18810 94TH AVE W.PDFiiiiiiiiiiii
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18810.94TH AVE W
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SEP 2 2 1998
PERMIT COUNTS
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CA FILE NO. &A
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location:
2. Property Tax Account Number: 000
3. Approximate Site Size (acres or square feet): I Z f
4. Is this site currently developed? K yes; _ no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply. 0'AA6VjV,2 "998
Flat: less than 5-feet elevation change over entire site. Qtpr
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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 verti cal 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: A//4 Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
A
8. Site is in the floodway floodplain of a water course.
9. Site contains a crq�k or an area where water flows across the grounds surface? Flows are year-
round? �k/ //,- I — 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: A/
I
0
City of Edmonds
111QW 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.
The purpose of the Checklist is to enable City staff to
deten-nine 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 observation s 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.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
�b�3\-o
Street Address
L-'� A, la� EOL4�) —
City State Zip
Telephone
Signature
AB
Date I
Applicant Representative:
Name
.Street Address
CA
city State Zip
T
Signature
Date
--J7'C;";5' — &�'=� �
c:rccept1on\jana\cac1.doc
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0
City of Edmonds
Critical Areas Determination
Applicant: RGH Construction Determination #: CA-98-204
Project Name: Non -Project Specific -1 Permit Number:
Site Location: 18810-94 th Avenue W. Property Tax Acct #: 1 4346000
Project Description
Non -Project Specific
Determination: Conditional Waiver:
During review and inspection of the subject site, it was found that the site is within an Erosion
Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code
(ECDC).
Waiver Criteria (all criteria must be found to apply):
X There will be no alteration of the Critical Area or its required buffers pursuant to the
requirements of Chapter 20.15B;
X 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;
X The development proposal meets the minimum standards of the Critical Areas
ordinance;
X The above findings are based on the following conditions of approval:
1. Alterations within identified Erosion Hazard Areas shall not be authorized
without an approved erosion control plan pursuant to ECDC Chapter 18.30,
which includes staged clearing, where appropriate. The erosion control plan
must be approved by the City of Edmonds Engineering Department.
2. Clearing or disruption of the soils within an Erosion Hazard Area shall be
kept at the minimum necessary to provide reasonable use of the site.
3. Any project shall be constructed in compliance with the City of Edmonds
approved plans and code requirements.
4. Any project which appears to staff to compromise the integrity of the
engineered retaining walls will be required to have a review by a licensed
Engineer at the owner's expense, and the engineer must state in writing that
the proposed alteration will have no adverse impact upon the site, the public
or any private party.
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.
Meg Gruwell 8/20/98
Name: Signaturl Date
417 C. 18 9 �)
August 25, 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 o Parks and Recreation * Engineering - Wastewater Treatment Plant
Bruce & Jennifer Meckling
1881094 th Ave. West
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 98-204
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.
.......... I ... ........ - ... - ...... ... ...
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUI REMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS 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 40M
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
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
USE PERMIT
CITY OF EDMONDS ZONE 7,
NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
OWNER NAME/NAME OF 13USINESS ADDRESS C)
c y LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO,
ZIP
C1 g;o7_0
MIADDRESS
INAME
JIDDI
ZIP ITELEPHONE NUMBER
NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REQUIRED DEDICATION
PROPOSED
METER SFZE _T__ LINE SIZE I NO. OF FIXTUF
ENGINEERING MEMO DATED
! STATI LICENSE NUMBER EXPIRATI09,P)ATE
T Lc
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Le_ , Des 'i�tion of Property - include all ease m*6VW N:;�
SUITE/APT #
TESCRApproved
RWP.4it Required
Street Ule'Permit Aeq*d 0
Inspec!i9i Required 0
Sidewalk quired 0
V
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PRV REQUIRED
YESO NOX
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REVIEWED BY
VARIAN9E OR CU ADB # . SHORELINE #
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ADDITION COMMERCIAL CHANGE OF USE
REMODEL APT. BLDG. SIGN
CHECKED BY
TYPE OF CONSTRUCTION
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GRADING FENCE
REPAIR CYDS. x —FT)
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WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
RETAINING WALL/
OCCUPANT
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LOAD
SPECIAL INSPECTOR
REQUIRED
13 YES
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REMARKS
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PROGRESS INSPECTIONS PER USC 108
2
(TYPE OF USE, 13USINESS OR ACTIVITY) EXPLAIN:
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JAA1 JKKA)I, IwIt'k-4 11
NUMBER
NUMBER OF
CRITICAL
0
OF
DWELLING
AREAS . I
I .- ... - - . - - - f — - - -
W
0
,
STORIES
UNITS
NUMBER
JI
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DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
VALUATION FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
:7.
PLUMBING
Plan Check No. _(36
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on pi-wate 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
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnity, defend and hold
2 harmless the City of Edmonds, Washington, its officials,
.7 employees, and agents fforn any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
1706
modify, waive or reduce any requirement ofa ' ny pity ordinance
0
7: nor limit in any way the City'.p abilityto enforce.-any,ordina,nr-e
TOTAL AMOUNT DUE
provision."
0
I hereby,ackn6wledge that I, havd rbid this applic.atio,9,;,that the
information given is correct; and, that'l 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 his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance aria RCW 16!Tr7__-N
INSPECTION
acknowledged in space provided.
SI - GNATU F4 WNER ORA ENT DATE SIG
DEPARTMENT
CITY OF
OFWFICIL' S �E ATE
bw
EDMONDS
CALL FOR
RELEASE[) BY 61TE'
IITTENTION
INSPECTION
. IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
NTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL - File YELLOW - inspector
CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
ECTION 109
PINK - Owner GOLD - Assessor
7!!111111
I'm
PLANNING DATA
NAME:
SITEADDRESS: (A0 R&.4ATE: Rt�'Nql
P� - 12, rN - -3/
ZONING: PLAN CHK#:
PROJECT DESCRIPTION:
CORNERLO (Yes/No) FLAG LOT Ah _(Yes/No)
SETBACKS:
Required Setbacks:
Front: '�15' Left Side: Right Side: 0 Rear:'Z'S'/
Actual Setbacks:
v i 35 -
Front: '51-l' LeftSide: ght Side: 10 Re
Street map checked for additional "se back required?. es/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED A) Q) -(Y/N)
LOT COVERAGE: 35 0/,6 Actual:
Maximum Allowed: —
BUILDING HEIGHT: I
Maximum Allowed:— Z15 Actual Height:
Datum Point: —Datum Elevation:--
A.D.U. CREATED?: No
SUBDIVISION:
CRITICAL AREAS #:
OR-
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:
a%fi1cs%pertnit\^p1andat.doc
OMAN Iwo I Id,
RF-CF-IVED
SEP 2 2 1998
APP,RQVED BY PLANNING pERMIT COUNTER
pl, Pl�n Le�al Descriptbn
LM &P. ", EDMON08, WAAWW*TCN
:7.e I �mo - �0.
gve —
SIREET FILE
M E M 0 R A N D U M
September 30, 1986
TO: Jeannine Graf, Permit Coordinator
FROM: Jerry Hauth, Hydraulics Engineer
SUBJECT: BUILDING PERMIT #830035
The calculations for the detention system serving the subject lot
indicate the engineer assumed that the post development impermeable
area of the lot to be 3,000 square feet. A quick review of the
approved plans indicate about 5,000 square feet of impermeable area.
The existing condition has about 7,000 square feet of impermeable area.
The increase in impermeable area was not permitted and should not have
been installed without a proper engineering evaluation. However, this
is a three-year old permit, and there has not been a record of any
drainage problems associated with this work. In light of the clean
track record, it would seem pointless to pursue this matter further.
RJA/st
(2� r" la�
Bob Alberts __D5t R onda March Dt
BP830035/TXTST530
MEMO TO: Jerry Hauth
FROM: Jeannine L. Graf -26
DATE: September 25th, 1986
RE: Johnston Residence @ 18810 94th Avenue West
Permit #830035
A check of Building Division records for the subject property revealed
that you had made a note dated December 1st, 1983, that this permit
was not be be given a final because of drainage problems. Please
provide me with a brief explanation of the problem and what items are
needed to correct the situation.
Z-
Cc = 0.217, 'i -22
Q�Allowable = C x I x A = (.2-7)(1.25 in/h-1,)(2.1111,c)
Qa = 0.573 cfs
Under Developed Conditions:
Runoff from impermeable surfaces (roofs, driveways, etc.) will be routed
to an underground storage/retention Pipe located at the northwesterly
boundary . of the tract and will be released into a 12" c-m-P. line to be
constructed in existing easements to the existin'r.,- storm system in Olympic
View Drive.
Impermeable Areas:
Lot
1
3000
sf -
one home and small drive.
Lot
2
6000
sf -
two homes and
two small drives (allowing for
future further division
of lot 2 by short plat).
Lot
3
3000
sf -
one home and
small drive.
Lot
4
5000
sf -
existing home
and drive.
Roads
7100
sf
- private road
on site and part of existing 94th Ave.
24,100
sf
= 0.553 Ac @ C
= 0.90
Other areas:
1.558 Ac will be in lawns, gardens, natural, etc., C = 0.25
Composite Developed C:
Cd = (0.553 Ac)(0-90) + �1-558 Ac)(0-25)
2.111 Ac
Cd = 0. 420
Then using Yrjanainen & Warren method:
Qo = Q allow. = 0.573 cfs 0.646 efs
A X Cd (2.111)(6742-)
For 10 year design storm:
T = -25 +(1,62)1/2 = -25 + 52.226 = 2?.226 min.
Q0
Vs = �82o T - (40 Qo T)
T + 25
2 of 3
r AT THE F�EQUEST OF
S UR% EYS PAGE -
� I S, ! C 0 U N T Y A'j D T-7- 0 F '
by
ING ACT AT THE REQUEST OF- — 1
l'),,2,4 'r' ' , 1 81
A'A7',1661A 090,-,�/`JO IN THE MONTH OF -,i9
4d
N r 10 4 24'
ISO ;=T APPROVED BY'
DRAWN BY 5 F,
R. SCOTT HUTCHISON
WILLIAM B. FOSTER
EDWARD P. WEIGELT, JR.
DOMINIC L.-BACETICH
FILE
HUTCHISON & FOSTER
ATTORNEYS AT LAW
20006 - SOT- A V ENUE WEST
POST OFFICE BOX 69
LYNNWOOD, WASHINGTON 98046-0069
August 21, 1984
City of Edmonds
Department of Engineering
Edmonds, Washington 98020
Re:. Short Plat No. S13-81 recorded under
Snohomish County Auditor's No. 8106190147
Gentlemen:
We, the undersigned owners of Lots 1 through 4 of
the Short Plat referred to above, hereby authorize the
removal o_t_the light standard.
. Fo9t
Eiiz"eth B-.--F-oster
Carroll L.,.Ofyan
an Bryan( -
9 41
tey oonrVsl,v
16V
WX 111 gul
-771- 706
0
TELEPHONE
(206) 776-2f47
(206) 776-2148
/a, J! � I
CITY OF EDMONDS
10 NEW
EIADDITION
0 RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER W3 �—) S- 4 7
PROJECT COMPLETION DATE i*
COST
B.A.R.S. ACCOUNT NO. 01 - oc, o - 0 f c/ - 3 6, 3
ESTIMATED LIFE 2-S
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
RDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
44
PROCESSED!:�'
BATCH NO.
INITIAL
(bnp
DEPARTMENT FILE
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - ----------------------------------
NEW CONSTRUCTION X REPAIRS F� LID NO. � ----------------- ASMT. NO - ------------------
OWNER ------- Jo..%4t.-.4.�TO.N ------------------------------------------------------- CONTRACTOR ---B-011a --- ........................................ PERMIT NO. (D-95,5
JOB ADDRESS --- 1851-0 ----- 94-- r- -------- W2 --------------------------------------- LEGAL DESCRIPTION: LOT NO. --A -------------------------------- BLOCK NO - -------------- --------------------
.................................................... 54
.... P-1j.Kr ... (0-5 .......................................................
Mb^j v thm" no
PWW-0001 -11/75 (REV. 11/78)
NAME OF ADDITION ------------------------------------------
DATE I ----------
.S ..... ByJN ........ -lz
-14
Lq*
CITY OF EDMONDS
`T0
PUBLIC WORKS DEPARONT FOR INSPECTION CALL, Permit
775-2525 Ext. 2_20,,:s__
_4�.SI,DE SEWER PERMIT Issue Date,.,_
PERMIT MUST BE POSTED ON JOB SITE EDMONDS
TREATMENT PLANI; j
077
0
1 Address nstruction
2. Property Legal Description (include all ea ts)
Fli
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No.
6. Invasion into City Right -of -Way: No e— Yes (If Yes Right-of-
way Construction Permit Required Call Dial Dig (@:WD�-�',88,747,41) before
excavation)
7. Cross other private property: Yes No— Easement required
U attach legal description and county easement number.
READ THE FOLLOWT.NG AND SIGN:
a4
P4
F:4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a -six inch (6")
a4
side sewer line.
0 d. Side sewers may not be installed closer than thirty inches ('30")
to any structure.
0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
0 and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
- h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have read
and shall comply with the above
PERMIT FEE: DISAPPROVED BY: Date:
B Date:
CONNECTION _FE_i�_ APPROVED By: Date: 3V9 -S3,
0
44 5M,�
PERMIT MUST BE POSTED ON JOB SITE *
BUILDING ADDRESS * 0
BUILDING PERMIT REVIEW
Multiple
Commercial
I w
PI
BLDG. DEPT. SUSPENSE DATE
1-W-A
OFFICE ADMIN. — PUBLIC 14ORKS LOG IN
F 11 r-
LrZ
CITY ENGINEER (pheck)
0 Access Slope and Vehicle Access
0 Drainage Plan
0 Street File
0 Legal Descripti6h
0 Quit Claim
0 Easement
Aldlulate �Set46r.Connection
fe�p ed
A TM-i �sV(O N
WAT /SnVER I
's
M ter, 3. z e
'B�iil� ink -,�Permi�'t"I:Review'
pmplet�,'
!TREET"DIV��i6N'
C*.0 lete: ng Permit,Rev'iew
[]OFFICE ADMIN.". LOG OUT -TO BLDG -,-' DEPT.
-------------------------------------------------------------------------
E]—RIALDING PERMIT APPLICATION (COMPLETE).
2 COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEW'ED BY FIRE DEPT.)
3 COPIES OF DRAINAGE PLAN 14ITH CALCULATIONS �X-Ct7L
REQUIRED BY SUBDIVISION
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
.LESS THAN 2',000 SO. FT., _Af) . wl-,F3
C -CK ZONING'REQUIRE
MENTS (SETBACKS)
OF ENGINEERING -CHECK LIST
U�ZCIOPY OF PU�LICIWORKS MEMO
UMULTIPLE OR CO101ERCIAL
YES tj,�(ATIACH: Copy OF ADB APPRDVAL INCL ALL DIRAWINCS)
NO
SUBDIVISION YESU NA�IE.
NUMBER
I- N 0 F-1 (ATTACH 'COPY'OF 'PM6IRDffWM)
M/C SEWER DRAWING AND ATTACH COPY
I �T
S DE . DICATION REQUIRED YESQ (OBTAIN QUIT CLA120
No '[j��ITY CODE
DOES CITY HA�_EASEMENT ON PROPERTY
YES (ATTACH COPIES OF DRAWINGS)
NO
/XZf'CHECK LEGAL ACCESS' INGRE UTILITM
YE%IS I ---
YES--d
NO NO
HAS SEWER �SSESSMENT BEEN PAID
YES L. I. D. NO.
PLAT NO.
'3UBDIVI.SION—NQ,. .
;iF:MULTIPLE: -INCLUDE NUMBER OF UNITS"
1-F:" COMMERCIAL': INCLUDE NUMBER OF FIXTURE UN
CITY OF E S
CONSTRUCTION PERMIT APPLICATION
USE T
ZONE E R
JOB
ADDRESS 4h
cc
Z W
o
NAME (OR NAME OF BU i INESS)
be&, --�Avvs
LEG DN N NO. LID
3
NO. . .
MAILING ADDRESS/
Alqm 1(q64 ITT- 13",�
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY
TELEPHONE NUMBER
1"ILIOtAlpod
1 7 �� ?!�' 9 A
EXISTING REQUIRED DEDICATION
PROPOSED -
7
W
W
__7
NA
0
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
ow
ADDRESS
STREET USE PERMIT REQUIRED C1
Uj
Z
cr
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SEE ENGINEERING MEMO DATED_
SEE PIW DEPT. REVIEW CHECK LIST DATED
C11 T Y_
JTE�EPKONE NUMBER
REMARKS
NAME
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"19777=PLY
ADDRESS
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METER SIZE
SIZE
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RE UNITS
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CITY
TELEPHONE NUMBER
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0
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
Z
2
Legal Description of Property - Include all easements
(show below or attach four copies)
SHORELINE 0
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0
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Z
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VARIANCE OR CU
PLANfjNG VVIEW BY
All
46U&
DATE
1
i114.Q,-1,d-
YARDS
FRONT SIDE REARI
LOT COVERAGE
j.a__e1j.P 1,(41,Vl
d
REMARKS
NEW 19 RESIDENTIAL El PLUMBING
ADD/ALTER [OtNON-RESIDENTIAL MECHANICAL
ElREPAIR El RETAINING WALL SIGN
EXCAVATE FENCE
E] F1
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
DEMOLISH OR FILL I- x FT)
I I
Z
0
PRE -MOVE INSPJ swim
COMPLIANCE INSP. E] POOL
Z
SPECIAL INSPECTOR
REQUIRED
1:1 _Y E
OCCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER El WATER LINE
REMARKS
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NUMBER OF STORIES
UM BEROF
ul
Lit,
DWEL ING
7NITS
03
U ITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
(4 n LAOiAJ 'cZ i tAe-- P
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PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
" Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
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harmless the City of Edmonds, Washington, its officials,
5
employees, and agents from any and all claims for damages of
a:
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whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
modify,.waive or reduce any requirement of any city ordinance
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nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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provision."
I hereby acknowl;dge 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
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
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 his
Code of the State ashington relating to Workmen's Compensa.
P1
WORK NOTED
Deputy; and fees are paid, and receipt Is
_.
lion kisurance I
- I
INSPECTION
acknowledged In space provided.,
URE (9VINER 'RUA ENL, D
JDATf SFGIE,,,,
DEP ARTMENT
14 e% Lkk9
CITY OF
OFFICIAL'S SIGNATURE
I't
THIS SITE IS LOCATED IN THE CITY —
..EDIVIONDS.
OF EDMONDS. LOCAL SALES TAX
ATTENTION SHOULD BE CODED 31.04.
775-2525
OATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL Filo& YELLO
LOW In
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
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CHAPTER 3.
PINK — Own 0 L8
nor
102-78
PtIBLIC UORKS EEPARMM CHEdcusr
W�Jl;kfl
Akk) &--e /-/ 7-if
TadEess) (date) -
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Street Rig�ht-of-Way Existi REQD
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Access Easements Existing. /,P/, 19 IEQD
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Xtility Easement Existing 1.<
- S7, .. 4 11-n REQD
Lot Per Subdivision S-1-3 -j Plat Assessor Map
Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal Descripdan
-7
Z
Review by_ Date
Existing Water Main Size
Water Main Required
Service Line Required 1/6,
Hydrant Size Existing,
0�
Hydrant Reqd Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department ComTients
'dater Meter 93A�Ae Reqd.
Review by-:�k' 4 , Date
Septic Tank Design Approved. Date
Septic Tank -Permit Reqd. Yll. Permit No.
Sanitary Sewer Availability Z 0
Drawing No. File No.
C4
Side Sewer Availability I
94
Sanitary Sewer Connection Fee Reqd.
:3:
Review by, Date
W
Open Ditch Existing'' IVOXII�F Reqd.
Culvert Reqd. Size
Od
Catch Basin Reqd. Indicate an Site Plan
0
Shoulder drainage rnaintain collection on swale open runoff
Manhole reqd. Indicate on Site Plan
Soil Conditi and Ground Water Field Checked
Review by Date Z
Revised: lvlO-1977
ORSK CONSTRUCTION, INC.
P. 0. BOX 686
EDMONDS, WA -98020
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�-AUDITOR'aCERTIFICATE- 7-GURVEYOR IS CERTIFICATE
FUZD FOR RECORD, THIS.. DAY OF.
THIS MAP CORRECTLY REPRESMS A SURVEY WE,
t:1981'JAOD.1 AT BY ME OR UNDER MY DIRECTION IN COMFORMANCE
IN BOOK OF' WITH THE REQUIRE
MENTS.OF THE SURVEY RECORD-
AOT AT THE -REQUEST OFs
IN Ta MONTH Of
*NO.H
QMI�g CQVM- AUDlTOR
by -
BL$TON F. REANIER,PE.PLS,;
AF 1. 1 . 'i
Nr 10424 m 4
o"I.191 I I Aj.;= SOFT AppRovao syl DMAWN MY
R 4
W ASN DATS i KAY Havlogo
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741. 514 0 RT PLAT 012 W EDMO�105 SEA Vie'
TRACT5 POR PEK T_- PATMIciA oizopp'im""
k IWA—An Af)r.?-rA &I � E:xc A &I a e2. e DAAWINGkUMIIR� I
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0
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water�system re'quired.
2. Connection to City sanitary sewer I system required.
3. Right-of-way permit reQuired for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve requ ired if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separa,ted by 10'foo't minimum.
BD 6/82
LEGPJ, DESCRIPTION
Short Subdivision of TRACT 65, EDMONDS SEAVIEW TRACTS, for Per I. and
Patricia Dropping.
LOT I
Beginning at the Northeast corner of TRACT 65, EDMONDS SEAVIEW TRACTS,
as recorded in Volume 3 of Plats, Page 76, records of Snohomish County,
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Thence: South 0 15' 16" West a distance of 87-77 feet along the
Easterly boundary of -said TRACT 65;
Thence: Along a curve to the right of radius 20.00 feet through a
central angle of 71 0 561 21" an arc distance of 25-11 feet;
to a point of compound.curve;
Thence: Further along a curve 0 to the right of radius 390-00 feet through
a central angle of 18 71 23" an arc distance of 123.36 feet;
Thence: North 0 0 19' East a distance of 127.00 feet to a point on the
Northerly boundary of said TRACT 65;
Thence: South 89 0 15' East along 'the Northerly boundary of' said TRACT 65
a distance of 135-00 feet to the POINT OF BEGINNING.
All situate in the City of Edmonds, Snohomish County, Washington.
Contains an area of 15,973 square feet.
PRELIMINARY SUBMITTAL - SUBJECT TO CHANGE.
f. RE4
I WASH
10424 0
Q/ le;
V� ST&
11,11 bell**
May 5, 1981 Burton F. AaAer,PE,PLS
10424
JAN 10
IAIM
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�'The',TOOW404010 Oh411_ be a mInImulm or iou pounds per CUbIC
.4
6s, or, more than one*, (1) foot in depth below
OU-bov 0", Io excava t
ou
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to section6,or below the existing% gr nd,
Its �Apo M-4
wall '6611 be ai rted by excavating 4 trench. not
Oix, (6)
sections.
"actien: a placemOnt ahall.be such' that there' will be
7
Sallee
4'
-3a
the' expooeA face of'16e'wall,,nq-,.open voids.
si,ifi any�direution. The,final course
-kc
VP
4 �'U, :s a nd
be placed to,minimize erosion
isj,,ti The larger rocks shall be OiaQed at the.
'that the, "ll, Will,* be stable and have a
t`ha,�.rppkery, So
uch
vocka'aball be placed in's manner a
'44t "'inal 'Aiio�of the. rock. shall be at right angles or perpen—
Tht,� rocks' shall have all. inclining
J� "tic,
t rock* Ace.
t rocker'. :Each course'of 'rock
t 1* 40 of
y
the
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a �:tightl� end � evenly aa,possible on tho'course
"tort .'a(Attios''"ok tourv* of. rock,' all, voids between
o'A',t1*d:'back with qu rry ro k t
a c 0 e
"'so' 14ot 'to pAksa 4' 2-4nch square probe., N
oipt v
14 ffjo
.......... ill,, 0411, consist of maximutu
quarry, spalls with a
M 40�,,snCa, minimum
size of two- (2) inchtis,
f (4), 1'
A$ AW;,to an,;aight'(8) inch'minimum
tho eftaie, wall, and the cut,or,f ill material.*.
"N'
urse of,
ced#", until tho_40permo t cour
Wm-
'! , ` ),"' �, loclici, -b -'the.,top-of each�co
qr'� --77177,
sha, e plOced Inlifts to an elevation
-A,014 L l"O,
*low
s se to plqced:.
a/z,
%\
on the �bea, i stir f ate 'of one rock course
as
'gore 0�
OPPY, � C.
44 t/t ins the, 4ex t course*
"to It k
14 but, overi'a rot h
C�- ii"a""444, retainin e,,
g wall,. 't
n vi th a cap construct 44y !6: 1 9
all, be 4eslied a, d leveled ed I
0,4*01
rda ce with the applicablie'
in �C' 0' n
tc j
stions, but 4511/
U Ont 4 ting in,slump'of no t over - two,
'�;Vitlb MV") r44
pr",
S-- ti0in of 'tho,'Standaid'Specif ic
-,A7-
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-7 1-.5;p /Z�
JA
N 12 1983
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