19012 78TH PL W.PDFlill 11111111
6746
19012 78TH PL W
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER: 00 G-IQ 9 MOO PS
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: Q 10-5 DETERMINATION: Ej Conditional Waiver E] Study Required A ,/ aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKIING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: q11L16
SEWER LID FEE $:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED.
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LID #:
BLOC K:
LATEMNDS'PsTonris\Street File Checklist.doc
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"N ing in kiff-pe. it ap4roval,process shall b�v=
in% reted 10 ng-or permitting th
m . tenan . Of currently existingilleegal,
n no �g of uppelmitted hailding, structurr-1
-of si e condition which is outside the scope of the
Frn it application, reWdImp of whether ouch
g structure or condition is shown on the
an
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ske or drawing. Such building, structure or
con tion 't wtiVIftyparate
enforcemen Ion. L
J U L 19 2006
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
DA*W H '. 100 - I
L A W_
/10,
PROJECT ADDRESS / OWNERS:
JIM & DEBORAH TURNER
19012 78TH PL WEST
EDMONDS 98026
206-326-9425
TAX No: 005729000015
LEGAL: SIERRA VILLAGE
. ADD 2, LOT 15 BLK 0.
BUILT: 1960
ZONE: RS-8
LOT S :
8,712 SQ. FT.
LOT-C VERAGE:
EX RES. 1380 SQ. FT.
NEW GAR. 600 SQ. FT.
1,980 SQ. FT. 22.7%
6,1 F-A D (P4L : 10 C v - Nf P 55.
IMPERVIOUS SINCE 1977:
4W SQ. FT. GARAGE
640 SO. Fr. DRIVE
IT240- SQ. FT. SINCE 1977.
00 00 STREETF=ILE
PLANNING DATA ii
Name: Tim Tvroer
Date: 8.-+.?,00(,0
SiteAddress: 1901.-Z. "+STH plaGe.W
Plan Check #: BLD-2006- 0 9 (PO
V
Project Description: N'tW (00C)1$ GIC�OLLMeO( U6
N\At "V-A-C� (LAVVMta-t7-eV(-) -
Reduced Site Plan Provided: (e NO)
I Zoning: —43
MapPage: 9,()(p
I Corner Lot: (YES 0—
Flag Lot: (YES 166)
Critical Areas Determination #: Cf&.A 0(V . 0, 0!5
El Study Required
0 Waiver
SEPA Determination: eAR" 1?t7
Exempt 415D CIY4447 01ra I L3
Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake
Ballinger. Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Required Setbacks
Street:
Side:
Side:
1 15.
Rear: 1 6000
W �K
Actual Setbacks
Street: C6 5
Side: 10
I W, 1
Side:
1 C-7
Rear:
W
Detached Structures: NW
El Rockeries:
El Fencesarenises: NOVIC,
El Bay Windows/Projecting Modulation: C7 ki 0 VA%,
11 Stairs/Deck:
Parking Required:
Parking Provided: (NIC.4 <
Lot Area: q -+ I -z' 0 9 i Verl
LotCoverage:
Lot Coverage Calculations- ". Spf-P-1 IIA2,90 � 19
*- 0
A4r,W06tv-A44-- (900
Building Height
Datum Point: WtA
Datum Elevation: 0 0 . 0
Maximum Height: I ILI
Actual Height:
ADU Created: (YES/ LAv%.vitc&+rA /VW
Subdivision: C7j?,Vy-A,,V(JJ4q,C- Actot 7�- L.-Di- 1i;
Legal Nonconforming Land Use Determination Issued: (YES
Other
.4% Jbi
0, lot 4-04 -.L -t I D I ' OL V-CW A o%�
lot WJ&g
lot
Plan Review By: g,,r;w ao�
somw APPLICATION
The City of Mmonds t4*r for
RE i FILE SIDE SEWWR PERMff
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Ej REPAIRS 0 LID NO - ------------------ - ASMT. NO
OWNER _MCk
...................... ... CONTRACTOR ----------------
Ac ----------------------- ----------------------------------------- PERMIT NO.
JOB ADDRESS &�e_vp- LEGAL DESCRIPTION: LOT NO - ------------ I ------------------------- BLOCK NO . ........
------------ ---------
---------------------------
---------------------------- ............................. ------------------------------------ ..................................................................
NAME OF ADDITION .....
A7-7�L
ApPrOved:
DATE-------------------------------------------- BY ------------------------------------------------------------
%9%tV1as I
11TY OF EDMONDJ
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20090081
S I D E S EWER PER M IT (I -Single Fa Hifly)
Permit Number: ENG20090081 Expiation Date: 4/26/2009
Job Address: 19012 78TH PL W, EDMONDS
APPLICANT CONTRACTOR
RA JOHNSON CONSTRUCTION INC RA JOHNSON CONSTRUCT ION INC
PO BOX 529 PO BOX 529
' SNOHOMISH, WA 98291
SNOHOMISH, WA 98291
360-568-7328
LICENSE #: RAJOHCIO I 2CA EXP: 7/2 5/2010
�!
N
7REPAIR -N PROPOSE TO REUSE LATERAL LID NUMBER-
CRfNDER PUMP N I PROPOSE TO REUSE SIDE SEWER F—N] DRAINACE
REPAIR SIDE SEWER, APPROX 4OFT
I I
N
N
LkSEMENTIN1,011iNIATION
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfton; injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1 -800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPWnON (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
MIS APPLICATION IS NOTA PERNOTUNTIL SIGNED BYTHE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
t, A k SPACE PROVIDED. Printed: Thursday. February 26, 20C
El FILECOPY
SPECTORCOPY
E] APPLICANT COPY
STATUS: ISSUED
ENG20090081
• Refer to City of Edmonds Side Sewer Inforniation handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron larnphole cover is required at the property line.
• Maintain IY separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all darnage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the perrnitted project.
• ESanitary Side Sewer Inspection
• E-Engineering Final
PARTIAL INSPEC-17ION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE: INITIAL: NOTES:.
DATE: INITIAL: NOTES:
DATE: INITIAL:
1001
of E DA,1
7 -
Al
(P
Igq
E
S1?%WfOF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20090081
SIDE SEWER PERM IT (I -Single Fanjily)
Permit Number: ENG20090081 Expiration Date: 4/26/2009
Job Address: 19012 78TH PL W, EDMONDS
APPLICANT CONTRkCTOR
RA JOHNSON CONSTRUCTION INC RA JOHNSON CONST RUCT ION INC
PO BOX 529 PO BOX 529
SNOHOMISH, WA 98291 SNOHOMISH, WA 98291
360-568-7328
LICENSE #: RAJOHCIO I 2CA EXP: 7/25/2010
N
7NR"EPA71R N PROPOSE TO REUSE LATERAL LIDNUMBER.
CRfNDE7RPUMP NN PROPOSETO REUSE SIDE SEWER F_N] DRAfNACE
REPAIR SIDE SEWER, A PPROX 40FT
N
N
E-kSEVILNTINFOMIATION
P CROSSES OTHER PRIVATE PROPEFOT
VERIFICATION OF RECORDED EASEMENTS COMPLETE
]AVEMAM- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made, against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorneyfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1 -800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HO UR NOTIC, E REQ UIRED FOR ALL INSPECTIO N REQUESTS
THIS APPLICATION IS NOTA PERNTUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROIADED.
FH_ECOPY F-] INSPECTORCOPY E] APPLICANT COPY
STATUS: ISSUED
ENG20090081
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain 10'separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the pern-itted project.
• E-Sanitary Side Sewer Inspection
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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0 owing or permitting the
(:7-N
Mance of any currently existing illegal,
iiri
P0. .
nforffu�g or "pe!mitted buildaw, structurer--�
con !tion which is outaide the scope of the
application, regaMlw of whether such
structure or condition is shown on the
wte
2
or drawing. Such building, structure or
P4
co iron may be the subject of a separate
enfo ment ac**
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'JUL 19 2W
17A'TVM FO'NT
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DEVELOPMENT SenvICES CT11.
OF FK,CDWI CITYOFEDMONDS
LANDIM4,
PROJECT AD RESS / OWINERN: JJ
JIM & DEBORAH TURNER M
1901278 TU PL WEST M
EDMONDS 98026
206-326-9425
TAX No: 005729000015 M
LEGAL: SIERRA VILLAGE
� ADD 2, LOT 15 BLK 0.
BUILT: 1960
zn
ZONE: RS-8
LOTSIZE: 8,712SQ.Ff. 00 CP
LOT COVERAGE:
EX RES. 1380 SQ. F
NE W GAR. 600 -SQ. FT.
1,980 SQ, Fr. 22.7%
to C-U-YP5.
IMPERVIOUS SINCE 1977-
-115 -6"SQ.FT.GARAGE
.644SQ. FT. DRIVE
to-140- SQ. FT. SINCE 1977.
tut
PL
#P20
.,D C. 1 %9V
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contaihed'ori 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 comp lete the Checklist, should be ;easily
available from observations of the site or data available at
City Hill (Critical areas 'inventories, maps, . or soil
surveys).
Date. Received: -711q 16
City Receipt#: GDO -�/140
Critical Areas File M OFLA - I r)W0 -
Critical Areas Checklist Fee: $135.00
Date.Mailed to Applicant:
A property owner, or his/her authorized 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 com plete a development
permit application.
Pleds6 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 .(p.g. site plan, topography map, etc.) or
studies in' conjunction with this.Checklist to assistant staff
in completing their preliminar . of the site.
y assessment
The undersigned applicant, and his/her/its heirs, and assigns :in consideration on the process . g of the application agrees
in
f
to release, inderrini y, def�nd and hold the City.of Edmonds hamiless from any andall damages, including reasonable
attorney's fees, -arising from any action or ififractiori based in whole' or'part upon false, misleading, inaccurate or
incomplete.information fimiished by'the applicant, his/her/its agents or -employees.
By. my signature, I cer* that the information: and exhibits herewith submitted are itrue and correct to the best of my
knowledge and that I am authorized to qle� this application on the behalf of the owner as listed below.
SIGNATURE oF APPLWANTII�QEA DA�E
Property Owner's Authorization
By my signature; I cei* that I have authorized the.above Applicant/Agent to apply for. the subject land use application,
and grant my permission for the pu
,b licfficials and the staff of the City of Edmonds to enter.the subject property for the
purposes of inspection and postig atte)6dan s 1.
JA,cr,ffii application.
SIGNATURE OF OWNER
Owner/AppHcant:
'Name
Street Address
City State zip
Telephone: Ou q4 5
DATE
Applicant Representative:.
Name
j� c::l Z_ ''AL-D E42—
Street. Address
790 2_0
City State zip
Telephone: 7
Email address (optional): Email Address (optional):
#P20
CA File No: CAA - 66 AID5
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1.. Site Address/ Location: PL. kA_�
2. Property TaxAccount Number: 00 1
3. Approximate Site Size (acres or square feet): E3 -7 1 56), Ff -
4. Is this site currently developed? _Zyes; no,
If yes; how is site developed? "7
5. Describe the general site topography. Check all that apply.
V-' Flat: less than 5-feet elevation change over entire site.
Rolling: slopes:on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
HilIy: slopes present on site of more than 15% and lew than 30% (a vertical rise of 10-feet
over. a horizontal distance of 33 to 66-feet).
Steep: grades of greater *than 30 % present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water:
Approx. Depth:
7. Site contains areas of seasonal standing water: 1\) 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 flows across the grounds surface? Flows are year-round?
Lip 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:
For City Staff Use Only (56(0)
1. Plan Check Number, if applicable? NOM., ��fVtVl-
2. Site is Zofied? F- C-7 — 9 - . . . .1 .
3. SCS mapped soil type(s)? - 5 at dtvw 0 0 ck Lk vio a vi I a vi d co m p 1,e x 7, o P
4. Critical Areas inventory or C.A. map indicates Critical Area on site? Nib.
5. Site within designated earth. subsidence landslide hazard area? ND.
DETERMINATION
Reviewed±X.
STUDY REQUIRED
G i V1 CL, U w a -,-
WAIVER
Date: 0 8 104 1-2,0 C) tp
/L 7
STREET
FILE
REGARDING:
19012 - 78th Place S.W.
(address)
R E C 0 R
D 0 F C 0 N T A
C T S
DATE
NAME,, PHONE NO., &
ADDRESS of CALLER
COMMENTS
ACTION TAKEN
INITIALS
5/l/74
Rod MacKenzie
Certified Letter No. 406270 sent
Letter received.
TE
requiring hook-up within 60 days.
5/2/74
Please dye test.
Scheduled for 3:00 any afternoon.
TE
5/3/74
Old address was 7821 - 191st Pl.:
Checked files. No permit issued
TE
S.W. Is permit so filed?
for old address.
5/6/74
D.T.O.S.
TE
6/5/74
Certified Letter No. 406479 sent
Letter received.
TE
rescinding previous letter.
r
R'ECEIP-1 FOR, . .-
411-09900cli pODER I C�' 14.
MACKEN11-
_8TH pt-ACE W-
jq0j2 1 WASHING -TON '98020
eqMONDS? - -c-Z
�-s f orm I 3BOO
Apr. 197
RECEIPT F
SENT TO
E
"E (S other sicle)
ee
",,a jee requ 1970 0-397-4138
,AO INSURANCE COVERNGE AIL
%Oj Volt 1141ERNP111""'L
CERTIFIED. MAIL-30� (plus postage)
POSTMARK
OR DATE
STREET AND NO.
/ QO )-21 -Y'q
—
P.O., STATE AND ZIP
10
—CODE
OPTIOAL SERVICES- FOR ADDITIONAL FEES
RETURN N 1 Shows to whom and date delivered
RECE IPT With,delivery to addressee only
2. Shows to whom, date and where de6*�'re
SERVI CES
With delivery.to addressee on;y ...... .
... 8!
DELIVE� TO ADDRESSEE ONLY ..............
—TPECtAL
51
DELIVERY (extra fee
PS Form
Apr. 1971 3800 NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
IN
Z L
(�e' ot�er side)
L
GPO: 1970 0-397-.58