18325 81ST AVE W.PDF111111 lill 11
7345
18325 81 ST AVE W
ADDRESS:
TAX ACCOUNT/PARCEL #:270qlQ�D.103��O
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS DETERMINATION: El Conditional Waiver E]StudyRequired mwaiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver F1 Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED: gb
SCALED PLOT PLAN DATED. 9- -770S,--
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: f 7��-77
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET ME]
Narne- .... ...
zq
�T Lo
Site Address:
Plan Check #: 'Z(W9- 06 7S_
Project Description: 4)P(Ct'l /10ZA1 lltel�
Reduced Site Plan Provided: NO) zoning-.
Map Page. Corner Lot: 0/ NO)
Flag Lot: (YES
Critical Areas Determination ff: 0_0
El Study Required
EL -waiver
SEPA Determination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Reguli-ed tbacks
Street:W
Aclual.5e,tbacks
Street.- .16
S-6
Side:
Detached Structures:
Rockeries:
El Fences[Trellises:
El Bay Wiriclows/Projecting Modulation:
El Stairs/Deck:
Datum Point: LAht*1V_ cv�_ef_ Datum Elevation: �00
Maximum Height Allowed: :W Z�� (I
Actual Height:. 0
offier
Parking Required:
Parking Provided:
Lot Area: 00
Maximum Lot Coverage: 35% Proposed: 9
Lot Coverage Calculations: 6 k-(,S �q 3o N w — 3(1 -70 L�
ADU Created: (YES
C-10
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
cof77fnents
A, tOo
OC9 00 /1(::- (00
Plan Review By:
Nanfurq Oata fom 04 -1 1,0C.d0C
#P20
Critical Areas Checklist CA File No: 0
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location:
2. Property TaxAccount Number: VIOLt 11oDO 103900
3. Approximate Site Size (acres or square feet): e re-
4. Is this site currently developed? yes;
If yes; how is. site developed?
5. Describe the general site topography. Check all that ap/ly.
Flat: less th an 5-feet elevati
on change over entire site.
Rolling; slopes on site generally less than 15% (a vertical rise of 10-fe'et over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than'30% (a vertical rise of 10-feet
over ' a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 0 Approx. Depth:
7. Site contains areas of seasonal standing water: ;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?
Z57C e Flows are seasonal? (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: ,!�20/7,e
-For City Staff Use Only M2!:Q
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)? A 164C.01m(e—K 0 - S- �0
4. Critical Areas inventory or C.A. map indicates Critical Area on site? /,J0
5. Site within designated earth subsidence landslide hazard area? Af,9
DETERMINATION
STUDY REQUIRED WAIVER
#P20
-C. 1-6-)-
--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: 7/13�03
City Receipt#:
Critical Areas File #Q_(,1A-_ac0'7k'-0O2p
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
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 deterriiination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this forin 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 infraction based in whole or part upon false, misleading, inaccurate or
incomplete information ftimished 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 file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT DATE
Property Owner's Authorization
By my signature, I certify 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 on.
-SIGNATURE OF OWNER Z_ DATE
-JLLA5L PKINTULLP
Owne
,5r/o,pplicant:
41e, 11:fl�a ,--4
Name
Street Aodress
City State Zip
Telephone: _.e�
Applicant Representative:
Z g k Z-,� i- . t"- "e—, z Z
Name
Street Address
e�z�,C_Zl �,;,?
City State Zip
Telephone:
Email address (optional): Email Address (optional):
Z
U
i.c4TY OF EDMONDS Permit No. 9 0-: 5-6
COMMUNITY SERVICES DEPAIW, FILE
RIGHT-OF-WAY CONSTRUCTION'PERMIT Issue'Date
A. 9 Owner: Washington Natural Gas Company ' B. * Contractor:
Ngff Mercer Street
NWaiftMdress WA 98111
Name
Mailing Address
City State Zip City State Zip
State License Number Telephone Number
C. 9 Address or.Vicinity of Construction: 18325 .81 Avenue -West
Type of Work to be Done: Install New Service---
D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 11 City Projects
E3 Commercial 0 Multifamily XX Utility
E, 0 Pavement Cut: M Y [3 N F..0 Size of Cut: 2 X ___A_(2) @ Gas and Water
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by, his signature to this application, agrees to hold the City of Edmonds
har I mless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments oginployees including or not limited to the defense
� 'I // /7 i / Y� - . / - � ,, & ..
of any legal proceedings including defense costs, court 6os , ts , and ttorney fees by reason or granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WO&MANS$*L-�CN6tNf*iMRIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND -ACCEPtANCE OF THE WORK.
Estimated -restoration fees will be held until the final street pdtch�s -completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; -Please"call grig'itiee` r , iing: 771-3202
e Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.-
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above' and that this permit must be available at the job site for inspection purposes at all times.
Signature:
Date: November 19, 199
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:
Time Authorized: Void after �46d� !J:-tHdays.
Special Conditions:' W4 1 . . .
RELEASED BY:'
PERMIT FEE:
Restora tion Fee:
Receipt No
, 1W k H
Fund I I I Fee�n�
Street Cut Dimensions: x
Date INSPEC*T'ED BY
Date
NOWORK TO BEGIN, PRIOR TO PERMIT ISSUANCE,
Eng. Div.'March 1989
Eng. Div. July 1985
1�
10 19 Z5 e
OID ), 4y ol)
wwa TO
VV I wCoN
AdOdum to:
City of Edmonds
Permit Application
Engineering Aide :-..-Kerry-..Walsh
Washington Natural Gas
622-6767 x 2588
r90,42,Y+) eC--,Jg �
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PFbPC6E0
KEY:
-as- sanitary sewer
-s- storms
-w- water
1. 0 water valve
APPLICATION CARD No . ......................................
r for
The City of Edmonds r SIODE SEWER PERMT LYNN PLART
0 EASEMENT No . ................. ....................
MEV OUTSIDE E] INSIDE REPAIRS
............................................................................................... CONTRACTOR .......... -------------------------------------------- !�� ........................... PERMIT No.
OWNER ...... j, 4,)e 7-e,- c ,C'c Y- 'r., 'V
r/ STREET
HOUSE No . ........... ......... C-5 T No. -74
............................................ AVENUE LO .......................... /..9 ....................... BLOCK No . ..... zz ...............................
0
0'
10
NAME ADD . ............................................
70 �, rh c , L—) ' -rA
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Date Approved:
................................................................................. ..... a, -----------------
4d J'S 0-,, w I — 5 V a cA-rc. c/ A //,* �� ? 0 , e., tj " 4 r'4
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4PPROVED
ivil zi 1907
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
/,� :2
DATE ... . ...................... 6 .. ? ......
SEWER WORK ORDER ISSUED .......................................... ... .. <-
0
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(�-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-o-yee-s o-r office-r's sh-all be Hlab'-I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..
,7 CITY OF EDMONDS Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N? 23-72
SIDE SEWER PERMIT
ADDRESS................ 16.a2_5 --- .... 82,S-t__AYe-1)U9 --- ------------------------- . ........................ ................................................
OWNER ------ Dean-L...-Webs-ter ............................................... CONTRACTOR ..... T_q.qke.r --- C_o.ns.truq.ti.q_n .......................
Perinission is granted ------- JIATIIP --- .............. 19. P_ for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance With application on file and governing ordinances.
ATTENTION IS CAM, D 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 Contrar-tor 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 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; —inimum. grade of 2%.
No bends In grade sharper than % will be permitted.
N( 'No. 4—Trenches in street must he 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. 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.
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24 HR. NOTICE NEQ.
MR INSPECTION PROJECT ADDRESSIOWNERS: odws - z3"
J� MELISSA MARTS
18325 81'�" AVE W
EDMONDS 98026 APPROVED BY p
425-231-0948 ANIING
...... kmsploTs martsO127(ii�,verizonmet 414- Af, AV
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TAX No: 27041800103900
LEGAL: LOTS 12 -17 IN VAC BLK 19
TGW VAC ALLEY ADJ TO E BDY SD
LOTS IN 1' ADDITION TO EDMONDS
VAC TGW E 1 OFT CECIOL ST LY ADJ TO
& ABTG UPON.
VOL 216/64 SEC 18 T 27 R 04 TR-8C-3)
SCOPE OF PROJECT:
ADDING 15 FT TO EASTERN PART OF
RESIDENCE & GARAGE. 930 SQ FT:
630 SQ FT NEW LIVING
300 SQ FT NEW GARAGE.
LOT SIZE: 18,000 SQ FT. 150' x 120 '
6*1 A _CS "PAW LOT COVERAGE:
EX. RES /GAR: 2,340 SQ FT
NEW LIV / GAR: 930 So li-f
maye TOTAL: 3,270 SQ FT 18.1 %
-to GRADING: 70 -80 CU YDS, TRUCKED OFF SITE.
T.-MiT. N&v
IMPERVIOUS SINCE 1977: 930 SQ FT.
APPROVED AS NOTED p Re�v L 0 O'�' 2- ?�- 4 0 5Q, - FT -
I 4NINEERINIG3 fol-NE-* P-S -10
UTILITIES: PiJBLIC
HEIGHT CALCULATIONS: lot is FLAT. vjitf,4 V"w
Date DATUM:
A: 100'
B:.: 1001
C 100,
D. 1001
400' 4 100' AVERAGE
ALL EXPOSED SURFACES lu
BE COVERED WITHIN 2 DAYS
100'+25'=125' MAX.
111.5' PROPOSED RIDGE. .
STREET FILE
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