19120 83RD AVE W.PDF111111111111
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19120 83RD AVE W
0 3�-7 .
n Vd 0
ADDRESS: IM) Uj
TAX ACCOUNT/PARCEL NUMBER: wis)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMITq'S:
DRAINAGE PLAN DATED: I IV
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:_
PERMITS (OTHER):
DETERMINATION: 0 Conditional Waiver n Study Required E] Waiver
pw P6:312,0�r
PLANNING DATA CHECKLIST DATED: C&
SCALED PLOT PLAN DATED:
SEWER LID FEE LID #:
SHORT PLAT FILE: LOT- BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DSrs\Fonns\Street File Checklist.doc
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
I=STREETFILE 11
Name- L
Date:
Site Address:
Plan Check # OY
Project Description:
Reduced Site Plan Provided: (6/ NO) _T Zoning:
Map Page: 36
Corner Lot: (YES
Flag Lot: (YES 10
Critical Areas Determination ff:
El Study Required
K-Waiver
SEPA D termination:
W—Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
RequIted
Street: Z �5' Side: (0 Side.- _r,
to Rea r: W
Acttlal Setbacks
Street:
Side:
Rear: (5
WfPetached Structures: SA /i wesc J1C ee",re,� is WV In 5-u VY41 cdont
El Rockeries: Op 0
Fences/Trellises: ac�, 4�
Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
Datum Point:
Datum Elevation: (00
Maximum Height Allowed: 7.1� ( 13 V7
Actual Height:
Other
Parking Required:
Parking
Provided:
Lot Area: 6
Maximum Lot Coverage: 35% Proposed: 6'
Lot Coverage Calculations:
2.
ADU Created: (YES /00
Subdivision: %---
Legal Nonconforming Land Use Determination Issued: (YES
COMMentS
Okuk- Covi 45e,
.71 (07,17 -1
D3.7—S
Z,)1+1wJr_ lvw�lvcorner�
1.10 f. 3 � :- ftclk
My-S
Plan Review By:
Planning Data Fom 04 -11 -06.doc
E
0
#P20
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
L Site Address/Location: I - Alz57- k1 ,
2. Property Tax Account Number:
3.
4
Approximate Site Size (acres or square feet):
Is this site currently developed? A yes; — no.
If yes; how is site developed? _ 171C 1,17
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
CA File No: —((A
Rolling: slopes on site generally less than 15% (a vertical rise of 10-fe'et over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more th4AM2 a lldi�"�o`liai' -v &'&al rise of 10-feet
over a horizontal distance of 33 to 66-feet). , - .61
ofjftet�iqyer a horizontal
Steep: grades of greater than 30% present on sitt 3'rtical risl
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: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 4/1- floodplain of a water course.
9. Site contais _A creek or an area where water flows across the grounds surface? Flows are year-round?
&'—'a . Flows are seasonal? — (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn, shrubs etc) X.
1 1. Obvious wetland is present on site:
For City Staff Use Only
1.
Plan Check Number, if applicable? �,o q
2.
Site is Zoned? se.'E� - ID
3.
SCS mapped soil type(s)?. 5-- A J&fUV00d Url j0vi d (OPIQ Ikk
4.
Critical Areas inventory or C.A. map indicates Critical Area on site?.
5.
Site within designated earth subsidence landslide hazard area? /Vo
DETERMINATION
STMUDUY REQUIRED WAIVER
Reviewed by- Date:
',Qc. 199,
#.P20
City. of dwonds
Development Services Department
Planming Division
Phone: 425.771.0220
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
ti dah'EnIft.
I ar
A& A
APPLICATION P/C #. OM 05L
DateReceived:
City Receipt#: '/7,OLA
Critical Areas File #:
Critical Areas Checklist Fee: !� 135.00
Date Mailed to Armlicant: T—'��—
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 complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in fmding 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 ftimished by the applicant, his/her/its agents or employees.
By my signature, I certify 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 APPLicANT/AGENT
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
SIONATURE OF OWNER
Owner/Applicant:
Name
-�;,o ZV,
Street Address
,r— I-% 1�56
4t 22 110n/05 /I 6-2z—
City - State Zip
Telephone: 22,�� -- /7Z Of �z
Email address (optional):
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
CITY OF EDMONDS RI,EEEIVED
FOR INSPECTION CALL
PUBLIC WORKS DEPARI M 0 Permit 1,
r- � Ext. ffl, .6 Issue D a "toe
SIDE SEWER PERMITAUfl 771
PEP -MIT MUST BE POSTED ON JOB SITE
LINE
1. Address of Construction
7
2. Property Legal Description (include all easements)
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 Yes (If Yes Right-of-
way Construction Permit Required Call Dial Dig (3/41Y46641d) before
excavation). 1-800-424-SSSS
E-4 7. Cross other private property: Yes No X Easement required
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
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.
W 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")
P4
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
a:hd shall comply With the above
H . PERMIT FEE: DISAPPROVED BY: Date:
ow . ^ '. " * , /� By;,,,d /I Date:
C
ONNECTION Flifei APPROVED By:,]
__Da te
0
PC4 C:�:
PEW14FT MUST BE POSTED ON J 0 B '52W
The City of Mmonds Side Sewer Drawing EASEMENT NO.
NEW CONSTRUCTION X REPAIRS E:l LID NO - ----------------- _ASMT. NO. - --------------
OWNER------------------------------------------------------------------ ---------- .................. CONTRACTOR ------ J--k ------- LY T NO. 7717-2-
. -MPN ------- CO --------------------------- PERMI ------
JOB ADDRESS --- ------------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
....................... ............................. ----------------------- -------------------------------------- t��U--uWj --------
NAME OF ADDITION ------------------------------ -1 -------
J-4:
&slop
4"r-*.VlSL
C-G,co
1-5
v4
PWW-0001-11/75
I-sbp 175,
7-
0
Approved:
DATE -.azt 7
--- yld) .84
. ..... --- By
rawil
pip
FA
�lm
a
CITY OF EDMONDS
STREET FIX SET INFORMATION SHEET
ZNEW
1:1 ADDITION
M RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT NO
4;0&
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE ll�
PROJECT N U M BE R
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
10"�DEPRFCIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
i At i px�
INITIAL
ltrp)
DEPARTMENT FILE
STANDARD
IOWNER: A LV) rJ �-E-6 I
DETENTION SYSTEM WORKSHEET
(5000 SF OR LESS)
ADDRESS: 3 3 A-4,W6 WEf >—r
lql-2-0— I
-3
TPIPE LENGTH 2,5
ORIFICE
IMPERVIOUS SUFACE AREA —TPIPE
DIA.
FOOTING DRAINS SHALL NOT
.V leg
RIM ELE DETENTION PIPE LENGTH
FINISHED
GRADE
TIGHTLI
UPPER CATCH BASIN
0-5% TO 1 .0% SLOPE �,40 �
ELEV. 10
CONTROL CB
BE CONNECTED TO
--4- OCKING LID (TYP.)
IM ELEV. 0 - 0
F 6" Min. clearance
Measured from top of
/I /F Conc. box or riser.
DETENTION SYSTEM
I - TO CITY CONVEYANCE
INV. I
ELEV.
CONTROL
9"T- -,*,�-� (I
'TIN. RIFICE '14
RIM ELEV.-
INV. ELEV.
2'X2'X11 2* DEEP CONTROL CATCH BASIN
(4--6- QUARRY SPALLS OR EQUAL) OVER [3
FROM CONTROL�B-
CONTROLCB
t7�� '5
SHALL BE PERPENDICULAR 1'5'
TO SPREADER TRENCH J�,�TRENCH SHALL BE LINED
PERF. PIPE SHALL BE WITH MIRAF1 &ON TOP
LEVEL & CAPPED AT ENDS
RIPRAP OUTLET .5' 7/8"WASHED DRAIN ROCK
SPREADER TRENCH
NOTES
1. CALL ENGINEERING DIVISION (771-0220 EXT. 1326) 24 HOURS IN ADVANCE FOR A TIGHTLINE AND DETENTION
SYSTEM INSPECTION BEFORE BACKFILLING AND FOR FINAL INSPECTIONS.
2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property
owner. Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation.
The outlet control orifice must be kept open at all times.
CITY STORM
CONVEYANCE
SYSTEM
SPREADER TRENCH
SHALL BE A MIN.
OF 10' LONG AND
PERPENDICULAR
TO CONTROL CB.
OWNER/0"ON" ACTOR IS RESPONSIBLE
FOR EROSION WNTROL AND DRAINAGE
RIM ELEV.
FINISHED
GRADE
r,;t�uls GHTLIN
4,w 4715,�O� 6-T-�5T�n�
, E�)
- F":;p F-r-d
[ � 4
CV
1�77-51-lcf [4q4-
tv
t7c!� 1/, id
UPPER CATCH BASIN
DETENTION PIPE LENGTH
Z3 I
0-5%TO1-0%SLOPE 12 4d
ELEV. 10 5, -2,
9"MIN.
f? zT'm �j
C
r--,;, v
I
�j Ve)
L7E�, 0 �3 L,,� 34,4,
1.1 = 1C.-O"
(D
Rr=FEFZENC,F-
NOK7H
KING LID (TYP-)
RIM ELEV. 1061
6" Min. clearance
Measured from top of
Conc. box or riser.
r�cn �j zi
TO CITY CONVEYANCE
F----I NV�V —
EL . i o4,
CONTROL
ORIFICE
�75mo E--IX q
�- 5 --Be)) r�
%7
CONTROLCB
-2'X2'X12"DEEP
(4--6- QUARRY SPALLS OR EQUAL)
RIPRAP OUTLET
�-oj-A-rza l(o,4-76 r�
jar tJe, TZ� E5A-L ki-Je- e: Oar 61f M 11-1 r\� MI \,f E W,4-r 16 96
c7f;� -rH P, Fge Ici -7 7::!�H6 f� 14 1 Z� 1(o 1(o - 149 + � Z,,�) L\
,P)
WE A,-P-6 F195NOo-':5
0
4 z 01v 1 18/4- -�::
A4C �, P-A-VII 0
W-bwl ,
9-2
STvn""Eff*w8w"0 FILE
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A55REVIATION!5
GENERAL CONSTIZLICTION
r=Lr:(:,T 4 MECHANICAL
V41NOOV4 4
CAE31NF-T 4 APPLIANCE
AS
ANCHOR SOLT
61
&ALVANI= IRON
CAR COLD AIR RETURN 6RILL
BA � BOTTOM AMINO
A(5
AFIPLfANCF- 6ARA6F-
ABV
ABOVE
(5LB
(5LU-LAM BEAM
CFM CUBIC FT PER MINUTE
BS BOTTOM SLIDER
AS
ADJUSTABLE SHELF
AVJ
ADJACENT
(5y4B
6r`P5UM NALL 5D
CO CLEAN OUT
CU5 CUSTOM SHAPE
B
BASE CABINET
B0
BOARD
Ho
HOLD DONN
VNV DOYqNVENT
r-V CASEMENT (vENmNr7)
BB
BREAKFAST BAR
BLWC7
BLOCKIN6
HOR
HEADER
EBB ELECT BASE BOARD
OB DEAD B01-T
BO
BASE VRAPIER
SIM
BEAM
HT
HE16HT
E5M ELECT METER
051-1 DOUBLE
BH
BASE HI(5H (NO DRAP-CR)
CANT
CANTILEvER
INT
iNTERjoR
ESP ELECT SERVICE PANEL
VH vouBi F= HuN(s
EB
EDOE BAND
05
CARRIA&E BOLT LAM
LAMINATE
EM ELECT YiALL* HEATER
'EAC EXT ALUMINUM CLAD
FBF FINISH BACK PANEL
CDR
CEDAI:;�
LIN
LINEAL
FAF FRESH AIR FORT
FC7R EGRE55 (MEET CODF-)
FEG
FULL EXTEN51ON &UDES
C.-I
CEILIN& J015T
MAX
MAMMUM
FO FLOOR Df;?AN
FAF FRESH AIR FORT -
FFF
FIN FACEPANEI
CL'
CENTER LINE
MB
MACHINE BOLT
FL� FLUORESCENT
FO FRENCH DOOR
FSP
FIN SIDE PANEL
C-LR
CLEAR
MIN
MINIMUM
<5F1 OROUND FA4jLT INTERUPT
GL r7LA55
C70
6ARBA-6E DISPOSAL
COM
COMMON
NIC
NOT IN CONTR-k--T
<55L &A5 SERVICE LINE
HC HOLLOV4 CORE
HC
HOOD CABINET
COMF
COMPOSITION
NT5
NOT TO SCALE
C75M rzA5 SERVICE METER
LAM LAMINATE
HSP
HAND5FRAY
CONIC
CONCRETE
OA
OVERALL
HB H05E BIB
'ff, Coyi *F &LA55 COATIN(s
KS
KICK5PA�rsr=
CONT
C-ONTINUOU5
CC,
ON CEN I
HP HEAT PUMP-
0 171)(ED (SLIDER)
LAV
BATHROOM HAND SINK
VIAM
DIAMETER
FBO
PROVIDED BY ONNER
HYfr. H Orr NATER TANK
PIC PICTURE KNOON
LS
LAZY SUSAN
EL
ELEVATION
FL
PROPERTY LINE
HkXT HOT NATER TANK
SDR SLIDER
MC
-HICRONAVE CA51NET
EX
em5TINc7
FT
PRESSURE TREATED
Lov Lori voi-TA&E
50-1 SOLD CORE
MC
MEDICINE CAB
EXF
EXPOSURE
R45
ROD 4 SHELF
LFO LOCATE PM OMER
50 STORE DOOR
OC
OVEN CABINET
EXT
EXTER11OR
RS
ROU&H SAM
OCA OUTSIDE C-OMBU5TION AIR
96D 51JOIN6 OLA55 DOOR
R5
RAN&E BASE
FIV
FILL IN DOOR
SIN
5HEARY4AJ-L
OH OVERHEAD
5H SINGLE HUN6
REF
REFRI&ERATOR
FIN
FIN15H
T46
TON&UE I &ROOVE
PC PULL CHAIN
SL 5KYLITE
ROS ROLL OUT SHELVES
FUN
FIIJ IN ANDON
TK
TIC7HT KNOT
50 SMOKE DETECTOR
TE3 THERMAL BREAK
SB
5INK BASE
Fj
FLOOR J015T
TFL
TOP PLATE
55L SANITARY 5EYeg LINE
TVL TRUE DIVIDED LITE
TB
TOYIEL BAR
FL
FLOOR LINE
TN
TO kXEATHER
TL TI(SHT LINE
THR THRESHOLD
TK
TRim KIT
FOC,
FACE OF CONC
TYP
TYPICAL
Ur-L UNDER CABINET LI6HT
T5& TEMPERED &LA55
TOT
TILT OUT TRAY
FOP
FACE OF POST
V5
VAPOR BARRIER
U(5 UNDERC7ROUND
TSL TEmP 5ioEuTE
TF
TOILET F`APER HOLDER
F05
FACE OF STUD5
VC5
VERT1CAL &RAIN
VTO VENT TO OUT51DE
TUL TEMP UPPER LITE
UTL
uTiLI1Y
Ff,
FIREPLACE
F4ROU61-IT IRON
Y45L NATER SERVICE LINE
YqS NEATHFRSTRIP
N
MALL CAE31NET
FTC7
FOOT1N(5
INP
YAATER PROOF
YISM Y4AT`ER SERVICE METER
X VENT`IN& (SLIDER)
Yr-
NALL CORNER CABINET_ _j
CORNF—R ELEVATION5:
NN 105.5, NF— 104.166, 5kN 105.515E 10-T.75
A\/ERA(5E &RADE 426.11 4 EL 10-7.11
-7
(0 15 A t16 7LO4 410*1
ou
t,lw CL 1066
1(0
4 -1
ay. 6- PIUVF-
-4 @&S 7- 43
W
Ue's 41-
ft-1177
f�g M77 (R)
a 14940 lkfap� eArnm
W-5) JOTOPWtY�411[1—'
Are_ 1 H
Kbw — — — , I -)� E116LIesp 11
V51-v eztjc- V1, .0
J, 61� PAno-67$ Is
:1
SI
—gal W
72
a5) TIM IL 07.7s
NEN STORM YiAlt-MR RETENT11ON 5LDe Dk*.15
4
Ta
0 ft
Tj 4-
rip r-1-?470nzr
SITE PLAN I IZo 6 3 r-OA/e v/ f-toi-
SCALE 1 20 FT 5P tl a fJ DS WA-49 e 0.2 6,
T C.-#
VZV14e;;� 5,6-06 NORTH
%U
4\1
I
M
5/5/2005
51TE ADDKE55:
111120 - 55rd AVE �NE5T EDMOND5 kNA 48026
011NNER NAME:
ALVIN AND LAVEKNE LEE
CURRENT ADDRESS:
5AME A5 ABOVE
TELEFFIONE:
4:25-716-1roci4
A55E55ORS PARCEL No.
00451600400500 ZONIN6: R5 12
LE6AL DEeC,: 05CAR EJENEIEN5 5EATTLE 5UB TR5 5LK 004 P-00 LOT 5
COUNTY: 5NOHOM15H
JUR15DICTION: CITY OF EDMOND5
CON5TRUCTION TYFE:
V - 5
OOCUFANCY: R5 ((5ARA6E/CARFORT)
FROJECT DE5CRIFTION:
ADD BEDFZOOM AND BATH TO REAR OF HOME. IN5TALL A REOUIRED
5TORMINATER RETENTION 5Y5TEM.
FROJEC,T AREA
50 FT
HEIGHT LIMIT (::,ALCULATION
LIVIN6 5FACE NEY�
EX15TINry
TOTAL
REF. PATUM LOCATION:
FIR5T FL
3:20
qla
1235
ONNERS NATER METER IN 55rd AVE Y4E5T
5ECOND FL
:225
225
I
REF. DATUM BA51H ELEVATION
100.00
BA5EMENT
AVERAISE 6F;ZADF- (5EE CALO)
10-7.1-7
LI\/. 5F. TOTAL
5:20
11465
1466
MAXIMUM HEISHT LIMIT IN FT
25.00
6ARA6E
qla
qla
MAXIMUM HF-16HT ELEVATION
152.04
PECK
550
530
PROP05ED H16HE5T ELEVATION EX15TIN6 151."7q
COV PORCH
1 rob
irba
AVERA(SE ORADE CALC:
OUTBUILr;)IN6
1356
133ro
N�N 105.5, NE 104.16, 51lN 10b.5, 5E 107:75
M15C. TOTAL
2-752
2,752
425.71 / 4 = 10-7.1-7 AVE 6FZA0E
LOT CC\/ERAC7E
50 FT
V45Ea 2006 ZONE 1 - rHAFTER
LOT AREA
16,475
HEAT 5Y5TF-M: Ex. r--A5 FORCED AIR
MAX FERCENT CO\/F-RA6F-
350/0
CHAPTER ro FRESCRIPTIVE TABLE (o - 1 OFTION I\/
MAX COVERAOE AREA
5,16-7
\/F-RTlr-,AL (5L. 0.35
MAX 6L 016
N/A
Ff;ZOf=105ED COVERAC7E
5,012
OVERHD ISL 0.55
POOR MIN U:
0.20
PROP05ED FERCENTA6E
15.64016
CEILIN6 R-35
VAULT
R-30
LOT CAL(:-, NE�N
EXISTIN6
TOTAL
YNALL R-21
E3ELOI?N 6R.
FZ-21
HOU5E
520
cila
1255
FLOOR R-30
5LAE3 EDIS7E
R-10
&ARASE
CHAPTER-6-6LAZINO- CALCULATION -
DECK
350
330
HEATED FLOOR AREA
N/A
cov FoprH
1 e, a
iroa
FROPOSEP 6LA= AFEA
N/A
OUTBIJILDIN6
I 135ro
I 133ro
I JUNLIMITED ALLOWED / FROP05ED:
N/A
"Nothing- hi &r
,,prqvaj process shall be
ACCEPTABLE TIGHTLINE interpreted as allnvv�ng cir Permitting the
MATERIAL niaintenancoof aRl/ curretAlly existing illegal,
SDR 35 nonconform-l' i).g or uni)ermitted building structure
SCH 40 or site cond, 6,or, i,�, out
�Je the scope of the
N-12 er=*t app!iea+,-.io
of whether such
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FILE
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwauedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
December 19, 2007
Richard D. Wurdeman, Attorney at Law
320 Dayton Street, Suite 10 1
Edmonds, Washington 98020
d
RE: Lee Detached Shop & Garage @�49, 0 83".�,.,Avenue West, Edmonds
Dear Mr. Wurdeman,
Upon review of the Snohomish County Assessor records for the referenced Lee property the year
of construction for the detached shop and garage located at the rear of the Lee property appears
to be circa 1960. The property was annexed into the City on August 1, 1963 therefore the City
considers the matter to be closed.
Sincerely,
M
Jeannine L. Graf
Building Official
City of EdmqMgs
RIGHT-OF-WAY CONSTRUCTION
PER -STREET FILENumber. 613 - � 0,! 55
L-sue Date: 42 - c� 7
A. Address or Vicinity of Construction: - 19120 - 83RD AVE WEST
C) B. Type of Work (be specific): GTE TO PLACE BURIED SERVICE WIRE FROM
9 0-19 POLE ON 83RD,,.PUSH UNDER ROAD, PLOW 40—FT IN� . ROW. SEE SKETCH.
C. Contractor: GTE NORTHWEST INCORPORATED Contact: BAktARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address: 22118 20TH AVE. SE SUITE JTdkone: BAR� 488-1642
State License #: BOTHELL. WA 98021 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F1 Commercial E] Subdivision 0 City Project 13a Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family [J Single Family [:1 Other :W.O. # 2100-9P001DB 242310
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut JRYes ONo G. Size of Cut: 2' 'x 4 ..... H. Cbirgi�_$
WI UTS.
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APPLICANT TO 11EAD SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold e City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made diga �nst the City of Edmonds, or any of its departments or
I
employees, including or not limited to the defense ofany legalproceedings including defense co�t4l and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR -A PERIOD OF ONE YE,4R FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIOA4'FEE91RbL--fE HEID lTNTJL1T"AE-F114y-3rREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 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 above statements and understand the permit requirements andthepink copyof thepermit willbe
available on site at all times for inspection purposes.
Signature: . -"�e Date: 12-16-93
(Contractor or Ag&'t) 11 �' - - " ' I ' ( f
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY U
APPROVEDBY:- 10 ILI 4'�&
TIME AUTHORIZED: VOID AFTER F,&6 3 Q DAYS
SPECIAL'CONDITIONS:
COMMENTS:
DATE:
SE ONLY
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FU,IND,111:,
RESTORATIONFEE:,
PERMITFEE:
TOTAL FEE:
RECEIPT FEE:
ISSUED, BY: o
:144
4
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
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16D �5 IVT COE
7
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61
CITY OF EDMONDS
-dONSTRUCTION PERMIT APPLI
NAME (OR NAME OF BUSINESS)
I _tc�2014 _VDWA��2
Z WAZILING ADDRESS
1: (__i�4
0
0
NUMBER
ON joa
ADDRESS tql-70
ILEGAL DESCRIPT15-N-C-HEENT7
PERMIT
NUMBER
&-: 5 q�, 10 j E�
[N , 1 1 454
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED--&6L- 0
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
SEE PIW D I 0-T. REVIEW CHECKLIST DAAO
(c) uk) tj
ADDRESS
METER SIZE
BUILDING SUPPLY
SIZE
FIXTURE UNITS
CITY
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ALLOWED
PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADS NO.
Legal Description of Property - include all easements
(show below or attach four copies)
SHORELINE 0
VARIANCE OR CU
PLANNING REVIEW BY
[DATE
YARDS
FRONT
/0
SIDE
REAR
LOT COVERA6E
LOT
A-
o--J
REMARKS
NEW
ADDIALTER
ElREPAIR
DEMOLISH
nAESIDENTIAL
0 NON-RESIDENTIAL
1:1 RETAINING WALL
EXCAVATE
OR FILL
PRE -MOVE INSPJ
COMPLIANCE INSP.
PLUMBING
MECHANICAL
SIGN
FENCE
( x _FT)
swim
POOL
CHECKED BY T1
I
SPECIAL INSPECTOR
REQUIRED
1JYES ['NO
TA SIDE SEWERV WATER LINE
REMARKS
El
NUMBER OF STORI
NUMBEROF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 1BO Days
Permit Limit: I Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to Indemnity, defend and hold
Uj harmless the City of Edmonds, Washington, its officials,
5 employees, and agents from any and all claims for damages of
Ix
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
0
nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read thiq application; that the
information given is correct; and that I am the owner, or the duty ATTENTION
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
ed thereby, no person will be employed In violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa. WORK NOTED
tion Insurance. INSPECTION
IDATE IGNED DEPARTMENT
C:P -3 CITY OF
THIS SITE IS . LOCATED IN THE CITY EDMONDS
OF EDMONDS. LOCAL SALES TAX 775-2525
ATTENTION SHOULD BE CODED 31.04,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVALO,�C,
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UB
CHAPTER 3. 31984
102-78
OCCUPANCY
GROUP
VALUATION
OCCUPANT
LOAD
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL*S SIGNATURE
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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DATJ.-',:
14EMO TO: Building Division
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Commun tv Development Deparment
FROM: Engincerinc, Department
SUBJEC"L': lqle;�q S>3� / lae 'k/
After review of the subject Building Permit application, we have
the following comments: i
1. Connection to Citv water system re(iuired
2. Connection to Citv sanitary sewer system required.
3. Right-of-way Permit required for any work on City property.
Driveway slope not to exceed 14'/',.
5. Backwater valve required if do�vnstairs nlumbinp is below
elevation of uv)scream manhole.
6. Water and sewer lines to be separaLed bv 10 foot minimum.
7. Builder/Owner responsible for containing all temporary run-
off and erosion on site and mav not impact neiqhborinq
properties in any way.
Z& "Q�&
Signature
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CITY OF EDMONDS
CIVIC CENTER - EDMONDS. WASHINGTON OW20
SINGLE FAMILY MULTIPLE COMMERCIAL
ENGINEERING & PUBLIC WORKS
PROJECT REVIEW
CHECK LIST
PROJECT NAME -29�— CONTACT NAME & TELEPHONE NUMBER
ADDRESS Z&�(2 IF ll��
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DEDICATIONS
EASEMENT - PUBLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LID
STREET�PAVING REQUIRED
CURB AND GUTTER REQUIRED
SIDEWALK REQUIRED J1
7-7
CURB CUT FOR DRIVEWAY.REQUIRED
RIGHT-OF-WAY CONSTRUCTION PERMI
BOND REQUIRED FOR PUBLIC IMPROV
Z td 131
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STREET NAME SIGN REQUIRED
OTHER SIGNING REQUIRED (22)
(ADDITIONAL COMMENTS OR BACK)
EXISTINC WATER MAIN SIZE
WATER MAIN REQUIRED
SERVICE LINE REQUIRED
HYDRAHT SIZE EXISTING
HYDRANT RE9UIRED PER FIRE CODE SIZE
CROSS CONNECTION INSPECTION
47
WATER MFTER CHARGE-RLQUIRED 67
REVIEW Btl;;_�l�,-;_,_'l-z---ylt- DATE ;2� 7/97� (AnDITIONAL COMMENTS ON BACK)
SANITARY SEWER DRAWING UUMBER FILE NL04BER
SIDE SEWER AVAILABILITY V
Z SANITARY SEWER CON14ECTION FEE REQUIRED
OPEN DITCH EXISTING C�to REQUIRED
CULVERT REQUIRED
S I ZE
CATCH BASIN REQUIRED INDICATED ON SITE PLAN
SHOULDER DRAINAGE MAINTAIN COLLECTION ON SWALE OPEN RUNOFF
MANHOLE REQUIRED INDICATED 0.4 SITE PLAN
SOIL CONDITIONS AND GROUND WATER FIELD CHECKED
REVIEW BY
VAT E
(ADDITIONAL COMMENTS ON BACK)
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