18403 90TH AVE W.PDFlill 11111111
8753
18403 90TH AVE W
ADDRESS: IE4�)3 `?0-P' AVC-- W
TAX ACCOUNT/PARCEL #: On&38900001600
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: 0 Conditional Waiver El Study Required 0 Waiver
CRITICAL AREAS #: DETERMINATION: 0 Conditional Waiver Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID#:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: ',7
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST'skForms\Jana's Street File Checklist 5-14-08-doc
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RECEIVE:r)
MAY 0 7 2009
DEVELOPMENT SEFJvICE� CTFI.
CITY OF EDMONDS
94Y. 0,
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3(5f FmzrX Prz-opvzTr\� L-INIZ —to cvAj*rFiz OP
0 PLANNING DATA*
Ls—TREET FILE
--I
SINGLE FAMILY RESIDENTIAL
Name:
Date: 0
Site Address: tBqd
Plan Check 0
Project Description: )4
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: E /NO)
Flag Lot: (YES kN11
Critical Areas Determination #: CT-A-)�c)61
Study Required
W .
�waiver
SEPA D�.termination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee El Checklist 0 APO List with notarized form
Required cks
Street:
Side:.!>
1 Side: C 01'
1 Rear:
A ctual Setbacks
StreeY- kil %Z/ ga
Sid
Side: cr� o
El Detached StrJctures:
11 Rockeries:
El Fences/Trellises:
El Bay Windows/Projecting Modulation,
WStairs/Deck:
Dulluin Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:
ADU Created: (YES / NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / NO)
Comments
Plan Review By: Planning Data Form 04-11-061oc
NOTICE:
The -information on the attached
map(s) was com ' piled for use by the City of
Edmonds/ its Empl.oyees and Consultants.
Th...e City of*Edm.onds does. not. warrant the
n these
accuracy of anything set for.th o
M entity *requesting a
ap(� Any person or
copy should conduct an -independent
inquiry regarding th*e info'rm,*at1on shown- or
tFT�2 -map(s), including, but not limited to,
-er stub shown. Suc
the lotation of any sew
t and may
sewer stubs may or may* not e.xis.
or may not exist at the location shown.
Neither the city of Edmonds nor its
ernpl-o-yee-s o-r office-rs -shal-1 be I-Jab-[e for the
information given on this map(5), nor for
ided based
any one representation provi
upon said map(s).
APPLICATION
The City of Edmonds for EASEMENT NO - - -------------------- --------------
SIDE SEWER PERMIT
ASMT. NO.
-NEW CONSTRUCTION REPAIRS 0 LID NO. -------
OWNER ........ H-(�-t,AFE .... ------- .......... CONTRACTOR
- -------------- ..... .................... PERMIT NO - --------------------
JOB ADDRESS ....
------- LEGAL DESCRIPTION: LOT NO - ------------- ------------------- BLOCK NO - ----------------------- -
E---f —�!�-T-
-------------------------------------------------------------- I ----------------- --------------------------------------------------------------------- -----------
TL�l� -13
NAME OF ADDITION --- -------- F= t P c--
......................................................... -----------------------------
0
0
EWE1Z*,PERM1T..
%i NON' -
71TY �'(GF -,,EPiM DS- SIDE S
WATEWSEWER.11)kPARTMENT:
1z �i
PERMIT, V.;i- Z.,
:,7
it
P. hsp 1 0 -BEFORE -co��ring, any�.6-jrtion.,of thc cons ruc. on,N,
t
f6r si&. *s �ver.`i cc I ng�
-be! pro ided"within-2:1- hourW' holl' ay I t Otis
Sat.Su6�,.or. d ns
after re,just. NO,,
C;
d
cof 4 - Avr-�.
,OF�GONSTR , UCT: . .....
ION.*
....................................... ....... ............... ......................................................................
.ADDAES&S OCATION1 7
.......... ............... . .....
,,',PROPEk,T,,�V-�"L'E"l�,DESCRI,PTION- rall ---JI-I's
................ .................................... .................. .......... ............ ....................... ..... ......... . .......
7.:
........................................... . ............................................ ........... ........................... ....... ..... ......... ................... ........ ..... .......
.................. ------- ......... . ....... ............. ............
OWNER, ANDY.OKBUILDER.' ...........................
........................ .
T�T#APT v. n e ad-. Edmonds !.,JA,,,- -
Ru,�',s.,J ' ns6h: I 6JO9 rl 11C'adMqda1' - -Ro'
z ................................................................................ : .................. ............ ......... ..........
co .................................
0 onnection .,of., a, side� sewer-Ao the, city Sanitary-, sewer.
slonls;,gran
J,
......... .. for�repair and/ r -'e
"w'danee d
!Sys pjYiijn,..Acco -With,,. OtypU Edmonds or inances.-,
'a-
IION� M;CA,LLE
.1 1 . ,, -... wfN.
NO, l,o.��,LThe*'�ow�ers'.'bf-'tlier�pr*operty may obtain a-. permit. to. construct? sewer Inside propertyJlne.:,,,� lioen�ed Side SeNk�er�coxitiactoi'�nust.,be�V.mplo ed-to',c6nstruct
-cover-any* porticin' of..�sewer before it :has
side, se4erAh�,streiit, area., D`o� nU been inspected.
-way quires an, lnvasion� of-ioig�t-rf-'Way.,Pennit;obtEdnable* from the City Ehoneer's, office,
WOTF re
I.No-22�Alil,w6rk performcd�,Inl ciiy:right-of
-rmit.
-NOTk' No.-3�ObtEiin.,full'iiiform�ti��, regarding. Ordina:nce' 11.16.030 and Regulations , governing..-sid.e-:sewers,..,%vhen�.you get pL
e '-af property line i., ade,.
NOTE" sew e�r'musCha�y`� -at �;,;i�t 30 inch'es -c rage jand, 12 inches -Anside; property line: minimum_ grade'�of.2%. j:No :beh6 n�.gr
sharper. than' 'A 'will be.'permitted.
NOTF,,,No! ;51,Trenc)ies,,1n�i e,�,, -i�tsf;b`wafer'settl6d f�c6- of-zstrect �cstored� to: originaVicond n; Contractors shall. be-respo��sible,'for,iailure�;due to -,improper
ic�- et., e� 'and �sur' iti6
one yea of
work which may'develop within r compi etion.
any�-�thev`worlc, than is�provldecl for, thep�rmit,, ior,C6 do -any work.ort the -maAn sewer.ore its, appurtenances'. except;1o.,in,
-sert, thelpt e-infc,-*the�wye.
.............. 'Date....
DISAPPROVED. Date— .... ...... Y BY ..... ..........
... .. ........... B ......... Date ............ i!� ...... ...... .... :�,
Date.,-.
.......... .................. ...........
_7 ..... . ............................
Remarks:,.*-..; ............... ............................ .......................... ....................... .............................. .. ... .........................
.................... .......................... .............. ......... .. ......
...... .......... ............ ........ .................................................... .
it �Copile T, Be:'Sij�med.rBy: Ow n6r, of Firni TerforrnineQoh struction. PRIORT-b.-Request --For 'In I spe,ct',
)110� kPe -,ioh
%
I tal ation icons trcted undenithis!,-permi t.
....... ... ....... he�eb certify t4dt, the- side -sewer . I
.... .................. Y.: , , . . -, 1. ;
or o upq �ting- Fir Perfrrming Constr 7 e i tallat on',c9m
tiction),
w t
n6rids.
"st I i Pn, 4a �c r e. ith �n g' rdina:hc6s- 6f' Ch
e:.'Ci V of Edi
gpye in o,
)f
-of . . .. .. ..... ................ ...... �
aitedii this .......... day,
7
ter
V:",�CII�ck.-BEFOI�E:.ypu:dig*fcir:':W.ii. Telellhone. �Ey
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION Er-' REPAIRS F-�
EASEMENT NO . .............. .........................
LID NO. ........ ASMT. NO..
OWNER ......
-----
-----------------------------------
CONTRACTOR ----------------------
J.0 --- 7 - ------ .......... PERMIT NO.
--- --- -----------
..<-/
JOB ADDRESS Z-f _4 - -------------------
<� ------ ------
/- -c ------
LEGAL DESCRIPTION: LOT NO.
2��o
........................ .- BLOCK NO - --------------------------- -------
RECEIVEL
i 9 1 Q'74
li. �
0
......................... ------------------------------------------------------------------------------------ ---------------------------------------------------
NAME OF ADDITION --- ----------- .............................................................
Approved:
DATE........................ ................... By ------------------------
City of Edmc
8 9 0 - 10 -
RIGHT-OF-WAY CONSTRUCTION
STREETTUIT PermitNumber.
Issue Date:
A. Address or Vicinity of Construction: - 184()3 go AV W (932R206)
B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Compapy
Mailing Address: 815 Mercer St, Seattle * WA
State License #: Y6111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-3278
Liability Insurance: Bond:$
Side Sewer Permit # (if applicable):
E. ivision
Commercial El Subdi El City Project JR Utility (PUD, GTE,.WNG, CABLE, WATER)
Multi -Family 0 Single Family n Other
INSPECTOR: INSPECTOR: t
F. Pavement or Concrete Cut: D Yes Jallo G. Size of Cut: x H. Chargq,,$
APPLICANT TO READ AN N
INDEMNITY. Applicant understands and by his signature to this applieation, agrees to r1he City of Edmonds harm le.4Am 1Wr_ifeZ;1n.ges, or
Cit
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
e;�p_loyees, including or not limited to the defense ofany legal proceedings including defenti sts, and attorney te s by reason ofgranting this permit.
110
__6WTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND M,
ATERIALS'F PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATIOAr-PEESNWILL BE HELD UNTIL TH'F' FK7AL'41rREET PATCH
&COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regplations as required by %City�Ejngineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working aaly;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepinkcopyof thepermit willbe
available on site;a:t �alltIm s for inspection -purposes.
Signature: 11�4k# It Date: October 12, 1993
traAjr"olrn,�g7n_?�-
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: I obd RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER FA DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: CAt t., 00 �!IMLA—Aboi* RESTORATION FEE:
442;,o Lim S
COMMENTS:
DATE:
PERMIT FEE:
TOTAL FEE:
RECEIPT FEE:
ISSUED BY: q
t:a
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. I)iv. 1991
FIELD INSPECTION NOTES
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date- -
Date: -
E] NO
E.
r
Addendum to City of Edmonds
Right of Way
U
Permit Application
a
Submitted b Guyla Connors
y
Engineering Aide
Washington Natural Gas
521-5248
3
WNG to window
Water zimai n depth
��n�own
gas main
C.-
Key: -w- water
-g- gas -
-ss- sewer
-&- water hydrant
0 water valve
815 Mercer St. (P 0 - BOX 1869). Seattle, WA 98111 (206) 622-6767