18605 79TH PL W.PDF111111111111
6866
18605 79TH PL W
ADDRESS: ma-5
TAX ACCOUNT/PARCEL NUMBER:005/77 OaVOX7 VV
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required )Kaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #: 1?2!1
. �- I
SHORTPLAT
SIDE SEWER AS BUILT DATED: b, it &
6W
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT: BLOCK: .
LATEMP\DSrs\Fomis\Sftwt File Checklist.doc
1' 2.0 '5rA L't
HOL-L'f V4AL-Vap,
CEIVED
i u 16 2004
sl
PERMI COUNTER
,Loo,4 09rpw%.g
--�eLk-0'14 ell Z>
Size
VAYDRAtJOT
APPROVED AS NOTED
BY ENGINEERING
Date: 4/-1-z
eom0007s \N^. C)IB02/
GAS KGTER
P?,0Poi5AL
zi- kic toca +-,w OF
(o' PR I VACY
ly
�IFENCO
1-71TY OF EDMONDS
j3WG DEPARTMENT
WO R
ADW�--l)S
/.,':'PR)VEr Q
&-W 0�:� 11c
T NUMSEM
lewti
.5 x
-74+" PL.W.
w
E-
rf- 13.5--' )
#P20 CA File NoA*-11-0'q
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Lxation: 24214- �E541 't:� FL-ACF- V-;s-r
2. Property Tax Account Number: 0 0 'c7j � 7 0 0 0 0 0
3..- Approximate Site . Size (acres or square feet): 640
4. Is this site currently developed? Zyes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling- slopes on site generally less than,15%, (avertical rise of 10-feet over a horizontal
distance of 66-feet).
^A
L j
Hilly: slopes present on site of more than 15% and less 41 PW L.#§;� Of PA
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% prese' risetfZ�Iqe i a
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Q D Approx. Depth:
7. Sit e contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway N 0 floodplain &J 0 of, a w.ater course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
1.
2.
3.
4.
5.
For City Staff Use Only
Plan Check Number, if applicable?
Site is Zoned?
SCS I mapped soil type(s)? Mef-mad- UrbIR12 . JaAj &1-
Critical Areas inventory or C.A. map indicates Critical Area, on site? NOM!,
Site within designated earth subsidence landslide hazard area? /VO
DETERMINATION
Reviewed
17/6 1Y
V
VAV;Tk M
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 for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -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-oyees or officers .1-3hall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
F," APPLICATION
for LYNN PLANT
The City of Edmonds SME SEWER PERMIT EASEMENT No . ........... ..............................
NEW CONSTRUCTION C] REPAIRS r-1
OWNER ....... . ......... .........
........... ....... ...... ..................... CONTRACTOR ..... ............ ..... PERMIT No.
--- .......................................
7 .............
ADDRESS ....... 44`7 .......... LEGAL DESCRIPTION: LOT No . ................................ BLOCK No . ..................... ..................
....................................... .........................
0/7./ NAME OF ADDITION ...
........................................ a .........
. .... ................... ........................
0
I
0
APPROVED
APR zu 1867
-ft.-ft
Approved:
DATEq.-A . ............................... By IC . . ... .....................
,,t,
IF � _7
f-
'-"�-'CITY,�OF EDMONDS
Call P Rospect 0-1107 xihen_.'_N%,ork-
CFVIC CENTER — WATER -SEWER DEPARTMENT Is ready for
tions Saturday, $undity o'r o"I Id ay . g.) NS 2 1 2
_SIDE SEWER PERMIT
18605 - 79th'Place West
'ADDRESS ........................................................................................................................................................................................................
Lee Todd Rus-sell.Johnson
OWNER.......................... I .................................................................... CONTRACTOR ........................ V .......................................................
Permission is granted ............... �4 .... 19fil, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
140TE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before.it has been Inspected.
Y No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends In grade shaxper than % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
fallure due to improper work which may develop within one year of completion.
t 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.
a:Y
#P20-
CA File N
Critic6l Areas. Checklist
L-,;�,Sjf�jnf6rifiafion (soilsl topography/hydrplogy/v''eg'etation)
h PL
Sitj6 Addiess/Location:
'4"
Pribp'��!Tax;,AccountNumber:
i .2. 42
few
1 00 5 Loll 0�7�1 012 11111 UP OtT, A5
3. Ap�ro�dmate Site Size (acres or square feet):
currently developed? I
4. Is this si yes; no
if yes; iow is site. developed? I M I L . I
5. Describe the general site topography. dieck all that apply.
Flat: less than 5-feet elevation'change. over entire site.
s on site generally. less than 15% (a vertical rise of .1c4&t o,v,e,,r a horizontal
Rolling: slope
distance of 66-fe elt).'
'R� Qlels �.ta
Hilly: slopes.present on site of more than 15, awr �Jirti IW% Ad-TeW)r
-01 Eul I -- - -
� & i'� I OH- -
over a horizontal distance of 33 to 66-fde4i 111 1 T , j;
Steep: grades of greater than 30% present on site (apef h
,pTI rise of 00?,etjovF�p-, prizontal-. —
distance of less than 33-feet).
Other (please describe):
6. Site c6ntains areas of year-round st�nding water: Approx". Depth:
7. Site- c 6ntairLs areas of seasonal standing 'water: Approx..Depth:
What,'season(s): of the year?
8. Site isin-the flood;v�ay fi6odplain of a water course.
9. Site cbntains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site
/—U-05
11. Obvi
Plan
3. SCS I
forested meadow shrubs mixed
ianubLdl t:U
Lis wetland is'present on site:
For City* Staff Use Only
heck Nitimberif apphcable?
�oned?
I . P�ed Sod 6rpe(s)?
A
Cri.,�Jkr V _ t r C.k ma * d* Critical Area, on site?
4 eas inven ory o p in icates
A rk�r�- r%ifP:urif-1hiYf dp-qiti-natp&imrth"Sul��id ce. andslide hazarclarea? Alo
V
WAIVER
City. of 'Edmonds
,b e vel9p merit Servic es Department,
Planning Division
ECIF.1vir-51i Lormude
Phone: 425.771.0220
I � I ,
R Mailed id 'A 06
Fax: 425.771.0221 PR
14'. 1 W89 .20 4
INA 6:%
CRITICAL ARE.AS -CHECKLIST
Mm. Tbt" 6�nt ert jhisdieT.
T11% MAimm"ast c� e��X)Orop y ow authorized rppr
'out the checklist sign'�nd!: date i� �an(
be filled out by,' any person preparin , a Development" . must fill
g
6t�e City'. The Clt:y.,will reviewthe'chec i�
Permit Application. for the City of Edmonds prior to kl
precur-�ory site visit, and make a. determinati
his/her submittal of the application to the City.
subsequent steps necessary to complete a de
The purpose of the Checklist is to enable City'staff to permit application.
determine . whether any potential Critical Areas are, or
may, be, OFFsent; on the subjqd t. property. The information 1�',Pleise submit a vicinity map, along with the si
needed 'to' 'cor efe the Checklist should be easil 'Of this form to assist City. sta,ff. in, finding* and h
PI �Y
available from observations of the site or data available at specific piece of property Aes6ribed on, this:
Cihi I H (Critical areas inventories, maps, or soil addition, the applicant shall :*include other
all
information .(e.g. site s plari, t9ppgra ohy : rri�r
studies in conjunction with this Che6ldisi to ass
UR ENT BUILDING PERMIT
'.,in 6omple'ting their preliminary assessinent of ti
,"IfIVAORMI. n I%
Jff �71%
Ml
n�d
I � copy
:atih th
-g e�
DrnL-, "In
pertinent
etc.) ! or
,tant staff
IWI VIA I IV" I
Thel undersigned applicant, MTSWM/its heffs,-Vma-assigns,, in. consideration on the processing of, the �application agrees
d ds harmless from any and all darrijes, including reasonable
to release, indemnify, defen and hold the City of Edmon
A
attorney. s fees', ani sing from any action or infractio In based in whole or! part upon false, imisie'adipg, inaccurate'or
incomplete information ts agent;s or employees.
furnished by the applicant, hiAer/i
By my signature, I cer* that the information and e�hibits herewith submitted are true and' correct to th�:bes,t of my
r, knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE oF APPLicANT/AGENT DATE
Owner's Authorization
Property
By I certify that I,have authorized the above Applicant/A ent to apply for the subject land ui�e application,
my si 9
and grant I my permission for the public officials and thestaff of the City of Edmonds to enter -the su�ject property,for the
p . urposes of irLZVection and posting attendant to this pplication.
0 6 4c
SIGNATURE 0 OWNE DATE (P
R PLEASE PRINT CLEARLY
'OWmr/Applicant: Applicant Representative:
i. Name Name
I fvn&�- -7 +1
Street Address StreetAddress
Q-A b:1
rt: City State zip city, State zip
ne -7 -7
Fi Telepho 75 0 Ce Telephone:
ErnaU address (optional): Email Address (optional):
1'?-C) '5rAL'
-T- KEE "Ir
—!bpi
Fm6
APPROVED AS NOTED
BY ENGINEERIN
U
bate:
Apwo
r
maim
(6GO 5
F- C)m 00 o's \NA. C)502jo
GAS KGTER
Te-A u- . ry - u-4 f- 6c CA4cd -P?,OPOSXL
. r'tj 1VUNIcuk— of=
pk-o� G' PR I VAC,
'FE w C'15 10
T
ICITY OF EDMONDS
bLPOLDIWG DEPARTMENT
woq"\, vcnU-
R,
ADDRE'S8,
0IMPER L)
7q-M
0"
APP30VE:DDAT -
BLI
BLD9, OTFICIAL,
F�J)ER NUMpMirul
N
1120 1
N 16 2004
IT COUNTER C-
C
-74+" PL.W.
- 11