19006 83RD AVE W.PDF111111111111
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19006 83RD AVE W
NOTICE:
N _o - w a r r a n t y
The -information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The city of �Edm.qnds does not . warrant the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the Inform-ation shown on
I I
tFe,map(s), Including, but not limited to
th-e 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 Edmo-nds nor its
ernpl-o-yee-s o-r off ice-rs -sh-a-1-1 be l-`1a-bl.-e for the
information given on this map(s), nor for
ion pr
any one representat* ovided based
upon I said map(s).
FFT C11
Call V OF ELPMONDS
C11Vl1C CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PROSPect 6-1107 when. worig
Is ready for Inspection. (No inspec-
tions Saturday, Sunday or holidays.) N2 1687
ADDRESS ............... 19006 - 83rd Ave. W.
............ .................................................................................................... ----------------
OWNER ........ Victor 0. Miller 'M Owner
.... . ..... ........................................................................... CONTRAC R ........................
February 27 67 1 1
Perndssion is granted ... .......... * ------ * ------------------------- 19 ......... for ---------------------- days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordin nces.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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.
NOTE No. 3—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. 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 maln sewer or Its ap-
purtenances except to insert the pipe into the wye.
E PA
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Mi(Ler Residence
19006 83rol West
Edmonds, Wa, 98026
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32' 1
85,95/
83rd West
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STREET FILE Critical Areas Checklist CA File No: DO -3R
10Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location: \. O� g r-.k- - R --Sv-b 6'3'es-T " e %'-Z. " c�
2. Property Tax Account Number: - ' % me I-\,. \KQ 0 C) Q-, 0 0
3. Approximate Site Size (acres or square feet): I , !�-/ 2,
4. Is this site currently developed? —,&yes; _ no.
If yes; how is site developed? P�9- I z� r�-"V T--
5. Describe the general si ' te topography. Check'all that apply.
Flat less than 5-feet elevation change over entire site.
Z/ 0 Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
.4/0 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).
/t/ Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
A--16) Other (please describe):
6. Site contains areas of year-round standing water: A,' V Approx. Depth:
07. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year? &I/
8. Site is in the floodway zVO floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
'A� 6 ---- 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: A1 - t�)
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? 2— --E� �1
3. SCS mapped soil "s)?
114�"d C4��Pkx
4. Critical Areas inventory Jr C.A. map indicates Critical Area on site? 0
5. Site within designated earth subsidence landslide hazard area? A To -
I DETERMINATION
STUDY REQUIRED
VAIVER
Reviewed by- Date: 7/' T�� 2"! 1 //,> 2
Critical Areas Checklist.doe/3.19.2001
EDAf R& Cit of Edmonds
Y
fP Deve opment Services Department
Planning Division
Phone: 425.771.0220
C. Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt#:_ I
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist sip 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 submita 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 assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant� and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees. - 1 0
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT rA.— DATE
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER DATE
PLEASE PRINT CLEARLY
Owner/Applicant:
\-%. L- r\ �K% %vk
Name
Street Address
, \,J J-*�. . C\-bo��Vo
city State zip
Applicant Representative:
Name
Q�0,4-
Street Address
N4�--N,rT
city State zip
TelephoneCQI-,-Zo-�-) --I-I\o Telephone: cv�o�- S-IAE�
Email address (optional):
Email Address (optional):
0ifical Amw Checklistdoc/4.4.2003
PLANNING DATA
NAME: IyLr &Mrs. V- (VV.11fr DATE: -IfI712-11A
SITE ADDRESS: JI)ooto - 93� Av-e-. 0. PLAN CHK#:-03 —13,+
PROJECT DESCRIPTION: 3k4-' �keo-*CA
REDUCED SITE PLAN PROVIDED?: tfe-s)/ No)
07
MAP PAGE: 301, CORNER LOT:6 =1NoT---`FLAG LOT: C'Ces
ZONING: RS -12- CRITICAL AREAS DETERMINATION#: 2-m3 - .39
QrStudy Required:
ErWalver
0 Conditional Waiver
SEPA DETERMINATION:
LJ Fee
El Checklist
LJ APO list w/ notarized form
L1 jNeeded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger
Ll Exempt
SETBACKS: Sr.
Required Setbacks: 4-
Street: 25' Left Side: 10' Right Side:— 2-5' Rear: 10,
Actual Setbacks: .65vrmr--
Street: -191 Left Side: Z& Right Side: 331 Rear: fro'
Street map checked for additional setback required? jj%sy No DNA At,
DETACHED STRUCTURES:
Ll ROCKERIES: Am--� S k,,_
Ll FENCES/TRELLISES': Ak
L1 BAY WINDOWS / PROJECTING MODULATION:
El STAIRS/ DECKS: � k.,
PARKING: Required: 2 Actual: 2 .',,
LOT AREA- -78-o, 3&4 4- 45' 299 4-o,93
LOT COVERAGE
Calculations: 7- 2-5-9
BUILDING HEIGHT:
Datum Point:— b W�4 Datum Elevation:
Maximum Allowed: Actual Height: 13
A.D.U. CREATED?: 0Qyes
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHER:- A"n ot:-A Nt ra-- S`6" 6 r4o'MA'" 110* wx rwn �=6� -
Plan Review
NewBPP1anningDataForm.D0C
STREET FILE
September 30, 1976
MEMO TO: HARRY WHITCUTT
BUILDING OFFICIAL
FROM: RICHARD 11. ALLEN
ASS.ISTANT CITY ENGINEER
SUBJECT: BUILDING PERMIT APPLTCATIODN FOR VIC MILLER @.19006 83d
AVENUE 11.
In reference to the subject application, we see no problem in the
garage permit being, issued. However, in order for the -driveway to be
constructed within the unopened rinht-of-way of 190th Street, a Street
Use Permit must be obtained from the City Engineer's Office.
RHA: mj r
0
APPLICATION
7�1 7,71 r 114
for M PrAW
The City of Edmonids SIDE SEWER PERMIT MENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS
... . ........
OWNE .... ............. . ...................................... CONTRACTOR .......................................................... ....................................... PERMIT N
A,; rl, - - --A�l T.-
ADDRESS A/-�-S7 LEGAL DESCRIPTION' LOT No. - ........ 7
........................................................................ .................................. BLOCK No . ....... :�� ..............................
NAME OF ADDITION
..................................................
Approved:
BY ..........................
—No
I)gl 01 WAY
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DATE RECEIVED
PERMIT EXPIRES
F E DI
CITY OF EDMONDS
C I
7' 0
USE ERMIT
ZONE
NUMBER
R�5 � a P
C ON ST R U T 0 N P E R,
CONSTRUCTION PERMIT APPLICATION
JO SUITE/APT#
ADDRESS
m FJNAME�F BUSIN7
ss
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
,jNA
V
t\q_ Q, M\&�m
FM:AIILING
;
AD 0
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�DRESS
rim.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
TESCP Appr
RW Permit RoevqVired
Street Use Permit Raqd
Inspection Required 13
Sidewalk Required 13
Underground
wiring required E3
CITY ZIP TELEPHONE
CwA
NAME
METER SIZE LINE
SIZE
NO. OF FIXTURES
PRV REQUIRED
YESE3 NO 13
0
1
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W
x
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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geowm� wSIVOC-Tais .� 9V rJAVAL
CITY ZIP
TELEPHONE
`1�4 it IAPO"N-5
I
NAME
CBLN
ENGINEERING REVIEWED BY 9ATE
ADDRESS
�t- tt,4, \337-
lE
'bay
FIRE REVIEWED BY DATE
CITY ZIP' TELEPHONE
VA I RIAN.GEoR,Cu.,_,J
.. .1 1- _
SHORELINE OR ADB#
� 11.
INSPECTION
REOD
Oy'
ES
BOND
POSTED
s
STATE LICENSE NUMBER EXPIRATION DATE
0 fa ksq:-L zI.\-.4A lb
ECK BY
M.,
SEPA" REVIEW
COMPLETE, EXEMPT
EX , P'
' ' '' SIGN AREA 1.
-ALLOWED. PROPOSED
HEIGHT
ALLOWED PROPOSED
zy 14l
;J1
,3
PROPERTY TAX ACCOUNT. PARCEL NO.
OA%\,%,o 00'Lkv 0 \A�l a
NEW j*.aESIDENTIAL E] PLUMBING/ MECH
COMPLIANCE OR
DrrION '-13 COMMERCIAL [3 CHANGE OF USE
REMODEL MULTIFAMILY SIGN
FENCE.
REPAIR CYDS 0 x FT)
OTHER
DEMOLISH TANK
COT COVERAGE
ALLOW PROPOSED;
_ED
13 X, 75.%[.251
REQUIR I ED SETBACKS (Fr.)
`,FRONIT�: SID E � 'REAR
Zzlcl". 10
'PROPOSED SETBACKS (FT.)
FRONT L/R SIDE REAR
-3 90
a
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CL
PARKING
REQ`D PROVIDED
Lot AREA
j PI(ANYIN0�4VIEWiD BY DATE
04
REMARKS
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cc
o GARAGE I-RETAININGWALL -'F:RE SPRINKLER -
ROCKERY
CARPORT F RE ALARM
CrYPE OF USE. BUSIN OR ACTIVITYI EXPLAIN:
CHECKED 13Y
TYPE OtWUCTION
OCCUPANT
GROUP
NUMBER
OF
STORIES
NUMBER OF - - -
DWELLING
UNITS
CRITICAL
AREAS
NUMBER 40 30-
SPECIAL INSPECTION.
REOUIREO-C] YES
JAREA
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRES&INSPECTIONS.PER`UBC 108/FINAL INSPECTION REO'D
Tr
r/1 MAn �'A
VAII LIATION
Description
FEE
Description
FEE
T"
Plain ch6&k
State Surcharge
HMV�� GLAZING % �LOT�SLOPE %
:Building Permit AV City Surcharge
CHECV,NO- VESTED DATE
,
Plumbing, 2A -5,
7119
'COVERS
Mechanical
THIS PERMIT AUTHORIZES ONLY TAE WORK NOTED. THIS PEAMIT WORK TO
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION.ON THE PUBUC
2 0 TC ) WILL REQUIRE
3 OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES,
I= SEPARATE PERMISSION.
PERMIT APPUCATION: 180 DAYS
CL PERMITUMI111 YEAR -PROVIDED WORK IS STARTED WITHIN .180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Grading
Engr. Review 15
6
Engr. Inspection
50-0—
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit p5q
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Receipt #
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Landscape Insp. Total Amt. Due
gsz
Recording Fee Receipt # 1�j
-A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPI.Y WITH CITY AND STATE LAWS REGULATING CONSTRUC'
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATIO�N,&SURANCE AND RCW 18.27.
This application Is not a permit until signed by the
CALL Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION receipt Is acknowledged In space provided.
SIGNATURE (OWNI�R ORjl�EW6) DATE SIGNED
1 GNA DATE
11495)
I WAr
r.
�)T,5�o s
771-0220 _R Eb BY DATE
A'&ENTIdA
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
EXT 1333 M/i
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW eINS/ECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
Now
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APPROVED BY PLANNING
ZONE P- S - 12-
SETBACKS:
FRONT
SIDE
REAR
OTHER
HEIGHT
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OWNER/CONTRACTOR IS RESPONSIBLE.
FOR EROSION CONTROL AND DAMAGE
-p APPROVED BY ENGINEERING
Lp
Date:
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(IN
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"ITY OF EDMONDS
C
BL)ILDING DEPARTMENT
kA]OP'< &4=�
ADDPESS 29Z49L Z/-Z
OkAfNER
APPROVED DATE:
FILOG, O�PGIAL
PMRMIT NUMBER
FILE
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RECEIVED
APR - 7 2003
PERMIT COUNTER