19313 80TH AVE W.PDF111111111111
7085
19313 80TH AVE W
010001"
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221
'N,j � COMMUNITY SERVICES DEPARTMENT
--Ammw- �j Public Works e Planning Parks and Recreation Engineering
890 0 C�
September 1, 1995
Julie Baxter
19213 80th Avenue W
Edmonds, WA 98020
Re: ADDRESS CHANGE
LAURA M. HALL
MAYOR
The City has received your request for an address change at your place of
residence. The Building Official and the Fire Marshall have concurred that
your present address is in error and such a change would bring you into .
conformance with the addressing policies of the City. Therefore, approval
has been given to change:
19213 80th Avenue W to 19313 80th Avenue W-
The City will notify all applicable City departments of the change. It will be
your responsibility to notify all others, including the Post Office. You have
30 days to post new address numbers.
Thank you,
Sharon Nolan
Permit Coordinator
CC. Fire
Police
Public Works
Utility Billing
Address Files
Street Files7
Engineering
Building Official
ADDRESS.DOC/TEMP/BLDG
0 Incorporated August 11, 1890 *
,Sister Cities International — Hekinan, Japan
M-1
PLANNING DATA
SITE ADDRESS: &�ATE: 4,13 Af :V
ZONING: PERMIT#:
SETBACKS:
Required Setbacks:
Front: J,�
Left Side: Right Side: Rear:
Actual Setbacks:
Front: Left Side: Right Side: Rear:
FLOOR AREA: zu
LOT COVERAGE: - 6
Maximum Allowed: &0/ Actual:
BUILDING HEIGHT: e
Maximum Allowed: 1.21 !:Z� & 1 ) Actual Height: /Z�q, .0,5
SUBDIVISION: '
CRITICAL AREAS #:
SEPA DETERMINATIO
LOT AREA:
OTHER:
Plan Review By:
Z84 PERMIT
CITY OF EDMQNDS NUMBER Noglo
CONSTRUCTION PERMIT APPLICATION JOB 8UITE,APT
ADDRESS
OWNER NATE/NAME OF BUSINESS
I � A I - --- ( %— - t -- LEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO
ZIP
CITY
STATE LICENSE NUMBER
7 r C- I -) ALr, // V,;,
S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — FIEQUIAED DEDICATION
PROPOSED
TESCIP Approved 0
RW Permit Required 0
Street Use Permit Req-d 0
InspeCtion Required 13
S,de.aik Required
ELEPHONE NUMBER
ilcl�
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES C3 NO E3
REMARKS
ELEPHONE NUMBER
ENGINEERING MEMO DATED
ELEPHONE NUMBER
FIRE MEMO DATED REVIEWED 8
EXPIRATION DATE
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
all easements
9A -a)
3Q A
/vw
DO
Properly
Tax Account
Parcel No.
D) 9
[j NEW
P"RESIDENTIAL
PLUMBING
ErADDITION
0 COMMERCIAL
MECHANICAL
E] REMODEL
[:] APT. BLDG.
SIGN
ElEPAIR
13 GRADING CYOS.
FENCE x— FT)
DEMOLISH
El WOODSTOVE
INSERT
El
SWIM POOL
HOT TUB/SPA
-P.ARAGE
CARPORT
RETAINING WALL/
ROCKERY
[:]
RENEWAL
NUMBER NUMBER OF 011ITIG
OF DWELLING AREAS
STORIES UNITS NUMBE
DESCRIBE WORK TO BE DONE JATTACH PLOT PLAN)
I E FRO SIDE 77�
NT �, �7 1 REA. 16
I
SPECIAL INSPECTOR A" 4WAL OCCUPANT
REQUIRED LOAD
C3 YFs
MARKS
1PROGRESS INSPECTIONS PER LIBC 305
FINAL INSPECTION REOUIRED
PLAN CHECK FEE
2-
BUILDING
2
373
3 73
HEATSOURCE:
GLAZING %
ZZ-3
PLUMBING
Plan Check No. 1:�4
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curLe, sidevii
-
driveways, marquees. etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 190 Days
"Applicant. on behalf of his or her spouse. heirs, assigns and
ENG. INSPECTION FEE
r
successors in interest, sea to indemnify, defend and hold
harmless the City of 2dmonds, Washington, its officials
III
Ind CMeM7
2 employees, and agents from any and all claims for damages oi
.4
Whatever nature, arising directly or Indirectly from the Issuance
of in S permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
41M
m odily waive or jeduce any requirement of any city ordinance
0 nor limit In any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
&,T—
provision."
�i f4dreby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
Information given Is correct; and that I am the owner, or the duly
agent of the owner. I agree to comply with city and
THIS PERM T
This application IS not a permit until
:uthorized
is laws regulating construction: and In doing the work authoriz.
'a
AUTHORIZ ES
ONLY T HE
signed by the Building Official or his/her
Ed thereb , no person will be employed in violation of the Labor
y
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
Deputy: and fees are paid. and receipt is
acknowledged in space provided.
tion Insurance and RCW 18.27.
INSPECTION
$10 ATUR IOWNgR OR AGENT)
DEPARTMENT
CITY OF
TURE DATE
EDMONDS
CALL FOR
INSPECTION
DATE
MENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. 1
PINK — Owner GOLD — Assessor
CA FILE NO. q4_10fl-
STREET FILE critical Areas Checklist - *- . r
;:.:Site Information (soils/topography/hydrology/vegetation)
1. ;'S�iie-Address/Location: 1221-S b0'AV6 W V(%ry\-
2. -Propqrty Tax Account Number: I A Ll 0 L/ — J4 — 03 -1, COO
3. :,-Approximate Site Size (acres or square feet): '7 1 -7
4. Is this site currently developed? Y yes; — no.
.If yes; how is site developed? HOv
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
)c'—" 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 tha. n 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: L---;� 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? /Ud Flows are seasonal? X,) o (What time of year?
10. Site is primarily: forested ;meadow _;shrubs ; mixed
urban landscaped (lawn,shrubs etc) �>e,'
11. Obvious wedand is present on, site:
Rev 011M4
& 9 0 . L99 -
City of Edmon&
Critical Areas Checklist
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 Edmondsprior
to his/her submittal of a development
permit 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).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
V
Vel'o �Qglk
ooi A S 'e.
St07-*P
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and. identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topogmphy map, etc.) or studies in
conjunction with this Cheddist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the, best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Wi I I i(ArY\ e-
Name
19 �') -Z.> 864' AU r, W
Street Address
Applicant Representative:
Name
Street Address
E�N"\OnJ-S IM -775--)-/IfC
City, State, ZIP Phone City, State, ZIP Phone
�& -Z�g� 5
A —L-
"eign-ature Da6
Signature Date
STREET FILE CA FILE NO.q4_1011-
Critical Areas Checklist
,-Site Information (soils/topography/hydrology/vegetation)
I '.§iie-Address/Location: N21145 bQ*�fta JAI �EAry,�_
2. :-Property Tax Account Number: 18 2�1 OLI - 24 - 03Z 000
3. - Approximate Site Size (acres or square feet):
4. Is this- site currently developed? V yes;_no.
If yes; how is site developed? Hou
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: G-2 _; 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? /tjd Flows are seasonal? A2 o (What time of year?
10. Site is primarily: forested ; meadow _; shrubs mixed
urban landscaped (lawn,shrubs etc) �>e,'
11. Obvious wedand is present on site:
Rev 011004
a 90 -199-
City of Edmon&
Critical Areas Checklist
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 Edmondsprior
to his/her submittal of a development
permit 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).
An applicant, or his/her representative,
must fill outthe checklist, sign and date it,
0-0
-00-
g
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shaU include
other pertinent information (e.g. site
plan, topography map, etc.) or studies in
conjunction with this Checkfist to assist
staff in completing their preliminary
assessment. of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the. best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Wj It iavv-\ �-' -
-� uVi e-
Nanie
M;Q15 &54-Aurz--
Street Address
E�r,(�Js V,1A qWC -775-q1f6
City, State, ZIP Phone
signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature
Date
WE
Lij
I
229,-0"
PLOT PLAN
I-q213 80"AVE W.
LOT 4 4-03?
5CA LF=
VIC =
850151
VIM UM
NOTICE:
No warranty of accuracy.
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of 'Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officer,-) shall be liaul--le for th
Ll ie
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City of Edmonds $TRW FU SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0
EASEMENT No . ..........................................
---T
7,1
OWNER ..... -5—a ........... .......... CONTRACTOR ....................................... 40.,�I).A) ............................. PERMIT No
ADDRESS ... IF0.1-J ...... —.-F49-54 ............................... LEGAL DESCRIPTION: LOT No. ........ BLOCK No. -./Y ...... 2-7----11
NAME OF ADDITION .........................................
...... o .. ..............................................
F-
0
40
ID
00
7- 7
Cb
Approved:
DATE .............. ... .... 7.41.2 ..... -B,
... ............
..........................
CITY OF, -EDMONDS-
CENTER WATER -SEWER DEPARTMENT—
CUM* D., DCD'A I
Call PRo8pect 6-1107 when work
As ready for Inspection. (N - o ln�pec�
tions Saturday, SundaXor-h'o-IIdays;) N2 1-941.
......... ........... 19213- 80th Avenue West
.................................................. .......................................................................
.......................... .........................
�%-�6wqkR ....... .......................... coNTRAcToR.. Owner
..............................................................................
Pi�inllg-sion is granted .ftril ... 5 ...................... .., 19.5.7.,for ...................... days, to REPAIR or CO . NNECT a Sid I e sewer
W th.- City Sewers In ac6ordance with application on file and governing ordinances.
zo, ,ATTENTION IS CALLED TO THE FOLLOWING:
NOTE: No. I —The owners _of the property ma obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
y
be drnplayed to construct side sewer In street area. Do not. cover any portion. of sewer before it has been Inspected.
1 eNOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing, side sewers when you get permit.
NOTE -No. 3—Top_of side sewer m t have at least .30 Inches coverage at property line and 12 inches Inside property line; minimum grad e of 2%.
No bends In grade shuarper than 1/8 will be permitted.
I No. A —Trenches In street. m I be water settled and -surface street restored tol-original-condition.
us ( c of Contractors shall. b67 responsible for
"failuie-.due to. improper w
wk whi h may develop, within one ye�ar-6f compl�tl6n�
-NOTE - No.. 5—It. ls-unlawful-to alter or do any other work than is �p
rovided for In, the peripit, . or to do any work on the main sewer or Its ap-
purterjaqces except to Insert the pipe into the wye.
A
The South 751 of the West 2491 of the North
1/2 of the South 1/2 of the 9W 1/4 of the
SE 1/4 of the SE 1/4 of*Section 18, T27N9
R4E9 W.M.
LESS West 20' for roads
Situate in the County of Snohomi�h, State of Wash.
:Ail— 1000�-
STREET FILE
Au,,u�*t 300 1066
Mr. James L. ",atterwhite
1022 Alimaden ',,treet
Eui-ena, Ore, -.on 17402
Re: 5anitary Sewers -- L.I.D. 139
19213 - 80th Avenue West
Edmonds WashLnpton
L
Dear Mr. Satterwhite:
In answer to your letter of Au�,,ust 18, 1966, the completion
date "or the nain line sewer is scheduled for lovember 30, 1966; and
subsequent to that dnte, property owners �iill be required to connect
witun sixty (6o) days. ror your information, �;Lie sewer re,7,ulatlons
and typical side sewer draw ings are enclosed.
In accordance with the City Buildinj, Code, seDtie tanks are
required to be filled when abandoned; however, if a pem. anent concrete
septic tank has Leen installed, they have been allowed for downspout
drainage.
LRL:rf
Lncloeurea
Yours very truly,
CTT'.-' or EDMOIDS
IXIF R. LARSON
City Lngineer
Ll
a
I
-4F-�(%X47 C-AL-cls
A.
%= +.log
0
Y>= +I C�q
morLnk
\N- . .
IIIIIIIIIH
A
105
F R?
A �,u 1, V,
+
\F-XtSTirJ(, Fm Po"
Lo
VE-U.0 W/Rcbp
-i-tO3
41
7-!
767,
I P VAA) iS e-dIVYL- PAVeV , rL-Nk,�
Pe7gWTIOIJ
" A-��r
7�>
I, L I NM L\,C--.
--FRON E:7 -775-
Z ONE
SETBACK&
FRONT —
SIDE
HFICHT
6T RE RE
ZONING
';EPA
S c
�JBACKS
LID7 COVE'PtAGE
bUtLDING. HEK�HT
STRLE-f DEDICATION
SUBUIVISiON REQ.-
TIE�BAR STATEMENT==:JE
GUEST HOUSE STATEMENT
FLL)ODAREA
OTHER
!21
3,;
DA-Tv;,\ f1r *-100
Gs\s covCA- I"
50
RECEIVE
MAY 2 7 199
PERMIT COUNT
C ',:i I 'Y' 0 F E D 1 -;,/14 'D 1 �i D S
BUILDING DEPARTM
J�T
WORK ADD 6--P,44-1-4 i!-,,
ADDRESS 19,�Z
OWNER
APPROVED DATE:
BLDG. OFFICIAL
PERMIT NUMBER