Loading...
19330 83RD PL W.PDF111111111111 7775 19330 83RD PL W I q �2Z3 C) <�S ADDRESS: TAX ACCOUNT/PARCEL NUMBER: DOS-7QSe5000 NoCka BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS:— 0 s — I C�)11 - DETERMINATION: 0 Conditional Waiver 0 Study Requiredvwaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED 0 1 FA 1, zx 0 - 0 PLANNING DATA CHECKLIST DATED: 11 /,50 /0 5 .. SCALED PLOT PLAN DA SEWER LID FEE S: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: A-0 0 SIDE SEWER PERMIT(S).#: 'Ir)q GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: I �-/ 1 0--)— SJyvc�, LATEMP�DSrs\Fonns\Sueet File Checklist.doc " C. 1 -6 -1 City of Edmonds PERMIT NO: M09 SIDE SEWER PERMIT PERMIT EXPIRES__9�" Address of Construction: &Ego ?�?,Ooz LID Property Tax Account Parcel No. Attach copies of all access and utility easements Owner and/or Contractor: Contractor License #: N Single Family E] Multi -Family (No. of Units F] Commercial (No. of Units 0 Public Verified and Approved by ding Permit Invasion into City *Right -of Way: Ej Yes ' [Z No *RW Construction Permit # Cross other "Private Property: El Yes' ez No **Attach legal description and copy of recorded easement. Owner or contractor signature and acknow�edge_rn­ent -statement By signing. for this permit I certify that I have read the City's public handout entitled ide Sewer Specifications, and shall comply with all City requirements outlined therein. / �.._ C�) 45- Date 2 CALL DIAL -A -DIG (1-800-42�4-5555) BEFORE ANY EXCAVATION 2 9 FOR INSPECTION CALL 425-771-0220 extension 0--ft 24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A * $45 RE7INSPECTION FEE WILL BE CHARGED. Job Site Ready YES NO Date: Initial: Partial Inspection: Partial Inspection: Date: Initial: Date: Initial: FINAL INSPECTION APPROVED: Date: Initial?, As -built to Street File: '0, PERMIT MUST BE POSTED ON JOB SITE 1,� White Copy: File Green Copy: Inspector Buff Copy: Applicant . I- L;temp;bldg,forms;sspennitjlg4/00 EXEMPTIOPFROM CO�NTRACTOR REGISTRATION VERIFICATION FORM The undersigned property owner or contractor has 'applied for a building permit from the City of Edmonds and claims that he/she/it are exempt from providing contractor registration in accordance with the provisions of RCW 18.27. The property owner, by their signature below hereby verifies to the City of Edmonds that: 0 Value of work under $500.00. The aggregate contract price of labor and materials and all other items required for the project is less than $500.00 and is not part of a larger opertation to be undertaken on the property. The person employed to do this work has not advertised nor otherwise put himself forward to the permittee to be a contractor or qualified to engage in the business of a contract. RCW 18.27.090(9). 0 Work performed personally on own property. The undersigned verifies that all work done. under this permit will be done by the pen-nittee personally on his/her own property, and that the improvements constructed on the property are not being undertaken with the intention and purpose of selling the improved property. 0 Commercial property exemption. The permittee is the owner of commercial property and the owner's own employees will perform all maintenance, repair and alteration work on the property. No work will be done by contract under the permit. RCW 18.27.090(13). 11 Licensed architect, engineer, electrician or plumber. All work performed under this permit will be performed by an architect, civil or professional engineer, licensed electrician or licensed plumber operating within the scope of his or her license. RCW 18.27.090(14). XGeneral Contractor. The owner is the General Contractor for the project and is required to hire a minimum of two licensed subcontractors (unrelated building trades or crafts). The general contractor is responsible to verify all State licenses of subcontractor. RCW 18.27.010 THE UNDERSIGNED PROPERTY OWNER HEREBY VERIFIES THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE, HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. Dated this day of /c5"_, 20 Q �5 PROPERTY OWNEFJPERMITTEE TNESS: Print: LATEMPWILDINGTORMS\exernp contractor regis verif form.doc03/28/01 .0 0 STREET FILE PLANNING DATA NAME: J-h,� Ceuk DATE: 13,11or SITE ADDRESS: ')33oi. 93rA —PLAN CHK#: 05'. 5a 2- PROJECT DESCRIPTION: REDUCED SITE PLAN PROVIDED?: MAP PAGE: 3 o 4, - CORNER LOT: (Yes / FLAG LOT: me—S �/ ZONING:- IZS-t - CRITICAL AREAS DETERMINATION #: 05 - 12-1 UStudv Reauired: GyWaiver L3 Conditional Waiver SEPA DETERMINATION: Ll Fee Ll Checklist LlAPO list w/ notarized form 'big Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) aExempt SETBACKS: Required Setbacks: Street- 25 Left Side: -7.5 Right Side: -7, 5' Rear: Actual Setbacks: t. 4#44-.1m Street: .31' LeftSide: 43,5' RightSide: Rear: Street map checked for additional setback required? (Yes /A / DNA) UDETACHED STRUCTURES: pi -I -,- P­ 3- Ll ROCKERIES: LJ FENCEsrrRELLISES: L3 BAY WINDOWS/ PROJECTING MODULATION: Po"6"'ak. k--K LdSTAIRS / DECKS: f"� 47-4b4ogf1jr; gC.,O� $A0,_C A, j*, PARKING: Required: I - Actual: 7- *L"-.-1,j ' �;_ 1!1 ; LOT AREA: 9 Z- 2 -7 " �'k" �( 14' r, r1p, LOT COVERAGE 2­42,o Calculations: BUILDING HEIGHT: Datum Point:_..-M1%dL..t. N, tulusAi. Datum Elevation:— 00., 0 Maximum Allowed: 7-5, (1 Zi. 3 Actual Height: A.D.U. CREATED?: SLLYes) SUBDIVISION: f-7 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes I(Q OTHER: _V- ba 1977 -04,2-3 - &.,4, 3.% I-C.UVA 4-Af%v- !�*11 .�!l wh�. W4A O.A4 Lt,.( Tl-#, 7 0" Gtc 8 th . tU,-A C"- b -m� --z Plan Review By: NewBPP1anningDataForm.D0C #P20 0 -&;. ib7- City of Edmonds Development Services Department Planning 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: available from observations of the site or data available at City Hill (Critical areas inventories, maps, or soil - surveys). Date Received: 8 -1-7—,R,0Q,5 City Receipt#: —7 0-9 _3 Critical Areas File M GA - 7,00 5 - 17-1 Critical Areas Checklist Fee:., $135.00 Date Mailed to Applicant: 62_-_26&5 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 fifiding.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 undersi gned 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 hartriless 6' all damages, including r . easonable orn any and attorney's fees, arising from any action or infraction based''in whole or pirt upon -false, misleading, inaccurate or incomplete information fumished'by-the applicant his/herlits, agents or'ethployees.* By. my signature, I cer* that the infonpkition and exhibits -herewith submitted are true,and, correct. to the best of my knowledge and that I am authorized to fi tio on the behalf of the owner as listed below. UT SIGNATURE oF APPLicANTIAGENT DATE 9 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 for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting ft�ndant to this aiplication. SIGNATURE DATE PLEASE PRINT CLEARLY Owner/ApplIcant: Name Street Address 0 24, city State zip Telephone: Email address (optional): AppHcant Representative: _J I .Name Street Address �&Aka_ I -Lb, el%112- City State Zip Telephone':.. Mb -,M lip. Email Address (optional): #P20 CA File No: Critical Areas Checklist Site Information (soils/ topography/ hydrology/vegetafion) 1.. Site Address/ Location: 0) k I a� 2. Property Tax Account Number: 00q-72-51201901 kc)2_ 3. Approximate Site Size (acres or square feet)- g-)4,720 4. Is this site currently developed? yes; — no. .If yes; how is site developed?. F�M%w m3bnc-d2 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-fe*et 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 (pleasedescribe): 6. Site contains areas of year-round standing water: Ob Approx. Depth: 7. Site contains areas 4 seasonal standing water: 0o Approx. Depth: What season(s) of the� year? 8. Site is in the floodway 0 o floodp*lain of a watercourse. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? bir- Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped (lawn� shrubs etc) 11. Obvious wetland is present on site: 0 For City Staff Use Only 5_0�0 1. Plan Check Number, if applicable? Novie- !RiV'tn- 2. Site is Zoned? 3. SCS mapped soff type(s)? 5' AlAtAMOnA UVOAM 1,0JY1 A WVYIV[!�j 1—t*b f21QjZ&!5-_ 4. Critical Areas inventory or C.A. map indicates Critical Area. on site? No 5. Site within designated earth subsidence landslide hazard area?. WO 1h1Ai1CJft14 Off-�"al Id MAW :bYAAk CArtWV)(% 1 A DA DETERMINATION STUDY REQUIRED WAIVER Reviewed bv- n �AAA_j (XL4/�� Date: 0 10 2-t C) PF DPJVEWAY ZONE (M A SETBAC"0)- F RUI Ile, GlDr i REA" .. -/a ()TVIER HUI SK PAP 0 PROP6SED ADDIT!0N ;oAl cot,,*. 0 0 use PERMIT BUILDING DEPART Applicant Fill �'O"E -77C"'A23 Inside Heav Lines PERMIT APPLICATION JOB ADDRESS NAME (OR NAME OF BUSINESS) LEGAL LOT LOT AREA. SUBDIV15ION NO. it 'FVES ONO 'PLPT b, MAILING ADDRESS Z STREET R /W EET R/w E5 0 FT. DEFICIENCY THIS PnOPERTY EXISTING STR CITY L PLAN ST. R/WC,5 FT. C>T. COMP. 7L 0 NAME & Y2- R ARKS No �2 f3uls. 01TU A-L� U W AUDRESS I.. rT E LA STREET AND/OR UTILITY WORK R/W PERM CITY TELEPHONE NUMBER REO-D. 22NO W 'C 0 YES YES UND RGROUND NAME WIRING REO'D. 0 YES jj�NO 0 TYPE CONNECTION tIFIED By ADDRESS SANITARY SEWER ABER < M S PTIC SYSTEM OYF �PRMIT CITY TEI-Er"ONE NUMBER S APPV'O BY CITY ENG. Z 0 1�rN 0 U 15-f-AVE-LICENSE -NUMBER ICITY LICENSE NUMBER REMARKS METE S1 Legal Description of Poperty '%Show Below or Attach Four Copies)) Ir 4:�l 1-7 III REMARKS /#/14;11­` eel SIGN AREA ENV. REVIEW ADB NO. U COM PLETE ALLOW rX PT D/ ('-4 �=� WO REMARKS VARIANCE OR CU -�ING R 11 Y JPI YARDS LOT COV GE Pjj�l SIDE REA FRO PIT R..1 ... TIAL. FIRE ZONE TYPE OF CONST N CODE U -r- 7 3, -0--R.Sl-.-TIAL SIGN ADD CIAL INSPECTOR ARE I=U IPA"l ETAINING P F� R UPANCY F7 REQUIRED, LOCAD WALL C3 YES NO 2 --.R .-CAVAT. FENCE OR FILL I_ X_F71 TY PLA CHEC HIS SITE IS LOCATED IN THE Cl OF EDMONDS. LOCAL SALES TAX REPAIR PRIE-MOVIE 01M SHOULD BE CODED_31.04. (-11 INSP. OL ED Sw NUMB�.R OF STORIES NUMIBER OF Z OWE LING UNITS_ NATURE OF WORK TO BE DONE 14-1 Tr-L54 PIA)MAS- VALUATION FEE Z PROPOSED USE PLAN CHECK Z NO. F LOT PLAN (INDIUATE GUILDING SETBACKS. ABCTTIN STREETS) BUILDING 0 4. PL MOING W > 0 HEAT & GAS LINE 0 > FENCE Z SIGN RETAINING WALL 0 SWIMMING POOL I 'nereby acknowledge Chat I have read this application; that the j, TOTAL AMOUNT DUE formation giver, Is correct; and that I am the owner, or the duly author- ized agent of the owner. I agree to comply with city and state laws regU- ATTENTION APPLICATION APPROVAL lating construction; and in doing the work authorized thereby, no p erson State of ington THIS PKRMI- will be employed in violation of the Labor Code or the Wash This L pplication is not a permit relating to Workmen's Compensation Insurance. AUTHORIZES until signed by the Building Offlicial or NOTE: Permit Limit One Year(Except DEMOLITIONS and FILL ONLY THE his Deputy; and fees are iaid, and PERMITS without conditional use permit, which shaJI be completed in 90 WORK T40TCO receipt is acknowledged in space pro - days; MOVED -IN BUILDINGS shall be c6nipleted in six months.) INSPECTION vided. — DIR S4- A GNATURE(OW OIR AGENI) DEPAI /91 7 ;7 C11 L vIONDS AMITA:��A licant hiect to Plan Check Fee 775-2525 E 117 -7 This Permit covers work to be done on private property ONLY. Any construction oo the public domain (curbs, sidewalks, driveways, arquees, etc.) %.'!I require separate permission. ORIGINAL - File YELLO�4 Inspector GOLD - Assessor PINK Owner DATE RECEIVED C -7 [PERMIT^'EXPIRES -la - CITY OF EDMONDS PERMIT ,NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS Uj OWNER NAME/NAME OF�BUSINESS ft A IVN PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE$ Lu MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApp,6ved RW Perrr% Required 0 A A-L %14 2 t,4z,&_ Weti street Use Perrvdf Required 13 city ZIP TELEPHONE EXISTING — PROPOSED Inspection Required Sidowall Required 8 o v, veys REQUIRED DEDICATION FT underground 13 - Wiring required NAME METER SIZE NOIFIXTURES PRV REQUIRED' U bpy�el!L SM n jad 1 YES E3 NOD Z I= ADDRSSS REMARKS Lu W: OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE i 3 0 z Lul Ar L 5 P, F r C r -10 A 1 0 Siz c CITY ZIP TELEPHONE 6ex, dlems. 67D, i4r, ^ac (f �71 t-jok L ANGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE z Copf) W 0' 5 U. VARIANCE OR CU SHORELINE OR AD1111 INSPECTION REQ'D SEPA biri4T11N-DATE- :t 1 I ICO MPLETED I EXEMPT 1 13 YES arNO _j TY PROPER TAX ACcoUKf'FfAXCEL NO'. CA# 2 Gr ZONE SIGN AREA HEIGHT 00612.900 00 1(002. W I WAIVER P, S _: 8 ALLOWED PROPOSED ALLOWED PROPOSED STUDY [3 , 0 I C] NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) COMMERCIAL ALLOWED PROPOSED FRONT SIDE REAR FRONT 1 I UIRSIDE REAR ADDITION COMPLIANCE OR -MIXIID CHANbE OF USE 17- C). +,7. )5 31 9-5 /++ : tS z USE z I PARKING REO'D PROVIDED I LOTAREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REPAIR CYDS FENCE z X& ( X FT.) 7- 7= I Z Z 7 I/o/o(o DEMOLISH E] TANK OTHER KtMAF(Kb 10�, P,1. GARAGE RETAINING WALL FIRE SPRINKLER CARPORT z ROCKERY FIRE ALARM .0. r— /TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: TYPE OF CONSTRUCTION VA C01 1 OCCUPANT GROUP R-3 �6r, 0, 111 all NUMBER C' NUMBER OF 11! SPECIAL INSPECTION CONSULTANT FLO7OCACDU I PANT OF M STORIES `2, 0 n DWELLING U I I REQUIRED 13 YES DESCRIBE WORK TO BE DONE 63AS�njat I ARKS eus'-w1m;14 firm 1--- 4^1 �4 'F,0nF2T E d2 I rh 1'2A47A,-.—rr- I A 11 — eA �J I I V- I VILV f LJ.""-f 0 Ce ;� &n &,e- S Bj-j"gS'X, bUAAA C4V1KW0VC a VAI UATION a OutaiL-go U L4:ft= s 110�q 6V Description FEE Description FEE o Ac. Plan Check W06 State. Surcharge z/. HEAT SOREE LOT SLOPE% I �tESTED DATE 0 1 Building Permit City Surcharge 6 PLAN CHECK NO: Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr. Review W PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr, Inspection Ln� SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ;C FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE _Qj DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC_ This application is not a permit until signed by the TION; AND IN DOINd'THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S CO MPENS =1URANCEANDRCW18:27. OF!"kill-I SIGNATUR DAT - SIGNAT!Jr�j DATE SIGNED (425) von ­_ff 771-0220 R ED B� uAir %IED ATTEW69--_____ EXT. 11333 71cl IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110. ORIGINAL FILE YELLOW INSPECTOR PINK -OWNER GOLD - ASSESSOR *nIA4 NOTICE: Nb­warranty- OT a * -UUl�d�Y­ e a't . tached The -information shown on th map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. Th,e C'ty of �Edm.qnds does not - warrant the accuracy of anything set forth on these rnap(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform-ation shown on _tFe -map(s), including, but not Hm'ted to, the lociation 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 em p]-o-yee-s o-r off ice-rs -sh-a-11.1 be lla.b..'Fe for the information given' on this map(s), nor for ion provided b'ased any one representat' upon . said map(s). APPLICATION CARD No . .......................... of Edmonds F11 F- for M PLANT S-TREET vww� SEDE SEWER PERMT EASEMENT No - -------------------------- OUTSIDE E] INSIDEP!r REPAIRS F1 OWNER .... ;'— , z so /-) e ............ e1cl .................................................... CONTRACTOR ............. 77 ... 4 ....... 1<.!;-r ........... ....... ......... PERMIT No. . ........................ ----- C/ STREET HOUSE No . ........... /1-3-30 C9.5 AVENUE LOT No . ...................................................................... BLOCK No . ............................................... -------------------------------------------------- ------ *11 ------------ -------- 1--, NAME ADD. Ja=-2 --- Lots-16—L ... 1-7 ... Sierra --- Village .. D1v--A--Baap ... 7-..IQ.1 ---- E --- Of .. SY --- cor Lot 16 th N SEX 350 131 W 43.251 th N 390 131 W 73.25' th Nwly alg Nly ln Lot 17 to NW cor th S a1g W ln Lot 17 to SW cor th N 890 APPROVED mAy 3 11*7 BACKFI1,L WORK ORDER ISSUED ................................... DEPOSIT, ',-o ............................................. 4 SEV�rER WORK ORDER ISSUED .......................................... DATE ... ... ... Xh.4!.) .................. By CIT Y �,PDMON.DS C'VIC CENTER, �-�-WATER-SE TAM FlJospect.."o, ljoj! WER. 'DEPAR `NT .,.xvhbn work Is read y , for Inspecti Oq.� (N I 2-3-07 tions Sa tu 0 'nspe(- "'NO* SIDE-, rday, Sunday Oi,bo'hdays.)�- - SEWER: PERMIT t -ADDRESS ............. .......... ... B.3rd ac.e.. . ............. ........................... . -_F ke7� ---------------------­ ....... ...... NTRA 7 . ...... .......... Pcrii&si6n� 1 s granted­�: ..... 1-667— .2— .... ... for ay or C ON Mt1l 'City SOW.ers. 11i ftc�iir�itn b�e .................. days, -.tq,#pj? I -oil ffle NECT i Side Sewer: an '- 9 d overning ATTPNTION.'�JS E- OLLOWING: NOTE No. .-I�The, own '.o mploers f -Pioperty' may obtain a-periloit,jo.construct-sewer 'inside' , Property line X lic6nsid Side Setwer _P sp 'Contractor. must� . be e -to construct side: sewer, in - streetrarea: Do -nqf.cbver�any Wliaii.,beenAn ected��,: yed, NOTE No. �2—qbtaln . full-, Inform : atio - n . iegaiding Ord OrtiOr� d1f, lnanc6vll.16.0�0 and Aeg�latjons must have- at lea . a sey�ers-wh�n��6u get pejjnj�., NOTE -No., 3—'Top. of. slde.-Sewe� governffig. i9de�, i No -bends in grad t 0-inches..-coverage at pr9perty line and 2 - e ehaper.than will 13 �qches Inside -OTE No.: 4 e, Permitted; prOPeftY line; � mlnjmu��: grade of 2ol.. —TrenchesA' n street Must be water settled and hurface of street�iestored I. failure due to im roper work wbieh,may-develop within one Yeax of 0 origInal.bon Ition, dOntractors -6TE No. i — I- , I P l�d .. 5—It is Iawful-t Completion. shall: be. responsible --for 0 alter or do any other.work un than Is'Provided for'. In the permit, 0 tenan-ces. except t0-1111fert the Pipe ffito the. Wye. r . to do ank.v�ork.on tbe.main se wer. or Its appur- APPROVED AS NOTED MR. NOTICE REQ. BY ENGI FO ROPECTION ALL EX�OSED SURFACES TO BE -COVERED WITHIN 2 DAYS 83R ife: Jef IrlTff ;�� v —1 , . OWNER/CONTRA%r%;TOR IS RESPONSIBLE FOR D=3q*41'4 too EROSION CONTROL AND DRAINAGE =40.00 -'[d -21.18 8XISTING ASPHALT PRIVEY4AY Nb%�r SLOPE rk t2: vvll 5 Ims f, zicnQ f�JTQ't H 9 %K FOUNDATION Q� LL LINE 0 VhW "OUT.3 ERS:1 Sr D. INK*�' T '?.;T. SYS-1 EXISTING7 \0 Sp. RE51PENCE jq2 12- fvv 1�' ;> -MAIN FLOOR ACCE 8 TI TIFRB") FLOOR VEW r rr,vff I- r AT VVHT p '11,- 15� I- L SDR REMOVE EXISTING 0 Lj GARAGE 8 GREENHOUSE 9k M SM �4O 1(5EE SURVEY) N- F 10 HANCOR &o4o b CONC, APPROVED BY PLANNING !A tO DECK il I SLAB in le N q*06,02-W [Wi4 U 1:U11 iau cvf�' "s,-4-A t'� Wro Zone 1z-S-1? Comer Fla&_ ie.tbacks .9 2Rulred Actual I. &A�. Front 2�� Sides SC�IE FLAN 9.5- I-JA TE _71- Rear 1-i- -0 50ALE 1" 20' Mer Height OkNNER5: JOHN 4 CELIA TOBIN —w— wk-1 be, 1q33O L33RD PLACE rE5T P..-- E'L��41L' EDMONDS, KA q502b rf'- 1,1r, I-poo f" LE&AL DE56RIPTION: LOT 1-1. 51ERRA VILLA6E DIV15ION 'A' ACCORDINC7 TO THE PLAT THEREOF RECORDED IN LOT COVERAC7E VOLUIIE 11 OF PLATS, PAGE 50, RECORDS LOT AREA . = b221 5F OF 5NOHOM15H COUNTY, AA. PROP05E RESIDENCE 00`�E = 2300 5F % LOT COVE]IZA&E = 25% ASSESSORS PARCEL NO. 005-12500001bO2 HEIGHT CALCULATIONS: MA,W 'A' PROJECT DESCRIPTION: MARK 'B "�S� ID COW5TRIr-T A 2-5TORYADDITION TO THE MARK "0 i0f- tol, MARK"O' EXISTING SINGLE FAMILY RESIDENCE. A\,(ERA&E GRADE = RECEIVED ACTUAL HEI6,HT 51, = nRD BUILDIN& AREAS: 4SIV E E C MAXIMUM HE16W f�]- = 21 EXI5T6, NEY4 TOTAL DEC .12 2005 LOViER FLOOR AREA 461 281 145 MAINA)PPER FLOOR AREA 130& 621 Iq2q IV IMPERVIOUS AREAS: DEVELOPMENT SERVICES CTR. TOTAL LIVING AREA Ijbq job 26TT j_m CITY OF EDMONDS Ex:5TIN5 BUILDING ROOF OUTLINE = lb-75 5F PRE-14171 GARAGE/STORAGE AREA 0 4qI 4111 Ex 5TINC7 KALK 4 MVEMAY = 513 5F PRE-IqT7 TOTAL BUILDING AREA 31ba EXISTING DECK = 4&q 5F PROP05ED AWN ROOF OVTLINE = 534 5F PATIO 18 5F DRA WN. 1<6y[51�0 I'P/4 A F3 EXCAVATION C4DDNW 35 CU YARDS . DATE. Lcwr�r.-r roo-rfd'�r - 1�k�- I I" I OM91"IMS I Z'0' SCALABLr- Wy 3RV PLACE N =40.00 too _40- Zf I J bf 21.18 EXISTING ASPHALT 12RIVENAY 6% SLOPE w— �l vv r-:.-r2 NJL? 1,14 r:::�t; L 5 Irl ZJ 67ri cl-I 1�1��`I`_ J T_ EXI�T CON<�- P5RCH 4 NALK % FOUNDATION NALL LINE LL EXPOSED SURFACES TO B, COVERED WITHIN 2 DAYS (0 A/ \-A EXISTING RE51 VENCE -MAIN FLOOR FINISHED FLOOR I, rt�jj'�' V_ '&J- REMOVE EXISTING EXIST &ARA6E 4 GREENHOUSE PATIO '�,EE 5UR\v,EY) E-I>d 4; IT, DECK 56 - 5LAB 9 11011 _aq-00610-2" _N N [0-�" 4J' foRs 10 Zone as-?, Comer Setback Required front 1-51 5 1 TE FLAN Sides 7.54 STRE -E L Y .PIMUC PEPT. WTC!, LIST 24 11111 L D I �'G, PI'll",IT P1, Street PdFht-oE-11-:a,, Existinr Access Easewents Existing Utilitv Fascuir-nit Existina PROD N-,(_*S Lot Per Subdivision __VW Plat As, s e ss o r Ta p Sito Pl.,m CJ�.cd:ed for Accurac.-v P.,10,crormind ")C( --ut ectc( Hydrwt J::"-iF,L i -w, I �re C--,-,�; Conn, -_�Cji 'oil Fj rc . . - . __ —.- - — - — - __ __ - - - . - - - - — - — __� 1. �i zo S t j. c Tonli: pproved Datc CIPt Pomit 0 S�-mi.tni-v ftdlah Sj.dc Scn-.,er i%vaiMbillt'? r,_,,,lCcti0j, 1-.c, POC111ircd R-vio'. Oitdi Culvert Peo-ttiFec Catch 1"asill Pc(illiro(l op(_�O run Nanhole roquired Soi 1 Cond.itions Hold Gloc".'ed -io Re Al 0.1. m Pato I'vol'i,re(I Si.ze _j 11 Oil !`�ii:c Plan _131dicate oil Ssite Rate `7 -77 Strcet Pavin( ;'Requirod 1) =---(! Gutter RICquircd Oidcwalh Peouircc! Cuil) Out for Privo,,my Requircd Pi Construct' cii,.ii t Rccluired for ri J, "irc( 11111�1 cons t ruc t. "'.1i t IZcc'tlircc� 'It-01 Bon(I 1),cmdred r I-Vdic Improvcmlenv; c S trcc iric s j. n !"criiircd C, I-Othcr Sinnii)i,, Pcouircd I -re -i t 1711.111 sncction radc on C Scwer C, U iatcr StrCot PO(:1,dr- -nts 1�stcd in ):"(,;.,0 to Buil(, lk-prn r f. J. C (I j], oll 11,,14 1 ]ICjj,,.j.t J�p, I jo .1 Datc G Stx-mcd ".-btaticils A,,),p)-CN.-(,cI by PUII)hc Worl-s Do p,', 7-ti-ent g�c, .- volfl 0 0 F- x 0 0 E 7. C*4 I LO 0 0 3: z i�,xI4-46f L�fmff 10,21 11 4/ 0/ JR ry 40-Z 1 AJI rV0 / 53RV PLACE kN 1� EXI�T GONC� --D 9(41wf- ;,-tp-r 0 f"' VO4W. I" seobw.y., 5-1-TE F SOALE dpi,-JT-� LdIdF-!� Tr, w r400 OVVAER: JOHN & CELIA TOBIN 1933083RD Place West Edmonds, WA 98026 to o I - 4 RISTIN& ASPHALT DRIVE;NAY (9% SLOPE TION I �- LI 1�') --f 1;�-" L E/ I " vylf,-L� �,J,, 1.5 SURFACES TO WITHIN 2 DAYS REMOVE EX15TINC7 GARAGE 4 GREENHOUSE (SEE SURVEY) N -5c-[00b'0-2;1 Ie�54 s)bi- 1.0 0111NERXONI-R,'i,(,� - i 11 UR, IS RESPONSIBLE FOR EIROSION CONTR01- AND DRAINAGE 1APPROVE"D AS NOTED Date: DRAWN. CADDAW I DA TE: I 09101105 OkNNER5: JOHN $ CELIA TOBIN Ici33O 83RO PLACE iNE5T EDMONDS, INA 118026 Urr"IEET FILE LE&AL DESCRIPTION: LOT 1-7. 51ERRA VILLAGE 01VI516N "A" ACCORDING TO THE FLAT THEREOF RECORDED IN VOLUME I'l OF PLAT5, PAGE 50, RECOR05 OF5NOHOMI5H COUNTY, VqA. ASSESSORS PARCEL NO. 005-12500001602 PROJECT DESCRIPTION: Zone P- S -8' Corner Flag getback Required Actual t-,4m Front 32, Sides 75" 9,5-144, Rear 15' 15-, Other he�j&t , 2,5-- 3 APPROVED BY PLANNING CONSTRUCT A 2-5TORY ADDITION TO THE EX15TIN& SINGLE FAMILY RESIDENCE. BUILDIN& AREA5: EXI5T'G NEV4 TOTAL LOINER FLOOR AREA 461 251 145 MAIN/UPPER FLOOR AREA 1305 621 lq2c[ TOTAL LIVING AREA 1"161 qO5 267-1 6ARA(5E/5TORA6E AREA 0, 4cil 4cil TOTAL BUILDING AREA 5165 LOT 0OVERA6E LOT AREA = 5221 5F PROPOSE RESIDENCE COVERAGE = 2300 5F % LOT COVERAGE . = 2b% HEIC71-IT CALCULATIONS: MARK "All MARK 111511 1-01,- -01, MARK 11011 ID MARK "D" AVERAGE &RADE i'Do ACTUAL HEIGHT 5[- = 1 /_7 0 1 1�2 MAXIMUM HEIGHT 1�� = 21. IMPERVIOU5 AREAS: EXISTING BUILPIN& ROOF OUTLINE = 16*75 5F FRE-Iq'1-1 EX15TINC7 YqALK 4 PRIVEY4AY = 815 5F PRE-141-11 EXISTING DECK = 4(bq 5F PROPOSED APP'N ROOF OUTLINE a34 5F RATIO 15 5F EXCAVATION 55 CU YARD5 RESUB DEC 12 2005 BUILDING DEPARTMENT CITY OF EDMONDS CONTEXT DESIGN / BUILD, INC. SBEET- (206) 3241763 523 28th Avenue East A01 Seatdo, WA 98112 COAIMDB994MV I ,do S I TE-' -P L P� NJ RESUB DEC 12 2005 E"LDIN Ciry OGFOEEOPMAORNTMENT OS Found 1�_ I-ron- pipe 0.1 below surface 0.12 north x 0.11 east of calculated position, Found 1/2' Iron pipe 0.1 below surface 0.07 north x 0,00 east of calculated position, 18 'o Z- YSI Q, U Cj I o Tack In Lead In concrete monument clown -0.5 In casing, N 30 0 30 60 90 katei V 39' MERIDIANi PER PLAT OF 'SIERRA VILLAGE' DIVISION B VOL, 17, P. 75, AS SHOWN ON THIS MAP. .7 EQUiPMENT AND PROCEDURE: Li ACCURACY MEETS WAC 332-130-090. 05' TOTAL STATION USED FOR A TRAVERSE. 0 MONUMENTS SHOWN VISITED 26 APRIL, 2005 _-j rn co Al ILE STFIEET F t� r RESUB DEC 12 2005 BUILDING DEPARTMENT CITY OF EDMONDS 25 25 'Z,> 90, Tack In lead In concrete monument clown -0,5 In casing, CD 00 83.57 PLAT, 83.59 CALC, N 89-02'42- W MEAS. N 89-06'00' ;� PLAT 230,74 MEAS. N 89*06'07' W CALC, SIERRA DR S82.0 6100,E LEGAL DESCRIPTIc'ON: TO THE' PLAT THEREOF C11 (U LOT 17, SIERRA VILLAGE DIVISION A, ACCORDING E E RECORDED IN VOLUME 17 OF PLATS, PAGE 50, RECORDS OF SNOHOMISH 0 :3 U a C COUNTY, WASHINGTONj 0 Cu _y EXCEPT THAT PORTION DESCRIBED AS FOLLOWS, -P m Held to f ound bridge spike 4 4 -C LA L BEGINNING AT THE SOUTHEAST CORNER OF SAID LOT 171 0.1 under asphalt paving, U Ul U C THENCE NORTH 26*51'50' WEST ALONG THE EAST LINE OF SAID LOT 17, '�?9*47142' set for boundary tine adjustment :3 L 0 0 1- 0 1-1 kA1_1,J1 4- A A I + - T­ 3948 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTIONj CL -0 U -a Center of cyclone fence post at southeast corner cycLone f ence 0.25 north x 0.37 east of calculated corner, 3 4 TWIN FIRS VOL.17, P.4 V V y e e on 78 an 16 0.95 12 0.45 NOTEi DIMENSIONS SHOWN ARE AROUND WOOD garage add-0 SIDING OF THE HOUSE. THERE ARE I S.F.R. #19330 J%,35 FOOT'EAVES AROUND THE HOUSE. co 17 5,11. .4 AO 00 40 wood C) -4 tk 5 7oot wood fe6,��e_ 7.10 '�uncl �j N 89*06'02' W 146.54 �Found F 3/4' Iron bar V o.cf, Iron pipe with flagging, no cap, 0,31 south x 0,24 east 0,00 north x 0.09 west of catcutated corner. of calculated corner. MAPLE WOOD LOT 8 VOL.33, P.94 LOT 9 RECORDER'S CERTIFICATE ................ filed for record this .......... day of ......... 2005 at ...... M in l000k ...... of ........ ot page ...... cLt the request of ALBERT W. CHENOWETH ..................... .... ..... .................... MGR. SUPT. 0 F RECORDS SURVEYOR'S CERTIFICATE This map correctly represents a survey made by me or under my direction in conformance with the requirements of the Survey Recording Act at the request of J.OHN ... TO,BIN ................. .... in �E!3.47 ..... 2005 ..... ..... 2 THENCE CONTINUING NORTH 26*51'50' WEST 71,13 FEET TO THE INTERSECTION WITH THE ARC OF A CURVE (THE CENTER [IF WHICH BEARS NORTH 26*51'50' WEST 40 FEET) BEING ALSO THE NORTHERLY LINE OF SAID TRACT 171 THENCE SOUTHWESTERLY ALONG THE NORTHERLY LINE OF LOT 17 ALONG THE ARC OF SAID CURVE TO THE RIGHT A DISTANCE OF 10.78 FEET) THENCE SOUTH 35*13'00' EAST 73,35 FEET TO THE TRUE POINT OF J BEGINNING. ALL THAT PORTION OF LOT irs, OF SAID PLAT -,DESCRIBED AS FOLLOWSj BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 161 THENCE NORTH 26*51'50' WEST ALONG THE WEST LI�E OF SAID LOT 16, 00 39,48 FEETj THENCE SOUTH 35*13' EAST 43.25 FEET TO THE SOUTH LINE'OF SAID LOT 161 THENCE NORTH 89*07'02' WEST ALONG SAID SOUTH LINE 7,10 FEET TO THE POINT OF BEGINNING. Surveys * Topography * Sanitation * Short Plats * Formal Plats CHENOWETH ASSOCIATES, INC., P.S. Professional Land Surveyors 18130 Midvale Ave. N., STE. A Seattle Wa. 98133 (206)-542-2188 " (425)-672-8333 FAX w (425)-67278333 IN THE S,W. 1/4 S.E. 1/4, SEC. 18, T-27-N, R-4-E, WX IN THE CITY OF EDMONDS, SNOHOMISH COUNTY, WASHINGTON JOHN TOBIN D WN. B Y: DATE: JOB NO. LS .25028 PAUL J. PISINGER � 11 MAY, 2005 1 F.B. 206 P. 17,18,31 CHKD. BY: SCALE: - SHEET A.W. CHENOWETH 1 1 " = 30' 1 1 OF 1 CERTIFICATE NUMBER .... 95.67 .......... P4 u) , 4-1, RESUB DEC 12 2005 BUILDING DEPARTMENT crrY OF EDMONDS F-6—und V- li�&i_plpe 0.1 below surface 0.12 north x 0.11 east of calculated positlon, 15\ 0�� Found 112' Iron pipe 0.1 below surface 0,07 north x 0,00 east of calculated p ositlo n. 18 Cb� (j C7 0 14 -/u Q, 0, (j a, 0 Center of cyclone fence post at southeast corner cyclone f ence 0.25 north x 0,37 east of calculated corner, 3 TWIN FIRS VOL.17, P.4 Tack In lead In concrete monument clown -0.5 In casing, N 30 0 3 0 60 90 Scale, V 30" MERIDIANi PER PLAT OF 'SIERRA VILLAGE' DIVISION B VOL, 17, P. 75, AS SHOWN ON THIS MAP, EQUPMENT AND PROCEDURE: %-A Y 10p,%7 ACCURACY MEETS WAC 332-130-090. 0 05' TOTAL STATION USED FOR A TRAVERSE. MONUMENTS SHOWN VIS.ITED 26 APRIL, 2005 0 z ry) Go V1, V 25 25 3111 _j Tack In lead In concrete monument 4-J clown -0.5 In casing. 0 00 ---.83.57 PLAT, 83.59 CALC, N 89*02'42' W MEAS. 1�789-06100' W PLAT ��2��;J_4 MEAS. N 89*06'07' W CALC. SIERRA DR .00 S82-06'00 E d) A LEGAL DESCRIPTION: LOT 17, SIERRA VILLAGE DIVISION A, ACCORDING TO THE PLAT THEREOF Q) a, -�j RECORDED IN VOLUME 17 OF PLATS, PAGE 50, RECORDS OF SNOHOMISH 0 :3 U COUNTY, WASHINGTONj 0 �u _y EXCEPT THAT PORTION DESCRIBED AS FOLLOWS, �,Q f -P C) Held to found bridge spike 0.1 under asphalt paving, -C LA L BEGINNING AT THE SOUTHEAST CORNER OF SAID LOT 17j U tA U C '39'4714*2' set for boundary tine adjustment THENCE NORTH 26*51'50' WEST ALONG THE EAST LINE OF SAID LOT 17, :3 L 0 0 :440.00 by Reid, Middleton and Associates, Inc. 39.48 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTIONj a- -0 U -a 7, 7 8 0 THENCE CONTINUING NORTH 26*51'50' WEST 71.13 FEET TO THE INTERSECTION WITH THE ARC OF A CURVE (THE CENTER OF WHICH BEARS 16 NORTH 26*51'50' WEST 40 FEET) BEING ALSO THE NORTHERLY LINE OF 12 SAID TRACT 17) THENCE SOUTHWESTERLY ALONG THE NORTHERLY LINE OF LOT 17 ALONG it" NOTE, THE ARC OF SAID CURVE TO THE RIGHT A DISTANCE OF 10.78 FEETj DIMENSIONS SHOWN ARE AROUND WOOD THENCE SOUTH 35*13'00' EAST 73,35 FEET TO THE TRUE POINT OF garage SIDING OF THE HOUSE. THERE ARE 1 BEGINNING. �s add -on S.F.R. #19330 FOOT'EAVES AROUND THE HOUSE. ALL'THAT PORTION OF LOT 16, OF SAID PLAT'� :DESCRIBED AS FOLLOWSj CD 4-) 17 15� 1,90 En BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 161 T-i 00 5. THENCE NORTH 26*51'50' WEST ALONG THE WEST LNE 13F SAID LOT 16, 16 27 39.48 FEET; 1.40 0 THENCE SOUTH 35*13' EAST 43.25 FEET TO THE SOUTH LINE OF SAID LOT 161 THENCE NORTH 89*07'02' WEST ALONG SAID SOUTH LINE 7.10 FEET TO THE wood COD POINT OF BEGINNING. cleck 5 foot wood fence _x 7.1F N 89*06'02' W 146,541 �Iound 3/4'Iron bar 4 Found V o.d. Iron pipe 0.31 south x 0,24 east of calculated corner. RECORDER'S CERTIFICATE filed for record this ...... .... day of ......... in book ...... of ........ at page ...... at the ALBERT W. CHENOWETH 2005 at ...... M request of with flogging, no cap, 0.00 north x 0,09 west of calculated corner. MAPLEWOOD LOT 8 V11L.33, P.94 LOT 9 SURVEYOR'S CERTIFICATE This map correctly represents a survey made by me or under my direction in conformance with the requirements of the Survey Recording Act at the request of J.OHN ... TO.BIN ................. .....in �EKI� ..... 2005 Surveys * Top9grophy * Sanitation * Short Plats * Formal Plats CHENOWETH ASSOCIATES, INC., P.S. Professional Land Surveyors I OEIC 12 2006 13UILDING DEPARTMENT CITY OF EDMONDS IN THE S,W. 1/4 S.E. 1/4, SEC. 18, T-27-N, R-4-E, WX IN THE CITY OF EDMONDS, SNOHOMISH COUNTY, WASHINGTQN JOHN TOBIN DWN. BY: DATE: JOB NO. LS '25028 PAUL J. PISINGER 1 11 MAY, 2005 1 F.B. 206 P. 17,18,31 MGR. .................... SUPT. OF RECORDS CERTIFICATE NUMBER .... 95167.., ....... 18130 Midvale Ave. N., STE. A Seattle Wa. 98133 (206)-542--2188 1 (425)-672-8333 FAX * (425)-6727-8333 CHKD. BY: SCALE: SHEET A.W. CHENOWETH � 1 " = 30' 1 1 OF 1 q,3,50 (33 ,:!�Su g-v-ff \>/ DEC 12 2909 BUILDING DEPARIVENT CITY OF EDMONDS