18622 81ST AVE W.PDF11111111 lill
7350
18622 81 ST AVE W
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'Edm,onds does not warrant the
accuracy of anything set forth on these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informa tion shown on
tKe -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-1-o-yees o-r officer,--) sha-111 be lia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s),
A,� nu CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PkOsPeCt 6-1107 when work
is ready for Inspection. (No tnspec-
SIDE SEWER PERMIT tiOns Saturday, Sunday or holida,".). N? 2018
ADDRESS -----_--- IJ86-22 81st-Amenue --- we-st
OWNER .............. EdwzlrA__P.ers_-,0n ..................................... _._. CONTRACTOR ..........
lee --- Wooley ..........................................
Pernilssion is granted ----------- April -la, ......... 19 .... 67 for ........................ days to REPAM or CONNECT a side sewer
with City Sewers in accordance with application an file and governing ordinances.
ATTENTION IS CALLED 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 Contractor 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; minimum grade of 2%.
No bends in grade shaxper than % will be Permitted.
No. 4—Trenches In street must be water settled and surface of street restored to original condition.
failure due to improper work which may develop within one year of completion. Contractors shall be responsible for
NOTE No. 5--It is unla:wful 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.
Approved:
DATE ..........
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREETLILEJ1
Name: fft t(" ( To, X 00 7-7 1 00 2 0 V L10 �)—
Date:
.-T
Site Address:
Y62� 2-
Plan Check #: (?Z—v 2-- 0 5-0 Y
Project Description:
Reduced Site Plan Provided-MLP� NO)
Zoning:
Map Page:
Tcorner Lot: NO)
Flag Lot: (YES A�Do)
Critical Areas Determination #:
El Study Required -2-6
19-Waiver
SEPA Determination:
M�Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Check list 0 APO List with notarized form 4
Required Setbacks
Street:
Side:
At (0
Side:
A/
r:
:21
Actua/Setback5
Stre 6-t,
21% 2
de:
Side:
Re1r:
El Detached Structures:
El Rockeries:
El Fences/Trellises:
El Bay Windows/ Projecting Modulation:
El Stairs/Deck:
Heiglit
Datum Point:
Datum Elevation: �/,o 0
Maximu m Height Allowed:
Actual Height: 0011�2
J a
Other
P.arking. Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: hOv se— -t-- Q, /V. aj(q-�- /2- 6 Zoy �-o
ADU Created: (YES
Subdivision: q A 164, CtV
Legal Nonconforming Land Use Determination Issued: (YES
C6mments
"V
e441 0 1
3 -tO
Plan Review By:kla���1-11161g-
Planning Data Form 04-11-06.doc
CITY OF EDMONDS Im"STREET F1 E
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. eAddress or vicinity of Construction
18692 Al ANY TT
0 Owner: LTgighing 'M
'to- CIRS r,0
Name
Ras 156 Aw KT.17�
Mailing Address
Bellevue. 14A 98007
city, State, Zip Code
Kermit No.
Issue Date
0 Permit Issued To:
• Type of Work to be Done:
T"cit-pill now qpririop
• Work in Connection With:
0 Sub or Plat 'E Single Family
0 Comml. / Ind. 0 Apt. Condo.
• Pavement Cut: E] Yes 0 No
State License Number
Tt M1 1 awlin WA QR007
z
< City, State, Zip Code Telephone Number
U
::i
0.
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any 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 it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
0
U
W Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
ca following the final inspection and acceptance of the restoration by the Engineering Division.
0
0
0
o Contractor: Wnszhinotnn NAt-iiral QqR rn
Name
AOS I SA AU. W.R.,
Mailing Address
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand th I at this permit musMlevailable at the jobysife inspection purposes at all times.
:signature:' Ea /AIIYZ&-466��,iz�.�e . --L--Date - jM_Y- 2 3 : I- Q 7 0
Owner or Agen
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorlzclr-� old after days
Special Conditions:
Ammendments:
Permit Fee:— It-.114
Security Deposit:
Receipt No.:
Fund 111 Fee:
Street Cut Dimensions
X
WkWORK TO BEGIN PRIOR TO PERMIT -IS-SU.-A- INZE
Eng. Div. December 1978
FIELD INSPECTION NUTES (Fund. 111 � -9�7-i7oer conv to Street Dent .
Diagram:
Contractor called for inspection Yes (ED
T
.Alork Disanproved By: Date: By: Date:
Work Approved By: Date: /4
Inspector:
Eng. Div. December 1978
0
0
WORK ORDER
OLD CUST.
CHARGE
NEW CUST.
CASH -
NAME --se
ADDRESS.
WORK AT,
V, 1,
DATE il!Ft A�
Atilt
4961,
PLUMBING & HEATING PROM���.PA..M..
PRospect 8-1119 DATE
P. 0. BOX 216 LYNNWOOD, WASH. 98036
7 DAY - 24 HOUR SERVICE
4-04 HOtAE PHONE ,5�—,W2,?BUS. PHO%NE
CITY ---
-TENANT HOME-O'HONE
LABOR
MATOAL ONLY
AMOUNT
DAY
FROM
To
154-1
TOTAL HOURS 2—
FLAT RATE SERVICE.,
CALL $ PLEASE PAY FROM THIS INVOICE
TOTAL LABOR . $ ;)l 10,OUR CUSIO -M ERS: Se.—ce bills are due and payable upon completion of work and serviceman is ou
ho ized to receive paym nt I or -some. If service is no i Satisfactory in any way; please phone our office
immediately.
Work performed on a' about plumbing fixtures, supply lines, droinago and heoliny.syst ms,.sewers. etc., is no
,,o:jgvorontoed against stoppag
damage in the ornoval of foreign objects, backups, floodings, breakage. fractures or oozing. New fixture in ations are guaranteed agains
faulty materials or workmenship for a period of ONE YEAR from dote of installation.
Highest legal rots of interest charged after maturity. If. however, this account is no' Pal d as agreed I twel agree to pay in addition to the fare-
t e 0 y a cinst eou and - j�e d,
�oirnagb ournetosonoble attorney's lots, or if this account is placed ;n the ho n ds of 0 collection agency, I �-e) acknowledge that you will be domaied
Its mo t he extend of the collection charge ag I therefore agree to pay -to you, as liquidated ontoges, on amount aqua to
h d you on told collection by said col lecfion og ency: not ncoecl;n h I —el or fill psrce�f of the omouril,�.Talcl t' erso n. and
so a reason ob . a torn s fso� At tho.option of the holder6wot he enue aid . I
a[ arlt!" t ey is
X, , of d in the county seat h holder of this
Instrumen). . AUTHORIZ-r)
MOORE BUSI�ESS FORMS. iNC.—M CUSTOMER'S Sl_gnl� Ole
��iitqGIA UIIE
TOTAL 1AAIERIAL
TOTAL LABOR 1
PERMITS
SUB TOTAL
SALES TAX
TOTAL
STRE&C AIM -FOR DAMAGE�
FLE AUG 2'1".0
NOTICE �Crf Y Op- CD",1oj\J0S
Claim MUST be filed with City Clerk within 90
Accident or Accrual of Damage.,_i;
Provided, however, claim MUST 5.. filed with the City.Clerk within
30 days if claim.arises froi-,i def--�!ctiive sidewall".
TO THE CITY COUNC L OF THE Ul'iY (Y!`
PLEASE TAKE NOTICE', "I"i"AT (2, AV
(t m-r-ried, [-,,ive husband's name
WHO NOW RESIDES AT
(State present actual address by street, number
& city)
AND WHO FOR SIX MO!-`THS PRIO111 TO Dj��TE OF HAS RESIDED AT
Give residence by street, number and City)
CLAIMS DAMAGES OF AND FROM TIEE CITY OF E!._)!,/i0NDS IN THE] SUM OF
` "7 0
arising out of the following circumstances:
Describe Claim, giving
DATE.and TI14E injury
or damage occurred,
PLACE and full partic-:
ulars, Accurately lo-
cate and describe de-
fects causing injury or
damage and all acts
of negligence claimed.
Accurately describe
injuries or.damage
Z�)/�) z_ �2
7 �,_,2Zi Al L
(z/
A/�� 7Y A
State items of darnage
claimed. Itemize all
expenses and losses. L
/,Z
(Claim must be sworn to by claimant)
ig49ture o laimant)
and SWORN
TC befr)-c- me, 'his day of
L
Notaxty Eplic i�'a d for the State of
I.-fashin-ton, residing at
0 62:/�
P111 Provide a copy of the 1411owing ta-ble oix the drainage Plan sixect for the movosed moiect "
Line
Type
Area (square feet)
Non -Regulated
1�
Exempt
Regulated
2.
Replaced
'u
3.
41.
�ost �B77)
New (Post 1977) 4 4 4 4 4 4 4 4 4
Total Regulated Impervious Ann
Uidgation required (thi excess pf2000.jf
+
5.
6.
Total Area Mitigated by Existing Stormwater Management Systern(s)
Regulated. Area Not Yet MidgatedF
'A
H7.
Area Proposed to be Afitipted by Low Impact Development Teehnlqu�s
Area Proposed to be Mitigated through Conventional SWM Techniques
(es. porous asphalt porous concrete, paver blocks, concrete open called paving gdds,' or plastic lattices filled with turf or stone)
Revised on 31054012 E72-SWM—Erosion_Control-03.05.lZdoo
Page 5 of 12
10 1
� I
V
WSEC 2012 Washington State Energy Code O"DN
IM
Marine Zone 4
. -V�l
IZ .'46
WINDOWS (VERTICAL)
JO
FLOOR
9:&
SKYLIGHTS
.50
BELOW GRADE WALL
R-10/15/21 INT
CEILING
R-49
SLAB FLOOR
R-10 uklzr
WOOD FRAMED WALL
R-21
(Standard framing of 16 in.
o.c.
Headers with min. of R-10)
MAMA ronomw" =a 0 a 'm
rA tp
N � c9F
10
W4
14 r_1 W
r-F A 0
t�dx 110
+ 19(90z�_
a
r>
wow
twfvim - w m wn wo.
OWNERS / PROJECT ADDRESS:
7- in 00 .4
SIGVE & LEANN HELLEREN
0
PO BOX 822
:4
EDMONDS 98020
206-920-2597 Sigve
0
TAX No: 00371700 200400
LEGAL: ALBERT BALCH'S VIEW BLK2LOT4.
SCOPE OF PROJECT: GENERAL UP -GRADE OF 1961 HOUSE.
ADDITION OF (2) SMALL AREAS + 1-26.SQ FT.
BATH & OFFICE.
RE -ROOF, PAINT.
ZONE: RS — 10
LOT SIZE: 10,890 SQ FT
IMPERVIOUS: PRE-1977 (1961) RESIDENCE:
1446.5 SQFT
ATT GAR
472.5
DRIVE
1323.
PATIO
234.
TOTAL:
3,550. SQ FT
POST 1977: 126. SQ FT
LOT COVERAGE: RES + GAR: 1919. SQ FT
NEW: +M.Mu
.2W. SQ FT.
18.7%
GRADING: NONE
CRITICAL AREAS: NONE
-CONTACT DURING PERMIT PHASE:
KRISTIN HANSON
HANSON DESIGN
652 ALDER STREET
00.
EDMONDS 98020
425-774-7129
hansondesigrighotrn"ail.com
11.0
00
CONTRACTOR: OWNER.
.HEIGHT CALS: DATUM WATER METER 100.'
A. 101.'
B. 101'
C. 101.5
D. 101.
404.5 4 = 101.12'AVER
PROPOSED: 112.' MAX 126.12'
Nothiog ir, this pefrnit approvai shall lie intemr-ted as
alloWing of r)ern1jtlirl9 the ritaintpriance nif any �,Irre
&(;�;!;ng Q�qai, nonconfr.,nnng or L.nr)t,.rnnitted bit,!i(lino.
struc;L;re or Site condgionwhich is uw%L.d� �.,f lt*,� ,'cope
.�f !.�C -nit �)prl;cat
_ re;i ton. rf-, RR-flesS o; SLICh
Mlilding. �!;LJC*Pire oi condolon ib S!Iov)n �11 t�ln Site plan
;)r di a'Wing. S!JCh btJileiPq, G, CGridtiall way ne
t 11�� sti6ecl c; . separate enfut-xinietil ac9on.
D n
ZoneL_� Corner k—Flag.
Setbacks
ARej,,_qired
Actual
Front Cl 5
_2Z
?3 txj� 7
Sidesti W
_1QJ I _0
6
!tR�
_8kffl_
—
HeiKht 0-
-9 (6 TABLE ofCONTENTS Odiei
1 SITE
2 EXISTING FLOOR PLAN
3 EXISTING ELEVATIONS S EET FILE
4 PROPOSED FLOOR PLAN RECEIVED, jU
5 SECTIONS, FOUNF, FLOOR
L-NGINEERING DIVISION 6 ROOF APR 0 2 2015
P t'N =
A _PR1._1VU:D AIS NOTE 7 PROPOSED ELEVATIONS
1112� 'I DEVELOPMENT SERVICES
Date:j_ R3 8 GENERAL CONSTRUCTION NOTES. COUNTER
�DIJVN E IF311' 0fl iRl�i. (".'T0 19 S Vi 0 t� FO,
(k' i hi
El',,01 10'1' 0-