The URL can be used to link to this page

18418 HIGH ST.PDF11111111111111 11504 18418 HIGH ST 14 1 ' rge-," r-4 a:�-e -T. Za APPR LOCATION if D 4 Se r 5-rv* fv-o, X 4' PV r.HT LINE 17 RECEIVED OCT 1 3 1995 PERMIT COUNTER > @7@ '6 FIR iz ITY.!'10! c LANMC�-- 2' DE 14 T m '�reLNTCR�Tl T ID 10 6RA - A 1 1 21-5.0 ti 1: 011LQK mWneEo9nEJL-jLL-Lj DOFF-T-1 00 01:10 1 000 L 0013 4!� 00 col +� III I I j v 20 FRGFGSBD R.BBIDBNCX 114.75 AZ A F I R5T' rLR MLEV 21-3.0 FT LO-ER1 FL.R ELEV 2Cl5 57 FT W-C.Clb FLR tLCV 224.4!1 FT GARAGE TOP R�VF FT- L L , �:� INE , -!� — —v Fv-r �lai-7771r7e- T t-1 ml--7 - I-E 7- —L�— , To L2 N Z)3',2'35* W 214 or- LA ---- kppFlo PLANNINU T". IT Ir" FIR ME m- SeTWOC- A 2 1 �5 N Fr NMTH F7 -18415- RieH 5"rREF-'r r>, 0g,6f,&4fL, ZqgA?C— - 1951.q Fr A -T5 Pr MAX R6f. (4 Zr-,I=T) = Z37, -i e, rr SETE PLA14 0 ' 'o r:��- LOT tu: I Lz.j 11) 571- OD 18qlg 1�76P 3 :4E 0 0 1 --r.) IV 2 T4 At 07C 6 89' th V % -140 V 77 w co cv f 2 00 THOMASIJ. POWELL 34,014 CV 04 J?4oe IS Noij 30.9z, s". P1 6 ��rUlrl 00" 1-4 0 Al 21 8, J/ HOMA J. POWELL R 12,012 No AS: 00. D 35,9900 THOMA J. POWELL I No. /.g, 01 9 0 0 a� co 5� w 01 - 0 C\j v 0 GDI Tr. 4 3 tn cli C-i 30' \ V / r/ At /,zz � STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNM 41ZAAAAI ADDRESS - CALC BY: 404V 45-P-6� PHONE: DATE: *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE 4-7qi�� DETENTION PIPE LENGTH WASHED GRAVEL ��;F� R�Nl, OUTFLOW TRENCH MIN 10 LONG ill�4zk� Z TOP AND 4*PE4 PIPE 'TO BE LEVEL S05; I'"N COVER 2*MAX COV C'MIN SPACE FROM RIM ILEV— RIM ELEV— CONTROL 4— IDUTLET 4"PERFFIPE W/CAPS r/. SLOPE 4" PIPE MIK ORIFICE RUNOFF SPREADER INV ELEV W. INV ELEV -2 0/. 7- OUTLET WIFER CA rCH CoNrROE C BASIN BASIN 2'x 2'K 6' DEEP, 4'- 6" OUARRY SPALLS SYSTEM CROSS SECTION z2lxY DEEP, 3/4" CRUSHED ROCK FROM CONTROL 'NTRM OUTLET RIPRAP OUTLET pECF.IVED OCT 1 3 1' PERMIT COUNTEP FOOTING DRAINS SHALL NOT BE, CONNECTED TO DETE, NTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection ala� 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 the catch basins to allow proper operation. The outlet control orifice DA TE must be kent onen at all times. REV 2 /9 2 6 REC FIE . B OEOTECH CONSULTANTS, INC- Maltz ' - — (206)747-5618 13256 N.E. 20th St. (Northup Way) #16 Fax 747-8561 Bellevue, WA 98005 DAILY FIELD REPORT TRAVEL/ IME '7 I IT JOB NO. - - o(F TIME ON SITE( �_o L MILES -1 TIME OFF SITE PAGE OF WEATHdR VISITORS I JOB LOCATION CLIENT/OWJ R(,,,, PERMIT NUMBER GEPIERAVCOi tk('J.J�' _� C, -wsl GENERAL CONTRACTOR'S SUIT.- UATE TDAYOF WEEK ORA I OING dONTRACTOR L ro.7NA 1'.. 1 GRADING FOREMAN R 4R E a 2,�Z,, 1p--s 1A 1 71-6- 1'f :�w I 1N, r A f,— A- L12- :�i -T o" 5 6 c4p 0 pi VIVED QA- ir i. tiUUN I th j?, -A '::P kjk W4 PAC T SITE vISIT:_?�_ LNE; Co COPY TO: J(Xf a( SI�NAT REI V 4 c;Fo-rFCH CONSULTANTS, INC. (206) 747-5618 13256 N.E. 20th St. (Northup Way) #16 Fax 747-8561 Bellevue, WA 98005 DAILY FIELD REPORT TRAVEL/PREP TIME JOB NO. TIME ON SITE L2s is w. MILES TIME OFF SITE Is 41gym-Alo PAGE OF'' WEATHER VISIT6RS JOB LOCATION= P4MS%b%Wjaa 16416110 R%C.IA 4rr-., CLIENT;eOWNER �nLAMMA % LA Aamin Ls ME GENERAL CONTRACTOR GENERAL CONTRACTOR'S SUPT. PERMIT NUM13ER DATE DAY OF WEEK GRADING CONTRACTOR GRADING FOREMAN HRS. CHARGED S&SWAX&Jr e.AAAR- SPAM n"%.W e" -'Lom —Ab OF A"WK Lim fi!rs Im AS-011 - d"m mosg& Mir AWPCO- W 1AI-Te Of jf if ALLA P%'LiAgb V"436 c* NAbL Alm As M, -f-0) 33M MEE kEvo-Z Qmb am a womwm got CcwjAWM* Lim 1PAM % A mt i mu) 30 hWp=-% LAA.V= H 1;kq 13JQ A&Z t I CAM46) sole GNP AMU I jog%! 3Q Fkr4m=gr-h en bfictAp am" -n=r'%a-jL\ I ti w �A I AMU C2 C a, 16mam ROMA-# 11130K oms ft 2&1_1 kip!!VO VAQmi "x ILI ca Qb&MWID j ith -'M O&NIs 64 r "i)i- 9MN e!*j L—If ;L& M]r I sk;a- t NEXT SITE VISIT: COPY TO: SIGNATURE: k . . . ......... TRAVEL/PREP. TIME JOB NO. 4 cff F, 0 17 IF, c H (001 CONSULTANTS, INC. TIME ON SITE MILES (206)747-5618 13256 N.E. 20th St. (Northup Way) #16 TIME OFF SIT PAGE Fax 747-8561 Bellevue, WA 98005 OF WEATUCR VISITORS DAILY FIELD REPORT JOB LOCATION 19'4614 GENERAL CONTRACTOR k&cww,cx- psm GRADING CONTRACTOR ICLIENT/OWNER GENERAL CONTRACTOR'S SUPT. GRADING FOREMAN PERMIT NUM13ER DATE DAY OF WEEK 2-%5-qr. -TtAB&, HRS.CHARGED sm'Q. I NEXT SITE VISIT: C::_-� I COPY TO: SIGNATURE: IA , 'I I oEorrECH CONSULTANTS, INC. . ......... (206) 747-5618 13256 N.E. 20th St. (Northup Way) # 16 Fax 747-8561 Bellevue, WA98005 DAILY FIELD REPORT TRAVEL/PRFP TIME VL wf', Job No. q TIME ON SITE MILES TIME OFF SITE I: =A PAGE OF WEATHER dk, VISITbRS JOB LOCATION %4*0 Sr,, WMLA GENERAL CONTRACTOR GENERAL CONTRACTOR'S AA4wft= CLIENT;'OWNER SUIT. PERMIT NUMBER DATE DAY OF WEEK GRADING CONTRACTOR GRADING FOREMAN HRS.CHARGED mall tm AID AQ Pam '111wimcm— "NaAmsauo :Rlarminum.M-) 6016. 1'4 cxvssm:� J�qa WMA C SO Rpmwmit.� RECEIVED r E. B 2 PERMIT COUNTER NEXT SITE VISIT: 1c. -.RG COPY TO: Gcvmt --T�". TURE: V, kn&� CjEorrECH CONSULTANTS, INC. (206)747-5618 13256 N.E. 20th St. (Nonhup Way) # 16 Fax 747-8561 Bellevue, WA 98005 DAILY FIELD REPORT TRAVtL/PREP. TIME JOB NO. (00q TIME ON SITE MILES TIME OFF SITE a%, ou PAGE OF WEATHER "yet VISITORS JOB LOCATION i84%(p F- jkc�m NT CLIENT/ WNER 111�..a&.o PERMIT NUMBER GENERAL CONTRACTOR �<%-\ -Z GRADING CONTRACTOR GENERAL CONTRACTOR'S SUPT. vlazra-, GRADING FOREMAN DATE DAY OF WEEK HRS.CHAROED ecm -In ng&�� M, aAfAM=a&,r, a," %M&it5, I CAI I ShAIM Q wiwiss. -.Ao;x T A4AQ.% -- mb I Lm&a#.-Wm - - - - WAMC�*) -Am zA i -- - - - .--- Zama% =0:R01-mall rum lA-jemAa&[b GfGmrwc*k Aamn" 50a wrul— Ulm ILM RECEIVED M 2 9 1996 PERMITCOUNTER NEXT SITE VISIT: ��SIGNATURE: COPY TO: GoI,-smkp.,&wa.s �1� 1* h aEorrECH CONSULTANTS, INC. (206)747-5618 13256 N.E. 20th St. (Northup Way) # 16 Fax 7474561 Bellevue, WA 98005 DAILY FIELD REPORT JOB LOCATION GENERAL CONTRACTOR GENERAL CONTRACTO 44*5 40 GRADING CONTRACTOR IGRADING FOREMAN TRAVEL/PREP. TIME -.- 1k ""A . TIME ON SITE . 'I V 00 NA TIME OFF SITE lal. ao IPLA WEATHER CLIENT, SUPT. NEXT SITE VISIT: L31LL CALL., (GAW-als �xr%0&4�mu-- COPY TO: SIGNATURE: I GOL-VIDIGIZoRAL.I. I . . '-'7 7—� JOB NO. I TLE S. Gool PAGE OF VISITbRS PERMIT NUMBER DATE DAY OF WEEK tHRS.CHARGEO PROJECT REVIEW CHECKLIST P,ROJECTNAME: jQ&L PROJECT ADDRESS: PLAN CHECK RECEIPT DATE:—/O REVIEW D BY�.� (I nitial/Da td PLAN. WATER COMMENTS FIRE BLDG.- SEWER STREET ENG. Setbacks/Variance/Setback Adjustment Conditional Use Permit ADB Requirements 3 Other Zoning Requirements ...... . . . . . . 4 Underground Wiring Required Lot Slope 15% SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan 8 Plat/Subdivision Requirements Legai Description Verification ---------------------- Quit Claim/Street Dedications .1 V, Easements - Public/Private Engineering Storm Drain Review Fee :�OI Engineed 9 2.2 Inspection Fee +'A-:*� Drainage Plan (On -Site) 7A Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line 7 Open Ditch - Existing Culvert Required Culvert Size .................. Shoulder Drainage/Shale Open Runoff Catch Basin Required - - - - - ------ . . . . . . . . . . . . . . . . . . . . . ..... -:22 Driveway Slope & Vehicle Access &t- 23 Sidewalk Required M .............. . . . . . . . . . . . . . . . . . . . 24, Curb & Gutter Required Curb Cut For Driveway Required AM �oly Street Paving Required ------------- Right-Of-Way Construction Permit Required 28, Street Name Sign Required Other Signing Required 29 :30 Bond Required For Public Improvements .:,31 FEMA Map Check/Water Table 32 Side Sewer Availability ff,1� :::33 Calculate Sewer Connection'Fee If No LID # �:34 Existing Water Mairi Size :::36 Water Meter Size Service Line Size 38 Water Meter Charge Required Hydrant Required :::.:40 Hydrant Size Existing Fire Une Charge Required - Sprinkler . . . . . . . . . . Street Cut r7zo QV �-.431 Miscellaneous &-&o,u - I .Iq 4f6,.-T_r' I-, Ak.Ae 4kia-1 L�vA 4 1 " oce 4e,- -1 I/v 4,u �e A, oft,4 vo Reviewed By: AW66-� FIRE PLANNING ENGINEERING FILE:DATA1 23/PROJCKLS.SFN IF RECEIVED 0 c T 1 6 1995 " � �, v I\ u j 1, %. v I I I A 1. 1 1 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 9 28 29 RW PERMIT DATE ISSUED V-/F7f4� RECEIPT #,?117 10 30 11 31 12 32 13 PAID $ RECEIPT # DATE 33 SS PERMITIAX-13 DATE ISSUED l-/'9-1'(eRECEIPT &V-1171- 14 PAID $ RECEIPT # DATE 34 15 35 A 16 36 17 37 METER SIZ # PAID DATE,�--]" RECEIPT # 18 38 19 39 20 40 14 1 ' rx�, x,l ,L-,, 7, to -)-a ,,. APPR X LOCAMON L N 21061 WT tl N , 4 p 'IT NE —,n if I— > F,R T PE AD A6* D 4 L ANDSCA" L W" , z /IL '2: 0 1 25 T "LT W 7 In 0 j z .4 / qj� E + L fill vzr, Z2F 2 0 T irl I r.. — , FROP,022D RESIDENCE P1R5T'FLR 4EV 215.0 PT 214.75 LO�ekl R,I!LEV 2M. 'S 7 P T Pt:R tL--V 22A.1�) FT RCCF P jo j O—S j—,, rop rl..F --2.17 11 ;T GARAGE 5 ce MT5 L I �C — — — — — x Fv—c —TISk—TUNE 12' r)usr6 6RAce =V. 20-.3' 'o N 63*,2'35* W TO 21A 1 214 Q 0, Fr L &.:�p Fr Ai3c��, r, - f— i S,. 6 FT fu ... D r-r .9 Pr A - -2 It 'Tb Pr MAX Ii6f. & Zc�, r-T) Z57. i e, r-T- R E C E VV ZED 0 C T 1 3 1995 PERMIT COUNTER _75 cy, 0, 61 pie / I eyl. WJ X& j .18415- Rt&q eT9_10F_-r SITE PLAN "T V'-= acil - VAW DMJr_em--N ZEe,1P5NC--- The City of Edmonds Water Service Drawing EASEMENT NO . ...... ..................................... NEW CONSTRUCTION 9-' REPAIRS E] LID NO . .................. . ASMT. NO-- ............. OWNER .,YjRA ...... ... .. ............... 11 ............. ............... CONTRACTOR ......................... .................... - ......... ---------- ....... PERMIT NO. 74 JOB ........ ........... ------ LEGAL DESCRIPTION: LOT NO . ............ I ....................... .. BLOCK NO . ........................... .. ...... .... - . ..... . ...... Approved: PWW-0001-1 1/75 (REV.1 1178) DATE I - I. -A ...... ....................... .................... -i�: "In 142 '414 .................. ............. Bye, .. .............. *1�9 of dmonds CONSTRUCTION RIGHT -OF -WAX PERMIT. -mit Num Per ber. Issue Date: A. Address or Vicinity of Construction: 18418 High St (9620222) 890 B. Type of Work (be specific): Tnrt--;j1i sp -p 9 C� rvir C. Contractor: Washington Natural Gas Contact: Mariamne Kingsbury Mailing Address: 1122 75 St SW Everett Phone: 356-7500 ext 7596 State License #: 98203 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. [3 Commercial El Subdivision F1 City Project [J Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family E] Single Family E] Other INSPECTOR: I14SPECTOR: r. ravement or %-unruru %-ut L-J 1 cz b.&-4u %J. OIZZ V1 %-UL. A in. %-UdIg" APPLICANT TO READ ARD"'SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to'hold the City ofEdmondg &L��,.�tromi/zniE-ries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may e made against the City ofEdmondg, or any of its departments or employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit. 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 THE FINAL STREET P;tTGH IS COMPLETED BY CITY FORCES, AT WHICH TIME A 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 regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be available on site at all t *mes for inspection purposes. Sig Date: 9- nature: Age ntracior or ntY 010 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FORXITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: N C> Ac-e C.A=LT5 DISRUPTION FEE/FUND, III: RESTORATION FEE: PERMIT FEE: � TOTAL FEE: . . 30,00 COMMENTS: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO'PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) 14 Comments: I Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: 11 YES Date: Date: %A M-* P86 F4 n' Md" %%"a — Natimial GM AVVWVX)tOn EF*r9V COMMY Watermain depth Oq_ - gas main Addendum to: City of Edmonds -Right of Way Permit Application 9! or LO'-j V �ngineering Aide lashington Natural Gas l356-7500 X7596 Jh'q ,�015 17(a Z_ 02,2_)Zj 145q IS -'q/ '/7 S r)'2 0 0 Key. _W_ Water -G- Gas _SS_ Sewer _& Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 I Poo M N 1"Wwwo NaftirfilGals" AWd4Vx#OnErer9VCOffVcW Kt - - . I I 'A Watermain depth - gas main Addendum to: City of Edmonds .-Right of Way Permit Application Ciihmi ttad hv! AeLpiomp Kim 1 M'FFLOLJD ngineering Aide ashington Natural Gas 356-7500 X7596 -,)05 C76z- C-?2.,?--Jz-j gq /Op S 0 Key: _W_ Water -G- Gas _SS_ Sewer Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 ,5 �Id D4y,5 CITY OF EDMONDS SIDE SEWER PERMIT 18 90 9 o, PERMIT tq2 3763 Address of Construction: _klczl� Property Legal Description (include all easements): :1� 14 c-) Yy\ (�s A Owner and/or Contractor: State License No. ('-) b I D* b �� I's � C 5 Building Permit No. O/Single Family El Multi -Family (No. of Units-) El Commercial 0 Public WOIRKS DF v Invasion into City Right -of -Way: El No 2(/Yes RW Construction Permit No. Cross other Private Property: dNo El Yes Attach legal description and copy of recorded easement '. 'r I certify that I have read and shall comply with all city requirements as indicated on the back of the Permit Card. Y/,/ "� 15?t, Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION :OFFICE'USE ONLT'' FOR INSPECTION CALL 771-8111M, PUBLIC WORKS DEPT. 40-:935' Permit Fee: '70 Issued By S, Trunk Charge: 625� Date Issued: Assessment Fee: /0 Receipt No.: Lid No.: - Partial Inspection: Comments Date -Initial Reason Rejected: Date," Initial Final Inspection Approved: Dati__Lz_�&Initia ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Apphcant Revised 3!90 The City of Edmonds Side Sewer Drawing EASEMENT NO NEW CONSTRUCTION REPAIRS F� . ............................................ LID NO . .................. IASMT. NO... � ............... OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS .... ... 61 ... ...... Qi� ........ ----- LEGAL DESCRIPTION: LOT NO . .......................... ........... BLOCK NO . .................................... LPT-y-c- C-0 . 4 PWW-0001-1 1175 (REVA 1/78) 3 Ar l0k. b -,L� NAMEOF ADDITION ....................................................................................................................... :z 3 q7 t;l .1 -p�' c- , ---z -c, (- 10 4!;, C�'/Pv-c- C,0. :0 0 ?&v>?- ?; 4 -I-- FinI v\f4.Ts-eL Mrrz�a- . i1pprovea: .......... By ..... ....................... 1741 �4,7-;];;A �, City:, of Edmonds r�7 RIGHT-01�-WAY CONSTRUCTION PERMIT Permit Number. (a — Issue Date: A. Address orolicinity of Construction: 18418 At-( 'S�-T-- B.'Type of Work (be specific): f, 9 �(AWb - bi /d, R A) 'Co R N'6 U) L) r, 7 r� Z: Qr�-ro(tE P,/(,,) UPON CUA4P.- C. Contractor: 511JO. Co. Pub Contact: . Isr) L% K& KA Mailing Address: 2- 10 ik iA ux-1 q Phone: L70- 3214- State License #: 15 t� m o" r-% K 1, u) A 0,? 6 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. [3 Commercial F] Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, WATER) F1 Multi -Family El Single Family Other INSPECTOR: INSPECTOR: 17. Pavement or Concrete Cut D Yes ANO G. Size of Cut: x H. ' Charge $ APPLICANT TO READ AND 4GN INDEMNITY. Applicant understands and by his signature to this application, agrees to luild the City ofEdmonds harnRe8s from injuries, damages, or 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 employees, includidgor not limitedto thedefen8eofany legalproceeding8 including defense costs, andattorneyfees by reason ofgranting thi8permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIONFEES WILL BEHELD UNTIL THE FINALSTREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. 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 regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I ha ue read the aboue statements and understand the permit requirements and the pink copy of thepermit will be auailable on site at all times figr inspection purposes. Signature.. Date: 7- -20 C (Contractor , P P -1i re n-0 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY -USE ONLY,, APPROVED BY. RIG14T OFwAY DEPOSIT TIME AUTHORIZED-1,,1V0ID:AFT.ER, DAYS, 'DISRUPTIONFEE/FUND Ill: SPECIAL CONDITIONS:,-,,, RESTORATION FEE: - PERMIT FEE:. TOTAL FEE: COMMENTS: RECEIPT FEE - DATE: ISSUED BY: I 4t NO WORK SHALL BEGIN PRIOR TO PERMIT NSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund Ill Route copy to Street Dept.) El YES Date: Date: El NO W.— .. ..... 4411-e - C. City of Edmonds RIGHT-OF*Vy CONSTRUCTION TERMIT Permit Number. MAY 13 1996 Issue Date: w4oahlaM(Lt' of Construction: 18418 High Street GTE to place, operate, and maintain a buried service wire 890 199 1 kbespw vje om ex st, ng-ple v2.2.43 located aL lo-tvv HICIn treet t�jZ usouth to a residence at 18418 High Street. GTE to plow 190 feet, 'a3nd push one road 25 feet. 390 to-t- — Mary A Bower, Permit Coord. Contractor GTE Northwest Incorporated Contact: r)pnni- AlpxAndpr 771-qO'A$; mr mnhils- 'AAR-111; 2312C W Casino Rd Phone: Mailing Address: F—rett, )4A 98204-1400 Mapy 296A88 1628 State,License #: Liability Insurance: Bond: $ D. Buildipg Permit # (if applicable):. E. 0 Commercial E] Subdivision E] Multi -Family E] Single Family INSPECTOR: F. Pavement or Concrete Cut: 0 Yes UNo Please see attached sketch. Side Sewer Permit # (if applicable): El CityProject a Utility , CABLE, WATER) Lj Other 21.00-�WOOIDB 242310 INSPECTOR: L,_) L,,,4,,,AA G. Size of Cut: 'Z 'x APPL'ICAN'T TO- READ AWSIGN H. Chargq�,$ INDEMNITY. Applicant understands and by his signature to this application, agrees to hok\1 he City ofEdmondg harml6s from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made agqinat the City of Edmonds, or any of its departments or employees, including or not limited to the defense ofany legalproceeding8 including defense costs, and attorney fees by reason ofgranting thispermit. 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 THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. 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 regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the abovestatements _DA.(4nderstand the permit requirements and thepink copyof thepermit willbe available on site a s c * n purposes. Signature: `= �r I John H. StAWArt Date: May 7, 1996 (Contractor or Agent) O'prns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER I IFAIL-DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: RESTORATION FEE: PERMIT FEE: 00 TOTAL FEE: COMMENTS: RECEIPT FEE: DATE:- JSSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES I Comments: I Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: LEGEND tt-jr.;W, 4 PERMIT SUBMITTED BY GTE Lp -- - - - - - - - - - - - - - - - - - - - - - pgV DRIUE ------------ PEDS a POLES 0 ROAD BORES OvF-RHEAD LIN I.Q. UTILITV P TH LE C:3 UG TRENCHING GT— R.O.W. EOP ro W (1) ru CA ()G p T14E FOLLOWING INFO TO BE PROVIDED D E-A D END DUL ND THE UTILITY UNDER ROAD CUTS. 6 RIGHT OF WAY LINES.EOP ORFACE OF CURB.EXISTING SIDEWALK. POLES. ROAD CUTS A �o ABOVE GROUND FACILITIES.(Ie:) PEDS.BOXES.CASINETS. ETC.,UNDERGROUND TRENCHING AND OVERHEAD LINES. 9 FOOTAGE OF WORK IN R.O.W. LEGEND w-f-jol I - PERMIT SUBMITTED By GTE LP CA -- - - - - - - - - - - - - - - - - - - - - - PRU [)Klut: ----------------------- PEDS 0 POLES 0 ROAD BORES OVERHEAD LINES--- I.D.UTILITV POTHOLE M UE TREkCHJNG --UGT— R.O.W. EOP I I so N T14E FOLLOWING INFO TO BE PROWDED DFA D END DRIUL TS AND THE UTILITY UNDER ROAD CUTS. RIGHT OF WAY LINES.EOP OR FACE OF CURB. EXISTING SIOEWALK. POLES. ROAD CU OUND TRENCHING AND OVERHEAD LINES. ABOVE GROUND FACILITIESX60 PEDS.SOXES.CASINETS. ETC.,UNDERGR FOC)TAGE OF WORK IN R.O.W. I ro ro LOGEND w-le. ol I - PERMIT SUBMITTED BY GTE cp -- - - - - - - - - - - - - - - - - - - - - - pgV DRIUE /4�e'0�e, ell PEDS 0 POLES 0 ROAD BORES OVERwEAD LINES� I.O.UTILITV POTHOLE 1=3 UG TREKCHJNG ----tJGT- R.O.W. EOP THE FOLLOWING INFO TO BE PROVIOED DEA D END DKIUL AND THEUTILITY UNDER ROAD CUTS- jS RIGHT OF WAY LINES.EOP ORFACE OF CURB9EXISTING SIOEWALK. POLES# ROAD CUTS AND OVERHEAD LINES. ABOVE GROUND FACILITIES,(16-0) PEDS.BOXES.CASINETS9 ETC.VUNDERGROUND TRENCHING FOOTAGE OF WORK IN R.O.W. a MEN* ammom—pomm City of Edmonds RIGHT-OF-WAY CONSTRUCTION Permit Number. PERMIT 04: �3 Wue Date: A. Address or Vicinity of Construction: 64-19 L6 890 9 C�'�' B. Type of Work (be specific):Slbe-S&Wg_�L I_OCA-Te_01A,��774,Kl_ 6,w,jt�Q, C. Contractor: G 0 L D V *x Contact: DArtJ Mailing Address: -3 Phone: 13 (6 5-& 6 _,3 ;70 M_ State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit *(if applicable): 97 (C 3 E. El Commercial El Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) n Multi -Family Fr"Single Family E] Other INSPECTOR: A- C_ 114SPECTOR: F. Pavement or Concrete Cut - 0 Yes 19(No G. Size of Cut: 7 x H. Chargq_$ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City ofEdmondgharmlessfrom injuries, damages, or 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 employees, including or not limited to the'defense ofany legal proceedings including defense costs, and attorney fees by reason ofgranting thispermit. 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 THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A 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 regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be available on site at all times for inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY 'APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND,-1,11-. !'.'��_'�RESTORATION FEE:' SPECIAL CONDITIONS. ^/V '770 AJ OIL &P77_P�`, . PERMIT FEE: 00 TOTALFEE: COMMENTS: RECEIPT FEE: -ISSUED DA TEOal BY:426,41- NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: E] NO 73 71- "-A RI 206.2 7*, KEV. "a r ly- CAA v J. Pvi,�GHT,JNE > 16* FIR X-o LA��E :r, 2 c 25 T IF T W/ W45wel "MF"c 0 T, ",L IRIT)�l 4f + 1 1/2- 11 T ASPK L -0 IT Frio? stzD RNSIDUNCZ eLeV -'M.57 FT 'L 4LV 215.0 IT =17*111 !.L'-V 22,1.�) FT -4 TOP W, w,,F :!,, , F JI OARAOR I v Fv-C 7*-,�T L,�?— -- — — — — — — — L I RECEllveo OCT 1 3 1995 PERM11- COUNTER . IV 75 00. 36' FIR T �P I %M%AY 2 MR, L exibr OATUA :L.-v. -6.53 m lt� I 5T t)6 10 ro "ov 0 TA Kl�jm- i�PkOVED BY PLA14NING � A �-T I&. -Sp Fr mks WR� cc Z'sp.6 Pr erP—,VF-T 2.1q,?i pr JS51.-9 FT A Pr S 17 E P L A N Lor%j%j'---4o MAX FW�. & Zro FT) r Z37. ci e, t--r CITY OF EDMONDS 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination of Nonsignificance (DNS) MITIGATED DETERMINATION OF NONSIGNIFICANCE Description of proposal: Grading approximately 880 cubic yards for construction of a new single-family residence. (Building Permit Application File A 95-184). Proponent: Herman van Deursen Location of proposal, including street address if any: 18418 High Street, Edmonds, Washington Lead agency: CITY OF EDMONDS The lead agency for this proposal has detennined that it does not have a probable significant adverse impact on the environment. An environmental, impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. There is no comment period f6r this DNS. XX This MDNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by .1995. Responsible Official: Jeffrey S. Wilson Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds, WA 98020 Date.: Signature: XX You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than 1995, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the procedures for SEPA appeals. XX Posted on 1995, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: XX Department of Ecology XX Ray Ernst (agent) Environmental Review Section 755 Bellevue Avenue E P.O. Box 47703 Seattle, WA 98102 Olympia, WA 98504-7703 XX Herman van Deursen (applicant) XX Department of Fish& Wildlife 18416 High Street 16018 Mill Creek Boulevard Edmonds, WA 98020 Mill Creek, WA 98012 XX MITIGATING MEASURES INCORPORATED INT THE PROPOSAL: Attachments: 1. All requirements by the Department of Fish and Wildlife for wildlife protection will be automatically adopted as mitigating measures for this determination. Critical Areas Determination # CA-92-26 Environmental Checklist PC: . SEPA Notebook Page 1 of 2 MEMORANDUM CITY OF EDMONDS PLANNING DIVISION 250 5TH AVENUE NORTH, EDMONDS, WASHINGTON 98020 TO: BUILDING PERMIT APPLICATION #95-184 18418 HIGH STREET FROM: Ann Bullis, Code Enforcement Techniciano— DATE: OCTOBER 25,1995 SUBJECT: ENVIRONMENTAL DETERMINATION FOR GRADING OF APPROXIMATELY 880 CUBIC YARDS FOR CONSTRUCTION OF A NEW SINGLE FAMILY RESIDENCE. APPLICANT: HERMAN VAN DEURSEN. I have had the opportunity to visit the subject site, review the environmental checklist, and Critical Areas Determination, a copy of which are filed in the official file for this permit. The majority of the site is flat, with the west 50 feet of the property sloping approximately 37%. There is a small portion of the lot over 40%, but it is not considered a critical area as defined in ECDC Chapter 20.15B. A geotechnical report is apparently not required by Building Department due to the 13% overall slope of lot. In response to item #5, 1 saw no eagle or eagle's nest on site, however, there is a known eagle's nest approximately 1/4 mile from the site. Therefore, based on my review of all available information and adopted policies of the City, I recommend that a mitigated determination of nonsignificance be issued, with the following mitigation measure: 1. All requirements by the Department of Fish and Wildlife for wildlife protection will be automatically adopted as mitigating measures for this determination. Review by Responsible Official: Iconcur I do not concur Comments: Jeffrey S. Wilson, AICP Date Responsible Official Attachments PC: FILE NO. 95-98 Page 2 of (((FILE #)))EN/(((DATE))).SEPA PLANNING DATA SITE ADDRESS:16418 6611f SE. -DATE: 1012''16, ZONING: , 1�� - I?, PLAN CHK#: q6-,, PROJECT DESCRIPTION: SETBACKS: Required Setbacks: Front: Left Side: /E>'Right Side: Rear: 25 Actual Setbacks: , ( 14 Front: -51-3 " Left Side: 10 5 Right Side: I Rear: 4-4 CORNERLOT �p LEGAL NONCONFORMING LAND USE DETERMINATION ISSUE LOT COVERAGE: Maximum Allowed:.5 9 ?D.1 L�5 0 Actual: BUILDING HEIGHT: -PATIM, -pr - umTv�-_ mema,(P_ stvteer MaximumAllowed: 3-7AN 'Z5") ActualHeight: SUBDIVISION: LL-A- 5-242- -102- CRITICAL AREAS#: CA .- IT2 -21(0 SEPA DETERMINATION: LOT AREA: 1'7, r) 94� I OTHER: I � 8 9 0 . 1 911 CITY OF EDMONDS LAURA M. HALL 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works * Planning * Parks and Recreation Engineering October 12, 1995 RECEIVED Herman Van Deursen 0 C T 1 3 1995 18416 High Street Edmonds, WA 98020 PERMITCOUNTER Subject: ASSIGNMENT OF HEARING DATE Dear Mr. Van Deursen: Your application is now complete and has been scheduled for issuance of a decision on the date listed below. Action: Lot Line Adiustment File No. Assigned: S-95-162 Date of Decision: October 20, 1995 Decision Maker: Hearing Officer If you have any further questions, please do not hesitate to contact Ann Bullis, Project Planner at 771- 0220. Sincerely, Community Services Department - Planning Division Je ey S. Wilson, AICP Current Planning Supervisor pc: File No. S-95-162 Ann Bullis, Project Planner ,VRay Ernst, Architect, 755 Bellevue East, Seattle, WA 98102 0. 95-162HIMOC Incorporated August 11, 1890 0 10/1 2n5.COR REM RNOrnC E Sister Cities International — Hekinan, Japan STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNM d&�ZMAAI VAIV 1-10K-'�EN ADDRESS Ig.1-lb e7- IMPERVIOUS AREA - 4-7q69 CALC BY: I-A\l e PHONE: 324. DATE: '"DESIGN DATA ***** PIPE DIA # PIPE LG -!5f� ORIFICE ED GRAVEL JTFLOW TRENCH MIN IV LONG TOP AND 4"PERk 14PE TO BE LEVEL 206; rm" COVER E K !ZCE IK MI RIM ELEV- Z*MAX COVERIJ IrM C=OL -OUTLET sj�' " Ire W" -4-PERF PIPE W/CAPS W1.-M SLWE PIPE ROM W LE z ORIM RUNOFF SPREADER 0/. 25 OUTLET 1"V FLEV 1W LXEV-�!-- 4AWR CA rcH CONrRO1. CAMN BASIN BASIN 2's 2'K S"DEEP, 4- G* OUARRY SPALLS x2)er DEEP, 3/4'CRUSHED ROCK SYSTEM CROSS SECTION FROM COI�NTROMXL OUTLE T RIPRAP OUTLET FtEcEIVE 0 OCT 1 3 i�-" bi 4i PERMIT COUNTEP FOOTING D"NS SHALL NOT BE, CONNECTE, D TO DE TE NTION SYSTEM NOTES.- 1. Call Engineering Division (771-0220) 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 -7 AW 'I!r responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. Ile outlet control orifice DA TE, must be kept open at all times. —1— 6 - -k PERMIT APPLICATION REQUIREMEMS To: Applicant From: Lyle Chrisman, Engineering Ifispector 0"" Plan Check No: '71 IJW Address:-- 03 t Date: q S7 Auff fmcw Ot me -subject Permit application, the following requirements must be met 1. Construction hours are: WEEKDAYS — 7:00 A.M,40:00 P-hLWEEKENDSIHOLIDAYS — 10:00 AbL.6:00 P.bL 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 1&60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner Is responsible for containing all temporary runoff and crosion control on site. (ECDC 1830.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUIMER/OWNER IS RESPONSIBLE FOR IDENTWYING CONDITIONS ON THE DRAWING. (ECDC 1&30-50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSMUCnON. (ECDC 18.30) 7- INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYMMS, TIGHTIZM AND CATCH BASIN INSTAUATION- INSPECTIONS ARE REQUIRED PRIOR TO BACKFILMG. (zcDC 1&30) 8. Repair or replace all defwdve existing curk gutter and sidewalk adjacent to tha property. Ifan Intersectlon is Involv4 a handicap ramp mayberequitvd. Contractorshall meet with the City Engineering staffto ddermine die 009 0frepair prior to issuance ofthe permit. C"Mc 1&90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to - 0/6. (ECDC IUU60D) 10- Driveways must be Paved rmm VOPeflY line to City RIGHT-OF-WAY. A separate permit is requhv& MCDC IU0.060C) 11- INSPEC17ONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIORTO AND AFTER POURING. (ECDC1830) 12. No burning of construction refuse without a permit from the Hre Department. M Connection to City water system is require& There Is a separate charge for the weer mew. (ECDC7.20) 14. A back water valve ls; required if downstairs plumbing is below the elevatiort of upstreats manhole.. (ECDC 7.20) 15. Water and sewer main Hues should be separated by 10 fed minhnum. (ECDC 1&10) 16. Connectii- th City sanitary system Is Fen paW yes — No --7. Charge .750 (ECDC I&Iq. 17- UndaVound wiring is required on aU new Wnstruedon. and for addition% alterations, and repalm that exceed 50% of the total assessecl value of the sttuctum (ECDC 1&90 9. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR To THE BUILDING DIMON GRANTING OCCUPANCY OFTHE BUILDING ORSTRucrT!T?r I LE 16 cer qV 0 0 W 0 0 W wl Coe ul 20 C4 C4 -0 A A A C4 C4 C4 0 0 .2iq,C 4zx 1,+,-- -(05 4-S 4. =I .1.) =6.Z, leg, 10 94� + 4 2t� 57. Z- 5.16 A I . �&o,4 - 7 T I El 6,90-19-9 City of Edmonds 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. Ile 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. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Herman & Hendrika C.van Delirsen Name o vrn e r s Title 18416 Hizh Street Street Address Edmonds, '.VA 98020 774-9138 City, State, �IP Phone 16/92 Signature Date Applicant Representative: Narne Title Street Address City, State, ZIP Phone Signature - Date Critical Areas Checklist Site Information Parcel B, a portion of Project Name: Tracts 1&2. Block 1. PermitNumber: Seah-arst Site Location: Property Tax Account Number. 5656-001-001-0102 Approximate Site Size (aaAmistisquare feet): 14,900 Have you filled out a Critical Areas Checklist for a project on this site before? no General Site Conditions 1. Has the site been cleared or logged? Peer- kAQ->, Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? -IT 13 3. 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 of horizontal distance.) X Steep: grades of greater than 30% present on site. Comments Woald Plan to blaild a rock wall Hydrology/Vegetation 4. Site contains,areas of year-round standing water 5. Site contains areas of seasonal standing water V�� —Approx. Depth: 6. Site is in the floodway W�� floodplain V�,E- f a water course. 7. Site contains a creek or an area where water flows across the grounds surface? vtz-flows are year-round? Vc- Flows are seasonal? 8. Site is pri marily: forested ;meadow shrubs ;rnixed X 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: -Vk,,,— City of Edmonds Critical Areas Determination Applicant: Herman & Hendrika Van Determination #: CA-92-26 Deursen Project Name: L Permit Winber: Site Location: 18416 High St Property Tax Acct #: Project Description: New Residence. Waiver Criteria (all criteria must be found to apply): xxx There will be no alteration of the Critical Area or its required buffers; xxx The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives.and requirements of the Critical Areas ordinance; xxx The development proposal meets the minimum standards of the Critical Areas ordinance', xxx The above findings are based on the following conditions of approval: r---.) 1. The slope on the west of the. pro p*erty is to be delineated by a topographical survey and submitted to thi'Flanning Division prior to the application for a building permit. 2. No construction is to occur to the west of the top of the slope Based on the above findings -and conditions, the requirement for a Critical Areas Study associated with this development permit is -hereby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Development Code. ICN 00 (P,—) 15 --,. 1;�� L_ Name JaturP Bate LOT LINE ADJUSTMENT FOR HERMAN VAN DEURSEN IN GOWT LOT 2, (SE 1/4, NE 1/4), SEC. 1 T27N,, R3E, CITY OF EDMONDS, WASHINGTONI P.U.D. EASEMENT A.F. NO. 6036�05�: 2100 0 GARAGE DELTA 2*30' 01" RADIUS 13�5.40- LENGTH 60.80' 0 /Iv 18.4 'G -Z ;'6.31 co CIV W.M. (Dop'll ftceiv ,e,o OCT 13 1995 PERuircolifijr 25, 20, 00 N1 W 5 NEW LOT V !�INE BM, SPIKE IN ST BASE OF 38" CEDAR E'l ml I)i'Z s, 00 —ev 25, p t\ co 80.08) 37-25' N83-32'35"W 175.96, LEGEN EXIST. HOUSE SANITARY SEWER EASEMENT A.F. NO. 2043637 APPROX. LOCATION Z 0) C5 -Z ED TBM, W CORNER OF TER METER EL = 215.53' 0 EXISTING REBAR & CAP #4561 SCALE IN FEET SET REBAR & CAP #7892 40 0 40 80 + SET LINE STAKE WITH TACK AND WASHER #7892 EXISTING PROPERTY LINE PROPOSED HOUSE ENVELOPE BOUNDARY EASEMENTS DATUM: CITY OF EDMONDS MEAN LOWER LOW WATER BENCHMARK: INVERT OF SANITARY SEWER MANHOLE NO. 209 ELEVATION: 207.00 FEET. LEGAL DESCRIPTIONS ATTACHED LAND SURVEYOR'S CERTIFICATE: THIS SHORT PLAT CORRECTLY REPRESENTS A SURVEY MADE BY ME OR UNDER MY DIRECTION IN CONFORMANCE WITH THE REQUIREMENTS OF APPROPRIATE STATE AND COUNTY STMATND ORDINANCE. Z±f DATE 'RE' �'-77 q.. 19031 33rd Ave. W., Suite 301 Lynnwood, WA 98036-6638 206/775-3434 Ste 01 WAs t 700 ,�,t7892 LAIAD EXPIRES 11/11/97 FILE NO. 22-95-015 DATE 9-26-95 SHEET 1 OF 1 SCALE 1" = 40' F.B. 714, PG. 70 DR. AWP CH. RLS or CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME NAME OF BUSINESS RL-1 9AAAA1 VAN LkUr,5aN Z MAILING ADDRESS Z R14pq 6=C-&7� 0 CITY L11 7f—ELEPHONE NUMBER 47 E 9AY jFIlZ/V!F, 75! CI.TY ZIP T F4"HONE NUMBER = 1 '94 1.!5el4m, 610-L 11� ADDRESS 7 -7,7 0 - .4 CITY ZIP TELEPHONE NUMBEF1 )?4f I i//j -r t;.-' --A -7-4: : ", !, ;1 ;J�TE LICENSE NUMBER EXPIRATION DATE C 6 -egal Description ot Property - include all easements AZZL 5, ARVT-770V OFT RACTS N *-� /, _tNa4aM wA t5d,N I rA rZY _5Z A-r Me). 9043627 Property Tax Account 676 00/ 00/ 0/,OZ Parcel No. 56 NEW FRI RESIDENTIAL IK PLUMBING ADDITION COMMERCIAL 10 MECHANICAL 0 REMODEL APT. BLDG. El SIGN FENCE REPAIR CYOS. E] I x_ FT) DEMOLISH SWIM POOL INSERT HOT TUB/SPA GARAGE RETAINING WALL/ CMPOAT ROCKEAY RENEWAL I — (TYPE 5F USE, BUSINESS OR ACTIVITY) EXPLAIN: SIIV6�4= )"AM LIZOE I CRITICAL NUMBER NUMBER OF OF - DWELLING AREAS STORIES 2 NUMBER,44-1,2'-26 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) em5ricocr N4� W W1 --- ArrAcHa::) USE ZONE JOB RIESS PERMIT NUMBER 956720 - . I SUITE APT a -7 fir, "IT ,EGAL DESCRIPTION CHECK SUBDIVISION NO .S _, J;.� _ 167, LID NO 0-0 PUBLIC RIGIJT PF WAY PER OFFICIAL STREEY MAP. TESCP Approved RW Permit Required 0 N9 EXISTING !q*a REQUIRED OEDICATIONP Street Use Permit Req'd 13 Inspection Required PROPOSED Sidewalk Required METER)SIZ§ Xm Sir 7 LINE AIZE NO. OF FIXTURES PRV REQUIRED Y NO 13 REMARKS o (4 T1 tJ ENGINEERING MEMO DATED KOV FIRE MEMO DATED SIGN AREA SEPA REVIEW ALLOWED 1, PROPOSED COMPLETE 1EXEMPT ADS NO. /W/f EXP 1/f/1451 1 ABIt . VARIANCE OR CU By I I 'JATE cc W Z a: w Ld Z 5 Z W SETBAC9S — FEET HEIGHT I LOT COVFRA .') REAR2C - _W I FRONT '�)g) SIDE ( C �512_5 'HECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT 9 GRY /V 1 4 1 / 3 91PECIAL INSPECTOR I'VEA REQUIRED C3 YES PROGRESS INSPECTIONS PER USC 305 5'r�& 4�r e,4A4q 61 F. 4A FINAL INSPECTION REQUIRED ,zor szam Amwo 0 PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % PLUMBING Plan Check No. !25-/(e 4- MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENO. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington. its officials, employees, and agents from any and all claims for damages of whatever nature arising directly or Indirectly from the Issuance of this permit."f�suance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance PLAN CHECK DEPOSIT 01 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." n at I he I hereby acknowledge that I have read this application; that the I ' the ATTENTION or th d u I y information given is correct; and that I am the owner, or tho duly I n'O th C It y and a authorized agent of the owner. I agree to comply with city and u I THIS PERMIT rk au I ho ri Z_ stat e laws regulating construction; and In doing the work authoriz- st at AUTHORIZES f L ed thereby, no person will be employed in violation of the Labor ONLY THE WORK NOTED C mp s Code of the State of Washington relating to Workmen's Compensa- tion Insurance and RCW 18.27. INSPECTION ED SIGNA NER OR AG T — DA I N / 5- Pr DEPARTMENT CITY OF I k�4 A EDMONDS CALL FOR ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE BEEN MADE AND APPROVAL OR 771-0220 UNTIL,A FINAL INSPECTIONI,,HAS HAS BEEN GRANTED. UBC A C�9TIFICATE OF OCCUPANCY CHARTER 3. XF A03 MAL W EFTM APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. ICIAL'S SIANATURE I DAJE DATE ORIGINAL — File YELLOW — inspector PINK — Owner GOLD — Assessor Z Z .;.w b- -PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV.17/87. LOCATION 11.94 .1 'R _sou-iLq CoLarry, ,AREA POLE' -KO. AE 1/4 S 13 T -27 R S DATE co. W.O. No'. :32-- REASON FOR WORK —'I:: fJ t -rA L L m is A 6 V AR I SER ENGINEER K&KALSY DWG. NO. I I A 11 N pe-b ro;z KRB: Cows-rusno m DRAFTER U.G. NO. CAs -REik-r SCALE DATE WORK COMPLETED APPROVED -DATE PRINTED .FOREMAN FE . ES REQ'D PRIMARY OVERHEAD 0 RESIDENTIAL 0 COMMERCIAL LEO# SECONDARY OVERHE BASIC METER/CONV,AOLE S PRIMAIRY U�KIERGROUND 0 RESIDEN L 0 COM7RCIAL BASIC FEE $ ENVIRONMENTAL. ANALYSIS 0 EXEMPT 0 NOT EXEMPT YES 0 NO PARA. 18 1 TEM C 7 O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CK T. FT. / ____2os /=s— SECONDARY UNDERGROUND BASIC FEE 500 UNDERGROUND PLAT BASIC FEE 'Z t FT. 0 S STREET LIGHTING -t FT. 0 $ $ WORK IN RJBIff OF WAY * PRIMAY * SEPO�ADARY FT. a MISCELLANEOUS FEES VAULT S PERMIT S 00 O.H. U_G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. PERMITS (DATE GRANTED) E TREE TRIM 0 STATE 0 COUNTY 0 CITY 11 EASEMENTS [I REOUIRED El NOT REXQED DATE RELEASED FOR EIGN COKACTS E3 GTN W N# 0 CATV JPN# T r CH 0 J01 TREN GTNW & CATV J N T BORE GTNW 0 j 0 0/ & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR. REQUIREMENTS R TREE TRIM 0 PUD LOCATOR EIBACKHOE 0 FLAGGING 0 ONE CALL DATE I N DEE X POLES PLAT TOTAL DUE S _0 _ I U-MAP DATE PAID L �GS RECEIPT# E XFMR C-MAP NEW SVCE APPLICATION# ... 2_5A 7 17 -LOCATION MAP PAGE 4S4 4-S SUBSTATION CIRCUIT NO. 1'2 ;-- 3 4- S' PHASE S SoB I<AKALfq to 70 - 32 14 2 1 0 - 8'j)88 S-11 -3164- C-OR*Y (KH'15� 11S"S- 9083 0 citAD 'Scl! ARN- ACK_ F(OL a Hpwt�, tNtG .9 114 �Iro L) t4 60 1 4/0 -T- R I IP L*E X Mom Kf i-o Peo Iq 'Cokrmuous -3 " PVC '7 OD 1-62 1"MR1 1CC_ E!S:e� A AAR mms"M I - - - - - - - - - - - - - - - I I-G3 L-4041-X E-818 v1b.- Location, 27N3E13A Scale 1: 50 00 ; 31(p] 11 lilt BURY BOTTOM OF MLTER MATL N 610 BY L70 TRENCH V MAX SAN, so EWE R, a,*%S1A4EN r to N 7/-j w 10 An 7 tz- nIN w AP* .00 NO I 7�e�" 5� '110 0 31� N� 2 \4 05 TYPE I GB 40- DI No 16M wl 5 12" DE P, N zo v I FLT T llu TREN in k D IL W/ w E GRA, 0 1\4. z 3� x r + . W s Rr t 7ypl,b V 2 T'': to 4 ��R \,\A OAkAO 3 I�Z At EX I 5T I tL H M r. E f 7==W Tf4w v 7fl—ry c EXISTIG GRADE I —1- . , ]l)mv jp -- 'a CUDF ELEV. 20", 1 "p , -11m . MLMV. 20.0 oil 50, 21-20 F-L 2 J2-- 1-41 - - -- - -- - -- LEGAL DESCRAPTION 12.0 1kp 0 214 A PORTION OF TRACT51 AND 2, BL 0 CK 1, 5FAHUR5T, ACCORDING, TO THE 12.0 p.r. PLAT THEREOF RECORDED IN VOLUME 9 OF PLAT5, PArwF- qO, IN 5NOHOM15H 0 COUNTY, WASHINGTON, DESCRIBED AS FOLLOW51 COMMENCING AT THE! NORTHEAST CORNER OF TRACT 4, OF SAID BLOCK 1, G 270 25' SAID CORNER BEING A POINT ON A.CURVF TO THE LEFT WHO5E! RADIAL NCO CONL4,1 iC/,&NTf=R15F-ARS SOUTH 73*03'5q", FAST, 1,3q5.40 FEET D15TANT; AVERAGff GfZAM C,&(:;: OUT -r 10 N=..P/ U N C>F.IZ 51--� 15TI& coNroux THENCE 5 HWF-5TFRLY ALONG THE WESTERLY MARGIN OF q4TH AVE. WEST F:bUNDA .4 H L L. NW� C4RNER 213.3 FT AND THE! ARC OF SAID CURVE! THR OUGH A CENTRAL ANGLE OF. 2*30'01 , 0Nrcufz AN ARC D15TANCM OF 60.69 FEET. 5.4�, ay W C0RWR 2 1'6. FT lu c THENCE SOUTH 14*26'00" WEST, CONTINUING ALONG SAID WESTERLY t4e),�, SEE CORNER 213.0 FT MARGIN, 106.62 FEET TO THE TRUE POINT OF BFGINNING; THENCE! CONTINUING ALONG SAID WESTERLY MARGIN, SOUTH 14-26.00" WE5T,61.59 FFET; 5W CORNERL- L 209.3 FT .0 5 10 SHTE PLAN BULDING ADDRESS 18418 HIGH STREET THENCE NORTH 83*3235" WEST, 175.96 FEET; THENCE NORTH W26'00" FAST, 103.45 #r-F-T; 651.q FT THENCESOUTH 711255" EAST, 45.00 FFFT; AVG. GRADE F1 65 .01 4" 10 EDMONDS. WA 98020 THENCE NORTH 16*47,05" EAST, 17A FEET. FT - 5 0 UTH 7112"55" FAST, 53.7.3 FEET, ACCLI"TABLE TIGHTLINE MATERIAL THENCE MAX H9T (+25 FT)' F1 237.q6 FT N-1 2 ADS THENCE NORTH 16*47'05" FAST, 3.00 FEET; - I THENCE SOUTH 67*16'50" FA5T. 75.,OO.Fr-PT TO THE WESTERLY MARGIN OF Sch 40 PVC q4TH AVENUE Wr-5T, AND THE TRUE POINT OF BEGINNING. SDR 35 (ASTM D3034) 51tUATED IN THE C 0 UNTY 0 F 5N 0 H 0 MISH, STATE 0 F WA5HINrwT 0 N. IENERGY CALCULATIONS WATER SERVICE INSPECTIONS -0235 REQUIRED. CALL 771 APPROVED AS TOTAL W I NDM, R. 0. + GLAZED DOOR R. 0. 656.6 50 FT NOTED t��Nll 8TRUCTURAL NOTES REFER TO SHEET AS 17.4 x 70TAL HEATED FLOOR AF-12A 4,932 50 FT GENERAL,NOTES ENER43YL NOTES SEE W I NDOW DOOR SCHEDULES SHEET A3 BUILDI'NG DATA- DRAWIN43 INDEX STRUCTURAL ENGINEERING CONSULTANTI 1�1 1 1111 ---.! , I I L--- L ffi�MAN AND,"3�W DEURSEN ALL WORK TO CONFORM TO UNIFORM BUILDING CODE 1,1414 EDITION ALL WOW To CONFORM To THE I qq4 WASH I NrvTON STATE ENERGY CODE Owes vcm ALL � APPL I CA&LE C4MS A5 ADOPTED BY THE C I TY OF EDMisID5 UTILIZING THE PRESCRIPTIVE REQUIREVENT5 (CHAPTER 6),A5 ADOPTED BAKER'LENGINEERS Al SITE PLAR NOTES BY THE, C 11 TY OF EDMOND5., CONTACT PRSON RAY,ERNST 324-2ft DESIGN, DRAVI N65 ARE I N PART D I AGRAMMAT I C, AND DO NOT W-CE55AR I Ly STRUCTURAL 'OOR PLAN OR THE I R Ag, FIRST FL SW.M COMPLETE DETAILS OF.CON5TRUCTION, MATERIALS ALL W I NDdW5 j DOOR5, JOILNTS AND OTHER OPEN I N95 L I N, THE EXTER I OR 6628. 20h, SW LYNNWOOD. WLA PERFORMANCE, OR, I N5TALLAT I ON AND DO NOT -NECE55AR I LY SHOW HOW 'WALL SHALL -BY SEALED, CAULKED, GA5KF-TF-D OR, WMATHERMTR I PPED TO (20%77�-6666 A3 SECOND FLOOR PLAR WJNDOW AM DOM SCHEDULES C4N5TRUCTION DETAILS OR OTHER ITEMS oi= WORK, f= I xTuRest OR LIMIT AIR LEAKAGE., LEGAL SEE THIS SHEET F-OU I FTveNT MAY AFFECT ANY PART I CULAR I N5TALLAT 10N.L THESE 5HALL LOWER FLOOR PLAR FIREPLACE SECTION A4 BE ASCERTAINED BY THE CONTRACTOR AND CORRELATED TO BRING THE! ALL HEAT I N9 DUCT5, COLD AND HOT WATER P I P I I�ory I N UNHEATED AREAS SNOHOMISH COUNTY. WA :SURVEYING CONSULTANT FOUNDAT*NL PLAN PARTS TOGETHER TO A COMPLETE W-IOLF. SHALL BELWR4PPED WITH INSULATION. AS AND DETAILS TAX ACCOUNT PARCEL: 5656-001-001-0102 -DETALS ALL DIMENSIONS SHALL BE VERIFIED BY FIELD MEA5UR6eNT, AND INSULATION: ROOF/ CE I L I N95: R-30 BATT R-30 e VAULTED AS STRUCTURAL NOTES, ALL WORK LAID OUT TO PERMIT PIPF-5, VALVES, DUCTWORK, LIGHT5, WALLS: SEC. 13. REID MIDDLETON R-19 BATT TWP. 27N R. 19031 33rd AVE WEST PANELS, OTHER ITEMS OF CONSTRUCTION, TO BE LOCATED AS CLOSELY WALLS BELOW GRAM; A7 FIRST FLOOR AND DECK FRAMING PLAN LYNNWOOD. WA 98036-663 AS PO55IBLf= TO LOCATIONS 51-10M. REPORT ANY D I 5CREPANC I M5 TO I NTER I OR I NSUL R- I q OR ZONING: RS-Q THE ARCHITECT PRIOR TO COMMENCIto,,o* WITH THE WORK. EXTER I OR I N5UL R- 10 WATER RE515TANT (206) 775-3434 AS. SECOND FLOOR AND ROOFS FRAMING PLANS I BLI= FLOOR5- R- III BATT I -Off AREA: V.088 SOFT AS NORTH AM EAST EXTERIOR ELEVATIONS THE CONTRACTOR 15.Rr:5PON5 FOR ALL CONSTRUCTION MEANS AND PER I M. CX)NC. SLAB. R-10 RIGID PROJECT SITE SAFETY AND SHALL TAKE ALL PRECAUTIONARY STEPS TO P I P I Nrz, e CRAWL R-3 LOT COVERAOE BLDG FT PRINT 24t2+69()+62911 A10 SOUTH ANDVEST EXTERIOR ELEVATIONS INSURE PROTECTION FOP, JOB 51TE PERSONNEL AND PROPERTY. v- 2L8 IY* ALL GLAZING TO BE DOUBLE PANE INSULATED GLASS. LOT.AREA V.088 SOFT All BUILDING SEC11ONS A-& B-B. C-C BUILDING ENVELOPE SHALL BE WEATHERTIGHT. PROVIDE ALL NECESSARY MATER I AL5 AND LABOR TO I N5URI! WEAT�-ERT I GHTNF-55. BUILDNG AREAS: FIRST FLOOR 2412 SO FT Al2 BLA_DNGLSECTIONS D_D. E+ TYPICAL WALL SECTION WINDOWS TO MEET TESTED 'U' VALUES OF 0.40 MAXIMUM. WINDcM ALL FASTENERS, BOLT5, BRACKET5, FTC. USED FOR'EXTERIOR DETA I LED OR M5 I etAmD ON DRAw I N95 ARE AS MANUFACTURED BY SECOND FLOOR -.�'1030 SO FT AIS MISCELLANEOUS DETAILS LOCATIONS SHALL BE GALVANIZED OR OF NON-CORRO51VE M4TF-RIAL5. ANDERSEN 'AND PF1 LA BUT MAY BE 5UB5T I TUTED W I TH APPROVED EQUAL. IMMEDIATELY RJECOVER ANY PENETRATIONS OF PROTECTIVE COATINGS. LOWER, FLOM - 1490 SO FT WAC EOU I PMENT FFF I C I ENCY: MED I UM - AFUF OF 0. 76 OR H I GHF-R FFF I C I ENCY. NOTIFY THE! ARCHITECT,OF ALL INSPECTIONS AND CHANGES IN WORK. DECK MST FLR - 690,SO FT WHOLE, HOUSE AND SOURCE SPEC I F I C VENTL I LAT I ON TO BE USED TO COMPLY E I ELECTRICAL PLAN - FRST FLOOR. NOTES DIMENSIONS ARE TO FACZ OF STUD UNLF-55 NOTED OTHERWISE. W I TH 1993 WA5,H I INIGTON STATE VENT I LAT I (:N AND 1LNDOOR A I R OUAL I TY CODE. GARAGE AMA - 629 SO FT SECOND AND LOWER FLOORS E 2 ELECTRICAL PLANS oil 'RECEIVED -OCT 1 3 1.095 PERMITCOUNTER