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18230 84TH PL W.PDF111111111111 7997 18230 84TH PL W NOTICE: ___ -a- - .-C.0 -Nb---w-ar-ranty ... of The information . shown on the attached map(s) was compiled for use by the City Of Edmonds/ its Employees and Consultants. The City of �Edm.qncls does not - wa rra nt tj ie- accuracy of anything set for.th on t hese rnap(�_). Any person or entity -requesting a copy should conduct an independent 'e inform-ation shown on inquiry regarding th including, but not limited to, t-Fe -m a p (s) th'e 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 Edmo-nds nor its emp'-o-yee*s o*r office-rs -sh-a-11*1 be 11a.b-'Fe for the information given' on this map(s), nor for any one representation provided based upon*said map(s), APPLICATION 3TREU FILE - for The City of Edmonds SIDE SEWER PERBUT I TUCTION E) REPAIRS E] OWNER... -/ ------------- ---------------------------------------------- 9 ...... ADDRESS ...... . .......... 6.,.. ....... .. ......... EASEMENT No . ....... ....................... /- / D / S-/ -7Z CONTRACTOR ...... 7:- - - --------------------- - ------- ...... ........ Z.;, ..... 17 ....... 2:��T No.(� LEGAL DESCRIPTION: LOT No . ............. ................................. 13LOCK No . ............................... ............ NAMEOF ADDITION ....... . ................................................................................ . ........... I rg riln —7, 1 1� t 1�- i0,11 rom'd ol 'uv 10 Q10 q 1 k1l, IN �,, C P i 0 �,q :WV8MOV 0 ON M Nk M 0 0 02 0 old 0 0 t4 0 t4 h m c-, 0 z rn 0 Z LU 0� .J O'� t5 U.) El W 0 0� z Rol U a) M r= I C�?o Cn CITY OF EDMONDS C1171C CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT ADDRESS ................ 18.2.3Q..�n ... 8.4th..F.1a.ce .. VP_.5.t t a JI W IUD '04 z 1z' d 0 E. C-1 U 0 CY W W 00 M L L) W C C� a Emilio 11100am 1011111 i. 2911111 111111 Emilio REEMICIM, Cali FROSPect 6-1107 when work IN ready for Inspection. . (No Inspec. tions Saturday, Sunday or holidays.) N2 3226 C.A. McConnachie OWNER ..................... ........... ............................................................ CONTRACTOR.... North End S13tic Tank .... ............................ . ......................................... Permission is granted .............. F.ebruary...18., 19 .... 6.9, f or ........................ days to REPAM or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOW][NG: NOTE No. 1—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—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at leazt 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than 1/s will be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to Improper work which may develop within one year of completion. NOTE No. 6—It Is unlawful to alter or do say: 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. IN 4J 4) 0 U U r 0 C: U 0 City of EdmoP,0�,, Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is,to.. be filled out by any person preparing a Developme i nt Permit Application - for the City of Edmonds prior to his/her submittal of the application 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). at R Zo —6r/ C� !R Ity Utical.Areas File 61fical A'r'e�s� C'h*eckfist Fee: $45.00 Date Mailed to AD011caht: A. property. owner, or his/her 'autho'n*zed representative, must fill out the checklist, sign. and, date it, an& submit it "to the City. The City will'riview the checklist,'inake a precursory �site visit, and mAk6 a determinatidn;-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, sha.11 include other pertinent information (el.g. site plan, topography map, etc.) or studies in conjunction with this Checklisf to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damagesi including reasonable attorney's fees, arising from any -action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits. herewith submitted are true and correct to the best of my knowledge and -that I am authorized to fil this application on the behalf of the owner as listed below. N SIGNATURE OF APPLICANVAGENT �neV /\A DATE� LOA Property Owner's Authorization By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. SIGNATURE OF OWNER PLEASE PRINT CLEARLY Owner/Applicant: I-W4,(A- Name C) Street Address 6-XVAOKL<� city State Zip Telephone:_ 14� 60 �9, Email address (optional): 'DATE Applicant Representative: "LujLrv-�, Oez, Name (-J Street Address tca&c4s city State zip Telephone: �)-S7- 6,13- 636( kmail Address (optional): Crifical Areas Checklist.doc/3.19.2001 Critical Areas Checklist * CA File No:. CA --01 —149 Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 2. Propqrt)r Tax Account Number: 5CK00 000, 60q 00 o3 3. Approximate Site'.Size (acres or square feet): 10,000 4. Is this site currently developed? kfyes; no. If yes; how is site developed? S 1, ;(koLA, k 0 0--Q- 5. Describe the general site topography. Check all that apply. Flat. less than 54'eet elevation change over entire site. Rolling: slopes on site generally less.than 15%, (a vertical rise of 10-feet over a horizontal distance of 66-feeP. Hilly: slopes present on site of morie than 15% and less than 30% ( a vertical rise of 10-feet over a horiiontalidistahco of 33 to 66-feet). Steep: grades of greater, than 30% present on site (a vertical rise of 10-feet over a horizontal distance.of Iess than 33-feet). Other (please describe): 6. Site contains areas of year-round stafiding water: -&/0 Approx. Depth: 7. Site contains areas of seasonal standing water: 0 Approx. Depth: What season(s) of the year? 8. Site is in.thefloodway floodplain of A water course. 9. Site contains a creek, br.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 eshrubs mixed urban landscaped (lawnshrubs etc) 11. Obvious wetland is present on site: Critical Areas Checklist.doet3.19.2001 C12c. 189V City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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). Date Received: 4?0 _d/ City Receipt Critical Areas File #: Critical Areas Checklist Fee:- $45.00 Date Mailed to ADDlicant: A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its; heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infi-action based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its; agents or employees. By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my knowledge and -that I am authorized to fil this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANVAGENT 7--Q/\AAg V fuL —DATE— Property Owner's Authorization By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. SIGNATURE OF OWNER PLEASE PRINT CLEARLY Owner/Applicant: ILkY4,c, Lav&v) Name. tq"Iao 3 Street Address 6-XV,K0KL<) W-A 9-�-O)L_ city State zip Telephone -714- 6o � K Email address (optional): DATE Applicant Representative: tD Name ,,,� -� 0<�— P - A ('J Street Address - rowy� -W city State Z* Telephone: 6 -13 - 6 3 6 IP Email Address (optional): Critical Areas ChecklisLdoe/3.19.2001 .Critical Areas Checklist CA File No:. CA --01 -149 e Information (soils/ topography/ hydrology/vegetation) Site Address/ Location: S-1-k f— P � W 2. Property Tax Account Number: 59 W C) 00 , 604 00 05 3. Approximate Site Size (acres or square feet): 10,000 4. Is this site currently developed? ��yes; no. If yes; how is site developed? S VV., rv� 5. Describe the general site topography. Check all that apply. Flat less than 5-feet elevation change over entire site.. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than. 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distanceof less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: 0 Approx. Depth: Site contains areas of seasonal standing water: AliD Approx. Depth: What season(s) of the year? 8. Site is in the floodway — floodplain — of a water course. 9. Site contains a creek or an area where water flows across the 'grounds surface? Flows are year-round? Flows. are seasonal? — (What time of year? 10. Site is primarily: forested - ; meadow shrubs mixed urban landscaped (lawnshrubs etc) 11. Obvious wetland is present on site - Critical Areas Checklist.dorJ3.19-2001 E RECEW50;-- P, .31 �T:PERMIT EX IRE' CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUIMAPT# ADDRESS OWNER NAMEINAME OF BUSINI� SS .16,� Lj U PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ 15 MAILING ADDRESS ISO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT 7- TES==Od RW Street Use Peffnft RW inapection Requirod Sidewalk Required urldwilIckind Wiringrequired 13 CITY ZIP TELEPHONE -METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED YES13 NO 13 z NAME REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ADDRESS CITY ZIP TELEPHONE NAME. PON$ I r CATE ENGINEERING ift 1 JjCr E ADDRESS 93 Ic FIRE REVIEWED BY DATE Wi ir CITY Zip 6(likl- . TELEPHONE �, 1.,S- _e I 7S VARIANCE OR CU SHORELINEOkADB# INSPECTION REO'D [3 YES tqNO BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE S E. A.117z, W(6-CY' A) SEPA REVIEW COMPLETE E7T SIGN AREA PROPOSED ALLOWE�� HEIGHT PR AL OPOSED LOWED PROPERTY TAX ACPO PARCEL NO. fT �6 4) TNEW V"'RESIDENTIAL PLUMBING MECH ADDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 11 APARTMENT SIGN Uit COVERAGE ALLOWED PROPOSED Q _0_ REQUIRED SETBACKS (Fr.) FRONT SIDE REAR Girn, �o, PROPOSED SETBACKS (Fr.) FRONT UR , RE REAR C1 12 2 PARKING RFAID PROVIDED LOT AREA P�ANNING REVIEWED BY DATE GRADING FENCE X �KREPAIR 13 CYDS FT) I a !2 REMARKS 0 DEMOLISH TANK 01M II)e& RE oGARAGE RETAINING WALL CARPORT ROCKERY RENEWAL (TYPE OF USE. BUSINESS RR ACTIVTM EXPLAIN' 0 CHECKED By TYPE OF, NS ION CQQE— OCCUPANT -OR NUMBER' UMBER OF CRITICAff OF, NDWELLING STORIES - UNITS SPECIAL INSPECTOR REQUIRED [j YES JAREA OCCUPANT LOAD DESCRIBE WORK TO BE DONE' kt AOLQ� C� e- C REMARKS PROGRESS INSPECTIONS PER UBC.108/FINAL INSPECTION RE(ZO VALLIATION $ P66cription FEE Description FEE Plan Check HEAT SOURCE ING % LOT SLOPE % �Building 17 PLAN CHEC VESTEDPATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. Ti HIS PERMIT COVERS WORK TO t BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading Recording Fee 2 DOMAIN (CURBS, SIDEWALKS DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 S. EPARAT . lE PER I MISSION. E ngr. Review city I Surcharg I e PERMITAPPLICATION: ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection State Surcharge SEE BACK OF PINK PERMIT FOR MORE IMF ORMATION 'APPLICANT, ON BEHALF OF HIS OR.HER SPOUSE, HEIRS, ASSIGNSAND SUCCESORS Traffic Mitigation Plan Chk Deposit IN YTEREST, AGREES,TO INDEMNU( DEFEND -AND H HARMLESSTHE CnY OF 2 EDMONDS,WASHINGfOW. ITS OFFIMALS. EMPLOYEES, To AGENTS FROM ANYAND Fire Review Receipt IALL CLAIMS FOR DA MAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTCY FROM THE ISSUANCE. -OF THIS.PERMrT. ISSUANCE OF.THIS-PERMIT SHALL NOT BE Fire Inspection Total Amount Due 91. DEEMED TO MODIFY WAIVE OR REDUCE ANY. REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION! Landscapelnsp. Receipt # 1�1�,9 4 1 HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER. ORTHE 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 THEWORK AUTHORIZED, THEREBY, -NO PERSON WILL BE EMPLOYED CALL Building Official or his/hy Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR.bODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is ackn�#Ipjqed In space provided. WORKMENS COMPENaA7 CE AND RCw 18.27., NIM�RAN OFT�!il!�I.6 SIGNki��'4' DAT DATE SIGNED (425) V16 SIG1r1RE (OWNE"tEN7j/, . _ , * I t 1 7-')�) j 7iwa 171 -We- Izu R LEASE by DATE ATTENTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR.STRUCTURE UNTIL D� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_ 771-0221 ORIG;4k_':_� - YELLOW - INSPECTOR CATE OF OCCUPANCY HA I S BEEN GRANTED. UBC SECTION PINK- OWNER - GOLD -ASSESSOR FAX 10/01