19248 93RD PL W.PDFiiiiii iiiiii
9072
19248 93RD PL W
ADDRESS: / �'�Zl ? �?,3 ra /V 60
TAX ACCOUNT/PARCEL #: 00 37 / 100600 -<4-(01
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS#: DETERMINATION: F1 Conditional Waiver El Study Required XW:jiv:e:r::
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: W;—Z?���
SEWER LID FEE $:
LID#: jl�Fj
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED: I 11-3hol
SIDE SEWER PERMIT(S) #: Z5�/4'
GEOTECH REPORT DATED:
STREET USE/ENC ROACH MENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
----------------------------------------------------- --------------
OWNER:
Philip Morley & Llory Wilson
93rd PL. W
TAX PARCEL #
00371100000401
STREET ADDRESS:
19248 93rd PL. W
Edmonds, WA 98020
Zone P-'-5 —1 Comer V/Ma& ROOF LINE
Setbacks E2qgLired
Actuaf,wtv �1 ntw
Front I D EXSITING HOUSE
Wes-F�b 11) 'V7 I ID
ROOF LINE
-ROM W IZ5 I --------
Other
t 47r,
85!-10"
EXISTING
Y, 0 of U vl� GARAGE
\,NP_&A T_ Z 'It CAn4r+
APPROVED By PLANNING
D19 'U� -- - - - -
6).
I EXISTING DECK
I TO BE REPLACED
in Oki& mout awrov�l be
w air"nar Of perauuumg
J bundin& dractm
site co"tiol w -a is out4je the ewpe a(dw
. t h*;A60U, of whethei xu& I
,P6171111 aw*
"IdIft WAketa-i #)r awadition is dwwn on the I P z �168. 1-91
or dmwh* Such buikft Anxim or 1 -1 CEIVE:D
veon &.0-In may be the subjed of a wparate
adormifflt adion." D�C 3 0 2008
LE
SITE PLAN D a,,O, MT ES,,E.f i0V,1,C E 8 0 T R,
OS
SCALE: 1 20'-0" (1:240)
------- ---------------------------------------------- --------------
R
E UWE
ll
PLANNING DATA streetFlie
SINGLE FAMILY RESIDENTIAL HJ
Name: Phili? Mt)rlry Be LIDry WN5DVI
Review Date: 01. ote. -kolog
SiteAddress: 19 2.L�8 9--,5r.4 f7lexce Wpe7t
Permit Number: 1� V) - 0 9 - I D V$_
Project Description: P-r-place on vq-e5rt/smch,1 51 cis (v (ogo;fll)
Zoning: P-5 — 17-
Comp Plan: 6f - IzesoLtirce-,
Corner Lot: A
lag Lot: (YES no)
Small Site Plan: NO)
(0
ADU C NO) 4
LLA: ---
cup:
Variance:
Shoreline:
Subdivision/Legal/Recording Number:
Legal Nonconforming Land Use Determination Issued: (YES /9
Critical Areas Determination "kD 0 8. 0 1:5 0
El Study Required
N waiver
SEPA Determination: exuyi&
Required Setbacks -*-To tJtW
Street:
N 2-9 ID
Side: 0
Side: I
W -),-g
Rear: (0
ActuclSetbccks
Street: 10'
Side: 71-7
Side:
Rear:
94azarz-14ed S-tructures 9 Reekeicies.'Retehrdng-Walls 9 FAN4Gas4W-e4*&ses44=rs
->�Mrs occovered Deck �PorcM 9G- Ea
C-hIFl9neW4FWqaIace * L4igeovereEl6lReRG!eseel-<-BE)"Beek/F�ereh.'Pat4
Parking Required: 2
Parking Provided: C�,
coverage Required: 35%
[Coverage Provided:
0, 15 L� 01, G
Lot Area: t4,SID-4 4,
V) p W J f CV- (O!Ep EP
Lot Coverage
Calculations: (D
Sf-P, 199-7
Building Height
Datum Point:
Datum Elevation:
Maximum Height: 25'
Actual Height: N I C/ — UY) Ck C1'r e,)(, Y- D Of I
9,K. AML) ? W te4 afff tia vit cn�l- le, 0y) fl, I
ec/+ " 6&b 61 C, t�6 rd, P 1, W
(4yXiVeWay V-Dd4 z.\i6iyeC+" cCY'Vt�, 134 ID+!5)
-!L*
MK
wal
Plan RevleW BY: Gina Coccla, Associate Planner
6 a
Critical Areas Checklist CAFlIeNo: OS'130
Site Information (soils/ topography/ hyclrology/vegetation)
1. Site Address/ Location: C? 3 3�1
2. Property Tax Account Number: 00 -3 -7 11 (go 0 vo,91D/
3. . Approximate Site Size (acres or square feet): 01.0 ty
4. Is this site currently developed? 2�yes; _ no.
If yes; how is site developed? kogjv_ 4-
5. Describe the general site topography. Check all that apply.
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).
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).
Steep: grades of greater than 30% present on site (a vertical rise of 1(�-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: A) ; Approx. Depth: 'el 41,- -
7. Site contains areas of seasonal standing water: MV ;Approx. Depth: - '2 -
What season(s) of the year? h . C;,� "
8. Site is in the floodway /VO floodplain Zt2 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
XA? — Flows are seasonal? A� (What time of year? 17. c:k- J.
10. S, il f eadow shrubs mixed
------------
Curban landscaped Gawn, shrubs* etc.)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable? y5up.,koo S - 10 -P
2. Site is Zoned? FLE, — 17- -
3. SCS mapped soil type(s)? AA6J?XV1D0d ()V'joarj 16LrIC( CoMpif g
4. Critical Areas inventory orC.A. map indicates Critical Area on site? via-l"ar!q
"141- OLLDV'!3 GOU-411 -Sf&&- f0e;6110kZ L,,M'KCLn6tS"'1D0' SOLAW/-
5. Site within designated earth subsidence landslide hazard area? ND.
Reviewed
DETERMINATION
STUDY REQUIRED
(I a., C, 0 U4 0"
- I �?. .1ko
Critical Areas Checkli6t.doc 2.17.2004 " wwan4b -f-OUVIA
Lof C, 4, 1 V5'b
WAIVER
0 #P20 40
OV- Z
City of Edmonds Date Received: 1(�R
Cilry Receipt #:
Development Services Department Critical Areas File #: (24�2A
Planning Division Critical Areas Checklist Fee: $135.00
Phone: 425.771.0220
Fax: 425.771.0221
Date Mailed to Applic nt 1Q0
41C.
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permi[ Application for the City of Edmonds prior to
his/her submittal or 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 of data available at
City Hall (Critical areas inventories, maps, or soil
Surveys).
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
inf6imation (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/hcr/its heirs, and assigns, in consideration on the processing of the application agrees
to release '. indemnify, defend and hold the City or 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., misleadii , inaccurate or
19,
mcomplete information furnished b) 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 in)
knowledge and that I am authorized to file t�h�' pi . ation on the khalf o owner as listed below.
17
SIG NATUP E OF APPLICANVAGENT 7 DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant in)- permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and ppstiqg _qqgndant to_t�is application.
Owner/Applicant: Applicant Representative:
N alne Name.
I �, -d --
Street Address
-C"Yq (5"9C:)44C>
City State Zip
Telephone:
Email address (optional): I -y A 7 47-
Street Address
01), State Zip
Telephone -
Email Address (optional):
RECEIVED
JAN 1 3 2909
'%r:VEU�MENT SERViCES CTJ9.
crry OF EDMONDS
ZONE
SETBACKS:
RECEIVED
FRONT
It
101
8 2000
s 0, E-
9 E [-,,
___�BUILDING
DEPT.
0 - [ � U:�: R
HEOff
k
lip R
4-04t eVrRY
I
F�
cri
Ck
/,/' \(a 003
e 1 03
I
0
RECEIVED
PER MIT EXPIRES
1- Wr
PERMIT
/
�*:�
4,
C� NUMBER
SUITE1APT#
,DD 7 Sy
PLAT NAME/SUBDIVI SION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Apprmed
RW Permit Required
0
0
street Use Permit Req'd
0
EXISTING — PROPOSED
inspection Required
0
Sidewalk Required
0
REQUIRED DEDICATION— FT
Underground
Wiring required
0
METER SIZE
LINE SIZE
NO.OFFIXTURES
PRV REQUIRED
YES 0 NO 0
W
REMARKS
z
z
OWNER/CONTRACTOR =ESDONSIBLEE FOR EROSION CONTROUDRAINAGE
0
z
W
USE
ZONE
A 'CITY OF EDMONDS.
15nl I A'r1^K1 JOB
�L; IMZI 1 MU I lil r -rilvil 1
OWNER NAME/NAME OF BUSINESS
P �,', � '. —> rLe
MAILING ADDREJS jy
I I-/ -)- Ll g — C�� 1:11, �, t) ,
CITY ZIP TELEPHONE
NAME
ADDRESS
CITY ZIP I TELEPHONE
N-M.-
C.-I - zP1 & _. I- IL-1:1 �_
7 co, - cc,5 - C-,- 4( -
7 v E�. 7 0
CYD
E 7 V;A L L
P E E ."A L
z
1� F41
/1-10 �t
-jm R 0 F
CRITICAL
C.,
AREAS
L,.,. I T:_z
NUMBER
7Z
CCINE
( e9^4 , �011,-11�lce I
IA4(( es��0,4 y
HEAT SOUJ;Cz GLAZING % LOT S,�O E '6
?C7 04 - S I /V(— /0114.
PLAN CHECK NO: - _ - IVESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPA�ATg PERMISSION.
W _k�ION: 11111.6 IS
cr PE IT PLCA
RM ED_=KISSTA TFED WITH. INA00 DAYS
CL PERMIT �-'IM`IT: 1 YEAR P10A`P11 I=
SEE BACK OF PINK PERMIT FOR MORE INFORMAfl!Oh�'
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLDIHARMLESS THE CITY OF
i
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
cc
ALL CLAIMS FOR DAMAGES OF W�ATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
. I
I HEREBY ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY 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 COMPENSATION INSURANCE AND RCW 18.27.
SIGNATIJRE`1QWI�.R'OR A4ENT) DATE SIGNED
A17ENTION
S
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
REVIEWED/DATE
:,lze, DAT E uj
5
U.
O= kDE-
INSPECTION
BOND
REO'D
POSTED
0 YES 0 NO
Flitifl-ra
HEIGHT
��'IZI�C'SED
L OW E D PROPOSED
z.='-= :v,S
Z�POSED SETBACKS (FT.)
E.4.z�
z ONT L,R SIDE REAR 0
C,
z
U — — 2
1 z
C
��E �,,Eo 5�. ATE J
CH=C'(= '.,�iC�CO.'.57RJCTION' CODE OCCUPANT
q7I GROUP
SPECIAL INSPECTOR R E A OCCUPANT
REQUIRED E) YES LOAD
REMARKS
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI D a
VALUATION I FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
:4,
777,Z., _7_ I z
A.; I IUNt-hr-
NG
PLAN CHECK DEPOSIT I / �_2 / I /��
REC71PT
TOTAL AMOUNT DUE 1 /11 .)1,4 1
APPLICATION APPROVAL
CALL
This application is not a permit until signed oy ine
Building Official or his/her Deputy: and Fees are Daid. and
FOR INSPECTION
receipt is acknowledged in space provided.
OFFICIALS SIGNATURE DATE
(425)
101-4 74111:
�EUASED10
771-0220
% DAtE
EXT/333
771-0221
ORIGINAL - FILE - YELLOW - INSPEZTOR
FAX
PINK - OWNER - GOLD - ASSESSOR
RECEIVED
:0 2o 0 -30 12 5-6o c) 3
Return Address: T
City Clerk q
City of Edmonds
121 - 5tli Ave. N. jjLa
Edmonds, WA 98020 O�c
0qZ-48 UTILITY EASEMENT
* rd
Property Addres 1:9298 93� lace W, Edmonds, Washington 98,020
Assessor's Property Tax Parcel No.: 00 3711000 004 01
J 0 L 17 2003
EDMONDS CITY CLERK
&411 Lj -
IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, Philip Morley and
Llory Wilson, hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the
installation, construction, operation, maintenance, repair, reconstruction or replacement of a waterline and
necessary appurtenances over, across, through, and below the following described property, and the further right
to remove trees, bushes, undergrowth and other obstructions interfering with the location, construction, operation,
maintenance, repair, reconstruction or replacement of said — waterline and necessary apliukenances, together
with the right of access to the easement at any time for the stated purpose.
The easement hereby granted is located in the COUNTY OF SNOHOMISH, STATE OF
WASHINGTON, and is more particularly described as follows:
The west 15 feet of ' the following described property: The portion of Tract 55, Parcel "A",
Adiii�iralty View Tracts, according to plat thereof, as recorded in Volume 22 of plats, on page 64, records of
Snohomish County, Washington. Thence S 14'49'1 8"W along the east line Lot 4 for 115.66 feet; thence N
72043'50"W, 158.19 feet to a point on the west line 31.12 feet to the north-west corner said lot; thence N 68'05$04"
along the northerly line of said lot 4, 161.93 feet to intersect an interscction with a curve; from thence southeasterly,
along the arc of a curve to the left having a radius of 45 feet and consuming a central angle of 53*15'4 ' 6", an arc
distance of 41.83 feet to the true point of beginning. The sidelines of said easement shall be lengthened or shortened
as to terininate on said north and east lines of the above described parcel.
The easement area is depicted in the drawing attached as Exhibit A.
THE CITY agrees to restore to substantially the original condition such improvements as are disturbed
during the construction, maintenance, and repair of said utility or utilities, provided (lie grantors, their heirs, or
assigns shall not construct any permanent structure over, upon, or within the permanent easement.
DA'IEDTIIIS,PAr;r DAYOF\1�7- 20051,?
STATE OF WASHINGTON)
) ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Philip Morley and Llory Wilson , to me known to be (lie
individual described in and who executed the within and foregoing instrument and acknowledged that they signed the
saine as their free and voluntary act and deed, for the uses and purposes therein mentioned.
UNDER MY HAND AND OFFICIAL SEAL THIS DAY
0
'0
- z (V/4\�Jk N ""
d,
(,tF1Y
C0 0 (J-�J%Ry
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5 0
112
2-
0 \N
NOTARY PUBLIC in a
Stat"f WasItinaton, re
at
200-3
clrow clrow
r
92ND AVE W
—ROW
19025.92N,O A W W I Vo 1.9015,92 N*,O APE W
I PRO-0-00 IYA)FRUNE
9108 1.91STRL
W
S024 191SrPL lY
PERWANOW JO'
#A' MMIAIC EX&RIfWr
�x R
9004 191ST PL N
..... ..... .... .... . . ACRW,4,YeNr J0-
WA 7ERZ IN, C EA SMCN 7'
Ix
9.107 fgfsr RL W
.9001 .19.1sr R Jr
.901.1 (gfslr lox w I
2003 WATERMAIN REPLACEMENT PROJECT PHASE I
191ST PLACE SW EASEMENT EXHIBIT'/A'
0 0 . 0
10:42 AM FROM Halklake Cons0rd,
- RM,
OV
IS) RNS
EA
0
RECEIVE,)
JL I JL AL
-A p
J 1SY3
TO
A
.6
DAT E.. .......
Tit ONLY PHMI MM WE WNT WORK M
FROM- i*//k,& "/A&ci
COVER PLUS--/-- —PAGES
PHONE NUMBER
0 4)< Cj,,l /&,),A 0 ye
1 0
NY,
04-1.3-93 10:49' AM FROM Dlls�akc Cnst,Yrd, P002
V OOC r 7,
of Effiii
LAP' 7 - I -
Cit�
'y 9 0 - 1 9 4 -
I?JGJlff-OF,..o.WAYC"ONS....TRU,L'TibN
VJ.
PEJF�
'fime Date;
A- Addreu or Vicinity of Consimetion: . 92ND AVE V. & 93RD PL, slo 190 PL :SW
ll, TYPO cf Wcfk (be $Wific): REPLACE
PEDESTAL 4 19248 93 PL, PUSH DW 61 WINDOW -_WdA%,QQ
a=-- �UTS- FLOW 90-FT To PTArr Rvrj
C. Contmetor. GTE NORTHWEST INCORPORATED
CON&& BARBAU TOLLErsoN PERMIT GOOFDINATOR
MailingAddress: BOTHELL. WA 98021__ Phouc; --- BAU 488-1642
StateLicanae#: 22118 20TH AVE. sE sUITE .1310i.abilitylasumace 1: Bond:
D. BuildijOg Permit # (if applicable); Side Sewer ptirmit (irappli - CaWe):
E. [] Comn%MjW El Subdivision
El multi-tamily 0 singlapamily City PfO*t KI UtflitY (FUD, CITE, WNG, CAME, WATER)
INSPECTOR: El Other W.0-# 2100-5POOLAM-10. 242110
IW]Ecm:
F- P&vwnmg or Concrote Cut: El YCS ONO G. Size of (�ut: 2 x 2 H. chgrge
APPLICANT TO READ AND SIGN
INDZYN1717 AppllcaW mderliNds a1W 0 hir dgnatum z5 Ah4j dppjkd.,.
vidiw of any Und or deteilpfion wha&omr, foram atives to hold sij# Coy ef&jw� ham,"Ift" t"Wes, 4=48's,
17r 9YOM", 1h4t " be Mao 494hi" 0r 04P QfEdw—dr, Or —Y tYlca depdrvonffna or expley-
-,w I'm1w to dw d*=,r ofmy Inupweei-J, lw'6�"g dof'4w "Jo' "d aft"l0fits by Nalm 4f81w&dV Ai- pmds
CON"" CTOR 1$ WMNYIBLE FOR WORn"AMPAND Arj MU&S Fojt A PFPtOD OF OJVE Ma -
AAVAQZPTANCE()F7WW0Ay EMA(AIM REMjFA770M FEES WJILBS HE t FOLL0147AFG TI&MARL MPEC710m
I UM
C=FOACM. AT *NCR 7DWEA DENT OR CRWjTN7LLK p.T0CFjSFZ jroR LD NY14 )7M4 J7XFh7 PA TM IS COA(PLOW By
ISSUANM TO 7=APPMr.4Nr
Construction dMwing of prupose'd work reqtdred with permit application.
A 24 hour notice is required for Inspection; Flease call the Engineering Departnj�
Work is to he inspected dudng FrOgrew and at cumpletion.
Rmtoration is to be in accordance with CUY CodeS. 771-0220
Street shall be 1kiept claw at all timeS.
Tmffie CUnfiVI and Public Safety Shall be in accordance with City reguWonS as MQWred bY the City Lngineer.
All Street cut dilcbcs 311AJI be Patched wiffi 2sPWt or City aPProved material pij
NO EXCEPTIONS. or to the end of the waricing day;
I have read the abow sixg 4yd u requfranents and the pink
"r
r I pdeff COPY Of th-C Pe"Hit will be a ualabla
on site at all tim"Jor i"
Signature;
3-26-93
(Coalract%rcff Ve*j
CAU 488- 1620
CALL DIAI-A-DIG PRIOR To BEGp4NW
G WORK
ITY,
A?PR(jVED:RY.
P40"T-ap
WAY bEP6Sfr*
R4y7#0kzE0..V0w AFna
-72!r DAYS' DL%jillm pEr
77777
RESTCIRAnoN rm.*..;��
........ .. ............
-:T0tAt;-MM-.
.77 7
04-08—.93 06:58 AM FROM H811slake Conf,Y�d. POP
45 1.
44��.
AP8 -
8 J'Q
93
All 'E'voltv,
I
JL U 4-11 1 . //V(3
9
DAI
T141- ON[Y P14ONc. MM WE DOWT WORK WM
r—f 1? 0 m A*—Jm/'
COVER PLUS.____l
PHONE NUMBER
j .,
1 04-08-93 06:58 AM
C.
T%
FIROM H8 I s li, k e
C9 n i . Y , d.. .%P�002
'477TIA APR
City�'dr'Ed
ONSTRUCTION
-HT-OF—WA C
Penuft Numban 9 � _/,J� J
Issue Date;
rem Or Vicinity of Constn tion.- 02ND AVE w. & 93RD PL. slo 190 pl, SW
'90 - 194 - M. JLYk= Of vvorK too hpcciflr�); RUIACE A SPAWR AVVrAL CABLE. PLACE -
. "DESTAL 0 19245 93 FL, PUSH DW 6 WI-14RMS. FLOW 90-FT q�.pLACZ 8.5W.
Contractor: GTE NORTMEST INCORPoRATED Contact. - BAR&ARA TOLLEFSON. PERMIT
Mailing Addrfts: -BOTMnl WA COORDINATOR
StatcLicense#: 22L . P ___ 980,21 Phone; _BARB 488-1642
18 20TH AVE - BE SUITE 1313i.ability Insurance: Bond:$
ntulalng rcraut q (if Applia 10).. 1 Side Sewer PAnnit # (if applicable);
C] commerdal LJ Subdivigion
0 -ity Pro ect
r
Multi-Fanlily 0 Single Farnfly City Project Utility (PUD. GTE. WNG, CABLU, WATER)
T01' Other �
INSPECTOR: JJjSP2CT0X 1W.O.0 2100-5poolAM-10 2421fo
INSPECTOR; 14"
F. Pavcment or concrete cut 91 yea ONO a. Size of cut! 2 x. 2 14. Charge
ArFLICAN-17 TO READ
SIGN
INDEMNITY. Applicantundgr44"&Mdb*Yhl,,I,,,,,,,,,,,,,,,,,,,,,,.,,,
'W" I � �'-w dolofLrdmon6ha�!q
.roq ftd of, dtf,^1fpd0x W*au0tvvr' f6r,.W,fi ou /law the WJftf=, damages. or
Oft, inchding or nrn amirea to -Wor-n. that maybe-' *Vainsr dw '�v nal Y a tp4mfew or employ -
THE CONM C71OR IS RESPOMMPLEXOW WORKMjJNS by _on qrgran&ng zhir Xm4'
AND ACCEPTANCE OF TRE WORK. Fj,-M MP AAV MA 7EMALT FOR 14 PENOD Of ONE YMR FOLLo%Tm mE p1MLrM4vEC170N
, A 7ED REnZIR4 270'Ar FEW W.,a'lL
Mry FMCES, A T WHIC11 7TRE ADEBIT oR aWrT Wff '. a= UAWL THE Y71VA L SUEEr PA Tqy is coMpLE7ED Dy
LAE PROMSWFOR iSSUANM To THE APPUCANT
Construction drawing or proposed work *r�q" with Permit application
A 24 hour notice Is rqUired for inspectiog; p,
ease call the Engineering Departm
Work is to be inspected dwing progress and at completion.
Restoration is to be In accOnJwxt with City Codes,
Street aWl be kept dean ut Wl IlMes.
TraMic Control and Public Surety ShWl be in accordance with City regulations AS required by the Cikv ErIgineer.
All street cut ditches Shall be patd*d with asphalt or City BPpr�ved msttriBl prior to the end of the Working day;
NO EXCEPTIONS.
I have read the aha ye sralementr and n a h, ;err
I and the pink coPy of'rhf P6rmlt wiU he available
Oft site at all limusfiP *Pection purpa:%�A
Signature: Date:. 3-26-93
(Contractor or Agent) ff6B_J_.KNZ.G
CARL 488-162o
CALL DLAIL-A-DIG PRIOR TO BEGReONG WoRx
CM IUSE ONLY.
APPROVED BY; __u�
RIGIJT OF
YDEPOSIT:
T94E AUT HORIZED: ID AFM LN
DISRUPTIONI�WJFUND I It.
...................................... .....................
..........
SFECIAL CONDffyoNs; At
RESTORATION FE&
C,
Pam IT FSE..`*'�
IOrAL FEE,—
COMMEITM.
DATRt -SUED BY;.:
W.qq
.......... ....
0 WORK 11
IT LSSU
Enore n;�, Inni.
N
CITY OF EDMONDS
PUBLIC WIRES - EMINEERING3
ACTION REPORT
- 0
N9 4253 -
e"REET FILE
1-11
SUSPENSE DATE:
��2-� � Z ?( '9 -
Date: Time: CK .',6 0 jOnJ F i I e #
Attachments: =Yes
SUBJECT: — ( -�,,,o
lErlow U'Ra4l 'I- M-1. M
&, — 4 e � � ITT
t I/ L
REQUESTOR: NAME: IYA Q
ADDRESS: 9.?,q6! —ar-AB
PHONE: 7-141— 9�&3
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
PnilTF Tn-
ON"
U-0,
MM
MMnM
MM
ACTION: Tu 9M -F- I> LAATr-A- Or- F- / N S Po v Sa
7e) 7,7-Aff<
All Concerned Notified
Action Completed/File
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ......................... 0 e- --- 4e.15 . . . ...........
For installation at: (street address) .............. 10-.Z.11Y ........ ........
. .....................
----- J01_
Addition or Subdivision ......... e4;7
....V ........ ........................ Lot ---- ...... Block ................
Type of Building: New__X ..... Existing ........ . Single family residence Y. t'X. Number of bedrooms. %? . . .......... -
Other: (specify type or use) .....
........................................... AddressA7 7�rlldr
.........................
— 0007
Designer... ;F.-Ow --- ............. ---------------------- Address. ...... 0.
Soil Log Hole No. 1 ........... 0 ..... -1 - ... w e. 17" 0,0
....................................................... 5�.'Vv V, eoo� ............ ...........
... .......... ............ --------- ....... ------- ............................................
101,
Soil Log Hole No. 2 ............ ........ �5154? .................
Elevation of Water Table, if encountered. (Distance from ground surface) ...... OAO/O".41.0-11 .....................................
Corrections to control surface water if needed .........................................................................................................................
................ ...................................................................................... ............. ..................................................................................
, #0 0/
Specify if any removing or grading of topsoil in field area........-O'.600 .......... ...... ..................................................
........................................................................................................................................................................
Percolation:
Test Hole No. I —Average Rate ......... Z94�7 ............ ....... (Fall in inintites/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate .......... 2.,.4 ............ I ....................... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3 —Average Rate .......... 7..2 . ............ .............. ....... (Fall in minutes/inch-bottom 6" test ole)
Average percolation rate on which to base.drain field design ............ Date Taken./
Septic tank requirements based on present rules and regulations:
Septic Tank Size. ----- ... 0 --- 0 ............ gallons.
Amount of Square Feet of D* ield ------- _�r
..44)
. ..... ..... ....
Signature — Designer...
............ . . ......... ------- ------ - - ---- Date.10
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
Permit issued (date) .............. _7:�. _..'? . . .... (,.' ------- * ....... Permit Number...
Remarks:
................
SE
Septic Tank ..... ....... 710 P ---- gals. *MUETPREPERMIT
Disp. Field ......... CITY OF EDMONDS No . ...... .......
sq. Depcirtment of Publi, W-,ks
Other
Name ----
--------------------------------
----------- is hereby authorized to install/
----------- repair sewage disposal system at
..........
............................................................................
Date issued on.-. .........
. ........................
Permit expires one year from date of issue
DO NOT COVER BEFORE APPROVED BY"'.*i)ESIGNER OR SANITARIAN
I hereby certify this system was installed under MY supervision and control and complies with all provisions of the Cit . y
of Edmon.ds Resolutions.
Signature of installer
Approved E] Disappyoved 0 Date .................................................. Date ..................................
........................ ..... ---------_-------- By .............................
Remarks:-.
........................
SANITARIAN OR DESIGNER ------------------------------------------------------------ : ---------------------------- I ....... Date ........... ...
This perniit shall be posted in a reasonably conspicuous . ............. : .............................
place on the job until inspection has been completed.
1.2
7>1
WON r W4 Q'* /a, y & " o0c.
7301-179th S. W.
EDMONDS. WASHINGTON PR 6-5880
PERCOLATION TEST
PLOT PLANS
PLAT DEVELOPMENT COORDINATOR
594to 11.0 . 9 - e 0
51
'en
Al
-d:9
_5-,VVe Z 46.6- 674e,4;7�-Z
z z
,�r
41' ol
I i
I -A
Ap loo,
7301.- 179th S. W.
EDMONDS. WASHINGTON PR 6.5880
PERCOL.A.TION TEST
PLOT PLANS
PLAT DEVELOPMENT COORDINATOR
-'01
-.4
41
9 �
SX
p
T 7
"- 7 'f'477,_ 7r
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
10.0
PERMIT Permit Number: ?_3 -0 E/
STREET FILE Issue Date: 2_3
A. Address or Vicinity of Construction: 92ND AVE W. & 93RD PL, S/0 190 PL SW
9 9 c� B. Type of Work (be specific): REPLACE 3 SPANS AERIAL CABLE. PLACE
PEDESTAL @ 19248 93 PL,.PUSH DW & WINDOW UTS. PLOW 90—FT TO PLACE BSW.
C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address: BOTHELL, WA 98021 — Phone: BARB 488-1642- -
State License #: 22118 20TH AVE. SE SUITE 1312iability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. - R Commercial El Subdivision El City Project K] Utility (PUD, GTE, VYING, CABLE, WATER)
n Multi -Family [] Single Family E] Other W.O.# 2100-5POOlAM-10 242160
INSPECTOR: INSPECTOR: WO --'VA
F. Pavement or Concrete Cut Yes E]No G. Size of Cut: 2 x 2 H. Charge$
APPLICANT TO RE . VDNdSIGN
h Id h City of Edmonds hin V�url S, damages, or
Applicant understands and by his signature to this applica 'e�' t' o i e rwkl W
a
y
INDEMNITY. mal'o' t
claims of any jUnd or description whatsoever, foreseen or unforeen, that be=�ainit the Cily of Edmonds, o 10'de�a". ents or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, hnd 6&meyfees by reason of granting thi� permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP A AD MA TERIALS FOR A PERIOD OF ONE YEA R FOLLO WNG THE FINAL INSPEC77ON
AND ACCEPTANCE OF 7HE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL S7REETPATCH IS COMPLETED BY
CITYFORCES, AT WHICH 77MEA DEBITOR CREDIT WILL BE PROCESSED FOR'ISSU4NCE TO THEAPPLICANT..
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departm
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0220
Street shall he 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 have read the above statements and
,Ot"a the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection pu stpd ' -
Signature: elb&' Date: 3-26-93
(Contractor or Agenj)n r r %0- CARL 488-1620
JJLIB E- - KNIGhq
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
RECEIPT
__ISSUED BY:
SHALL BEGIN
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund 1-11 Route copy to Street "bept.) -
.Comments:
I Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
,FINAL APPROVAL BY: Date:
Eng. Div. R
APPLICATION
T1 'C it of Edmonds
for:
SIDE SEWER PERMIT
FILE
EASEMENT No.....,
y
.....................................
NEW CPNSTR�UCTION REPAIRS 0
OWNER- 1. .........
.....................................................................
CONTRACTOR .......
...... ........ PERMIT No
ADDRESS
OC70
..... ................ j�,IPGAL DESCRIPTION: LOT No./., ........... ...........................
.....................
BLOCK No . ...... ...... ...................
NAMEOF ADDITION ... .. .........
L ...........................................................................
DA
........... ........
F- 12540�
7
7A,
.'U ni t 5
.�DESCRI'ITION
01 4 Imiralty.Ti.e.w.1- to plat th*ereof-,.'.',.-'
All that porti on f 1"6 t, k
Of' pla
recorded In voli.iriie tao pagO 4 records of"' _'nohoml.sh, Gounty,.
Washington d e s c r 11) e d as CoIlOws:
J -at the- corner 'oT' said'Lot, -4 -thence S,,'th
Beginning
cn (7
'ast.line of s ai d Lc
i4*49 13.8" Werst along the - F, it 4 1-115.66 f -et, L, e,
.�North 720*43'50" West 158.19 f'eet�to.a point on the West line of' said..
_d �1.Lne '31, 12 '.Ceet
Lot 4; th�.,nce� .,',f,-.)rth.0*1q1.27," Tiast..along sal
to the Northwe:�.,t corner 6�C said Lot 4;,'thence,, North 68005104" Fast.
a 'g the Nortk -,-r' y- I said --Lot �4' 161, -�f eet. to an IntersectLon;
lon ic 1 J-he of J .93
With a� curve fl-om which intersection the.�radiuz 1.pol.i 1, of sai.d 6I.Irve
. pears North, 68'1v-� .1 o4" tast.45, . QO f eet; th e.ne,6 Southeasterly :alon
9,
S.
the'arc of' a. curve to th'e left, havii . ig a rad i-u' of 45,00 feet and
al wigle::'Of 5 an arc Aistance of 41-83
consuming a centrc 30:1,5 2`6-l'
..feet to..the Point of beginning.
-C
ITY OF EDMONDS
Cail JPRPsPec� 6-1107 when work
CIVIC.- tZENTER — WATER-SEWER� DEPARTBMNT
Is -ready f or-jifspection. (No inspeAel-
tions Saturday, -Sunday, or holidays.) 0
-SIDE SEWER PERMIT' IN: 2514:.
ADDRESS .......... .... ... Px!�J�qe West
................ ..............................................
....................................... ......
OKNER . . ........... Rpy Dubisch
... ...................................................................... . 1b0NTRAC,T6R ..... OlYmpci View Plumbing
........................................................................... .
PernliSSiOn IS granted ...... NoVember 3
........................................ for ............... days. to REPAIR or CONNECT a. side sevver.
with CRY Sewers in accordance With application on fiie' and governin
ordinances.
ATTENTION IS CALLED TO T14E FOLLOWING:
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 constr.ct 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 perrydt.
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 surfaceof treet restored to, original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one*year of co
mpletion.
NOTE. No. 5=1t is unlawful to alter or do any other workAha'n. is
provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to Insert the pipe into the wye.
4
d
p
4
e-,.c �jo)r
I r � V CITY CLERK
CITY OF EDMONDS
C) - 0 1 121 STH AVENUE NO.
0 -r dy T- 0 S/ 43 A i-cs- EDMONDS, WA 98020
% F04 / 157, 66 rr -rH IV 3 6 0
z-,'v OT
....... ....
'r t4 V6 e,
TAP 0-t/ W 4-Al S b 40
19 lz�
, ') -t./ /—/1/ 3 J.
Acc, _- L L
,g 4
StT4.1/ AL-Cr
L oe Tc) -C/VT
1;6 1?3 F7
V 4,/. S _j TL) -r P 13
............
-,.-,-A:CCESSORY DWELLING UNIT COVENANT
Property Addiress:
.,.Eftonids, Washington
Assessorls`iajrd'�i Nu"eT 3, 7 1 0 00 0e_-A,1 - C-) t C9
Legal Descr10tl.9n':.,.,'* 4 _4';ke e- ca. e-
1, the undersigne'a, hitve -�ttained:i . Oproval for an accessory dwelling unit (ADU) at the
property address' --above. in-ir
I pcbraan�e with the provisions of Chapter 20.21 (Accessory
Dwelling Units) o�t4q.gamotlds 6mmunity Development Code.
I agree and understand.tlfat it-i's mfi6sponsibility to notify all future property owners or long-
�ceef,,the 'ADU and that its existence is predicated upon the
term lessors of the existe
occupancy of either the XDIJ. �-t,,prirf'iary dwelling unit by the owner -of the property.
o.�pective bu" rs*
Additionally, I will notify 411 ye ,of the limitations on use and maintenance of
the ADU as stipulated iri`6apter"ZO`�l (-,i(ccessory Dwelling Units) of the Edmonds
Community Development C64r,- Ah, exaffi'p'le of the limitations of the ADU per Chapter
20 21 is the property owner is i�qi:ijred.t� reside in the..pnmary or accessory dwelling unit for
6 months out of every year.
Finally, this covenant shall be recorded in.&"d'er - to. no'fify all current and future property
owners that if any conditions of the ADQ*ippr,.0'�1 �re violated, the property owner will be
required to remove all improvements which W�re added ko convert the pnmary dwelling unit
into an ADU and restore the site to a singl�-faim4y'dwqlfing unit
Property Owner Signature:
Print Name:
Property Owner Signature:
Print Name: ..... . . 641
C J-
Date: -%7-1 2-occ)
STATE OF WASHINGTON)
..........
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that ?Xi'lle
signed this instrument and acknowledge it to be his/her free iind Olunidj%ct fok.theluses and
purposes mentioned in this instrument
Notary's pressure seals must be smudged Dated- 62-11
Signature of
Notary Public
Residing at:
My Appointment
AP,
Expires:
qfifd� VA j z — _'? V=::�
9- r��4
1,7r!�Is OCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AV61T0&'';*
IWAPOO 10 3 0 0 0 0 9
0
200010300009
10/30/2000 09:19 AM Snohomish
P-0002 RECORDED County
CITY CLERK
F�etdrn.Namd aild. Address:
CITY OF 110MONDS
1?1 T VIINUE NO.
P-4
gb"Wol� WA 98020
Please orint or Woe"inforniatiGn....
Document Tlfl!�(s):.-`
6e Ve AJ,9 &17-
2.
3. ... ......
4.
Grantor(s)
RECORDER'S NOTE:
1. (1/ 117 PORTIONS OF THIS DOCUMENT
2. ARE POOR QUALITY FOR SCANNING.
3.
4.
0 Additional names on page ..0fdowment
Grantee(s)
2.
3.
4.
El Additional names on page of
Legal description (abbreviated i e lot. block, plat OR iection,,164iship, ra"h9e, qtr /qtr
RANaF— -3 E TOWKIS"IF) 2,77N SeCT10 I (S�TP,
.............
0 Additional legal is on page of document
Reference Number(s) (Auditor File Numbers) of Documents as�sighed-,br reiba.sed:
Q Additional numbers on page of document
Assessor's Property Tax Parcel/Account Number
r7
C3 Property Tax Parcel ID is not yet assigned
C3 Additional parcel numbers on page of document
upVqla
The Auditor/Recorder will rely on the information provided on the form The staff will not read the c*
verify the accuracy or completeness of the indexing information
-,2 1 , , --r
P4-/2
264 165+08
2 516 �--
P6-/2
312,
Lo
9FD - - N(\i
x
(Jo
CC)
, milLo,
- PL� 1A)
L) Z, E0
sav(CE, oj�?,L,�.
leffoll
D A
LA29DLE—
Q LuJ 0 A- 05
1 112-491
I I Iq 2"5 -5 1
/'v
C)
00
\0 00
k�
n
PEKM(,'SG(0U -ID-Ti:�CNCfl Oki F'ff0rTZ-(r
GF,WTED BY UUERDI/ Joi--IusT�,okL.
T\ESTICKE- —(D 0-Z61 QA- L DK BE—i
ON
mor,
DESIGN POINT "A"
EML.--7-1.3 dB — ELR--Jlbo Q—
END SECTION —
BRIDGE TAP-2387
AML ALR
OFr,ICE LOOP LIMIT 1500 Q_
APPROVED BY
CD001-400
- AEI-24
CD:1-400 TO C.O.
AEF4-24
[:L:5:3:17]
19 2 N1'r S T,
sow,
USE FOR ROUTINE ONLY
PRIORITY 00 ECAS -2-130
IN SVC -2-4/02/93
DRIVER
21 DOR
0 PMO/TRANS/SAFETY
11 HICAP/SPAN
0 OPUS
0 PUBLIC REQUIREMENTS
El PLANT RELIEF/CABLE CONG.
0 PLT. EXT/COMM. DEV./RCTA
IN SERVICE DATE 04-02-93
PERMITS
CONSTRUCTION
0 BLANKET
M DIAL. A DIG
0 STATE
0 FLAGGING
0 COUNTY
FQ BRUSHING
M CITY
11 NONE
SPECIAL CIRCUITS 0
--------------
CAUTION
POWER 0 UG MAE
CLj' S REQUIRED
OTHER RUG A AE
19 YES 0 NO
TELCO Iff UG 6 AE
JOINT POLE
------------
JOINT TRENCH
0 PUD
13PUD
0 PSP&L
CIPSP&L
C-1 CATV
1:1 CATV
El GTE
1:1 GTE
NONE
FEES REO'S
E3 GOP 0 LEC
POINT OF
1-1 SPEC. CONST.
CONTACT
QNONE I
ENGINEER Carl Samuelson
PHONE NO. (206) 488-1620
BULK
0 ROUTINE
MATERIAL
CODE DESCRIPTION
EST
ACT
��o (025 i A I,(- F: Z-6 - Z&
P�t p
Z44 i
PLACING HOURS
SPLCING HOURS
I Halls Lake Snohomlsh ..
DOR'S AT KNOB HILL N)
E
REINFORCE DIST. CA. AND 0
REROUTE 2 HOMES
C) -0
Frm�l
'f- 4V 2
-1-WO , M !,z
UAIL'
SHEET
T.27N R. 3E—SEC. 13D No.� I