18713 88TH AVE W.PDF111111111111
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18713 88TH AVE W
ADDRESS: LZ7Z :�� i�Z- 2
TAX ACCOUNT/PARCELNUMBER: �611
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E]StudyRequired PIW-"aiver
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: -
SCALED PLOT PLAN DATED:- ?�
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: L�7w
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT: BLOCK:
LATEMP\Dsrs\Fomis\Street File Checklist.doc
DATE RECEIVED
1�7,3 [PERMIT EXPIRES
CITY OF EDMONDS
IUSE PERMIT Orr
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
,,_4, SUITE/APT#
ADDRESS
I b571
OWNER NAME/ FZSINESS —
,
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
Z9leLal,104&
MAILING ADDRESS
19713� U-4 odve,. W,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
TIESCP Approved
RW Permit Required
Street Use Permit Roq'd
Inspection Required 13
Sidewalk Required 13
CITY ZIP
ITELEPHONE
'4rdfYIDJ5
'775--.11-324
REQUIRED DEDICATION— FT
1
Untlerground
whing required 13
NAME
METER SIZE
LINE SIZE
I
NO. OF FIXTURES
1
PRV RE13UIRED
YES13 NO 0
0
3
FrZ.EO
-1
ADDRESS
I gs 1 (10 W ma-7k]l
REMARKS
OWNER/CONTRACTOR RESP014SIBLE FOR EROSION CQNTROL/DRAINAGE
z
CITY ZIP ITELEPHONE
NAME
#
EN61NEERING REVIEWEIP BY DATE
7DIiESS 7 r
All
FIRE REVIEWED BY DATE
ul
rL
CITY TELiPkOhE
ZIP
—VARIANCE OR _dW
SH RELINEORADB#
INSPECTION
Y *NO
ES
BOND
POSTED
$
STATE LICIENSE NUMBER EXPIRATION DATE By,
SEPA REVIEW
EXEMPT:'_
EXP
SIGN AREA
��ALLOWEDL PROPOSED
HEIGHT
, LLOWED PROPOSED
PROPERTY TAX ACCOUNT, PARCEL NO.
00 q3q 6 0 600
RESIDENTIA L
14EW P YMB'NG'MrECH
COMPLIANCE OR
ADDITION 4' COMMERCIAL�
CHANGE OF�USE
M ULTIFAMILY
E] HEMODEL SIGN
LOT COVERAGE
ALLOWED ... PROPOSED
REQUIRED SETBACKS (Ft.),
FRONT, SIDE REAR
.'PROPOSED SETBACKS (Fr.)
vl"Otm E Rum.
z
z
PARKIN
RECrP PROVIDED
LOTAREA 'I
PLANNING . REVIEWED -BY . OAT
GRADING FENCE
FIEPAIR CYDS
0.
REMARKS
0 T:;;7-
DEMOLISH TANK
0
GARAGE RETAININGWALL F RE SPRINKLER
CARPORT El" ROCKERY ME ALARM
(TYPE OF USE, BUSINESS CT ETXPN:
IVn-Y) t i . . . I ...
CHECKED BY
. CTION
qqRE
OCCUPANT
GROUP
NUMBER
OF
STORIES
NUMBER OF* CRITICAL
DWELLIN AREAS
UNITS NUMBER
SPECIAL INSPECTION
REQUIRED YES
AREA
116/
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTION REO'D
V 4D I- I Oki ol
VALUATION
Description
-,fEE
Description
FEE
Plan Check
State Surcharge
HEAT SIDURC�__j GLAZING % �LOT- 8 - 1�0
5 3, 3` OW
�B P City Surcharge
PLAN -CHECK NO: VESTED DATE'
_Ok6
,Plumbing.,�r
.4-
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It Or DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
23
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARAT E PERMISSION.
Engr. Review
'
PERMIT APPLICATION: ISO DAYS
CL PERMIT UMlr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INOEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMO?4DS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee
Receipt #
1 HEREEIYACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
'APPLICATION APPROVAL
THE OWNILR. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION: ANC IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
. receipt is acknowledged In space provided.
WORKMIEWS C N SATION INSURANCE AND RCW 18.27.
.
ve
SIGNATURE E O:r DATE SIGNED
1495)
OFFI CIALS SIGNAT� ERE DATE
771-0220
DATE-
ATTENTIOW
EXT 1333
%SED 6BY,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL'INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE - YELLPWAINS
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
PLANNING DATA
NAME: ah . :5 /-NAA 4---�" 1 DATE:
SITEADDRESS: 1932L�8)
PROJECT DESCRIPTION: A
REDUCED SITE PLAN PROVIDED?: No)
I
MAP PAGE: �3TO-�Z- CORNER LOT: aes /0 VtA !-Oeffew�Y No)
ZONING: ( CRITICAL AREAS DETERMINATION #:-0,t-)i 7
Ll Study Required:
,Q, Waiver
L3 Conditional Waiver
SEPA DETERMINATION:
LJ Fee
Ll Checklist
Ll APO list w/ notarized form
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
AExempt
SETBACKS:
Required Setbacks:
Street: tO' Left Side: to Riaht Side: ) C�" Rear: 1 C
�d
Actual Setbacks:
848AN Left Sidir- I 4ht e.*-0� Rear:
8�treet map checked for additional setback required? (Yes / No kWA
U DETACHED STRUCTURES:
U ROCKERIES:
Ll FENCES/TRELLISE�.----
L) BAY WINDOWS PROJECTING MODULATION:
L3 STAIRS/ DECKS:
PARKING: Required: Actual:
LOT AREA: t
LOT CO)
Calculat!
BUILDING HEIGHT: k.-�o CLJ j /� 100. G�-
Datum Point:.VA.d' C):-%S',-+'Daturn Elevation: F00 1.00 9 too. 5-
Maximum Aflowed: Actual Height: q9Y r ljP4G-7.!g2- el
I OC-,
A.D.U. CREATED?(Q/ Yes)
SUBDIVISION: cc . G-
+
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes No)
2 iE;7 - E5' LA O-At
OTHER:
Plan Review By:-9+c,,,
Newl3PP1an.ningDataFonn.D0C
7 01V9
City *Edmonds
Development' Services Depirtment
Planning Division
Phone: 425.771.0220
Fix: ; 425.771.022-1
Date RecMd:
C4 Receipt#:
Critical Areas File M,
Criticai.A'r:e"at'C'he"o'klist Fee:
Mailed.,,to Appl
ppant:
The Critical Areas Checklist contained on this form is to ArpFo , � '� ' - , hi i ;
perty o� Aer,
owner, , authorized 'representative,
prep4n- njustfill, outjhe�chec
be filled out by any peis�op. ng a klist sign
and date;it,and subrmt it
-'to:" Ity, will- fe
of Edmonds prior, . , I
Permit Application for the"'CiiY11 " C view ihe� c6ckdi� make a
his/her submittal of the application to the City. precurs site visi t,
ory -a determination *of the
and make
The purpose of the Checklist is to enable City, sta subsequent steps necessary
ff to to complete a development
determine whether any potential Critical Areas are, or permit application.'
may be, present on the subject property. The information Please submit a vicinit
. y map; along with the signed copy
needed to complite the Checklist should be easily of this form to assist City' staffin finding and locating the
available from. observations. of the site or data.avai.lable.at,, sppcific piece of proper�y. described on this form. In
city
Hall Cii e addition, "the,"'aipplicant .,sha It., include other
info on e.g. site plan, topography map, etc.) or
CU studies in conjunctiow'-with this! Check listio assistant staff
in,comptetipg,their prpliminaryassessment of the site.
W,
V I bavo 518wel vow
The undersigned applicant and his/her/its heirs, and assign�, in consideration. on the processing of the application agrees
to release, indemnify, de fend and hold the City . of - Edmonds harmless, from any and all. damages, -including reasonable
attorney's fees, arising from any action or infraction"-1based"in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/liek/itis�-- agents or employees.
By my signature, I certify 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 6e -6half of the* owner as listed below.,
SIGNATURE OF APPLIcANT/AGENT DATE
Property Owner's Authorization
By my signature, I cer* 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 tfty�.of Edinonds to enter the subject property for the
,endant to this application -
purposes of inspection and posting att
SIGNATURE OF OWNER
Owner/AppUcant:
DATE— 6X91e)—�
Name
Name
I gn 1-6 95et, A" . W. �.
Street Address
M
city State zip
Telephbne:415 -MG A=L---1
V.IYZ�
Email address (optional)
Critical Areas Checklist.doc/4.4.2003
Street Address.
City, State- zip
.'Telephone:
Email Addre�s (optional):
0
0
.,..,Criti.cal, Areas Checklist
Site jnformation:(Pofl�'/to
graphy/ hydrology/ vegetatioh)
PP
1. Site Address/Location:A&7115-0�0 Auts, (0. 6;0M,4
2., ��qperty�, Tax Account -Number:
3'. proximate Site Size" (acres or'
CA File No:
4. -Is� this site currently-develoved?i Yyes; no.
s.
Ify�ei.-,h6w is site dev.diopgd.? '15 L.%.e re-C-6 PkEN)ctF
5. Describe thegeneral site topo - 'a- h�. ChecZaTthat apply-
54eet elevi�ion,change over entire site.
9 Flat lesstfian"`�` :!ait'!.1;';'-
Rolling: slopes. on, site 11 generally. less than, 15 % (a vertical rise of 10-feet over a horizontal
distance of 66,-feet).,
more 1 16 Id less than 30%.( a vertical rise of 10-feet
Hilly; 'slopes"prese - rit"orf site of.
o v e i a ho' H. zi6fil
fitl dista'fic�e' of '3:3
sit
"ton a Peg V4 0, MM 0 a
Steep:-, �grades: of, great�eilhan 30V'pre
distance'of -lelislftin'3� Pfe6ty;` aq
Other (please describe): I V I I I
6., Site: contains areas of yqar-round's'ta'hdinjz waten" Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What,season(s)ofthe.year?--.�.,)I��:�l'.-i.i.,--
8. Site is in the floodway'.:'N 6 fi�od�lain
of a water course.
9. Site contains.a creek or.ah area where � waterflows across the grounds surface? Flows are year-round?
LLD Flows are seasonal? (What time of year?
10. Site. is. primaril�: z-16fest6a
meaao'w .,;',shrubs. mixed
urb&i.landsc'a''Pe'a'(Iiw'n,'ghiubs, e t�)
11. Obvious wetland is present oin site:
C 'Staff;,U6i�.0ffl*;--
ityF
eck'Numbdr, if iippli,cable?
2oned?
2. Site i
3. SCS mapped soil type(�)? /iLID tA�Z:, UtAt>
5LO yk*�
4. Critical, Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?"
DETERMINATION
STUDY
REQUIRED.
WAIVER
Y.
P,41�iewed b ZD C—AZ— Date:,'
Critical Areas ChecklisLdod3.19.2001
0
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
WNW
wrwww,
03-vw,arv-
A - .4
,-Date Received: C�)]C_J IU
City Receipt #:
Critical Areas File #:
Critical Areas Checklist Fee: 4MAW,
Date Mailed to Applicant: 0
A property owner, or lus/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 determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in firiding 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.
Thi undersigned applicant and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrinify, 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 furnished by the applicant his/her/its agents or employees.
By my signature, I certify 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 APPLICANTIAGENT
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 att
,Fndant.to this application.
SIGNATURE OF OWNER
Owner/Applicant:
70,
Name
I jb-1 1-6 eol-k Avis - W
Street Address
i!r?q01J0!5.
city State zip
Telephone: 4s5 --nS -44�7zeo
Email address (optional)- Ag-
. rh6A.C.061
DATE
%.,JiLy atmc Lip
Telephone:
Email Address (optional):
Critical Areas Checklistdoc/4.4.2003
f% -:.L: - - I A 0
%-*I I Llt;dl J-Xreas e dMist
Site Information (soils/ topography,
1. Site Address/Location: (6715 el!
2.
0
Property Tax Account Number:
Approximate Site Size (acres or square feet):
/vegetation)
4. Is this site currently developed? V yes; _ no.
If yes; how is site developed? 1504(lLf C--AM I L.,ke rZC-6 I CEN)C49
5. Describe the general site topography. Check all that apply.
X 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 less than 3 a ve al rise of 10-feet
over a horizontal distance of 33 P� fift a r- A� if
Af-
Steep: grades of greater than 30% prerho ej 1 &Ad
distance of less than 33-feet).
Other (please describe): 17 A I 11 (7, 0
6. Site contains areas of year-round standing water: 0 Approx. Depth:
Site contains areas of seasonal standing water:
OF. What season(s) of the year? Approx. Depth:
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?
No. Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawnshrubs; etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soff type(s)? A uc> "Tz-z, LWD L)e
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?. A-C)
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed b
D CAL— Date:
Critical Areas Checklist.dod3.19.2001
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NOTES:
- NO GRADING REQUIRED
- NO ADDITIONAL
STORM DRAINAGE
REQUIRED, MAINTAIN
EXISTING D.S.
LOCATIONS AND
DRAINAGE PATTERNS,
4Ap
qt.7."
PROJECT DATA LOT COVERAGE
OHNER RESIDENCE 1,656 S.F.
GEOFFREY* ELANE STEVENS DECKS 4 PLAY SURFACE 700 S.F.
187135BTH AVE. W
EDMONDS, WA q8206 COVERED PORCH 272 S.F.
LEGAL DESCRIPTION DRIVES AND WALKS 7W S.F.
LOT I(& EDMONDS SEAVEIW TOTAL 3,375 S.F.
TRACTS LOT AREA 1212W S.F.
PARCEL NO. PERC84T COVERAGE 27.5%
00434600001606 " EIRVIOUS AREA
HEIGHT CALCS S' 6 TREET FILE-170TAL IMPERIOUS AREA 3378.00 S.F.
A - 100.15' AVERAGE GRADE - 100.5'
B - 100.5' ACTUAL MAX ROOF HEIGHT - 445. 1 12.5,.5
F L Z. R Nj � T Qf D U
C - 100.5, MAXIMUM ROOF HEIGHT ALLOWED - 126.
D - 100.5'
Design I Construction Management
F. F. BROWN 101516 Linden Ave. N.; Shoreline, WA qB133
CITY OF EDMONDS
-w—PERMIT
1E___ NUMBER W7
CONSTRUCTION' PERMIT APPLIC
JOB
ADDRESS /07/
3 AVE
NAME (OR NAME OF BUSINESS)
-
C?
E7� J� R. M. /i
LEGAL DESCRIP��HECK
SUBDIVISION NO. LID NO,
U)
Z
MAILING ADDRESS
0
I g -11 s 00
CITY
Ej
UMBER
PUBLIC RIGHT OF WAY'PER OFFICIAL STREET MAP.
&4!:�?
EXISTING REQUIRED DEDICATION
NAME
PROPOSED
ff,elk &a
Z
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tra a
RIGHT OF WAY CONSTRUCTION PERMIT REOUIREDJ�_,�
W
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ADDRESS
STREET USE PERMIT REQUIRED 0
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0
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SEE ENGINEERING MEMO DATED
cr
CITY
TELEPHONE NUMBER
ec4h16114415
I
RE7MA
NAME
Vie- fe- C-
V
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0
ADDRESS
d
!2
METER SIZE
BUILDING SUPPLY SIZE FIXTURE
UNITS
CITY
TELEPHONE NUMBER
I I
cr.
W
Z
0
ea 41(a,
REMARKS
STATE LICENSE NUMBER
IV,5:W L lq'7C-q
SIGN AREA
ENV. REVIEW
AD13 NO..
Legal Description of Property - Include all easements
ALLOWED
PROPOSED
COMPLETE
EXEMPT
(show below or attach four copies)
SHORELINE N
Z
5_
q #
VARIANCE OR CU
PLANNING REVIEW BY
DATE
<
A/
- P
)r
YARDS
HEIGHT
LOT COVERAGE
0
W
_1
FRONT SIDE REAR
Z
Z
GT 5-6- 5_�'2
REMARKS
CL
e_01�� v evs
NEW
RESIDENTIAL
PLUMBING
ADDIALTER
COMMERCIAL
MECHANICAL
ElREPAIR 0.
RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH 1:1 OR FILL '( x_ FT)
CHECKED By
TYPE OF CONSTRUCTION CODE
I . I
HEIGHT
/
ka6
PRE -MOVE INSPJ swim
REMODEL ED
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
COMPLIANCE INSP. POOL
REQUIRED
0 YES 0 No
GROUP 9-
LOAD
INS APT.BLDG RENEWAL
F WOOD STOVE/ [:]
REMARKS
-3
Z
M60Y1141- 1176 W,,4FA,1M,6 Y �0^dp
L9
Z
0
_&VSUZ_ff_,P_
MI
NUMBER OF STORIES OF
D
Lu)
U
7wo
[NUMBER
DWELLING
D
�U
UNITS Al
0
J!:-7
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
Fk yn't U hi+
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewalks, ,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
(n
successors in interest, agrees to indemnify, defend and hold
20
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
<
whatever nature, arising directly or Indirectly from the Issuance
co -;E62-
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
/00.
modify,. waive or reduce any requirement of any city ordinance
01
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL-.
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application Is not a permit until
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or. h S
Code.of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt �s.
tign Insurance.
INSPECTION
acknowledged in space provided.
SIGN�.T,�E (OWNE
DA E SIGNED
DEPARTMENT
-?7
CITY OF
OFFICIAL'S SIGNATURE DATE
EDMONDS
ATTENTION
771-3202
-RELEASED BY: PATE -
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Ins ector 'T
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD — Asses
102-78
PRaN=, XAME:'y
16afiz- R0JBCT ADDRESS:- Z�7-439mff
----Aiv—iewecl
by- Uni tial/date)
PLANNING
wrR/swR STPtEET
ENGNMG
FIPtE
BUILDINd
SINME FAMILY/MULTIPLE/CM*MCIAL (Circl� Orie)
Pfi—Ming
LIC
SMWZXS CHEOM
VART.A=/SE`lMACK'ADj.
777777
111771117777777777
CONDITIONAL USE PM*=
////////
2
T/ T1 /7
711171771,
17171717
1111111171
ADB REQUIREMEM CHECMM
3
117177777
111177il
DIHER ZCN= R=IREMM
4
MIR
4MROMMEMAT4 MATURES
5
111111177
77111111177777111
ACCESS SLOPE & MICLE ACCESS
/////////
/////////
T7771
777777/7-1
771111111
IM1111
DRAIMM PLAN (On Site) �4al
//////
/////////
/////////
////////
1
7
v
117771
171711711
-1-R-171-11
MEET FILE
//////
/////////
////////
. 8
711171777777771
11111771711111117
LEGAL DE"IPTICIN VMFICATICN
9
77777T
11871171
711111111
7T/////7
QUIT CLAIN/DMICATIONS
/////////
////////
10
-117777117
17177111
EASEMEW - PUBTAC/PRMTE /A/
11
il
CA14ULATE SMM M0=10IN IF NO LID#
117111
-177TIT17T7T[77777T
/////////
77177171
////////
12
771771117
77R7717
PLAT/SUBDIVISIM REQUIRRMEIM
13
RTGIfT-,OF-WAY CONSTRWPION PFMIT RF4D V)
14
171177
11771117
POND REM FOR PUBLIC IMPROVMMS
//////
////////
15
SOILS CONDITMIS & GROUND
111771
-177777777'
WATER FIELD MEMO
�j
Mumv)
16
IT117TITI
LY/
STREET PAVING RWUIRED
/////////
--401
17
711111
111111771
171117117
CURB AND anTER REQUIRED
18
SIDENaJA REk)UIRED
-ITII-TITIT
19
RMY
171717117
11ITTIMI
CUM CW FOR DRTVEWAY RECO
20
/7/T/T/77
111177111
-Tl7TR7777'
bTRW.V NAME SIGN REII
21
-111177TI777"11111
OMER SICAIM REM
22
111117
111717777
77777777T77TITITI
SIDE SEWER. AVAITMILITY
//////
/////////
/////////
////////
23
EXIST= WAIIER MATN SIZE
f7TI77
777TT1777"1111111
24
1171-111111
WATER MFI41VR SIZE
25
BERVXM LIM SIZE
7 7
77TITITff
/////////
91�"
17711111
////////
M1111111
26
HYDRAW RF"ll RED
11111177T
111111117
/////////
71IM-11-
////////
27
IIT-17T
HYDRAM SIZE EXISTING
28
CROSS CONNEI INSPECTION REM
171771
11111711
////////
777TI77777
29
VATER METM CHARGE REM
77777/
77/////7/
4-56'4�-9-
7777177/
////////
////////77
30
.2!;p
11111117
FIRE LINE CHARGE REM - SPRINKLER
111111L1
31
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32
OPEN DITCH EXISTIM
dv
33
ROW
34
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7777/7fl-7
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CULVM?r REM-
35
7777/7
SIZE
36
771117
117111771
77TF17771
CATCH MSIN REM
37
//"77
111111771
117111177
INDICATED ON SITE PLAN
38
SHOMMER DIMIMGE MAMAIN
111711
SHALE OPO4 RUMFF
39
111111771
MISC:
40
EIVED
198 7:
WORKS
0
up PV_ P,
C N-rc H
E�ksl oETtV4Ti0t4 PIPE LC"C'TV4
(VtzNT)
COVCTROL LA-r(Z"
CDVFP,
17 5LOPE—
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
0VTLVr
COV4T;LOL�
-ro OUTL-E-r
(NI PRAP OR
KU NO F F
SPREADEX)
.2' 2.' SPALLS (0% ca~-)
0— Czuswco ;ZOcy
FRCSI
OL;7LE—,
C 0 Wr PLO L.
I PCR A D OUTLET
—L
F;ZC.m
C V7- =-"r-
I= -N —,AO L
*AIN 10' LONG.
'Pe -M be %-eV%rj-.
I
STAAARD DRAINAG�' PLAN
DETENTION SYSTEM
PAGE I OF 3
for
EDIr"
location- lig-711-
Enfi&n
plan by C-114AC-
phone 77S—
date- 11) 1 i*—
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Oiam Len th Di t
9 pame eC,/
1. 13405136 4 1 !A I I
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resoonsibility
of the property owner(s). Iliaterial
accumulated in the storage pipe must
be flushed out and re -moved from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
3. -r#F- iA# -m e-ffy Swem
I)CAW A'S
67 Z6 9-7
P I
01987
OCT
VEaMIT COUNTER
CITY OF EOMONOS
0
<1
fl ,
09
CCO F4 TO�
=/ - -- --- ----
Z17, i5l NMI
-C)Mo�m Tb
AS -fr=P- -
5irE Fi-AAI
'5-rN4C>Af!D T.>ZAiNACTEE fk.NW
DeTE9,1-60&�l ----4sTem
rXC-je7- OV=S -
15T-. lzS - vi,
0
CATC34 ISASI)A:
Amo"IS-30jos. T&r.(4CW LCC,.jr--rH
WUUA,L
t
r3%,CNCH CovVq
.......... ....................... . ..........
L-3 $4 Ic
-,�Frxr p1pr
TEE W/4%OW-, LEGS
LCVCL rps:Nr_m
CA.P
SYSTEM CROSS-SECTION
MIFZAFI soox
/--ALP 1�1/;= r-r
T M
6 L-L-4--
(0 6 LAY ED C
W,�,'—=,�4t:D FO- K
COVER
3A WASV(E0
GRAVEJ
401AM F—= RF P
I
on
2. .0 . -11
TRENCH CROSS-SECTIbN
RIECk�WFED
nCT J.) 0 1987
PERMIT COUNTER
*�AND'A�RD D�RAIWA�GEPL�All
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone
da te
DESIGN DATA
Trench Perc: LF per ImPerm Trench
Number Rate .1000 sq.f�,,�Area
NOTES
1. Call Engineering Division (771-3202)
Jor prebackfill and final inspections.
2. Responsibility for operation and
maintenance of draina.ge systems on
private property is the responsibility
of the Property owner(s). Preventive
.maintenance consists of preventing
Soil and other materials fren entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating naterial and
sediment at regular intervals (at least
twice per year).
CITY OF -EIZIN10NOs
0
ArCCE!55 F-ASCtAEAJ7-
��I . S-
151110111-wsl Cowoolilmlo;:-
-A
w 0 1: -SIT -:Pi-- - N
S-rAMDNOD DP-ArlNA4F- PLAA�
/NFU-7-eA7lOr4 '5Y-5TEM
*?Atd?.= z or Z
4�D i eA /Yj,'tJ d t e-+ -o r�
March 30, 1987
EDITH M31LM SHORr PLAT
rM-FILE NO. 02-87-022
PERCCLATION DATA
TL*st-Hole Soils PEECOLATION RATE AT DEPTH
Pi Alderwood Gravelly Sandy Loam 5 MIN/IN. @ 30"
P2 Alderwood Gravelly Sandy Low 6 MIWIN. @ 33"
P3 Alderwood Gravelly Sandy Loam 7 MIN/IN. @ 28"
P4 Alderwood Gravelly Sandy Lomn 5 MIWIN- @ 31".'
Recomwnd plar-ing 6n select clean fill over drywell system to meet
city standards for 12" of cover. Assuming a percolation rate of
6 MIN/IN, 28 feet of infiltration trench per 1000 sq. ft. of .
contributing inpermeable surface area is required. See city standard
plans for infiltration trench details.
CATCJ4 nA.Six:
ADO - IS-30(0 k
-n c4. L 14 Ic
f� WAZ V I
t5ffl
T&r r4Cw L CC 04CTH
W
-rl%,Ckcw covim
..................... ......
LCIVK'L 7-& Nr-m
-11�rrlkr PIPC CAP
TZE W/ 4�Lows LECS
SYSTEM CROSS-SECTION
MIPArl
TO f*F- LA—, E C> 4
wz�"-=,�:ffc) FC�r—g
COVER
I'Vi" WAS�mc
GPLAVEi
4 01AM ?—=qF P
TRENCH CROSS-SECTION
RF,CEIVED
OCT 2 01987
PERMIT COUNTER
ANDARD DRAINI,'AGE PLA14
INFILTRATION SYSTTEEM'
PAGE I OF 2
for
location
Plan by
phone
da te
DESIGN DATA
Trench Perc LF per ImPem Trench
Number Rate 1000 So.ft. Arpji D..
NOTES
Call Engineering . Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for opera -lion and
maintenance of drainage systems on
private property is the responsibility
Of the Property owner(s). Preventive
.maintenance consists of preventin'
9
Soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
H - Is? . '
I .......................... ,
CITY OF EIDIVIONos
pzAilvs.- / % sLope
19 -PEJ2�r-,--H - - 1� &
6LE7 I
s-rAmr*e-D r>P-AwAcja F�-AA�
/IVF'/I-Tr-A-rior4 -!5YSTEM
RA 6? a 2- 0 r Z
*4- bj
March 30, 1997
EDITH MI= SHORT PLAT
RMA FnZ NO. 02-9-7-022-
PERCCLATION DATA
TestnH-ole Soils PER=,ATION RATE AT DEPTH
Pi Alderwood Gravelly Sandy Loam 5 MIN/IN. @ 30"
P2 Alderwood Gravelly Sandy Loam 6 MIN/IN. @ 33"
P3 Alderwood Gravelly Sandy Loam 7 MIWIN. @ 28"
P4 Alderwood Gravelly Sandy Loam 5 MIWIN. @ 31"
Recomend placing 6" select clean fill over drywell . system to meet
city standards for 12" of cover. Assuming a percolation rate of
6 MINIIN, 28 feet of infiltration trench per 1000 sq. ft. of .
contributing impermeable surface area is required. See city standard
plans for infiltration trench details.
CITY of EDMOODS S16E SEWER P f,,R ff. 11 T
For Inspection PERMIT NO. UYS,�Oo
ST Ott 11-LE -
Address of Construction: I a � 1-2,� -
Property Legal Description (Include all easements).:
1*9�v
Owner and/or Builder:
Contractor & License No: 05's I D-
Single Family Residence X
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.) Olt Aiamqw/j
RL-EASE_'-R,EAD THE ITEMS LISTED ON THE BACK
I certify that I have rea-d and shall comply Date
with the items listed on the back. OEC 2 0 1988
Permit Fee:
Trunk Charge:
Assessment Fee:
PUBLIC WORKS
Issued By:
�'Date Issued:
Receipt No.: 2 -7 72
Partial Inspection:
Comments Date Initial
Final Inspe.ction Approved: 2,V-W �A
Date Ihitial
00
Rejected:
CD Reason
-0
a)
Ln
PERMIT MUST BE POSTED ON JOB SITE
a)
Wh.ite Copy - File Green Copy -'Inspector
Date Initial
Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ ASMT. NO . ..................
OWNER ------- ACTOR ---- ............
----------------------------------------------------------------------- CONTP --------- --------------------------------------- PERMIT NO.
JOB ADDRESS --- -- — ----- 9 3 --------- 4k)-c - - ------- V11 --------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
0
M
0
if
.ivy
Nk
PWW-0001 -11/75 (REV.1 1/78)
NAMEOF ADDITION ---------------------------- ------------------------------------------------------------------------------------------
NNWOOD. Ll
i E�
-iE,
M 13 !2�
Approved:
DATEA.2,.:� .... (31 . ......... By
....... ------ . . ..................................
NOTICE:
7 -y ... ut a
-N"O"Wa r-r a
The information shown on the attached
iled for use by the City Of
map(s) was cOMP
Edmonds,-, its Employees and Consultants.
The City of 'Ecirn.onds does not. warrant the
rth on these
accuracy of anything set fo
M a p (�-). A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform - ation shown on
ff�e -map(s)/ including, but not limited to, -h
th . e location of any sew-er stub shown. Suc
sewer stubs may or may, not exist. and may
or may not exist at the location shown.
r,ty of Edmo'nds nor its
Neitheir the Ja-b-[e for the
[0-yee-s o-r office*rs'sh-a-H be 1
emp,
information give-n' on this map(s), nor for
any one representation provided based
upon said map(s).
City of Edmond*
-OF-.W
RIGHT AY CONSTRUCTION
Permit Number -
Issue Date: 7, -1-5 9V
A. Address or Vicinity of Construction: 18713 88 Ave W.- ( 9418262
11 8 9 0 C) B. Type of Work (be specific): Install new Serv7ice
C. Contractor: -Washington Natural Gas Compan Contact: Frank Swan
MailingAddress: 815 Mercer -Strap_t,.1;,-at_,r1P Phone: 224-2278
State License #: WA 98111 Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. El Commercial EJ Subdivision El City Project K] Utility (PUD, GTE, WNG, CABLE, WATER)
rJ Multi -Family [] Single Family E] Other
INSPECTOR: INSPECTOR: 1,jA; 4 f-W
F. Pavement or Concrete Cut : D Yes IMNo G. Size of Cut: — x — H. Chargq�_$
APPLICANT TO READ AN SIGN
'D
INDEMNITY. Applicant understands and by his signature to this application, agrees to heOl e City ofEdmonds harmless f4lnfu4�65r�CV4,-., or
'J
ag� n�
claims of any,kind or description whatsoever, foreseen or unforeseen, that may be made a'g ins t the City of Edmonds, or any of its departments or
c
employees, including or not limited to the defense of any legalproceedings including defefise ts Ond attorney fees by reason ofgrqnti�g this permit.
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 ISSI TA NCF 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.
k k , �
All street cut ditches shall be patched with asphalt. or City apj�foVed material prior to the end ofthi� mLgkilng day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at al? timeglo'r; oses.
Signature: "C7 - Date: 07-11-1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR, CITY USE ONLY
APPROVED BY: WA;41, &-f RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER DAYS
SPECIAL CONDITIONS: AVA
,�? - ?
COMMENTS:
DISRUPTION FEE/FUND Ill:
RESTORATION FEE:
0, od
PERMIT FEE:
TOTAL FEE:
RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991