18320 73RD AVE W.PDFlill 11111111
5779
18320 73RD AVE W
�t-q C. 18 () 13
August 20, 2004
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Henry Norris, Jr.
18320 73rd Ave. W
Edmonds, WA 98026
SUBJECT: Asphalt Paving/Sealing Within City Right -of -Way
Dear Mr. Norris,
GARY HAAKENSON
MAYOR
Our records indicate that you are the property owner of 18320 73rd Ave. W. It has been brought to our
attention that a contractor has performed some asphalt paving and/or sealing of your driveway and/or
parking area adjacent to your property. Paving activity within the City right-of-way requires an
approved right-of-way construction permit.
It appears as though several residences on 73 rd Ave. W have completed this work with some joint
efforts. The City of Edmonds will only require one right-of-way construction permit to be obtained by
each contractor involved in performing this work within the given project area of 73d Ave W
(Olympic View Drive to 182 nd St. SW). A separate permit will not be required for each individual
property, however it remains the property owners responsibility to ensure all required permits are
obtained.
Please coordinate with the other properties involved to have the contractor(s) obtain a right-of-way
construction permit from the City of Edmonds. The contractor will need to provide their state
contractors license number, their City business license number, and sign for the permit. 3 copies of a
site plan will also be required as an attachment to the permit, showing the project area and detail of
work performed at each of the property.
The right-of-way construction permit must be obtained no later than September 6, 2004 to prevent
code enforcement action. Double permit fees will be assessed for failure to obtain pen -nit prior to
commencing work. Please feel free to contact me should have any questions at 425-771-0220, ext.
1338.
Sincerely,
C)W�MALLk
Jeanie McConnell
Engineering Technician
c: Code Enforcement Officer
Street file
Incorporated August 11, 1890
Sister City - Hekinan, Japan
A
*City of Edmond's
PERMIT EXPIRES -W1)0,(
i�c. 1 %qC3 SIDE SEWER PERMIT
Address of Const . ruction: h93 2.1)-., - _7?) 4 Lte LAJ LrD It
Property Tax Account Parcel No.
Attach copies of all access and utility
Owner and/or Contractor: ca
Contractor License.#: 66
-.asements X
Single �K-amily
Multi Famfl� (No. of Units
F� Commercial (No. of , Units
El Public
Verified and Approved b
Building Permit
Inv'asion.into City *Right -of Way: ElYes. 0
17& .
*RW Construction Permit
Cross other �*Private Property:. El Yes No,
**Attach legal description and. copy of recorded easement.
_Vn
Owner or contractor. signature and ac —o—wiedgement statement: Date
By signing for this.permit I certify that I have read the City's.public handout entitled
ide Sewer Speici.fications, and shall comply with all City requirements. outlined therein.
9'. -CALL.,DIAL-A-DIG (1-800-425-55,55) BEFORE ANY EXCAVATIONAR'.
9 FOR INSPECTION CALL 425-771-0220 exte
nsio
..9
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUE:
NOTE: IF JOB SITE IS NOT. READY. -FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FE ' E WILL BE, CHARGED.
Job Site Ready YES NO, Date: Initial:.`.
Pardal Inspection: Date: Initial:
Partial Inspection: Date: .'Initial:
-built to Str et File:
As
0-1 Initial: D.— *
14 1 _ e
FINAL INSPECTION APPROVED: Date.1.4
1,� PERMIT MOST 'BE POSTED ON -JOB. SITE.'t -
White C,
.,p i1e. Green Copy: Inspector Buff Copy: App!icant.
L;tefiip;bldg;forms,sspermitjlg4/00'
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NOTICT: NO WARRAMOF ACCURACY The Information shnivn, on the
attachc.d mep was compiled for use by the City of Edm C—J, il —I,
;LQ
zrl'-. c "M"ants. The City of Edmonds does not warmr, VIC Of
any forth on the map. Any person or entity
, a c.-,py
sh:- corinct an Independent lrgquky reg arding the Inform-cii
tn cn
iciuding, but not limasd
1, to, the location of all"y =,-!or stub
Sudi sewer stubs May of may not e)dst and mayor m:y nct v—st at
thc location shown, Neither the City of Edmonds nor Its empicyaeG c
officen!'s shall be liable for the InfOrmdM glvMOO M map, norfor any orril
represeillation provided based upon uW nW
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Tr_ NO WARRAW OF ACCURACY 7he -1 tie
n ,?p was compiled for use by the City of E?-,,,-- "'
The City of Edmonds does not
sCLfUth-On-the-map. Anyperson-or-entity-r-
sk,. . conduct an IndependW h1qWjy regarding the I' tly
r'zp, including, but not limited
A41-the-locallon- of -any
MW Or MY not e)dst and may or m.-.j p-., e..
I ,�:I at
the location shown, Neither the City of Edmonds nor its employao's or
—officers-shaff-be-Habfe-for-the.i,,, 'ghmw= nor f df�i y orc-I
representation provided baged q= NW MIP
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DEVELOPMENT SERVICES CTR.
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PLANNING DATA
REDUCED SITE PLAN PROVIDED?: (Yes / No)
MAP PAGE:. '3 S 7 CORNER LOT: (Yes / No FLAG LOT: ff2§ / No)
ZONING: P�
LJ Study Required:
>a�,Vaiyer
Q Conditional Waiver
CRITICAL AREAS DETERMINATION #: 0 z — 1 '3
SEPA DETERMINATION:
Ll Fee
U Checklist
Ll APO list w/ notari,ed form
fok'
VA
6J (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
LJ Exempt
SETBACKS:
Rewired Setbacks: , ##
Street:--;L9' Left Side:_ J5 Right Side: -7 .'5 Rear:
Actual Setbacks:
Street: Left Side: Right Side:— Rear:
Street map checked for additional setback required? (Yes / No / DNA)
Ll DETACHED STRUCTURES:
L3 ROCKERIES:
El FENCES/TRELLISES:
Q BAY WINDOWS / PROJECTING MODULATION
Q STAIRS/ DECKS:
PARKING: Required: Actual:. '
LOT AREA:
LOT COVEKAUL:
Calculations:
BUILDING HEIGHT:
Datum Point: Datum Elevation:
Maximum Allowed: Actual Height:
A.D.U. CREATED?: (No / Yes
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No
NewBPP1anningDataForm.D0C C-'
VzPWcr fs pv�'�
- 4�1
The Critical Areas Checklist, contained%onithis fbrm,Js:t6- A,property owner, or., his/her., authorized'�..r
e
pr
,,esentative,
be filled out - by any- person preparing a Dev6lopmept must fill -out the 6h&ckliii,'� sim'i,ain d'; "date it,. andli submit it
, , .. j _:�J it; ,!,
Permit Application for the City of Edmonds prioirjo:�to*�.th�Cfty. T.bd�,C-,it�iw'iil�i6'v'idW-tiie!;checkli�t4,,"ftiake A
his/her submittal of the application to the Cit prqcwsqry.,.,, dj�,make a. determinatigm,,of the
3ite visitj�lan
4 , . , - , :� . , �', I I � -
gubseqii ' " 1 *i " , I' " t":
The purpose of the Checklist is to enable City staff to steps 1. necessary o corrip ete� at�d opment
i— perinit.0plicatiom:.
determine whether any' potential are,
may be, present on the subject property. The information Plea'se'subrritit"a viciM, rqap,"along with the signed copy
Y
needed. to. comp
jete the, Checklist: should be easily:;- 4-of-this,form to assist�,,City.,itiffin:fihd"m�"' — d I
& an . oca g the
available from observations of the site or data available.. at..,, specific, piece f 'eirift on. this,': form. In
oj.,�pTqp , y
City Hall (Critical areas inventories, maps, or soil addition, the applicant shall include other pertinent
surveys)�.* ififbiftfiatiob. (el.g.., " site topography., mapi., etc) or
studies 'in conJ;unctioh -with this' -Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and-ag deration-on,th
-signs, m.,consi .,e.proce.ssmgiqf,thi�.l�ppl.ic,atiozi-lagrees
to release, inderrmify, defend and hold the City of Edmonds harmless fromi any and all damages�j:incl,tiding. relas.ofiable
attorney's fees, arising from any' action orinfraction-bised ifit'*hole*oit;pait upon',Iiils�, r"m"si;e'adihl,.:�m!'a'c�c'u�rate -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 thq.,best of my
knowledge and that I am authorized to file this applic'aition"on the behalf 'of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE
Property Owner's Authorization
By my signature, 1 certify that I have authorized the above Applicant/Ageni tq� apply.,,for, the subject'land use,application,
bf Edmonds to enter the subject prop�r
and grant my permission for the public officials and the s&d6f"&,dt'y*, ty for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER
Owner/Applica t:
Name
2,0
Street Address
City State Zip
Telephone: q k'7 o
Email address (optional):
DATE
.INT CLEARLY
4resentative:-
Name!,
77
State'� Zip
TelePhone:
PtS-P, C'),
Critical Areas Checklist.doc/3.19.2001
-CA File NO: 67�- 153
Critical. Areas Checklist
Site.
R4kl hydrology/ vegetation)
2. Property Tax Acc6unt"Numben' 4-7 -7 t�5
3. Aoprbkim�te Site'$ize'(acreg or 'square feet):,. X (51, 7—
(P OT
no.
4. Is thig-sit loped�')C,! yes;
y eve
If yes:howu sitedeVeloped? T k5 t WVe f-
5. De!"];m;!.;.11.hg ipneral site topograpn Check all1hat apply.,
less;than 54eet 46Vati6ii 6ainge over entire site.
Rolling: slopes on site, generafly,!Iess than 15 % '(a vertical rise of 10-feet over a horizontal
distance. of, 66-feet).
Hilly: slopes present on sitebUm idre than' 15% 'and less than 30% ( a vertical rise of 10-feet
ov , er &hofii.ontal'di9tahc e bf'33 to 664ee't).
Steep: grades of , gr��ter than 30 %,present on site (a vertical rise of 10-feet over a horizontal
distance of,�iesg. lhan','i 34'eet).,
Oih er''(0lease de'scri ibeY I
Approx.Depth:
6..' .;.-Site coh tains aieasI of, year-round standing watee
te, areas of seasonal standing vyAter: Approx. Depth:
What season(s) of the year?
8. Sit6ig'ir the-floodWay fl 66, dp la in of A water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flowsare seasonal? (What time of year?
10. Site is primarily: forested Y, meadow K shrubs mixed
urban 1and6caOed,'6awr�shrubI W 5�61
-P.
11. Obvious weUand is present on site: N It-)
Vr A -�!
MIN!" U'Val
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.7
19
PERMIT EXPIRES
CITY OF EDMONDS
fUSE PERMIT r
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB unT:/APT#
ADDRESS
7ffm
OWNER NAME/NAME OF BUSINESS
Hf- 1� /V -a
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
Lu
MAILING ADDRESS
LID FEE $
ryj
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App"wed
RW Permit RequinW
ZIP
TELEPHONE
EXISTING — PROPOSED
Street Use Permit ReWd
inspection Req1dred 13
Sidewatit RequInA 13
011,1,A/
WA5-7�V-�)719
REQUIRED DEDICATION— FIF
undeWmW
VAIng requhred 13
NAME
METER SIZE. LINE
SliT7.
OF FIXTURES
PRV REQUIRED
YESE3 NO E3
ADDRESS
REMARKS
z
z
U
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY ZIP
TELEPHONE
'NAME
ENGINEERING REVIEWED BY DATE
ADDRESS
FIRE REVIEWED BY DATE
U1
CITY ZIP
a
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
RE0Q.,
BOND
POSTED
STAfE LICENSE NUMBER EXPIRATIPN DATE CbwrKFn ny
13YES k%IO1
$
SEPA REVIEW
SIGN AREA
HEIGHT
PROPERTY TAX C U PARCEL NO.
COMPLETE EIX:E�M�P
ALLOWED PROPOSED
ALLOWED PROPOSED
7
,
,
EXP
NEW
RESIDENTIAL
13 PLUMBING/MECH
LOT COVERiff'77
OURED SETBACKS (Fr.)
K
PROPOSED SETBAC kW-)
REAR
ALLOWED ROPOSED
FRONT SIDE_ REAR
FRONT LIR SIDE
ADDITION
COMMERCIAL
COMPUANCE OR
1:1 CHANGE OF USE
!� ;V,
.1-5 / 0
/Vo e.4 4�)"-
I
REMODEL
4knFAmiLy
E] SIGN
FAKING
REQ`D PROVIDED
LOT AREA PLANNING REVIEWED BY DATE'
ZA
qqu
GRADING FENCE
REPAIR CYDS 11
X FT)
92FC.L =12 E4C, rI
DEMOLISH OTHER
TANK
GARAGE RETAINING WALL F RE SPRINKLER
z
CARPORT ROCKERY F:RE ALARM
(TYPE OF USE. EBB OR ACTly" EXPLAIN:
jx,—A1-7-jA4 _/
CHECKED BY
TYPE OE_r,0N17TION.
CO E
OCCUPANT
fir-T f__
I
1? 7
GROU
T-1
tu
0
NUMBER
OF
NUMBER OF
DWELLIG
CRITICAL &h4 V-
A
SPECIAL INSPECTION JAREA
STORI
U
N
REQUIRED [] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
z
PROGRESS INSPECTIONS PER UBC 10S/FINAL INSPECTION REGID
VALUATION
$
Avg
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
GLAZING %
LOT SLOPE %
Building Permit
City Surcharge
'PLAN CHECKNO-. �52
VESTED DATE
Plumbing
Mechanical
i.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
JIMA57,
D OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
r�')Qq
SEPARATE PERMISSION.
Engr. Review
PERMITAPPILICATION: 180 DAYS
IL
PERMIT LIMITI! I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U)
'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INOEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
I
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
CLAIMS FOR DAMAGES OF WHATEVER
Fire Inspection
Receipt #
IALL
NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Landscapelnsp.
total Amt Due
0
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Receipt #
H I
I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
G'V
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TT 10
ION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
V C
LTIN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknoeriedged In space provided.
Wo I
WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
BIG
SIGNATU (OWN!ERYR AGENT)
"ItLOW!,
DATE SIGNED
-
1A0
1425)
M. `Dnoo
/7-- Zj -3
x 17" '01'e"Alk;
771-0220
RELEASEOay.
ATTENT16N
Off 1333
IT IS UNLAWFUL TO. -USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI�
,
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE YELLOW - I4SPEC4OR
PINK-OWNEW GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING
6
90
.0
I
2
1+7 8 180TIH ST. S.W.
81-7 665.88'
FOUND BRASS SURFACE MON.
GRAPHIC SCALE
INS in =100I �11 nor=
M = = M mum �11 MIN � Em01 M
( IN FEET .)
I inch = 20 ft.
W-1
0 ^
10 0
C'4 0
0
01
!VIA
SET TENT SPIKE LOT 66
W/ CAP LS 22688
0 o
N 88'08'50" W
2
0 3:
Vi V') Li
.0
0 LLJ
z _�i
FOUND MON.IN CASE 0
PER PLAT OF HOMEVIEW
ADDITION NO. 2
APD' so.
jF
joyf'VIEW PAGg 91
'Vob- 13,
RECORDER'S CERTIFICATE ............................
filed for record this ........ day of ............... 20 .... at
............ M in book ....... of ............... at page at the
request of ............................................. DUNAWAY SURVEYING
........... .......................... ...........................................
Mgr Supt, of Records
LOT 67
0.9'
135.00'
— 0 — 0
N 88*08'50"7
LOT 68 r7-
N88'08'50"W
135. 00'
0
SFR
7.5' 8.0'
CARPORT
SFR
SURVEYOR'S CERTIFICATE
1.6'
FD MON. CASE, LID IS EXPLODED
AND.FORCED DOWN INTO CASE
�35.00' HOLE IN LID IS 0.14' SOUTH BY
0 0.06' WEST OF CALCULATED POSITION
182ND `_"ST. S.W.
This map correctly represents a survey made by
me or under my direction in conformance with the
requirements of the survey recording act at the
request of Henry Norris In June, 2003
en D. Dunaway OX.S.
tificate No. 22688
�D
0
C3
r-
0
0
30' 0)
LO
30.01
30'
FOUND
NOTHING
0
0
6
N
FOUND
NOTHING
0
Lij
0 >
C'4
0 ry
04
FOUND
NOTHING
Y,
EDMONDS BEVER0
RECORD /k-'O')ZF SUR VEY
FOR
HEjVR_r . JVORRIS
LEGAL DESCRIPTION
LOT 67, PLAT OF HOMEVIEW'ADDITION NO. 1,
ACCORDING TO THE PLAT THEREOF RECORDED IN
VOLUME 13 OF PLATS, PAGE 91, RECORDS OF
SNOHOMISH COUNTY, WASHINGTON.
OWNER
HENRY NORRIS
BASIS OF BEARING
PLAT MONUMENTS FOR HOMEVJEW ADDITION NO. 2
WAC332-130-090
PROCEDURES USED IN THIS SURVEY WERE
FIELD TRAVERSE, MEETING OR EXCEEDING
STANDARDS SET BY WAC 332-130-090.
WAC 332-130-100
INSTRUMENTATION FOR THIS SURVEY WAS A
SOKKIA SET 3C 5 SECOND TOTAL STATION.
MONUMENTS LAST VISITED 6/12/2003
LEGEND
o = FOUND POINT AS NOTED
o = SET REBAR & CAP LS22688
--iS�—=7CONCRETE_MONUMENT - FOUND
SURVEYOR'S NOTES
THIS SURVEY HAS BEEN PREPARED FOR THE
EXCLUSIVE USE OF PARTIES WHOSE NAMES
APPEAR HEREON ONLY, AND DOES NOT EXTEND TO
ANY UNNAMED THIRD PARTIES WITHOUT EXPRESS
RECERTIFICATION BY THE LAND SURVEYOR.
BOUNDARY LINES SHOWN AND CORNERS SET
REPRESENT DEED LOCATIONS — OWNERSHIP LINES
MAY VARY. NO GUARANTEE OF OWNERSHIP IS
EXPRESSED OR IMPLIED. THIS SURVEY DOES NOT
PURPORT TO SHOW ALL EASEMENTS, RESTRICTIONS,
RESERVATIONS AND OCCUPATION WHICH MAY
ENCUMBER TITLE TO OR USE OF THIS PROPERTY.
ALL INFORMATION USED IN CALCULATING THIS
SURVEY IS NOT NECESSARILY SHOWN.
DUNAWAY SURVEYING, INC.
23201 53rd AVENUE SOUTHEAST
BOTHELL, WA 98021 (425) 486-1530
DWN. BY DATE JOB No.
DWA 6/13/2003 2003-050
CHKD. BY SCALE SHEET
JDD.- 1 20' 1 OF 1