGE
TOTAL e,,
clqEc:r r',jAll rn !_110 1 Cr
14 0 T I F I E D. -2 "1 KED UP
V 5280
_r
INSURANCE 00, INVOICE
SN"IYORN STATE
I-OLIC-i No-* COM*PANY Cf. NO. OUR
IN,- '490F OF LOSS (AMITOt.46:1 9)
CIF N
T OF POLICY
TO
POLICY PERIOD
To:
By the ab . ov . e numbered policy of I insurance, you insured /�f A/111 �z f a, JOWLS.
(hereinaftcr called the insured) anainst loss of or darnige to the automobile described A
AGENCY
LOCAYION
JANA -
Glt
Model Year
Make
Type of Body
Numbers
19-71
CTR I A L
blATL LicEwSE
Origin:
A loss caused by 6>.�.4"Sled —occurred on the day of
6 ' IA., the full part.icular
a 6 0 U). t h e I to Ur !,,_7 - VE s of which are as follow
/4 0,c/ Z�,,
- L?
Title end
ile at ihe time Of tlj,� r p
'The insured was the sole owner of The automob loss or damoge and no ot�r erson
Interest.
had any jereSt the rein, by bailment lease, conditional sole, mortgage or oflier oncurnbrance or otherwise,
i
except:
Other
At the tirne of this loss,.there was no other insurance on said outornobile co\,ering 6.c some perils except:
Insurance:
/th� 1---'E- . L
use:
At the time of this loss, the said auto-nobile was !;:�ing used for__��_ U 5 E
and was. not being used to carry passengers for compensation or rcrital or loosed or for any illegal purpose
except:
Subrogotion:
The Insured here6y covenants that no release has been or will 6� given to or settlement or comprom iL se
mode with any third portr who may be liable in dGrnages to the Insurcd and the Insured in consideration
of the payment uncdo under this policy hereby subro�otes the rcid Company to all rights and causes of
action Ille sai� Insured has oioinst any person, pzrsons, or corp6rcitions %Yhom�ocvcr for doma,e arising
out of or incidt�nt to said loss.or (!arna-z: to said property and cuiliorizes said Company to !ue in the name
of th e Insured but at 1.1he cost of the Con -irony any such third party, pIcActing full coopzratio-n in such action.
Cash Value
Whole Loss
Amount Deductible
Amount CloirneJ Under This Poticy
$
$
The said loss or damrgc did not oriPinato by any ect, dcusion or procurement on my/our part nor on the part of c;nynne hav-
in interest in 1he prolpt-rtly insured, or in !.he. suid policy of insvi-vncc; not in c�,ns,vquencc of any fraud or evil practice
80 - - I -n con
ne or suffered by r-.IC/LIS and that no property -,cvcd has in any rn(,.r,,r.cr boc
It is expressly understood and c9reod that ihe fvrniskitiv of t I . X ,
hiEs(o,lunlc or ye. p.-,-*r vation of proof by a representative of
the ob a-*
.9_v '7) s not a v-!oiver of ony of its rir.!It
State of.,
County oL 5 S: f. C ___Assure.d
<Ij
Subscribed and sworn to before me
'Z6 7�1�
'ASE
PSU-Mll)'S RELE
19
The above In surance Company is hercby requ,�stcd, culliorized and cmp3v.,crs-d to pay, c'. iff option, cs follows:
To fie I, V In, of
To ille sum. Cf
To s= of
Total Insured Loss.and Doinage
in full settlement ond safisfoction for all loss and datno�e for which claim i I-, viodc. in fliis riro-,f of Io S S.
in consideration of such paymer . tts, --.-)id conmpnny is hcrcby dinchaq-od ond fo-rew',r relecucd froiii any and all fvrlhc.r
claim, demand or liability whotsocycr for toid loss and cloinoc,'(!, UV),-!,!r or by rcu;on of naid policy.
WITNESS: n c.u-�cd
WITNESS:
FORM. A-i3i
ADJUST I 'is t-upr!.y Co.
BOX e323
DAk-I.A%� IVV�A,%
0.
CITY OF
EDMONDS
PUBLIC WORKS
DEPARTMENT
TO:
STREET
LU
SUSPENSE DATE:
DIRECTOR
Investigate
and Report
ADMINISTRATIVE SECRETARY
Take Appropriate
Action
BUILDING & GROUNDS SUPT.
Prepare
CITY ENGINEER
lettertmemo
for my signature
EQUIPMENT RENTAL SUPT.
For Information
STREET DIVISION SUPT.
Previously Ref'd
1-7
WATERJSEWER SUPT.
Status of Action?
Return t a 4.tg—
TREATMENT PLANT SU T.
COMMENTS:
'OV
6,5 Lj r- (/Z
eywclx
.4;4
Pao
04 aziff, 1,-
FROM: L E I E rx, It DATE:
PWA4W-11-78
CLAIM FORDAMAGES
q7
Claim MUST be presented to the City Council and filed with the City Clerk within 120 3
N,VEZ�
from the date of Accident or Accrual of Damages.
TO THE CITY COUNCIL OF THE CITY OF EDMONDS:
FI—Ide City clr.61
PLEASE TAU NOTICE, THAT Richard L. Mooney or Pemco Insurance Company
;ECEiVEL)
(if married, give husband's, name)
WHO �=Y RES.IDES AT 18128 SMnsgt Way, Edmonds, Washington J11N 15 1979
TS—tate present actual address by street, number and city)
Dir. Of Public Worl(s
AND WHO FOR SIX MON'TO PRIOR TO DATE OF ACCIDZ14T HAS RESIDED AT
(Give residence by street, number and city)
CLA'-711S DAMIAGIZ OF AND FROM THECITY OF EDMONDS IN THE SUM OF 3000.00
&rising out of the following circumstances:
Describe. Clain,.Giving
DATE and TIME injury or
dama&e occurred, PLACE
and full particulars.
Accurately locate and
describe defects -caus-
ing injury or danage
and all acts of. negli-
gen::e claimed.
Accurately describe
injuries or damage.
State items of damage
claimed. Itemize all
expenses and lovses,.
(Claim must be smrn to by claimant)'
SUB6CilBED AND SVIORN TO
before me this
'T ,�,---day of.
-City Qf Edmonds was notified that.a stop
sign was down on the south west corne . r of
-4g9pJA s; 1-1 -.g. aiuh Ava ul anti in nor
replacing that sign in a prompt & judicious
manner, an NccTde1'c lesuirud butwuull ladys
Mooney & Rhea Hanning.
Total loss to a 071 Chrysler &
exten sive damage to a 1978 Ford LTD wagon
with injuries to both drivers.
I beproided at alater d�te
tv r P
4eZ
oT 0
r
vout ntind of
Li L, t�rL L� L" L LLE CNin gavia
HAROLD K .DODGE EDMUND A. WELLS
'qojuslt
October 24, 1978
"EIVED
City of Edmonds JAN I 197cs
250 5th North
Edmonds, Washington 98020 f 0 Mond.; City clatt
Attn: Irene Varney Moran, City Clerk
Re: Our Insured Mooney
Date of Loss 10/6178
Dear Mrs. Moran:
We are enclosing to you a claim for damages which is being presented on
behalf of Pemco lnsur ice Company and their 1nsured, Richard L. Mooney,
and Cladys Mooney, his wife. At this time, we do not know the specific
amount of damages and so have indicated an amount that we feel may be
representative of the amount Pemco Insurance Company might ultimately be
paying.
As it.now stands, we do not know the nature of the medical bills that will
be incurred by Mrs. Mooney, for which she has coverage with Pemco. Addition—
ally, we do not know the amount of the salvage that we will recover on the
Mooney vehicle which was a total loss. Once we are,able-to provide.you with
more definitive information in that regard, we will do so.
As a brief statement of the loss, our insured was operating her vehicl,e
on 88th Avenue West in a southerly direction. As she was passing the inter—
section of 188th S.W. a collision between she and Rhea Banning occurred.
Our investigation reveals that the stop sign which should be on the south
west corner of.the intersection was *down. We also learned that the sign
had been reported on Saturday, September 30th to the City of Edmonds and
the advice to the person reporting that sign being down was that it would
be replaced. Additionally, there were other signs in the neighborhood which
had been knocked down and were ultimately replaced. Unfortunately, the City
of Edmonds did not re —install the stop sign. The sign had been propped up
by someone in the neighborhood and ultimately it was again knocked down on
the 6th of October. We feel that -if the City of Edmonds had properly re—
installed the sign when they received notice of it being down, the accident
would not have occurred.
4000 AURORA BUILDING, No. 205 / SEATTLE, WASHINGTON 9z'1103 / (206) 633-4585
October 24, 1978
Page 2
i A IN ' 1 19 7
Firmind, Citv G!,-(i.
Our investigation . reveals that a Claudette . Cody, who lives in the neighborhood
where the sign was down, had reported this information to the City. It was
her understanding at that time from the City employee, that other people had
reported.th.is sign and others in the neighborhood being down.
Me also have learned of a possible identification of a b,oy who.may have knocked,
the -sign down.
We would be happy to cooperate with you or your department in any way what
soevcr to resolve -this matter.
Additionally, Allstate Insurance Co mpany,.who insures the Hanning vehicle,
will probably be advising you of a potential claim.
We would very much appreciate your reviewin . g . this.and forwarding it to your
insurance carrier for their consideration.
Thank you very much.
Very t ly yours)
ia old� /Dodge
HKD: cv
PEYMCO INSURANCE C 0 MPA XIEY S
325 EASTLAKE AVENUE EAST
628-4000 (Seattle area)
Stanley 0. McNaughlon
President
City of Edmonds
250 5th N.
Edmonds, WA 98020
Attn: Irene Varney Moran
R'L:�.'CEIVED`.
A 197 Q
N i
Fdmnndq City Clerh
0 SEATTLE, WASHINGTON 98109
0 1-800-552-7430 Toll Free (Statewide)
DATE: jqnun-ry 10, 1979
BY
T. Benson,*Subrogation Examiner
cn
Your File/Policy Number Accident Date Our Policy Number
10-6-78 .02-040652-001_
Your Insured Our Insured
Richard L. Mooney
Your Insured's Address Location of Loss
Edmonds. WA
our investigation of this accident indicates that your insured was
responsible for our damage.
X Please accept this letter as notice of our subrogation rights under:
Personal Injury.Protection
Medical Payments Coverage
X Vehicle Damage
X Other: Medical Pendi
Should we be called upon tomake payment underour policy, we will
look to you for reimbursement.
We have made the following payments and request reimbursement as
shown below:
Name of Insured
Benefits Paid to Date
Projected
Final.
Total
Medical. Wages Services
See attached copies
Collision Loss Pai.d$1487.58(Net) + Deductible$0
cc: Richard -T,-.--Mo-6-tTe-y
C- IS) y BLIC r-IMPLOYEESMUTUAL INSURANCE C0.1,1PANY
= Total $1,487. 58
PENICO INSURANCE COMPANY
p al-000 IT—b *7
ALMAC TOWI NG, c.
NO.-
19-10/043
1250
DATE,
PAY TO THE
oDnrp nr
DOLLARS
FbopksBank
rigANACOCMS CFFC*
:a=' mw 9m
MPM kATADMAL bMX
1: 1 2
b S
"'emm
JANA.., 1971,
I v
...........
.............. ...........
EIVED .
4
J. AN1. I _7 i
EST .:-COAST AUTO STOR I., c;ty
0). POOL
14316 N.E. 203rd
0
"W ODINVILLE, WASHINGTON
98072'!--t
-485-7414
CLAIM OR POLICY
NO
INSURED: 'STOCK
NO
DATE
Eas t la ko- Ave
E. TOWED'IN
981 tj
By
ROW
lw
REGISTERED OWNER
MAKE LIC. NO.l-&7M--*a4---___�_ ADJUSTER
MODEL
--------------
ODOMETER -9"W—Tl RES RADIO YEAR lRn—: BODY:STYLE.
OTHER BATTERY
DAMAGE DESCRIPTION
KEYS
'FINAL BID DATE
-RELEASED TO
AUTHORIZED BY
RECEIVED BY
ro-ol
---------- DATE
POOL SERVICE
ADVANCECHARGES
STATE SALES TAX 12 a-qL--
STORAGE
TOTAL
INSURANCE CO. INVOICE
.-.TOTAL HIGH BID $ 170.00
DUE WEST COAST
$
CHECK MAILED 11 B/S 12.49
NOTIFIED, 11-3 MAILED—t?LkPAID—II& KED UP
5280
VOLIC f4t4O-. CERT. NO.' -SWORN STATEMENT CO.PA.Y Cf. H 0. OIUR No
CTF IWOTOOV OF LOSS (AUTOM01A.
T OF POLICY AGEtICY
TO --
POLICY PERIOD LOCATION
RL
JAN
197�
To:�
IRA
city clea.
By t6abo . ve� numbered policy of insurance,, you insured
(hereinafter called the insured) against loss -of or darrigge tothe automobiledescril>ed.d'i follows:
Model Year
Make
Type of Body"
Numbers
_Z,
MOTOR
OL.I.L
SZ-
Origin: A loss, caused by- occurred on the _42- dayof..... 19;7ZL—,
abou1 the hour,*f 4- M., the full pa hich are as follows:
Ziculors of w <
_j
WV Af1-7C,_1,VL Z�w.Vj' X7.4- r 7
Sro,� 1/4,z A"-- ;5�_CJAM A-- ZorVV Y, A/, . a:-- lfce4of_,(feno
Title and The insured was the sole owner of the automobile at the time of the loss or damage and no other person
Interest: hod any interest therein, by boilment.leose, conditional sole, mortgage or other encumbrance or otherwise,
except:
Ot6r At the time of this loss, there was no other insurance on said automobile coveri ng' the. some perils, except:
Ins urance-r A.1 F
At the time of this loss, the said automobile was being used for US-F-
and was not being used to carry passengers for compensation or rental or loosed or for.ony. illegal purpose
/�/o /V E.
except.
Subrogation: The Insured hereby covenants that no release �has been or will be given to or settlement at compromise
made with any third party who may be liable in damages to the Insured and the Insured in consideration
of the payment made under this policy hereby subrogates the said Company to all rights and causes of
..action the said Insured has agoinst,any person, persons, or corporations . whomsoever for damage arising
out of or incident to said loss or damage to said property and authorizes said.Company to sue in the name.
of the Insured but at the cost 'of the Company any such third party, pledging full cooperation in such action.
Cash Value
Whole Loss
Amount Deductible
Amount Claimed Under This Policy
$
$ J,ro 0
The said loss or damage did not originate by any act, design or procurement on my/our part nor on the part of onrone hov-
�in interest in the property insured, or in the said policy of insurance; not in consequence of any fraud or evi practice
0 ne or suffered by me/us and that no property saved has in any. me r been conCe
he p
_ ___I
nk or r l4tion of proof by�o representative of
It is expressly understood and agreed that the furnishing of thi
the ab nc Omp t a waiver of any of its rights
�s no I w�
f
State of
of
County of As.sured
Subscribed and sworn to before me this day a
-NOTAR Y,PUBLrr
D'S RELEASE
The above Insurance Company,is hereby requested, authorized and empowered to pay, at its option, as follows:
To the sum of $
To the sum of'$
To the sum.of $
Total. Insured Loss and Damage $
.in full settlement and satisfaction for all loss and damage for which claim is made in this proof of loss.
In consideration of such payments, said company is hereby discharTacl and forever released from any and all further.,
CIO im, demand or I ia6i I i ty whatsoever for said loss and damage, under or y reason of said policy.
WITNESS: Insured
-WITNESS: Loss payee
FORM A-131
ADJUSTERS SUPPLY CO.
BOX 8323
DALLAS, TEXAS 75205
CITY OF EDMONDS
EDMONDS. WASHINGTON
1. D. NOTICE OF ASSESSMENT
1ECORDED r Richard L i%baney
18128 Sunset Way
ADDRESS Edmonds, Wn 98020
188
mE
DATE DUE APR 5 - -1968
LNUMBER
OF INSTALLMENTS. '10
INTEREST RATE
6%
PROPERTY
L.I.D. NO.
151
D
SE.WER
E RT 17D-3 Sec'11_8 21 -4
S
AMOUNT
C Beg SW Cor Gov Lot I th S 89*17134"E 301.011th N
R 10019371112 590.641 th N 36"33'E 304.60'to* S Mgn Sun -
I
Way TPB th S 360331W 114.001 th S 56*58140"E
C�set
; 99.831 th S 3102014011E 218.937 to Wly �fign Sunset
I
$1'509.08
0 Way th N.110509401 VJ 66..73th N 110481E 116.089to
Lateral 100.00
N or,
F%a of Cury to L with Ctrl Agi of 63'*02110"& Rad of
.601 th alg Cury for 607 th N 51010'14"W 145.681to
$1,609.08
,,PC of another Cry to L with Rad of 1901th Ang Cry
�e f W afusiment roll is now in the City Treasurer's office for collection.
'above.
This is to advise tRat you may pay all or any portion of your assessment until date shown
will be divided into the number of installments as noted above and interest the
After this date the unpaid assessment
on unpaid portion
installment. Interest will be computed on the unpaid balance for all subsequent installments.
of the assessment will be added to the first
A Yearly statement will be mailed to all owners paying on the installment basis.
TO INSURE PROPER CREDIT. MAIL OR BRING THIS NOTICE WITH YOU TO CITY TREASURER.
E_ CITY OF EDMONDS
.,) Call PRospect 6-1107 when work
CIVIC CENTER— WATER -SEWER DEPARTMENT is ready for inspection. (No inspee, lkyo
I tions Saturday, Sunday or holidays.) 2923
SIDE SEWER PERMIT
18128 Sunset W5
�y
AL _�ESS ....................................................... ... ....... ...............................................................................................................................
OWNER ............ R-1--Rooney .................................. .............. coNTRAcToR_B.d=rid_s --- Underground ............................
Pern-lission is granted ..... 4pri.1 --- 2.2 ................... 19 ..... !�? for ........................ days to REPATR 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.
NOTE No. 2—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE 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%.
No bends In grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must bc w�ter 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.
TE 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 appur-
tenances except to Insert the pipe Into the wye.
.4
PermifNo: �qoco— Qp&�
City of Edmonds,;,
-.RIGHT-OF-WAY'CONSTRU .. CTION PERMIT IssueDate:
18128 SUNSET WY
A. Address or Vicinity of Construction:
B. Type of Work (be specific): PERMISSION IS itEQuEsub T6, iNsTALL NEW GAS SERVICE
PER J60106053�76
C. Contractor: PUG& SOUND ENERGY Contact: DOUG USITALO
1122 75th ST SW
MailingAddress: Phone: 425-396-7526-LI
Statelicense #: Liability Insurance: Bond:$
Building.,Permit;#..(if �p
pji�le)t
P. _Xq��,Per�mit:#�.(if.applilc.abli-),,
E. Commercial Subdivision 0 City Proj . ect F] EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family :E] Single Family Other
INSPECTOR.
F. PAVEMENT: YES G. SIZE OF CUT X H. Charge:-$
NO
CONCRETE CUT: E) YES -NO 1 �Lx
IDEMNITY. Applicant understands by his/her signature to this ap#iication helshe holds the City of Edmonds harmle'ssfrom injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the Ci ty of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THEFINAL STREET PATCH IS
COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT.
4 Traffic control and public safety shall be in accordance with City regulations as required by the City 1�ngineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in. their possession.
Restoration is to -be in accordance with. City codes. All street -cut trench work shall be. patched with asphalt or. City-
Appro�ed material prior to the end'of the W'o'W�da'y ' 'Nb'EXCEPTI0N&
Three sets of construction drawings of proposed work are required with the pqrtiiit-app ication.
IHAVEREAD THEABOVE STATEMENTSAND UNDERSTAND THE PERMIT REQUIREMENTs AND ACKNOWLEDGE
THATIMUSTMAKE THEPINK COPYOF THEPERMITAVAILABLE ONSITEATALL TIMES FOR INSPECTIONS
Date:
Signature: S� / I (.�' / �q c) C) 0,
I on rac or r'Agent)
(C t t
CALL DIALA7111" kt-800-424-5555) PRIOR TO BEGINNING WORK
FOR CITYUSE ONLY
-car -
proved by,�/"f
Right-of-way Fee:
Disruption Fee/Fund 111:
Time Authorizedv Void After.
Special Condlitions:!Rvmd�g Lc--- wkwgil— Restoration Fee:
"ALI M Total Fee:
N P—,- To Receipt No-
1,ssrl by,-,PPAY, ON
U!
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL �
INSPECTION IS REQUIREDPER CHAPTER 18.00 OF THE EDMOND�Z
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED, WORK:
INSAE&OR'S SIGNATURE DATE:-'T/,-i
For inspection requirements set Engineering Information Handout.
NO
WORK SI-IAIA.
BEGIN
131ZIOIZ
TO PERMIT ISSUANCE
ZE PlErEIVED�
PERMIT EXPIRES -/6-0/
USE PERMIT
CITY OF EDMONDS
ZONE NUMBER 20
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/A T*
ADDRESS
r 4floy
,�ER NAME/NI�M �,y BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
IM
W
R:
0
MAILING ADDRESS
u
PUBLIC RIGHT OF WAY PER 0 FFICIAL STREET MAP
EXISTING PROPOSED
REQUIRED DEDICATION— FT
TESCP Approved 0
RW Pemlt Required Q
Street Use Permit Roq'd
Inspection Required 0
Sidewalk Required (3
Underground
Wiring required 0
CITY ZIP
q
I
TELEPHONE
METER.SIZE
E
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
t-
NAME
x
ADDRESS
U- �.A
i:� 114 (a
REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ZIP
TELEPHONE
N�ME-
DA
ENGINEERING REVIEWED/DATE
ADDRESS
FIRE REVIEWED BY DATE W
VARIANCE OR CU SHORELINE OR ADB# INSPECTION 1PBONU
REOV DST D
0 YES C3 NO
Ct
z
ITY
I ZI[P
ELEPHONE
�; 4
NSE NUMBER EXPIRATIONffE j
10 0 1 ,
n I _* 021 7(a/
CHECaD BY
ok-OV
SEPA REVIEW SIGN AREA
COMPLETE EXEMPT ALLOWED p
,
EXP
' . HEIGHT
ftLED PROPOSED
PFrOPERTYTAX ACCO TPARCELNO.
PN
7- 0412
NEW RESIDENTIAL PLUMBING MECH
X
C] COM PLIANCE OR
C3 AUDITION 0 COMMERCIAL CHANGE OF USE
REMODEL 0 APARTMENT 0 SIGN'
LOT COVERA(i
ALLOWED. PROPIPEA S R
SED SETBACKS (FT.)
7FRONT URSIDE REAR
Z5
PARKING
REO'D I PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
GRADING CYU C3 FENCE X
C] REPAIR S FT)
REMARKS
DEMOLISH TANK OTHER
z
iflu
0
M
0
GARAGE C] RETAINING WALL
CARPORT ROCKERY RENEWAL
(TYP F US SINESIOR ACTIVITY) EXPLAIN:
TIBU
esi C&-4/(X
CHECKED13Y
TYPE OF CONSTRLJPTION
1/—/%/
ICODE OCCUPANXT,..�
GROUP
1? 7-
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
AREAS
NUMBER IVA
SPECIAL INSPECTOR
REQUIRED 0 YES
AREA OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
C-,
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RE0'D0
f
Y, '1 4 L co, k-
P_ YJA L_ I
L, rz, L, L_ In'7"k-o' 'o< �9 kj
AA
VALUATION
FEE
ll� i�=
01
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE %
BUILDING
PLAN CHECK NO: VESTED DATE
PLUMBING
/00
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT16N ON THE PUBLIC
GRADINGIFILL
2 DOMAIN (CURBS� SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
t:
QPSURCHARGE
50
a
Lot/
Ixj PERMIT APPLICATION: 180 DAYS
W
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
W ;N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
A
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
RECEIPT
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
0 DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
0 NOR LIMIT IN ANYWAYTHE CITY'S ABILITYTO ENFORCE ANYORDINANCE PROVISION."
X,
RECEIPT h*
7 T
TOTAL AMOUNT DUE
/00-5-7- -3,
1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
AGENT OF
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
/'T-IbN- AND IN-DOfNG THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid. and
IN Vlb�TION OF M E L R CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORK ENIS COMIENS;I; INSURANCE AND RCW 18.27.
1
OFFICIALS SIGNATURE DATE
OrE DATE SIGNED
(425)
00
4,�,gfZ,71-0220
'-RELEASEtrBY
DATE
A*64TION
'EXT 333'
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW- INSPECTOa
CATE OPOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESS09 %
5/98
"k
.DATE RECEIVED
10V PERMIT EX
L PIRES
)X(vl
USE PERMIT
ZONE
CITY OF EDMONDS NUMBER
JOB SUITFIAPT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMEff"E OF BUSINESS
Mar k 74 c_�%ck r t 4a. Arm' SavyNu4�_ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE $
SV r) se V40, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Apouved
RW Pennit Required
Street Use Pemit ReqV
ITY ZIP TELEPHONE EXISTING — PROPOSED Inspectic Required 13
Sldewalkn4qutred
9.WD2. 42-5 -1-14 .3 1 95.5 REQUIRED DEDICATION— FT Underwound
WMI; required Ell
NAME METER SIZE LINE' SIZE NO. OF FIXTURES PRV REQUIRED
YES0 NO 13
ADDRESS
REMARKS z
OWNERMONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY ZIP TELEPHONE
NAME L#
V-0 v r Cz vNs3N-v c4i t,
- TCB�lle4o� ENGINEERING REVIEWED BY DATE
CC ADDRESS
16koq V,-y\woY\do._ t)y- v _e_1 FIRE REVIEWEDBY DATE UA
CITY ZIP TELEPHONE
0 rL
S\nci V\O%^vx I S 9 9Z.9 3(00 f 'L oto
Z�W VARIANCE OR CU SHORELINE OR ADa# INSPECTI N BOND
�N� FM4 R�& 6 , A! , POSTED
0
REO'D
OYES PRO $
K; 01 - 15 - 2-1 SEPA REVIEW SIGN AREA I I . HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE ',EXEMPT ALLOWED PROPO�
ALLOWED PROPOSED
0 9
b +2- 015 0
EXP Ate,
NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
COMPLIANCE OR z
ADDITION COMMERCIAL 0 CHANGE OF USE 5 jo A'5 29 z
z
PARKING LOT AREA PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REO'D I PROVIDED
2.
GRADING FENCE
REPAIR CYDS x FT) REMARKS V
pro n!�enj,u, 4,
0 DEMOLISH 1:1 TANK eA
GARAGE RETAINING WALL F RE SPRINKLER
CARPORT ROCKERY F:RE ALARM A 60F ZS A-. 644-4� Jo 4. PV.
(TYPE OF USE, BUSINESS OR ACIIVITY) EP4.AIN:
CHECKED BY TYPE OF COqSTQUCTION COAE OCCUPANT
GROUP
NUMBER NUMBER OF CRITICAL 77
OF DWELLING AREAS
SPECIAL INSPECTION JAREA OCCUPANT
0 STORIES UNITS NUMBER 10 1 LOAD
3— DESCRIBE WORK TO BE DONE REQUIRED 0 YES 39 T 5-r-
REMARKS
PROGRES S INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D
_6e c Z) q I
VALUATION
ir-A A/1 AVOW it I At4_-,,r_A .1 $
'4A/
ZVE
96cz- Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING-% LOT SLOPE %
Building Permit City Surchag—e
PLAN CHECK 0 VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION. Engr. Review
us PERMIT APPLICATION: 180 DAYS
IL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
FA APPLI CA?9' ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND. SUCCESORS Fire Review Plan Chk. Deposit
;N INTEREST, AGREES TO INDEMNIFY: DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AN Fire Inspection
1 1) Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 19t�111?
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE crrys ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
x
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION Recording Fee Receipt #
GIVEN IS CORRECT, AND * THAT�l 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 not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED,THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION QFLIHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged in space provided.
WORKMEN'S,F&FE-AYTION INSURANCE AND RCW 18.27.
165 L 71 DATE
ATMU
SIGNATUR �(OWNER A DATE SIGNED IA25
1)2-'7/ 771-0220
RE EAdEO BY /DATE
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 3
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR
04/02 PINK - OWNER GOLD - ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
(Y EX. SSMH
�A)
(b ------
C. B
Aj ------- E X.
TOP 254.30
IN V. 250.90-1 2"SE
INV. 250.88-1 2"S
INV. 250.80-12"E
61,
C�D NC.'.
-S P R T. COURT EX.
PED'
El
A,
CQ
ICV
7
X. CONC.
C� WV
BLOCK WALL CK-ER-Y- CrJ
1r) 1 10,
A
Aj
\x
- ----------------
3:E6-
0�
C DISCHARGE 6'
..oSPIGOT
ROCKERY TIGHT LINE (INV,
Q)
------ ox 193-:11-nm
@ 254.3') TO EXT'G
12' STORM
CULVERT WIT11V 0. AII?ALL
------- (Z. ppi
.01 Co E X. I 'P P WI TH
ROCKERY RON
— --- --------- _-&'0-_TIGHTLINE (N-12
A DS O�__PVC—_S_D_R__-35�______ NVA
4 O'xl5'0
c, z --------- /- 2'x 18'0 0 R 6 CAP NO'D 671
lir- I r-114 I 1UIN1 r1rr_.
- — — — — — — — — — -
GRAVEL AREA- I I'd VA
INV.. @ 259.5' INV. @ 259.0'
---------- 2z6
-Z ilia
------------
C)
IN TYPE I CATCH BASIN W/ SOLID
SD
LOCKING LID) PROVIDE FLOW
__qqz 6 0.
.............
CONTROL STRUCTURE W/ 8' ORIFICE
11 N 'IV.
TYPE 1 CATtH /tAS,1� W/ AT CONTROL CATCH BASIN
_/qz ------ E X SO�ID OCKYNG LID APPROX LOC�TION I (I. V
SS G
r
PERVIOUS DECK 4 SIDE SEYVER SS
ABOVE %/
TLINZ (W12 AW
6'0 ]�IgH
/% .00\ - �
/�VC7/91]11R 35) < 4-
In
/�o CONNECT EXT'G -STORM
W
TIGHB-I.NE 40 NE 25 4
S T��R S
/0 C I LC YSTEM
OC (5) < I SHED.
0 IN,
YARD DRAIN
i0k, AT NFL/ PATM
9 -------- R ELEVATION TERIAL
IN, FLOO MA 0
CONIC. SQR 35 Li < ROO�VEAK
PAD 263.4o C) or� ELEVA\TI N 0
9,9 IN, SCH Q < 0
6SI., 1�1 . 11 1,b N - 12 Q CD 2 8 3. 8.6\
(5) 6' --------
5. Ld
F-81 0 HANCOR Cl� LIJ
- - --------
> 0
EXISTING HOUSE
__V9z 0 M
< EX T'G
(;C3Z__ 18128 SUNSET WAY DS
S1 Y EMi
ORM S
01
ROOF ARE
01
393 SF -6-
PORCH
0�)
FLOOR ELEVATION —7,
EL
=272.25
272.32 F (0
M
/7
EX. IRON PIN WITH CAP
NO D 4 56' 1
N 7 4'5 4 ; E —0.21'
-\I'- -I\/- _%111 -\/I- _\/_ _\/1 _\/_ _\/_ -I\,-
MPERVIOUS AREA—GALCULATIONS 2'22'1
EXT'G
ROOF (c. 1959)
2404
SF
EXT'G
DRIVEWAY (c. 1959)
2384
SF
EXT'G
WALK & PORCH (c.1959)
250
SF
EXT'G
SHEDS (c. 1960)
160
SF
EX T'G
SPORT COURT (c. 2006)
1832
SF
TOTAL
IMPERVIOUS
7030
SF
SITE AREA 27086
SF
EXT'G
IMPERVIOUS AREA 26.0%
NEW PATIO 231 SF
ADDITION ROOFS 570 SF
NEW TOTAL IMPERVIOUS 7831 SF
SITE AREA 27086 SF
PROPOSED IMPERVIOUS AREA 2 8. 00 0/yo
MAX. ALLOW. IMPERVIOUS 35%
POST 1977 IMPERVIOUS AREA 2633 SF
TOTAL ROOF AREAi 2974 SF
ROOF TO EXISTING DRAIN, 393 SF
ROOF TO NEW STORM SYSTEM: 2581 SF
NEW PATIO TO YARD DRAIN, 231 SF
TOTAL AREA.TO STORM
DETENTION SYSTEM, 2812 SF
STORM DETENTION SYSTEM DESIGNED FOR
2999 SF IMPERVIOUS AREA
SCALD P=10
'The City of Edmonds does. not review. approve,
issue permits for, or inspect rookeries. APPrOV81
of these plans or inspection and approval of Vw
work included in these plans does not consuk"
City approval of rookeries. Construction of
rookeries is prohibited within the CRY Of
Edmonds under certain cirQUITIM1111M 8hd In
cortain situations pol L.'.00C 18,40,020,'
_�--ROOF PEAK
ELEVATION
CONNECT EXT'G STORM
TIGHTLINE TO NEW
SYSTEM
L-- — — — — —
L __1
M
FAI
0
0,
QV
Iz-
6#
Y D
r1% r\ r_
/LT
0) 00 J
co co Q0
YD
R 0 C K!, RY
A
(0-
it
YD YD
fit 11 1 1 It
ivi .. . . .........
0
2o,
GA
YD
P-)
0)
PIP 00
U� I
PIP
EX. SSMH
NAIL"
261.97
EX. IRON PIN WITH
CAP NO ) D 10671
!Nod4ng
Its in dr, perrait -pp P1.0cess dian be
�--EXVG ASPHALT
in . rPreted sw aflowing or')"Mitting the
maintenance of an
nonconformin Y airren* exwjng iflegaL
9 or r&9rinitted bulidihg, struchire
Or site condition whi is outside the
rrn4 �Ab
"Z�, I I C/) --------- UPPLICation, re UW
0 Of whether such
und"ng,"trucIture or c6ndition is shown
96Z site 11afi or drawing. Such blWding strticon the
ture or
7 conx
tion MY be the subject of a Z"
enforcenient action."
V, YD NEW 3,64 MAX.
%
I It ROCKERY;
C) X— 7 TOP//@ 268.0 Applbant 9hall repair/rep,
LLJ ut ace all damage to
5F or trontage ImPrOvGrnents in Cfty
-ot
right �WaY per C
LLJ
or oc standards that is Caused
cur$ during t
he Permitted prject.
iCV 00 C:)
C)
C:) CD
It (0 00
N7— o I�V_
%
%
% %
RIGHT-OF-WAY CON'TRUC . TION PERMIT
I MID INSPEC71ON REQuIRED
\%
\%
Y) TOP 267.50
dl\
_D INV. 265.90-12"S
INV. 265.84-12"N
W
IN M
%
% /V
INV.
268.5
It IAI
E-A. 031VIF-1
�'V , "'"! i - , �,
m
APRF10"
V ��z
%
f
0. 0
D
LZ
UNPUBLISHED WORK
(02009 MERRICK LENTZ ARCHITECT
1800 - 136th Place NE, Suite 100
Bellevue, Washington 98005
425.747.3177 FAX 425.747.7149
E-mail: mla@mlarch.com
"4' 1 REGISTEREI.)
%1—
'RRIW D.
TE OF WN
PROJECT NAME
0
Zacharia�
Samuel s
0 0
Addition
18128 Sunset Way
Edmonds
WA 98026
PERMIT SET
DRAWING TITLE
DRAINAGE PLAN
DRAWN BY I
CHECKED BY I
F a � E;; �_' S: 11 � N I R %
FEB 2 it 2010
1-2\_ WILDING DEPARTh
A 2/22/10 CITY COMME_
12/25/Oq PERMIT SET
ISSUED DATE DESCRIPTION
So T FILE
A 0
11N
N<
Q) A'
Q)
A) N EX. SSIVIH
A Q�
D NI P, UNPUBLISHED WORK
(0 A�
C"� EX. C. B. (02009 MERRICK LENTZ ARCHITECT
------- z ---------------- ../7
IN,
N. TOP 254.30
N., INV. 250.90-12"SE
INV. 250.88-12"S
—1 2"E
INV. 250.80
6�%'C.-SPORT, 'COURT EX.
F-/
'Nz. 17V
GC SHALL PROVIDE &
MAINTAIN FILTER SOCK IN
CATCH BASIN PER CITY
x-
STANDARD DETAIL E1.3, FOR
ICV
X. CONC. DURATION OF CONSTRUCTION
ARCHITECT
bLUCK WALL --- WV A
STRAW BALE AND/OR
N
Ole FILTER FABRIC FENCE
-------------------- -T- - x, EROSION CONTROL BARRIER MERRICK
:0SPIGUI -61
0 KERY
----------
6N. U 01 LENTZ
N-0
V
C>Il ..... 01.11, ............ ARC.. ITECT
- ------ ---------- ---
-u vv A
Co E4Mt"d% does nd fwAeW, r
ROCKERY EX. IRON PIN WITH
... -- // // // /--- ,,, , 'XI ptesue permits -,N
----- ----- 0J �Nv
/ / � *1," 1. for, or inspect rockerl,54, )V" I V j
------ woval of'trz I.
spection and a \V
--------------------- of these plans or in a jr�,ra; N, ----------- CAP NO'D 10671
-------------- I wot* included in these plam does not cor W \0 Q)
"I CA;
GRAVEL AREA—,- I N V,./ city approvat of rockerles. Constructionof
4"'SD s is prohibited �Mthln the city Of
NN rockerle
------------------ r circumstarleas
IN, rcnds under certain I I
------- I N/V/ 4"SD. 40.010.*
NN . . ........... .................................................. N
6 9./7
IN, 00b ........................
NI IN, 10,01)\
I N 1,V.
IN,
9 EX. SSIVIH
L9Z ------- X., APPROX. LOCATION_ ICV 0
�D
C) 1�k / / // SS 4 SIDE SEWER SS SS
— — — — — — — -- — — — — — — — — — — — — — -- %
0 NN
n
N11
\ \2 58
IN. STAIRS
170 qA*- NN CON DECK SHED
?I . / 11111JI
0C 6 NN ------
-1 )/- -�'17 1-1 --- PAD III F11 I -49z
�00,
0
I'll I // 0 NEW PATIO
NI
9
G Zbl).,) 1-" IV y LLJ
IN, A TION
FLOOR ELEVA U —TBM MAG NAIL'.'
NN NEW ROCKERY; CONC. -0 LLJ < ROOF\\VEAK
-40 263.4 Of
11N TOP @ 267. PAD ELEVA\TI N 0 ELEVATION =-261-.97
---z9z - SLAB @ 263�.40'; FT'G 0 261.90' + V) r 0
< 283.86\
o CD
-* --------- Ld
IT 1h LLJ
REMOVE 18" CEDAR STUMP
IN, Ld >
10
> 0 41
EXISTING HOUSE Om
U<
18128 SUNSET WAY
ol
FN�QN.WALL OP @ 267.40'; V-A\ I
/Z LL 67'
iF G W2 2. 0 C 0 01
STRAW BALE AND/OR
PORCH
FILTER FABRIC FENCE. FLOOR ELEVATION
EL 272.25
EROSION CONTROL BARRIER 272.32
N)
REMOVE 15" HEMLOCK q) . ..... EX. IRON PIN WITH
4o FNDN. WALL, TOP @ 270.025'; .... ....... CAP N O'D 10671
o 3' V YD
RU(e�KLN Y
L +
TEMPORARY SEDIMENT & EROSION CONTRO
MEASURES SHALL \—ROOF PEAK
BE IN PLACE & \268
ly. ELEVATION
NEW ROCKER
INSPECTED PRIOR TO ANY CONSTRUCTION R MOVE M B (3)
285.35
OR SITE CLEARING. TOP @ 269.0
EAD 22"
MAPLE 0
269 w i.
0� A� LT 1
EX. IRON PIN WI TH CAP FENCE V
270
20'
M co GA
C-0 co YD
17" CEDAR
NO'D 4561 YD IcQ,
Iry
6" CEDAR
N 74'54' E —0.21' 0)
C
RO RY
& %
% T
0
%
El PIP
STRAW BALE S
EROSION CONTROL U-)
ALL EXPOSED SOILS SHAL 0
L BE COVERED IF
00 BARRIER P
24 wn. imnm rp.
NOT WORKED WITHIN 2 DAYS. I
NCE "Nothing in t�,7,s per-,1i,,,. ap, 07[j P
",s shan
Q interpreted as ailwhtig or be
ONCE GRADING IS COMPLETE THE SOILS YD im-ZitVing the
maintenance of any
YD cUrrenfl.y 0,�dsting illegaL
> BLE
Tg or unPornlitted bi
SHALL BE PERMANENTLY VEGETATED WITHIN EXT'G ASPHALT
OWNER/CONTRACTOR IS RESPONSI nonconform' ii1ding, structure
E Or site condition which is outside the ac
2 DAYS. FOR EROSION CONTROL AND DAMAG ope of the
t aPPlication, regardl , "
c," of whether such
structure or cariditio�!is shown on the
siteg
or drawing. Such h4ijding, str� or
In
------ cOn On may be the subject of a separate
% 0\ enforcement action."
\,D C� 9
Cl
Applicant shall repair/replace all damage to
0. NEW 3)3/" MAX.
D YD ROCKERY; utilities or frontage improvements In City
rig ht-of-way pat City standards that Is caused
C) 97 TOP//@ 268.0
Lu or occurs during the permitted project.
0.
ICV 00
0 0
(D 00
%
<
%
GC SkIALL PROVIDE &
-N FILTER. SOCK IN
MAIXA
CA TASIN PER CITY
S WNDARD DETAIL E1.3. FOR
T
% % DU�ATION OF. CONSTRUCTION
GRADING CALCULATIONS
AREA OF CUT: 600 SF
AVERAGE DEPTH OF CUT: 5 FT \% �C.B.
\%
VOLUME OF CUT. 3000 CF 111 CY
TOP 267.50
AREA OF FILL: 1500 SIF
INV. 265.90-12"S
AVERAGE DEPTH OF FILL: 2 FT
INV. 265.84-12"N
VOLUME OF FILL: 3000 CF 111 CY
1%
GC SHALL PROVIDE &
MAINTAIN STRAW eviLe
EROSION CONTROL BARRIER
------ -----
STABILIZE 'ALL
FILL PER bMP INV.
M * P&I N & P`h I'm A N
%A/ r7 4673, 268.5
VV L- 8
SCALE, I"=10'
EX. SSMH
0
%
C%
%
N\
'5' N
N
N
(0
1800 - 136th Place NE, Suite 100
Bellevue, Washington 98005
25.747.3177 FAX 425.747.7149
E-mail: mla@mlarch.com
REGISTERED
MERRrCK/ D. 4JEN17,
STATE OF WASHINGTON
PROJECT NAME
n
ZachairiaIIIIIIIII
Samuels
Addition
18128 Sunset W(ay
Edmonds
WA 98026
PERMIT SEj
DRAWING TITLE
GRADING PLAN,
GRADING CALCS,
EROSION CONTROL
MEASURES
DRAWN BY
JT5
CHECKED BY
JTf3
FEB 2 4 2010
A i/22ilO
MME
0' NVr
12/25/Oq
PERMIT SET
ISSUED DATE
DESCRIPTION
Al 02
2 um- dy o1A vz -, e -�
RESUB
FEB 2 4 2010
BUILDING DEPARTiNIENT
PVTY OF
].*thing in this it d process shaff be
intupraed as a1=gaQprPpr0c="tting the
maintenance of any currently
nonwaforming or unpernutted buikw- 1& gnwture
Or site condition which is outIdde the swpe of the
Wfication, reprdku of whothei mb
structure or condition is shown on the
sft PLO of drawing. Such bufldW& structure or
Condition May be the subject of a separate
enftwrnent xtion."
APP�R,VED BY
EX. IRON PIN WITH CAP
NO'D 10671
S 52*22' W -0.14'
/1/0
OC, 70,
Zone Come0—FIm.
Setbacks
Front 0, 11V
Reauired
2772
Actual
1�7_71_5+
Sides tit
10
Rear
Other
HeiWit
W-pLeAsp_ aeFm -vo sepmt-kTa
br4NImPi(rle PLAN (A%.)) -A. C=911,01WC-T/
egZS10t3 ()t�t4TftL PL&NCAIII-Z r-ML
eN(n1#jS . GjUrjui
EX. IRON PIN WITF
NO'D 4561
N 74'54' E -0.21'
AVERAGE GRADE HEIGHT CALICS.
262.3
NWCORNER
262.6
NE CORNER
271.8
SW CORNER
268.0
SE CORNER
AVERAGE GRADE
266.175
285.53
PROPOSED RIDGE ELEV.
19.36'
PROPOSED RIDGE HT.
FROM AVE. GRADE
291.175' MAX ALLOWABLE HEIGHT 25'
STRUCTURAL AREA CALCULATIONS 2'22' 1
EXT'G
HOUSE (c. 1959)
11994
SF
EXT'G
DRIVEWAY (c. 1959)
2384
SF
EXT'G
DECK (pre-1977)
430
SF
EXT'G
SHEDS (c. 1960)
160
SF
EXT'G
SHED (c. 2006)
80
SF
ADDITION
469 -
SF
TOTAL STRUCTURAL COVER 5517 SF
SITE AREA 27086 SF
TOTAL STRUCTURAL AREA 20.36%
911-r. PLAN
SCALD P=20'
EX. C.B.
TOP 243 38
INV. 241. -8"N
71
EX. SSMH
EX. C.B.
TOP 254.30
INV. 250.90-12"SE
INV. 250.88-12"S
INV. 250.80-12"E
WV K
4�,
Q
U4
'p-
4_� %
% tw�
CAI
I /V INV.
I. 1\6 268.54
I IV, 00
%
tr
J
'Ile
%
% 0 -
EX. IRON PIN WITH
CAP NO'D 4561
S 86*19' E -0.51'-_
\JJ
0 --Zgz--
0-)
EX. IRON PIN WITH
CAP NO'D 10671
---TTBM : "MAG NAIL"
ELEVATION =261.97
EX. IRON PIN WITH
CAP NO'D 10671
V TOP 267.50
INV. 265.90-12"S
INV. 265.84-12"N
E EX. SSMH
(�A U4
X.
'2(S
N 86*1�55" � _' it;; � k
I B
pp�
WM
UNPUBLISHED WORK
(02009 MERRICK LENTZ ARCHITECT
ARCHITECT
1800 - 136th Place NE, Suite 100
Bellevue, Washington 98005
425.747.3177 FAX 4125.747.7149
E-mail: mla@mlarch.com
3549
tMERRICK D. LENTZ
STATE OF WASHINGTON
PROJECT NAME
Zachawria�
Samuels
Addition
18128 Sunset Waxr
Edmonds
WA 98026
PERMIT SET
DRAWING TITLE
SITE PLAN,
HEIGHT
CALCULATIONS
DRAWN BY JT5
CHECKED BY X5
UUILDI TM
2/22/10 vTy commENTs
12/25/001 PERMIT SET
ISSUED DATE DESCRIPTION
ST E T FILE
AP66
p
row.,
RESUB
FEB 2 4:20:10
WILDING DEPARTMENT,
Cl-TY OF EDIMONDS
6TREET
FILE