18832 81ST AVE W.PDF111111111111
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18832 81 ST AVE W
"I
CITY OF EDMONDS LAURA M. HALL
MAYOR
7110 - 210TH ST. SW - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT — PUBLIC WORKS DIVISION
am— lz�
y .9 C�
March 20, 1995
Steven Mahaffey
18832 -.8 1 st Ave. W.
Edmonds, WA 98026
SUBJECT: ROOTS IN SEWER LATERAL
Dear Mr. Mahaffey;
City crews have determined that the sewer lateral attached to the main line located on 8 1 st
Avenue West is showing signsof roots that could cause a possible obstruction in the line if
not repaired.
It is the City's intent to TV your lateral service line with our TV inspection system to
identify where the roots are coming from. In order to do this, we will need your assistance
to reach this. goal.
Attached is a copy of your house and where the side sewer lateral is located'along with
cleanouts provided for access. Please expose these access points as soon as possible to
allow access for our crews. Then call us and set up a date to determine where the toots are
coming from.
If these roots are in city right-of-way, the city will replace as needed. If on private
property, you will be required to repair for maintenance to prevent obstruction of city
sewers.
Should you have any questions or concerns, please call me at 771-023 5, extension 649. 1
may be reached between 8:00 AM - 4:00 PM, Monday through Friday.
Sincerely,
Ron Holland
Water/Sewer Supervisor
Attachment
wordatAsewerVootsys 9 Incorporated August 11, 1890 *
Sister Cities Internatio,nal — Hekinan, Japan
-APPLICAJAU
FAFNT N
W! k.PZRMIT
of tdnioiids'
City 'SIDE** E E 0. ASMT- N-
NE\V CONSTRUCTION KEPAIKS LID N
OR ...... ... .. ......
CONTRACT.. ...... . ...... .............. .... ....
14 BI.00K No.
LEGAL DESCRIPTION: LOT NO. -
ADDKFS� .. ............... ................... .... .......
........... ............... -,�UF r?, a,
--.1 2 Ar%T'.T-rTnAj0 ........ ..
- ......... .... . .
ZIFJYLUI!.--
V,
CITY OF EDMONDS
7110 - 210TH ST. SW - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
890 C�
... May 22, 1995
Mrs. Steven Mahaffey
18832 - 81 st Ave. W.
Edmonds, WA 98026
Subject: Results of TV Inspection of Sanitary Sewer Line
Dear Mrs. Mahaffey:
LAURA M. HALL
MAYOR
On May 19, 1995, City crews televised your sanitary sewer lateral via an opening
provided by you in the line existing your house. The results were as follows:
Two locations showed signed of roots. The first was at your cleanout at the
property line just before the connection to the City lateral. This point would
be your responsibility to repair. This portion is not detrimental to our main
and therefore is optional for you to repair.
The second location of roots is located at the City main connection and will
be repaired by City crews.
Thank you so much for your assistance in this matter.
Sincerely,
Ron Holland
Water/Sewer Supervisor
word ata\sewerVna haffey
e Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
CATile No: 6,4-2 o62 — ?_3
k1i
Griti-ca'I Area's"'Chec st
I 'A
ti
Site Inkirmati6t. (�oil'/jo:-
s. pogr4phy/ hydrology/ vegeta o
1. Site Addres's/toc�ii6n: 9 -03,2`
ST LIJ
2- Prop bunt
erty.*, Tax Act 'Number:. 'o 04
cres or'square
3. Approximate Site Si�� (a'* eet):
10
4. Is this site currently developed? X'YeS' no.
If yes how is site developed? 44f
5.
I
Describe the general site topography. Check all4hat apply.
X Flat: less'than 5-feet elevation cha.nge,1icve'r'en, e.,sit,e.
Rollin -slopes on - site� generallyiJess than, 15% -.(a VerticaLrise of 104eet over a horizontal
.9
distance.of 66-feet).,6i
�Iopes..present on site of mbre than 15 %, -and s than 30% a vertical rise -feet
of 10
over a honzor�tal distan'ce� 33 et).
of, to 6-fe
Steep: grades of greater than -30% it 0 ontal
distance of less than 334eet) . , - . W,
Other (please describe):
Site contains areas of .' ear-'
y , round standinLy
7. Site contains areas of seasonal standing Water. ;Approx.Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flow's across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped'oawnshrubs etc) �Le -5
11. Obvious wetland is present on site: t1Z Z)
Critical Areas Checklist.doc/3.19.2001
City of Edmonds.,
Development Services'De'partiTient'
Planning Division
Phone: 425.77140�206
Fax: 42.5.771.0221
The Critical Areas Checklist contained on this form is to
be filled -out by any person 'preparing a eve opment
Permit Application for the City- of Edmonds. prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are', or"', pehnit app ication.
.may be, present on.th6 subject property.i The,inforniatiofi
needed to complete the Checklist should be easily
available from observationsof the site or data available at
inventbries; maps -'or soil
Ci I diiii�al- "aieas'
s
Deli, i
Date Rec , eived: U
tity, Rece,ipt #: 9 ._1q0_6-q
'Critical Areas F, ilq#:
ca . Ps, $45.001
Mailed to Ap
AI
propetly.,owner, -or his/her authorized. representative,
,.must fill Put the checklist, sign and date it, and submit it
to the. City. The -City will rieview"the 'checklis. t, make a
-Yrecursory site visi - t, and, make.a determination of the
iubseq'ue'tit steps, he-ce'ssary 'to'" complete a de"v'elopment
,�Pleasesubmit.�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
itidn - "the- 1**' "-s&ll* include other - pertinent
�dd app icaht
ifif6iniatioln (e'.g. -site rt plan'. - - topography map, etc.) or
�studies in conjunction with this Checklist to assistant staff
7 , completing their preliminary assessment of the s ite.
The undersigned ilYpTilanO JHlfhrher/iis he ddsg�KJin'consideration on the processing of the application agrees
I . _,!
to release, indemnify, defend and dmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any' action- or infrac"11007tm, in whol6 or part upon false, misleading,'. mi'accurate or
incomplete information ftimished by the. applicant, his/lier/its agents o . r employees.
By my signature, I. certiiy.that the information and exhibits herewith submitted are true and co ' rrect to the.best of my
knowledge and that I am authorized to file this applicaii6fi on the behalf of the o1A Mier. as listed below.
SIGNATURE OF APPLICANT/ . AGENT__.'Me�� 14rvele_ I DATE 16
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply foT the subject land use application,
and grant my permission for the public officials and the staff of ihe City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER DATE.
Ownei/Applicant:
- �2&c V e P, h R -�T
Name
I S 9 32- - 9 !S-7 A%]
Street. Address
C-,
city
State
Zip
A p-plicant Representative:
C= ry-,d C_'. (2o ns7T77 2:�3 (2--,
Name
? n
Street Address
.. Lv_� G+c4clns q ga58
City State Zip
Telephone: 9 1-7 60.- 0_0 35 . ! 'Telephone: -ZA a 5 - 3 30 - 9 2- G -Z-
Email address (optional):
Critical Areas Checklist.doc/3.19.2001
Email Address (optional):
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........ . . . ......
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CITY. OF EDMONDS
7110 - 210TH ST. SW - EDMONDS, WA 98026 0 (206) 771-0235, - FAX (206) 744-6J47
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
8 9 0 C�
March 20, 1995
Steven Mahaffey
18832 - 81st Ave. W.
Edmonds, WA 98026
SUBJECT: ROOTS IN SEWER LATERAL
Dear Mr. Mahaffey;
LAURA M. HALL
MAYOR
City crews have determined that the sewer lateral attached to the main line located on 8 1 st
Avenue West is showing signs of roots that could cause a possible obstruction in the line if
not repaired.
It is the City's intent to TV your lateral service line with our TV inspection system to
identify where the roots are coming from. In order to do this, we will need your assistance
to reach this goal.'
Attached is a copy of your house and Where the side sewer lateral is located along with
cleanouts provided for access. Please expose these access points as soon as possible to
allow access for our crews. Then call us and set up a date to determine where the roots are
coming from.
If these roots are in city right-of-way, the city will replace as needed. If on private
property, you will be required to repair for maintenance to prevent obstruction of city
sewers.
Should you have any questions or concerns, please call me at 771-0235, extension 649. 1
may be reached between 8:00 AM - 4:00 PM, Monday through Friday.
Sincerely,
Ron Holland
Water/Sewer Supervisor
Attachment
wordata\seweArootsys 9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS SEWER DIVISION
TV INSPECTION HARDCOPY
REPORT DATE 03/08/95 12:33 PM
REPORT NO. CR335lVl
REQUESTED BY EA
PAGE 1
MANHOLE NUMBERS 218-5 TO 210-5
UPS ADDRESS 18910 81ST.AV.W.
DWN ADDRESS
AREA
SURFACE ASPHALT STREET
PROJECT BIG ONE
JOB NUMBER
TV DATE 03/02/95
OPERATOR TOM
WEATHER SUN
VTR FORMAT VHS
TAPE NUMBER 12
VTR INDEX 00748 TO 00905
SUMMARY:
RECOMMENDATIONS:
FOOTAGE
VTR
CLOCK
READING
LOC
POS
* 2.0
00748
0
* 69.6
00811
2
LATERAL
* 101.8
00817
9
LATERAL
ROOTS
* 170.3
00827
3
LATERAL
* 178.4
00834
9
LATERAL
* 238.6
00839
2
LATERAL
* 276.1
00846
9
LATERAL
* 299.4
00851
9
LATERAL
* 396.2
00856
0
COMMENTS:
END OF
RUN
QUAL
QUAL
LOCATION
STREET
ROW, HEAVY TRAFFIC
PIPE TYPE
NON -REINFORCED CONCRETE
PIPE
PIPE WIDTH/DIAM
8.00
PIPE DETER
N
REVERSE SET UP
N
SKETCH
N
LENGTH
396
PRIOR HISTORY
N
UPS DEPTH
9.0
CONDITION RATINGS:
DWN DEPTH
0.0
STRUCTURAL
0
JOINT LENGTH
4
1/1
0
FLOW DEPTH
0.0
ROOT
1
MAIN LINE
0
DESCRIPTION
FACTORY SERVICE
FACTORY SERVICE
ROOTS - MEDIUM
FACTORY SERVICE
FACTORY SERVICE
FACTORY SERVICE
FACTORY SERVICE
FACTORY SERVICE
-�� V" �s - ) H 3
ka4tv V�\ - �c)
PICTURE
NUMBER
Critical Areas Checklist CA File No: efA -�2 o62 — -2-3
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: :ST ky e- LJ
2. Property Tax Account Number: 00q'Zi �oOO aOO -e�00
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? X yes; _ no.
If yes; how is site developed?- -e,
5. Describe the general site topography. Check all that apply.
X Flat less than 5-feet elevation change over entire site.
6.
7.
1.3
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). IN
Steep: grades of greater than 30% e� 1 WWbntal
r
U OT
soldistance of less than 33-feet) 'R
Other (please describe): 4 g U.
Site contains areas of year-round standing water:,...�&4.' Xp,prox. Depth:
Site contains areas of seasonal standing water: Af� t2 Approx. Depth:
What season(s) of the year? . -
Site is in the floodway ,V0 floodplain
of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
'J/0 Flows are seasonal? (What time of year?
10. Site is primarily: forested — ; meadow shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: dz Z)
AIL
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d or, A;�=164
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Critical Areas Checklist.doc/3.19.2001
PLANNING DATA
NAME:P AVAGS,=q L4 DATE: E:�, 17 1 Q .2-
SITE ADDRESS: I I PAR% a PLAN CHK#-JaL- Q-2 -i
PROJECT DESCRIPTION: Qq_k_Z� 75(i':-r r!'
REDUCED SITE PLAN PROVIDED?(�/ No)
MAP PAGE: CORNER LOT: FLAG LOT: ffes
ZONI NG: Zro CRITICAL AREAS DETERMINATION #: 0a -. 7
Ll Study Required:
Waiver
Conditional Waiver
SEPA DETERMINATION:
L1 Fee
Ll Checklist
U APO list w/ notarized form
(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound *or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks:
Street: Q r5' Left Side: W RightSide: 10 Rear:
Actual Setbacks.--,4<- Fee- (-O-cx-. t'z:�C- -rPa"9z-4:>
Street: i I r,-)' Left Side: 'F� I I Right Side: I a' Rear:
Street map checked for additional setback required? (Yes No DNA)
DETACHED STRUCTURES:
0 ROCKERIES:
LJ FENCES/TRELLISES:
L3 BAY WINDOWS/ PROJECTING MODULATION:
U STAIRS/ DECKS:
PARKING: Required: a _Actual:-2t Z_
LOT AREA: ( P.LA -7
Cal�ul;wl�i 7SAt61FP-17C91'E:rT L-t 44 0,)R -4- R?�� J�Z — �Ljl! Z)
BUILDING HEIGHT: IS,- I Z) C"
Datum Point:9-cc-9 C4__-reo4_L.-�q_ Datum Elevation: I (DO 23 5
Maximum All o wed: I Actual Height: 9) luo
A.D.U. CREATED?(& Yes) -r-> - ILI C?_
A,Vq
SUBDIVISION:
EGALNONC fiING LAND USE DETERMINATION ISSUED: (Yes / No
6
/I __Y__ CALC.,G (2K qLC1.VA7n0P-5 A, NAP��
_4THER: F=ecm_ MqR=!3nQ Q-)�QZ
Qj� C�RJQQ'q *.4 r I;ZT 1'6F
Plan Review qy: (-*k-A k -' P. _>6
-W-C&xA..6L -�o
VPA� C
New anni gDatta" �onn.
Ev �
APPLICATION
The City of Edmonds for
EASEMENT NO . ....................
SIDE SEWER PERMIT ------------------------
NEW CONSTRUCTION REPAIRS E] LID NO. SMT-.--NO ---- ------------
OWNER- C. -T t. CONTRACTOR
... .. ........ .. . . .. . .. ... ..... .................. .............................
..........
JOB ADDRESS -,-""-"-L-EG-A-L-DESCRIPT-ION:- LOT NO -- --------------------_ 2_'
......... -------------------------_ _ . ........ I --------------- :__' .- �44.. _-::.:.--:.:----BLOCK NO - ------------------------------------
-------------------------------------------- --------------------- -------------------------------------------------------------------------------- ..........
NAME OF SUIBUP'tE�rst4 79NC-r
........................................................................................
'-i L'/ J
v
DATE -tax, ------- By .... - --- --------------- /'�' ..............
ZJ4111�(l
v
7-Sib
4�
k%VE; DEPA%R
:J."
Call'
ir 775-2825,'
or'-s
;41
11 -b
ld
t any, t
of the
-�const'
ruction
NO-§* t''
rqqys,
- 7 % , - - -:�`..
Z7 Sun
pe ons
T1 U,CTjo*j,4,';. . -1: B'42 c i-
CO
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RTAI�L
................
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e.
.......... .. . ...............
............ SL14U�
>
. .........
...........
A
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. CT ....... OWNER
BU1LDkR,;!
XT
................. ...... 7
DREs&... vnr1Wbb`d:,&!pr1c-'T
........... ... .. .
............
........ All
S
.9�ant6d
........... tN E
int
, . �,.6 _. ,, J.,
f -
7- .......
Vithn"clt� �6f:, drT!�t� .. or repair-djivil
cl;1or W�o
10 pj,--.*jg
ar. to, th*, isa'
9'TIIE_FO'LLO%�
E No.
I , ING: -
T The '.0%�ners",;f
J�Iver - -
t he Properit-y- rna� Oy"
-NOTE��No -2 ect Area - - obtain a Permit- i
'Ir
co� �, Y.,Portjo.�6f
Ml�w . er arf v,r insi, a PrOPerty� line
d
P'c tY"1_gh't-of__w11-Y. requires �n -'In . v �elver b�fore -Ij H
3 L7��6 - " _�� 'been_JmPecte�."� wer-Con�traCtor
f U I 1,.�'j h'f 6 r M -.1 'i* �' -
a has
OTE, -9 on to
."In'regardin ...a (If RJ9h
ewer must - h. - * -,
ave.,at i:'ordfr�anc6*- I I -030�and* ions� of 06t: , na, le. f r9m the', City: myst COpa�ruct,..�,,
16 t' -Way� P;;�rrnit' a.1
least'jo lnt��e, c, gcove�rnlnk"side.'se,� Ehgln�er's offi
116iula'i'
NOTE NO
ver4ge'-&t.p�41rty 11 ers wheh-*
get Perrnt t:
reetjmustcb�'��at .. ti -,- ne.a-nd u
.12-1fiches' ins�ld
WOrk which' se t ed� and 'surfac ..,C.Propjmy-ll
e
0 0 street n
c-..NOTE Vo rria�.:6vel�p within
-0,* n��Y-r .:rl!stcred
1 2
-to Of� c6niPletlon:- O.Oh�lnaj-.*��;ndltlon. Cont
-be
Ye
Ahe I Ie�p?n bW..for falluie—
on th'e Main, se'we;.,O� �ii,
V'ED'.
El:. -.'Dat a aPmrtetiahj�
B"
Ate.'
Y
D...........
Dafe
k .
S: . ...........
7 Y�
......... ...... *..' ............
*,*,* ............
......... ..
.......... . *
............. *`.:` ..........
77_ ...........
..................
e rh it: c ..... .....
TH
..................
...........
Be.
igne
d *B .............. ..... ...... .... ..
A[Owner.�-6p:p.il. 6r _4.
,7
...........
RJOR'
To
:Reque
ordng�ectid
Owner
fOf--Co6tract n-�# . ........
nSt ima*ccbMa*hc rn�fng.,Coh ereby..`�
dritify thei-sid'
e %vi al,,
e
t ion,ic*Onst
bends, In :g
e,-to Im
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f
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.7 A.
77
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uAll
aer.-Ei ........................
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M P. 'Pe 0; Pow
x
APPLICATION
I
The City of Edmonds for EASEMENT NO . .................
SIDE SEWER PERMIT ...........................
NEW CONSTRUCTION REPAIRS E] LID NO. 13�j ....... . ASMT. NO. -7,Yll
A. ...............
- ----------------------------
7—,
....... < ------------------------------------------ CONTRACTOR ....
OWNER ..... /� .... ...........
PERMIT NO.
JOB ADDRESS BLOCK NO - ----------
------ LEGAL DESCRIPTION: LOT NO - -----
..................
--------------------------------------------
.......................................
NAME OF ADDITION e .. ....
---------------------------
RECEMED
C T 2 2 1974
—A—p p—Fo v �e- - -
DATE-------------------------------------------- By ------------------------------------------------------------
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
ff�e -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-oyee-s o-r officerS Shdall be Viab-11-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..
�_v
RECEIVED
9/0)
�:;VERM IT EXPIRE
1 ;1 - 7 1 .
CITY OF EDMONDS
.10E-i
USE
ZONE V/ 4i:�) PERMIT
14— e NUM13ER
CONSTRUCTION PERMIT APPLICATION
JOB
SUmE/APT#
ADDRESS
OWNER NAME'NAME OF BUSINESS
VPLAT
NAMEISUSDIVISION NO.
LOT NO.
LIDNO.
LID FEE $
15
MAILING ADDRESS
e-
PUBLIC RIGHT OF WAY PER OFFICIAL MEET MAP
YES
RW
EXISTING PROPOSEC
Street Use Permit R844
kapeclJon Required 13
CITY ZIP
TELEPHONE
;2 o J-5
REQUIRED DEDICATION— FT
SIdevralk Required a
Underground
Wking required 13
NAME
�,METER SIZE: LINE SIZEl`TO. OF FixTURES PRV REQUIRED
YES E3 NO
.
x
ADDRESS
REM ARKS
�OWNEFVCONTRACTOR RESPONS19LE FOREROSION CON1TROL/DRAJNAbE
CITY ZIP
WE
(T) VINillitt—
NAME
ENGINEERING REVIEWED/DATE,
ADDRESS
0 Lro >( 01
NJ 0
FIRE REVIEWED BY DATE
CITY ZIP
TELEPHONE
0
Z_
STATE LICENSE NUMBER EXPIRA7TN DATE
CHELKWBY
VARIANCE OR CU
SHORELINE OR ADS#
INSPECTION
j:BOND
Vkb
646)
REQ'D
E3 YES, '13 NO
POSTED
1
PROPERTY TAX - ACCOUNTIPARCEL NO.
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
-
HEIGHT , . .
OWED
ALL PROPOSED
I ,
EXP
- I ,, ,
,
A -NEW )qge'RESIOENTIAL P
13 LUMBING./ MECH
LOT COVERAGE
ALLOWED 'PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
-PROPOSED SET'SACKS;(Fr.)
,FRONT LIR SID REAR
ADDITIQN [3 COMMERCIAL -1 COMPLIANCE OR
0 CHANGE
RVI
OF USE
PARKING, AREA -
REMODEL APARTMENT
0 0 SIGN
LOT I PLA44NING REVIEVW ED BY DAtE
REqD' PROVIDED
ry-
GRADING FENCE
>
REPAIR
YD
C 8 X Fri
REMAR*
0 DEMOLISH o OTHER
TANK
GARAGE 0. RRETAINING WALL
fi.313AIRPORT OCKlERY -RENEWAL
�A,2,�a C,-,
(TYPEOF USE. BUSINESS OR AcTmTY7'EXPLAIN:.�
C H 6 By
ECKE
TYPE OF 90NSM=
ITION
C01010--i
OCCLIPANT L)
GROUP
.
0
NUMBER NUMBER OF RM AL 1-4--1
C /T. I
OF. DWELLING AREA
STORIES UNITS
'7
I
SI)ECIAL.JNSPECTPR,
AREA
OCCLIPANT
NUMB
REQUIR E6 YE
�54 6Q
LOAD
DESCRIBE WORK TO BE DONE
11�
REMARKS
S
PROGRES INSPECTIONS PER.UBC- I 08/FINAL INSPECTION REaD
>
4
VALVATIO
bescriptildn'-
FEL
Diescriptl6n,
Plan Check
.302
HEATt GLAZING,% LOT Pt-
-Building
PLAN CHECIO NO: VESTED DATE Plumbing
:Mechanical
THIS PERMIT.AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO .
t: BE DONE ON PRIVATE PROPERTY ONIOX ANY CONSTRUCTION ON THE PUBLJ&�
3 grid
3 DOMAIN. (CUkBS, SIDEWALKS, DRIVEWAYSi MARQUEES, ETC.) WILL REQUIRE ing Recording Fe
SEPARATE PERMISSION.
Engr. Review City: Surcharde
PERMIT APPUCATION: ASO DAYS
PERMIT . LIMM I YEAR - PROVIDED WORK 18 STARTED . WITHIN ISO DAYS 'Endi. . Aria action
SEE BACK OF PINK PERMffFOR MORE INFORMATION P State Surcharge
'APPLICANT, ON.BEHALF OF,HIS Oil HER SPOUSE, HEIRS ASSIGNSAND SUCdES'ORS' Traffic Miti&tion Plan Chk Deposit
i
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
AND
9C EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AGENTS FROM ANY AND Fire Review Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THEzISSUANCE OF THIS PERMIT.
ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY: WAIVE OR REDUCE ANY REQUIREMENT OF MY CRY ORDINANCE Fire�lnspection Total Am Lj 5z
0 ount Due
NOR Limrr IN ANY WAY T14E CnYS A131LITY To ENFORCE ANY ORDINAN E PROVISION.-
C
I Landscapainsp. Receipt . # .147
I HEREBY ACKN
H REUY OWLEDGE THAT I HAVE READ THj AP
a PUCATION; THAf THE INFORMATION
GIVEN IS CORREC71 AND THAT I AM THE OWNE.R.-OR THE DULY AUTHORIZED AGENT 00
WEN 18' PRO
T H : OWNE APPLICATION AP VAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
T 10 ; AND This application Is not a peffnit until signed by the
TION;. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL
B:
I kNA
OL T
IN VIOLATION OF THE L.�Bgff%WE OF THE STATE OF, WASHINGTON RELATING TO uldinOl OMCIW of his/her Deputy: and FOGS are Paid, and
0 ME
WPRKMEWS COMPENS�TIWF INSUFC\NCE AND RCYV 18.27. FOWINAPECTION recelpt is acknowledged In space provided.
IGNATURE
616NATuRIE (OWNER ENT) DATE SIGNED �bffl&!_S SIGNATURE' DATE
!�w fe _7141 (44-95)
0 IV
771-0220
�RELEASIE_ DATE'
ATTENTION ::FM 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STR . UCTURE,
. UNTIL
I 0,;kl
A FINAL INSPECTION 771-0221
HAS'.BEEN MADE AND APPR OVAL OR A CERTIF 1_
CATE OF. OCCUPANCY HAS BEEN GRANTED. � UBC SE ORIGI 661 INSiE "R
CtION 109 CTQ
FAX PINK OWNER
irdni - GOLD - ASSESSOR
NORTHWEST GARAGES
334-9262
J17.
,L,e,h-rg,e pf &,�h-r-,PF-
App,?OVZD ale p
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
ADD GUTTERS/DOWNSPOUTS
ao" AND SPLASHBLOCKS
f e-or-'Ve-r-',
'o Al F-4 o�i'cv p—
,Z
� 5,0.
p,+7U,ll PT'
i:�- AVC- tU.,
APPROVED AS NOTED
BY ENGINEERING
-1 165�QUNf.LL
L
Date: eilsoto-z-
SCALE 1"
0 = STOCK PILE TO 8E COVERED WITHIN 24 HAS
XXXX SILT FENCE IF REOURED Steve Mahaffey
------ > SLOPES 18832-81 st Ave W
O=DISTRUBANCE AREA
# 00481606 200 400 RECEIVED
New Imprevious Surface g o. q. ft. 22 x 50 Garage
MAY 2 8 2002
DEVELOPMENT SERVICES CTR.
.STREET FILE CITY OF EDMONDS