18829 SOUNDVIEW PL.PDFiiiiiiiiiiiiii
13208
18829 SOUNDVIEW
PL
00
ADDRESS: W627 V/0&'o
TAX ACCOUNT/PARCEL NUMBER: Z� efZ-2
BUILDING PERMIT (NEW STRUCTURE): A -Ac z
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:jm 4 '. 1 K
(az DETERMINATION: E] Conditional Waiver 0 Study Required*�iver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORTPLAT
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:—
GEOTECH REPORT DATED:
STREET USE ENCROACHMENT PERMIT
"JEW"',
LID #:
LOT: BLOCK:
LATEMP\DSTs\Fonns\Strcet File Checklist.doc
CITY OF ONDS
USE
ZONE PEA'-!
NUM'B'ER
CONSTRUCTION PERMIT APPLICATIO
LIWNLR 11A%Ir. NAME 01 905INI! 5s
AODAESS 1,;:2,C?),Z9
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LEGAL DESCRIPTION
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PUBLIC RIGHT OF WAY PER OCFICfAL STREET MAP -P Apw�
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REMARKS
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NAME
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ENGINEERING MEMO DATE.4/7/
REVIEWBY
ADDRESS
1102- OLY1110(_ Iq V-E
METEFI�111 SUPPLY
J1 71LOING SIZE
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X COY TELEPHONE NUMBER
E _771.,
61r? , - S / L't
REMAR
STATE I ICENSE VU� MBER EXPIRATION n-TF
HW2
SIGN AREA
40A
SERA
REVIEW A NO
Legal Description of Property - include all easentems
ALLOWED , PROPOSED COMPLETE
EXEMPT M
Pamel No. 1-5 2 7--0,3 i-1 - 0 Z 70C)
.111,
RESIDENTIAL
PLUMBING
A.1,1TION
1: ... EP.AL
-EI.ANICAL
REMODEL
APT. B-_OG.
SIGN
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FENCE
DEMOLISH
ICOOST.VE
INSERT
S-NI.M POOL
HOT TUB/SPA
t, EXP S�ORELI�E.
VARIA I —It-, bL_
CU PLANN;NG REVIEW 13Y 7D7,E
SETBACKS —FEET EIGI�TTOT COVERAGE 0.
FRONT 2-5 SIDE /0 REAR 1-5-111, 4z
&'�Wvr
1E OF CONSTRUCT
—T-7-- A/
F�GARAGE r7 RETAINING WALL/ 13YES r71I`11F11Vj- K,5 1 11"
CARPORT ROCKERY RENEWAL REMARKS
z
0
;7 (TYPE OF USE. BUS;NESS OR ACTIVITY) EXrLAIN: PROGRESS INSPECTIONS PER USC 30S
C1 NUMBER OF STORIES C_
WUIA EILE, - OF: 7,11aM, 4 /_
EL HIS /Or
0A11,,ja,t1T- UNITS
DESCRIBE WORK TO BE DONE 'AT 1AC. PLOT PLANT
C- 1�57_f_jl /-411 ILY A�'S' Well- FINAL INSPECTION REQUIRED
&ruwkv6:17� (-Yc& VALUATION FEE
:�7/ifel? 16;V510-t�16Y., PLAN CHECK FEE
R
'N
W
A L
R
P
F
P
HEATSOURCE BUILDING
GLAZING
PLUMBING
Plan Check MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any cons ruCtion on the public domain (curts. sidewpiks.
driveways, marquees, etc.)_will require separate permission. STATESLIRC.A.
Permit Application: 180 Days STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicarl!. on behalf of his or her spouse, heirs, assigns and ENG, INSPECTION FE2 3 0
o successors in interest. agrees in indemnify, defend and hold
w harmless the City of Edmonds, Washington, its officials,
51 employees. and agents from any and a!] claims for damages of
whatever nature, arising directly or Indirectly from the issuance
PI this permit, Issuance ol 111, permit shall not be deemed to PLAN CHECK DEPOSIT
modify. waive or reduce any requirement of any city ordinance
IX5 nor limit in any way the CI1y*S ability to enforce any ordinance TOTAL AMOUNT DUE
1)?Ovision."
n
FEE
';To'
d ENG.
�ho I td
i. - i
s 0
n c
RE N
d I. A
n-e
nc. TOT
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 APPR AL
authorized agent of the owner. I agree to comply with city and T-IS 00VIT
state laws regulating construction; and In doing the work authoriz. AUT-0--.'ES This application Is not a peninit until
ed I hereby. no Person will be emiloyed in violation of the Lai por ONLY T-E signed by the Building Official or hKhw
d , S.. w Deputy: and fees are ORK and ME -Opt is
I�on a olulher.Slale 01 Washington relaiimi; to Workmen's Compensa. Oct, NO!E.)
I. In, il� , IN!IIICT,01 acknowledged In space provided.
510—TUR 10.1 0 AGENT, OE 11RTIIE*,',
O'FISIAT.S SIG, DATE
CITY OF
EDMONDS
CALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — F,!e YELLOW — InsDeett
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, USC
CHAPTER J.
PINK — Owner GOLD — AssP;0`T
9
Critical Areas Checklist
Site Information
P r cj e c t N a m e:
—Permit Number:
Site Location: roperty Tax Account Number: A? a 7
Approximate Site Size (acres or squaire feet):
Have you filled out a Critical Areas Chccklist fora project on this site before?
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action:
J
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over entire'site.
t--- —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 of horizontal distance.)
—Steep: grades of greater than 30% present on site.
Comments 2z,5- /y 1,�,
Hydrology/Vegetation
4. Site contains areas of year-round standing water:
5. Site contains areas of seasonal standing water: ---Approx. Depth-.'
6. Site is in the floodway floodplain -.'
�,) of a water course.
7. Site contains a creek or an area where water flows across the grounds surface?.,21,.� flows
are year-round? Flows are seasonal?
8. Site is primarily: forested meadow shrubs mixed
9. Obvious wetland is present on site:
10. Wetland in-ventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
For City.Use Only —
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.
WAIVER: Critical areas study'is not required.
A. , - / :� k=— I
1�:r k ' '_ - - Y.-
Determination Number-. Reviewer -
Rey 3/27192 9A ck_>� Planner Date
STFRE*=ILE ' 0 0
& 9 0 . 19 9 -
Ciq of Edmonds I
Critical Areas Checkfist
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 ne ' eded 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, 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 thi's form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
Title
Street Address
City, State, ZIP Phone
OWN
or, - MA
Applicant Representative:
Natne
Title
Street Address
City, State, ZIP Phone
Signature Date
4t
City of Edmonds
Critical Areas Determination
Applicant: Determination#: (� �114 -- q,;2
Project Name: Permit Number:
SiteLocation: Property Tax Account Number:
Project Description:
Waiver Criteria (all criteria must be found to apply):
There will be no alteration of the Critical Area or its required buffers;
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;.
The' development proposal meets the minimum standards of the Critical Areas
ordinance;
The above findings are based on the following conditions of approval:
1.
2.
3.
4.
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.
Name
Signature
L� _Z61—tZ.
Date
Q
J
ST
City of Edmonds REET
Critical Areas Determination
14 q,;2
Applicant: Determination M
Project Name: Permit Number:
Site Location: Property Tax Account Number:
Project.Description:
Waiver Criteria (all criteria must be found to apply):
There will be no alteration of the Critical Area or its required buffers;
The development proposal will notimpact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance; .
The development proposal meets the minimum standards of the. Critical Areas
ordinance;
The above findings are based on the following conditions of approval:
1.
2.
3.
H
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.
E&
Name
Signature
ZO -Z-
Date
0 0
0 0
& 9 0 . 19 9 —
City of Edmonds I
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/hWsubmittal of a development permit.
to the City..
The purpose of the Checklist is to enable
City staff to determine whether anypotential
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, and
submit it to the City. The City will review
the checklist, make a precursory site visit,
and make a determination of the subsequent
s�eps necessary to complete a development
'permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
Name/�'
Title
Street Address
City, State, ZIP Phone
Applicant Representative:
Name
Title -
Street Address
City, State, ZIP Phone
Signature Date
el
Critical Areas Checklist
Site Information
Project Name: Permit Number. -
Site Location: roverty Tax Ac count Number: A? .2 7
Approximate Site Size (acres or squaire feet):
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over entire site.
1-1 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 of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
/\/ 10,
HydrologyNegetation
4. Site contains areas of year-round standing water:
5. Site contains areas of seasonal standing water: --.Approx. Depth:
6. Site is in the floodway./21-0 floodplain of a water course.
7. Site contains a creek or an area wherd'water flows across the grounds surface?,/21,�.) flows
are year-round? Flows are seasonal?
8. Site is primarily: forested - meadow ;shrubs' _;mixed
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site: �ZA
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.
WAIVER: Critical areas study is not required.
I=— i
Determination Number. Reviewer Vck —� ILI -2%-%->
Rey 3/27/92 ct->- Planner Date
9A
"Pip
CITY OVEDNIONDS
18,0
Address of Construction: S
Property Legal Descripti 1k, Include all easements):
0,497
RECEIVED
OCT .9 1993
----MBLIC WORKS DEF`
4 - 0. Z7��z -
Owner and/or Contractor: 7;�
State L i cense No. 1,19Z 7--e- (D D iQ A Building Permit No.
XSingle Family
El Multi -Family (No. of Units
Commercial
Public
Invasion into City Right -of -Way: El No -�ryes
RW Construction Permit No.
Cross other Private PropertyA7No 11 Yes
Attach legal description and copy of recorded easement
Kertify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
14>- V - i =,?
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PU 0,RKS DEPT..'
Permit Fee: 30 J Issued By
Trunk Charge- 4-5— Date Issued:
Assessment Fee: X. /Ig Receipt No.: Z 7Y 741-
Lid No.: —
Partial Inspection:
Comments
Date —initial
Reason Rejected: Date —Initial
Final Inspection Approved: Date/t_-_�b� -Initiar- �-,
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
t
Side Sewer Drawin
The City of Edmonds EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION 0--/ REPAIRS F� LID NO - ------------------ - ASMT. NO . ..................
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. � -------
JOB ADDRESS -1--3-9-0 --------- ------ ?L ---- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
t
If
PWW-0001-1 1/75 (REVA 1/78)
NAMEOF ADDITION -------------------------------- ---------------------------------------------------------------------------------- -7
DS
14 0
P e. eb.
(e ' <"D"f
15
i
T
3o
Approved:
DATE//. ...... /. 41- -------------- .................. B y ........ -------
RECEIVED
JAN 0 8 1992
PERMIT COUNTER
That portion of Government Lot 3 in Section 13, Township 27 North,
Range 3 East, W.M. in Snohornish County, Washington, described as follows:
COMMENCING at the northeast comer of said Government Lot and running
S88'33'00"W along the north line of said Lot 434.34 feet:
THENCE S37017'00"W 297.39 feet;
THENCE S51021'10"E 149.01 feet to the POINT OF BEGINNING of this description;
ITiENCE cominuing S51'21'10"E 90.24 feet;
THENCE S32000'00"W 100.39 feet;
THENCE N55039'23"W 136.64 feet;
THENCE N37017'00"E 20.00 feet;
THENCE N59049'47"E 96.50 feet to the POINT OF BEGINNING;
TOGETHER WITH an undivided one-half interest in that certain portion of said
Government Lot 3 adjoining the subject property on the west and more
particularly described as follows:
COMMENCING at the northeast comer of said Government Lot and running
S88'33'00"W along the north line of said Lot 434.34 feet:
THENCE S37017'00"W 397.39 feet to the POINT OF BEGINNING;
THENCE continuing S37*17'00"W 20.00 feet;
THENCE S51021'10"E 102.00 feet;
THENCE S70.02'00"E 14.31 feet;
THENCE N37017'00"E 40.00 feet;
THENCE S82058'00"W 13.97 feet;
THENCE N51021'10"W 102.00 feet to the POINT OF BEGINNING.
AUTHOR'!=
FOR RECORDING
CITY OF EDMONDS
BY � ( -
PAGE--Z-- OF
TOGETHER WITH non-exclusive right of easement for purposes of ingress and egress and
for utilities over the following described property: a strip of land twenty feet wide lying
southeasterly of and adjoining the centerline of Sound View Place, as shown on the plat of
Edmonds Sea View Tracts, recorded in volume 3 on page 76, records of Snohomish
County, Washington, produced southwesterly a distance of 660.93 feet from its intersection
with the north line of said Government Lot 3, EXCEPT that portion previously deeded for
county road.
CITY 01: EDNP,0NDS
P. Vj. E;EpT. DIV.
L AT
7�
Jf _*.�
d2-"'
Ifft— "-4 e�) P n,
VOL. 2606PAGE02(30
City of Edmon
RIGHT-OF-WAY CONST CTION
'Rt
PERMIT
Permit Number.
Issue Date:
A. Address or Vicinity of Construction: 18829 Soundview Pl ((9318008)
C) B. Type of Work (be specific): Install 2"PE IP Main in Sou"ndview PI fropm
9 0-19 552'S to 616'S centerline of -Wharf St & to Install lk" PE IP Main in
Soundview Pl from 13'.i to 30113 eenterline ef Seundview P1.
C. Contractor: Washington Natural Gas 69ompany- Contact: Frank Swan
Mailing Address: 815 Mercer.St, Seattle. WA Phone: 224-2278
98111
State License #: Liability Insurance: Bond: $
D.'Building Permit # (if ipplicable)-._ Side Sewer Permit # (if applicable):
E. F-1 Commercial E] Subdivision El City Project [@ Utility (PUD, GTE, WNG,'CABLE, WATER)
0 Multi -Family EJ Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes []No G.-SizeofCut:2 (2 x4) H. Chargq�_$
APPLICANT TO READ AND IGN
Ci
ii
INDEMNITY. Applicant understands and by his signature to this application, agree t h ffe— ty ofEdmonds harmle ':;�,VdE?-ages, or
74t, .410. "
aga t
claims of any kind or description whatsoever, foreseen or unforeseen, that may be .1 ins the City of Edmonds, or any of its departments or
de ense costs, and attorney fees by reason ofgranting thispermit.
employees, including or not limited to the defense ofany legal proceedings including em
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTIONAND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL TYE FINAL STREET PATCH
IS COMPLETED B Y CITYFORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BrPROCFSSEI) FOR ISSUANCE !&ThE A'AP'LICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0�,20.
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.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I h a ve read th e a bO Ue s ta temen ts a n d u ndersta n d th e permit requiremen ts a nd-the pin k copy of th e permit will be
auailable on Site at all. ' s for inspection purposes.
Signature- Date: November 3, 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGIN, NI - -T Fif E-
FOR CITY USE ONLY
APPROVED BY: JA_, 4C.41 RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER S'Ao I Q DAYS DISRUPTION FEE/FUN'D 111:
SPECIAL CONDITIONS: RESTORATION FEE:
PERMIT FEE -
TOTAL FEE: 3 119'
COMMENTS: RECEIPT FEE:
" : / I .
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. I)iv. 1991
NOTES: EDMONDS
2.) FIELD LOCATE ALL UTILITIES
CALL 1-800-424-5555
City of Edmon,
TXIfGHT-OF-WAY, CONS CTION
PERMIT Permit Number. 3 - -30
Issue Date: /0 - e2 1�7
A. Address or Vicinity of Construction: 111F411 J1)41
890 C3 - r-
B. Type of Work (be specific): (,oLl
C. Contractor: 664 Z16' ZJ62 12 Off <_ Contact: '4",,
Mailing Address: Phone:
State License #: 1,1,,;.,4 7.-�_� o�v :a pQd Liability Insurance: Bond: $
b. Building Permit #��if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial []Subdivision EJ City Project E] Utility (PUD, GTE, kBLE, WATER)
n Multi -Family JR Single Family E] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete, Cut : 0 Yes ONo G. Size of Cut: x H.
APPLICANT TO READ AND SIGN
v
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, dama s,or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legal proceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF-TkE 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 ISSUANCE TO THE APPLICANT.
Constfuction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Divisionj 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.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe
available on sit t all times for inspqction purposes.
J..4Signature: Date: h�
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED VOID AFTER DAYS DISRU M,''ON FEE/FU'ND Ill:
SPECIAL CONDITIONS: �41,!;9�4114 RESTdRATION FEE:'
PERMIT, FEE:
7-1—V TOTALIEE:
COMMENTS: RECEIPT, FEE:
DATE: ISSUED -BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT IS!�JANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund 111 - 'Route copy to Street Dept.)
Comments:
cz-al bb
Diagram:
CONTRACTOR CALLED FOR INSPECTION El YES El NO
-Part -by P.W.:
ial Work Inspection
'Work Di I sapproved By: Date:
FINAL APPROVAL BY: Date:
CITY OF EDMONDS ZONE
ISTRUCTION PERMIT APPLICATION ,,I,
7AME/NAME OF BUSINESS ADOR
1�y d -A /-/ /j, /Jo/ LEGAI,
ADDRESS
c�- — / A e " *- !�: 7—
PERMIT
NUMBER.
UIT97
L � ! . PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP Approved a
zl� TELEPHONE NUMBER RW Permit Required 0
EXISTING REQUIRED DEDICATION Street Use Permit Req'd 0
Inspection Required
PROPOSED 1.19
�4tlllq REMARKS ..dinvvAlk Required 0
is r7 - j
?0 7- I-vll
CITY- ZIP JTI�L�PHONE NUMBER
FdMLW1_1j -771- 3be,
NAME ,
A/ Olt IrIf /10/0 fs
ADDRESS
402- 0/0011 Pit. A 1/4
8 1-17b4701
STATE LICENSE NUMBER EXPIRATION DATE
Legal Description of Property - include all easements
n Property
Toit Accoun
1.3 2 �-0,3 q - 0 7 - 00
NEW
10 RESIDENTIAL
PLUMBING
ElADDITION
El COMMERCIAL
MECHANICAL
REMODEL APT.BLDG. SIGN
FENCE
El REPAIR C11.1. I X___FT)
OODSTOVE IM POOL
DEMOLISH 0 SHWOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT LJ ROCKERY RENEWAL
q::: Lit-`
ENGINEERING MEMO DATED_ REVIEW BY
METE�j7
IBUILDING SUPPLY SIZE 0. OF FIXTURES
/I I N 20
.1.. AM.
5F.PA REVIEW
ADS NO.
ALLOWED
PROPOSED
COMPLETE
#
1EXEMPT
SHORELINEII
EXP
xy ri
7A R I A�! �R C U
PLANNING REVIEW BY
DAT
BACKS — FEET
HEI _77
allT LOTCOVERAGE
RONT
F 7 SIDE 0�
REAR
&7xi(rive. (ov",+A
08 026r)
BY TYPE OF CONSTRUCTION
CODE
HEIGHT
=CHECKE
-97-
1 (?j
2.5
SPECIAL INSPECTOR AREA
REQUIRED
E3 YES
C) I
GROUP
JOCCUPANT
LOAD
F(MA RKS
Z
0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS
PER UBC 305
E ,�F RF,� 1,061,yt
NUMBER OF STORIES
I NUMBER OF
WIRM4 tore— w5j!�76_
WELLING
UNITS
DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN)
��Ysng u ( r S11vt7a ot,-41111),ty 1&1&,y4e
FINAL INSPECTION
REQUIRED
r-7gAoLyb: 177 C Y
VALUATION
FEE
ESE
;;�5eaii 4111-flei 44 16tw1f 1.1F.
PLAN CHECK FEE
e -7L,(—
BUILDING
-
3yj
HEATSOURCE:
GLAZING
&A-5 CP7-
& 2- %
4'
PLUMBING
Plan Check No.
MECHANICAL
$F
This Permit covers work to be done on private property ONLY.
ORADINGIFILL
Any construction on the public domain (curbs, sidewpike,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
V1
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Dais
STORM DRAINAGE FEE
g
"Applicant, on behalf of his or her spouse, hairs, assigns and
ENO. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold
h armless the City of Edmonds, Washington. its officials,
2 employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the Issuance
of this Issuance this not be deemed to
PLAN CHECK DEPOSIT
permit. of permit shall
modify, waive or reduce any requirement of any city ordinance
-x nor limit in any way the City's to
ability enforce any ordinanc 0
provision."
TOTAL AMOUNT DUE
hereby acknowledge the' I f
I hereby acknowledge that I have read this,application; thal'the
1 0 g IV I
In at n an 5 an
I Orm cc r'oct,
Information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
I I I
author Zed aen 0 1 he Ow
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
I
State laws regulating construction; and In doing the work authoriz-
AUTHORIZE
This application Is not a permit until
:
I a a
d thereby, no person will be employed In violation of the Labor
ONLY THEES
signed by the Building Official or his/her
L--f
Cc 8 Of
Cod 0 the Slate of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy: and fees are paid, and receipt is
t I I . r. .
i,n1nB n.
.:
INSPECTION
acknowledged In space provided.
NAT E(OW Ti
SIG UR NER OR A:GENT) DATE S,?1NED,
DEPARTMENT
Ile
CITY OF
OFFICIALS So T RE DATE
U
EDMONDS
ATTENTION
CALL FOR
'RE LEASED ! E " DATE
INSPECTION
r
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-0220
UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — inspector
A CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER 3.
PINK — Owrer GOLD — Assessor
STREET
F/LE
APPROVED "uY
��m o" -�ojzl
=ZaK (0�LR 5C:")
6�1
�51TE,
2L
STREET FILE
j in
d
PERNUT APPLICATION REQUIREMENTS
TO: Permit Coordinator, Building Division
FROM: Lyle Chrisman, Engineering Inspector
OWNER:—PA,7-0- PLAN CK # '04r*3&
ADDRESS: 1191%31 i!50U140V1&14 ft., DATE: I /�;/q -3
After review of the subject permit application, the following requirements mustbe me t.
1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/Owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d)
S. NO WORK SHALL BE DONE W.YTHIN IS FEET OF STREAmS OR.10 FEET FROMANy CLOSED DRAINAGE FACIL-
ITY, BUILDERIOWNER IS REPSONSIBLE FOR IDENTIFTZNG COND177ONS ON THE DRA%7NG. (ECDC18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLUCES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap -ramp may be required. Contractor shall meet with the City Engineering Staff to determinethe extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14%.
Waiver granted to %. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRrVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer 'main lines should be separated by 10 feet minimum. (ECDC 18. 10)
16. Connect . o the City sanitary system is required. A separate permit is rV610.
LIMV Fees paid: Yes No Charge65 (ECDC 18. 10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50% of the total
assessed value of the structure. (ECDC 18.05.010)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU-
PANCYOF THE BUILDING OR STRUCTURE. (ECDC18.90)
194ptp 4* A"M pisr, Klgc
20. .4-0-.44W
STREFT FILE
STANDAR6DRAINAGE DETENTIQJJ SYSTEM
WORKSHEET
OWNER IMS4 MRS A L r'442-6, -7
CALC BY: 24V0 LPHE'&
ADDRESS PHONE: -7) O�7
DATE:
"DESIG&D"140A
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
'A
4, dz �-- 4
OETENTION PIPE. LENGTH_:
RIM ELEV_ I'MIN COVER 6- MIN SPACE
2'?WAX COVER RIM ELEV_
IL
dr 0 MIN
SLOPE 4' 0 PIPE PAIN.
INV ELEV —
01PER CATCH
8A SI/V
—INV ELIEV
CONTROL CArCH
BASIM
SYSTEM CROSS SECTION
ON M-46
FROM
CONTROL
OUTLET
I
.0 C, AVEL
".,,OUT WAW TRENCW,4hW'i6'.LONG
T8'P — NO 4'PERF PIPE TOSE LEVEL
I+
4"PERF PIPE W/CAPS
RUNOFF SPREADER
OUTLET
E�EP, 4-6"QUARRY SPALLS
.2 DEEP, 3/4' CRUSHED ROCK
FROM CONTROLL
OUTLET
RIPRAP OUTLET
f :�j ntr_T FILE
"T"
RECEIVED
JAN.04"'. 1992
PERMIT C OU -
".".NTER
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES:
1. Call Engineering D ivision (771-0220) for a tightlie and detention system inspection
before backfilling and for final inspections.
APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on pnvate property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kept open at all times.
p
Lable I Detention 'Pipe 2,.JLZr_-
T
.Lmpermeable
Required
Pipe Diameter
Area Sa. Ft.
Vol Cu. Ft
181,
2 4
30"
11:000
0
_4,
Cf
2500
62
50 3 57
"0
3
3000
7
60 42
24
15 Required� ��pib
'f
3500
87
7 0 4 9,
.28
10 -h iii -
.16ng't
.�.4000
10 0
8*6 5.6
3
21
4500
111-71,
90 60
a6-,
210,
5000
12.5
100 70
40
25
Note: Allowable
Pipe Materials: Reinforced Concrete
Aluminized Steel
A -1. u
CM-P Asphalt
Coated
N-12 ADS (Not
r-)ermitted
on
roads)
Table.2 Outlet
Orifice Sizes
Im-Dermeable
Area Sq. Ft.
------------
Outlet Orifice Diameter
(Inches)
2000
--------------------------------
5/8
-'r,00
11000
3/4
3500
3 - /4
14000
7 /Ou
4500
7/8
17JO00
7/0
Table'3- Rectangular Catch Basinjequirements*
'Detention
Max. -size
Catch Basin
ipe diameter
------------
knockout
Type
----------
----------
Lype I, CE
15.
18" to 21 4 -
Type IL, CBD
16
24" t o 36 "
3 6
vType IT, CD
19 (48"
Basin)
36 - t o 42 "
42?
Type II, CB
19 (54"
Basin)
*Source: Assoc.
S'and & Gravel
Co. Standards
Page 5 of 6
0b,IECT REVIEW CHECKLIST*
PROJECT NAME:
PLAN CHECK #:
PROJECT ADDRESS:
—Z S)LZA /)'J)) RECEIPT DATE:
EVIEW
ni ia a e)
PLAN.
WATER
-CO MENTS
-FIRE
BLDG.
SEWER.
STREET::,ENG.,,
Setbacks/Variance/Setback. Adjustment
Conditional Use Permit
....... . . . . . .
ADB Requirements
.
. . . . . . . . . . . . . . . . . .
Other Zoning Requirements
Underground Wiring Required
Lot Slope IS%
... .... . ........
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
9-
Legal Description Verification
Quit Claim/Street Dedications 4
Easements - Publicprlvi_j�; Aumw [AzTeZ69
12
Engineering Storm Dfa—in Review Fee'
Engineering 2.2 Inspection Fee
14
Drainage Plan (On -Site)
........ . . . . . . . . . .
Setback - Top of Bank, Stream, Water Courses
............
Setback - Storm Drain Line
.. ........
Open Ditch -,Existing
. . . . . . . . . . . . . . ....
411A
18
Culvert Required
:�l 9
Culvert Size
...........
. . . . . . . . ...
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
. . . . . .
Driveway Slope & Vehicle Access
Sidewalk Required
WON WIN
-2-
Curb & Gutter Required
Curb Cut For Driveway Required
. . . . . . . . . . . . . . . . . . . . . .
---------- ..............
. . . . . . . . . . . . . . . . . . .
Street Paving Required
...... ...
---
Right -of -Way Construction Permit Required
Street Name Sign Required
............
..........
29
Other Signing Required ,fVzWx;V0
Bond Required For Public Improvements
. . . ......
........ .. N
3 ...
FEMA Map Check/Water Table
..............
3 2
Side Sewer Availability
in
Calculate Sewer Connection Fee If No LID #Ar71
..... ......
4�
Create Street File
. . . . . . . . . . . . . . ...........
. . . . . . . . . . . . . . . . . . .
Existing Water Main Size
........
Water Meter Size
'Wit
3
Service Line Size
Water Meter Charge Required
-7
. . . . . . . . . . .
Hydrant Required
. . . . . . . . . . . .
Hydrant Size Existing
J
.
Fire Line Charge Required - Sprinkler
:42..;
Street Cut
48:
,Miscellaneous
...
Reviewed By:
FIRE
PLANNING
ENGIQ$jjNG
I 4�, -,
--&-IV VVWnnQ utlir
P..�EEC WORKS
STRI,
EET;, --f
EE
FOJECT REVIEW CHECKLIST
PROJECT NAME: (7- V-n PLAN CHECK
PROJECT AIDDRESS:—Zgz�'? '( 'LA-212 JI)EU) RECEIPT DATE:-,Q
RE
RE IEW D BY: -I
Date
qitial/D�-
P LLAA N. WATER
FIRE
-BLDG. SEWER
STR .:.ENG.
Setbacks/Variance/Setback Adjustment
Conditional Use Permit.
ADB Requirements
Other Zoning Requirements
Underground Wiring Required
5.0.
Lot Sig" IS%
rmitiSEPA Environmental Checklist/Hydraulics Permit
Tree Cuttfirig Plan
Plat/Subdivision Requirements
Legal Description Verification
Quit Claim/Street Dedications 4
Easements - PubliQPrivgti JAUrgc,"S jjR;ZfZ59
12-
Engineering Storm Dfabin Review Fee'
Engineering 2.2 Inspection Fee
. . . . . . . . . . . . . . . . ......... .....
Drainage Plan (On -Site)
114 /9 -a
Setback - Top of Bank, Stream. Water Courses
17
18
19:
Setback - Storm Drain Line
Open Ditch - Existing
Culvert Required
. . . . . . . .
Culvert Size
Shoulder Drainage/Shale Open Runoff
. . . . . . . . . . ..... .... .
21"
Catch Basin Required
Driveway Slope & Vehicle Access
,!-; MISS. I
...........
�' 23.+�
............
Sidewalk Required
Curb & Gutter Required
- - - - - - - - - - -
25:
Curb Cut For Driveway Required
. . . . . . . . . . . . . .
Street Paving Required
Right -Of -Way Construction Permit Required
2 .
Street Name Sign Required
Other Signing Re uired
Bond -Required For Public Improvements
FEMA Map Check/Water Table
...........
- - - - - - - - - - - - - - - - - - - - - - - - -
Side Sewer Availability J!�CS A.,*,.k
Calculate Sewer Connection Fee If No LID #/17/
"0 f _-z_
3.
Create Street File
Existing Water Main Size
Water Meter Size
Service Line Size
Water Meter Charge Required
-7 1�v)
Hydrant Required
Hydrant Size Existing
L;!�4
I I Vp r%
Fire Line Charge Required - Sprinkler
IStreet Cut
. . . . . .
IMA
.. ..... . ..
Zm�Zm
IMiscellaneous
. j
rUoLlU VV mrb ukpr
Reviewed By:
FIRE PLANNING ENGINEERING PUBLIC WORKS
0
in in #A
xxx
W in in
coo
0 a 0
C4
04 le
A A A
C4 04 C4
4 a
140
E
1 6)
T2
Aft 47
2-:3 34 — Z, zi-
3
03
-79
-7qr
2-3
9
2- -2- 4r4 14 23 `±J
5-4-
14-
0
0
xxx
A W PA
cc 0
000
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A A A
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0, 18,
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'-"'TRf-:T RLE
93JR080260
STATEMENT ON ACCESSORY DWELLING UNITS
otoperty Address:
Legal Description :
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 is
C)
granted 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 review in the review of any application for a conditional use permit
Property Owner Name
Date / - -5- — 5;,* -?
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Dated
Signature of
Notary Public
Title
My appointment
Expires: _
/ / - '� - 5 �'/�
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
AMUSTMAY3C
A U T H On" 17"7D
FOR RECORICiNG
CITY OF EDMONDS
BY ') /�
PAGE—..L OF
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