18805 94TH AVE W.PDFiiiiiiiiiiii
9169
18805 94TH AVE W
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j 77
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F-,�, ex*k- PATto
SITE PLAN
5CALM 1" = 20'
Ft 1-4 S.0 '
0 - 0
twerr
q
f5 W r,6:5 I m ��e LEAAt: 0. id4S of w iir, or
941-� 1g.&CT410 a*16tjpt,
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RECEIVED
FEB 2 6 19,no
PERMIT COUNTER
0 �11 t u L L, LIZ-,
F-
OMER: DR.
ADORE55: ba(
A!2S-
ALBERT H. COHEN DESIGN COMPANY TEL/FAX 425-776-7373
330 DAYTON STREET SUITE 6 EDMONDS, WASHINGTON 98020
BRAY RESIDENCE BEAM A
FAM RM CEILING Prepared by: A.H.C. Date: 8/14/98 BeamChek 2.2
Choice 6-3/4x 21 GLB 24F-V4 DF/DF BASE Fb = 2400 ADJ F
Condition
Data
At0butes
Actual
Critical
Status
Ratio
Value
Aftstmen
Min Bearing Area R1= 19.1 in 2 R2= 19.1 in 2 DL Defl 0.23 in Suggested Camber 0.34,(H""
Beam Span
22.0 ft
Reaction 1
12413 # Reaction 1 LL 792:1�
Beam Wtperft
34.45 #
Reaction 2
12413 # Reaction 2 LL 7 9�,l 4E
Beam Weight
758 #
Maximum V
12413 #
Max Moment
57835'#
Max V (Reduced)
10438 #
TL Max Defi
L/240
TL Actual Defl
L / 420
LL Max Defl
L / 360
LL Actual Defl
L / 659
Section (in')
Shear (in')
TL Defl (in)
LL Defl
496.13
141.75
0.63
0.40
274.63
71.66
1.10
0.73
OK
OK
OK
OK
55%
51%
57%
55%
Fb (psi)
Fv (psi) E (psi x mil) Fc-L (psi)
Base Values
2400
190 1.8 650
Base Adjusted
2527
219 1.8 650
Cv Volume
0.916
Cd Duration
1.15
1.15
Cr Repetitive
Ch Shear Stress
Cm Wet Use
BeamChek has automatically added the beam self -weight into the calculations.
Loa Uniform TL: 600 =A Uniform LL: 395
Point LL Point TL Distance Par Unif LL Par Unif TL Start
2113 B = 3211 4.5 325 H = 494 0 4.5
21113 C = 3211 17.5 Cj"ry CJWY 17.5 22.0
r
%5,406
I H
Uniform Load A
Pt loads:
R1 = 12413 R2 12413
SPAN = 22 FT
Uniform and partial uniform loads are lbs per lineal ft.
Note Center bearing for truss
ALBERT H. COHEN DESIGN COMPANY TEL/FAX 425-776-7373
330 DAYTON STREET SUITE 6 EDMONDS, WASHINGTON 98020
BRAY RESIDENCE
Prepared by: A.H.C� Date: 8/14/98 BeamChek 2.2
Choice F ix Hem-Fir#1 Wood Column
Condition Using values for 2x and 4x solid sawn, Dimension Lumber. NDSO In Grade Values
MO. F7
Reaction
12413 #
Column Area
25.38 in' Kf
1.00
Actual Height
8.0 ft
le dl Effective Ht
96 in C
0.80
Unbraced d1
8.0 ft
le d2 Effective Ht
96 in KcE
0.30
Unbraced d2
8.0 ft
Ke Buckling Mode
1.0 FcE
598
Fc 11 (psi) E (psi x mil
Affrihidon.,z qnrl Vaille
le/d
psi
Area (in 2)
Actual
27
489
25.38
Critical
50
547
22.69
Status
OK
OK
OK
Ratio
54%
89%
89%
Note: A wood plate under this column must have an Fc value, perpendicular to the grain, greater than 489 psi.
Notes Center bearing for truss 0." Z-�tv� (,VMA)
CITY
W,
PLANNING DATA
NAME: "R�
SITE ADDRESSO IMS' V &/e,.W-DATE:
ZONINGJ.�S-12, PLAN CHK#:
A. -
PROJECT DESCRIPTION:
CORNERLO (Yes/No)
SETBACKS:
FLAG LOT 4Z�) (Yes/�O)
Required Setbacks: /o/
Front: (L� " Left Side: Right Side: Rear:
Actual Setbacks:
Front: *-;)7' L �ft Side: Right Side: 1,V R ar
Street map checked for additionAlf setback required? M (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED NO _(Y/N)
LOT COVERAGE: 0
Maxlmum,Allowed:_-��,-7b/ —Actual: �2 0, 77
BUILDING HEiG4
Maximum Allowed: —Actual Height:
Datum Polnt:'� Datum Elevation:
SUBDIVISION: ARP '
CRITICAL AREAS #: P,,h--q1-A7, ((,�rMA
SEPA DETERMINATION:
PLANNING DATA
NAME:
SITE ADDRESSO MC6 V k-W-DATE: �/ f qlqq
ZONINGS�12, PLAN CHK#: lq--755-
PROJECT DESCRIPTION:
-�- PA LO)- �E�
CORNERLO (Yes/No) FLAG LOT�- _(Yes/No)
fill I
SETBACKS:
Required Setbacks:
Front: I i,' -' Left Side: Right Side:- Rear:
Actual Setbacks:
Front: '2,:�O L eft Side: Right Side: ? Rlar
Street map checked for additional setback require%d t� 7(Yes/;4�
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED k0
- (YIN)
LOT COVERAGE: �O'
Maximum Allowed: Actual: �20�
BUILDING HEIGHT:
Maximum Allowed: Actual
Point: Datum
SUBDIVISION:
CRITICAL AREAS #: P.h A-
SEPA DETERMINATION: --&/A
4
Height: 01
PLANNING DATA
NAME:
6AIDATE:
SITE ADDRESSO lq%CFJ
ZONING: �6-12, PLAN CHK#:1q__755_,
PROJECT DESCRIPTION:
4 PA uv�- —
CORNERLO (Yes/No) FLAG LOT (Yes/N
SETBACKS:
Required Setbacks:
Front: t2 <' Left Side:—L -Right Side: Rear:
Actual Setbacks: -
,12 Left.Side: Right Side: R ar
Front. Z) ).*—
Street map checked for addition a setba krequireqd 0)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED NO
--(Y/N)
LOT COVERAGE: 0
Maximum Allowed: A-ctual: �20,71 �0
BUILDING HEIGHT:
Maximum Allowed:__(,!�;_ Actual Height:
Datum Point: wwr Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: P,-h -qf (A T?P A 'h
SEPA DETERMINATION: A
LOT AREA:
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: Ctv-e-, �J_att
2. Property Tax Account Number: co 0 - e? C Z_
3. Approximate Site Size (acres or square feet): Z 2, 0 00 �t4n�
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% (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 over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet�.
Other (please describe):
6. Site contains areas of year-round standing water- AM Approx. Depth:
7. Site contains areas of seasonal standing water: Al 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 06 floodplain (D of a water course.
9. Site contains a creek or an area where water flows across the grounds sur-face? Flows are year-
round? - N 0 — Flows are seasonal? — 0 0 (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wedand is present on site:
----For City Staff Use
1. Site is Zoned? 1�2 — I'll
2. SCS mapped soil type(s)?
L/ 6�4"PA�-_-PAPl 15— Z 5--!/- BUILD-1,00',
3. Wedand inventory or C.A. map indicates wetland present on site?
kl- �..Critical Areas inventory or C.A. map indicates Critical Area on site?
'Site within' designated earth subsidence landslide hazard area?
'Site d i ; gnated on the Environmentally Sensitive Areas Map? 9%0
6. esi
DETERNfINATION
"STUDY REQUIRED CONDITIONAL WAIVER
IN/, W A I V, E
Reviewed by:
Planner Date
Rev 01/04/94
FEB 17 1919)9
9 0 1 9
City of Edmon&
Critical Area S- Checkli*s't'-
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.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical A ' reas 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 Hail (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
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) 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:
,PRL 12.AlLI 894'K
-,
Name
9 atr Jd-Ir
IA/
Street Address
2.5-
779, q-?2 3
City, State, ZIP Phone
Applicant Representative:
-14L 1z IJE-pi
Name
.3 3 e D,47-7--QIJ 57- 75'�—
Street Address
Y2�7 7,710 - 73 73
&--0 44 6AAD.51 &,I -A 2-0
City, State, ZIP Phone
5V
Signature Date Signature Date
I H R-r-141
A VE, . We �;P_r
10% L
crw W.
DT2ei_
L4J
lex PU4 e w w^Ar— rN.
For
+A- /0 �2.
TV)
C, e-
el,
C, c:-, ?J:s
VA
C96,10 Ile -f
10 120
10 V
Pmio,
--- _;� -e_ (OG(�CuL
�o U-/Y-
6 w Avvrrl ovi-
4L,
L W9.01 z
Lj
D BY PLA NI G
S I TE P LAN
5CALE 1" = 20'
%a
A
%t,
E5 "y LVOAeL: 14 S or w I I G, o f�
197 9) a G 41 XV eo, \.q es'T _OMER:
r,7VH,&r-JC*5 WA 9Z-;0Zo TtAle_f6l VIL?i , F-7j 710 520-00- W- AVORE55: 158
PHONE: 4.25
CA FILE NO. -- -Ca2 -- Z� f e--
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: --- j ftos awe, �J-d-j�
2. Property Tax Account Number: 3,�6 -- - C 2-
3. Approximate Site Size (acres or square feet): 69 0 0
4. Is this site currently developed? --Zyes; — no.
-S If yes; how is site developed?
5. Describe thegeneral site topography- Check all that apply
quo, -Z I
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 over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30 % present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway Oo floodplain 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? N 0 Flows are seasonal? N 0 (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
---For City Staff Use Only
eve-
1. Site is Zoned? jf -,.,
2.. SCS mapped soil ty�(.S)? &DP73.aQdV AIZALI t-OAP-% 15- 7,5-- V-
3. Wetland inventory or C.A. map indicates wetland present on site? N�0—
Areas inventory or C.A. map indicates Critical Area on site?
5.. -Site within' designated earth subsidence landslide hazard area?
6. . 'Site designated on the Environmentally Sensitive Areas Map?
DETERKINATION
.—STUDY REQUIRED
CONDITIONAL WAIVER
WAIVE,
Reviewed by:_
Planner Date
RCV 01/04/94
City of Edmon&
Critical Area S- Checkli . st
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.
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 Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
'7"'
Atir� 1 4 1998
PIRMIT
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
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) 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:
jR. lqiolJ t3g4y
Name
Street Address
7 7F.� q22 3
City, State, ZIP �k-02-o Phone
Signature Date
Applicant Representative:
'A 6a b/E?,J
Name
33eA4-1--7-,0AJ 577 -?6/-Cn
Street Address
Y2 J -- 77L - 73 73
M CAID.51 6,4A FFO 2-,o
City, State, ZIP Phone
Signature Date
C.
August 20, 1998
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/ Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
Dr. Ron Bray
1880594 th Ave. West
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 98-212
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECIJLLST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
*Architectural Design Board
Thank you.
Sharla Graham
Acting Planning Secretary
C:Reception\Jana\CRLTR.doc
e Incorporated August 11, 1890 *
Sister Cities International — Hekinan, Japan
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CITYOFEDMONDS W
PUBLIC WORKS DEPARTMENT STREETTILE
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
Owner: f �,i
Na;ne'
Mailing Address
City, State, Zip Code
" , - , - - .- i? �/ I
0 Contractor:- 1
Name
22
Permit No.
Issue Date
Permit Issued To:
• Type of Work to be Done:
• Work in Connection With:
El Sub or Plat P� Single Family
0 Comml. / Ind. El Apt. Condo.
• Pavement Cut: El Yes N No
Mailing Address State License Number
/ -7 -7 4-
C I y__
't , State, Zip Code Telephone Number
* * 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.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period -of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
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 that this permit must be available at the job site for inspection purposes at all times.
� I W
Signature: "el( " . ' Date
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized:
Special Conditions
Ammendments:
Vold after 2r) days
Permit Fee:
Security Deposit:
Receipt No.:
Fund 111 Fee:
Street Cut Dimensions
X -
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECT . ION NOS
,, (Fund 111 - Roti_te cony to Street Dent.
rr%MMr_1 " * a -
Diagram:
Contractor called for inspection Yes No
T Bv: Date:
,Alork Disa.pproved By: Date:
Work Approved By: -Date:
Inspector:
Ena. Div. December 1978
1018
REV 12/79
PUBLIC UTILITY DISTRICT,No
I of Snohomish County
E-17). Area
LOCATION
Al \j EZ \AL "'A
DATE I
W. 0. No,
POLE NO
F_ 'A S T Z :-7
R �6 REVISION
U.G. FILE T,40.
-REASON FOR WORK
ENGINEER :-AS BUILT
DRAFTER
SCALE
APPROVALS
PERM11 REQUIRED
El;?m
EAdMENT
REOUIR D RNOT REQUIRED
0TREE TRIMMING EIWATER
ENVIRONMENAL ANALYSIS
9EXE.PT 11"Of
TYPE --Dvr
INDIAL DIG El SEWER
-PXE",P,
EIPUD LOCATOR OGAS
PARA Em
DATE GRANTED
DATE RELEASED
[)BACK HOE 0
0. H. U G� COND _KV
FEES REQUIRED YES 0 NOO
FOREIGN CONTACTS
POLE STENCILING
ADD _CKT FT. - PH,
REMV. - CKT- f T, _P H.
TYPE
Gl NW NO.
FROM TO
NET-CKT. FT
DATE AMOUNT
CATV NO.
TAKE OFF POLE
LOGS POSTED
1C. E I C. F.
SUBSTATION
DATE WORK COMPLETED
Tz-;, - S I zq x
CIRCUIT NO.
- BY -
FOREMAN
I TRANS A I - V,
IPOLE DEPT I ICIRC.
DATE PRINTED
1`7
X,
T -
DISFAICHER POSIM
MAP PAGE
NO
FILE APPLICATION
FREET for
The City of Edmond SIDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
OWNER.............................................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
- UE�� — '2-14— L�,\,JE=- . \NEST
ADDRESS.......................................................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ......... ......
.................................................................................................
I
4
0
0
Approved:
..... . ......
DATE ..... ......... By.;i� .... . .. ....... ...
E
APPLICATION
for
The City of Edmonds SIODE SEWTA PERNW
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT Jqo . ...................... ...................
OWNER.... .... ........ ............................................... CONTRACTOR ...............
------------------------- � PERMIT No.
..............
ADDRESS ... --- O.c ------ LEGAL DESCRIPMON: LOT No . .............................................. BLOCK No . ............. ..............................
NAME OF ADDITION ...... 4-7—
.. .. . .... A.6
._ ............................................. .......... ................ ...................
A"roved:
DATE............................................. — By ............... ........ ............ ................................
0
APPLICATION
for
The City of Edmonds SlIDE SIMM
:T EASEMENT No-- ................
STREM WIMMW- __ ..........
jo r -- NEW CONSTRUCTION =REPAIRS
OWNER ...... r
05 4—
................... ------------ ......................
.................................. ............................ CONTRACTOR .... ..... ......... MIT No .......
ADDRESS ............... ?f ..... ...... ---- LEGAL DESCRIPTION: LOT No. � ......... ........ ......... BLOCK No . ....... .............. ........
N
.......... ..
NAME OF ADDITIO
//S
N10- -
q-6
wo,,�,t44
A P P n�t 0
4:'o 44-�, NOV 14 07
Approved:
DATE ..........
NOTICE.
n.
-N'O...w.a r-r a
The -information on the attached
Hed for use by the CitY Of
map(s) was COM - PI
Edmonds/ its Empl.oyees and Consultants.
t the
Th,..e C*tY of 'Edmonds does. not . warran
f anything set forth on these
accuracy 0
m a p ('s"). - A n . y person or e.ntity'requesting a
copyshould conduct an independent
t'on shown-o
inquiry regarding the 'nforrna i
-t-Fe -map(s), including, bu.t not J'rn'ted to,
the location of any sew-er stub s,hown- Suc
exist and may
sewer stubs may or may
or may not exist at the location shown
t y c f E r.-A rn 0 n Id. SI nor its
Neitheir the �" I
0'.r off rcers -sh-a-1.1 be 1--ia-b-1--e for thE
emp-1.0-yees
I n on this map(5), nor for
information g'Ve' d
any one representation provided base
upon said map(S'.
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPART31ENT Call PRospect 6-1107 when work
is ready for inspection. (No inspec-
SIDESEWER PERMIT lions Saturday, Sunday or holidays.) N2 2535
ADDRESS ----------------- 18805 - 94th Avenue West
OWNER .................... R ...... J ...... S_chuma.ch.er ............................... CONTRACTOR ..... j4ym ic View Plumbing
-- - -- - -- ---------- -- ---- ----- ... p ---------------------------------------- ..................
Permission is granted ......... No.ye-mb.er _14..' 19 .... ��7 for.
.... ...... -1 ....................... 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:
NOTE 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.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
E No. 3
No bends in grade sharper 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
failure due to improper work which may develop within one year of completion.
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.
; FILE
I-
L7
1 r-e, *4,
Ir
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'10 ofil"I'l PA
9/011 ll��
p 0 Ole.
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FOR YOUR COMMENTS [I FOR YOUR INFORMATION
• FOR YOUR APPROVAL El NOTE & RETURN 0 FOR YOUR COMMENTS [I FOR YOUR INFORMATION
• TAKE APPROPRIATE ACTION 0 NOTE& FILE 0 FOR YOUR APPROVAL 0 NOTE & RETURN
TAKE APPROPRIATE ACTION NOTE & FILE
• CALL ME 0 FOR YOUR SIGNATURE
0 SEE ME 0 CALL ME C) FOR YOUR SIGNATURE
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COMMENTS:
Co S
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Mi-AgN I � M I � � I f A
� 71 .1q'Fj k Z4 1i W19 14 i0vj I P! 1-% - I
LF 004-2
(Form OA-4)
Copyright 1969, 1970 Laurel Office Aids, Inc., Bronxville, N.Y.
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B I D . T A B U L A T 1 0 N
PROJECT: CITY OF EDMONDS SEWAGE TREATMENT PLANT EXPANSION AND OUTFALL EXTENSION
S E W A G
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CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT "-
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BID OPENING: MARCH 23, 1971
Call 775-2525 for side sewer inspections BEFORE covering any portion' of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun. , or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ....... 9.a�iil iX,
..;� . ........... �:t .......................................................................... . .......................................................
PROPERTY LEGAL DESCRIPTION .......... U!" rf I.Ircl' r,�7 A-1 7-p*--�
............. k ............................................................................................ ; .......................................... .......
................................................... . ........... .......... . ................... : ..................................................................... ...........
....................... . ..................................................
....... . ............................................
----------- OWNER AND/OR BUILDER ..........
.............................. . .................................. . .......................................................
t' TRACTOWS NAME & ADDRESS ...... N EIR
......................................................................... . .............................. . .. . .......................................................
1P..,nission Is granted .......... Apr i "L. 24 n ............ ------------ 19..7&, for repair and/or connection of a side sewer to the city swdtary sewer
..... ......
system In accordance with City of Edmonds ordinances.
0
ATTENTION IS CAT-1 D TO THE FOLLOWING:
1%_T�_No. I —The owners of the property may obtaln a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
i 11 side sewer in street area. Do not cover any portion of sewer before it has been inspected.
N',; No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permift obtalriable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations goveroing side sewers when you get permit.
NOTE No. 4—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
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled arid surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date.- ........... By ................ Date ....... . .. .... ........ By ................ Date ................ ................... By
APPROVED --r7;A Date._
... ........ By...
0 U T F A ... .................. . .. . .....................................................................................
7— --- - --- ---------
Remarks: ....... . ...... . .......................... . .. . ................. .....
. ...... ......................... . ...................................... . ............... ...................................................
------ - ------ 1-1* ------ 11 --------------- I ...................................................... . .................................. . ............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ....................................................................................... ... , hereby certify that the side sewer installation constructed under this permit
(owner of contracting Firm Performing construction)
was installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 1 19 .........
V V Check BEFORE you dig for: Water E], Gas E], Telephone [], Power E], Sewer 0, Other E] A/ V
,�s
PERMIT EXPIRES
CITY OF EDMONDS
USE E I)S PERMIT
ZON NUMBER Q, "Ch
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
OWNER NAME/NAME OF BUSINESS
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TES;Cp Approved
ZIP
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street use Permft Rs,��
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Inspection Required w-3 C3_
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PROPOSED
Sidevialk Required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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REMARKS
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REQUIRED bETBkKS (FT.)
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ADDITION COMMERCIAL CHANGE OF USE
;,K, 'APARTMENT
REMODEL SIGN
REPAIR GRADING CYDS FENCE
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CHECKED BY
TYPE OF CONSIRUCTION
CODE OCCUPAN-T
DEMOLISH TANK OTHER
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SPECIAL INSPECTO R (�UUPANI
RETAINING WALL RENEWAL
REQUIRED [:] YE =LIDA D
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I(TYPE OF USE, BUSINESS OR ACTIVITY EXPLAI
REMARKS
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PROGRESS IKI." BC
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NUMBER
NUMBE 0
CRITICAL
OF
DWELLING
AREAS
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STORI ES
UNITS
NUMBER
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DESCRIBE WORK TO BE DONE
Milo "A. 1/1129 '0 ,
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FINAL INSPECTION
REQUIRED
VALUATION
FEE
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PLAN CHECK FEE
HEAT SOURCE— GLAZING % LOT SLOPE %
BUILDING
PlLkOtHOCK N, VESTED DATE PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL
:i DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
STATE SURCHARGE
W PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS STORM DRAINAGE FEES
uu "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE
2 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
WASHINGTON, ITS OFFICIALS, EMPLOYEES,
a: EDMONDS, AND AGENTS FROM ANY AND
< ALL CLAIMS FOR &,—)
x DAMAGES OF WHATEVER NATURE, ARISING�DIRECTLY OR INDIRECTLY
VU
o FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT'SHALL NOT BE
_j PLAN CHECK DEPOSIT r-
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE.
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
TOTAL AMOUNT DUE gel
I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION; THAT THE INFORMATION I I
GIVEN IS CORRECT; AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL This is by
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED application not a permit until signed the
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. receipt is acknowledged in space provided.
S
SIGNATURE (OWNER OR AGENT) DATE SIGNED (4,25) OF I G R, E DATE
SIMAYA
/ , �— -7 )(I a
mj"�-'771_0220
A17ENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
5/98
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: /9805- Gve 65;- L-V
Edmonds, Washington (1',q () J (j
Legal Description: 04- `rKt'T 1-16
iZVV�,r—A.4 5e C, e
Assessor's Parcel Number: �/:T 4( � - C'00 - 0 cl(� - 0 a (�? -1
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an accessory dwelling
unit, including a second kitchen, is prohibited for two years after occupancy by the
current owner (unless a waiver is granted by the Community Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a conditional use permit is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
limit the discretion of the City in the review of any application for a conditional use
permit.
Property Owner Signature:
Date:
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that 41( 1 DruvoJ/0
signed this instrument and acknowledge it to be his/her free and voluntalry, act the uses and
purposes mentioned in this instrument.
Ngtar --j- ssure seals must be . smudged. Dated: �- Tulfi
s pre
Signature of
-Q coo �. - -)-
Notary Public:
% * 14, "
OTAJj,
..# . r', % ,
Residing at:
My Appointment
%
Expires: A)C,
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.'
STATEMENT ON ACCESSORY DWELLING UNITS
S - -A
Property Address: / " 8 O-e--� - 6i /-/ - Gve 6�ff U-V
Edmonds, Washington cj',q C) J ()
Legal Description: /\/ -(-" c2l- ("J Q-1- -LS,�e-E
i� VV--.t—A" 5,dckl-te�d `TVGXI'�
Assessor's Parcel Number: �/ -7 Y � - 200 - 0 c-1 (, - 0 a c) (i
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an accessory dwelling
unit, including a second kitchen, is prohibited for two years after occupancy by the
current owner (unless a waiver is granted by the Community Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a conditional use permit is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
limit the discretion of the City in the review of any application for a conditional use
permit.
Property Owner Signature:
Date:
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that Uri Dywvin�
signed this instrument and acknowledge it to be his/her free and voluntalry' act f4 the uses and
purposes mentioned in this instrument.
Ngtary".-Il. bressure seals must be . smudged. Dated:
Signature of
�� , X
/V
N y Public: Lu-�
otar
NZ
Residing at:
C
-% My Appointment
0
% Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.