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19303 OLYMPIC VIEW DR.PDF
Iiiiiiiiiiiii 12616 19303 OLYMPIC VIEW DR BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: V �� DETERMINATION: ❑ Conditional Waiver ❑ Study Required aiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA' SEWER LID FEE $: LID SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT SIDE SEWER PERMIT(S) #: `7f/'a� SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LAT'EMP\DSTs\Fotms\Street File Checklist.doc I CIS r lr all ij. LU LLJ C= C*4 LijLAM cc 0 c LU R + 15 C3 Fm1a C) CD c"3 ffic- LJ ra ii C �a cn N e-r H p� [9 X 4 ce I^ a 0 -U. ►07 #P20 City.o dmonds Date Recei d: Development Services Department City Receipt #• Planning Division RECEIVE® ` Critical,Areas•File.#: Phone: 425.771.0220 Critical;Areas Checklist Fee: $135:00 Fax: 425.771.0221 MAY 2 O 2004; Date Mailed to,(Applcant 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). 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 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. By my signature, I certify that the. info 'on and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to s appli=-J T f the owner as listed below. SIGNATURE OF APPLICANT/AGENT If"DATE ' ` _ © OO . 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 my permission fort�iublic officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and p g attendant�ttrdlt Qplic#�n. SIGNATURE OF OWNER Owner/Applicant: CL hi-C 0 Name �;© �) 0 'c 1'acoI^ Street Address I Ic� EAGu au c� s toCk. 518 D� O City _ State Zip Telephone: coo—,5) 771029- 9 7(n Co Email address (optional): k t AU ccE 50Q Varr i p-dh . fN�� DATE Applicant Representative: Name . Street Address City State Zip Telephone: Email Address (optional): r #P20 Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 9 f u 1. Site'�Address/Location:' � 2. Property Tax Account Number: 00 3 C9 o'ooa �503 CA File No: ITS 3. Approximate Site Size (acres or square feet): 16, 0 O 0 � ft 4. Is this site currently developed? %yes; no. If,yes; how is site developed?. k rsT'1 P 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 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: ; Approx. Depth: 1 What,season(s) of the year? 8. Site is in the floodway N o floodplain O of a water course. 9. Site c9 ntains a creek or an area where water flows across the grounds surface? Flows are year-round? p Flows are seasonal? (What time of 'year? ). 10. Site is!primarily:.forested ; meadow ; shrubs ; mixed ; urb j landscaped (lawn, shrubs etc) 11. Obvious wetland is,present on site. j For City Staff Use Only 1.. Plan Check Number, if a plicable? 2. Site is Zoned? � a` 3. SCS mapped soil type(s)? 6 ' (d Qrwoa [Old td tex To 15 °l s §Ref 4. Critical Areas inventory or C:A: map indicates Critical Area on site? v e !. ro;a.. o'fn i ► u 5. Site within designated earth subsidencelandslide hazard area? ,IVO i DETERMINATION WAIVER aS UIRED Reviewed b Date: G PLANNING DATA NAME: DATE: SITE ADDRESS: lq303 O ? ,r VA, 'e PLAN CHK#: 0 - A PROJECT DESCRIPTION: A11vv REDUCED SITE PLAN PROVIDED?: es No MAP PAGE: 3C)q CORNER LOT: es No FLAG LOT: eS No ZONING: — aZ CRITICAL AREAS DETERMINATION #: O K — D ?S ❑ Study Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) Exempt ?a PX�Ttny f(ivGTtffe . SETBACKS: Required Setbacks: Street: as, Left Side: to Right Side: 16 Rear: a� Actual Setbacks: Street: Left Side: f b Right Side: Rear: 7 Street map checked for additional setback required? es / No N ❑ DETACHED STRUCTURES: ❑ ROCKERIES: y�orQ ro�� ❑ FENCES/TRELLISES: P ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: _ PARKING: Required: Actual: LOT AREA: 06 0 Cacu laations• 3So�� 3000 = a7 O�. BUILDING HEIGHT: Datum Point.*_elfr �q e' 4 Datum Elevation: [��� Maximum Allowed: al 5 Actual Height: n A.D.U. CREATED?: No Yes SUBDIVISION: ✓V LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es N OTHER: Plan Review NewBPPIanningDataForm.DOC 18703 �\ / / \no[o / 18702 187TH ST SW 18712 18711 8707 y 18631 I8628� 18701 I 0 3. QO./ ,,'sus. /'ej, °�9�/" : • /� �/ te7aa > I ; .. m C87871 11 P /'.,• •`� •. �\. / 187t7 �, \ \ 18719 m 18716 Z 1871 / \ Q[� 18732?y. \� �p ./° •1\� 18717 18719\ 18716 18730 t 7 0 t8726 9602 1 7 3 IB 25 8 912 9 �18812 `\ 18803 y 18811 ,� Qr �� 18809 118814 18810 � 18805 18809 18732 a 18802� 18809 / 18812 t . > ul 18806 18804 m 18815 it / 18819 Q N o O ` &>7o C/ \, /pJ t8823 18824 N 18823 18818 18822 15821 18825 18808 188 B),°` -sq 18ffi7 ` 18817 o N Y\.- 0 18823 18829 18810 18812 f8902 18904 18906 U $ $m m m m 18831 Ism a 1 w 76 \ �B `1 18901 18909 18906 18902 g10 \� 18912 18910 18908 �' H 18920 �. 16909, 18831 0 $ & 18908 8914 18910 18914 18915 18911 - 18922 Y` 18914 18920 m 18922 p� cg? N O 992t 19012 18929 m m m m om�i 18916 m 18922 N N 1IVV m m m 9421 9319 m m 18924 WATER,ST 19005 m 9636 9615 190TH ST SW m 19013 / 9815 m .. 1901t $ 7/9322 9308 9210 1 19005 j 19018 _ 9021 19017 9719 9711 9611 N 19016 19107/ m 1901 19028} 9829 9823 98t9 9811 9715 9609 19026 190 19024 % �^'k 19018 .......... 9309 19025 1621 g 8 j\ m latos 19102 19102 m m 8 0 > s3o3 m o 19110 \°?19105 m m 1611 1620 1610 si Ri O1 m �' m 19117 19121 797j �OCs 9225 19124 1911 19120 5 7Y - 1561 19730 19128 19128 i65 77—1576 7 1 19129 19125 787P S 1912 1596 1523 �y'� 1542 19210 m 79 1590 Q _ 19204 192101570 ?Np R ,p m N .y 9116 `2i \ 19222 19213 1561 1692 \\• W t92t2 19214 19200 N ! \ _ m 15 )y.7 {&7� .-.:- �s >.: �. 19211 19215 m ,p7 7 'f .. \ 19226 a4 19 19218 19222 19210 d - 1520 �;, tr 19225 N 19232 i 1540 �> 7s 19228 } 19226 19230 19220 Cl) 19225 1439 // ]Q * 6 m m 0 7g�1 1530 / 1 \ 19308 0� /�1 1508 1029 •\19316 19309 19311 , N @ t520 7°�S� �" �� Isis 19314 a it9$ m y 1429 1002 o � n F m m J9509 615 y ♦� 1505 1401 1514 ,y, 1428 1022 1449 FOREST DELL DR 9507 103o tslz e" 1422 ,g 9520 1428 O � 9055 � J 1432 ofp , \ 1038 1439 .. Q,. t450 N 9125 1010 1019 ��Q 1441 1420 1430 1427 1428 J\ 1430 1oz3 1421-¢ 1622 1' 1020 04 10311440 1416 1109 19518 13 p� 1428 �1417 _... _..._ w 827 1 E 7 1418 1030 AA d m 1402 y 1306 ------ 1424 t0a7 1412 19518 Sundstone \ 13oa 19515 19511 0 ¢� �; 1 1302 / 1403 1410 N m - 130Q/ ... 1407 - .. m $ 141d / 19520 m 0 O o ` 1011 1055 140) 1409 PUGS P1lrFT_ORI1/E. 1 19524 T 09rV 910 912 o N ^ 1324 1323 c d 908 N o 25 m N m 914 1315 1312 1313 # a 906 \ S 1309 916 ^+ Edmonds 1303 1304 1305 1306 1305 3 PUGET WAY Elan- I (OL-. (Mf 1C VIEW DRNE_�-- 6��r�'� FILE 0 CITY OF EDMONDS - `SIDE SEWER PERMIT WATER-SEWJER DEPARTMENT 2_�;- 2 ,� a� PERMIT /Call for side sewer inspections -BEFORE covering any portion of the construction.` `Inspection will be provided within 24 hours - after request. NO Sat., Sun., or holiday inspections.) ADDRESS LOCATION OF CONSTRUCTION ......... 1.93®3...-..Olympic View Drive .......................................................---... 4425 PROPERTY LEGAL DESCRIPTION ... LIA....-of_-:the...W-..2n0.----o'_.Tract 85. Edmonds. Sea---View-_Tracts .......... ............................:............................................._............---..............--....----...............................................................................................................................4 ..................................................:.............OWNER' AND/OR BUILDER...... 0.°....E E. Eshleman ....................................._...................................---•--.............. B&M Contractors, 21400 Hwy 99, Edmonds, Wash. 98020 CONTRACTOR'S NAME & ADDRESS ......... :............................................................................... .............................. _.._....................................................... Permission is granted . `J 1..'�0...................................... 19...73.. for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. A IS CALLED TO THE FOLLOWING: N o. 1—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. ci NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. y NOTE No. 3—Obtain full information regarding Ordinarice 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—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 1/s will be permitted. „ NOTE No. 5—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 yea,i'of completion. NOTE No. 6—It is unlawful to alter or do any other'wbrk than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED ❑ Date--._ By - Date ............ ....... ate ............................ ......... ................................... By................ APPROVED �! Date ..... .,l..+l-.------ /. BY ------ .. Reinarks• --------------------------------------------------••-•---..........-•-----------------------------------------•----------..................---................_..........................-----..._....................................................... — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — r I,.. �rtc-i;n.g-•.n- ••- �..-..............hereby certify that the side sewer installation constructed.under this permit (Owner of Firm Perfcrming Construction) wotalled in accordance with all governing ordinances of the City of Edmonds. / Dated this .............. .Q.....day of.........`�U�,r................•---................., 1973. Check BEFORE you dig for: Water ❑, Gras ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ J jq307 0(�AYTC dLj7i CA- opt - 7S, (p 5 �- y PUBLIC WORKS.DEPARTMEidT 1 JUL 15 1981' • BUILDING PERMIT REVIEW Dir. of publ' W BUILDING ADDRES 7�,30,3 (` BLDG. DEPT. SUSPENSE DATE )UTE: 1� OFFICE-ADMIN. PUBLIC CITY ENGINEER (check) STR l`.H 1FILE y Multiple Commercial IN I T IAL S LOG IN f5Aj C] Access Slope and Vehicle Access ❑ Drainage Plan i ❑ Street File ❑ Legal Description ❑ Quit Claim ❑ Easement ❑ .alculate�Sewer Connection ❑ WATER/SEI%rER DIV, �SION Per �7tGtL?cQ dlot�5 ❑ Determine .Meter Size ❑ Complete Building Permit Review ❑ STREET DIVISION ❑ Complete Building Permit Review ❑ OFFICE ADMIN. — LOG OUT TO BLDG. DEPT. DATE 7 r5 a®■®a®aNUMMO®e®o®dwnxc Race■®a®eaamo®�a�ooma®a®a®�®a®e®�®�e®a®a®s® a®a a®a®a®a®acm a®a®a=a�aa=a= an a®o®oases®a®a®a®e®a®e®aam a= Im BUILDING -PERMIT APPLICATION (COMPLETE) J -7 � '❑ 2 COPIES OF SITE PLAN ® 2 COPIES OF FIRE PROTECTION PLAN /(PREVIOUSLY REVIEWED BY FIRE DEPT.) 0 3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS REQUIRED BY SUBDIVISION ❑ GREATER TITAN 2,000!S0. FT. IMPERMEABLE SURFACE [j LESS THAN'2,000 SQ; FT, [] ® CHECK ZONING REQUIREMENTS. (SETBACKS) ❑ 1 COPY OF ENGINEERIIIG CHECK LIST ❑ 1 COPY OF PUBLIC WORKS MEMO ❑ MULTIPLE OR COPDTERCIAL YES ❑ (ATTACH COPY OF ADB !APPROVAL INCL. ALL DRA,TINGS) NO ❑ i ❑ SUBDIVISION — YES[] NAME ! DATEDIRECORDED NUMBER NO ❑ (.ATTACH COPY OF REQUIREMENTS) ® CHECK SEWER DRAWINGIAND ATTACH COPY ❑ IS DEDICATION REQUIRED — YE S❑ (OBTAIN QUIT CLA121) ` ( CITY CODE ) p� No®. ❑ DOES CITY HAVE EASEMENT ON PROPERTY r YES ❑ (ATTACH COPIES OF DRAWINGS) NO ® CHECK LEGAL ACCESS ! INGRESS❑ UTILITIES® YES ❑ YES NO ❑ NO ❑ - ® HAS.SEWER ASSESSMENT BEEN PAID Y£� ® L.I.D. NO.: I PLAT NO. ,. SUBDIVISION NO� ❑4. ❑''IF :MULTIPLE:` INCLUDE NUMBER OF UNITS 0 IF COMMERCIAL: 'INCLUDE NUMBER:OF FIXTURE UNITS R 1Ni �.9 DE TA, I I CONT {2ACT0 2 : F CaA F� OC Y,vid�/C V I E Vim- P I VE f .• pr �r -1; ASSOCLk"PIES, INC;. r i' ; SQFYEYORS • DEVELOPMENT CONSULTANTS • PLANNERS ": 100th W. EDMONOS, 7W SS0',0 115.1594 ,`23108 , 7> tr. ,IF uJex f e�le C. MAY. . •;Ljr.Js •® D 1N�-'LL b lA -1 1 Ji 0 C 1i i rS•,.Li' 1�'� f`.% •' y — I/ �a SURVEYORS DUVELOP?:lic'NT CONSULTANTS i . 23108 100;h W. EL'?:i P�G:i. '�;,� " 0 • 7l5 1�'), �'F, 92Ea % i / Flt . ,5 - 0 row l J I--- i 7-4 co i� %� a j.� "�' ji It�l Al-f o 1, r --,• '� ,Q , c � �C �, �l •, I 1 TOTg 4r5 C J, 5)( 1,83) Zo 1.7-37. 1i If ¢S �� i 2 � ._/' 7_ D f �/'osu �'-o . .—. 1 i . --- - /-737, 7?7 Z601 _t 141-3 15 R zo l -- 4 , . `� r ) t1 7) f C %� .i' > 1 �.J �l, 1: Cam(: �i•x��=P t�.t�s l� fE� � n, 3 � , F' Si 6'Y S4 y� Gd o z7 -t4f) r 16 i�1A U O _ Cl � d C� � 5 � P-v 7 IN ul U- cn.. ui -7 J Q) LA < C cu LIJ CL 0 uj -J �) Q� ,75 < U. I < lij LLJ 0 LLJ 7— 0- 0 co U) � U.J 0 > Lij < L.Li < LLI M 0 0� �c -J a- 0 CL -; <CL 0 < 0 Go fly CL Iz ui 0- '�Z ti 10 LLJ c:) G < Ul IC [aORKS DEPARTMENT CHECKL Date: ST R IL FILL BUILDING PERMIT REVIEW Street Right -of -Way Existing o REQD Access Easements Existing �-/c s REQD — Utility Easement Existing REQD Lot per Subdivision Plat Assessor Map' �3 Site Plan Checked for Accuracy Underground Wiring Reqd. Check Accuracy of Legal Description Enviromientally Sensitive Area Environmental Checklist Reqd. Flood Hazard Zone Shoreline Management Area Slope., Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code i�S— Z Amenities Design Board Approval Reqd. ADB # Approval Board of Adjustment Approval Reqd. Review By: Existing 14ater.Main Size Water Main Reqd. Service Line Reqd. Hydrant Size Existing Hydrant Reqd. Per Fire Code Detector Check Meter Reqd. Cross Connection Inspection Fire Department . Contnents Water Meter Charge Reqd. Review by: Septic Tank Permit Reqd. Sanitary Sewer Availability Drawing No. Side Sewer Availability Sanitary Sewer Connection Fee Reqd. Date: S Date: Size Permit No. Proj . _ File No. Review By: Date: M xxx Ohen Ditch Existing Reqd. Culvert Reqd. Size c4 Catch _Basin Reqd. :,,Indicate on . Site Plan o ! 'Shoulder drainage nkkii.ntain collection on swale open runoff H 1,t-wihol,e regd. Indicate on Site Plan Soil Conditions and Ground Water field Cliecked Revicna hy- - -- - -- Date Street Paving Reqd. H - Curb and Gutter Reqd. W Sidewalk Reqd. W 'Curb Cut for Driveway Reqd. P�. Right -of -Way Construction Permit Reqd. Bond Reqd. for Public Improvements Street Nine Sign Reqd. cn Other Signing Reqd. :Q. Pre Permit Site Inspection made on z BY: SEWER H U w W WATER w '+7 STREET H ENGINEERING xL Special Requ.irer,i--nts listed in.mem. to Cominmity Development Departrnent, Building Division BY Date o All items filled in on Building Permit Application t BY Date Drawings Stamped and Notations 1kide a' BY Date ..Approved by Public vlorks DeparLinent ;evi.sed: lv 10-1.977